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Suggest treatment for hair fall with intake of Levothyroxine
Hello Doctor, In take levothyroxin 50mg every morning on an empty stomach. I started taking over six years ago. my Dr. always tell me that my thyroid is normal , My hair started falling out. It started falling out very soon. She has not changed the med in 6 years, I would like to try something new . it is called Actalin, an advanced thyroid,support with iodine.Can I take lev | Hi, You seem to suffer from Telogen effluvium. The cause would be thyroid dysfunction. So, you consult your managing doctor for revision of dose of the tablet you have take. You may take Biotin tablet daily for few months to few year or till the good result. Apply mild steroid lotion on the scalp. If there is a dandruff, use ketoconazole shampoo. Oil the scalp with almond oil. Avoid anxiety and tension related to hair fall. Have meditation and yoga to relax the mind. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist | |
Suggest naturopathy treatment for rectum cancer
Good Mornins Sir, This is ranga rao calling from tenali, a.p. india, sir, my wife is suffering with rectum cancer since 2009, intially we used homeo medicine but there is no resutly after that we went in alopathi inthe month of march, 2011 thedoctar did radition along with chemo tablets, tumor was diluted 90% now,she got fisher the tool is going on throug vegina since 8th july, 2011. the doctor has told it is bad. sir, is there any treatment in naturopathy. pl. | Hi,Thanks for writing in.Your wife seems to be having a surgical complication arising out of radiation to the rectal cancer. The rectal tissue might have become friable due to radiation and chemotherapy and this caused a false passage between the rectum and vagina.Unfortunately there is no cure in naturopathy for the above treatment. It is strongly advised that you consult an oncosurgeon preferably specialized in gynaecology and surgical oncology for surgical correction of the problem. This problem cannot be treated with medicine and further waiting can cause more complications and discomfort.Infections can also happen due to the communication between vagina and the rectum and this can cause significant problems in future. | |
Q. Do Levofloxacin and Azithromycin tablets cause any side effects?
Hi doctor, I am a 19 year old male and I weigh 46 kg. Over the last seven months, I am suffering from fever along with chest and back pain. I also have body ache and little blocked nose but not runny nose. The mucus keeps coming out from my mouth. I have headache and I feel very tired. My stool is also not regular. It happens in every 3 days and I have no appetite. I visited a doctor, who examined me and suggested Levofloxacin and Azithromycin tablets for 5 days, Nam Cold for 10 days, pre and probiotic capsules for 10 days, Pantoprazole and Domperidone tablets for 2 months along with a cough syrup, if necessary. My question is this that I have searched about Levofloxacin and Azithromycin tablets online and found these tablets have very bad side effects. It is mentioned that it increases the risk of death and serious cardiovascular disease. So, I am very afraid to take these antibiotics. Will it increase the risk of death? I do not know what to do. Please tell me what I need to do. Is there any alternative medicine. And if I take this, will it affect my health badly? Is there any alternative home remedies or antibiotic medicines that prevents bacteria? I have not took any medicines yet. Please suggest. | Hi. I have read through your query in detail. Please find my observations below. It is right that tablet Azithromycin might cause heart disorder like increased abnormal rhythm and this is seen usually in the elderly age group. At 19 years of age and if you have no known cardiac disease then you might take tablet Azithromycin. Tablet Levofloxacin is a safe antibiotic in adults. In your case the doctor has given a combination of tablet Levofloxacin and tablet Azithromycin. Since mucus is coming out of mouth, you probably have a bacterial infection in the throat. There are alternative antibiotics like tablet Augmentin (combination of Amoxicillin and Clavulanate) or tablet Cefixime which have been used to treat upper respiratory infections. However, these medicines require prescriptions and to be taken in recommended dose. If you have started taking tablet Levofloxacin and tablet Azithromycin, then you can continue it for five days without any significant risk. If you have not started the medicine then you can talk to your doctor and ask him to give tablet Augmentin for five days. Tablet Nam Cold (Pseudoephedrine) is to reduce cold symptoms and some people might feel drowsy after taking this medicine. Therefore, please avoid driving after taking this. Pre and probiotic capsules will help in digestion. You do not have gastritis and vomiting therefore taking tablet Pantoprazole and tablet Domperidone combination for two months is not required. You can take this also for ten days and then stop. Please have your meal on time and include vegetables and fruits. Your diet must include 2200 kilocalories daily with vitamins and minerals. When you get up in the morning you might drink a glass of warm water and this will help in proper stool habit. Cough syrup is not required for you. For further information consult an internal medicine physician online --> | |
Seizures, incoherent speech, memory loss, might have TB or cancer. Prognosis?
My father is 90 years old. He recently suffered a seizure and developed incoherent speech. Doctors ordered a CT scan and a chest exray. We were told the doctor suspects he could be suffering fro TB but they also feared it could be cancer . He sometimes forgets names of even his family members but sometimes he is very okey. Please help understand how we can take care of him. If it turns out to be TB, what is the risk to the close family members that are living with him? | Hello Thank you for getting in touch with us. As I see, your father had a seizure recently and developed incoherent speech. This could be due to various reasons like stroke, infection, injury, cancer etc. The exact diagnosis can only be made after conducting a few laboratory and radiological tests. Physical examination of the patient is also of utmost importance here. As he has become forgetful also, it could also be due to the above mentioned reasons or even Alzheimer's. As your Doctor suspects TB, he/she will most probably conduct a few tests to confirm the diagnosis. Hope this helps Regards Dr. Gagandeep Dhillon | |
Is bad dry cough and pain under ribcage concerning?
had a bad dry cough for seven days last three days have pain under my right rib cage, pain all the time but very bad when I cough or deep breath have trouble sleeping as hurts continuous on right side, should I go to the hospital to get it checked out. | Thanks for your question on Health Care Magic. I can understand your situation and problem. Yes, you should definitely consult doctor and get done chest x ray to rule out lung infection and pleural effusion. You are having continuous coughing and right sided chest pain, worsening by coughing. So possibility of pleuritic pain is more. And it is seen commonly with pneumonia and pleural effusion.So chest x ray is needed to rule out these possible causes. If chest x ray is normal then possibility of musculoskeletal pain is more. So start antihistamine drug for cough suppression. Start painkiller and muscle relaxant drugs. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected site. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
What is the treatment for tuberculosis?
hi 15 years prior i was effeted with Tuber closes. I had took the full medicine and cured. but the scar is remain on my chest which is visible on my x-ray, which i am unable to travel in Gulf countery for employment. please guide me waht is the permanent treatment for this | Thanks for your question on Healthcare Magic. I can understand your concern. You are having old healed scarred lesions in current chest x ray.. And these lesions are due to previous tuberculosis. Actually, almost all lung infections heal by fibrosis and calcification. And this fibrosis will remain as it is through out the life. And this will show on chest x ray as scar lesions. Since these are non infectious, inactive lesions, no treatment is required for them. For your visa purpose, you should consult pulmonologist and get done CT thorax and bronchoscopy with BAL (bronchoalveolar lavage) analysis. If both of them are negative fir tuberculosis or other lung infections then you can argue with visa authority for your work visa. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest treatment for delayed puberty in a boy
Ok, i'm a guy who just turned 18 and still haven't hit puberty. It looked like I started to like 4 or 5 years ago, for example I have some armpit hair and some pubic hair, but then it just stopped, no deep voice, no facial hair whatsoever, no penal growth, hardly any leg hair, no ejaculation, etc. I'm really getting worried about it. Should I see a doctor, or try to suck it up and wait it out. | Hello,I suggest you to visit your doctor and run your hormonal profile. Its not normal not to have pubertal signs at 18 years.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician | |
Is lupus treatable?
Hello. I m a 38 year old female diagnosed with Connective Tissue Disorder/Lupus. One symptom that is stumping my primary and neurologist is I have episodes of cognitive impairment. Just as quickly as if someone turned off the light switch, something happens where I feel my brain functions slow down, accompanied by sweating, slow speech. Had normal EEG. I also had an EKG recently that showed an extra heart beat (when I feel flutters ), and RBBB, but the docs say this is normal. I just had an episode occur while at a routine visit with my primary. Blood Sugar was 97 (I tend to have hypoglycemic events, which is why she checked). We were having a great conversation and I felt really good until this episode occured, suddenly. Any suggestions on what could be causing these episodes, that I can talk with my doc about? | Good evening mam..well cognitive impairment is very Much a part of the lupus.. Rather it s the most common neurological.problem. I will suggest you consult your doctor and get an MRI brain done just to rule out any other cause for the same. You may need acceleration of therapy for a while. Hope this was useful | |
Any permanent remedy for cough?
Hello I have had a cough for a month and was wheezing pretty bad was prescribed prednisone for about three weeks and to use an inhaler. The cough went away and I felt fine. After finishing the prescription I am now coughing again and back to wheezing. I tried the inhaler again but it s not really helping. What should I do? | Thanks for your question on HCM.In my opinion you should consult pulmonologist and get done chest x ray and PFT (Pulmonary Function Test) to rule out bronchitis. And no need to take oral steroids as in bronchitis only few indications need oral steroids.So avoid oral prednisolone.Start inhaler having long acting beta 2 agonist (LABA) and corticosteroids. It is having action for 12 hours so only twice daily given.And inhaled corticosteroids are far far better and safe than oral steroids. You may also require anti allergic, anti histamine and anti inflammatory drugs too.So consult pulmonologist and diagnose first. | |
What does this ECG report mean?
