patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
Can Gabapentin be taken for back pain?
My husband has been taking tylenol-codeine for back pain, NY state won t allow a primary physician to prescribe narcotics anymore, so our doctor prescribed gabapentin for his pain. We ve read that gabapentin is prescribed for seizures, is pain relief an appropriate use for gabapentin? It seems odd that my husband should take a medication 3 times a day when he only occaisionally needed to take the tylenol& codeine. | Hello, Gabapentin is more better and safer comparitively,with good pain relief and less effective on the kidney functions. It is also an alternating drug for seizures and peripheral neuropathies. No worries, you can continue with the same. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sabiha Banu, Pain Medicine & Palliative Care Specialist | |
Suggest treatment for red rashes and itching on face and neck due to weather change
i live in South Dakota. Every time it snows or rains my face gets red rashy, blotchy all over it. It goes down my neck and my arms. It ithes like crazy. I can usually tell you what the weather is going to do. When the pressure in the air changes that is when it happens. Usually once it rains or snows it gets better usless another pressure is coming behind it. I have seen doctors, dermatologist and all nantural doctos but they really dont believe me. Will not take pretnazone (not sure how to spell) had a bad reaction to it. Please help. Thanks. | Hi Dear,Understanding your concern. As per your query you have red rashes and itching on face and neck due to weather change. Need not to worry.I would suggest you to :-- Keep yourself hydrated by drinking lots of fluid .- Take benadryl to relieve the symptoms.- Stay away from sun exposure and apply calamine lotion to soothe skin.If symptoms keeps on persisting visit dermatologist once and get complete examination done. Go for blood tests and start treatment accordingly. Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari | |
Will antibodies help reduce nasal congestion?
My husband has such bad nasal congestion for the last two weeks - getting increasingly worse -has seen his PCP-been on antibiotics - recently had a CAT scan of head - waiting results. Face so swollen this morning he looked like a caricature. How serious can this be and if does not resolve - what can happen? | Hello, Welcome to HCM, Oral antibiotics definitely help to treduce the infection and there by reduces the nasal congestion. As your husband is having severe nasal congestion I would have suggest him 1.Steam inhalation with Vapo caps 2.Oral Nasal Decongestant 3.Oral LEvoctrizine with montelocast The medicines can be taken after getting the prescription from your traeting doctor. Thank you. | |
What causes lump in a child after having Bcg vaccine?
Hi my son got a Bcg vaccine when he was 16 months old. He developed a big red lump a month after. The lump grew quite big, red and flaky and finally bursted after 3 months leaving behind a purple smaller lump with a red wound in the middle which sometimes still oozes blood and has not dried completely. It has been total 6 months since he got the injection now. Is this normal? He has no swollen glands or lumps in his underarm or neck. Please help. | individual variations exists among children who receive BCG vaccine , small nodule to larger ones who can drain blood , puss like material and so on ..as you mentioned , if there is no lumps in the arm pits ( enlarged lymph nodes) there is no need to worry , some reactions are delayed and some children may exipit them till 9 months of age .I hope this is helpful | |
Suggest treatment to reduce hair fall
My hair falls out all day long, every day. It does NOT fall out in patches or clumps. It falls out sparingly but all day long. I don't do pony-tails. I don't iron my hair. I don't even blow dry my hair. And it falls out even more if I brush it, comb it or wash it. I wash it with an organic coconut shampoo and use the same type of conditioner. I'm 44 years old and relatively healthy. I also eat pretty healthy. By the way, I use to have a great deal of thick, shiny, healthy hair. I probably have less than a quarter of that now. The only reason I think I haven't gone bald is because it does grow.... but obviously, not at the rate that it falls out. It's as if the follicles won't hold on to the hairs strands. Please let me know if there's anything that may be causing this and / or if there's anything I can do. Thank you. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Given your history and medical details, I assume you are a 44 years old female experiencing this hair loss. How long ago did it start? Any probable causes you can think of prior to it starting? Maybe an illness, fever, typhoid, prolonged stress or trauma, change in location of residence or lifestyle, any new medications started, or use of any hair products or dyes previously? Is the skin of your scalp is normal? Have you checked any history of thyroid illness? Is there a family history? Female pattern baldness could be a reason, mainly genetic. Going by your age, hormonal changes close to menopause could also affect hair fall and growth cycle, slowing it down considerably. Is there hair loss elsewhere on the body? Narrowing down on a probable cause can help make changes.As for treatment, continue your healthy balanced diet with sufficient protein, and veggies for vitamins and minerals. Adequate water, rest. Avoid stress and pollution. Continue avoiding chemical hair products and styling. Use a hair growth shampoo and conditioner like hair4U or Renocia, Anaphase. Apply scalp massage oils like warm almond or coconut oil before a bath or overnight. Take a hair supplement capsule daily such as Keraglo-Eva.Keep in mind that the cause of your hair fall must be corrected and also will take 2 to 3 months to see the results. Visit your dermatologist to check your blood for hemoglobin, iron, thyroid levels and a general check of your health. They can also rule out other possible causes after an examination.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Dinah Levillard | |
Does a steroid shot cause dry throat and horse voice?
I had a steroid block yesterday to help with pain for bulging disc at the L4-L5, S1 and stenosis. My throat is very dry and am hoarse when I talk; I also have hiatal hernia. Could the shot cause these symptoms? Also, I stayed awake all night. Thanks | Hi,Unlikely to cause dry throat and change of voice. Epidural (spinal) steroid injection procedures are generally considered to be safe procedures. However, the risks of spinal steroid injections include localized bleeding, infection, pain, inflammation of the meninges, nerve injury or paralysis, headache, or muscle weakness. Dry throat, hoarseness of voice and fungal infection of the oral cavity are more commonly seen with the use of inhaled steroids for example in the treatment of bronchial asthma and other such conditions.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Suggest remedies for sore throat,lethargy and vomiting in a baby
Hi, our 5 and1/2 month old son seems to have a sore throat, hoarse voice and has been waking up crying/screaming and hard to settle. he s normally very content. He also brought up a lot of his milk today, has been a bit lethargic and seems to be sweating, but dont think he has a fever. Is this just a normal cold or should we see a doctor? Anything we can do to make him feel better? Thanks | Dear parent,as u suspected it can be a sore throat. please check with your doctor and start some antibiotics if necessary | |
Is pregnancy possible after bringing thyroid and glucose levels to normal?
MY WIFE HAVE TWO TIMES MISSCRRGE ON 4TH TO 5TH WEEKS AFTER PREGNANCY.SHE IS A HYPOTHYROID PATIENT WITH RECENT FASTNG GLUCOSE 136MG.SHE HAVE LFT POLYCYSTIC OVERY AND TORCH POSITIVE(CYTOMEGALLO & RUBELLA,IgG+).SHE IS TAKING GLYCOMET500(1),FOLIVATE(1),ECOSPRIN 75(1),NUROBION FORTE(2) AND ELTROXIN 100 WITH RESTRICTED DIET.HER OTHER BLOOD TEST (PPT GLUCOSE ,ESR,PCV,COMPLETE COUNT,VAGINAL SWAB HISTOLOGY AND CULTURE OF URINE ,HIV ,GLYCOSYLATED HB,HB GM% ALL ARE NORMAL.PLEASE TELL ME HAVE THEIR ANY CHANCES OF DANGER FOR NEXT ISSUE...CAN WE GO FOR A CHILD AFER NORMALIZATION OF HER THYROID AND GLUCOSE LEVEL...?MY WIFE AGE IS 28,WEIGHT 79KG,HEIGHT 5FT 3INCH.PLEASE HELP ME DOCTOR. | Hi, if thyroxine and glucose are under control, then there is no risk to the baby. But the thyroid dose needs to be increased after pregnancy as the cutoff is low in pregnancy. You can discuss regarding this with your doctor. She can continue ecospirin and also can take progesterone to avoid miscarriages. | |
How to recover from weakness from TB Meningitis?
Hi doctor,My mother was treated for TB Meningitis 8 years back. But still her legs are week from the day she started complaining of fever and headache. Still she can't walk without support ? could you please advice what can be done to make her come to normal again. She is also having urinary incontinence. | It would advisable to consult a physiotherapist as she will require rehabilitation work to be done. There are many neuro rehab centers which will help your mother. Also consult a neurologist for urinary incontinence. | |
Q. Experiencing numbness and pain after elbow fracture treatment. Why?
Hi doctor, I had elbow fracture four years ago. Following which I have limited ROM and stiffness. Now, I am also experiencing numbness, tingling and pain in palm and fingers. Why? | Hi. Revert back with detailed history to an orthopaedician and traumatologist online --> | |
Suggest remedy to manage minor ailments
In the past six months, both times whilst on holiday, I had minor ailments which i made into something more. This time I let the situation get the better of me and I am now back on prescription drugs (Citalopram). I want to manage not mask my issues and need some help. | Hello,These minor ailments, if not treated and taken seriously, may become major illness.I suggest you to continue your prescription drugs and not to stop them abruptly.If you face further problems or have more queries, you are always welcome.Thanks. | |
Prickly, itchy rash outbreak on arms, legs, torso at night. Scabies test negative. Suggestions?
I have a rash/hive outbreak every night beginning around 6p.m. that presents itself on my arms, legs, and torso. It is extremely "prickly and itchy". The rash has been present for almost a year now with little relief from medication. I have been checked out for scabies; negative. Nothing has changed in my diet and nor in my bedding or day to day life. The doctors have not been able to come up with an answer. What is this??? Very frustrated! | Hi and thanks for the query.It feel so sorry for what you have been experiencing over this period of time.From your description of symptoms, it sounds more like an allergic reaction. It may be urticaria/allergic dermatitis. The fact that it is recurrent and always in the evening makes me wonder what changes go on in the evening that may favour this condition. Check well and see if there has been any new addition in your products that coincide with when this condition started, too.Also, discuss this possibility with your doctor who will get more infection and conclude whether this is a possibility and consider the appropriate treatment.I hope you find an everlasting solution to this problem soon.Hope you also find this information helpful and please do come back next time if you have any worries. | |
Any home remedy to reduce pain and swelling after shin hitting hard against concrete sliding?
Hello, I was at the pool and when coming out of the water I lifted my leg too soon and hit my shin very hard up against the concrete siding. A small long bump appeared within minutes if the hit in a line across my shin. It is starting to bruise, and is sore and swollen. I have hockey tomorrow,and am in a hotel currently. any home remedies possible for me to minimize pain and swelling? Also, why is the tough bump on my leg there? What is it? | Hi there..The immediate management is to apply an ice pack (wrapped in a towel) on the shin .. do so intermittently every half an hour or so , for a few minutes.Lie down and keep the leg elevated on a couple of pillows.Rest the limb.Take pain relief medications like ibuprofen along with an antacid.Hope this helps..If no relief whatsoever in 2 days, do visit an orthopaedician. | |
What causes stiff painful feet & hands?
