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Acne on face, nose on eating oily food. Triglycerides test normal. Medication for treatment? sir, i XXXXXX 20 years old i want to ask when ever i eat some oily food i got acne on my face little bit but it widely happen on my nose it s so pain and redness some month ago i check my triglycerides test it is normal due this reason i am hardly eating oily food or try to avoid completely . kindly suggest me some medicine for this problem
Hello dear... Oily food tend to increase sebum production & may cause acne. Although this has not been proved, but there are evidences to support this. It's good that you have decreased your oil intake..but just this is not enough. You need to apply some oil control face wash & creams. I would suggest you to use Tea Tree oil face wash & Acnelac soap. This will certainly help you. Thanks & take care.
Having panic attack syndrome, on alprazolam. Brain mapping done. Is there any permanent treatment? My younger brother was detected as a patient of mild Panic Attack Syndrome and has been on alprazolam for the last 4 years. His doctor did Brain Mapping and thereafter told him that he will have to live with it, as he is born with it. Is this true?- Is there no treatment to build his confidence and help him come out of it gradually.
Hello. Thanks for writing to us. For panic attack syndrome, cognitive behavioural therapies by a psychotherapist might show some improvement over time. The extent of improvement depends on the number of sessions and the severity of the disease. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com
Can oxycodone be addiction drug after knee replacement? I am on oxycodone 5 mg. last 3 months. I had total knee replacement now I want withdraw and my surgeon is not helping. he thinks am addicted now to oxycodone and I think I am now he prescribe percocet 5-325 and can you let me know what can i do? how to start?
Hello. You need a slow taper off the oxycodone which is also in the Percocet. That means taking one less pill per day for two weeks and then dropping down another pill a day for two weeks and so forth until you've finished. But that taper should really be under a doctor's supervision
Does a permanent tooth grow behind a temporary tooth? I am 18 years old and I still have a temporary tooth, I just had it removed today, I feel so conscious because it is my lower canine and at this age being toothless is an embarrassment. Will a permanent teeth still grow? if yes, how long will it take then? Thank you in advance.
Thanks for using Health Care Magic.Read your query.Yes ,milk tooth has to be removed .I would advice you to visit your oral surgeon and have the radiograph done to know the location and the erupting status of your permanent canine tooth.If impacted ,it can be brought to position by a small surgical procedure.If missing ,replacement of the tooth can be done.Hope this was useful.Thanks and regards.
Suggest medication for anxiety,stress and hypertension i am a medical student living in dhaka,Bangladesh...from last 6 i felt strange things..i am not attending the classes regularly.i feel lathergic.i want to go to my college and attend the classes..as i am a student of final year ,it seems that my exam is knocking at the door..but i could not concentrate to my studies.i am afraid of that i will be not allowed to seat in the exam.i am hiding myself from friends..i always keep myself apart from them..now it is high time to study but i could not proceed..all of my friends are doing well..i dont want to be a fool anymore..i want to be a good dr to serve the humanity...plz help me to get rid of this situation..i want to live a healthy life.noted that i am taking medication for loosing weight -sibutramine HCL 5mg,n also for hypertension i am taking atenolol n amlodipine..plz help me.....
all of your concerns are related to anxiety.better to consult some psychiatrist.Do some exercises,yoga .You must consult some psychiatrist .
Q. Every time I eat spicy food, I poop blood. Why? Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
What causes acid reflux after root canal treatment? I had a root canal a week later I started having acid reflux. I thought it was caused by the root canal. I went to dentist and he said there was no problem with the root canal but I have a terrible taste in my mouth plus I loss my sense of taste. What could the problem be causing this?
hi There is absolutely no connection between root canal treatment and acidic refux, but since you are mentioning loss of taste as well ,i suspect the adverse reaction of the anesthetic agent/technique . Since you have'nt mentioned the location of the tooth treated upon, i am presuming it to be a lower one as this can be caused by lower anesthetic block and not possible with upper anesthetic block .therefore in case the tooth treated was an upper one ,there is possibly any other cause than the dental treatment done ,but if it was the lower tooth operated you might as well feel heaviness of tongue ,numbness of lower lip and tingling sensation besides your present syptoms which is either due to nerve lesion caused by injection or the anesthetic agent itself . hope this was helpful .take care .
Suggest remedy for penis & anus infection around my penis, sacks and till the anus, there is a grey coloured infection with a peculiar smell, when i rub my hands there it comes out like powder with a smell, sometimes it become intense and skin there become red, it started when i was 14 years old, now my age is 25, i have tried medicines like ZOLE F, BETNOVATE GM, etc, but it all gives only a temporary break,can you give me a solution to this? i have heard the name as "latrine bite"
Hi,Welcome to HCM.You are suffering from tinea cruris or ringworm infection and also it is recurrent. I suggest you get a skin testing for fungal culture and antifungal susceptibility. Then you get a prescription for appropriate antifungal based on the test results from a dermatologist. This treatment should be continued for at least 6 months to prevent recurrence.Few tips to avoid recurrence:1. Keep the groin area clean and dry.2. Avoid tight underwear and tight clothes.3. Personal hygiene has to be maintained.4. Complete the full course of treatment.Thanks.
What causes chest pains and breathing difficulty? Hi... i have been having chest pains for a few weeks now, my cardiologist said that it is not my heart to just take pain meds and pretty much deal with the pain, the problem is that the pain is intense at night when I lay down. Sometimes it hurts to breath. I do not know what to do and I do not want to take pain meds all day everyday.
Hi thanks for contacting health care magic.Noted chest pain for few week.If severe muscular strain occur by lifting heavy object or heavy exercise then pain can persist for long time ...Rest is needed for it...Brufen like drug needed....If still need compression bandage can be applied if need.If your ribs tender to touch it could be simple costochondritis which resolve with the time....If cough or fever present then respiratory cause rule out by physical examination , chest x ray or spirometry....Take care.....
How can mesenteric carcinoid tumor be treated? I was admitted to hospital, first to emergency, because of severe abdominal pain, upper left quadrant of abdominal area. At hospital, I was diagnosed with mesentery carcinoid, based on a history of surgery of carcinoid resection back in 2005. Released from the hospital, I am scheduled to see an oncologist within the next few days. For the time being I ve been supplied with morphine pills, 15 mg. They did work while at hospital. I have not used them since back home. Don t want to invite addiction though I am not the addictive type - I think. What to do with this carcinoid situation? What about taking morphine pills on a regular basis?
Hello,You have carcinoid tumor. And, already it is resected. Morphin should be used temporarily.Long-term use of Morphin pills is not advisable. Still, consult your treating doctor for that. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Hardik Sanghvi
Suggest treatment for leaky heart valve I am 44 year old female, history of a leaky heart valve and gurgling, can not take medication to stop gurgle, as my bp is 90/60 normally, recently waking up with bad night sweats and accelerated heart beat , had an ablasion so hard to know if going thr start of menopause, what could be causing this
Hi,Regurgitation of valve can be because of lot of causes. Treatment depends on severity of leakage & associated symptoms. Please send a detailed report of 2D Echo so that I can guide you further. Thanks
Do low urine output and frequent vomiting in an eight-week-old need immediate medical attention? My 8 week old infant has had way fewer wet diapers, and they aren t anywhere near as wet as usual. He also projectile vomits every time he eats which he has done since he was a few weeks old, he takes nexium but it doesn t help. Should I take him to an emergency room? Or should I wait until Monday to see his pediatrician?
Hi, What your kid is having is not diarrhea and is only gastro-colic reflux. It is quite common for babies of this age group t pass a small amount of diarrhoea or loose stools soon after feeds. This need not be treated as diarrhoea and especially antibiotics are not indicated. When the baby takes milk, the stomach expands - then when it is contracting it sets off a waveform which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastro-colic reflex. Do not worry. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology
Q. How to reduce the discharge coming from my left eye? Hi doctor, I have an eye discharge from my left eye for a week. I thought I have the discharge because of my contact lens (first-time user). I used it for a few days. But I stopped using it now because of the eye discharge. I have eye discharge only from my left eye when I wake up in the morning. Sometimes, my left eye feels heavy when compared to my right eye. Please help.
Hi. You have discharge from the left eye. This is a severe problem, and it occurs due to an infection. You can have one of these two things. They can occur due to viral or bacterial conjunctivitis. It has symptoms of eyelids sticking together when waking up in the morning, less pain with more irritation and very mild blurring of vision. Another reason is a corneal ulcer which shows symptoms of eyelids sticking together, more pain and the patient may also experience a sharp pricking pain whenever they blink. There can also be a more severe blurred vision, like seeing through a fog. My advice is clean the discharge away from your eye as soon as you wake up in the morning with warm water. Keep your hands always clean and nails short. Do not rub your eye. This will worsen your condition. Use Refresh tears (Carboxymethylcellulose 0.5 %) eye drops four times a day for two weeks in both the eyes. Use Tobrex (Tobramycin 0.3 %) eye drops for a week. Both these medicines are quite safe to use (unless you have an allergy to either of them previously). Do not apply them over contact lenses. Stop using your contact lens. But preserve the contact lenses and their case. It can be needed for testing in the future. You may be asked to provide them for testing the infections. Please visit your ophthalmologists in case of discharge or irritation or watering or redness when it does not resolve within two days, and when your vision becomes blurred or when you develop pain.
Which medication should be taken for high bp? Hello. My name is Jackie. I am taking high blood medication and I would like to know which ones would be best taken together in the morning and evening. Currently I take HCTZ, 1/2 Metoprolol, Amlodipine, and one combo tablet of Calcium, Magnesium, Zinc made with D3. In the evenings I take 1/2 Metoprolol, Asprin(81mg) Toprol. I ask this since noticing when my HBP is high - my glucose readings are normal like 94 mg/dl, and vice versa. I ve been experimenting but I need a professional opinion. My doctor says it doesn t matter, however I feel it should... Thank you in advance: YYYY@YYYY
those 3 meds can be taken AM. ur md is right . BP has no relation to BS. u did not tell me ur BP. may be that is all u need . plz don't worry.