Dear Dr, I am Raja.Age 38.height:158cm,weight:58.from Tamil nadu. I have problem Atrial septal defectASD(OS).I will given my MC report , Kindly suggestion to my report. Iterpretion: 1).M-mode and Two Dimensions Echocardiography IVC- Right side, IVC drains into-Right atrium, Pulmonary Veins drains into- Left atrium, Right atrium/Right ventricle-Dilated, Left Ventricle (LVEd-28mm,LVEs28mm, LVEF-65-Normal, Anatomical RV with Tricuspid valve-Right side, Anatomical LV with Mitral Valve-Left side, Cleft in anterior mitral leaflet-Absent, Positions of atrio - ventricular valve annuli- Normal, Size, shape and thickness of right ventricle-Normal, Size, shape and thickness of left ventricle-Normal, Aorta-Right side and connected LV, Pulmonary artery-Anterior, left side connected to RV, Relationship of aortic and pulmonary valve planes- Perpendicular+ Normal, Intracardiac shunts-Medium size of ASD-OS-Type 15mm, Mitral regurgitation-Nil, Pulmonary hypertension-Nil, Ventricular dysfunction-Nil 2)Doppler study: Mitral regurgitation-Nil, Valvular stenosis-Nil, Left ventricular out flow tract obstruction-Nil, Right ventricular out flow tract obstruction-Nil, Pulmonary Hypertension-Nil, Coarctation of aorta-Nil, Shunt-medium size ASD (os) Lt to Rt shunt 1.5:1 I consulted cardiology Doctor M.D,DNB,DM, He was suggestion to me.Not necessary close this Cole.So what's ur suggestion.pls give clear answer.I am daily going walking(3 km :20mints )and gym.so I am waiting ur Ans. kindly explain me about my Medical report.I must take close this cole?or?our doctor told me,this very small cole so,not necessary close And I would like to know it is necessary for me do this advance level - device closing immediately or can I do this after a year please let me know that too. If you suggest me does this in Chennai itself please let me know how much days I want to stay in hospital & what will be the total cost for this? As I decided to close this device, kindly let me know before going for this Advance Level Device Close do I want to take the TEE test. so kindly refer my MC report.If any possible close this Cole.kindly give all details. if any treatment in Ayurveda medicine.kindly tell meThanks in advance | Hello , What you have is atrial septal defect ostium secundum type , So I will enumerate my recommendation. 1) No ayurvedic treatment will help . 2) As the right heart dimensions are nomral and you are asymptomatic , you may consider not closing the hole at present . It can be easily closed with a device and it is a procedure without any significant risk . Generally a TEE is done before device closure to determine the exact size of defect and select an appropriate device for closure . I would suggest you should get it closed as the procedure is non invasive safe and can prevent any future complications . The best doctor in chennai and probably India for the same is Dr. Sivakumar in Madras Medical Mission. You can take his opinion and if needed get the device closure by him . Regards Dr Priyank Mody | |
Suggest home remedy to induce ovulation
I am almost 300 pounds and am not ovulating. I went to the doctor about 5 months ago and they blod work came back that I am not ovulating. He prescribed me some pills and they made me have a cycle but I havent been back since. What are some home remedies that I could do? | Home remedies will not make you ovulate. Please do not try them. Fat cells of our body secrete a substance that interferes with ovulation. You will have to get your weight back on track and that would be the best home made remedy that you can opt for. Regularly walk in the morning and exercise properly and regularly. Keep your food intake in control. You may also opt for electrical muscle stimulation therapy available at many slimming centres. If your weight normalises, chances are that your ovulation will too.Your doctor had probably given you clomiphene citrate but it will be effective only as long as you take it. | |
How will Antoxid-HC help pallet pain?
doctor my pallet is paining every morning I wake up. The ENT Surgeon has prescribed me Antoxid-HC for a month. She has also prescribed Amoxycillin (MPX-CV 625) for my problem. My problem is going on for the last 3 weeks. I want to know of Antoxid-HC why is it prescribed in my case and in what way will it help. | Hi Dear,.Understanding your concern. As per your query pain on palate occurs because of infection of oral cavity. Antoxid HC capsule contain multiple vitamins and antioxidants in it which are quite beneficial for the over all maintenance of the body as a whole. Though not directly but indirectly these are helpful for effective functioning of the immune system also. So it can be also taken for the purpose of improving the immune system as a whole. Also as a multivitamin they will help in quick healing of palate and help in fighting the infection . I would suggest you to properly complete the medicine course as prescribed by your doctor . Avoid eating hot and acidic food ,also do warm saline rinses .Hope your concern has been resolved.Dr. Harry Maheshwari | |
What causes emptiness in the Sella?
What is the cause and its effect if found two small nodular foci of subcortical hyperintensity in Flair images in right high frontal region - Deviated nasal septum towards left side with hypertrophied left middle and inferior turbinates - Sella is empty with flattened pituitary gland along the floor | Hello Thank you for trusting HCM Dear thank you for asking this question. Dear empty sella may be accidental finding on MRI brain. In MRI scans pituitary gland not visible so it appears like empty so it is called empty sella. In primary empty sella aracnoid layer extends below the pituitary cause compress pituitary cause empty sella.Secondary empty sella due to tumor or trauma or infection or in pregnancy induced hypertension may cause pituitary aloplexy mayead to empty sella. Usually turbinates hypertrophy seen apposite side of deviation of deviated nasal septum. For DNS can consult Ent surgeon he will examine and treat you accordingly. | |
What causes numbness in the left thigh?
Previous constant numbness outside left thigh above knee. Recent Flu for three weeks. Once Flu symptoms gone. The area of left thigh numbness has expanded to 1/3 of outside thigh with several severe attacks of what feels like burning pins and needles in that numb area. Hurts like hell. No prior or current diabetes. I was treated with z-pak for the flu. | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You may be suffering from meralgia parasyetica due to compression of long cutaneous nerve of thigh. Need to avoid tight pants and belts. Do regular exercise for weight reduction. Use tablet pregabalin 75 mg once or twice a day for 10 days. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. | |
Does dental abscess in tooth cause swelling of glands in neck?
Hi, for the past year I have had a swollen gland on the right side of my neck, I'm 35 and a smoker and so am very worried. However, this all started when I had a very bad dental abscess on a tooth which was not removed for a further 6 months due to waiting lists. could they be related and if sowhy has the swelling in my neck never gone down? Thanks. | Thanks for your query, I have gone through your query.The swelling in the neck region can be a space infection or it can be a inflammatory lypmhadenopathy secondary to tooth infection. Consult a oral physician and get the tooth treated, once the source of infection is removed or treated, then the swelling will come down. Mean while you can take a course of antibiotics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic). Since you are giving a history of smoking, get your oral cavity checked for any potentially malignant disorders.I hope my answer will help you, take care. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Suggest medication for running nose due to cold
Hello! I am a 24-year-old female living in a rather cold climate. Yesterday, one of my nostrils started leaking. The fluid is clear and it's only the one nostril and it just won't stop. Is this the start of a cold or could it be something else? I've never experienced so much leaking from the nose and never on just one side. Thank you for your time. | Hello,Welcome to HCM,As you are having the symptoms of common cold and running nose, which should be treated to prevent secondary bacterial infection.I would suggest you to followYour symptoms requires following measures1.Steam inhalation with Vapocaps2.Salt water gargling3.Oral antihistamines like Tab Montex LC4.Oral antibiotics like Tab Bactoclav, 625 mg, twice daily for atleast 5 days.Thank you. | |
What can cause severe cough and gag reflex?
16 year old boy has been having severe cough but no fever or sinus for past week. He had a case of an unknown allergy & hives 2 weeks ago that went away after 4 days of prednisone & zantac. Took him to pcp last week and Dr. Took xray and said lungs are normal although there are streaks displayed which may be causing the asthma-like symptoms and inflammation which may be caused by allergen remains in the lung. Problem is his cough continues to remain the same and he wretches and gags in the late night. Although doctors said it ll go away with time, he continues to cough & in his sleep he groans. Should I do a follow up appointment with a specialist? We re not sure what exactly is the cause of his issues | Hi, Sounds to be underlying bronchitis related issue. Need precise course of antibiotic, steroid, bronchi dilator, and other supportive measures to cure early. Hope I have answered your query. Let me know if I can assist you further. | |
What causes lumps on the penis of a toddler?
I have a 2 year old son with lumps on his penis. I am waiting for an appointment with the paediatric urologist but thought I would check it out on the internet first and saw this site. The first lump I noticed at christmas, it was about the size of a grain of rice, it is attached and does not move freely with the skin. I can t work out if it is below the level of his gland, or right at the base of it and I don t like to spend lots of time looking at it for obvious reasons! It is on the side of his penis and today I noticed 2 further lumps. Any advice would be greatly received. | Hi... I understand your concern. By what you say I feel that your son is having smegmoma. It is a very common condition due to accumulation of smegma and easily treatable by application of steroid cream. Regular cleaning of the prepuce area by pulling the prepuce back during bath will not let this recur.Regards - Dr. Sumanth | |
edema on legs with pain
i am about 52 year old lady having sever edema on leg with pain at feet and heal right now , i was diagnosis for gout and i m having xyloric, twise a day | Hi.. It could be arthritis itself that could be the cause for the swelling.. Avoid physical exertion.. Dietary modifications and regular medications should help in preventing these events.. | |
Blister on the roof of mouth suddenly, om medication for esophageal Crohn's disease. Any ideas ?
Hello. this morining I woke up with something that can only be described as an ulcer or blister on the roof of my mouth, Just had a dental work up, and have never even had a cavity. This blister type thing eventually popped. and now I have raw exposed skin. I have esopageal crohns disease , and I am on heavy meds like Remicade , so stuff like this scares me | Hello there.... Crohns disease is associated with oral ulcerations. Medications used to treat such conditions usually cause ulcerations....Do not keep middling the ulcer as that might aggravate. Use topical anesthetic to get over pain...you must surely be taking vitamin supplements..if not do take them... ulcer in the oral cavity is like any other injury over the body...to get healed it takes 4- 5 days... the topical anesthetic such as dentogel/mucopain would give you transient relief from pain. | |
Does an allergic reaction to shrimps always cause hives?
The other day I was treated in the ER for my first ever shrimp allergic reaction. (And first allergic reaction to anything). I experienced breathing problems, chest tightness, slight nausea, labored breathing, low blood pressure, etc. but did NOT get hives. Do hives always need to be present for it to be considered an allergic reaction to shrimp/other shellfish? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Hives are not always required for considering as allergic reaction. All other symptoms are suggestive of severe allergic reaction and can be considered as allergic reaction. Wishing you good health. Thanks. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Suggest remedy for lump on the right side of abdomen near hip bone
I haven t had my period since january (its now the end of march!). As well as this in the last week or so I have noticed a lump on the right side of my abdomen near my hip bone. it hurts a bit when i press it. What could it be? please help because I m quite worried about it | Hello,In my opinion lump on the right side needs to be investigated from your surgeon or gynecologist. Treatment depending on one of the following causes evaluated after physical and lab or radiological investigation your doctor would treat as per its need.Causes in your case could be Antibiomas of the appendicular abscess or ovarian right mass (as CT abdomen suggested), cystic ovary or could be an abscess (being tender to touch) ultrasound or complete blood test or study would confirm it, colonic cancer (Remote possibility-suggested CT contrast study with colonoscopic invest and treatment).Antibiotic or anti-inflammatory drug response would decide the line of investigation and treatments in your case, and your gynecologist or general surgeon would take all needful precautions to treat your right-sided lump according to its causes.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Mukund Savaskar | |
How to get control over anger?