Recently we moved from S. Fla. to NC and my husband and I have been waking up every day stiff, achy, and barely able to move. Even my hands and feet hurt. We live in a new log home, so it can t be lead paint or old house issues. Any ideas? Wierd that it affects both of us the same way. | Hello,Sometimes, neurotransmitters in body act differently with changes of places. This may be due to temperature or weather difference of places. Some time this can also occur due to excessive fatigue, dehydration, lack of sun exposure and other factors. If it is a recent issue then there is no need to worry. Take some time adjust yourself with new place, take adequate fluid and sun exposure. It will go away in 5-7 days. Meanwhile, you may do warm fomentation to relieve stiffness. If there is intolerable pain then you may have tylenol for relief. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon | |
How can chest pain be managed after withdrawing from antidepressants?
I have been really stressed lately as I came of my antidepressant two weeks ago, I have always suffered with chest pain but lately its on my left side by me heart.... It happens more when I m rushing around like today I was pushing my pram through the park and I had this sharp pain left side by heart I had to stop as was that bad but it didn t last long what do you think I should do i am caring for three children under the age of five with help from parents | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The chest pain after withdrawal of antidepressant can be best managed with - deep breathing exercises - meditations and yoga - relaxation techniques - maintaining sound sleep for 7-8 hours. Hope this will help you for sure. Feel free to ask further doubts. | |
Suggest remedy for pain and swelling in testicle
my son is 6 years old, and he just complained of pain in his scrotum. I looked and noticed his right testicle appears very swollen. He said that he fell and hit the area. I dont know if this is just swelling from hitting it on something, or if I need to get him checked out for a hernia or something else ? | Hello, I feel this is a medical emergency. The possibilities are that it could be a testicular torsion or that it could be epididymitis. Please approach the nearest Emergency Room immediately. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
How will a stent help my mother's gullet cancer?
My mother has cancer of the gullet. The oncologist says surgery is not an option (she is 84 with a not so good heart) He has told us that chemo and radiation treatment is also out. I assume that means the cancer is to far advanced. He said that a stent will ease the symptoms. I am confused, does this mean she will soon be dead or that she can live a while longer. | Hello! I've read your concerns. Your mother's problem could really be far advanced since your oncologist limited your options to stenting, plus you mother may not be a suitable candidate for invasive procedures (surgery) and chemo/radiation. Definitely for this types of cases, the stent will give your mother a better quality of life and more importantly she will can be able to eat and take medications orally. Placing a stent will prolong her life in the sense that she will be able to nourish herself properly without a stent she will not be able to eat, hence, her immune system will go down drastically and can lead to other medical conditions (undernourishment, pneumonia, dehydration, etc) | |
How do I get rid of my phobia?
how do I get rid of my phobia??? My mum critically ill in bed for 2 years..everytime I look at her feel what if that happens to me..fortunately now Im away out of the country coz I live overseas..but still when the thought comes it cripples me for a few minutes and I suffer from that real panic atack..is this unnatural..m friends n close ones say no. .but HOW DO I GET OVER IT?? | HelloMedicines such as paroxetine and therapies such as cognitive behavioural therapy will help you.RegardsDr. Srikanth Reddy | |
What could cause sudden pain in kidneys?
hi! my name is zahida and my age is 42 , i have an problem , i suffered from pain of kidney and I CHECKED to doctor but they said that it nothing sometimes patience suffered with that kind of pain so i want to ask you is their some effects of that kind of pain ? | Hi, Thanks for using HCM.As you have mentioned about kidney pain, should have given description of pain, I consider it is severe pain starting from loin and radiating towards groin.Some times renal stones of less than 5mm size are removed by peristaltic movement of ureter, and that would have resulted in pain. Once stone is expelled pain subsides and noting would be seen on investigations.Hope this helps you.Regards | |
Suggest remedy for oral ulcers
im 30yr old female my problem is,im suffering from oral ulcers which is on my tongue,back of my tongue,inner cheeks,on my outer lower lips,and below my tongue,i have shown to many doctors,taken many medicines,like zocon 150mg,3 days regular,and than once in a week for a month,candid mouth paint,orasep gel,betonin syrup,zincovit tablets,predmet tablet,in a duration of 3 months,i cant eat any spicy food and even any thing which is a little harder,please help me and suggest me where to go and what to do? | Hi,Welcome to HCM.Many factors predispose to recurrent oral ulcers and these are few of them:1. Broken teeth2. Trauma3. Stress4. Cessation of smoking5. Food allergyCertain foods like citrus or acidic fruits and vegetables (such as lemons, oranges, pineapples, apples, figs, tomatoes, and strawberries) can trigger an oral ulcer.I suggest multivitamin tablets twice daily for 15 days.Application of dentogel over the sores after food.If they do not reduce, you need to get in touch with a physician and get investigated for autoimmune disorders like crohn's disease, immunodeficiency disorders.Thanks. | |
What are the symptoms of MRSA?
I have a open sore on the bottom of my little toe. it would appear that it is an infected toe but no pus or swelling . very touch sensitive and painful. Could it be MRSA? my circulation is poor and some loss of feeling in the toes is present. what is going on? | Hello. Feet are generally the most undecared for part of the body. It is in constant contact with the ground from which it can pick up millions of bacteria, one of them being MRSA. Note that I said ONE in a million could be MRSA. You have a sore in the toe mostly due to repeated trauma or single bruise on the foot and have ignored the injury or you have a foot ulcer secondary to diabetes. There are multiple causes for an ulcer/sore. But since you complain only of pain and no swelling or pus I do not think it has reached the stage of infection. MRSA is not your worry now. Kindly give a cold pack and observe for two days. If the pain does not subside it is better to consult a surgeon and he will have a better idea if it is a concealed infection. Even if it turns out MRSA do not panic as we have sufficiently large antibiotic ranges to treat these resistant bacteria. Dr. Karan Shekar. | |
What causes memory loss and hearing problem in kids?
when i was young i m good at memorizing thing but now i can t memorize a thing and i always forgot where i put things. it starts on my highschool day my brain felt numb like there is some king of electricity pass it. i can t grasp new things and i can t hear clearly. my doctor said its fine but i m worried. please help-! | Hi, Are you on social media mobile online games. How is your sleep pattern. How is your appetite and diet. Are you stressed. Tension headache anxiety can cause such symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. ASHWIN BALIGA, Pediatrician | |
Q. Can hypothyroidism be cured with only ayurvedic medicines?
Hello doctor, I would like to know if my hypothyroidism can be cured without taking the synthetic hormones, through Ayurveda only. In the allopathic approach, the hormone needs to be taken for the rest of one's life and I am a bit scared of it. It is possible I may also be diabetic and will need to treat this as well. Can these conditions be successfully dealt with through ayurvedic treatments alone? | Hello. I just read your query and saw all your reports (attachment removed to protect patient identity). I hope you are satisfied with my answer. For more queries, you can consult me at icliniq. For more information consult an ayurveda specialist online --> | |
Suggest treatment for large lump on the hand after injecting Wellbutrin XR
I have been injecting in my left top part of my hand all day. Wellbutrin XR 150 mgs. I have injected maybe 14 throughout the day and I have no formed a large lump on the outside of my left forearm. I m wondering what I should do, if this is an emergency situation where I should go to the hospital or just wait it out? | Hello,There is no need to worry about as this will go away as long as it is going to absorb in surrounding tissue and eventually in blood. This does not cause any harm to you if you injected it properly, however if you experience any pain or redness along injection site consult your doctor immediately. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician | |
Can continued high fever with no help from tylenol with all tests being normal be bacterial infection?
My daughter has fever on and off for 9 days now, from the highest was 104.3 today, the 9th day she woke up with 102.7 and gave tylenol as my pediatrician said. on the 6th day we went to ER because of high fever which was 102.8 and then she did not show any symptoms but high fevers that comes and go. She is totally fine after her high fever goes a way with a dose of tylenol.Urinary analysis was neg. also We were sent home and asked to see her pediatrician if everything is the same. Went to see her pediatrician, pediatrician did swab, and urinary analysis both negative. we are sent to lab tests and we are still waiting for the result. It s frustrating now, the question I have, the only thing I can think of without blood tests is maybe she has bacterial infection, would it be ok to just go ahead and give her antibiotics? | No, it is not a good idea to start antibiotics without knowing what is causing the fever. Fevers can be caused by viral and bacterial infections, but they can also be caused by other conditions, such as parasites like malaria, blood diseases, and other problems. When a person has had a fever for a long time without a diagnosis, it is called Fever of Unknown Origin, and a work up for the cause should be done. This would initially start with a variety of blood tests. Talk to your pediatrician about what further tests need to be done. Hope this helps. | |
What is the cause for blood dripping from the penis while urinating?
Hi! While my husband was urinating this morning he sneezed really hard. He immediately felt pain inside his penis and then had a decent amount of blood dripping from it. Each time he s urinated since it has been painful and has had a small amount of blood. Is this something to be concerned about or will it heal on its own? I have him drinking a lot of water to dilute his urine. | HelloThanks for your query,based on the facts that you have posted it appears that your husband had bout of Hematuria .You have not mentioned age of your husband in your query.The common causes of hematuria in men are 1) Infection 9UTI) 2) Enlarged prostate in old age 3) Cancer of the kidnye or bladder tumour.Please consult qualified Urologist for clinical evaluation and get following basic tests done to confirm the diagnosis,1) Ultrasound scanning of abdomen 2) C.T scan of Kidney ureter and bladder.3) Endoscopic examination of bladder (Cystoscopy).Further treatment will depend upon the findings of these tests and final diagnosis.Dr.Patil | |
What causes a dull pulse sensation between anus and testis?