Are abdominal pains,nausea and headache normal after a failed IVF procedure? Hello, I have one question. I am 32 years, I had a IVF in March my pregnancy test was negativ and I started to bleed on the 2nd of April after I stopped the hormones. Since almost 2 weeks now I noticed sharp stabbing pain in my lower abdomen down to the groin area which comes and goes. But it feels like it is getting worse. Since almost a week I also feel nausea with dizziness and headache. Loss of appetit is also one of my symptoms. I still don't have my period yet. Is that normal or do I have to see a Doctor. Thanks for your help.
HiGREETINGS You have not mentioned the indication for IVF.If many follicles were there during induction if ovulation you need to get an ultrasound scan to find out the status of ovary.If the pain is severe we need to rule out infections slso.Hence I suggest you to consult a gynaecologist. Hope my answer helps you. Regards
Have reoccurrence of breast cancer showing up in lymph nodes, bone mattastis. Permanent cure? I have reoccurrence of breast cancer showing up in lymph nodes and have bone mattastis ...have been on flasodex for 5 months.... greatly reduced lymph nodes activity as had a pet/ ct scan last week. xgeva for 3 months but although good news is harmone blocking drug is working..... do not understand bone stuff....bone in leg femur is facratruing on its own......what is xgeva indicated to do positively for the bones....seems it may not be working. thanks any help will be appreciated. Carolyn
Hi, its good to here you are responding to faslodex as the lymphnodes size is reducing.The bone metastasis also likely to respond to faslodex because commonly the bone metastasis occur if the tumor is positive to harmone receptors against which the faslodex act. Xgeva reduces the bone turnover caused by the spread of tumor. The femur is a weight bearing bone so it may need fixation because the bone was already weakened by metastasis. So you need to consult your doctor for the same and continue the xgeva to prevent further development of new metastasis. Hope i have answered your quiry.
Will my taste buds be effected from swelling of my tongue piercing site? I Peirce s my tounge and swelled real bad and turned purple now its green. And looks really gross. Its not oozing and not hurting. So I don t think its infected. I think it may have bruised. But will my tase buds fall off? I m cleaning my mouth properly. I ve had my toung ring for about a week.
Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should be investigated for a infection in the tounge. I am afraid that your tounge will be infected much and resulting in serious consequence.Till that time you can use aceclofenac for swelling and pain associated with tounge.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist.
What could be done for flacid penis going in the body? hey doctor my penis goes in my body when flacid......i am 5 inches when erect and have proper ejaculation but when flacid it goes in my body........i feel uncomfortable and have to pull it out..........it happens when i sit of run.........and i am fat also.......plz help
Hi,As you got good size of penis while erection, nothing to worry.There is nothing wrong with penis but as you are obese and having more collection of fat on abdomen it is likely that penis goes in your fatty abdomen.Reduce your weight.Do abdominal recti muscle exercise to reduce abdominal fat.Ok and take care.
Suggest treatment for thyroid nodule Yes, Hello, I have had a thyroid nodule for years. How can I treat it naturally ? I started taking Shilajit Fulvic Acid Complex a couple of days ago.. 250 mg a pill. I take 2 a day.. Can you advise me on anything about helping to shrink the nodule ?
Medicines made from kaachnaar are used to treat thyroid nodules. But thyroid function is essential to be checked. You may be having hypothyroidism or hyperthyroidism in background.
What causes chills, fever, body pain and headache? Have chills, fever, terrible body aches and headache that comes and goes. No sore throat or any signs of respiratory problems or sinus problems. Recently had a root canal but had these symptoms before that. Tooth o.k. but still have these body aches, etc.
Hello there,The symptoms that you are suggesting indicate an underlying unresolved infection. You need to get a blood profile test-RBC, WBC count , TLC,DLC, MPFT done ideally when you feel feverish . This will give us an idea whether there is an infection or not. Suppose there is then we can do further investigations and localise it. Hope this helps, Please feel free to address any queries to me,Dr Arun A
Is Via ananas advisable while suffering from asthma? my daughter 14years she has asma only and she's over weight she's 150cm and 88 kilo can she use viya ananas pleas help me and about me too i have cohlesterol i'm taking madication i have allergic too animals to penicilin i have my medication too for allergic can i take viya ananas
Via Ananas is simply having no medicinal value. It's made of Pineapple which does not lose weight. If fresh fruit is given, being sour it doesn't help in Asthma. In Ayurveda and traditionally in India, sour things are avoided in Asthma.My opinion is against via Ananas. No benefit.
Have severe lower back pain due to missing part of bone from birth My son is 16 and he's been having lower back pain that is increasingly getting worse. I took him to an urgent care where they xrayed him. They said he's missing the very bottom part of his tail bone and the 1 at disc. They said he was probably born like that. Hes 6'1 and it's getting worse. He's starting to throw up and has bouts of diarrhea. What are your thoughts? We've been to a neurosurgeon and they've ordered an MRI that we are still waiting to have done. Thank youRebecca
Hi. Yes the defect explained by your Doctor on X-ray is congenital and usually have problems in the lower limbs.Diarrhea and throwing up do not look to be related to this problem. It can be due to an intestinal infection and needs different treatment.Please let us know the MRI reports, the clinical problems with lower limbs .
What does my semen analysis report indicate? Semen analysis report...... Colour : off white activity motile : 25% Volume: 2.0 ml sluggishly motile :15% Consistancy : thick dead spermatozoa :60% Liquefication : in 30 minutes morphology :65% are normal Smell : semeniferous puss cells : 3-4 /HPF Ph : epithelial cells : nil / HPF Blood : nill red blood cells : nil / HPF conut : 32.0 M/ml. Normal count: 60 - 150 M /ml
Hai, the quoted semen analysis report is normal.count is within the normal limit.volume is also perfect. active motile is okay.this semen report indicates subject is fertile.Thanks and regardsDrS.Senthilnathan
What causes pain under armpit in kid? My soon to be five year old son is complaining of a hurt arm pit. He feels warm to the touch, but averages a temperature of only 99.3. He is about 4 tall and 33 lbs. He has been overall a very healthy boy, suffering mainly from the common cold now and then. He often wakes up in the night with bad leg and foot cramps which we have been told are normal growing pains. I am concerned because he is not behaving like his normal rambunctious self but really seems to be in pain. He also complained about a headache yesterday which is not normal for him to have. Do you have any recommendations? I appreciate your time.
pain in armpit at this stage may occur due to viral lymphadenitis which may occur with cold. it may also b due to boil of folliculitis in this area. use of antiinflammatory drugs will be sufficient as ibuprofen. it will resolve as cold will improve.
Am i pregnant as i have bloated stomach and tinkling in abdomen? Hi, i have my first day period on 17 May and last on 24 May. i had intercourse with my husband on 25, 26 , 27 May and follow by on 1 June. - after 25 and 26 intercourse i have some vleeding which is like ending period color (brown). (last for est 3 day) - my current stomach is bloated which i usually will not have. - slight tinkling feeling under my abdomen and the left side of my ovaries. May i know am i pregnant?
Hello, your symptoms are not suggestive of pregnancy but if you have doubts do a pregnancy test and get confirmed. Your symptoms suggest that your left ovary has ovulated in this menstrual cycle and if you want pregnancy that you can have sex for 3 days regularly to conceive.
Is alcohol intake causing AST to ALT ratio 0.5? Hi I am 54 male and my ALT is 118 Units/L and my AST 64 Units/L. I am a moderate red wine drinker; 2-3 glasses maybe 2 or 3 days per week. My AST to ALT ration is 0.5. do you think alcohol is causing this? Albumin level 4.6 gm/dL, Bilirubin Total 1.0 mg/dL
Hi,Thank you for your query. I can understand your concerns. In alcoholic liver disease, the AST(SGOT) :ALT (SGPT) ratio usually exceeds 2. This is partially explained by the depletion in alcoholics of pyridoxal 5-phosphate, the biologically active form of vitamin B6 which is necessary for the activity of both enzymes and is depleted in alcoholics.In alcoholic hepatitis and in contrast to other causes of fatty liver, the AST and ALT are usually elevated two- to sevenfold. They are rarely >400 IU, and the AST/ALT ratio >1 AST(SGOT), which is derived from alcoholic damage to mitochondria or smooth muscle, is more increased than the ALT (SGPT) which is confined to the liver.In your case ALT level is elevated and more than AST,which is also elevated.I will suggest you to undergo serum g-GT (gamma-glutamyl transpeptidase)- a widely used screening test for alcohol abuse. If g-GT is also elevated,the liver enyme elevations are alocohol induced.Regards Dr. T.K. Biswas M.D.Mumbai
Renal failure, could not undergo dialysis due to fistula, have continuous fatigue with shoulder and knee pain, no swelling. What do these signs indicate? renal failure patient on dialysis but dint go for dialysis since 10 days which means skipped 3 dialysis sessions due to the fistuale stopped working feeling tired most of the time shoulder and knee pain but there is no swelling and i urinate as well i have belgam does all this signs means i have to do dialysis as soon as possible. age 61 and weight 75kg
Hello I don't know the reason for your not going for dialysis,but the fact is you can't escape it. You must get it done as early as possible. Best of luck Thanks
Is normal pregnancy possible after uterus TB treatment? hi ,i m married for 3 years , but still no baby ,i have tb in uterus ,my tb around my tub ,last 4 days i m taken akt 4 table,this table as using for 6 month doctors says ,but after this course can achieve get my pregency normal.please tell me any problem after tb treatment ,
Hallow Dear, Tuberculosis of the uterus, particularly that of the uterine lining (endometrium) destroys the endometrium and the tubes. Even though the anti-tubercular line of treatment cures the tuberculosis, the damaged endometrium usually cannot be restored. Even the tubes get destroyed. Though they look apparently patent after anti-tubercular treatment, their peristaltic movement is lost which does not allow the egg to be propelled to the uterine cavity. In last 50 years of my experience in Gynaecology, I have not seen any case of genital tuberculosis where endometrium and tubes are damaged, conceiving. Once your genital tuberculosis is completely cured, you may think of adopting a healthy baby. By this, you will have a child, the orphan baby will get parents and that too without increasing the population. I hope I could give you appropriate message. Dr. Nishikant Shrotri
What does kalonpine treat? I don't feel good and a little depressed someone told me I should be on kalonpine a white pill with a big m on one side and c/15 on the other because they take this medicine what is this and what is it designesd to treat? A respiratory infection, is that something serious?
Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Klonopin is actually clonazepam and its meant to treat anxiety and insomnia. Its a sedative and hypnotic drug. Its nothing to do with the infections and its treatment. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, or want to know further about the same query, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
What to do as pus is coming out from a wound near coccyx muscle? I am suffering from tail bone pain i took local depamedral injection as suggested by doctor that go infected ultimately abcess formation was there inside suddely one day that bruested as per advice of the Doctor in Forties hospital i under went coccyx excision as well aspilonidal sinus excision after a gap of two month again pus formation started and i landed to simillar situation. now i doesn't want next surgery. Pus is coming from 7cm deep wound just near to coccyx muscles . pls suggest me some treatment?
HiWelcome to HCM,I appreciate your concern for the infected wound near coccyx.Features are suggestive of recurrent infected pilonidal sinus.As many as 50% of the surgically removed pilonidal sinus recurs.Early recurrence is usually due to failure to identify one or more sinuses at the time of incision and drainage. Later recurrence (more than six months after surgery) is usually due to tension in the mid line cleft and a secondary infection caused by further build-up of hair or other debris.Recurrences have been reported as late as 20 years after the surgery.You are advised to visit your treating surgeon for further evaluation and incision and drainage of the abscess.To prevent both the both short-term and long-term recurrence of the condition Laser hair removal from the affected area is found to be effective.Hope this suggestion will be useful to you.Wishing you good health.
Suggest treatment for bone & muscle pain Hi i m 27 yrs old female and having hypothyroidism since 2005 and started taking pills since2006 for the same and i am havng bone pain and muscle pain since childhood..i have taken lot of calcium tabs but my bone pain is not relieved.i feel lethargic all the time.i did my bone mineral density and found myself to be osteopenic..plz suggest what supplements shud i go for and if arachitol inj would help..
dear friend, I have understood your concern and supporting you well. see as you mentioned your age is 27 young girl with hypothyroidism may affect bone, but this is in control of pituitary gland. calcium supplements and injection will work for short periods of time. for permanent solution you need to increase your calcium and magnesium and vitamin d supplements. continue to take t3 tab. do regular every day yogasanas and mediation and pranayama practice which will normalize the function of pituitary gland. go for Art of Living work Shop where you can learn Sudarshan kriya breathing techniques which has good role in harmonize the endocrine system especially thyroid disease. I hope you satisfied with this answer, still if you have further queries, feel free to contact me.
What causes lumps in abdominal area after injecting Lovenox? Question PreviewI inject Lovenox twice a day and expected bruising but now I've developed some lumps in my abdominalarea. One is the size of a walnut and others are as small as a pea. My skins is a little itchy too. Does anyone know why? What can I do for this. I've been applying warm compresses but not noticing a change yet
HI,Welcome to HCM.Based on the facts of your query,In My opinion You should Get opinion of your doctor who prescribed Lovenox immediately and review its doses with INR.Cause of the lump could be-bruise / or a fibrotic granuloma or/ could be resolved hematomas with fibrosis caused -by needle post injection.or could be by disturbed INR status causing more post-injection hematomas at the injection sites.Remedy-Enough Rest and Sleep to avoid re-infectionTranquilizers to reduce the Mental and physical stressAntibiotics to treat infection if any.EmolientsAnti-inflmmatoryAnti-HistaminicGood Diet/ Enough Fluids/ and Vitamins to boost your immunity.Hope this reply would help youWelcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!     Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS
What is accurate dose of diovan ? I am 76, ht 5ft 5 in, weight 150 lbs. I take Diovan 80 once a day. Lately I feel very tired in the PM and started monitoring my BP. Today i took one-half of my pill and now, at 1:30 my BP is 108/83 , pulse 59. Should I be worried? Should I contact my Dr.?
hiyou were on a dose of 80mg valsartan and you were feeling weekeven on halving the tablet your blood pressure is still on the lower sidewhile taking any hypertensive medication you should keep a record of your blood pressure every week and should visit your doctor every two months,because on the basis of the blood pressure records doctor is going to taper the dose of the blood pressure medicine you are onas of now your weekness is mostlikely because of the overdose of diovanso make the doses half and check your bp twice a day and try to taper it to a dose where your bp is 120/80 .yes you can plan a visit to doctor
Suggest treatment for high blood sugar level I just got a surprise reading of a blood sugar of 441, I am a diabetic, and I have ran out of my Januvia meds, which I have not taken in several days, because I get that medicine from CVS mail order. Is this cause for alarm , and how can I lower it fast?
Dear Sir, greeting s from HCM.. I understand your concern.. NEVER STOP MEDICATIONS FOR BP AND DIABETES ... it could lead to lots of complications in future ... Try to get the medications from some were and start taking soon ... In time .. Please check your lipid profile , microalbuminuria, HbA1c levels and do contact plus with the reports .... Anything else please feel free to contact us ... THANK YOU
Stopped Paxil, brain zaps during exertion, tremors, losing erection. Common? My boyfriend has been off Paxil for about 5 months. He experiences severe brain zaps when he exerts himself or is emotionally overwhelmed. During sex he gets to the peak of orgasm and instead of the normal end result of orgasm he gets severe brain zaps that usually turn into physical tremors his hands shake it looks like a horror movie where he is hooked up to an electrical torture device. Needless to say he looses his erection and is unable to have that release. It seems to wipe him out so much that he needs to sleep. Is this something that is common? Will it get better? It scares me when it happens because I can clearly see how painful it is for him. It doesn t just happen during sex when he has exerted himself from working out. It s also sometimes when he gets overwhelmed with emotions (good and bad) he gets the brain zaps. How can I be a good partner to him and help him get through this.
Hi, His current problem can be explained from following reasons: -Anxiety symptoms -Use of paxil -Withdrawal of paxil It is difficult to tell exact cause from your current history. It is better to change Paxil to some other SSRI (selective serotonin reuptake inhibitor) in his case. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com
How can I find out TB in a x-ray ? sir how to find the tb in the xray
Are you a medical doctor? Because if you are not, you may not understand unless you undertake a course in medicine which teaches about chest X rays. (I presume you are asking about chest X rays) But if you are a doctor, TB can manifest in any which way on CXR - normal, nodule, mass, collapse, consolidation, cavity, hilar LN enlargement, pleural effusion, pericardial effusion, etc.
Q. I am suffering from eye floaters and focusing problem. Kindly help. Hello doctor,I am 20 years old, with 155 pounds. I have been having eye trouble seeing squiggles and floaters in my vision. Also, I cannot focus, and it seems like the lighting goes different. Two years ago, I got into a car accident and suffered a concussion. I do not know what it can be. It is also hard to see at night, and I do wear glasses.
Hello. Floaters are usually due to changes in vitreous (jelly in the back of the eye) when it starts liquefied and detached from retina. It often is the aging process after the 40s to 50s age, but in cases of trauma, surgery, or myopia, it can even be at an earlier age. As you got two risk factors injury or accident, myopia, floaters may be associated with flashes or a curtain infront if the vision. The important thing is to examine the retina because this vitreous detachment from the retina can create some hole or break in the retina that can lead to retinal detachment (not in all cases). Usually, no treatment is done, and you learn to ignore floaters with time. But I would suggest you visit your eye doctor and get your eyes examined to make sure everything in the back of the eye is fine.
Suggest treatment for hypertension? Good day Doctor, i am Shihab Mahmud age 35 Bangladeshi. Last several years i am having Hypertension about 200/140. but i did engeogram in 2009 was normal condition of heart, kedney even my blood condion is better. can you advise me the cause of hypertension. my Doctors are informed as UNKNOWN.
Thanks for asking me this question. Actually most of the case high blood pressure cause unknown. You have to control your blood pressure.Because of your inactive life style also affect you blood pressure.To control your blood pressure You have to do regular exercise ayleast one hours.Take low salt diet.Avoid too much oily food.Use low fatty oil like sunflower oil etc.Take low fatty food .Don't take junk foods.Check your blood pressure regularly. I hope this advise helpful to you. Thanks.
What causes difficulty to breath after during cold and while running? i have been treated with bronchitis before .. i am fine when i doing my regular routine but when i get too excited ,or if the weather is cold or when i am running or do work out i find it difficult to breathe due to which i cannot continue my activities and i have to calm down to get back to normal . can i find a soution ?
Thanks for your question on Healthcare Magic.I can understand your concern.In my opinion, we should rule out chronic bronchitis in your case.So better to consult pulmonologist and get done PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only.You may need need inhaled bronchodilators (formoterol or salmeterol) for longer duration.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
What causes knee pain? I m 16 and I m having knee pains. A year ago I could walk for hours all around with no problem. Now it seems as if I walk longer than a hour my knee hurts pretty bad. I m sixteen I shouldn t be having these problems. What can I do to fix it. No medication please my dad was an addict I don t want to go down that road. What do you suggest.
HiThank you for asking HCM.I have gone through your query. Your persistent knee pain can be due to injury of internal structures of knee like meniscus or ligaments. A physical examination by an orthopedician will be helpful to rule out this. In case of positive signs you may need to do X ray followed by MRI if necessary. Mild to moderate injuries can be managed conservatively. But if severe then diagnostic arthroscopy and correction is advised. You can manage knee pain by giving ice pack application, giving knee immobilization by wearing knee braces for short periods and quadriceps strengthening exercises. NSAIDs like ibuprofen can be taken in case of more pain and inflammation which is not addicting.Hope this may help you. Let me know if anything not clear.Thanks.
Is it dementia to have hallucinations, difficulty in talking and high RBC level? my husband has hallucinations and is very slow and has a lot of trouble talking, if we play a game about half way thru he is dropping off, in the last few months has lost 20 pounds. he is 87, he seems to know what his is saying, just takes a lot of time to get it out. We are going to the VA for a CT scan of his head and his red blood cells are high and we are going to a hemotologist on Monday. What do you think, I think it is dementia his primary doctor said it s because he doesn t sleep good at night, I think he is really off base with his answer, well anyway we are going to the VA which makes more sense.