My husband gets very agitated at other drivers of cars that are rude or get in his way, and starts using profanity and yelling at them, road rage. I try and calm him down, but he just tells me to shut the f---k up, and other profanity at times. Then he tells me I just ruined the day and our outing. He never apologizes, and the next day he acts like nothing ever happened, and wonders why I m quiet or withdrawn. Am I wrong to say anything at all to him? | DearWe understand your concernsI went through your details. I suggest you not to worry much. These outages are purely stress related. Your husband should understand that, there are so many people on the road, goes through the same fate, and just 1% behaves as he behaves. Also he should know that anger is an emotion which can hamper a person's mental and physical health. He should be able to adjust with those situations. Life coaching may be of help. Please consult a psychologist / life coach for further advise. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | |
What causes severe pain the testicles having the intercourse 2 days before?
My 22 year old just came home from work early from extreme pain in his right testicle. There is some swelling, no heavy lifting within 48 hours, sexually intercourse - yes about 36 hours ago. Thank You for your time..little out of my league here. - Tracey | HelloThanks for query.Sudden pain in testicle is mostly due to either infection of Epididymis (Epididymitis)or Testicle itself (Orchitis).Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of Scrotum.You need to take broad spectrum antibiotic like Augmentin along with anti inflammatory drug like Diclofenac twice daily.It may take 10-15 days for complete cure.Ensure to drink more water.Dr.Patil.Dr.Patil. | |
What is the treatment for heart blockage?
MY Father is 72 years old. My house doctor said me that his heart as two block and he will have to heart surgery( pacemaker) . His all blood rep. are well but only the E.C.G report is not well. How we understand that his heart is blocked. what type of test would be done for this. how can anyone understand that his heart is not well. | Hello and thank you for using HCM.I carefully read your question and I totally understand your concern.I will try to explain you something and give you my opinion.As you explain, you have been told that your father needs a pacemaker. If it is so, this means that his heart has a rhythm problem. This rhythm problem is called heart block. Normally the heart beats are generated from the electrical system of the heart. The electrical impulse passes throw the heart and makes the heart to contract and work normally. There are pathology's of this electrical system, like heart block. This means that the heart fails to generate the normal electrical impulse, or the impulse is blocked somewhere and doesn't pass normally throw the heart.This means that the heart makes a pause electrically and this alter her normal mechanical function, her normal contraction. The person having this pathology might lose senses because of this heart pause.The fist way to diagnose this pathology is through the electrocardiogram. It might show this rhythm problem called heart block. The second way is through the patient symptom. As i previously told, the person might experience syncope, loosing sens, dizziness, feeling tired.To verify a rhythm problem sometimes is recommended a holter rhythm for 24 h.So, we can understand if it is a problem through electrocardiogram, holter monitoring or patient symptoms, making this together.If a serious heart bloc is diagnosed, its treatment is heart pacemaker. This is a kind of heart safe battery, that start to function when the electrical heart system doesn't or makes this kind of 'block'. It is putted through a minimal surgery in the upper part of the thorax, like a pocket under the skin.So, if the doctors has told you that he needs a pacemaker, they might have diagnosed it through the electrocardiogram. You should not worry, every think goes fine after pacemaker implantation.Hope I was helpful. Best regards. | |
What are the risks associated with angiography?
I am about to undergo an angiogram and want to know the best decision with respect to medication or angiography. I've read that there are certain risks to this procedure and am wondering on a decision as to whether to just rely on medication or not. I have had problems with side effects in taking medication (Crestor, Lipitor) but with the help of Coenzyme Q10 am tolerating the Crestor (10Mg) more effectively. I have had very high cholesteral 14 down to 11 and now the total count (good and bad) is 9 - still high but on its way down. i am 62 years old female and am having anxiety over the balloon, stent treatment - ie invasion versus just going along with medication. Can you give me some input on my thoughts. Thank you | The questions that an angiogram will answer are is there narrowing of a coronary artery?can the artery be repaired easily with a stent?is repair or treatment of the coronary arteries needed to make me live longer?The last question is the most important. It is actually not a common finding. The medicines and diet are absolute necessities. The balloon and stent or even surgery are necessary only if your symptoms keep you uncomfortable. Usually, your doctor will have a good idea about the answer to the last question from the stress test. These are the questions to go through with your doctor before the procedure is done. | |
Can Xanax and Adderall be taken for ADHD, brain tumor and heart condition?
My 15 yr old is on 15mg of adderall for ADHD. His side effects are pretty rough including thinking that there is some thing wrong with him. (He is having a heart attack...he has a brain tumor...etc. ) I have read that Xanax in combo with adderall can help with these thing. Is this true? | hi,Xanax (alprazolam ) and adderall (amphetamines) are used in treatment of ADHD.However,it is better to start from minimum dosage for children . Hence you first need to consult a psychiatrist for dose suitability and monitoring.There are however no recorded drug interactions between the two medications.Regards,Dr.Riyanka | |
What causes pain and numbness of the soles?
in the bottom of my right foot, when I am on my feet for a long period of time, the ball of the foot feels as if it is swelling, and causing some numbness, and modest pain. I am not diabetic, I where good orthotics that were made for me. please advise how to reduce the uncomfortable feeling. it is not in my left foot. Will steroids help this in any way? | Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment. Type of pain. Burning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting, numbness would be others implying nerve source for pain.Location of pain. There is a lot to this. First, if something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it "hit a nerve" would be a possibility. Sick nerves are MULTIPLE areas and tends to be the TIPS of the nerve not the whole nerveWhat hurts. Moving a particular way that triggers the pain tells what is hurting. Specifically it can distinguish outward structures like skin, muscles, tendons, joints from deep structures like organs and nerves.`` Having a diagnosis leads to choice of medicine for the pain. Inflamed outer structures respond to treating inflammation. Inner structures need diagnostic tests because something internal is broken. MRI's.And, structures that cannot be fixed need adaptations. Physical therapy, pillows, supportive structures internal and external.Pressure on a nerve makes it numb. Taking the pressure off is the first step. Lowering weight does 10%. Maybe. better shoes AND SOFTER WALKING SURFACE with a carpet pad does much more. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
How effective is bite guard to avoid sucking of fingers?
My six year old son sucks his right index finger. I have tried everything and I researched a Tguard. Do you recommend this? I also looked into one of those bite guards they put in but they look painful. He still has teeth coming in. Should I wait. Dr is concerned about his bite. | Thanks for the query.It is some type of anxiety in childrens.By doing so they comfort themself.You see a child psychologist.You can apply femite lotion, or paper sticking to the finger.Hope i helped you. | |
What causes fibromyalgia?
Hello, Doctor. What do you suspect causes fibromyalgia? I have the worst case I ve ever seen and am on disability because of it. I ve had it since 2005. My symptoms resemble severe MS (minus brain legions). I m 47 and feel like I m going to die it hurts so bad. Thank you for hearing me out. Terri in Maine | Hello, Fibromyalgia is a problem in pain conducting pathway. It may be due to genetic disorders or post-traumatic stress disorder or panic attacks etc. Until examination is done it is difficult to say what it is. It is treated with antidepressants or anti-anxiety medications and painkillers. If symptoms not improved please consult psychiatrist he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Penchila Prasad Kandikattu , Internal Medicine Specialist | |
What causes pain in the lower back?
I have been suffering from lower back pain for a couple of months. Some times it wakes me up from sleep. After taking tramadol and extra strength Tylenol the pain is manageable but returns. If I am physically active, the pain gets really bad. The pain is in the small of my back on both sides. It goes down my groin and into my legs. I haven't got much strength in my back or legs. This is not something I have experienced before. When I sit down or lay down it gets better. What might be causing this issue? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Lower back pain is quite COMMON among middle aged individuals. Back muscle strain is one of the MOST common causes of acute to severe lower back pain. Lifting a heavy object, twisting, or a sudden movement can cause muscles or ligaments stretch or develop microscopic tears. Some other underlying causes like Sciatica, Spondylitis, Lumbar herniated disc, Degenerative disc disease, Isthmic spondylolisthesis etc should be ruled out through clinical examination and radiological investigation (like X- ray, CT scan, Myelogram, MRI etc). Kindly, consult with Orthopedic surgeon regarding this for proper management of the case. TREATMENT: Some general guidelines can help you to reduce lower back pain. These are as follows: 1) Take adequate bed REST with maintaining posture. Individuals who do not regularly exercise to build strength and flexibility are more likely to experience recurrent or prolonged lower back pain. 2) Alternate Hot water bottle or Ice pack can help to relieve most types of low back pain by reducing inflammation. 3) Non-Steroid Anti-Inflammatory Drugs (NSAIDs) are quite useful to reduce inflammation and back pain. You need proper prescription from your doctor. 4) Exercise for Lower Back Pain : It is a key element of almost any lower back pain treatment plan. You may contact with Physiotherapist regarding this. It includes 3 components: aerobic conditioning, stretching, and strengthening. The exercises are done through a controlled, progressive program to build more strong and flexible spine. 5) Epidural Steroid Injections - deliver steroids directly into the painful area of the lower back to reduce inflammation. It doesn't heal the components of the back, but often provide enough pain relief to allow patients to move, exercise and heal. Hope I have answered your query. Let me know if I can assist you further. | |
What are the chances of getting pregnant after having I-pill?
Sir when i was doing inrecource wd my wife condom was slild and my sperm was inside my wife vegina..after 2 hours she took i pill...her period date was 20 of july and i did inrecource with her 18 of july..but she didnt get her period yet..i m worrid about it..can she get pregnent or not plesase tell me sir..what will i do? | Hello dearI understand your concernDo not worryChance of the pregnancy is nil because1. You did sex in the compete safe period of the cycle2. I pill was taken with in 2 hours, It is highly effective in preventing the pregnancy (just 1-3% failure rate)I pill contain high progesterone that cause prolongation of second phase of the cycle and delay in the period by 1-2 week.So your period can be delayed.Meanwhile avoid stress, take healthy diet, drink plenty of water and do regular exerciseHope this may help youContact HCM for further health queryBest regardsDr. SagarSo your period can be delayed | |
Q. 2. 5 year old suffering from stomach ache. Which medicine has to be given?
Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. | Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness. | |
What does this ultrasound report indicate?