I feel a dull pulse between my anus and testis that when pushed on feels more to my right on the pelvic bone and it looks on a diagram as if it is coming from my prostate. I am a 24 year old caucasian male. I used to masturbate a lot but in the last few weeks i have stopped. I regularly smoke marijuana, I am not very active other than riding my bike a lot. I have noticed patterns of more bowel movements also recently. I do not have problems urinating or defecating but sometimes after masturbating in the past 2 months I would feel this pulsing feeling. Any ideas? | Thanks for contacting HCMYou are concerned about a pulsating feeling in between your rectum and penis. This is the exact location of the prostate gland. And what puts you at more risk for prostate problems is riding your bicycle. The bicycle seat puts extreme amount of pressure on the prostate and can cause damage. If you want to reduce the pulsating feeling then you may need to reduce your bicycle riding or get a more ergonomic seat. I hope I answered your question. Please contact HCM again with your health care questions and concerns | |
Suggest treatment for back pain and numbness in thigh
I have had back pain and been diagnosed with degenerative disc disease as well as stenosis of the spine. I am 37 and my pain began when I was 19. That s when i decided to get help the first time. The remedy and news were depressing that it won t get better. I have had a discectomy about 8 years ago and during rehab fractured a pedicule in the spine causing what honestly felt like lava flowing through the veins in my legs. It was extremely painful. After time that pain subsided as I healed but I have always had back pain. I haven t felt my left thigh for over 15 years now. I should also mention that I have also had recurring pilonidal cysts below my tailbone and I had the last surgery roughly 3 years ago and thankfully have not had one of those monsters since. However along with the normal (my normal) back pain and numbness in my left thigh I have been experiencing a sensation as if I were sitting on a cell phone on vibrate. It is fairly consistent for the past couple of weeks and there is no additional pain. I am currently prescribed zubsolv as it helps to keep my mind off the pain I have and does not give me the bad side effects of pain killers like oxymorphone. I am more active than I was from age 25 to 35 but I am still overweight even after losing 85lbs. Is my degeneration or stenosis getting worse now that I am more active? I am a delivery driver for the past year and in addition to carrying 20-30lbs I also am in and out of a car 30-40 times a day. Any advice you can give me would be most appreciated! Thank you for your time and compassion. I hope you are well. | hi,thank you for providing the brief history of you.As mentioned you still have pain, tingling and numbness in the thigh which is troubling you, also further you have a spinal stenosis and disc degeneration, it is sad to hear you had it as a very early age.a thoroguh neuromuscular assessment is advised.Also, in your case what I feel is the weakness of the muscles which are not able to stabilize the spine. You need a thorough and deep assessment of the muscles of the spine as by which how to handle your case will assist us further. Also, may be your hip muscles will be weaker as, the hip muscles act as a base of support to the spinal column the strength in the hip muscles is of due importance. Also, stabilizing the spine with cores stability is of due importance. Also to understand that only spinal muscles strengthening is not the concern here, here the concern is to see the body as one unit and rehabilitate as a whole. Also, the Strengthening of the pelvic floor , hip muscles, core muscles , lower limb muscles and on later stages the spinal muscles will surely make the body as one unit.I have seen cases of lumbar disc degenerative disease when patient was 16 years old. but applying the correct exercise prescription helped him back to action without aches and pain.I will recommend you to undergo a proper assessment and then a physcial therapy as working out behind you will be a tough task but not an impossible one. Slow and steady wins the race.I hope to see you recover soon.regardsJay Indravadan Patel | |
Diagnosed with cirrhosis, sleeplessness, ammonia levels abnormal. What can be done?
Hello I have a sister who was diagnosed with cirrhosis, was hospitalized for over 2 months. was doing well and all of a sudden she has gotten out of control, crazy like, not sleeping for days, running around like a crazy person. Know one can say anything without her being defensive. We don't know what to do? Is it her meds? She has had some problems with her ammonia level. How can we help her and what should we do? We are desperate. Can you help me understand what could be wrong and what I should do? | Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).The symptoms your sister is having, along with increased ammonia levels suggest that she is having hepatic encephalopathy (HE). For treatment of HE you should know the factors that leads to HE in stable patient of cirrhosis like overuse of diuretics like lasix or spironolactone if she is on them, Gastrointestinal bleed, low potassium levels, medications like benzodiazepine, dehydration, low sodium levels, infection, constipation and diarrhoea.Treatment is correction of the precipitating factorI will like to advise that you should visit a gastroenterologist before the thing worsen.I hope I have answered your query and this will help you. Remain in touch | |
What are the symptoms of toxoplasmosis?
Hi, my roomate is saying that she has been diagnosed with toxoplasmosis, it really seems like she looked it up online or something and is just trying to move out without penalties based on my cats? can you help? how is one diagnosed with toxoplasmosis | HelloI have gone through your question and understand your concern. Diagnosis of toxoplasmosis is made by various methods approaches that includes serological testing (that is measures of immunoglobulin), direct observation of the parasite in stained tissue sections and CSF.Patient history is important along with signs and symptoms. Look for any abnormal hard lumps around neck area (cervical lymphadenopathy), muscle pain and flu like symptoms, consult a physician if needed to get the test done.Hope your concern is answered. Thank you. | |
What are the causes for blood in semen and urine?
Hi I have blood in semen and in urine sometimes just at beginning and other times at the end. Seven years ago I had a chondrosarcoma in the neck low grade which was removed by surgery. Spa levels checked and fine and blood test for cancer clear. I am 36 years old and male. | Hi, dearI have gone through your question. I can understand your concern. Blood in semen may be temporary or long term. There are many causes of blood is semen. Trauma, infection, tuberculosis or cancer in genitourinary tract can leads to this. You should wait for some time. If it becomes normal then its ok. If it remains same then you need to go for further investigation and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
How to treat ankle sprain?
ankle sprain a week ago (due to sports, have sprained many times). was a typical stepped in a hole and rolled it type of injury (on golf course). this swelled a bit and then went down quickly, was painful for a day or so and then no pain. BUT rash on outside ankle bone (the joint bone area) and itchiness persists. haven t seen doctor, resumed physical activity...but not sure what s going on. | 1)If it is very recent injury (2)do crepe bandaging around ankle jt.3)at night while taking rest elevate ankle so that swelling can be avoided4)if swelling is presented around ankle jt orthopaedic concern is needed.5)take rest and do not apply pressure on affected limb6) take concern of Physiotherapist. | |
What causes discomfort in chest while swallowing?
It feels like something is stuck in my chest, like I didn t swallow all the way. The discomfort (not pain) is on its 2nd day. It s moved from my solar plexus area yesterday and then down just a bit and now back up to solar plexus area again. Not sweating, not noticeably short of breathe but do want to take a deep breathe periodically. | U have not mentioned your age. The discomfort can jst be due to a Gastroesophageal reflux for which u will need antacids . However if the problem persists it will require further evaluation probably an Xray chest and a GIscopy by gastroenterologist | |
Is 1mg of Xanax effective in managing panic attacks?
I have nine staples in the left side of my head from a panic atack that accord on 3 days ago my doctor put me on 1mg of zxanax and I am irritated and it does not seem to be a high enough dosage to control the panic I am experiencing but she does not want to increase it. I need to see a psyc Dr. but they always want you to see a therapist first I need the medication now before I hurt myself again. Thanks | Hello!Welcome on HCM!I understand how you feel, and would explain that many antidepressants can be helpful in your clinical situation. But their effects are slow and are more noticeable after the first month of starting them. 1mg of Xanax is a normal dose for anxiety. It acts with a high speed. Anyway, the decision of starting antidepressant may be a little difficult especially in young patients, because of their adverse effects. That is why your doctor has decided to try psychotherapy first. I agree with his decision. I would just recommend you to take some deep breaths and practice meditation. It can help you to calm down. Another option is physical therapy (aerobics, Yoga and recreational sports). Physical activity can cause similar brain changes like antidepressants. Hope to have been helpful!Wishing all the best, Dr. Aida | |
Q. Why is there complete paralysis and difficulty in walking after an accident?
Hi doctor, A recent accident happened to my father which makes him unable to walk. A week ago, he suddenly fell on the ground while walking and his right leg was injured. He was transferred to hospital and X-ray indicted his leg is not broken but severely ricked, as a result, it is not moving and will need time to recover. However, the problem is not the injured right leg but the left leg. His left leg is fully functional (i.e., he can move his knee and toes without any pain and numbness) in laying down and sitting position but once he stands up, he can not even rise up his left leg from the ground. Therefore, he is now completely paralyzed and unable to walk. What could be the reason? Here are some details about his medical background. He is about 70 years old. He has been suffering from type 2 diabetes for over 20 years and three years ago was prescribed to use Insulin. Recently, his doctor told him that his blood sugar is under control. He experienced previous imbalance feeling and fell several times while walking in past. Basically, whenever he stood up, he would need an effort to gain his balance. His hands also have been shaking a bit. He had an open heart surgery 10 years ago. He had a back pain (even in laying down position) which went worse after the accident. He has lost a majority of his vision over the years due to glaucoma. His X-ray indicates no broken bone. | Hello, Welcome to icliniq.com. I read carefully your question and would explain that this clinical situation could be caused by a stroke, which is probably the cause of falling. Another possible cause would be a nerve damage related to the trauma. For this reason, it is important performing a brain CT (computed tomography) scan or MRI (magnetic resonance imaging) to investigate for a possible stroke. If this test result is normal, I would recommend performing a nerve conduction study to examine his nerves. For more information consult a neurologist online --> | |
What causes swollen lymph nodes,lethargy and bruises on legs?
I ve been feeling unwell for a little over a month now. I have swollen lymph nodes behind my ears. My legs are covered in bruises, which I have done nothing to get. I m extremely tired all of the time. Sometimes to the point where I feel like I may actually fall asleep. I recently went to the doctor because of all of this and some throat problems. I was told that I also have three knot like things on my throat as well. The doctor who examined me was puzzled as she didn t know what was wrong. She ordered some blood tests. I m worried, any ideas? | Hi, dear. I have gone through your question. I can understand your concern. You may have some throat infection. Because of that your lymphnode is enlarged. You should go for routine blood test and take a course of antibiotics. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What causes fever and night sweats after stent removal?
10 days ago, my husband just removed a stent from a kidney stone. The last 2 nights he has had a low grade fever around 7pm and then in the middle night he gets night sweats. He wakes up and feels great, no other symptons. So what is causing the fever? | HiI understand your concern.From the history provided it is likely your husband has developed an urinary tract infection folowing stent removal which is a known complication of the procedure. Please provide a sample of urine for culture at your doctors office and start on antibiotics as trimethoprim or co-amoxyclauv until the results are back. You could take paracetamol 1gm four times daily, drink adequate fluids and also take cranberry capsules or juice. | |
Suggest treatment for wound after penile insertion
hi, i had a penile insertion on the foreskin part of my penis. i did it for myself. i am taking up amoxicillin and there is no sign of infections except the wound doesn't heal. i am now taking metrodoxazole today together with amocixillin. please help me on this!!!! it's been 8 days. | Hello, Nothing much to worry as the wound is already healed. Antibiotics may be stopped now. You can wash the area with soap and water. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Suggest treatment for stomach pain
my father is having bad stomach pain. he had this pain before and was told it was alcoholic gastritous. he hasnt drank any alcohol and woke up in pain this morning that has gotten worse. he too a ranitidine at 9am. will an ibprofen help with the pain or be safe to take? | HelloAs your father stated that this pain is due to gastritis ( caused by alcohol intake ) , ranitidine is not working .When such case visit with excruciating pain , patient need to take antacid ( if it contains oxetacaine , better )4 T S F ( until and unless contraindicated ) according to necessity .Also give your father aceclofenac 100 mg+drotaverine 80 mg ( COMBINATION ) a tablet orally according to need.Ibuprofen will further produce ( aggravate ) gastritis.Your father will get relief immediately with this treatment .But this is a prescription treatment so take a prescription from a doctor .Still ,no relief within 4-5 hours then consult a physician and get his opinion.Good luck. | |
Why am I feeling discomfort on left side of stomach?