HIThanks for using healthcare magicSome time in dementia, patients get hallucinations. That happens due to underline brain dysfunction. He needs antipsychotic that could control his hallucinations. In his case, you would suggest quetiapine and for that better to consult a doctor. In case, you need further help, you can consult me.Thanks
How can sharp pain under the ribcage on right side be treated? I was washing my hands in the bathroom and I got a sharp stabbing pain in my right side under my rib cage and a hard time breathing and I can’t stand straight and it hurts to sit and kinda hurts to lay down and im really worried because I’ve been like this for 20 minutes and it’s not getting better and I’ve taken medicine for it and I have a heating pad on the pain I just don’t know what to do
Hi, Sharp pain in the right side of the chest may be due to acute cholecystitis or cholangitis which may present like sharp pain at the tip of the ninth rib, aggravated on deep inspiration. Other possibilities like right side pleuracy or right renal caliculi etc. Until examination is done it is difficult to say what it is. Use tablet Tramadol. Get it done ultrasound abdomen immediately and 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.
Is hot spring bathing safe during pregnancy? I am considering going on vacation to costa Rica for my anniversary, but my husband and I have been trying to get pregnant for over a year. If I get pregnant between now and July, will I need to cancel my trip due to Zika? Also, are natural hot springs ok while pregnant?
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If the area you are going is endemic to zika virus better to avoid if you become pregnant before going there because zika infection will be more serious in pregnant women and can lead to microcephaly in baby. And also we cannot exactly predict what will be the effect of hot springs on pregnancy, so if pregnancy is confirmed before going there better to avoid hot spring bath as much as possible. Hope I have answered your query. Let me know if I can assist you further.
How can extreme anger be managed? my husband is 24 and we are having troubles in our marriage due to his uncontrollable anger. it is getting worse here lately. he gets so angry for little or no reason at all and starts yelling at me and saying hurtfull things, and then later acts as if nothing ever happened. im afraid if he doesnt get help now it will get wose as time goes by and will end up ruining our marriage. please help me determine what the problem is so i can get him some help. he is about 5'10 and 210lbs. thank you
HiThanks for using healthcare magicIn that case, you should take help of a psychiatrist and psychologist. It is important to find out the reason behind anger, whether it is due to depression or personality disorder. Management in his case depends upon diagnosis. May be both of you need couple therapy, but before going for that consult a psychiatrist and make treatment plan. In case, you need further help, you can ask.Thanks
Is unwanted 72 effective in avoiding pregnancy? I have made a unprotected sex with my girlfriend,and i advise her to take unwanted 72.our sex intercourse was on 11th dec at 11:00 am,and the duration for unwanted 72 remains only 20 hours.her last period was on 9th dec.Am i do right because we afraid from the early preganancy.Kindly help me , I am waiting for your response. Sir i also want to say that i will satisfied your answer i will pay your fees.kindly reply me
Hello,Thanks for posting your query. With an intercourse soon after a menstrual period in a regular 28-30 day cycle, there is no need for emergency contraception. This is because the week before and the week after the period is safe as ovulation occurs two weeks prior to the onset of the next period. In future, I would suggest use of regular contraception if you wish to avoid pregnancy. Use of emergency pill should be restricted to one or two occasions per year since the high hormone content creates hormone imbalances and can affect future fertility. Hope this helps.
Will regenerative changes of spine a serious issue? my mdi reveals regenerative changes of spine with central and bilateral ventrolateral protrusion of l4-l5 and l5-s1 discs causing epidural thecal sac impingement and foramina encroachment.Whether it is seriousWhether it will cause muscles contraction
Hi, ghese changes are not serious issues and can be treated with physiotherapy and medicines. As there is no cord and nerve root comptession so no need to worry.Thanks.
Is there a risk of pregnancy if birth control pills are not taken everyday? Hi, I ve been on birth control for almost a year now. I just finished my period on the 15th of July and was supposed to start my new month package on the 16th but forgot so I took the two pills the next day and had sex 2 days later. Am I at risk of being pregnant?
Hi, As you have missed the pill just at the beginning of the cycle and you have also taken 2 pills, you are on right track. As such sexual activity in the first week of the menstrual period is not going to lead to pregnancy. I will suggest you continue with the pulls regularly in the remaining cycle. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Purushottam Neurgaonkar, OBGYN
What else besides glucosamine and chandrotrium sulphate can I take for knee pain? i hav problem on my right knee...earlier i wz given sam-e nd glucosammin+ chandroitrium suphate for 3 months accompanied by exercise.........but frm few days i m having the same problem on my left knee nd its acheing too much.........what shall i do?????
Hello, In addition to joint lubricant supplements, you need to start with painkillers and calcium supplements regularly to help with the pain. Regular physiotherapy exercises will also help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon
Suggest treatment for psoriasis on face, scalp and arms I have psoriasis really bad all up my arms and all over my legs even on my face/scalp/ears its making me really depressed as summers coming up and ill have to be covered in clothes. I want to use sunbeds is there a certain amount of time they will take to work? and can i get any drugs/tablets to help it go away on subscription?
Hi,You said you suffer from psoriasis. It is a n autoimmune skin disease of unknown cause. There may be genetic tendency. Stress,dry wheather,poor immunity..etc might exacerbate the disease. You consult dermatologist for perfect treatment.You may take methotraxate 15 mg per week 5 mg at 12 hour interval till good result. You may also take acitretin cap 10 mg daily. Itching may be reduced by antihistaminics. Blood tests may be done to moniter the treatment.Application of steroid combined salicylic acid oint or vitamin D analogue cream may be applied on the lesions. Scalp lesions may be improved by shampoo containing tar.Have patience for the result. It is a controllable disease. Discontinue treatment after having disease free period. Repeat the treatment if there is relapse.I hope you got my answer.Thanks.Dr. Ilyas Patel MD
What causes a lump and severe pain around the navel? Help I have had infected navel for three weeks with blood and pus have now had strong antibiotics pus has cleared but now severe pain and lump around belly button but with something like a nerve sticking out of belly button.I am female 38 and distended stomach.I also have endometriosis 20 year dnd when navel infection started had sporadic mentrsual bleeding on and off please help
Hello Dear. You have navel infection. Most people see their doctor while the infectious process is still mild.In such instances, topical antibiotic ointments like Neosporin, Polysporin First Aid Antibiotic or Duospore, will be sufficient to kill the bacteria and resolve the issue.Doctors will also prescribe antibiotics alongside the topical treatment for more serious infections.The course of treatment will usually continue a couple of days.Surgery is required solely in extreme cases of belly button infections.This is why it’s imperative to seek medical assistance as soon as the first strange symptoms are experienced!Physicians may also recommend salt water rinses to destroy the bacteria.The rinse is made by dissolving a teaspoon of salt in warm water. Saline solutions are also available in most pharmacies.After the belly button has been rinsed, it should be dried thoroughly with a soft towel.People that have a piercing will need to remove it until the infection subsides.Discharge can be cleaned with hydrogen peroxide (a mild antiseptic) to keep the area dry and clean. Popular Home Remedies for Belly Button InfectionA couple of home remedies can be used for the effective management of belly button infections.The aim of most treatments is to kill the bacteria or control the candida overgrowth. 1. Tea Tree OilTea tree oil is one of the most popular natural treatments for infection in the belly button.Tea tree oil can be diluted in coconut oil and applied to the affected region several times per day. Don’t apply undiluted tea tree oil to the navel region2. Turmeric (Curcuma longa) PowderTurmeric is also known for its powerful antibacterial and antifungal properties.add a little bit of water to your turmeric powder and stir.You should get a thick paste. Apply to the inflamed region and let it dry. After the turmeric powder dries completely, clean the area gently and pat it dry.3. Neem (Indian lilac)Neem powders and creams are also available in cosmetic stores and online. Neem powder can be mixed with turmeric to deliver even better results.4. White VinegarYou will need to dilute one part of white vinegar in two parts of lukewarm water. Soak a cotton swab and apply to the belly button area.Let the compress act for 10 to 15 minutes, remove the cotton ball and dry the skin. The procedures can be repeated two to three times per day.5. Aloe Veraaloe vera juice has soothing properties. The beneficial plant is also known to kill harmful bacteria. For best results, you
What causes back pain, fever, nausea and UTI? My friend is exhibiting symptoms of back pain fever, nausea and uti. She has presented her self to the Emergency department at our local hospital several times and they send her home. She has been unwell for sometimes withe the symptoms coming and then going and then reoccurring. What are your thoughts?
Hi,In my opinion I think she may have a kind of gouty arthritis where SUA is higher than normal levels which happens with UTI, back and joint pains. It may occur with low water intake or high protein and salt intake meals thus increasing the serum uric acid SUA. For now, I suggest more hydration, analgesics and some investigations for proper diagnosis and evaluation ask your physician. Please give some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask.Regards,Dr. Ahmed Aly Hassan
I keep getting brown sun spots on my face. how to get rid of these ? Hello, I am a 21 year old female, 5 3 and weigh about 118. I keep getting brown sun spots on my face . I have one that I got on my cheek last summer from laying out in the sun, but I just got two different ones today on my face that weren t there this morning. What is causing these spots to appear out of no where?!
hi you might have lentigens or freckles . its due to ultraviolet rays of the sun. i think you have a fair skin. apply good sunscreen with 30+ spf twice a day better to consult dermatologist
Had unprotected sex. Taking postpone 72. Delayed period. Does the pill work? Himy period date was 27 sept to 1st oct. and I had a unprotected sex on 3rd oct. and I take postpone 72 on 4th oct night. as seen in the packet my period may be 10 days before than normal after taking the postpone 72. I donot know that pill worked or not but today is 23rd till date I do not get any symptom of any period. I am worried we do not want to be pregnant now. Please suggestHow I now am pregnant or not ?If the pill worked or not?If I got pregnant what I have to do ?please suggest.