An ultrasound has just revealed liver diffusely echogenic and hepatic steatosis . I gather that is some kind of fatty liver (non-alcoholic). I am 5 7.5, 130 lbs, 73 years old and follow a pretty clean diet: no grains/sugars. I consume about 2 tbs MCT oil/coconut oil daily, occasional flax oil, olive oil, no heavy fatty foods or fried foods. I exercise daily about 30-40 min trail run and occasional swim about 30-45min. Can you tell me what I am doing or not doing to create this condition and what I should do about it. (My mother had hepatitis in the 50 s so I don t associate a letter w it. However it was chronic and consumed her for at least 5 years before she died a week after surgery on a blood clot). | Hello,The given ultrasound suggestive of fatty liver and it could be a non alcoholic disease. Consult a gastroenterologist and get evaluated. You have to do a liver function test to assess the functional status. In most cases it will resolve with conservative management and only observation and follow up is required.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Suggest medication for h pylori
Hello doctorI'm 33 yrs old,got married about 2 and half yrs back. Till now I have not conceived. We were together for about 14 months after which we were apart for my husband's professionalreasons. Before he left India, we had gone for consultation. Since I get my menses regularly, doctor prescribed just folic acid and a syrup called gynaecolin. Semenanalysis for my husband found that to be 65 millions with 70% motility.He went to saudi. Once he was back, we had gone for the next cycle of treatment. Doctor gaveme"ANOLET and FOLIC ACID tablet", CLOME for my husband ,Pelvic scan for Follicular studies found that the follicles were normal . 0n the 12 day follice measure 26*25mm, endometrialthickness -11mm and on 14th day endometrial thickness is 13mm and ovary follicles is ruptured .we didnt get sucess that month,Doctor ask for Thyroid test it revealed TSH @ 2.7 muIU/ml; FT3 2.8 pg/mL; FT4 1.03 ng/dL. Hemoglobin level was @ 12.0 gm%. Doctor told everything is normal.Now, after a short break for about 3 months, I've joined my husband in Saudi Arabia.Recently my husband suffer from acidity when examined he was infected by H.pylori ,they gave antibiotics course. his medication is completed.recently i visited doctor in saudi, they suggest me for a tube block examination . i am worried,abt the dye as my friend told me, it may cause side effects , plz dvise me | HelloSemen analysis is normal for fertility , Thyroid tests are normal in your case, Your husband took complete treatment for H. PYLORI. Your follicle size normal , ruptured well in time , follicle size was also normal . endometrium thickness is also normal . In spite of this you are not getting pregnancy . Yes this may be due to fallopian tube blockage so get dye test for block examination for tubes . Whatever your friend tole you , that is WRONG . The dye used for this examination is harmless and without any side effect.Good luck. | |
How to cure a small knot on the upper part of left thigh?
Behind my knee on my left leg only, I've had some what looks like veins pop. They look like bruises but they're not. I also have a small knot about the size of a pea in the upper part of my left thigh. The area behind my knee almost feels like the circulation is cut off. | Hi, you could be having Varicose veins or Bakers cyst or very unlikely but possible to have an Aneurysm of the Popliteal artery. You should get an ultrasound or a Color Doppler of the area done to confirm the diagnosis and then treatment can be guided accordingly. Take care. | |
What causes heart palpitations with and without a cough?
I am having heart palpitations with and without a cough for about five weeks now. This occurs daily, sometimes throughout the day. For approximately 45 days prior to this starting I started taking prescription Integra F capsules for anemia. I also take Lexapro (10 mg) and I was taking a childrens multiple chewable viatimin. Around the 45 day mark, I not only had the heart palpitations and cough, but was also short of breath, dizzy, and felt confused. I found information indicating never to take the Integra F capsule with any type of multiple viatimin as it could cause viatimin overdose. I immediately stopped taking the children viatimin; however, after five weeks I am still getting the heart palpitations and cough. I feel like I brought this on myself taking the two together, but do not know that for sure and do not want to ignore it. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would prefer if you mention age, and if there any other chronic medical disease like diabetes. But generally, don’t worry of vitamin overdose because it is usually rare and less harmful, if administered orally and the body can get ride of it gradually from hours to days. Regarding palpitations you need to check ECG. Hope I have answered your query. Let me know if I can assist you further. | |
What causes pain from a deformed rib?
Im a 19 year old male. I was born with a deformed rib on my left side. Im scared to go to doctor because its not consistant. The pain comes about once a month but has come more frequently as I got older. When it comes its a vary painful ache no mater what way I sit but I noticed if I apply pressure at the bottom and up under the rib it brings the pain down. Any idea what this is? | hi,as you mentioned about the deformed rib, there is a chance that the normal anatomy and biomechanics of respiration will be disturbed.you need to get an x-ray done to check what exactly is wrong with the muscles.you can take advice from the pulnonologist and visit a physical therapist who will help you gain strength in respiratory muscles by performing breathing exercises and you will avoid future pains too.with the grace of I wish you a speedy recovery | |
Q. A 19-year-old girl's brain is same as that of a newborn. What to do?
Hello doctor, I have a sister who is 19-years-old, fully grown physically and healthy, but she has no knowledge. She cannot talk, she does not have any idea, her brain is the same as that of a newborn baby. Do we have any treatment regarding this, please help with some suggestions. | Hello doctor, Your sister has developmental delay and predominant speech delay the cause of which could not be identifiable unless we go deep into history. How was her birth? Was she born under normal delivery? Her birth weight, how long she was in the hospital at the time of birth? Is she able to walk and recognize all? To look more details, MR brain is needed, but unfortunately, nothing could make her normal. But with physical therapy and speech therapy, she might improve. Possible anoxia at birth. MR brain. Idiopathic. Developmental delay. Speech therapy and physiotherapy. To be assessed by rehabilitation team | |
Regular pain in lower abdomen. Ultrasound done. Bilateral small renal calculi. What does this mean?
i have a regular pain in left lower abdomen.i consult docter she advise me to a utrasound.in ultrasound report 3 mm calculus is found in both kidneys.but i have no pain in right side.i take treatment for two months but no relief in left side .then doc advise me to get another ultrasound.the report i.s like this.....................KIDNEYS-THERE ARE SMALL CALCULUS 3 MM IN SIZE.CORTICOMEDULLARY DIFFERENTIATION IS WELL VISUALIZED IN LEFT KIDNEY.NO EVIDENSE OF OF ANY HYDRONEFROSIS SEEN..............................OVERY---right ovary is 3.4 into2.3 in size with few small follicles and raptured follicles....................left ovary is 2.8into2.1cm in size with few small folicles.........................no mass lesion or fluid is seen in the pelvis ........IMPRESSION-----FUC of bilateral small renal calculi......... pleas tell me what does it means ?as i have a regular pain in lower abdoman and sometimes it creats a lot of pain | Hello since size of calculi is very small so they should come out by self. You should drink a lot of water. Even if calculi are not removed and pain is present then u can go for endoscopic removal. You should get your serum and urinary calcium level measured because bilateral calculi can be due to some anomaly of metabolic of calcium . If there is some metabolic anomaly then before stone removal you should correct the metabolic anomaly. | |
Suggest remedies for undissolved stitches causing pain
I had a suspicious legion under the right side of my jaw around the size of a mini meatball, and i got it removed in april, the doctor said the stitches would disolve but the area is rock hard and the stitches have not budged and i am experiencing pain and ALOT of discomfort. Please help x | Hi Dear,.Understanding your concern. As per your query you have symptoms of undissolved stitches which are causing pain around jaws is mainly due to local inflammation following the surgery might be causing numbness and pain and pressure effect on the area. I would suggest you to take few preventive measures such as be on soft diet and try to have liquids in diet maximum, avoid too cold beverages. You should not touch that area while brushing and don't touch with finger or tongue. Do warm saline gargles as it will suppress infection soon. Maintain proper oral hygiene. Do rinses with Listerine mouth wash. Take pain killer such as Motrin for pain relief. Apply numbing gel and Lignocaine over the stitches for numbing the area and causing relief discomfort. Don't open mouth too wide. Visit oral surgeon once and get it examined and start treatment accordingly.Hope your concern has been resolved.Get Well soon.Best Wishes,Dr. Harry Maheshwari | |
What causes itchy spots on body after completing MRSA infection treatment?
I was told I had mersa..went to dr had it cut and was on mds for a week ...I still feel sick at times .. and now am still itchy in some spots. can I still have mersa.. I also was put in hospital for10 days due to staff .. iam worried I may have it in my bood | Thanks for posting your query to HCM. MRSA infection if treated properly with antibiotic get cured . Itchy spot are not produced by MRSA ,it could be due to allergy to some medication you have taken or may be due to some other cause .You need to consult an Dermatologist for local examination and make an diagnosis .MRSA produces painful skin lesion .thanks . | |
What causes chest pain and small green dots?
ive had some reflux off and on for a year now. I quit drinking and that ssemed to help. Last night though i had some chest pain and saw small gren dots with a blue rim. Its been months since i drank the chest pain was at the top and center of my ribcage. im 42 yrs old and in good health | HI,Welcome with your query to HCM.Based on the facts of your query,after its review,In my opinion you are a known case of Alcoholic Gastritis with GERD.Recent bout of chest pain with green dots with blue rim on chest,indicates you need to restrict alcohol and invesigate the clotting status of your blood and your liver by various tests.For this you need to check with your diagnosis soon.You might be young at 42,but your heart and liver are overage,for which you need to change your life style seriously.As at this young age you have these problems which would be faced by one in 55 yrs. Hope this reply resolves your worry with your queries.Will 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 causes bump on butt cheek?
hello, im 26 year old male and i have this bump inside my lowerleft butt cheek, I noticed it this afternoon when I was have a bowel movement. I looked between my cheeks and didnt see the bump but when i placed my finger where the sensation was, i felt it. When i press on it i do feel some mild discomfort, on pain scale id say its a 3. During my first bowel movement (aprox 10 or 10:30am today (06.15.14)) I didn t feel any bump when whipping myself. It wasn t until aprox 6pm today after my second bowel movement, did I notice the bump when i was whipping. So im figuring that the bump would have had to form between? Please help me figure it out | HI, thanks for using healthcare magicIt is likely that it formed during this interval since you did not notice it 3 days ago.You would have to monitor it to see if it progresses.It may be a small infected 'hair bump' (folliculitis) or it may be revolving into an abscess (collection of pus).Since it would be difficult for you to see it clearly you may want to visit your doctor for an assessment.I hope this helps | |
Q. My son has been having severe vomiting since 1 year of age. How to treat this?
Hi doctor, My son is 5 years old. He has been having severe vomiting after meals since he was an infant. At about 1 year of age, the vomiting slowed to about three times a week, which is how frequent he vomits now. He is in the third percentile for height 39 inches at 5 years and weighs 27 lbs. He has been seen by an endocrinologist, and all blood work came back fine. GI did a stool sample, and that was normal. But, he is always vomiting when he tries to eat a reasonable portion of food. He often refuses to eat with the fear of vomiting. His doctor recommended rice on bottle and it did not help. The doctor just wants to do bone scans of his hand repeatedly, but I think it is a GI issue causing the vomiting and slowed growth. He has no other health problems outside of the delayed growth and vomiting. Please help. I have three other kids that are at the 97th percentile height and at least 50 percentile weight. | Hi. It is very sad to see your child in such a situation. For further information consult a paediatrician online --> | |
Gastroparesis. History of cholecystectomy and bile gastritis. Infected with Pylori or gastroparesis flare up?