I am having localized minimal discomfort on the left side of my stomach approximately 2/3 fingers from navel, and 2/3 fingers below navel. Hx of several abdominal surgeries and IBS....no temp... no vomiting, and bowels are formed and consistent for past few days. | Hi ! Good morning. I am Dr Shareef answering your query.With the history of IBS, and several abdominal surgeries (?reason), I would consider a routine stool test for ova and cyst and treat it if positive, and in case of no relief, might consider sending you to a gastro enterologist for an endoscopic evaluation (colonsocopy) of your intestinal tract, and possibly an ultrasound abdomen to rule out any intra abdominal organ pathology. As this was not an intolerable discomfort or pain, I would not consider for any medications till the reports of investigations were at hand which would decide on further management.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
Are there ways to reduce SGPT/SGOT and cure HBsAg ?
I am 31 years old, male, a HBsag reative, my SGPT is 241 and my SGOT is132. Are there ways to lower my SGPT/SGOT or cure HBsag? I m taking godex right now. | Hello/Hi Welcome to health care magic there are definite chance to treat it .consult some hepatologist & get right kind treatment. ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and speedy recovery” Disclaimer | |
What causes breathlessness while waking up?
my husband has been getting up from sleeping complaining he cant breath, and sometime when we are a little frisky he does not want to because he cant breath and he complains his chest feels really tight, but the getting up from sleeping and he cannot breath or catch his breath is what is scaring me most.... | Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, we should first rule out heart diseases in your husband's case. He is having chest tightness and breathing difficulty in morning. These are commonly seen in heart diseases. So get done ecg, 2d echo and stress test (trade mill test) to rule out heart diseases. If all these are normal then no need to worry for heart diseases. Lung diseases like bronchitis can also cause similar symptoms. So get done PFT for the diagnosis of bronchitis. He may need inhaled bronchodilators and inhaled corticosteroid (ICS) if it is bronchitis. Don't worry, he will be alright, but better to first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks | |
Suggest remedy for minor hallucinations
I've noticed minor hallucinations in a waking, sober state, usually they seem stronger if I focus on them and/or there is music (or a rhythmic predictable sound) present. While they are not at a point that they interfere with my life or have caused me any difficulty in disregarding. These hallucinations are nearly always visual in nature and very rarely auditory, usually manifesting as slow wave like movement seen in blank, plain or highly textured surfaces, such as a mono-colored wall, desk or patch of grass. On rare occasions I hear what sounds like someone speaking a word or 2 in another room, or sometimes brief unintelligible conversation or sounds of movement (like distant walking). This is fairly rare. less than a single occurrence per week and almost always happens when I ma alone in a comfortable location, such as my home. The visual hallucination however are always present though as stated, easily ignored and nearly unnoticeable unless focused on.It's worth noting that I have used various psychedelic substances in my past and have also noticed (in the past) a temporary (roughly 1 to 2 day) reduction of symptoms after a singular use of dimethyltryptamine.What kind of doctor should I consult about these issues? Could this be a symptom of a more serious issue? | DearWe understand your concernsI went through your details. I suggest you not to worry much. In psychology, we broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and waited. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | |
Should seek medical attention for a painful lump on my upper butt?
Two weeks ago I took a fall on the steps and received a huge hematoma and lump on my upper left butt. While the bruising is finally going away, the lump is not going away. I had it looked at and x-rayed a week or so ago and nothing was broken. The lump is painful and noticeable through my clothing. Do you think I should seek medical attention again? | Hello!Thank you for the query.The lump you have described is most likely a blood accumulation (hematoma). Due to veins rupture, the blood appears outside the blood vessels. Small hematomas can go away by theirs own. However most of the needs to be drained. Otherwise it will get infected and turn into abscess.Please consult a surgeon. Have an ultrasound of this area and if its blood collection, should be drained.Hope this will help.Regards. | |
What causes neck pain and pain in arm?
I m 42 years old I have mild disk degeneration c4 c5 as well narrowing on c4 c5 and a bit on c6. I ve had neck pain for two years now, but the pain is now in my arm and always on my right side only. It feels like numbness but emg test is negative for nerve damage. I can t sit for long periods of time. I need to rest my neck. | hi,as you mentioned about the disc injuries, this is a classical symptoms that the nerve is getting trapped in the cervical spine and if possible an MRI can be done to come closer to diagnosis.also the reason for the pain is early fatigue occuring in the muscles. Fatigue is occurred by the reduced metabolism and in a lamen sentence as low endurance.To regain the active functional life you need to focus on performing static neck exercises , pushups and later on upper limb strengthening exercises. Also breathing exercises are a must to provide good oxygen to lungs and also to strenthen the accessory muscles of respiration which will inturn strengthen the muscles which supports the age.also when ageing of the spine starts small symptoms come and the muscle Strengthening plays a key role to put a hold onto the ageing.Also at a later stage you should strengthen the core and spinal muscles to keep the spine stronger.everyday exercise keeps the body to the optimum good health.I have seen many cases and at about few weeks of time the symptoms are totally eradicated and the body is strong enough again.with the grace of God I wish you a speedy recoveryregards | |
Acne with puss that leaves scars
Hi, I m from pune.I have very fair skin and on and off i get pimples .When i get up in d morning i have these very tiny small puss filled eruptions.Also have few scares due to acne which i want to clear.Where and which treatment should i undergo. | Hi Consult for ayurvedic treatment.In acne problem it does get result coz it cures it by acting on the whole body physiology.As digestive,hormonal systems are also involved in it;cure on these systems route out the cause. In Pune you can cotact me through mail drgeetaranade@gmail.com | |
What is the small lump on right parietal area of skull?
Hi, i have small lump on the right parietal area of my skull, it tingles whenever pressure is applied. the lump is rather boney. Im am not sure what it is. Im a healthy 21 year old female, ethnic origin is indian. My height is 5ft 4. and I weigh about 7.3 stones. | Hi,Dear,Thanks for the query to HCM.I went through your query and understood your health concerns.In My opinion- that lump on your skull is Scalp-boil -folliculitis in EARLY progressive stage, which could be dealt by your family doctor. -Hope this would help to resolve your worrysome query on your next visit with your family GP doctor.Wellcome for further query to HCM in this regard.Wishing you fast recovery. | |
Stiffened jaw and gums after healed peritonsillar abscess, small bubble at the base of uvula. Recurring abcess ?
I had a peritonsillar abscess a month ago. I healed well with a 10 day course of clindamycin and drainage. I had my teeth cleaned 2 weeks ago and I have no dental caries and excellent oral hygiene . 2 days after the cleaning my jaw felt a little stiff and the gums where my wisdom tooth was 20 years ago felt swollen. I went to urgent care last week thinking it was recurring. The MD said no it is pharyngitis . It came and went. Today it happened again and I now see a small, almost clear bubble at the base of my uvula. Could this be a recurring abcess? Should I take the Aumentin I was given in urgent care in case my throat were to get worse? | Hello there... Do you mean that your wisdom tooth was removed? If so when you have recurrent peri-tonsillar abscess (called Quinsy) the clinical symptoms are mainly pain while swallowing, swelling at your base of uvula, deviation of uvula to the opposite side, redness in the soft palate region, with an opening with pus discharge either adjacent to the uvula or right over the tonsillar region. to the pus creeping into the adjacent spaces, there are chances that one might end up with difficulty in mouth opening.Though Augmentin is drug of choice please get evaluated from a ENT specialist (pioneer in it) before you continue with your self medication. | |
Can tubectomy be reversed to attempt pregnancy again and is it safe?
Hey my wife got a tubectomy done after our second child as it was a c section but now v want another child but as c section was done v r not able too can v get a reverse done or are there any other way of my wife conceiving without reversal and how safe is it for my wife and child | Hello and welcome,I understand your query. Tubectomy can be reversed in most cases and the surgery is called tuboplasty. The results however depend upon what type of tubectomy was done. If fimbriae [ end of tube ] were removed then the surgery will not be successful, but if the ampulla [ middle part of tube ] was removed then it will more likely be successful. Also the success rate will not be 100% as some women may not conceive even after surgery and sometimes the tubes may also get blocked or pregnancy may occur in tube. Tuboplasty is a safe procedure and if pregnancy occurs after that the baby will be just like any other baby. The procedure does not put the baby at any risk. Other options for you are an invitro fertilisation or test tube baby procedure. This is more expensive and it also has a high failure rate. so please discuss the advantages and disadvantages of both with your treating doctor before deciding the course of treatment. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri BagdeConsultant Obstetrician and Gynecologist | |
What is the cause for small raised dots on the upper arms and legs?
My almost two year old has had small raised dots on his upper arms and legs for some time now which have not seemed to bother him until recently I've noticed him scratching/picking his arm......any idea if this is something to treat or is it an anotomical anomaly? | Hello dear,Welcome to HCM. May be you heard that most changes of our skin depend from statement of our internal organs. There are different causes of red dots:1.We should differentiate Staphylococcus aureus infection(throat culture, stool culture).2.Allergic dermatitis(Ig E of blood).3.Dysbiosis of intestine.4.Contact dermatitis(synthetic clothes).5.Rash due sweating and heat wave.6.Strepthodemia I suggest-Consult dermatologist-Get examine your child for following up-Antihistamines(Cetirizine)-Probiotic(Darolac 1 capsule once a day for 1 month for normal intestinal flora)-Use only child's soap(Johnson's baby or other), do not overheat baby, wear only cotton. Best regards Dr.Svetlana Shrivastva | |
What causes raised bumpy patches on skin in 8 year old?
My daughter has what we have assumed was a birthmark since she was a baby. It is a slighty raised bumpy patch of skin ever so slightly darker than her normal skin tone. When she gets hot and sweaty it darkens and seems to raise becoming more obvious and being on her neck looks like almost like a love bite. She is now almost 9 and this has never bothered her. However in the last week I have noticed another patch just the same has now appeared on her back. It appeared itchy at first a week ago but now the itchyness has gone but this patch remains. If they are not bothering her should I take her to the doctor? Age 8 136cm about a month ago 4.5stones | Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Regards - Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
What is the recovery time for typhoid and UTI?