Hello. Thanks for writing to us. Since you took the pill within 24 hours of the unprotected sex, it is likely to give 90% protection against pregnancy. The delay in the periods that you are having is a common side effect of this pill.I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal ,drrakhitayal@gmail.com
Suggest treatment for pain on the ligaments due to achilles tendinitis Could this be plantar fasciitis? I was recently diagnosed with Achiiles tendonitis, and Posterior Tibial Tendonitis (tendonitis on the inside of my foot). Ihave pain through my achilles tendon and on the insid eof my foot due to these issues. Recently, my heel and plantar fascia ligament has been hurting. I have pain first thing in the morning, and if I stand on it for too long, sit for too long, or walk for too long. Could this be plantar fasciitis? I go to physical therapy, and the physical therapy student said that my plantar fascia ligament is tight. When I go into physical therapy on Monday, should I ask them about it and have them diagnose me? The brace I have for my foot doesn t really have any cushioning for my plantar fascia ligament, would I need something different if I have plantar fasciitis?
hi,when you visit the physical therapist next time try something called as a faradic stimulation under water. I have tried this on many patients with same issues and all have responded well.later focus on doing some regular strengthening exercises and you will be back onto your feet without pain and aches. kindly avoid use of orthotics for longer duration as it might even act as weakening the muscles.wish you a speedy recovery.
What causes refusal of solid foods in children? My son is of 1yr 9 months old. Since last 10 days he stopped taking solid foods. For almost 3 days he was taking liquid food and milk. And these days he is taking only Milk and Cerelac. His height is about 85 CM and Weight is 12.8 KG. We consulted Physican about few days back, she suggested not to take any medicine for increasing appetite. We tried many times with different homemade foods, but he is reluctant to open his mouth. Pls help!! What should I do!!
toddlers are known for their picky eating habits. forcing them to eat will just worsen the problem. be patient try offering different food items. make him sit when rest of the family is having meal.meanwhile do monitor his weight, if that is showing weight loss then he might b started on appetite stimulant medicine. meanwhile start him on multivitamins only
What causes painful bump on shaft of penis? how you doing? ive had this bump on the shaft of my penis right under the head and i when i noticed the bump it had been over a year since i been sexually active and it never hurts sometimes i forget its there until ive been aroused and yesterday i had to pee and i felt the bump and it sent a quick minor pain and it went away immediately it wasnt painful or anything just enough to make me check it out and so i looked it up and it said that bumps can form from masturbation and its nothing to worry about and also pimples and im active in sports and i occasionally miss a shower so i was messing with it today wondering if it was a pimple and the area i touched puss came out so i squeezed it and more came out and i did this for about 15 mins and quit a bit came out and a little while ago i did the same thing and some more came out and theres still a lump there so im here cause i want you to clarify if its really a pimple or something else but nothing to worry about
Hi. Its most likely a sebaceous cyst and would not trouble you. But now that you have punctured it there is a chance that it might get infected. So I suggest that you keep it clean and dont disturb it any more. Would be preferable to see a Surgeon or your GP who might want to start you on an antibiotic medicine course. Take care and do let us know if there are any otger queries we can help you with.Dr Rishi, New Delhi, India.
What causes stiff neck and dizziness despite a normal stress test result? Hi Doctor, my wife has been going through breast cancer treatment and has been in a very critical state. We have 3 young children, and it s placed alot of stress on me. I am 46 yrs old male. Last Friday, I had rushed her to the hospital and then back to work, had only a protein bar for lunch with some coffee, then stood for 1.5 hrs and taught some folks at work. After 1.5 hrs, I suddenly felt very dizzy. I went and grabbed some Cliff bars (2), OJ, and a Gatorade. I excused my self, went to the car, felt a panic attack come on, and was take by ambulance to the ER. They performed radioisotope testing on my heart along with a stress test. All turned out normal, and I was sent home. My neck is still stiff and I still feel woozy. Any room for concern?
Well come to HCM Thank for askingI really appreciate your concern, I am sorry for your wife's illness, it is but natural that you are under the lot of stress, and worry, but you have to face the reality, you need to take good care of your health, what was the symptoms you descried here could be due to hypoglycemia, you might be eating less due to stress and worry, try to come out of the stress, eat well, hope for good, if you remain in tense condition then muscle would be stiff, so just relax, think about the future of you children and yours, hope this information helps.
When can contraceptive be taken after having unsafe sex? My last period was on d 17th of last month I had unprotected from d 28th -30th of April nd today is 11th of May, am a Mother of a 4yr old nd avin a 6month baby at hand,I am so scared of getting pregnant cos my kids were delivered tru a cesarean section,av being feeling sick nd uneasy using d bathroom frequently to pee ,plz could i be possibly pregnant or maybe it s my fear of being pregnant,I really dnt need anoda baby now plz help me out can I get a pill now? Wat pill can I use
Hi there,After going through your question, my opinion is that:1) There is always a chance of pregnancy after unprotected sexual intercourse.2) You have a good chance of being pregnant as you had sex during ovulation period.3) Emergency contraceptives are effective only if used within 72 hours of unprotected sex.4) Now, the only thing you can do is wait for getting periods or get a blood test called serum beta hcg which can detect pregnancy a week after unprotected sex.5) Sometimes, the symptoms you are describing could also be due to anxiety.I hope this helped.regards,Dr. Shikha
Took medicines for fatty liver, esophageal disease. Have black scars on forehead, uneasiness under rib. Cause? i had a problem associated with liver, During investigations , an abnormal liver function was reported, later on it was said with fatty liver and then esophageal disease, i had medicines( lactihep, raxy 20 ) i was alright, again black scars have been sighted on my forehead and an uneasiness developed under my right rib
need to know what esophageal disease, the medicines given indicate that you are being treated for acidity and constipation. please see a gastroenterologist or hepatologist for the same.
What do small white spots on brain indicate? i have very prem babies 3 months early twins the hospital thought one had menigitis.bout done lumber puncture and was not.but said he had small white spots on his brain that they didnt know what they were ....hes getting blood transfussions.and antibicotices p could it be e..d.f / LACK OF MYOLINE!
Thank you for asking on HealthCareMagic. Although the details provided by you are not adequate, I will try to explain the possibilities. Newborn brains are in the process of development especially in preterms. The inner lining of the brain is very thin. As the development of the brain progresses, a substance called myelin is formed and acts as an insulator of the nerve fibres and helps them in functioning. But in preterms sometime bleeding may occur below the thin lining or due to meningitis and as there is healing, the deposition of myelin occurs improperly. Myelin appears while on the imaging of the brain and hence probably the white patches over the brain have appeared.The blood or blood fraction transfusions may have been given for anaemia of prematurity or in order to control infection.Hope that helps. Feel free to revert back in case of further queries if any.
Suggest remedy for severe pain in back I had pain in back yesterday today seemed to be more on left side about at rib cage. I also had episode earlier in week with frequent urination with small amounts. Thought UTI so went to minute clinic no blood in urine but white blood cell count indicated infection. Given antibiotics to treat UTI then culture. Pain making it difficult to sleep. Other info I have ITP
i understood your concerns, first we need to confirm that you have muscular or kidney colic pain? pain may be nerve related also...... In most types of neuropathic pain, all signs of the original injury are usually gone and the pain that one feels is unrelated to an observable injury or condition. With this type of pain, certain nerves continue to send pain messages to the brain even though there is no ongoing tissue damage.Neuropathic pain (also called nerve pain or neuropathy) is very different from pain caused by an underlying injury. While it is not completely understood, it is thought that injury to the sensory or motor nerves in the peripheral nervous system can potentially cause neuropathy. Neuropathic pain could be placed in the chronic pain category but it has a different feel then chronic pain of a musculoskeletal nature.if you have stone related colic pain you can take dicyclomine paracetamol combination.
What causes stomach ache, diarrhea and headache? I went camping last weekend got bit over 50 times by mosquitos went swimming in the lake did get water in my mouth by sunday I had stomach ache and diareha fatuige and now I have headaches too and yesterday a mouthful of cold sores. and still feel this way today what can it be
HIThanks for posting your query to Healthcaremagic . There is a high possibility that you have contracted infection ( both Throat and stomach ) That too a combined throat and stomach infection raises the possibility of Bacterial infection . You require an antibiotic course for treatment . But before starting you need to get Throat Swab culture sensitivity test and stool culture sensitivity test done . Consult your doctor for an antibiotic prescription and revert back after the reports . Any clarifications or Queries feel free to ask. Happy to help you. Regards.
When is the best time to take contraception pills? hi good night. i just bought my first box of perle ld contaceptive pills. its my first time using oral contraception exept for the emergency contraception, i usually use a condom. I just wanted to know if its ok start taking the pills on my fourth day of my period although the pack said its best to take it on the first day?
thank you for writing in HMC,its is ok to start your combined oral contraceptive pill (OCP) on the fourth day because for normal cycles ovulation take place between the 10th and 18th day . i would suggest you to use condom between these days to be on the safer side and dont miss your pills . OCPS are very effective in preventing pregnancy.
Suggest treatment for arm soreness post workout Hi, I was doing was push ups the other day and felt something click in the back side of my upper arm. It did not hurt at that moment. about a day and a half later I awoke with my arm being sore and now cant reach behind and inter lock my fingers as I was able to before. Also it hurts to put pressure on it as I try to push off the chair to get up. Is it more sounding like a pulled muscle or something more serious?
higoing through question I consider that you are not regular in push ups.so you are in starting pahse and tends to workout more on day 1Most likely I feel you have developed pulled muscles.Your muscles which are not used to workout suddenly has to undergo tremendous work goes into pain and tends to reduce activities by producing spasmtake rest and if required muscle relaxantPlease go through your workout slowly and gradually build up Don't try to become some huge bodybuilder in one dayTake care
What causes pain in legs/feet? My legs and feet has been hurting for a couple of years. As time went on the pain has got so bad. last week i called my family doctor she said go to the er. but i didnt she wasnt happy with me. my arms chest hurt bad as well what do you thing this is
Hello Leg/foot pain are very common my advise for you,Take plenty of water, fluid intake will dilute toxins.Physiotherapy with ultrasound and Tens will help you,Take potassium and calcium rich diet.Hot and cold fomentation to foot.You need to continue you medication for couple of month to see effects.Add tab methylcobal 1500 once day.Another possibility of Raynaud’s vascular occlusion/nerve compression leading to persistent foot pain.Clinical examination is required to diagnose it.You should consult your doctor for clinical examination.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. . If you are satisfied with the answer, please give your review at the end of the discussion. Wishing you good health.Take care.