Hi my name is Julia . I have gastroparesis for 4 years retention 49 percent at 120 min ( done 3 months aho) Had cholecystectomy 2009. Had bile gastritis . 1 month ago had endoscopy just mild gastritis no h pylori . But 2 months ago developed anorexia no appetite and nausea after meals sometimes . 2 weeks ago I kissed a guy .could I be infected with h pylori ? Why am I nauseous ? Is it gastroparesis flare up? | Hello, Thanks for the query to H.C.M. Forum. Mere kissing of don't causes H pylori so need not to worry. Now you are having nausea , anorexia so may be due to hyper acidity ( gastritis as you mentioned ) .I would like to come up with these following measures , these includes.1 Try raising the head of your bed about 4 inches with blocks.It also might help to avoid drinking or eating 2 hours before you lie down.To help control stomach acid one should not drink alcohol or drinks with caffeine in them or eat chocolates or spicy food or greasy ( FATTY or Oily) foods .Also take antacid , but if symptoms are severe you may need proton pump inhibitors.2 Eat very less every 2-3 hours , as it will provide relief in acidity .3 If any type of tension get rid of this as tension is the main cause of hyper acidity. Good luck. Dr. HET | |
What causes sensation of having nails in head?
my mother must be having a sensation like there are nails in her head and she is says that she can pull them out and it feels better but they disappear when she pulls them out. It starting with her scratching. She has rheumatoid arthritis and this started after going on medication for it. | Hi,I can understand your concern regarding your mother. The symptoms that you have mentioned are suggestive of somatic delusions/ tactile hallucinations. I would have wanted to know if she is on any steroids as part of treatment of rheumatoid arthritis. The symptoms your mother is having can be independent or as a result of steroids. Please consult your physician who prescribed the medications regarding the same. Further a psychiatric consultation will be needed. Brain scanning might be needed to rule out any other underlying disorder. Your mother will respond to anti-psychotic medications like risperidone, quetiapine, etc.Hope this information was helpful. Best wishes. | |
What does enlarged uterus with multiple fibroids on an ultrasound suggest?
HELLO DOCTOR, I was wondering if my results on my Pelvic ultrasound is normal , doesn't look like it , I have been trying to get pregnant and just dont know exactly what my findings on my ultrasound are normal or there is something else going on that I need to do, to do the right thing. My findings were... The uterus measures 13.9x 7.2 x 12.7 cm. The right ovary measures 2.6 x 2.5 cm. The endometrial stripe measures 1.5 mm. The left ovary is obscured by gas. No fluid collection is noted. The uterus is mildly enlarged. Multiple fibroids measuring 8.0 x 5.7 cm and 4.9 x 3.9 cm are present IMPRESSION: FIBROID UTERUS IS MILDLY ENLARGED, THERE IS NO EVIDENCE OF ABNORMAL FLUID COLLECTION. | Hi, I think you should go for a myomectomy first because size of fibroid is b8g. After that you can plan for pregnancy. With the fibroid, there is a high risk of miscarriages even if you become pregnant. Discuss with your doctor regarding this. Hope I have answered your question. | |
Is chest pains, mild acid reflux, heaviness and lung tightening related to mitral valve prolapse ?
Yes, I have been having check pains for sometime now and related them to mitra valve prolapse, but the pain has now become something different. I still have the pain but I now have a mile acid reflex feeling, heaviest in my chest, and sometimes feel like my lung are tightening in my chest. I had asthma as a child, my last attack was in my late teen. Some other things that I have experience over the years is lower back pain, leg pain (both) and under my lower right shoulder a burning sensation. What could possibly be wrong with me. My vision sometime blurr on me and I get a tingling headache on the right side of my head, my ear bothers me on that side as well. I got a lot going on, I 55 years old and just had blood work and all was positive. | Hi,Mostly your current symptoms are due to acid reflux, due you have shortness of breath or wheezing if not then asthma is also rule. so all these symptoms like chest heaviness and lung tightness are attributed to acid reflux and acidity problem. So avoid spicy and fatty foods. Avoid smoking and alcohol if any. Also maintain sleep habits regular and also do regular exercises. Have some walk after meals instead of taking rest immediately. You can take acid suppressant like tab pantoprazole.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar Makode | |
What causes severe pain in the mouth and white bumps on the tongue?
My 8 year old granddaughter is in extreme mouth pain she has white bumbps or blisters on her tongue she has had it for 3 days. Her highest temp was 101 looks like canker soars or fever blisters no sign of going away/ Dr Perscrip moxicillan she started taking last night she is not able to eat except scrambled egg when she even eats. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. From your explanation it looks like fever blisters only and it is a viral infection leading to sores in mouth along with fever.It is Viral Stomatitis.Viral infection is commonly self resolving and can take upto 2 weeks to get better.You can however consult a Paediatric dentist and get her evaluated and a blood test and oral swab culture can be done for confirmation.If it is viral infection she can be advised numbing gel like Lidocaine to reduce pain as well as do cool compresses.A course of antiviral medicines like Acyclovir can also be advised.Paracetamol can be given to reduce fever.Give him bland foods and plenty of water along with sufficient rest.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
Remedy for cooked noodles stuck in throat for a 2 year old
My 2 yr old has a cooked spagetti noodles stuck in her throat. I believe she partially snorted it from her throat up bc she is pulling at her nose too. She can breathe, eat and drink. When I look at her throat with a flashlight I see the noodle hanging vertical. I had cut the noodles so it's not too long. | HiGenerally, small pieces of food stuck in the throat will dissolve on their own by being exposed to saliva from the mouth. You can wait for this to happen if symptoms are not overly troublesome. Chewing gum or sucking on lozenges increase the amount of saliva produced and can help with this process.Sometimes the piece of food might be up so high that it actually has to come out your nose. That would take a lot of blowing or snorting, and having food come up through your nose feels really gross.If your child is fine, take some time. It will be fine.For further questions, do contact us. | |
What are the treatments for pain and swelling in joints?
I seem to have some swelling of my joints. I notice it in my fingers mainly, but also in my wrists, knees and elbows. I first noticed my right wrist on Christmas eve was aching, then the knuckle of the pointer finger of my right hand. The next day, my right knee also began to ache and I was having some difficulties walking, as though my feet were swollen. The next day, the joints of my fingers on both hands were swollen and every joint seems to ache. | Hi...Your joint pains needs to be diagnosed properly with blood work up and needs to be treated with medications...I suggest you to meet a rheumatologist to get investigation and treatment done..You can have moist heat applied for your joints for a good pain relief...Have lot of water.....Hope this is helpful for you..Kindly revert back in case you need any further clarification... | |
Suggest remedy for numbness in face
My sister woke up with left side of her face numb and the dr. said it was bells palsy, she got steroid shot but then the next day she was so dizzy when she opened her eyes and became weak in the legs. CT done no tumors or stroke. went to ent and said she does not have vertigo or bells palsy. Is on b/p med and b/p is controlled and has no other health issues. | Hello,Weakness in legs, numb face in a person with high blood pressure is denoting towards a neurologic cause. In such a case, she may need a opinion from a neuro-physician. The advanced investigations like MR Angio are more helpful in such cases.You should not wait. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon | |
Is diffuse posterior disc bulge, bilateral neural foramina serious?
diffuse posterior disc bulge causing narrowing of central canal and bilateral neural foramina causing mild compression on bilateral exiting L4 nerve roots at L4-5 level. mild diffuse posterior disc bulge with right paracentral annular tear indenting on anterior thecal sac at L5-S1 level. MRI report | Seriousness is not fully dependent on MRI finding. Instead its more clinical symptoms and corresponding MRI findings decide further treatment. | |
What causes dull pain at the bottom of rib cage towards chest?
i have had the same dull pain at the bottom of my right rib cage sort of more toward the middle of chest since I was 18 and I'm 50 now , sometimes it hurts really bad like when trying to do a sit up or certain yoga moves and sometimes it looks like there is something in there protruding outward, what the heck is going on the older I get the less I feel competent to deal with the pain and so the less I do Years ago I went to doctors but after gall bladder test (sonar) and hepatitis test and barium enema I gave up | Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. Your pain is associated with exercise and movements. This is characteristic of musculoskeletal pain. So follow these steps for better symptomatic relief. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. 6. Wear chest belt to prevent minimal mobilization of affected part. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks | |
What causes difficulty while walking due to loss of balance?
I woke up last night and found difficulty walking straight I was off balanced toward my right side. It is as if all my blood was on the right of my body only. This did not last long mayby just for 3or 4 steps only.For a few days now my right arm feels heavy ,with a point in the biceps, also my right foot is cold.Are these signs related ? I am a bit worried ... | Hello, First of all, you should do some investigations such as measuring blood pressure and if it was high, you should receive medical treatment and do an ECG, an ECHO on your heart and the lipid profile in your blood. Moreover, you should take aspirin 160 mg twice per day after meals and Pentoxifylline twice per day after meals, because you could have a transient ischemic attack. You should decrease the fat-rich diet and salt intake. If you are a woman who takes contraceptive pills or hormonal replacement therapy, you should ask a gynecologist for help. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dr/Mustafa, Neurologist | |
What causes the feeling of obstruction in esophagus with difficulty in breathing?
Hi, may I answer your health queries right now ? Please type your query here...It is very difficult to describe my feeling; just like today I suddenly feel there is something stuck in the middle of my esphrogus and made me very difficult to breath. I tried to cough in order to get some oxgen and then I drank some water and swallow it deliberately. What is this? Related to heart problem. The occurrence is seldom, like several times in a year. Thanks. Phyllis | Hello dear Phyllis , hiWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This is in relation with psychosomatic manifestation of underlying stress or anxiety issue .* Still to be on a safer side one time evaluation with upper GI endoscopy is recommended with a gastroenterologist .Hope this will help you for sure .Wishing you fine health ahead .Feel free to ask any further doubts .Regards . | |
How can i get rid of the gaps in my teeth?