35 YRS MALE FROM DELHI. 31 DAYS BACK HAD JAUNDICE(AVH--E) WITH TYPHOI. WAS IN HOSP. FOR 15 DAYS. WAS GIVEN INTRAVENOUS OFLOXACIN + CEFTRIAXOME. WAS ALSO GIVEN AZITHROMYCIN, AS DEVELOPED CHEST INFECTION IN HOSP. ALSO HAD ACUTE UTI IN HOSP., SHOWING PUS CELLS FULL FIELD. NOW AT HOME FOR LAST 15 DAYS WITH SEVERE WEAKNESS. WHAT'S THE REASON. WHOLE DAY ON BED REST. WHAT TO DO AND HOW MUCH TIME IT WILL TAKE TO BE NORMAL. | hi sir, welcome to HCG, i understand ur problem, sir its just typhoid and UTi, plz follow the treatment, dolo 650 tab thrice a day, after breakfast, after lunch, after dinner, nifnext sr tab after breakfast after dinner, pantakind tab before breakfast, before dinner.... kmac syrup 10ml mix with half glass water and drink thrice a day due to severity of UTI.. drink coconut water, oranges, grapes etc.. hope u satisfy with my answer.. thank u | |
What do painful rashes on the head, ears and eyes indicate?
My daughter has broken out with painful welts, on her head, in her ears and recently her throat and eyes. Antihistamines seem to make it worse. took her to a dr and put her on steroids. If she is late taking a pill the welts show up immediately. She has been on steroids for over a month. She did study abroad in Thailand and got home in Dec. She cant be on steroids forever, she is starting to have side effects | HiI can understand your concern but the most important think is the cause of alergy and than to decide about the time of steroids.RegardsDr.Jolanda | |
What to do for the infection which is spreading throughout the body?
Hello doctor, my mother has an infection and now the infection has spread through her body and this infection was caused by her an ear infection she had earlier on this year. The doctor will only be able to treat her in October 20. She is really tired and weak, please help, we really cannot wait that long because we dont know whats going to happen. Please help me doctor, I really would like my mother to get well as soon as possoble. Thanks. From: Mpho. | Hi, I understand your concern. General weakness, lac of resistance & probably uncontrolled diabetes is basic cause of getting repeated infections through out body . You need to get your mother investigated to find basic status of her health. Get her through physical examination done by a physician to find probable diagnosis & get it investigated along with- - Complete blood count, Mx. test, - Urine -microscopic & routine , _ fasting & post meal blood sugar test/ glucose tolerance test, - culture & sensitivity teat ( from the exudate/ tissue currently infected) to find the bacteria & the effective drug, Consult an expert physician who will advise her specific treatment according to the reports. These need to be accompanied by general majors like - good hygiene/ cleanliness - light nourishing diet with high proteins, vityamins, minerals, iron- as per doctor's advise. - Rest, mild exercises once she is settled, - POsitive thinking of the patient induced by love, assurance, nursing . I am sure you mother will recover with methodical management as described above. Thanks. | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Suggest remedy to unlock tubes naturally for getting pregnant
Hi was diagonised with blocked tubes,bilatteral ovarian cysts with multiple pelvic adhesion,desparately been trying for my 3rd child forn the last 2 years and went through a laparascopy in may 2011 but with no success.pIs it possible to unblock my tubes naturally? Please help with answers | Hi there, I have understood your concern. I will suggest you the best possible treatment options. First of all do not panic. As you have mentioned that your laparoscopy reports are suggesting pelvic adhesions, and blocked fallopian tubes, this indicates some kind of pelvic infection that has reached pelvic cavity via fallopian tubes. As such if you have normal hysteroscopy findings then you can go ahead to have baby ny artificial reproduction techniques, test tube baby.Unfortunately, there is no natural way to make blocked fallopian tubes patent. I hope This answer helps you. Thanks. Dr. Purushottam Neurgaonkar | |
What are the side effects of crisanta tablet?
Hello Doctor I have had a check up lately due to my irregular periods and continuous spotting for a week, and has found that both my ovaries are polycystic due to which my doctor has advised me to start on a 1 yr treatment on the tablet Crisanta .Can you please let me know the side effects of taking this pill?Is it okay to take this? PFB my details: Age:26 Weight : 60.8 kgs Marital Status: Married for the past 10 months Many thanks | HiOvarian cysts occur due to hormonal imbalance and contraceptive pills containing estrogen and progesterone derivatives can help in regularising your cycles.Your periods will regularise in the next 3 months since the body requires time to adjust to the new hormone levels.Nausea,vomiting,abdominal pain,headache,weight gain and pain in the breast are some of the side effects of the drug.Most of these will reduce with subsequent use.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician | |
What is the difference between Insight-Oriented and Action-Oriented approached to psychological treatments?
Yes I am in the process of selecting a therapist but I am not sure which route to go. I am not sure what are the similarities and differences between Insight-Oriented and Action-Oriented approached to psychological treatments. My mom said that there is a major difference and I was leaning towards a therapist that is insight oriented.. help!!! | Hi dear.I understand your concern and it would be appreciated that you have gone through psychotherapy.Most of the time both the psychotherapy have same goal to reduce underlying emotional stress and modifying your behavior.In insight oriented psychotherapy main principle is to target emotional issues to give reality contact and give psychological meaning to your behavior.It helps people through understanding and expressing feelings and emotional problems, forbidden wishes ,motivations, beliefs, fears and desires etc.while action oriented include behavior therapy mainly CBT.CBT is cognitive behavior therapy and it is active therapy in which main principle is to identify underlying cognitive error and distortion and try to modifying it along with change in behaviors.Still have a query then feel free to ask.Happy to help you.Thank you. | |
What causes severe pain below the knee and a lump on the shin?
I have shooting pain (when touched) below my knee at the superior part of my right shin. There is also a painless lump directly to the left of it. I am a dancer and do floorwork often. I have had a bruise in the area for a little while now. I have been wearing knee pads since the bruise appeared. | Hi, Can be related to bursitis or shin splints. Needs a direct examination for diagnosis. Hope I have answered your query. Let me know if I can assist you further. | |
What are the chances of pregnancy through non-penetrative sexual activity?
Hi doctor i didn t have any sexual intercourse with my partner for years now he had only fingered me that also during my non fertile days i am pretty sure there was no sperm on his finger. Now i am 7 days late in my periods don t know why has it happened. I want to know does fingering make someone pregnant? | HI, I understand your query. For conception deposition of sperms in vagina in fertile days of a woman is essential There is no chance of conception with fingering/ in infertile days, Delay in periods can occur due to hormonal disturbances following stress/ illness/ ovarian or thyroid problems/ PCOD. you should- - Wait for natural perods for a week more ,OR - take tablet Regestrone 1 pill twice a day ( 12 hourly ) for 3 days & wait for bleeding after 8 days of withdrawal. IN case same problem arises again, you have to consult a gynecologist & get investigated for proper treatment. Thanks. | |
What causes sweating on head and neck with history of breast cancer?
I have severe seating, only on my head and down my neck each morning after have gotten ready for the day. This morning my face was bright red and the time. I had chem in 2000 and that was the end of my cycle and I do not take estrogen because of the breast cancer. The sweating takes a lot out of me and is embarrassing. | hi,sweating is the normal physiological process of excretary glands to remove excess waste from the body. it is not at all a bad thing. try doing regular little walk of about a 200-300 meters and do regular exercises. it will take out the excess heat and help you get rid of the sweat happening.thank you | |
Suggest treatment for severe panic attacks
I ll always had panic attacks since I was a child. Recently they have gotten so bad to the point I can t leave my house farther than a few miles away. I get to a certain point and I panic. Is there anyway to overcome the fear of having the panic attack, that prevents me from even trying? Nothing the doctor has given me is helping. I get so nervous going anywhere by myself. I often can t go without a loved one. I want to be independent. Any tips on how to overcome this illness? Thank you | Hi thank you for using health care magic.I can understand your concern.Panic disorder is treatable condition. Most important thing is to remember that panic symptoms are mental symptoms and not an physical one. You need to master few of the relaxation methods like deep breathing, muscle relaxation etc. Keeping this in mind you can try exposure for panic provoking situation and try to get relax with the help of relaxation methods you mastered. gradually you will able to tolerate panic provoking situation. There are medicines available called SSRI (sertraline , peroxitine,etc), which can help you. Symptomatic treatment like Benzodiazepine can also help you to overcome the panic situation.Psychotherapy with or without medicine , like cognitive and behavioral therapy also worked well in panic disorder.Hope this will help you.Regards. | |
What should I do for stomach paon which is frequent in night?
Hi my 2yr old son has been having stomach pain at night quite often and his doctor prescribed him zantac to take for two weeks. It has been a week and he still complains some. He points above his stomach in between his rib cage. I rub on it and I feel this small like ball or lump what could this be? | thamks for followig up. We should differenciate with acute gastroduodenitis, gastroesophageal reflux disease, helmintosis(giardisis, acscaridosis and etc.), infection(H.pylory), dyskinesia of bile ducts. At the first do examination at the gastroenterologist: blood test, urine test, stool analysis, stool for cysts and ova, ultrasound diagnostic,X -ray of stomach,blood for antibodies to Helicobacter pylori, Giardia intestinalis.1.I suggest we should begin treatment from remediation of worms: give to son albendazol(zentel) 10 ml in bedtime once2. Antacids-almagel 10 ml 3 times after 1 hour before meal 10 days3. Syp cyclopam(dicyclomin) before night4.Liv 52 1 tab 2 time after 15-30 minutes before meal 1 month bor better bile exretion5.Follow Pevzner diet number 1, have a food every 4 hours 4 times, better blended food, not spicy, without onion and garlic, might soup, oats, stewed vegetables, pumpkin kheer, boiled milk, avoid sour products, cabbage, fresh breadRecovery soonDr.Svetlana | |
What causes fluctuation in the BP?