Suggest treatment for disc protrusion my son has been told thet he has protrusion of teh T7-T8 and T8-T9 discs ehich is distorting the thecal sac and possibly abutting the cord anteriorly especially at T7-T8 level. He had an accident at work 8 years ago and has been seeking help at his local GP ever since, A scan of his back finally uncovered the protrusion. What can be done for him
Hello, The treatment for this condition depends on the symptoms and neurological findings. Disc protrusions are treated in most of the cases conservatively. This includes avoiding weights, losing weight, physical therapy, NSAID drugs use, etc. Only severe cases are treated surgically. In my opinion, in your son's case, there is a need for an evaluation by a Neurosurgeon. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical
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 -->
What is the treatment for mosquito bite? I recently have been attacked by mosquitoes on 2 different days so bad i had over 13 bite marks on my body. I kill them and keep my bed room door closed all the time but I still get attacked. I recently moved to another room to get away from them and still they follow me and bite me in the night. I herd bananas, body spray, and nectur make them appeal to you, but is there anything else that may be making them follow me and eat me alive? What can I do to prevent waking up with over 10 bites on my body?
Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it does not seems like insect bites and can be due to some other allergen and as you are continuously coming in contact with the allergen you are getting recurring episodes of the bumps..You should consult an Allergen and get evaluated and a thorough clinical evaluation and allergic testing like Patch test, RAST test and Food Challenge test can help in diagnosis and treatment can be planned accordingly..As of now you can take anti allergics like Allegra or Levocetizine, apply a steroid gel like Cortisone and do cool compresses over the bumps..In case if there is pain you can take Ibuprofen to reduce inflammation and pain..Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora.
How can pain in the lower back be treated? I was having lower back pain that I believe started from bad shoe support. The pain seemed to radiate up the left side of my back and now I have stabbing pain on the mid-upper part of my back on the left side of my back bone. It burns and feels like a stabbing pain and then feels like there is a vice squeezing my back bone.
hi sir/madam,Let me advice you for your problem.Low back ache may be a pre-monitory (prodromal) symptom in fistula in ano, sciatica, gouty arthritis, hernia, emaciation disorder etc. Pain is confined to lower part of the spine (back bone) especially lumbar region or lumbo-sacral area (rarely sacro-iliac region also). If it is secondary, earlier history of fall or injury may be associated. Rarely, radiating pain may be complained by the patient towards lower limbs. But it is quite common in low back aches if the defect is in the discs between vertebrae (back bones). Often the movements of lumbo-sacral region like flexion and rotation are hampered either partially or completely.Low back pain may be found in mild form in case of anemia, sciatica, rheumatoid arthritis, hemorrhoids, urinary calculi, uterine disorders etc also.Line of treatment as per Ayurveda:-The general principles of treatment of vata dosha are adopted in case of katishoola (low back pain). It includes various measures to suit its varied clinical entities, stages and associated complaints.1. Snehana (oleation) – by sneha dhara (pouring oil), abhyanga (oil massage), avagaha (tub bath with oil or oleaginous medicaments), kati basti (retaining medicaments on the back) etc.2. Swedana (sudation) –avagaha sweda (sweating treatment with tub bath), pizichil (kayaseka), nadi sweda (sudation through a tubular device – local sudation), panda sweda (sudation through medicated paste or powder) etc.3. Mridu Samshodhana -mild purgation.4. Basti (medicated enema) like eranda basti, vaitarana basti, pippalyadianuvasana basti etc.Formulations indicated in Low back ache as per Ayurveda:-1. Dashamoola kwatha.2.Maharasnadi kashaya.3. Rasnaerandadi kashaya.4. Sahacharadi kashaya.5. Gandharvahastadi kashaya.6. Trayodashanga guggulu.And for local application these oils will help:-1. Ksheerabala tail.2. Mahanarayana tail.3. Dhanwantaram tail.4. Maha narayan tail.Avoid these for better results:-1.Bitter, astringent and pungent food2.Cold water3.Fear4.Exhaustion5.Standing6.Driving7.Cold food and beverages etc.Hope i was helpful.Have a healthy day.
What do these blood sugar levels indicate? I am 36 years old female. My father is a type-II diabetic. I have got my fasting and PP blood glucose checked around 2 times during this years and it has always been fasting (around 9 hours) between 130-140 mg/dl and PP around 100-110 mg./dl. For the PP blood glucose testing I took normal lunch with some rice curry and dal soup. My query is what is the reason for fasting glucose level to be more than PP glucose level?
this should not happen . there has been some mistake . fasting blood sugar is always less than post prandial or after meal sugar. i would suggest you to get a repeat test. to be in safest zone fasting sugar should be 100 if its between 100 to 130 diet ,excercise and weight loss can normalise the sugar .
Are swollen lymph nodes related with lumps on neck? I have a small hard lump on the left side of my neck i went to my GP who basically said it was a swollen lymph node without even feeling it. I have had a cold but this eased a week or so ago the lump is still there it is painless and moves side to side when pressed. Cant help but think the worse as ive had colds before and never noticed any lumps.
Hi, dear I have gone through your question. I can understand your concern. You have enlarged lump in neck. You have cold so there is high chance of enlarged cervical lymphnode due to reactive hyperplasia. You should take antibiotics treatment. If it doesn't respond to treatment then biopsy diagnosis is advisable to rule out tuberculosis or lymphoma. 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 is liver cirrhosis? my brother is an alcoholic. He just had a seizure and his liver is damaged not sure of the degree. But our doctor said he can't have one more drink or else he will die. He has tried to quit and went to rehab, nothing is working. They said he has cirrhosis, what does that mean?
Hi, How are you?I am so sorry to hear about your brother. Alcohol de-addiction can be very challenging , both for the patient and for the family. Relapses are common and it takes team-work between the patient, family and the doctors team to treat this.The liver is a remarkable organ in its capacity to regenerate. We can resect (cut out) more than 70% of a person's liver and the rest of the 30% will grow back to normal size within 3 weeks!! The flip side to this is that until the liver is damaged beyond 75%, the patient will not have any symptoms related to liver disease. Just as a rubber band can be stretched only so much before breaking, so is the liver's capacity to regenerate. When it is continously damaged as in case of daily intake of alcohol or viral infection like hepatitis b or hepatitis c, at one point it will stop regenerating itself and leads to scar tissue formation. Scar in the liver will lead to hardening of the liver and the in-between liver tissue appears as nodules - this is known as cirrhosis of the liver. This will subsequently lead to "portal hypertension"which will result in vomiting of blood and fluid accumulation in the belly. In the initial stages, these things can be managed with medications, but later on the patient will end up needing a liver transplantation.Hope this helped and hope your brother feels well soon. Please do not hesitate to contact me for further details, esp regarding centers which offer liver transplantation - rxsuresh@gmail.com
Can HCG be taken to normalize blood pressure? My boyfriend is 29 6'2 and 250. He is currenlty taking lisinopril for his blood preasure. I have done hcg myself an had amazing wonderful results. I have researched that it can reduce high blood preasure to a normal level with no further need for meds if maintained correctly. Is it safe for him? He also has some liver damage due to being perscribed nortriptilyne.
Yes its safe, no problem with that ,,for the liver, did he make an ultrasound imaging on it to see how extent did the liver been damaged,,is it cirhosis, fibrosis, or fatty liver???
Feeling tired, stomach upset, chills. Shingles on the arms and neck. Using fluoxetine. Medication allergy? Hi I have been feeling very tired and under the weather including upset stomach chills sore throat but no fever and also developed what my dr said may be mulliscum or shingles on my arms neck amd face as they look like a rash of some sort and told me to go to a dermatologist as she wasn't sure but I could not get an appointment with for two days. Any idea what it can be? I did just start fluoxetine two weeks ago and these symptoms started four days ago so I thought it could be an allergic reaction to the meds but she said no.
IT CAN BE AS SOME EDICINES REAXT AFTER SOMEDAYSIY CAN CAUSE THESEIF YOU WANT YOU CAN ADD ANTIALLERGIC EBASTINE 10 MG BD FOR 3 WK ALONG ADD LOT OF WARM WATERLIQUID ANTACUD TDSAND LOCAL APPLICAYION OF FLUTICASONEIF EVERYTHING SUBSIDE IT IS DEFINATEL ALLERGC OF NOT TEN CONSULT FOR OTHER POSSIBILITIES
What is the cause of a puffy vagina? My daughter is 12 years of age and her vagina appears to be puffy. Should I bring her to the doctor to get a check up or is it normal. I have questioned her about someone touching her there and she has said no but how do I know she is telling the truth.. Or just afraid to tell.. Please help
Hi,Thanks and welcome to healthcare magic.Swelling of vagina in a teen age girl may be due to injury or manipulation.Better consult gynecologist to rule any manipulation or injury.Hopr this answer serves your purpose .Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam.
What causes drop in body temperature and rise in bp? most of my life my normal temperature has been around 98.8 and my blood pressure has been around 80/60. the past couple of years my temperature has been steady near 98.3 & blood pressure 135/85. lately & often when I stand up my body temperature drops to the point of goose bump cold. what is most likely to cause this kind of change?
Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Most likely, explanation for these events is thyroid abnormalities so get your thyroid tested. If it come out to be normal then some more information will be needed like any other symptoms, and age. Are you a female, if yes, then any menstrual abnormalities is there or not. Also these can be the age related changes.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar Makode
Q. My son got scratched by a dog's paw. Is there anything to worry? Hello doctor,My son got dog paw scratches on his hands by his friend's pet Labrador dog. We gave him TT the next day. Is there anything to worry?