Hello, I am currently using Orthofill bands that are used to close the gaps in my teeth. My gap is completely closed with the band on, but whenever I take the band off the gap slowly comes back. Is there any way that I can keep my gap closed, so that I can finally stop wearing the bands? | Hi! Welcome to Healthcaremagic.I read your query. Orthofill bands have good reviews regarding closing gap between teeth. However, it does not rectify the underlying condition of mal occlusion of teeth.I suggest you visit an orthodontist and get your dentition checked. You may be required to get x-rays done. After studying your x-rays and dental casts, a treatment plan will be made which may require removal of one or more teeth to make space and then proper teeth allignment with braces.Even after that, retainers are put on lingual side of teeth to prevent relapse.So even after orthofill, You need to wear retainer.Best is to consult an orthodontist.Hope the answer helps you. Thank you! | |
Suggest treatment for loose silver cap
My son s silver cap is real loose in the back. He started crying with pain. I gave him ibuprofen but he said he could taste some blood. It s barely still in his mouth but I don t wanna pull on it cause he s hurting so bad. No dentist office is open yet. What do I do? | Hi dear,This need to be re fixed. Pain and bleeding indicates secondary infection inside.Avoid manipulation, do warm saline gargles and see your dentist asap.Take care Thank you | |
What causes lumps in underarms and vagina?
hi please help im only 13 yr old female and iv got pains in my bood and sometimes goes under my boobs like a chest pain iv got it not and iv had lumps on my underarms and now iv got one on my vagina. im really scared im in tears, i havnt got the nerve to tell my mum. is their somthing soriously wrong. im so scared | Hi,Dear thanks for the query to HCM.Cause of the lumps you have is as follows-a-You have Mastalgia with dysmenorrhea-which is very common at this age.You plz dont worry as this will subside once you grow up in next few months.Till the time -as its painful, Plz take anti-spasmodic drugs and painkillers from your family GP doctor, who would take care of it.Hope this would help your worry to take proper steps for health.Wellcome again if you have any more query in this regard.Have a Good Day. | |
What does mantas tic adenopathy imply?
Totally depressed.one ultra sound test found no kidney mass,two months later from a ct scan found right renal mass at4.7cm enlarged retrocaval lymph node suspicious for mantas tic adenopathy,how could such different diagnosis exits like that and being told you now have 24 months to live | Hi, You may be having Mantle cell lymphoma (I guessed from your misspelled description, correct me if I’m wrong). You can consult a hemato oncologist and start on chemotherapy at the earliest. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain | |
Suggest treatment for low iron saturation levels.
I have had very low results for the past year of my Iron Saturation levels in my bloodwork results. I have been experiencing chronic fatigue, joint pain, headaches and menstrual like cramps but with no actual period. I am worried about how bad I feel and want to know what to do. I take a multivitamin everyday but still continue to have this issue. | Hello, Thnx to contact us. If I am your treating doctor I would like to advice you that low iron saturation and low hemoglobin is common in menstruating women. you should start iron therapy. As you mentioned you have very low iron saturation I advice you to take injectable iron therapy initially and once you achieve the sufficient level switch to the oral therapy. If you have anything else to ask please contact me. Thanx. Dr. Arun Tank | |
Q. When I try to remove the flakes on my scalp, there is bleeding and crusting. Why?
Hello doctor,I am suffering from two major problems from the past three years.Acne and marks.Sticky oily dandruff.Scalp flakes do not get dislodged even after shampooing. I have to dig my comb into the scalp to remove the flakes which lead to bleeding in certain areas and forms crusts. I have opted for light glycolic acid peels but did not make any difference and had few sittings of Nd: YAG laser hair removal. I have been through several treatments which made only things worse. I keep my face and hair very clean. I shampoo hair on alternate days, change pillow covers, wash face twice a day, and apply sunscreen while going out. I workout every day and follow a clean diet barring oily foods. Yet my face is oily, dull, full of blemishes and I get painful pimples. I want to remove my acne blemishes and revive my dull face. Take care of my super oily hair. Please help me. This is taking a toll on my confidence. | Hello. You have been following all the right advice. Continue the same for the face. As for the scalp, I think since it does not get resolved with antidandruff medication and there is crusting involved, my diagnosis would go in favor of scalp psoriasis. However, I cannot guarantee it before a personal examination. I suggest using Ionax-T solution (Coaltar Topical and Salicylic acid Topical) on your scalp at night one hour before bedtime and sleep. On the next day shampoo with Keraglo-AD shampoo (Ketoconazole, Ichthyol Pale, and D-Panthenol). Repeat this process for 10 days. You will see a difference. Based on your progress we shall change some medicines after two weeks. For the face, I suggest Peroduo gel (Adapalene Topical and Benzoyl Peroxide Topical) twice and Spongy-sal facewash (2 % Salicylic acid). Continue capsule Sotret 20 mg (Isotretinoin) once at night for 10 days and followup positively after 10 days. For more information consult a cosmetologist online --> | |
What does low MVV on cardiopulmonary stress test mean?
I have a question I have been not well for three years it all started when I lost 30 pounds now I have cysts on my lungs, liver, breast and ovarie. I have seen several lung and heart doctors but nobody knows what is wrong any ideas what could cause all this and make me feel so bad. I had a mammogram because my left breast has a burning sensation they found nothing, I had a pet scan in 2007 they found nothing, I had a cardiopulmonary stress test and all they found was low mvv of 73% and subtle gas exchange abnormalities but nobody will say what this means if anything. Please any advice is greatly appreciated | Hello! Welcome to HealthcareMagic! MVV stands for maximum voluntary ventilation. It is simply a measure of your maximum breathing capacity. A reduced MVV implies that there is a limitation on your respiratory system. That could be in the lungs or outside of the lungs. The finding itself does not specify where the problem is however, just that there could be a problem. If you have multiple cysts on your lungs, this could be what led to this slight abnormality. This MVV reduction by itself should not cause you any alarm however. I hope this clarifies your concerns. Thank you for the query. Take care Regards, Dr. Rimoun Hakim, Internal Medicine Specialist | |
What causes recurrent pus filled zit on my upper back?
I have a normal sized zit on my upper back. I have been getting it there for years. In the past it would only be once every couple of months but now twice a month. I was diagnosed with lymes disease and a couple co infections six months ago and am still on antibiotics, antimicrobials and many herbal supplements. I m not sure if its related to the Lyme rash I get on my lower back. That rash is a whole patch of itchy blisters of clear fluid that come and go once a month when I m herxing. But the zit is a white head zit of about a medium size that I get some white puss out of when I scratch it off. Any thoughts on what it might be caused by or if its related to the Lyme rash? | HI, thanks for using healthcare magicIt is possible that it is a cyst. A cyst is a sac that can repeatedly collect material which can become infected.If the cyst is removed then no further collections are possible.This can be done by a general surgeon or your GP ,possibly as an in office procedure.I hope this helps | |
What causes shortness of breath?
hi,i'm Dr.Rasel(MBBS),27yrs of age,from BD.my ht is 5' 9'' & wt 82kg.i'm hypothyroid for last 10yrs..taking thyroxin 100mcg daily.my pblm is shortness of breath or dyspnea or chest tightness with speech pblm.i guess i've no chest infections.pls help..thanx | Thanks for your question on Healthcare Magic. I can understand your concern. Shortness of breath is commonly seen with asthma and bronchitis. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PFT (pulmonary function test). PFT will not only diagnose them but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilator (formoterol or salmeterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). If PFT is normal then sometimes, stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Don't worry, you will be alright. First rule out asthma and bronchitis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Is it normal to have tightness in stomach, vomiting, nausea and bulging veins throughout body when using implanon?
I have the implanon in, its been in almost 2.5 months. but im having such weird side effects. Identical to pregnancy. My lower stomach is so tight, which looks like an early pregnancy bulge. Nausea but no vomiting. I feel very full and can only eat very small amounts. Very thirsty. And tired to no end- even after 8.5 hrs sleep every night! My boobs get sharp pains in them and I have bright blue veins all over my body... Any ideas? | 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.Yes implanon being a hormonal medication can lead to this kind of problem. It causes increased acid secretion leading to the symptoms like bloating, pain in abdomen and chest, nausea and vomiting. You may discontinue the medication and shift to some other birth control option. Condom is one of the safest birth control option as it has no side-effect. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddyWish you good health,Kind regardsDr. Srikanth Reddy M.D. | |
What causes recurrent neck pain despite having a fusion surgery on cervical spine?
Thank you for your time sir, I have been diagnosed with multilevel moderate to severe degenerative spondylosis. 1mm at C3-4 and 2mm at C7-T1....I have had fusion and rods surgically implanted (obviously). Also have rods and pins at L3-S1..... my neck is getting progressively painful and am really becoming very limited in my daily activities. This pain is waking me up and noticing the loss of strength in my left arm. What are your thoughts? Again, thank you for your time. Michelle | Hi Michelle, Following surgery to the C spine, what you can develop after a period of time is called as adjacent segment disease or degeneration. What is means is that the cervical vertebrae are subjected to increase movements and following fusion surgery this places additional stress on the intervertebral discs above and below the fusion levels, the superior levels being more affected. This can lead to narrowing of the cervical canal and cause nerve root compression if its severe enough. So kindly get Cervical spine x rays done, get a neurological checkup done to see if you're having any sensorimotor deficits and consult a spine surgeon if these levels will require decompression and fusion as well. | |
Suggest treatment for severe stomach pain
Hi I have been having stomach pain on the right side since December 2015 and I went to the hospital and I had a ct scan and the found nothing. I'm still having the pain the only thing some times not every day more like every other day or if I do have it all day or for a few hours? I have a ultra sound in April of this year. | welcome,consult your family doctor for physical examination,he may order for -1- ultrasound abdomen,2-x-ray-chest & abdomen3-blood for C B C ,LIPASE,,4-URINALYSIS,5- STOOL TEST FOR OVA & CYST,cause may be-gall stone,right side plueral effusion,liver abscess,kidney stone,stomach & duodenal ulcer,appendicitis,right pylonephritis,right,tubo-ovarian mass,pelvic infection,U T I ,I B S ,CROHN'DISEASE,DIVERTYCULITIS,INDIGESTION,GAS,CONSTIPATION,AVOID ALCOHOL,SMOKING,COLA,COFFEE,JUNK FOODS,take high fibre giet,fresh fruits,treatment depend on diagnosis,take ant acids,enzymes,PPi,antispasmodic drotin for pain,take care. | |
Suggest treatment for severe wrist pain
I have been having wrist pain for about a week now. The pain has gotten worse over this time. It hurts mostly on the thumb side of my wrist on the palm side. When I bend my wrist forward or backward it hurts dramatically more. I also am unable to put any pressure on it, such as pushing up from the floor to stand up. It also feels very weak and is now beginning to hurt up into my forearm. Could this be a fracture? There hasn t been any noticeable swelling. | Is there any history of injury? If so it can be a fracture . If no h/o injury then it can be a tendinitis or some kind of wrist synovotis( swelling may not be visible externally). | |
Q. I have a rash that is itchy and uncomfortable. What could it be?
Hello doctor, I have a rash that is kinda itchy and it is too warm to touch. It appeared in my lower abdomen and nothing is coming out of it. My environment did not change and my food habits did not either, despite including bananas in my diet. | Hi. I have gone through the images (attachment removed to protect patient identity). There are two possibilities: In my opinion, your lesions are more likely to be of herpes zoster infection. Either visit your physician as early as possible or consider the following treatment. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a dermatologist online --> | |
What causes fluctuating WBC counts?
I am a 37 year old woman and I have just discovered that I have a low WBC count (fluctuating within a month between 2.8 and 4.2). I don't have symptoms of anything - I feel perfectly well. In looking at old history it seems that my WBC was low 3.5 years ago as well. Recently I have had several tests with a hematologist, as well as some ultrasounds at the hospital. The only tests that have come back positive are my ANA tests - my pattern being "speckled". However I have just discovered that my 35 year old brother has had low WBC counts for the last 6 years, ranging from 3.2-3.6. And he is also totally healthy. We are both very health conscious and fit. Could this be simply a genetic trait? The other thing we both have in common is that, as small children living in France in the 70s, we both were given the TB shot in our arms. So, when moving to the US, we always showed positive for TB despite not having it. Not sure if that's at all related but thought it was worth mentioning. | Hi,When more than one family member ,otherwise healthy have low WBC count, familial causes are to suspected. However, your hematologist will have to investigate to rule out serious causes, before labelling it familial. As you mentioned that ANA was positive, was ANCA test also done? Do you have any joint pains, rashes, mouth ulcers,etc? Do let us know as they could affect the WBC count. | |
Will Doxycycline help in reducing swelling and inflammation?
I have sojgrens syndrome and RA I am having swelling, pain ,and pressure below left cheek and nose ? Will doxycycline help? Also have prednisone 20 mg prn for joint swelling and inflammation , been off any meds for 8 weeks. Is this a flare or sinusitis ? | hiYou must have a check up with an ENT specialist if any sinusitis is suspected.Doxycycline is an antibiotic for infection in pharyrnx or sinuses, oral cavity etc and is only indicated when infection is suspected.infection in URTI is accompanied with sneeze or congestive nose, sore throat, fever, mild post nasal drip cough on lying down ,nose blocks rtc.it is safer to consult your doctor for diagnosis and medication.thanks | |
What could recurring chest pain with pressure in the neck indicate?
i had some chest pain plagueing me for about a week approx 6 weeks ago. I only believe that this is relevant because since than i have noticed this sensation of pressure on the left side of my neck, not sure if there noticeable distension. .wanted to get a second opinion before i went to the doc.... | Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you should consult doctor and get done 1. Chest x ray to rule out lung pathology. 2. Ultrasound examination of neck to rule out lymphnode enlargement or other mass lesion. Lung infection and lung malignancy (if you are smoker) are common cause for chest pain and neck pain and distention. Chest x ray is needed to rule out lung infection and lung malignancy. If both, chest x ray and ultrasound are normal then no need to worry much. Painkiller and anti inflammatory drugs are beneficial in your case. Hope I have solved your query. Wish you good health. Thanks. | |
What can be done for pain in abdomen after doing chemo?
My mother has breast cance and lymphoma. Per her oncologist her breast cancer has spread to her liver, spleen, some abnormalities are shown in adrenal glands. She is currently on her 3rd or 4th type of chemo, initial once she was tollerating more or less ok, new chemo she has 3 treatments and not doing so well since. She started to have pain in her abdomen. What is the best advise you could give? How long do people with her diagnosis live after pains start? Thanks! | Hi,Thanks for writing in.It will help to do an ultrasound scan and know where in the abdomen she is having pain Usually pains are due to underlying problems in abdomen like fluid collection or pressure on organs or nerve irritation. Some of these conditions can be treated if known. Pain can also be due to stomach infection or in relation to disease in organs like kidneys, live, spleen. Therefore it is important to give her higher dose of pain reliever and also treat any condition other than the cancer that is causing pain.In my opinion, it is best to do an ultrasound scan and know if the cause of pain is treatable and give medication for that.Pain and life expectancy are not comparable. Some patients might have severe pain but can still live a few years while many patients can have a downward course in days without much pain. | |
How to treat aggressive behavior due to relationship issue?
my daughter is 16 years old and studying Class-IX in CBSE Course. She is not attending the school as well as private tuition. We the parents are aware worried about the same. Recently, she got a boy friend who is school drop student of Class-VIII. My daughter is at the age of 12 to 14 years was very obedient in nature. But last one and half year she is very furious to his mother. I do not know the reasons behind that. Also she is stelling month from my purse. Now we are in trouble how to adopt her in this situation. Kindly advice me what to do at this present situation. Please advise. Father | I can understand what problems you are facing.from all description it appears your daughter is going to develop personality disorder. In it force or punishment wont help.she needs support and counselling by psychiatrist. Visit a psychiatrist who can treat her by doing psychotherapy. | |
Suggest treatment to lower raised liver enzymes
My Partner is waiting for an altra sound as his recent blood results indicated his liver results were 20 points higher than normal, what can he do to help himself, he does not drink alcohol or smoke and hasnt done for a long time. How ever he did have part of his bowl removed and had a bag for nine years before having it reversed, would that affect his liver? | I don't know (from your description) the cause of your partner's removed bowel, anywhere the last thing to doubt by me is a relation of his liver results with his colectomy. So keep quiet while waiting for the ultrasound result and other exams that probably will follow. | |
What happens in Liver abscess type B ?
yes! i really to know all about Liver abscess type B. thank | Thanks for the query I think u meant, Hepatitis type b, or rather hepatitis B. WHich is a more severe form of hepatitis but most of the times self limiting. It is transmitted through blood, body fluids including saliva but not urine and feces. Vaccination is available. Treatment is given only in forms where the viral load is high. Have a healthy living | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Should I take loestrin normally after missing my periods?
Hi. I recently switch birth control from yaz to loestrin. I've never missed a pill and my period is like clockwork. I haven't had sex this month, but my period has not come on the regular day. My question is should I take my pill on the regular day as normal when I finish my pack or should I wait for the first day of my period to start the new pack? | HIWell come to HCMOn either way you can follow the method like you can wait for the next menses or you can continue taking the pills as its but better to wait for the next period and take care for intercourse, it should not be happened, till the menses, hope this helps. | |
Suggest remedy for water retention in body while on chemo treatment
My father has been taking chemotherapy for cancer. He has cancer in his thyroid. Two weeks ago he was hospitalized for congestive heart failure. He is still in the hospital. Problem is he is retaining mass amounts of water. He has only one kidney. They have been restricting his water intake and administering lasiks to remove the water. But it isn't working. Any ideas as to what may be wrong? | Hello and welcome to HCM. As an Urologist, i can understand your anxiety.Lasix is given to flush out excess fluids from the body.But if the kidney function is less,it can't be given,due to side-effects.As you've not written the kidney function reports,it's difficult to comment.If he's retaining fluids,he should get the following tests done :1. urine routine,culture and ACR.2. blood routine,creatinine,RBS, LFT,proteins and platelets.3. ultrasound scan of abdomen.He should restrict fluids,salt and protein intake.Dr.Matthew J. Mangat. | |
What can be the cause of spiral pain in my left leg above knee?
Hi good evening , I have spiral pain in my left leg above knee so I am not able to stand is I sit but when pain is over I found my leg have no power. At present I can walk but I cannot run and I cannot use my left leg while I am climbing stair case . | Hello, As I would like to ask is what is your age? above 50? any symptoms of high BP or BGL? Then it can be related to OA or Varicose veins. If you are in your not in the above age then this should be related to some other pathology than the above mentioned. If the pain in radial in nature, tingling, numbing and weakening than you should check out for the other pathologies like the neuropathy, fatigue, weakness, ligament injuries etc. In most cases, it is related to muscle weakness and less physical activity. I will recommend you to take hot water fermentation and do some basic knee strengthening exercise if this does help you then its a muscular issue. Which can be corrected by simple exercise. Try for 7 days. In case if it does not get relief any better please get it checked once by an orthopedist as physical examination can help make understanding better. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Molar extracted, dizziness, pain. Injections, ibuprofen taken, mouthwash used. History of tmj. Suggestions?
Hi there Two weeks ago had a back molar extracted (not wisdom tooth) It shattered and was an hour of pulling to get it out. Only had injections. Painful after but manageable with ibuprofen. Have been rinsing with natural antiseptic mouthwash after the first 5 days of salt water rinses. It is feeling pretty good. First couple of days had a whistle as I could practically breath through the hole into the area behind my cheekbone area! I still have a rather large hole and occasionally still get a suction feeling going up into the area above the gum if I catch it a certain way when I swallow. Not really painful but still a strange sensation to touch, but I can brush around it ok. But.. what I'm wanting to check on is that I have been dizzy from the first day. I expected that as a result of what was done to the tooth as well as the pressure on my jaw for an hour (I also have history of TMJ but after braces as a young adult no problem until a couple of months prior to this treatment then have had some clicking again and pain on same side as bad tooth, having to eat on opposite side seemed to aggravate it) Should I still be dizzy after 2 weeks? Should the hole still be so prominent (hard around rim like it's healing well but very mushy feeling inside hole when I touch it with my tongue) And how long before the hole should be expected to heal up? Can I have an infection in jaw or cheek without pain that would be causing dizzyness? | Hi, Thanks for asking the query, Pain, swelling, dizziness, generalised weakness, are common side effects after tooth extraction. You dont worry about the symptoms as they will subside after somedays. After extraction a course of antibiotics and analgesic is required to prevent infection and promote healing. Delayed wound healing can be due to increased blood sugar levels, increase bp, food lodgement. Follow the post operative instructions given by the DEntist properly. Take lukewarm saline rinses and antiseptic mouthwash gargles. For the TMJ problem i would suggest you to visit the DEntist take an OPG radiograph to detremine the diagnosis and treatment plan. Hope this helps out. Regards..... | |
Could frequent urination be due to the habit of masturbation?
I am 30 Years Old and still single.I suffer from frequent urination is not normal, which causes me embarrassment during travel or visit relatives, where I need the toilet more than once, especially if you drink water on an empty stomach , then I need to urinate every twenty minutes ago, as well as when eating oranges and tea, is to masturbation role in this? Did not have these problems during childhood, as well as to the age of 18 years. Have addicted for nearly 10 years this habit, and was practicing with a rate of 3 times a week, but in some cases up practicing her terribly, as I was watching pornographic films, as well as pornographic sites, which leads to a masturbation to approximately 7 - 8-9 times at the same time and same meeting, then I feel pain in my back, and I am sleeping in a strange, also felt that the semen is almost come to an end (this case was repeated about 8 times, I mean I ve seen a number of films, and each time repeated practicing of the dirty habit about 8 times), does the exercise habit in this role? Please note that I conducted tests on blood , including: 1 - juvenile diabetes . 2 - the presence of infections in the urine . 3 - the presence of bacteria. All of the tests prove my safety of these diseases, what is the reason for this constant urination? Does he have any specific treatment? How can I get rid of this scourge? (Note that I am not committed to my religion for a very close, I was very skewed deviation God guided me until a short time ago, and thank God for guidance). Please do reply May Allah reward you I am in great suffering. | Helloyou have very strong myths regarding masturbation. Please understand , masturbation is a normal , safe and healthy method of sexual self gratification. It has never harmed any one ,nor will it in future. The more you worry about masturbation, the worse your problem will get. so relax and enjoy your sexual life.DR SAATIISH JHUNTRRAA | |
Suggest complications with tuberculosis gland
i m 43 yr female.my height is 5:3 and my weight is 75kgs.. i m suffering from fever from past few days.. a lymph node has been detected under my left axilla.. my montoux test report is also positive. doctors told me that it is a tuberclosis gland and they advised me either to hv an operation or to take medecine for six months.. i want to consult from u that what should be better for me to do. and please tell me that is it contageous.. | Hi thanks for contacting HCM...Positive mantoux test doesn't always means positive tuberculosis ...Sputum examination, biopsy from lymph node for histopathological and microbiology examination...These investigation help in confirming TB...Yes tuberculosis can spread through aerogenous route to another people...In your body it can spread to other organs if your immunity is low...It is better to go for six month antituberculous therapy ...Take healthy and balanced diet ..Take care | |
What is the life expectancy with pacemaker and blocked carotid artery?
My 81 yr old dad has an inflamed gaul blatter. He is a high risk for surgery because only 20% of his heart is functioning and that is with a pacemaker and defib. Another reason for the high risk is 20% or his left corited artery is blocked and 78% of his right corited artery is blocked. Because of the heart desease and cortid artery desease he isn t getting enough oxygen to his brain. His drs said there is so much wrong he is a high rish for any type surger. He is now under in-home hospice care with the goal of just keeping him comfortable. My family and I know it is just a matter of time. What are the last stages of life? | hello thereI understand your concernYour family doctor is right .There isn't much that you can do. Sit with him talk to him and spend as much time as you can with himI fully empathise with you .Start gathering memories and pamper him with his likes .Indulge him with his favoritesHope that works for you | |
Suggest treatment for high WBC levels with chest pain
44 yr old Male, has smoked in the past,has a 4cm x 3.5 cm lesion on one lung with excessive sweating, loss of weight, coughing up blood, stabbing pain in the chest and back on one side only with general weakness.blood work showed slightly elevated white blood cells | Thanks for your question on Healthcare Magic. I can understand your concern. You are having mass like lesion on lung, sweating, hemoptysis (blood in sputum), chest pain and you are past smoker, so possibility of either lung infection (pneumonia) or lung cancer is more. Slightly elevated total white cell count is seen with both, pneumonia and lung cancer. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. CT thorax 3. Sputum examination for tuberculosis 4. Bronchoscopy and BAL analysis. All these reports are needed to confirm the diagnosis of pneumonia and lung cancer. Treatment of both these is different. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Abdominal pain, tender when touched, lump. Under stress. Cause?
hi im a 29 yr old female who has been experiencing abdominal pain, mostly left side under rib cage. but some spots are tender when pressed on. when I touch where the pain is I feel a small little pea size bump/lump, which I have also noticed more forming. not sure what this could be caused by or mean? i have been stressed/frustrated for the past couple months. | this can be gastritis samatitis duodentis gall bladder or any chronic infection of the abdominal organsneed gastroenterologistr consultation for diagnosing and treating the samethe lump can be lymph node of abdominal wall or little hernia due to pressureget gastroenterologist advice to diagnose and treat | |
Suggest treatment for persistent spine and neck pain
Hellow doctor My name is Reshma Chavan I am 32 yrs married having 1 baby boy 2 yrs....I am working in a pvt firm. since last 6 months i am having the problem of neck pain...there is a problem in my spine C5 / C6/ C7. Severe pain in my neck due to which there is a pain in my back head , Please suggest me some treatment. during nigth my neck become stiff even in the early morning from getting from bed | Hello, Well, I think that you have to take good care of your spine as it seems that your spinal vertebrae are weak or fragile. You need to take pain killers like paracetamol along with some muscle relaxants. You need to do X-ray of cervical spine to check for spasm and bone density. You need to keep pillow thickness just equal to your shoulder width. Also get your vitamin D levels checked.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist | |
What causes back pain, losing appetite when having cysts on ovaries/kidney?
I have cysts on my ovaries and kidneys with a mass on my right kidney and free fluid on my right side of my pelvis, I m in and out of feeling naseous, I was retaining fluid in my abdomen and I have pain in my back that comes and goes and not much appetite. I also have some inflamation in my body, night sweats I m hot or freezing | Hi and welcome to HCM.As an Urologist, i can understand your anxiety. You should write your age.You need to see an Urologist,as early as possible.You have polycystic kidneys and ovaries.You need to do the following tests:1. urine routine, culture and ACR. Also, 24 hours urine protein.2. blood routine,creatinine,RBS,LFT,protein,electrolytes,and platelets.3. ultrasound-KUB,with residual urine.According to the reports,an expert opinion about treatment can be given.Dr.Matthew J. Mangat. | |
Can Estelle cause yeast infections in genitals?
Hi there, I was just wondering if masturbating eliminate yeast infections? I am 22, weight 70kg and 172cm tall. I eat healthy and excersize regularly. Recently tried Diflucan, it still didnt get rid of it. Im also on Estelle, not sure if its coz of that. | 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.No masturbation doesnt eliminate yeast infection. It requires proper antifungal medications. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | |
Is it safe to take xanax after consuming beer?
I have been dizzy/confused for the last couple of weeks and it is made me extremely worried, I m 21 and never have health issues. I have had an EKG, stress test, blood work and cat scan recently in which they all came back negative. I am prescribed Xanax (.25mg) and only take it on occasion since I usually don t feel the need to take it. However the last couple of days I have had a tight chest, could the tight chest and confusion be due to anxiety? I had 1 beer tonight about 4 hours ago and wanted to know it it is safe for me to take one xanax? i have been told never to mix them. | 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.Yes it is safe to take one xanax with one drink of beer as the dose of xanax that you are taking 0.25mg is too low a dose. Further tight chest could be a manifestation of anxiety. However other causes needs to be evaluated. You may also take a course of OTC ranitidine 150mg as even acidity could be responsible for these symptoms. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | |
Trying to conceive. Having hypothyroidism. Taking eltroxin. Is it possible to get pregnant with hypothyroidism?
I am trying to concieve from last 8 months but didnt got success.I am a k/c/o hypothyroidism.My TSH were within normal range with the help of Eltroxin 50 mg but this monthh when i repeated the test my TSH was 28.84.it may be because of reason that 10 days i missed to take eltroxin.Is it possible to get pregnant with hypothyroidism.My doctor adviced for TPO which is 10.45.need your helpful suggestion.......please help me.i am very depressed with my condition. | HelloThanks for your query.Patients with hypothyroidism can definitely conceive as long as the TSH values are within normal.Your TPO seems to be within normal range.However, an ideal TSH before conception should be less than 3.At 28.84, first you need to be regular with the medication, and have a repeat value which falls in the normal range.Take care. | |
Is my baby normal ? why is she behaving in this fashion ?
My daughter is 26 months old.When she was about 20 months old,one day while sitting on my lap she started rubbing hereself.And after that it became her habit,many times she used to lay down and rub herself for hours and gave such wiered expressions as though she is masturabting.I tried to make her understand with love that dont do dear its not good,but all in vain.This continued for around 2-3 months and one day finally she gave up this habit and I was relaxed.But from 2,3 days again after a gap of around 3 months she has again started rubbing herself and its just impoosible to stop her from doing so,if I stop her she throughs tantrums and cries a lot. I am really worried for my little one,otherise she is a very bright and normal child.She is very playful and intelligent,she knows all the alphabets,poems,names of days in a week. But her this activity is giving me lots of tension,she is also afraid of loud sounds. Kindly help me and let me know is my baby normal,why is she behaving in this fashion | Dear In a process of development child may do such mastrubatory activity which can be considered as a neurotic trait. You can do distraction (i.e. engage in another interested activity) and avoidance. Check for urinary tract infection. | |
Could the abdominal cramps be due to urine infection after IUI or pregnancy?
hai doctor I had my 2nd IUI 14 dayss back..since 12th day I have urinal problem..tend to frequent urination with low quantity and irritations too...yester day I took an HPT but it was negative...I had certain symptoms like pregnancy on my first IUI..but it failed..I had clomid and hcg in this second round..whether IUI may resulted urinal infection...or it is symptoms of pregnancy..please do an answer doctor...I am so curious at the same time fingers crossed for a baby.. | Hello, in case the test is negative then most likely it is a urine infection so get a urine microscopy test doneIn case you have any questions in future you can contact me directly on | |
What causes kidney failure while on Metformin?
I was on metformin several years ago and went in to my kidneys shutting down which the hospital took me off at that point as believed was the cause. Could this be a fact as I am know longer on it and only on occasion show any signs of kidney problems | Hello,Metformin is not known to cause kidney failure. So I suggest you evaluate for diabetes which is common cause for nephropathy. The other cause include hypertension as well. I suggest you rule out these two factor first. I need to know your urea, creatinine estimation and egfr value as well to comment further. Hope I have answered your question. Let me know if I can assist you further. Regards |
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