I normally take 20mg Lisinopril x1 daily. This am I forgot I had taken my pill and took an additional dose. My bp runs 160/110 without meds and with my normal dose runs close to 112/68. I m afraid with the additional dose that I may be in trouble. Its been about 3 hrs. | Hello, I would explain that there is nothing to worry about considering your blood pressure values. I would just recommend having some rest and taking plenty of water. I don't think that your blood pressure values will drop further. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
I believe I am Hepatitis B carrier
I took a free blood test and this is the result. I am Hep A AB, IgM negative; HBsAG Screen Confirmed indicated Negative; HBsAG Confirmation Positive Abnormal; Hep B Core Ab, IgM negative. I fear avout the illness. Plz advice what I should do? Are there cure or any medicine I should take? Btw, I am 26 Years old Asian. 26.2 (low) in MCH; 31.4 (low) in MCHC; and 5.7 (high) in Hemoglobin. Hepatitis C Virus Ab 0.2 | Hello You have written your reports vaguely. If your HBsAG is negative, you don't have Hepatitis B infection. If HBsAG is positive, you have Hepatitis B infection. But it needs to be confirmed whether it is acute or chronic. For that other blood tests (like Hep B Core Ab, IgM & IgG) are needed. You have mentioned MCV & MCHC. But you have not stated your hemoglobin value. Please mention your reports in correct wordings. Please also mention if you have taken Hepatitis B vaccine earlier. This will help answer your query. | |
Suggest treatment for extreme pain in hand finger joints and in knees
My mom had chikungunya 2 years back. Since then she suffers from extreme pain in the hand finger joints and in the knees. Physio exercises are helpful to some extent but the pain is kind of getting transferred to other joints after exercises. Pls throw some light. | Hi, I will advice to do one RA test. To rule out any Rheumatoid factor as the pain transferring to other joints might be due to it. Also post chikungunya most people have similar complains and this is due to inflammation of the joint as the pathology of the virus affected the body. I will advice to continue the physiotherapy exercises under guidance and later on continue same at home for daily basis as the joint inflammation can be reduced by improving the muscle strength and freedom of the joint range to avoid compression happening over the joints. Most cases reported at my clinic are advised to follow same and they avoid the frequent bouts of pain and joint deformities. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Non-stop secretion from nose and sneezing after the novocaine shot for tooth removal. Is this normal?
Two days ago I had my top wisdom tooth removed. During the novocaine shot on my palate it felt as if the medicine went through my nose. It felt like cold water and wasn't hurtful just odd. The surgery went fine. As I was driving home I could not stop sneezing and had non stop clear snot coming from my nose. Until this day when I breathe in through my nose it burns/tingles and makes me sneeze. Sort of feels like its dry but I have plenty of clear snot still too. Was it the shot? The extraction? Will it go away? I can breathe out fine. | its normal if local anesthesia goes to throat while injecting into oral cavity since its drug foreign body human body rejects by coughing snezzing so that drug can come out | |
How to impregnate my wife with zero sperm count?
i am 34 years old after one and half year of merrige we have no babay three before i have no sample for semen analysis after ayurvedic treat ment i got the sample for the test but there is nil sperm count in my sample my wife is normal there is scope for become a father please advise me for further treatment | Hi, Testicular sperm aspiration (TESA) can be done.To find any active sperm available. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist | |
How to get rid of hives?
I started having hives 2 days ago. Hives are covered my arms, legs and upper body. It comes and go as I take Benadryl. The urgent care Doctor prescribed prednizone and has not helped yet. It wakes me up 2:00 in the morning and I stay up most of the night. Its itchy and irritable. I started jugging and dieting so that's the change it has been in my physical. I have been tested for allergies and I had no allergies before I got hives. I was seeing Ent doctor for my sinus problem. I was prescribed antibiotic about a month ago for two weeks. I am 48 years old, female, weigh 133. I take synthroid for thyroid and Enjuvia for hormone replacement because of hysterectomi I had 8 years ago. I had a physical checkup six months ago and cholesterol was 229 and I noticed that my Absolute EOSINOPHILS was 585 H(15-500) cells. My doctor didn't mention anything about it. Could you please help me. Thanks, Leila | Hello Leila,Thank you for asking at HCM.I went through your history.As you are having hives for last 2 days only, I would say at present you are having "Acute Urticaria".Were I treating you, I would prescribe you tablet cetirizine for 5-7 days depending upon response. If you still have night-time symptoms, I would add tablet hydroxyzine before going to sleep.Hope this will be helpful to you.Wish you a quick recovery and the best of the health.Regards. | |
Suffering from chronic constipation, how to treat stomach pain and cramps?
I suffer from chronic constipation. I also have the worst job because I drive a truck for a living. I am now turning into a raging hypochondriac and obsessing over my stomach and intestinal tract. This causes more pain gas bloating and aggravates my symptoms. My poor wife is breaking out in hives because of my hypochondria. My doctor says more fiber and water. I'm trying. I cannot stop dwelling on myself. Too much time alone in the truck. I guess my hypochondria has now taken over my question for you. Am I causing a lot of the stomach pain and cramps by dwelling on them? | HI. This can be a sort of IBS - irritable bowel syndrome. You may be right in what you are thinking. And hypochondria can itself be a cause of constipation.You need to go for a bowel training, considering the job you are having.Laxative at bedtime is the best way. Remember the dose will be different for very patient. You have to adjust your doses. Of course plenty of water , high fiber diet all helps. You can sit in a tub with warm water to get local relaxation before passing stools.Avoid all the foods , beverages and stresses that increase constipation. | |
Q. Can I get complete cure for PCOD through Ayurveda?
Hi doctor, I am a 30 year old female. I am suffering from heavy periods for the past seven months. PCOD is diagnosed in ultrasound. Amycordial and Amree Plus are the medicines given by an ayurveda doctor. Shall I take ayurveda treatment for this? Please suggest. | Hi. You need to undergo a process called virechana - ayurvedic detoxification. This is a six-day therapy, works wonders on PCOS (polycystic ovarian syndrome). Consult a panchakarma specialist for physical evaluation and to undergo virechana. The prescription suggested by your doctor has insufficient medications to get the desired results. In my opinion, please start the following medicines in addition to them. I would have been more precise if I had more details but with the information provided by you, I suggest the following. Get back to me after a month of taking these medicines. Regular exercise, healthy diet with fruits and vegetables are advised too. | |
Experiencing a rush of blood inside body while BP being normal
Hi Doctor, I am 39 y.o. and 7 months pregnant with my first child. Sometimes I feel like blood isn't just moving through my body but rushing as if I have been exercising even when I am still. At each doctors visit my BP has been normal though. Any ideas? | This being your 1st pregnancy you are going to have different experiences. your cardiac output that is blood pumped out each minute is increased and you feel flushed and warm. whatever you described is normal so don't worry. | |
What causes symptoms of manic depression while on Klonopin for anxiety?
my son is manic bipolar. just got out of peachford. working with our doctor to get him back on his correct meds. he woke up couldn't sleep so gave him the small dose of klonopin for anxiety so he would get a good night sleep.however i have noticed for the second time it is causing to jerk more panic like. almost seems like slight manic acting. i also have buspar. should I give him one or a bendryl? | hi sir, welcome to health care magic,I could certainly understand your concern about the symptoms that your son facing.It is advisable to start him on klonopin for sleep and anxiety.please provide some more details about jerky movements and panic attacks whether he has breathlessness symptoms or hyperventilation attacks associated with chest discomfort ? fear of having another attack? etc. Buspirone is definitely helpful to treat his anxiety and panic attacks instead of Benadryl, as it is shortacting anti anxiety medication when compared to the clonazepam .It definitely works well for his anxiety so I can prescribe your son to take in the morning time, as it may have some sleep disturbances.Consult your psychiatrist regarding drug interactions with the any Other Drugs he is on currently.please post your further questions if any, Iwill always be available to answer them.Thank you. | |
What are the chances of pregnancy after using copper T?
Hello Dr. M Shobha from Nepal. I am using copper T since One and half year.My period is sometime 4/5 days early sometime 4/5days later regularly. But this month its already 15 days over but period is not starting so what could be the casue? Is there any problem ? Or is there any chances of pregnency when I am using copper T?? Thanks.... | HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] Do not panic at the outset.2] Please get urine tested on morning's first sample of urine.3] I am sure over last one and half years, you have checked the copper T to be plase, from your doctor.4] It is very rare to get pregnant with copper T that is rightly placed.5] If test is negative, please wait for onset of menses,6] If test is positive, you have option to terminate pregnancy with tablets safely till 9 weeks.I hope my answer helps you.Thanks.Wish you great health. | |
What causes pain on right side of chest?
My mother has an inflammation on her right side of her chest. almost looks like a small boob. she said earlier today she drinked cold water and she felt the pain started after that. and took naproxen and the pain did not go away. it hurts her when she lays on her back. | Hello As you mentioned that your mother is having inflammation on her right side chest ?It is not clear whether this inflammation is on the chest or in the chest .It is coincidence that pain occurred with cold water .2nd point is that pain killer only help in pain ,but don't cure disease .If this inflammation is outside and on the chest may be due to infection and may be mastitis or frunculosis or any abscess .Only physical examination will find out the cause.If it is in the lungs may be due to consolidation or pneumonitis or due to effusion in lungs . Diagnosis can be confirmed by X ray chest .But still I would like to say please upload complete report so that diagnosis could be established .Good luck. | |
Could pain in last two ribs on rib cage with sneezing, throwing up and coughing be due to having scoliosis?
hi my girlfriend has an issure with her lower last two ribs on her rib cage... she has scoliosis which from my research seems to have caused this rib condition... i would like to ask what would this be called? she lives with pain everytime the weather changes when, she sneezes, throws up, coughs basically everything... | Thanks for your question on Healthcare Magic. I can understand your concern. Scoliosis actually causes poor lung development in affected areas. So she might be having localised maldeveloped or collapsed lung due Scoliosis of last two ribs. And this maldeveloped, collapsed segments can cause pleuritic pain (pain on coughing, sneezing etc). So better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and CT thorax (if needed) to diagnose this problem. With proper treatment, collapsed lung can be treated. So first diagnose her and then start appropriate treatment.Hope I have solved your query. I will be happy to help you further. Wishing good health to your girlfriend. Thanks. | |
Suggest treatment for broken toe
hi i have broken my big toe and it was put in a cast yesterday i have anxiety problems and when i got in bed i could no longer bear it being in the cast so i pulled it off is there anything else i can wear besides the cast like maybe just bandage it up | Hi there. What mainly directs the course of treatment is which toe is broken. Generally if there is no external injury of the toe which is communicating with the fracture then conservative management is done. If it is the big toe which is broken, then casting is necessary as a majority of your weight bearing is transmitted through the big toe. If your fracture is not a bad one then you can put on a crepe bandage and see if that works for you, but i would still strongly suggest putting on a cast. Whichever mode of treatment you choose avoid putting any weight on the affected foot for a minimum of 6 weeks until the fracture unites. It might be worrying for someone who has not been put on a cast earlier, but with good care and following adequate precautions it is very safe. | |
What causes foot cramps due to dehydration?
I get leg and foot cramps, but don t think they are related to dehydration because they often happen when I have drank a lot of water right before going to bed. Is there another reason these could happen? They are much more painful than the charley horse type cramps I got when I was younger and once they begin it is hard to get them to stop. This only happens when I am trying to go to sleep, or am already sleeping. Getting up and walking around usually helps, but as soon as I lay back down they return. | Hi, You may be suffering from restless leg syndrome or anxiety or iron deficiency anemia or electrolyte imbalance, etc. Avoid spicy food and alcohol avoid smoking and caffeine drinks. Use tablet Pantoprazole before breakfast for one week. C Check it out serum iron, hemoglobine, thyroid profile and electrolyte imbalance. Tablet Evion twice a day for five days. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | |
Suggest treatment for a necrotic lymph node in a child
My 2 year old may have a necrotic lymph node in the jaw area caused by trauma. He has been on a coures of Antibiotics for the last week after having the infected area drained via a small cut uner the chine. What would the next step in the treatment be? | Hi dear, I understand your concern. At the first you should consult ENT and treat throat problems with antibiotics-Ceftriaxon 100mg/kg divided for 2,times during 7 days,decide question about tonsillectomia,If it is necessary.Secondly, take Vitamin E, A and cod oil capsule ,it will decrease cholesterol,also use olive oil 1 tablespoon 2 times a day .Eat pomegranate or Apple every day.Treat completely your nephritis, then cholesterol will normalize.Wishing you a good health | |
Dry and dark skin, cuts on lips after using minocycline, flucanozole for acne. Treatment advise?
Hello Sir, Please send your response to YYYY@YYYY . I have acne on back of my shoulders and spread across my arms. I used minocycline, flucanozole and isotretinoin tablets and applied clyndamycin gel. But soon after applying, my face has become very dark and dry. Skin on my face started peeling off in small portions all across face and showing like wounds. Also my lips got severe breaks and getting cured after applying cold cream. Please help me with your valuable suggestions. I am seriously depressed after seeing my face very dark. All of my friends started asking about this. | hi thanks for choosing hcm yes minocycline an antibiotic fluconazole an antifungal isotretinoin a retinoid and the gel good combination therapy indeed,are all these prescribed by a doctor...then you have too much of acne right but if you have sensitive skin,and if you go to the sun after using the gel,it makes your skin worse take measures like: completely clear out your dandruff take less fatty foods, go for good diet and exercise keep your skin away from pollution(use a scarf etc) try to control cause of acne reduce your medication frequent facewash peeled off skin exposes young sensitive layer of your skin,which is more sensitive and gets pigmented very quickly when exposed to sunlight so better to stop using the gel go and meet you doctor ask him to change the medication dont worry pigmentation,dark skin can be treated by medication,but only afterr you completely get rid of your acne so be cool,talk to your doctor and take help accordingly feel free to cotact me for further queries thank you | |
Suggest treatment for lump in vagina
Im 17 and a couple of days ago about 3 days after i shaved my vagian a lump came up, the lump is on the right side next to the entrance of my vagina. It happens to be under the skin and is very tender. It hurts when i touch it and its about the size of a dime but thicker. Im scared because i dont know what it is and im afraid to go to the doctor (very uncomfertable)....HELP PLEASE!! | Hi,From history it seems that there might be having shaving bumps due to some minor injury or cut producing lump.Soft tissue infection is likely.You might require one course of antibiotic medicine for 3 days.Apply vaseline or body lotion on the part and keep this part soft.Ok and take care. | |
Pain in middle back, sharp shooting pain in chest, hard breath. Any suggestions?
Hello I have been experiencing pain in my middle back area on the right side. It have been hurting for about 4 days now and pain can be not as noticble or can be extremely painful. The pain feels almost like something is being pulled or pinched. If I bend down to tie a shoe and then stand up it's almost like I get stuck half way and then the wind gets knocked out of me.. Sometimes when the pain gets really bad it sends a sharp shooting pain in my chest and makes it hard to breathe. Any ideas of what it could be? | HiThank for asking to HCMThis could be lumbo secral spine problem, could be a slipped disc, can be confirm by investigations, but meanwhile have a total bed rest try to sleep on any hard surface ,do some routine exercise of back pain, if possible have opinion from physiotherapist, this will give you much better support, you can even try some NSAID for symptomatic relief, have good day. | |
Why having breathing problem when chest hurts?
why would the left side of my chest hurt? when the left side hurts I can't breath and I lose my balance and I have almost blacked out at work. when I bend over or squat at work it really hurts. what could it be? I've been told that I could have an irregular heart beat and not know it. | Thanks for your question on Health Care Magic. I can understand your situation and problem. In my opinion, you should immediately consult doctor and get done ecg and 2d echo to rule out cardiac diseases. Your symptoms like left sided chest pain, loosening of balance, black out spells etc are commonly seen with hypotension and heart diseases. So get done blood pressure monitoring, ecg and 2d echo. You also need Holter monitoring (24 hour continuous monitoring of ecg) because you are having irregular heart beats. So consult doctor and discuss all these. Better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks | |
How to treat headache in a 10 years old child?
My 10 yr old has been having headaches (back of his head), neck pain and some eye pain for a few weeks. At its worst it brings tears and has missed some school. We tried alleve morning and night, good diet and proper hydration for 5 days. It never went away. He has an upper and lower wire in his mouth. I removed both prior to a dentist visit (for 5 days) to see if that would help. It got better but didn t go away. The dentist asked if he had fallen. I had forgotten that he had. He missed the soccer ball and landed on the asphalt, back, head and tailbone. He kept the wire out and sent us to an Osteopath that we have been to before. He worked on his pelvis,neck and head. He immediately felt great but after a day it all came back and a few days later he was in tears again. I intend to call his pediatrician again on Monday. I guess I m wondering if we should wait out the treatments with the osteopath to see if they start to help (he had a lot of tension in his neck), go to the eye doctor or a neurologist. Thoughts, ideas? - Jenny | thanks for your query.From your history your child has a chronic headache which is not episodic and not associated with nosea and vomiting. It may be referred pain from teethes or neck or may be due to refraction errors in eyes. I suggest you to visit a ophthalmologist for eye testing first and if it is normal consider a neck xray to find out any problem in neck. also remember that these all problem may be due to orthodontic treatment going on his teethes.regards- dr deepak | |
Does Levothyroxine cause severe leg cramps?
I started taking Levothyroxine in Dec. 2013 (25 MCG). In Feb. 2014 it was increased to 50 MCG. About a week after starting at the higher dose I started experiencing severe leg cramps when I retired for the night. They are so bad that I can not lay on either side and am constantly jumping out of bed because of the cramping. Prior to taking this medication I had no problem with leg cramps. I stopped taking the medication 3 days ago and find the cramping is subsiding considerably. | Hi i am Dr Ahmed Aly thanks for using healthcaremagic site ,I had gone through your question and understand your concerns .. In my opinion yes i think its the cause of your severe leg cramps but indirectly as alot of studies say that it decreases the bone density and thus alters serum calcium and other minerals . For now i suggest some lab investigation to diagnose mineral level in blood for proper evaluation and management , However, estrogen use appeared to negate the adverse effects of thyroid hormone on bone mineral density. I think you may need to decrease dosing or ask your endocrinologist for the best alternative for your case that suits your body requirements . Please click THANK YOU and consider a 5 star rating with some positive feedback if the information was helpful. Hope the above information helps you,Any further clarifications feel free to ask. | |
Is chewing on tongue the symptom of liver cirrhosis and hepatic encephalopathy?
My husband has been diagnosed with liver cirrhosis from fatty infiltration. He has had hepatic encephalopathy with elevated ammonia levels. He now is chewing on his tongue. (He has no teeth, so no injuries, but his tongue is very sore.) He does this unconsciously, even at night and cannot seem to stop. Is this another symptom from this disease process? | Thanks for posting your question on HCM!I really appreciate your concern for your husband.In addition to other signs and symptoms, although less common but abnormal tongue chewing is seen in patients with hepatic encephalopathy.Loss of coordinated movements of the jaw and tongue occurs due to injury to the part of brain that is concerned with the movements of tongue and the jaw.cIn comatose patients, the tongue can become juxtapositioned between the teeth resulting in this chewing reflex.You are advised to take an opinion of a dentist for possible use of acrylic mouth gags to prevent the injuries in oral cavity.Wishing your husband a speedy recovery, Insha allah. | |
Suggest treatment for back and lower stomach pain during pregnancy
I am 36 weeks pregnant with my fourth child and about 5am I was woken up by 2sharp stabbing pains in my lower back. All throughout the,day ive been having uncomfortable pains in my back that comes and goes and Ive been experiencing pain in my lower stomache. I dont know what I should do. | Some pain is common in pregnancy. But severe pain needs medical attention. You should take rests and note fetal movement. Do not take any drugs without consulting gynecologist. | |
What is the right number of platelets in blood to donate?
Give blood at local blood bank, they were in desperate need of Platelets. I did not have the time however they tested my platelets which is 175,000. I will go though the process next time however is 175,000 ok for giving platelets. I'm in good health exercise 4-5 days a week which include cardio. So what does the number mean? | Hi....I m Dr.Kumarbhargav Pathologist....I have done fair number of Platelet apheresis procedures (SDP)....so called only platelet donation....procedures....so i would like to answer your query......First...it is great you thought about donation....thanks for it....I know...it is quite life saving....Now for this platelet donation ....platelet count of more than 2,00,000/cumm preferred....WHO guideline says...must be more than 1,50,000/cumm...But platelet count of donor if more in number yield achieved by donation is very good and beneficial for patient receiving it...Other criteria like Hemoglobin greater than 12.5 gm, no significant drug or past history....and many others also followed....So you can donate...platelets.,,if urgent and no other donor available...but for patient benefit....more platelet count donor...would be good...Also wanted to convey that....1 SDP unit equals 4-5 random platelet units...Thanks for contacting.....For any query feel free to ask.. | |
Can Micardis be used for controlling blood pressure after stent placement?
I had a stent inserted into the LAD that was 95% occluded. My Dr. started me on Plavix, Simvastatin, Beta Blockers & ACE inhibitors for Blood Pressure. Are there other types of drugs like Micardis that can be used for Blood Pressure? I really don't like the way these make me feel. | Hi,Micardis is also used to treat high blood pressure. It is similar to ACE inhibitors. So if you don't tolerate well ACE inhibitors you can talk to your doctor to switch it to Micardis.Take careCome back if you have any further questions | |
Q. I have a white patch on inside part of foreskin. How to get it removed?
Hi doctor, My age is 22. I have a white patch on the inner side of my foreskin. It does not itch or pain but look weird. I have not had any physical contact. So, it is not an STD. How can I get it removed? | Hi. I welcome you and want to assure you need not 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. It occurs due to deficient hygienic conditions of the genitalia. Please do not worry as it can easily be managed. The best part of it is that there is no pain or itching in it. It is caused by either fungi or due to the fungal growth. Treatment with proper topical creams will help you get better in a short time. Apply Hydrozole (Hydrocortisone and Clotrimazole) cream and Triple antibiotic cream (Bacitracin zinc, Neomycin sulphate and Polymyxin B sulphate) on the lesion twice daily. 1. Take plenty of clean drinking water. 2. Keep a balanced and healthy diet to help improve your immunity as such problems also originate when we have a low immunity. 3. Keep the genitals properly washed and make the undershave timely. Long hair cause skin problem in the genital areas and axilla. 4. Pull the foreskin backwards and wash the area with water after every urination. Then wipe it dry with a clean paper towel. Make it a habit. The moisture underneath the foreskin makes room for growth of the pathogens. For further information consult a dermatologist online.---> | |
Suggest treatment for ulcerated growth in entire body
Hello doctor,I am Deepak from pune, India. Its regarding my father as we get his endoscopy done. And impresion on report says that he got an infiltrating and ulcerated growth in the entire body and the antrum of the stomach. And biopsy report says --- Moderately differentiated adenocarcinoma. Sections shows gastric mucosa, with three of the biopsies showing tumor cells in nests and a typical grandular structures infiltrating the submucosa, with surrounding desmoplasia. Fragments of necrotic slough colonised by bacteria and fungal pseudohyphae with exudate are also included. Want to know the best doctors in Pune. And what treatment we should go for? And whether it's curable at this stage? | Hi Welcome to HCM I have gone through your query and concerned about his condition . But dear don't get disheartened . Where there is a will there is a way . strengthen his will power by giving him hope of recovery , It is a great thing that helps a person to recover . Meanwhile , you can administer him course of antioxidants as below -Mixture of extract of Lemon , Ginger ,Garlic , Vineyger of coconut water ,Bark of Moringa ( sahajana ) tree , Honey all in equal quantity in a dose of 25 ml , twice a day , before meals for 31 or 41 days as per requirement . Is good healer and also preventive . Give a level t spoon of turmeric powder twice a day , in a cup of hot milk after meals , Meals should be simple nourishing and easily digestible .Take care he doesn't have constipation . Let him do pranayam - Deep breathing exercises & Walk for resistance against diseases and to strengthen the vital part of the body . And many heart and cancer patients have been benefited from this mixtureThe above regimen is to be carried on even side by side of his treatment I suggest you to Find out a good renowned hospital and show his reports ASAP , which will refer the case to specialist , who after studying the case will start treatment . I suggest you should not delay now .. Hope this gives reply to your query Take care .All the best & good healthDont hesitate to get back if have any further query | |
Suggest treatment for shortness of breath and heart palpitations
hi i had the other night some weird symptoms. I went to lie down and then felt as if i was having trouble breathing ( sort of like a small asthma attck) so I took my symbicort, felt better afew seconds and then my heart started pounding rapidly. I tried to take th rate but wasn t able to , i felt like I was choking but still able to breath, it was going up to my throat...This lasted for about5-10 mins max or maybe less and then I feel asleep. The next day woke up was fine but when i got to work, i hand minor tingling in my finger tips and afterwards a small cool burning sensation near my shoulder on my arm... | symbicort has formoterol component which tend to cause tachycardia which is probable reason for palpitations and other symptoms.Either you have taken high dose or you are bit sensitive to product.You can try alternative inhaler like ipravent etc. or inhaler with only steroids component | |
Suggest treatment for lump below a back teeth
I have a lump just below one of my back teeth. It is a solid mass and has been there for about a year. It has recently enlarged and is now sore to the touch. The lump is not at my gum line but below it. You can see and feel it easily on the outside of my jaw. It does not hurt to chew. | Thanks for your query. I have gone through your query.The lump can be a periapical abscess or a cyst, that can occur secondary to tooth infection. This can result in expansion of the bone and produces a marked swelling. Nothing to be panic, consult a oral physician and get a radiograph and confirm the diagnosis. If it is an abscess get the tooth treated with root canal treatment. If it is a cyst then, along with root canal treatment, you have to get the cyst enucleated. Mean while, till you consult the oral physician you can take a course of antibiotics like amoxicillin and metronidazole.I hope my answer will help you. Take care | |
Suggest remedy for reflux cough
My son is 4.6 yrs old.He was diagnosed for reflux cough before 1.5 yrs.The doctor had prescribed junior lanzol 15 and telekast kid as medication.We have been giving him daily as told by the doctor.But if we forget to give the telecast kid medicine in the evening, he starts coughing midnight and vomits.So we have to keep giving medicines daily.It has been more than 1 year now and still he is not cured.Should we give the same medicines as before or change the medicines? | Respected user, Hi I evaluated your query thoroughly.*In my opinion this is due to decreased lung immunity to fight against external pollens .*You require to take steps which give you slow but long lasting results by enhancing his pulmonary immunity, which will not come by current medi.@ Regular walking in fresh air to fill his lungs with adequate oxygen levels.@ Deep breathing exercises along with YOGA 30 minutes daily without failure.@ Keep him away from dusty atmosphere containing excess pollens ,@ Try to make him wear Protective mask where there is more crowd where he is prone to get immediate infections.@ Avoid exposure to excess cold environments.@ Avoid continuous exposure to air coolers / air conditioners.@ Avoid excess cold drinks / beverages / chocolates / sweet items /biscuits consumption.@ Give high protein & iron diet to boost up his immunity.@ Tulsi with Turmeric are best Herbs for your kid on this earth.@ Maintain chart of his weight , height & follow properly.@ Maintain his anxiety episodes , give him more moral support.@ Regular Spirometric exercise at home which is fun for him along with definite treatment & definite measure to evaluate building up of his lung capacity very easily.@ Pediatrician consultation in case of severe cough / rhinitis / fever / any discomfort in breath / decreased appetite / weight loss. Hope this clears your query. Thanks for using Health Care Magic & reviewing my answer. Wishing your child happy healthy life ahead. Regards. Bye Dear take care of him. | |
What causes recurrent bacteremia?
A patient with a heart pacemaker received antibiotic therapy for streptococcal bacteremia (bacteria in the blood). One month later , he was treated for the recurrence of the bacteremia. When he returned 6 weeks later , again with bacteremia, the physician recommended replacing the pacemaker.. Why did this cure his condition | HIRecurrent bacteremia is caused by infections (like pneumonia or meningitis) Bacteria can also spread via the blood to other parts of the body (which is called hematogenous spread), causing infections away from the original site of infection, such as endocarditis or osteomyelitis.RegardsDR DE | |
Suffering from stomach ache, gets worse when I am hungry. Suggest some cure
Hi, I am having pain in stomoach for the last couple of days that seems to get worse when Im hungry. I have been waking up in severe paint at 4am and had it on/off allday but seems to hurt more when I havny eaten. When I eat it eases a little but returns shortly after and gradually gets worse. It is really effectig my day to day life and have had it for 3-4 days | Hi As per your query,you are suffering from Duodenal ulcer. Please take a good PPI like Rabeprazole 20mg ,once daily You should avoid spicy foods,junk foods & cool drinks. Stop Alchohol if you are an alchoholic. If you are a smoker,quit smoking You should eat in time. If the symptoms still persist,you should get an Upper GI endoscopy and also test for H.Pylori infection. If you come back again with the above reports,i will further clarify Wish you good health Regards | |
Q. Please advice a permanent solution for post nasal drip.
Hello doctor, Please advise me a permanent solution of postnasal drip. I have been suffering for a long time that causes continuous pharyngeal irritation and coughing. | Hello. Postnasal drip occurs due to rhinosinusitis or nasopharyngitis and is rightly said to be allergic which is exacerbated by infections. Treating the underlying cause helps in mitigating (making less severe) these symptoms. Allergic rhinitis or rhinosinusitis can be difficult to treat. One important part is avoiding the allergens of which particularly important is house dust. Use of antihistamines and nasal spray should be judiciously done as and when required. You may try clearing your nose and sinuses by using a neti pot or nasal douching as required. | |
What causes delay in conceiving?
Hai i m 32 yrs old married women n get married 3 yrs back.i dont concive till now. i done my foliculler study 3 times my endo is 12mm .naturaly my eggs are release and its rupture also .my husband done his semen test .his count is 35million.doc say everything is ok but not get result.plaese suggest | Hi welcome to healthcaremagic.I have gone through your question.Your follicles are rupture on time that s good. But if you didn't get histosalpingography. HSG then do it to rule out tubal blockage.Theni would advise to try with natural method (fertile period) on alternate days.If not getting success then go to gynecologist for further management plan like IUI intrauterine insemination IVF invitro fertilization.Hope i answered your question.Would be happy to help you further.Take care. | |
What is the dosage of Intuniv?
MY 5 YEAR OLD GRANDDAUGHTER HAS DIAGNOSED WITH ADAHA ABOUT TWO WEEKS AGO. SHE IS TAKING 1MG OF INTUNIV AT NIGHT ALONE WITH 1 MG OF MELATONIN. AT SCHOOL ABOUT 11:30 12NOON SHE HAVE MELT DOWNS CRYING, THROWING OVER CHAIRS OR ANYTING IN HER WAY. DO YOU THINK SHE NEED TAKE THE MEDICATION TWICE ADAY. THANKS | Hello. Welcome to 'Ask A Doctor". I have reviewed your query and here is my advice. I think this preschooler is fortunate to have a caring grandmother. I have concern about her diagnosis. Although you have told only a small amount about her behavior, crying and throwing objects are not typical of ADHD. Your granddaughter may be having temper tantrums instead. If she does, it is very important that you don't teach her that her behavior can be controlled by force. A clinical psychologist can teach you how to change her behavior in a parent or grandparent coaching program as well as confirm that she is having temper tantrums. Hope I have answered your query. If you have any further questions, I will be happy to help. Arnold Zedd, MD, FAAP | |
Q. What are the ways to overcome the fear of needles?
Hello doctor, I am quite afraid of needles. I get anxious even thinking about blood tests. I fainted once while taking blood test. Please suggest me to overcome fear. I have to get blood tests done but I am extremely anxious. | Hi. Needle phobia is quite common and it has different types like vasovagal syncope attack which you have encountered earlier. You can try local anesthetic cream when a needle is to be inserted so that pain associated with needle prick is not felt. Beta blockers can also be tried as these drugs decrease the likelihood of vasovagal syncope. A psychotherapy called CBT is also effective. In this, a systematic desensitization is done and maladaptive emotion and thought are challenged and corrected. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.