Hello. If the scratch did not break the skin, if there was no bleeding and if the attack was provoked, a single TT shot would suffice. Although do keep the area in check for any bacterial infection that might follow. However, if the animal in question was acting strangely or if the attack was unprovoked or if the scratches are on the face or hand and caused bleeding, you may need to get a course of rabies vaccine, to be on the safe side. Since it is a pet, it may have been vaccinated against rabies, in which case there is nothing to worry. Please check with the owner about the immunization status of the pet and its health condition and act accordingly. If the pet is suspicious in any way, you should get the rabies vaccine course for your son. Hope this helps. For more information consult a general practitioner online -->
What causes dull pain below my right collar bone? Hello and Merry Christmas. the last few days, I ve been having a dull pain below my right collar bone. It comes and goes, but i feel a few times a day. I can only describe the pain as if you have a menstrual cramp, but it s just not in my abdomen. Also, the last few days, I ve been waking up as if i have something heavy on my chest. I m not having a hard time breathing though nor do I feel any pain in my chest, nor numbness or tingling anywhere. I m aware that heart attack are normally related to left arms, shoulders, chest, etc.
Hello,Your symptoms are not typical of any cardiac disorders. In my opinion this situation could be related to a musculo-skeletal pain or local inflammation (chostrocondritis). Anyway, before coming to this conclusion, I would recommend performing some tests:- A resting ECG - A chest X-ray study- Complete blood count, PCR, ESR for inflammation. In the meantime, I would recommend taking ibuprofen for the pain. Local warm packs can help too.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
Suggest medications for swollen calf My left calf is swollen 2 days ago it felt like I had pulled a muscle in the back of my leg. That pain has gone away nowon the inside of the calf there is a spot about the size of a silver dollar that is quite tender painfull. I do have buldging veins. This happened a coulple of months ago went to emergency room they did a sonogram on my legs from crotch to ankle and did not see any clots or other problems. About a week later swelling was gone as was all soreness and ternderness. Any ideas
Hello, Your symptoms could be related to a sprained muscle or ligament. For this reason, I would recommend using cold local packs and trying local massage with anti-inflammatory ointments. If the pain persists, consulting with an orthopedist would be necessary. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ilir Sharka, Cardiologist
What are the chances of conceiving without going for laproscopy? All my blood test result came normal . My AMH level is 3.2 .Even doctor is happy with report .Now my doctor recommend me to go for laproscopy. I never had surgery since my birth . I am having fear of surgery. Can i go for surgery will you please tell me doctor. Can i get pregnant without surgery
Hi, I think it is not necessary to go for laparoscopy right away. You can go for a tubal patency test first. If you are less than 30 yrs old, and is trying for pregnancy for less than 3 years, HSG (Tubal patent test) will be sufficient. Get your partner semen analysis done. You can try ovulation induction and natural timed intercourse for 3 to 6 months if everything is normal. If HSG is not normal or you have already tried for 6 months with medicines or if you are more than 30 years or trying for more than 3 years, go for laparoscopy. It is not a major operation. It's just to see inside with a hole. It is a diagnostic procedure.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya
What are the purple bumps on the outer side of my anus? Hey I have these purple bumps on the outside of my anus( only when I put pressure to poop) and somtimes a small ammount of stickey stringy pricees of liquid after. Just was wondering what s up also burning peeing sensation and pre yellow for days and a small whiteish ball is on the sack aera
not to worry much as this is benign condition like piles, benign cyst or skin tags / fibroepithelial polypif really worries you can go for a rectal examination for confirmationall the best!
Can a person have a down health even after the tumors are removed? I am currently you caring for an 83 year female. She is 2months post older from ovarian I am currently caring for an elderly woman who 2 months post op from ovarian cancer that spread to the small bowel. Although the Dr said he removed both tumors and was pretty sure he got it all??? She is failing to thrive and going downhill as we speak. Help
Sorry to hear the condition of the patient you looking after. What was the stage of the disease? Post-operative ovarian cancer needs a CT scan of the abdomen to find out any residual disease. In majority of cases after operation ovarian cancer patients needs chemotherapy to halt recurrences. There is no age restriction for chemotherapy, but general condition of the patient is a considerable issue. One thing, about she is failure to thrive. It may also possible that the lady has disease elsewhere also apart from abdominal cavity.
What causes recurrent fever with FSH 2.54? my daughter of 15 years ,studying in class X. feeling sudden heat overall body and feeling too tired (specially both hands and legs) , headache... . previous it comes once in a day but now 4-5 times daily. all med test completed including ultrasound..thirode ..LH ( 6.11), FSH 2.54), PRL(8.73). during this hot feeling the BP became 110/74..normally in only 100/60. what may be the reason... doctor cant find any pblm
HiThe reports and BP seems to be fine. The problem can be due to anemia, occult infection, viral illness or stress related. I would recommend you to go for complete blood count and ESR. If normal try to give her symptomatic management. If she doesn't respond and everything seems to be fine on clinical examination, then visit a psychotherapist to rule out conversion disorder.Take care
Q. I found two genital warts inside the vagina. Is it due to HPV? Hi doctor, I am a 19-year-old female. I lost my virginity about 10 months ago with my boyfriend. Now after 10 months has passed I found out that I have two warts inside my vagina. It is white color although, the one on the top started to have a slight pink color. But the second one on the bottom which is much smaller still has completely white color and around the vagina blades, I have a little while dots. Also, there are very tiny warts line along the blades. So, when I went to see the GP near my house he had a look and said that there is nothing to worry it is still small. But in my opinion, I think it is quite big. So the doctor gave me a prescription for Condyline paint which he told me to use for three days only per week and I have to keep using it for three weeks and if it does not get better he told me to see him again. Now I have a few questions. Is this mean I have an HPV virus inside my body? How can I make the virus go away permanently? Will Gardasil injection make it go away? If it does not go away permanently, how can I make sure that I have no HPV viruses and so these warts will not come back again? Is this mean that I have this HPV from my boyfriend? How to use Condyline paint correctly? I wash my vagina blades and use the cotton pads to dry it, then I use start to use the Condyline paint. I only dip the swab once into the reagent and then I open my vagina blades so that I am able to paint the two warts inside my vagina as much as I can. Then I paint it all over the very tiny warts in the vagina blades area. Am I doing it correctly? Now I have been using the Condyline for two days, but the very tiny warts that are around the vagina blades started to grow more. Is this mean anything? Can condoms prevent these HPV viruses? If I break up with my boyfriend, will this help my symptoms and health to become better? I am very scared of whether this can leads to cancer? I do not want this to ever happen to me again, how can I prevent this to happen again? If my warts are gone can I have sex with my boyfriend? Will these symptoms comeback again? If I decided to buy the Gardasil injection and injected it now, then the next after two months, then next after six months, but during this time can I have sex with my boy friend? Will the vaccine still work?
Hello. I have gone through your history and pictures provided. (attachment removed to protect patient identity). I appreciate that you have consulted the doctor and begun the treatment. As rightly prescribed, Condyline (Podophyllotoxin) paint is very effective in genital warts. The right way of application is by using a cotton swab or brush applicator on the clean and dry visible warts. Wait till the paint dries before putting on garments. Avoid application to surrounding normal skin. Repeat application two to three times a week until there is a substantial shrink in size or disappearance of warts. Genital warts that you have acquired are because of humanpapilloma virus (HPV) infection which you might have got through sexual route. Most of the times even if one has an HPV infection, it will be subclinical. The infected person not necessarily will have warts but may still continue to shed infective virus in secretions. Once infected with HPV, its elimination is not completely possible nor its elimination is measurable. However, you can prevent symptoms of HPV infection by boosting immunity against it. Gardasil is one of the vaccines against HPV types. This is most effective in preventing cervical cancer when taken before the start of sexual activity and before 26 years of age. However, you can still take the vaccine as the strains that cause warts and that may cause cancer are not the same. Thus Gardasil can still provide immunity to a certain extent against cancer causing HPV. The best way to monitor cervical cancer is to get regular cervical smears. HPV can be present in normal looking skin too. So, the disappearance of warts does not mean free from infection. It is important to use barrier methods like condoms during intercourse to prevent re-infection and further spread. Since the warts are intravaginal, some lesions may not be visible to you. It is better you take doctor's help to apply on all visible warts. If your partner also has HPV infection, the chances that warts will reoccur or spread are more. I recommend a dermatological examination for your partner also. And it is advisable to maintain abstinence during the treatment and vaccine period to help achieve good immunity. After the successful treatment of genital warts and vaccination, sexual activity can be resumed. However, the use of barrier methods during intercourse is advantageous in preventing re-infection. Having one sexually transmitted infection predisposes one to acquire another. UTI (
What is the home remedy for the sharp pain in the chest due to swallowing of bone? I swallowed a very tiny pointy chicken bone (maybe half the size of a dime) while eating dinner and I then had a sharp pain in the right (almost middle) of my chest). It starts to go away then I burn and I feel it again (then it goes away again). This has only happened twice so far (the burping). What should I do? Are there any self remedies? Am I just freaked out and over exaggerating?
**1. swallowed/ingested foreign body [FB] requires examination, initially by your physician who might order an x-ray to identify the presence or absence of any FB [chicken bone] or signs of perforation [sharp pain] and later by a specialist who may do a flexible pharyngoscopy under local anaesthesia to identify the position of the FB.2. If your doctor or specialist thinks that the FB is small, you may be given antibiotics and asked to return frequently to be checked thoroughly. 3. since your present condition is stable, conservative management with follow-up at 24 hours will suffice.PS. You should see a doctor if there is suspicion of a FB lodged. Do not wait for complications to arise or go for self remedies.
Suggest treatment for plantar fasciitis I had orthospec for my plantar fasciitis 3 years ago and now seem to be having problems in my toes possible mortons neuroma- going to dr tomorrow for that! Same foot seems crazy what are the odds that something different happen to my foot-AND I have nerve been a big hig heel wearer/ not overweight and I have always tryed to wear the proper shoes! I wear ASIS which my foot dr said were great shoes plus I ended up getting inserts for them from the dr after healing from planter fasciitis - any advice at all so appreciated
Hello,Thank you for using healthcaremagic.I read your question and understood your concern.I think you can do physical therapy with shock wave and stretching of Achilles tendon and plantar fascia and use night splint to sleep with.Cortisone shots in the heel help in most of the cases also.Wish you all the best.Dr. Selmani
Why am I not able to conceive after taking clomid? Dear doctor, so far i have irregular period, have taken clomid for few months and still can't conceived. Just do my IUI on day 10 and have injection for ovulation and last injection (HCG) on day 8, after IUI, have taken Duphaston just after my IUI and now is already day 29. My period still not yet come, is it the ovulation injection, HCG injection and duphaston will confirmed regular back my period? i am afraid to do pregnancy test since i already disappointed for so many months. Please advise.
Hi,I read your query and I understand your concerns.Following is my reply:1) If you stop duphaston you will get periods.2) Go ahead and test for pregnancy dont worry.3) You can go for IVF if pregnancy is wanted soonerLet me know if you have anymore questions.Regards,Dr. Mahesh Koregol
What does a lump near tooth extraction site indicate? I had my back upper right tooth pulled on Friday. Now I can feel some sort of lump near the sight that is painful, I have clusters of canker sores around the area, mostly on my cheek. I also just noticed cluster of small white bumps spreading across my gum away from the extraction site, towards the front of my mouth. I really hope they don't turn into canker sores since I'm already in agony but I have no idea what they are.
Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have undergone extraction now you have lump near extraction site dont worry for this you can do is you can apply ointment Gum paint twice daily on painful Gums . Do warm saline gargle two - three times a day . Do betadine gargle twice daily for one week . If you wont get relief then consult dentist for oral examination .Hope this will help you.
Have rashes and breathing problem. Had bronical problem. Took many medication. What to do? i recently had a bronical promblem my dr treated me with pennicill vaccine ,steroid ,and a shot in my vien i do not know the name of medicine it was i took a seven day prenizone pk a atibactic calledcefdinir 300 mg i was getting better than last night i broke out in hives all over my body i went back to my doctor and he told me to take benedral i also take claretin . I have been dianosed as having broncatus. i believe the rash is from antibactic so should i be concerned about this rash and my breathing i am wheezing and coughing again.
Hello,Thanks for the query.you have bronchial problem, that means you are prone to develop allergy.the wheals are due to allergic reaction, which may be caused by the antibioticDont worry take anti histamine tablet,as adviced by your doctorYou will be fine.Please meet a dermatologist if it persists.Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link. you a good health.Thank you
Q. Why do I have elevated RBC, platelets, and eosinophils? Hello doctor, Please evaluate my report that shows elevated RBC and platelets and eosinophils.
Hello. I have reviewed your reports (attachment removed to protect patient identity) and here is my advise. In your reports, the main concern is raised eosinophils. The common causes for that include allergic rhinitis, common allergic cold, asthma, skin eczema, and parasitic infestation. So kindly mention your clinical complaint like fever, cold, diarrhea, etc., if present to guide you further. Your hemoglobin, RBC, and platelet values are borderline. For that, you have to repeat complete blood count report after a few days. If still, they are abnormal, then will think further. So, acknowledge me with clinical complaints to guide you further.
Suggest medication to bring down GGPT level I HAD GOT MYSELF TREATED FOR avm IN YEAR 2000, SINCE THEN I AM ON PILLS, BECAUSE OF WHICH MY GGTP LEVEL STARTED INCREASING, POST THAT DUE TO LACK ON confidence i stated consuming alot of alchohol . my last blood test shows my levels upto 700. i wish to understand the possible medication
Hi thanks for contacting healthcare magic...Noted you are taking lits of alcohol.Hey for depression or anxiety alcohol is not solution.Even better you can do yoga and exercise.Fill brain with positive thoughts...Meet friends and relatives....Anyhow your liver enzymes here elevated as alcohol and its metabolites like aldehyde is toxic to liver hepatocytes......So avoid alcohol....Take less fried food.Use only good oil like sunflower or canola oil....Fruits taken more.....One tsp cumin seed with water can be taken....Follow up report done after month....Take care......Regards;Dr.Parth goswami
Are loss of energy and sleeping a lot symptoms of dementia? My husband has no energy, is always very tired and sleeps a lot. I read somewhere that too much sleeping can sap energy. Seems strange, but I don t know how the body works! he has Atrial Fib, which seems to be under control as he has not been in emerg for 3 years. The doctor says he has beginnings of dementia. He failed the memory test, and is now on pills.
Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query. As your husband has cardiac problem firstly you should get focus on this as cardiac issues if not on proper medication can be lethal anytime.Its good to know that he has not been to ER since 3 years..keep proper follow up visits for this cardiac issues. Next i would like to clear that energy does not get lost during sleeping as the body metabolism is low during sleep and energy is conserved not lost..Too much sleeping is sign of depression..i dont know exactly the sleeping habit status i mean day time sleeping or anytime...i think you should know his status either he is stressed and depressed or not.Encourage him alot,spend extra more time with him i hope he will be feeling fine and get rid of too much sleeping as depression can lead to many mental illness regarding dementia also. Hope this may help you. Let me know if anything not clear. Thanks.
What causes shoulder pain when I move left arm sharply? I m a 72-year-old woman with arthritis. Sometimes, when I move my left arm sharply, I get a terrific pain in my shoulder. I raise my arm and rotate it around and out and around, and the pain usually goes right away. Could it be arthritis, or could it be a rotator cuff problem? Thank you.
Hello,Thank you for using healthcare magic.I read your question and understood your concern.I think this is arthritis of the shoulder joint. You may need some injection in the joint with cortisone and lidocaine.I wish you quick recovery.Dr. Selmani
Why does the fever persist despite antibiotics? I've had a fever for about 4 days already went to the doctor and was diagnosed with upper respiratory infection, which I'm n antibiotics for and was also told to take robutussin cf which I'm taking as well, but the fever s still there! Is this normal?
Hi welcome to HCM..You are diagnosed as upper respiratory infection ....Here it could be from viral or bacterial cause ...If it is viral cause than antibiotic not effective .Only symptomatic management done ...Salt water gargles done .More water .Avoid smoking. ..Take benadryl like decongestent .If inflammation more than short term steroid might needed ....Steam inhalation with eucalyptus oil useful.If condition worsen than further work up with chest x ray and sputum examination done ....to rule out other etiology like pneumonia , fungal infection , TB etc....Hope your concern solved .Advise ; pulmonologist consultation for examination
Suggest remedy for neck stiffness Yes, I have a SEVERE stiff neck that travels down my spine and across my shoulders and up to the back of my head. I have a temperature of just over 99 and that is high for me. My age is 70 and once before in the early summer I had symptoms a bit like this without the fever. That time I had a month of physical therapy and it went away. I use some support behind my back when I drive. But now I can not rest at all and woke in severe pain after about 2 hours in bed
helloYou must see a physician for fever and neck symptoms.In meantime, take advil tabs twice a day after meals, do hot fomentation of neck and apply muscle relaxant gel to neck three times a day.Do isometric cervical exercises for 10 minutes 3 times a day, and relax in bed for 3 days. An xray of neck should be done if there is recurrence so that spondilytis is ruled outbest wishes
What causes breathing difficulty while bending down? I am a 18 year old male in good shape. Here recently however I have had trouble with breathing i don'tGasp it just feels difficult especially when i bend over. I Also noticed when i laugh it is very uncomfortable And almost impossible. What could this be?
Hi welcome to HCM...Here first your respi examination and auscultation has to be done to look for any abnormality if present ...If suspicious auscultation than digital chest x ray needed for rule out respi cause ..(Spirometry done if needed )If still cause not clear than EKG needs to be done ...If no cardiac cause as well than it could be musculoskeletal pain ...for which simple analgesic useful along with warm compress...According to cause treatment given ...Don't worry.Take care Advise : pulmonologist consultation
Suggest treatment for having mass on left side of diaphragm i was just told i have a mass on my left side by my diaphragm. i am waiting to get an mri done soon. i also have experienced blood in my stool on two occasions that i did not tell my doctor about. could this be related to the mass. i also am experiencing pain where the mass is located now.
Hello, As having blood in stool is connected to the mass present. Having a blood test done along with MRI will be of help to diagnose the condition and treat accordingly. Don't worry much and kindly undergo MRI soon. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
Is it safe to take Calpol for high fever? Hi my 5 years old daughter has been diagnosed with conjunctivitis and has been given antibiotics drops, wednesday night this week, however since last night she gets temperature of 39°C -39.5°C in the evening and during the day under medication like Calpol type (Doliprane) she is around the 38°C - 38.4°C but she is also complaing that her head hurts a lot (headache) - should i go back and see the GP? or is it normal?
your 5 year old girl gets conjunctivitis , now she has headache and fever . usually conjunctivitis proceeds upper respiratory tract infection which cause both headache and fever and it's usually viral and doesn't need oral antibiotics , and it's safe to give calpol .but physical exam is needed first by her doctor, because sometimes conjunctivitis can expand and causes orbital cellulitis and meningitis ( but this is rare for meningitis) . so I highly advice you to go for a physical exam to exclude this condition. no tests is needed I hope this helps
Any suggestion for swelling in shin and around calf? I fell on a stair and landed directly on my shin. Now it is swollen about an inch high starting just below my knee all the down right before my ankle line. The swelling also goes around the front half of my calf, (diameter wise.) It hurts to apply any sort of pressure when I walk, but I CAN walk, just very painfully. Should I be concerned of a broken bone or would you consider this to be a moderate contusion?
Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that swelling of the shin after falling off the stairs and landing in the shin can be due to soft tissue injury leading to inflammation of the soft tissues and accumulation of inflammatory exudate..In case if you are able to put weight on the leg and walk although there can be pain does not seems like bony fracture and seems like soft tissue injury only that can lead to ligament tears..I would suggest you to consult an Orthopedician and get evaluated and a thorough clinical evaluation and investigations like x ray can help in confirmation of cause.In case if there is a bony fracture reduction of fracture segments and immobilization using a cast or splint can help..In case if there is only soft tissue injury application of analgesic ointment, cool compresses, tying a crape bandage and elevation of leg while lying down and taking anti inflammatory painkiller like Ibuprofen can help..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.
What causes bruising and swelling of leg after a popping sound from leg? while running up a short steep hill, I heard a popping sound on my right calf. This happened 3 days ago. Now, the right side of my foot is all bruised. The bruise runs from the ankle to the bottom of my large toe. The calf is swollen and hurts. What do you think is the problem?
Hi, We have to rule out possible causes like tendon or ligament injury. Consult an orthopedic and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician