patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
Suggest treatment for cough variant asthma
Hi my son has cough variant asthma, he is on a controller med of symbicort and recently was given duoneb in instead of albuterol for a flair up he had that was not improving after oral steroids. He again has began having a more wet cough and instead of starting albuterol, i started duoneb treatments one to two times a day as needed, they seem to be working much better than the straight albuterol, but i was wondering if duoneb is only supposed to be used when his flair up is more severe or if it is okay to start initially. I feel like the duoneb has kept his symptoms from progressing. Thank you for your time | Hello.Thank you for asking at HCM.I would like to know age of your son. However, I guess he is having childhood asthma.Albuterol is usually the most important medicine to be used in flair up. Even Duoneb contains two drugs - ipratropium bromide & albuterol. So it can also be used initially for asthma exacerbation. However, it cannot be given so frequently as albuterol alone.Also, if your son has frequent flair ups, I would suggest to increase controller medications (increase dose of inhaled corticosteroids or add montelukast) as need for frequent albuterol indicates asthma is not under good control.Hope this will help you to solve your query.Wish your son best of the health.Regards. | |
Q. How to bring down my sugar level before embryo transfer?
Hello doctor, I have PCOS. I have undergone IVF egg collection process five months back. One month later, I gained my weight and my blood sugar level increased. We need to do the embryo transfer process, but, our doctor informed that unless and until my blood sugar comes to a normal level, I should not get into pregnancy. Kindly guide us on what to be done as we are in a serious problem. Our embryo transfer is planned for three months later and I need advice and suggestion on how to bring down my sugar level. My age is 27 years, height is 5 feet 2 inches and weight 76 kgs. Sugar glucose test is 219, fasting 97.5, after food 190.3, and glycosylated hemoglobin 5.7. Vitamin D, Calcium, Folic acid and Omega 3 along with tablet Premolute N, for PCOS and for regularization of periods, this medicine was given by the doctor. | Hello. I just read your query and from what you have mentioned it appears that your blood sugar is just slightly high. You do not fall into diabetes but you do have a high postprandial blood sugar level. There are ways to lower your blood sugar levels: It is still three months for your scheduled plan. You can easily control your blood sugar and weight by this way. For more information consult a diabetologist online --> | |
How to improve sperm count and motility?
I am 30 years old. Main parameters of my semen analysis: Volume: 2.8 ml Ph: 8 Count: 1.22 mill/ml Motile sperms: 28.57% Progressive sperms: 28.57% Round cell: 1.54 wbc : 0.49 mill/ml Normal morphology: 30% Now can I have a child? And what are your suggestions to improve my sperm parameters. Thank you. | the motility of your sperms is normal.. your problem is in the low sperm count.. medications rarely improve count.. if you are a smoker this might be the cause of low sperm count.. many techniques are now available for men with low sperm count in order to have children such as intrauterine insemination and IVF | |
Need medication for raised heart beat,sore joints ,headache,fever and nausea
My son who is 11 came out of bed just now and was having a bad nightmare. He was totally upset and his heart was racing. Yesterday he was complaining about sore joints in his arms and hands. Now he says they feel like balloons. He also has a headache but no fever. He is also a bit nauseous . | hi, it is advisable to get your son checked up for rheumatic fever. it can cause all these symptoms, it can be confirmed by few blood tests. | |
Q. I have a common cold from last three years. Please help.
Hello doctor,I have a common cold from last three years I have tried many doctors. They only give Montelukast tablets to me. At first, they worked on me but later on these tables stopped working on me. Please help. I want to get rid of this. | Hello. The common cold is a viral infection that lasts for days, not years. To treat the common cold, you need to take rest, good hydration, nasal decongestants, panadol cold and flu (Paracetamol, Pseudoephedrine hydrochloride and Dextromethorphan hydrobromide), an antihistamine like Zicam (Zinc acetate and Zinc gluconate). Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. If you have this symptom for a long time, consult a respiratory specialist to exclude asthma. For more information consult a general practitioner online --> | |
What to do for abnormal behavior?
HI MY NAME IS MARK I MASTURBATE WITH BABY DIAPERS ESPECAILY WET BABY DIAPERS AM I STRANGE OR WIERD I ALSO LIKE WATCHING A BABY GET A DIAPER CHANGE I ONLY DO IT WITH CLEAN OR WET BABY DIAPERS ONLY AFTER A MTHER CHANGED A WET BABY DIAPER I GO AND TAKE IT WITH ME AND MASTURBATE WITH IT DO YOU THINK IM NOT RIGHT PLEASE REPLY | earWe understand your concernsI went through your details. I suggest you not to worry much. From the description you gave, you should be having a weird sexual fantasy broadly called Paraphilla. Normally psychiatric treatment is essential if the condition is beyond control. If it is under control, then concentrate on your job and career and ignore the behavior.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | |
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 --> | |
Could pain in hands, fingers and breasts be related to heart problem?
Hello I am Sravani age 29. I working in private firm. I am having pain in my left hand and sometimes in right hand, even in the fingers of the hand. Even some sought of pain in my left breast area not exactly in the chest and disturbing mild pain in my neck, back, inside the arms or shoulders. I am facing this problem from past 6 months. My ECG , pulse rate, BP everything is normal. Even my echocardiogram is also normal. I just want to know whether the symptoms that have relates to heart related problem ? or pls advise me how to rule out my problem that I have. | Hi SravaniAfter going through your query I understand your concern.I would like to tell you that pain you have in arm, chest and back that can be musculoskeletal pain. If all cardiac work is being already done and is normal then you should see an Orthopedeation for further evaluation and treatment in a proper way.Hopefully this will answer your query.Kind Regards Dr Navneet Mahajan | |
Are accidental lip burns normal during laser treatment for gum repair?
Hi, I took my daughter in for fillings and for removing excess gum tissure in the back. The dentist used laser to remove the excess tissue and while doing so he accidentally burned the skin on her bottom lip (about 3/16" x 3/8"). After the precedure, the dentist gave my daghter some prescrition gel to apply over the burn area. Is this accident common with laser in the dental practice ? | Thanks for using Health Care Magic.Read your query.I would suggest you to continue with the gel the dentist has prescribed.Accidents are always not common ,but sometimes it do happen .Relax and allow it to let it heal.If it is not healing properly or there is increase in pain or any symptoms ,please report back to the dentist to have a look on it.Hope this was helpful.Thanks and regards. | |
Suffering from kidney stones, family history of stones. What type of treatment and precautions should be taken?
Hi MY husband detected with kidney stone confirm with KUB USG its about .628cm noted in upper third of rt. Ureter with ectasia of proximal third. He has been operated earlirr twice and has a family history with all his cousins getting what yo be done n what precaution to be taken as he has more in both of his kidneys. | Hi and thanks for the query,The size of the kidney stone is a key element in deciding on the treatment option to be offered. Generally, stones greater than 6mm (6.00cm) should be romoved surgically. Above this size, spontanoeus expulsion through the urinary system is very unlikely.Other factors like recurrence, intense pain and kidney failure deserve that the kidney stones under these circumstances be preferably managed surgically. Other news techniques to destroy the stone non surgically like Lithotripsy do exist. Endoscopic surgery when offered is very simple and non invasive with high success rates.I strongly suggest you consult a urologist for proper review and treatment.Thanks and best regards,Bain LE, MD. | |
Suggest treatment for depression and anger
hello, my cousin is facing a psycological prob .... shes suffering frm atleast 3 yrs nd above... shes lost all her feelings and allways keeps herself isolated from others.... shes getting angry at every small bit.... we tried frm the psychiatrist she got ok till her medicines were regular...on stopping it her condition bcame worst.... what should we do??? | hi dear,in psychiatric illness medication is going for long period so counsel her regarding importance of medication and if you are not taking medication what is going wrong with her.and also counsel her about with every relapse medication duration is increased and in future chances that you should take medication for a lifelong.also for certain psychiatric illness long acting injections also available so discuss regarding that with your treating doctor.also if your cousin is not ready to take medication then you can give it in her food or drink.Thank you | |
Suggest treatment for pancreatitis
Hello My name is Rodney. I have been in the hospital for 6 weeks suffering from pancreatiuas. I had a acute case I believe the surgen accidentley hitmy pancreas causing it to inflam. Since I was in so long and couldn't eat or drink foods on a regular, my blood level went down. I am home now and its still low 11. I am taking iron pill once a day and Hema plex twice a day and B12.My BP seem to be high when I would a short distant, but it does come down after I sit for a while the bottom number is still high 138/90. Also, my pulse seem to run 115 on average. Do you think this is because my blood level is low causing my other vitals to be off | Thanks for your query at HCM!I am Infectious Disease Specialist! I went through your query!Hi Rodney!I realize you went through a tragic phase.Your hemoglobin will increase with time just take haematinics.As far as your BP and tachycardia is concerned you need proper evaluation from a cardiologist you might be suffering from essential hypertension.May have to take anti-hypertensives.Also get blood culture, USG abdomen and procalcitonin test done to see for infections if any.Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query.Take care!Dr. Sheetal VermaInfectious Disease Specialist | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Suggest treatment for infertility
assalam o alaikum !m badri jamala from pakistan.my age is 24.hight is 5 feet and half four.my dr sugested me inj.ivf 1000 iu,5000 iu.and i m also taking progyluton .m trying for getting pregnant.but problem is irregular periods.having alot of problems else.can u help me.then i will send u furthur details.plzzzz help me.i want to concieve. | Hi,I read your query and I understand your concerns.Following is my reply:1) Please attach semen analysis of your husband.2) I suggest you get follicular growth scan done.3) Before that get an HSG done to check tubal patency.Let me know if you have anymore questions.Regards,Dr. Mahesh Koregol | |
What do you suggest to avoid pregnancy when it's too late for plan b pill?
I am 16 years old.. I made a mistake and had sex with a boy I hardly knew. Ive been gagging when I smoke cigarettes.. but ive been smoking them for a while and this has never happened. Ive been sleepy.. but its only been 5 days. Maybe im paranoid. Listen .. he fucked me without a condom and then after he pulled out when he nutted... but idk if he pulled out fast enough. Then he put on a condom and fucked me again. And what if the cum came out the top of the condom while we was fucking?? And then the second night he put a condom on but he couldnt nut so he took it off. And he pulled out again .. but idk if he pulled out fast enuff. And he was trying to stick it back in after . Im soooooo scared . I think its too late for me to buy a plan b pill . I mean what should I do? From what you know do you think im pregnant | It would be impossible to know this until you miss your next period. However, you can go in for a pregnancy test kit from a pharmacy and check if you are pregnant. This urine test gives reliable results even in a week-old pregnancy. | |
Will it mean that average quality of the egg is bad if 7 of 10 eggs go bad after 6 days of IVF due to refrigeration ?
Dear Doctor I had IVF, 10 embryos total and 3 transfered on day 3 wiht 8 cells. By day 6 all 7 remaning were bad quality to freeze. Does it mean that the avarage quality is bad and the ones transfered to me also? Than you | Dr. Rakhi Tayal, OBGYN Dr. Rakhi Tayal, OBGYN Hello. Thanks for writing to us. Sometimes the preservation is not optimum and the embryos do not survive as well outside as they survive inside the uterus. It necessarily does not mean that the embryo implanted in you are also of a bad quality. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drtayalrakhi@gmail.com | |
What can be the possible causes for lower abdominal pain ?
I have lower abdomen pain? Consulted a doctor and did colonoscopy? It says as multiple ulceration in the colon buy my biopsy report shows as non specific proctitis. Prescribed tabs are mesacol, folic acid , vsl#3 and pantocid? I am not able to discuss briefly to the doctor. Why my colonoscopy and biopsy reports are different? But all these tablets are making me frighten. Is these tabs safe? Any side effects? Can i have it for a month without any confusion? PLEASE ANY DOCTOR SUGGEST ME? | Hai, 1. Proctitis means inflammation/ infection of rectum. Inflammation / infection in rectum can cause ulcers. Ulcers are products of inflammation / infection. Biopsy is what we see in microscope (so we cannot see ulcers in biopsy) and Colonoscopy is what we see in our naked eye (so we cannot see the microscopic changes of inflammation or infection). So your biopsy and colonoscopy reports are not different, rather they are complementing each other. 2. Since your biopsy reported it as Non-specific proctitis, there is no need to worry. 3. Mesacol is a drug given for ulcerative colitis or inflammation of colon/rectum: usually its safe with few side -effects. Pantocid is a drug given to reduce gastric acidity rarely causing any complications. Folic acid, VSL#3 are safe with hardly any side effects. So you can take these medications for a month as advised. | |
Suggest treatment for meningitis in a child
hi i know of a family from bhopal who have a son aged between 8-9 and is suffering from meningitis.They are coming to mumbai for treatment,as the treatments there haven't shown much improvement.I wanted to know that in your opinion who should be a good pediatrician that could be consulted here in mumbai | The treatment of meningitis is antibiotics , anti seizure measures and identifying the agent ...like if it is tubercular meningitis he has to be put on anti tubercular drugs for complete cure..I suggest u to admit him in tertiary care institution with I c u facilities and give him utmost care...as proper treatment will cure him soon.. | |
What causes fever chills and puffy knee after knee replacement?
had total knee replacement 2 years ago, did develop infection within 2 weeks after and has always been sore continue to do exercises daily to help. Today have extreme pain can not bend it and have fever and chills, knee is puffy and warm. what questions should i ask my Dr | Hello,I read carefully your query and understand your concern. The symptoms seem to be related to an infection of the knee.I suggest to do a complete blood count and an xray for further evaluation. Meanwhile,I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain Antibiotics may be needed. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
Suggest treatment for swollen and painful finger
Good afternoon, My index finger is swollen and painful to the touch aorund the nail. I have been told that it could be an ingorwn nail. there is a yellow pussy looking patch growing on my finger along the nail. (right hand by the way). I am a diabetic, so should I attempt to drain the puss myself or should I seek medical treatment right away? | helloIndiabetics, the proneness to infection is there especially if blood sugar not regulated well.In grwing nail and pus means infection and minor drain procedure is indicated with trimming of nail, so consult your surgeon. You may be advised antibiotics and and anti-inflammatory medicinnes. It should be drained early to allow spread to deeper issues of finger, yes for now, dress with antiseptic oint ment and take advil till you get to a surgeonthanks | |
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 --> | |
Is Depakote the right medicine for mania?
I have mania but not depression. Is depakote the best mef for this? Can my family Dr presribe it for me.? I talk constantly!,interrupt others often & am generally happy, haspy, happy. My Dr had said that since I m retired to tell my husband to get over it. It is driving him c crazy, | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, Depakote is a mood stabilizer. It helps in keeping the mood at neutral stage. The symptoms told by you can be a part of mania or personality issues. It's better to get diagnosed by a psychiatrist who are expert in mental illnesses. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rohit Kothari | |
How can a hepatic mass, gallbladder shadow and spinal problems be treated?
Dear Dr, My niece who is 35 yrs old has the following medical report. Sonography report hepatic mass: echogenic mass lesion at the right lobe 1.3cm and also 10cmx6.4cm mass Gall bladder and cbd: mild thick wall 0.44cm and there are small bright reflective shadow seen Tumor remark report: all negative CEA 1.38ng/ml, CA 19-9 9.4u/ml, AFP 2.14ng/ml, CA125 25.6u/ml Lumbosacral spine mri report: L2 vertebra abnormal T1 and T2 prolongation show heterogeneous enhancement on post contrast scan. Hemoglobin 7.9gm% but 10.9 after she took 2nits blood, ESR 104mm/hr, SGOT 47u/l and hepatitis is normal HIV positive with CD4 103 and lose above 10kg Dear Dr, my niece is hospitalized but seriously sick . What is the best treatment for her? we are from Africa , Ethiopia Thank you | Hello,I can understand your concern for your niece's health.1) USG says, there is small mass in region of gallbladder and bile duct which might extend into liver and also there is thickening of bile duct.2) MRI data says there is small lesion in lower vertebra.3) Blood tests for tumor markers are slightly elevated.4) All these three suggest possibility of malignancy of common bile duct (cholangiocarcinoma).5) For confirmation she might require a) MRI abdomen with MRCP and b) Triphasic CT abdomen c) PET-CT scan to check for spread of tumor if it is confirmed.6) Confirmation of malignancy would require endoscopic USG guided FNAC from lesion.7) If it is confirmed that tumor in bile duct has spread in vertebra then only chemotherapy will help. In absence of spread to vertebra, surgery will give best result.8) As she also have HIV infection, her immunocompromised and poor general condition will also affect treatment decision making.Hope I answered your query. If you have any further doubts then I would be happy to help you.Have a nice day! | |
my hemoglobin runs around 12.5 , rbc runs around 3.50 and mcv 100. i had 2 bone marrow biopsy and 2 pet scans in last 16 months and all were good. My levels were good until 12/2008 when i was diagnosed with ebstein barrs and chronic fatigue. I feel ok most of the time and stay active but levels will not increase. also i was diagnosed with gilberts syndrome in 1976 and liver is goood thanks | Thanks for the query If you have been diagnosed with gilberts then i would like to know the lft rather than cbc. Since u have gilberts i suggest u reat regularly and not fast. EBV is treated symptomatically Hb is normal and is not the cause for tiredness. Take high protein diet, multivitamins and exercise Have a healthy living | |
What is the treatment for jaundice and high liver enzyme level?
hi my father is diabetic and chronic kidney failure patient.taking medicines.controlled now.he had done angioplasty and taking aspirin.now he is affected by jaundice.liver enzyme levels are increased.bilirubin also elevated.sugar level is also high.what will be the progress.how long it takes to get cured?how to control sugar levels? | Hello and thanks you for your query. I am Dr. Rommstein and I will try to help you as much as I can with my answer.First,jaundice is just as symptom of some disease and this should be established. It can be cirrhosis,bile duct issues or hepatitis and it can be treated only when right cause is found. Blood sugar should be treated with appropriate insulin dosage. I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health. | |
What diet increases the sperm count in a 40 year old?
My husband is 44, height is 5'8, weight around 300. He just went to the dr and found out he has a low sperm count and the sperm is misshapen. We just lost our insurance so we can't go to a specialist right now. What should he do to help his count get better for now until we get insurance again? Also we are wondering why the sperm is misshapen? Thanks, Frances | Hello, The low sperm count is called oligospermia. The causes include varicocele, low FSH, LH, mumps orchitis, chronic epididymorchitis etc. I suggest you investigate primarily with ultrasonography testis, CBC, serum testosterone, FSH and LH estimation for primary work up. You can revert with reports once done. Meanwhile, you can take hey Forte or Maxoza L like amino acid and l carnithine containing tablet. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | |
On antibiotics for kidney infection and virus, constantly sick. Is there a permanent cure ?
I've been to the hospital as I was very ill throwing up every half hour for a full day, I got diagnosed with a virus and a kidney infection at the same time. It's now the fourth day, my virus has seemed to of gone, im just on antibiotics for my kidney infection, however every time I try to eat it feels like it's sitting in my throat, like I need to be sick constantly, and I haven't pooped since a week ago, I've tried to eat quite a bit but I don't need to poop at all? What's going on? | Hi and thank you so much for this query.I am so sorry to hear about what you have been experiencing. Having been unable to go to the toilet is probably caused by the very little amount of food that you eat. we need enough residues after digestion in order to be able to fill the rectum and excite the defecation reflex. As you get better with treatment, for sure you would start pooping good.Try to eat with much water and help relief yourself of the impression of food sticking in your throat. this will help improve your food intake.I hope you find this helpful and it addresses your query fully. Thank you so much for using our services and feel free to ask for more information and clarifications if need be. I wish you the best of health.Dr. Ditah, MD | |
Are there any side effects of taking Viagra?
My partner for 10 years has told me that he takes viagra to be able to sleep with me!we have not nee together for the last six month and when I met him recently he could not get stiff.I am quiet devastated by this whole thing.Any advise or explanation? | HelloThanks for query .Your partner has been taking Viagra while having sex with yu since last 10 years .He is unable to get hard erection in recent times .He has problem of Erectile Dysfunction and needs to get investigated completely to establish the cause of it and to take necessary treatment .Dr.Patil. | |
Suffering from cough and soreness in stomach
I am 33 weeks pregnant and getting over a horrible cough. My tummy is so sore from so much coughing, like I've done a million sit-ups. Luckily I am getting over my cough, but when I do cough or sneeze, it has now gotten excrutiatingly painful. Especially on one specific spot on the right side of my belly where my baby lives to stay. It's like I can feel a foot r some body part digging into me, like a stabbing feeling, every time I cough or sneeze. It is incredibly painful. I can't take it. She is already a big baby, over 5 lbs, expected to be about 9 lbs. I have no idea if her size has anything to do with it. That part of my belly just stays sore constantly now. Is there anything I can do? | Thanks for your question on Health Care Magic. I can understand your concern. Cough in pregnancy is disturbing. Try steam inhalation and warm salt water gargling to ease your cough. Otherwise there is nothing to worry.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
Can I take anti-histamines for feeling tightness in throat and wheezing?
Hi I suffer from allergies so take regular over the counter anti-histamines which usually do the trick. But sometimes my throat can feel tight and I get quite wheezy. Nothing too scary but not pleasant either, just wondering if I should see my GP or persevere with the anti-histamines? Thanks | HI, thanks for using healthcare magicIf you have episodes of wheezing, you should consider visiting your doctor for an assessment to see if additional medications, other than the antihistamines are required for control.If there is a history of wheezing then the use of inhalors may be suggested.Topical steroid inhalors would be used if there are any symptoms of post nasal drip. These may also require a prescription.I hope this helps | |
Diffused micro vascular Ischemic changes. Severe memory issues. Anything serious?
My Mother is 73 just had an MRI with contrast findings were diffuse microvascular Ischemic changes is on aricept and lexapro . Neurologist is not very forthcoming is this alzheimers has sever memory issues and as a family we need to know what to expect. no diagnosis given. seems reluctanct to talk in front of my mother doesn t want to aggitate her. Her frustration level is high. But we need some answers. can you help | Hi, Thank you for posting your query. Alzheimer's disease is a progressive disease characterised by memory loss and loss of other cognitive functions. It is a clinical diagnosis (based on the assessment of brain functions by a doctor). MRI can help in diagnosis, but is not specific for Alzheimer's disease. Please discuss with your neurologist regarding the diagnosis and prognosis of your mother's illness. I am sure he would help you and your family. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist | |
Any suggestion for recurring cough and congestion?
Hi My son is getting cough or get congestion again n again because of pollution. So this doc has recommended Montek LC kid for a month and Pedimmune for 1 month. She said will continue Montek for 1 more month. Since from last 6 mnths he is getting it again n again. | HI, thanks for using healthcare magicIf he is continuously exposed to the source of his allergies then the symptoms would recur despite medication.The medication would only help to reduce the symptoms but would not be able to eliminate them completely once the source of allergies is present.You would need to continue the medication (montek) to help to reduce the intensity of his symptoms.I hope this helps | |
Is it safe to give ascoril again after a week for asthma?
my son is suffering from pathological asthama. doctor has precribed ascoril l s for him once when he got typical asthama attack (breathlessness, frequent cough etc.). again a week after he recovered, he showed the same sysptoms. so if i give him ascoril l s again so soon, is it unsafe? | HelloAscoril contains salbutamol, bromhexine, guaiphenesin in syrup form and very much effective for bronchial asthma . Triggering factors of asthma are pollen, mold, hay , smokes, sudden fall & rise of temperature, dust , mite , fine dusting powder , so avoid these causative factors, if possible.Salbuamol is the main ingredient which produces bronchodilation ,hence relief in asthmatic attack ( in allergy & cough). Although this is a safe drug and you can use this drug again within 7 days without any side effects. Hot coffee also act as a bronchodilators and provide relief in asthma.Hope htis information will help you. | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Can i cut my dissolving stitches?
I had my wisdom tooth removed 6 says ago. Today I ate bread, now it looks like my dissolvable stitches have some food on the parts that are hanging out? What can I do to clean it off. I tried removing it with a toothpick, light brushing, rinsing, and mouthwash. Nothing works. Can I cut them off? | if the food particles are not coming out from that area dont try cut your stich by your own.otherwise the healing wound my get reinfected and it may take more time to heal.better get it cleaned by your dentist | |
Q. I have nasal problems since I used cocaine. Will damaged tissues repair by itself?
Hello doctor,Apologies for the detailed post but I want to make sure I cover everything. I have been having nasal problems since I used cocaine two weeks ago. I am not a regular user of any drug but have used cocaine three times in the past year, about 1 g per time. I have been concerned about a perforated septum. My GP has had a look and has said there is no evidence of such but there was soreness/ inflammation. I have also checked and cannot see a hole but I am not sure what I am looking for. I have booked in to see an ENT specialist but there is a two-week waiting list and I am growing increasingly concerned. My symptoms are/were:Blood in mucus when blowing my nose. This reduced across a 10-day period and has now stopped (I was prescribed an anti-inflammatory cream and I have also been using saline spray).Stuffy and dry nose which is still present.Slight nasal pain across the bridge of the nose.Bit of an odd one but if I massage where my sinus is my nose clicks/pops as if there is a cartilage damage.I get occasional whistling noise when congested and breathing in.My questions are:If my doctor sees no evidence of perforation and I abstain from any further usage, will this mean perforation will not occur.Does the initial vasoconstriction caused by cocaine cease after use or does it continue?Will any damaged mucosa/tissue repair itself over time?What could the weird popping be?In your experience would minor usage (as described above) lead to irreparable damage?Would the whistling I am experiencing be more constant if there was a hole in the septum?Is there anything I should ask/state at my ENT appointment?I will not be using again but would really appreciate your guidance. Thank you. | Hello. Yes, if you stop using cocaine, perforation will not occur if your nose is healthy. It stops gradually. But you may need a course of steroid and nasal wash. It will repair but it depends on the severity of damage. Popping in the nose can be due to infection or drying. I can confirm after examining. No. A small hole will heal but larger one needs to be repaired by surgery. In your case examination is most important. For more information consult an ENT otolaryngologist online --> | |
Suggest treatment for severe spinal cord pain
I am looking for a pain doctor. I am in severe pain and used to be on the 100mcg fentanyl patch along with oxycodone 15mg for breakthrough pain. The last doctor changed it to 30 mg ER morphine along with the 15 mg oxycodone. It isn t working well at all. I had a gastric bypass and I wonder if the extended release morphine leaves the stomach before it can be broken down and released. I was born with spina bifida and have lots of pain where the scar is from the closure site and I also have a tethered spinal cord which the doctors say I can t have it released because it would leave me paralyzed. It leaves me with only being able to try to manage the pain. can you online doctors prescribe fentanyl patches. | Hi, Online doctors breaking federal law by giving out narcotics without an exam. I don't think this site is going to offer that. Being in a lot of pain often causes people to make unrealistic thoughts and do things that are increasingly risky. Methadone is both effective as long lasting pain medication and also keeps people out of harm. Cannot say in your particular case, but we can say what the site and all legal ones will not allow. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | |
What is the cause of persistent fever?
My son has had an elevated temperature for the past 4 days. He is drinking, eating a little, weeing and does not have vomiting or diorreah. He is not complaining of a sore throat or ears and does not have have a cough. How long should I leave it before I go to a GP | Dr. Hanif warmly welcomes you!Thanks for consulting at my virtual clinic. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns.Wait for a week for fever to subside. Give your child tylenol for fever every 4 hourly until no more fever is recorded. If after one week the fever has not been subsided even with 4 hourly tylenol, take him to the physician for in-office consultation.I suggest you to make a chart on a paper, with dates and time of fever recorded, and readings. It will help the physician to assist your child in a better way, if ever you need to go to a GP after one week.Hope I answered all of your questions. In future, if you need further, detailed and quick assistance on any health issue, feel free to ask me a question by writing my name as a reference in the start of your question. I will get back to you right away. Have a wonderful time ahead.Regards!DR. MUHAMMAD HANIFUSA | |
What causes auditory hallucinations?
I have heard voices since I was a child, now at 50yrs old they just went away and all I get now is ocassionally I hear my name called. When I used to hear them talking I had images as well of them as imaginary people. sometimes I would feel like others could hear them. is it possible I am in remission for good? | 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.They are auditory hallucinations. They are heard only bu the patients having an illness and not by the others. Its still not scientifically proved, why there should be hallucinations. However they can be treated with antipsychotics like olanzapine , risperidone or aripiprazole etc. 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 | |
What is the interpretation of my semen analysis?
i am 36 years old & my Semen Analysis report is as under: Total Sperm Count is 6.1 Pus cell is 6-8 Red Cell = Nil Viabilty: Alive = 40 Dead = 60 Sper Motility: Acivity Motile = 30 % Sluggish Motile = 20 % Non Motile = 40 % Immature Sp. = 10 % Kinldy give your advice, may i need treatment or it normal please. it is also added that i have one baby already & 10 years passed after marriage | hiI understand your concern.I had gone through your report.Your report has some mistake i do not understand your sperm count.Usually it is measure in million per ml.You mentioned only 6.1 if it is 6.1 million then it is low and you have oligospermia.Motility of sperm is also quite low.though you can be a father but it is quite low.Need to repeat analysis and if it will come similar like that then consult physician for further assistance if you want baby.Still have a query then feel free to ask.Happy to help you.Thank you. | |
What causes chest pain and irregular periods?
Im 18 145lbs and have been getting chest pains (heartburn?) that last about 6 hours about twice a week and i haven't had my period in 3 months? reasons? I have always had irregular periods but my Dr said it was from sports, i don't play sports any more. | Hey, HiFirst of there is no relation between periods and heartburn.Heartburn due to gastritis in most of cases. Junk and spicy food may lead to same. Avoid this kind of food. Avoid overeating. Have any proton pump inhibitor like omeprazole once or twice a day for few days. that will combat your heart burn.Regarding periods its quite common to have irregular periods. You can have advice by Obstetrician and gynecologist for same. Most of cases its sports related and next is might be Polycystic ovarian disease. | |
Suggest remedy for metallic taste in mouth
I have a metallic taste in mouth for close to two months since I had my gallbladder out, it s on one side primarily . I am a male 66 and it s frustrating already . I was on an antibotic for 10 days and it seemed to be getting better but now that the meds are done it s still in my mouth | Thanks for your query, i have gone through your query.The metallic taste could be because of the antibiotics like metronidazole. Once you stop these antibiotics the metallic taste will disappear automatically.meanwhile you can take multivitamins like becose capsules once daily for 15days.I hope my answer will help you. Take care. | |
What causes dizziness with anxiety and hallucinations?
My daughter is dizzy and feel like she isn t in her own head, she knows what is going on, and answers questions, but says it doesn t feel like her. She had a reaction to her medication on Friday and ended up in emergency with a high type of reaction where she was hallucinating, agressive and anxious...... could it still be from this reaction or is it likely to be something elese | HIThanks for using healthcare magicYou did not mention about the drug. It could be either due to drug or any underline brain dysfunction. You should consult physician and get her investigated to rule out any major dysfunction. If every thing come normal, then she needs antipsychotic medication. After physician, you can consult a psychiatrist. In case, you need further help, you can ask.Thanks | |
Painful rib cage, constipated, bad stomach cramps. Taken laxatives. Is it the appendix?
Hi, I have had a dull pain under my lower right rib cage. It hurts mostly when I press on it and sometimes if I walk for a long time, sit or stand. In the past I have had troubles with constipation so I thought it may be because of that but when I took my laxatives the pain just stayed there. It has been here for 3 days but it is not getting worse, I do not feel nauseas nor do I have a fever, I am a bit scared to go to the doctor because I don't want them to tell me I just have a bad stomach ache or constipation again. Could my appendix be acting up? What do you guys think is wrong and what should I do. On a scale of 1-10 is about a 2 or 3.Help me please? | Hi, Thanks for posting your query. With the available describes symptoms, there appears to be possibility of right lower chest lung pathology or cholecystitis.Location of pain suggests the diagnosis.You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.You should also go for complete blood count, liver function test, chest x ray, serum amylase.You should also go for endoscopy along with biopsy.Treatment depends on exact diagnosis.Meanwhile, you should take proton pump inhibitors along with prokinetics and muscle relaxants.Take care,Dr. Mayank Bhargava | |
Inhaled ammonia, pain in groin, pelvic region, gastric problems, metallic taste in the mouth. Treatment options?
i recently inhaled a strong amount of ammonia for 15min proubly.. Why i try to go to sleep right before i start to nod off i start to feel pressure in my groin and pelvic area. Also it feels like my tounge is on one of those nine volt batteries and i feel like i have gas but i cant pass gas unless my heart completely stops when im tasting that battery taste in my mouth.. but other than when i try to sleep i don t feel anything breathing feels fine no groin pain no nothing. Its only when im in bed trying to sleep. In other words im fighting to stay awake so i dont feel that its scary. What do I do? | Hello. Thanks for writing to us. The symptoms you are having are likely to be related to inhaling strong ammonia. Since it is an air soluble gas, your symptoms are likely to subside after few hours or on deep breathing. Take plenty of acidic fluids to increase the rate of its excretion in urine. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com | |
What causes severe tooth pain post root canal treatment?
I am undergoing root canal treatment but the dentist said it has to be done in stages. So he drilled the tooth, removed what he described as dental caries and placed temporary filling. It led to pain and so went back to the dentist after 48hr. This time he removed the temporary filling, washed the teeth with chlorohexidine solution and placed yet again temporary filling. Within 8h of the procedure being performed I suffered agonising pain that is only relieved by ice-cold water next to the filling. It just after 4am here and no access to an emergency dentist. What can do other than constant ice cold water that needs replacing every 30sec? | Hi Dear ,Welcome to HCM.Understanding your concern. As per your query you have severe tooth pain post root canal treatment. There is formation of the dental abscess due to accumulation of pus below the root tips of the tooth , which sometimes occur due to left over infection even after root canal. The pain after root canal can also occur due to traumatic injury or nerve injury . You should consult an Endodontist again and get evaluated and in case if there is infection . Doctor may irrigate the tooth for few days regularly and prescribe antibiotics along with anti inflammatory . For now take ibuprofen or acetaminophen for pain and do warm saline rinses several times a day . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Suggest treatment for erection problems
I had sex with my girl friend long time ago . I was down she was up and she make it the penis to much down with her ass and i feeld a bit pain . since that time my penis is not strong enough .! But also i masturabte every day im 29 yer old pleas what should i DO . | DearWe understand your concernsI went through your details. I don't think you have any erection problems like erectile dysfunction. You may be just having pain at the head of the penis due to the anal sex and therefore, the erection may not be proper. Apprehension about the sexual intercourse with your girl friend can be one reason for your erectile problem. Apprehension is always obsessive. I suggest you to consult a psychologist for a detailed counseling session. You must understand the erection process and mental state. Secondly, for safety, you may consult an urologist for investigation.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. | |
Lower abdominal pain. Eggs raptures. Injected HMG. Given susten and duphaston. Help?
Hello Doctor, My wife was being injected with HMG 150 on day 3rd till day 7, she had produced more eggs than a normal no's of eggs a female should produce. Thereafter her follicular study was done, my wife's doctor had injected her for the eggs get raptured. After that he has advised to take duphaston, Progonova & Susten VT100. she still gets cramps in her lover abdominal part Is she Pregnant. Today she is on her 29th day of her cycle. when should i do my pregnancy test. | Hi and welcome to HCM. Cramps arent usual symptoms of pregnancy. If she didnt have period you should wait 2 weeks after it and then do pregnancy tests. It is hard to say now is she pregnant. SOmetimes is more than 6 months needed for hormonal stimulated ovulation and succesful fecundation. I wish you luck,just be patient and tenacious,there is no need to hurry. This therapy can cause unplesant symptoms such as cramps, vaginal bleeding etc. but this cant be avoided. Wish you good health. | |
How can erectile dysfunction be treated while under a lot of stress and excessive travelling?
I have had Afib for a few years and it is completely under control. lately, I have had some ED symtems, stressful job, travel a lot etc... Is there an over the counter drug or supplement that could help? I currently take small doses of propafenon, diltizen and Benicar.... | Hi, I think you should try to reduce your stress first. Try some yoga and meditation. Don't take any over the counter drug as it can be harmful to you. Get yourself examined by a urologist to find the actual cause of erectile dysfunction. Get a proper prescription and then only use a medicine for this. | |
Q. Can my diplopia be a sign of MS?
Hello doctor, I am 23 years old female. Can you please explain to me the clinical presentation of decompensated phoria? I have had diplopia for over two years now, binocular, horizontal, worse on distant gaze. I have had an MRI as well, but no lesions found in my brain stem or other areas. Only a few white spots, punctate, in both hemispheres. They say, it is not cranial nerve palsy, so I wondered if it could be some kind of muscle-misalignment caused by decompensated phoria. I also have astigmatism, myopia (left eye -3.75 and right eye -4.25). I am very anxious about this diplopia being a sign of MS. (I have severe health-anxiety). I have no other symptoms, no headache, and taking no medicines. | Hi. Diplopia for distance vision is more common in neurological conditions. If you do not have any neurological problems (ruled out by MRI), other problems can be considered. In your case, as you have high myopia, it can be due to decompensated tropia (phoria). In myopia, there is a loss of accommodation since childhood. This will lead to loss or decrease of fusion (focus on an object). This may lead to intermittent diplopia. This can be improved to some extent by fusion exercises like holding a pen in hand and looking at the tip of the pen, bring it slowly near to your nose. Repeat this exercise daily 5 to 10 minutes morning and evening. You can send pictures of your eyes for better evaluation and treatment. You can also call for any queries. For more information consult an eye care ophthalmologist online --> | |
Q. How to prevent pregnancy without using a condom?
Hello doctor, How to avoid pregnancy after sex without condom? | Hi. I am afraid the answer is not so simple. However you can avoid sex in the unsafe period. The unsafe period is the period roughly between 10th to 20th day in a woman having a 30 days menstrual cycle. This period roughly corresponds to the most fertile period in a woman's menstrual cycle. You can also try the withdrawal method where you need to withdraw just before ejaculation, but it needs lots of mental strength on your part. Your partner can also use certain female condom or spermicides also. Use emergency contraceptive methods to prevent pregnancy after having an unprotected sex. But please keep in mind that, all these are never 100% to prevent a pregnancy. Revert back to an obstetrician and gynaecologist online --> | |
Suggest remedy for constant pain in lower back
I have a pain on my lower right side back under my rib, it feels like a bad bruising pain, also cant sit for long it travels down to my right pelvic area and upper right thigh. usually laying down helps. Had this pain for about 2 to 3 wks off and on and now its been constant. | Hi,Thanks fr writing in to HCM.I suggest kindly consult a doctor and get an ultrasound abdomen done to find out the cause of the pain. It could be due to stones in the gall bladder or an infection in the pelvic region. If there was any history of injury it could also possibly be due to that.Regards,DR.riyanka | |
What are the causes for having dizziness, lightheadedness, blurred vision and excess sweating?
My 21 y/o healthy son was at the barber and began feeling lightheaded and it progressed to severe dizziness. His vision was very blurred and he couldn't hold his head up. he spilled a cup of water that he was given in his lap due to the severity of his dizziness. he began to sweat profusely afterwards and had a headache. I learned from him that this happened once before but he blacked out for a few seconds, falling to the ground. he cannot recall if there are symptoms prior to dizziness. | Hi,Welcome to Health care magic forum. It appears to be a postural hypo tension, due to weakness of the nerves, or anemia etc. The other cause may be the epilepsy, it is a disease with excitation of the brain. He may need to have E.E.G, and C.T.scan for confirmation. So i advise you to consult a neurologist for diagnosis and treatment. Wishing for a quick and complete recovery. | |
What does this ultrasound of liver showing echogenic liver indicate?
i had an ultrasound on liver. Report said the liver demonstrates a diffusely increased and heterogenous echo texture. No liver lession seen.but one can be missed in the setting of an echogenic liver. Impression. There is an echogenic liver . While this usually represents fatty infiltration,other hepatocellular process such as cirrhosis and hepatitis can have a similiar appearance. | Hi thanks for contacting HCM.Increased echogenicity here could be due to steatosis means fatty liver.It seems to be early stage.Measure your serum cholesterol also..In hepatitis other sign and symptoms present like headache, muscle ache, anorexia , vomitting etc...with abdominal pain and jaundice.If present viral marker can be done.In cirrhosis in USG typical nodularity seen.And it is the stage after hepatitis.Here fatty liver most propable cause.Try limit fatty food for it.....Take care.....Dr.Parth Goswami | |
What is the life expectancy post gallstone removal in woman?
Hi I am a 49 YR old woman going to have Gallbladder removed my gallstone completely fills my gallbladder it is almost 4 cm my DOCTOR GAVE me an option HE said I CAN LIVE a LONG healthy LIFE WITH IT AND BE fine.. OR HAVE it removed it s UP TO ME.WHAT is YOUR opinion? CAN YOU develope all sorts of OTHER organ ISSUES? And is IT true YOU ONLY have a 7 Year span to live AFTER surgery? And WITH THAT large OF a stone what would you DO GET YOUR gallbladder removed or just LIVE with it? | HelloThanks for query .You have been detected to have large stone in gall bladder without any symptoms and you are in dilemma whether to get operated or to live it alone and carry on as it is .I would like to place both the facts and pros and cons for consideration.1)Consider a situation if you decide to live it alone there are certain risk involved A) There is some risk of it developing in to cancer of the gall bladder B) You may get attacks of pain in abdomen off and on due to Cholecystitis(Infection) C) You will always have dyspepsia due to gall stone .In in a scenario if you decide to get it removed you will be free from all these risks and have a normal peaceful life .With advent of technology and expertise this is very simple surgery with no morbidity or mortality .If I were be in your position I would certainly get operated and removed a diseased gall bladder .Dr.Patil. | |
What causes positive pregnancy test results after a medical abortion?
Hi pls I had a medical abortion exactly 3weeks now i had sex on the June 17 and took an emergency pill the following day decided to test for pregnancy at home buh the test came out positive with a slightly faint second line possible I'm pregnant again or it's just the hcg hormone hanging in ma body | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The home pregnancy test results positive for two weeks and will be soon negative. If it persists for 4 weeks the abortion is incomplete and trophoblast persists. In this case you should go to hospital. Hope I have answered the question. Let me know if I can assist you further. | |
How to wean off the drug, Cymbalta, safely and what are the risks?
I need to know how to come off cymbalta safely. I'm down to 30 mgs for 2 days, then 60 on the 3rd day. I'm having terrible withdrawal symptoms. Dizziness, vertigo, sweating, nightmares, flashing lights in one or the other eye periodically. Headaches, severe mood swings, anger flashes. Brain zaps are the worst. My memory is coming back though and am able now to find words, phrases and frame proper sentences! I want off this drug ASAP. If I stop taking it will I have a heart attack or stroke? Would I die? If I have to go through all these symptoms after each dosage lowering I'd rather do it all at once. Thank you | Hello,This always a problem when you try to come off these type of medications so quickly.You have to be very patient with withdrawal method otherwise rebound of withdrawl symptoms are very severe.The best way to withdraw without attracting any symptoms is to reduce the drug by 10 mg every 15 days.I know this is little lengthy process but it is a sure shot method and you would come out of it without much hassle.Thanks | |
Could pain around breasts which was diagnosed as rasoli a symptom of cancer?
Hi everyone, I'm just being diagonised with rasoli in my breasts after 3d ultrasound, i have pain around the area which get severe attime and i'm not able to touch it, an doctor from my town suggested that they are big but i'm bit confused because rasoli are generally measured by weight and not size,,... I'm also afraid if this is not cancer..PLease advice | rasauli means sweelimg or extra tissue growthit can be fatty fibrous nerves it can be benign or malignant only malignant swellings can change to cancerit can only be diagnosed with blood work and fnac and we cant label as cancer at this stagein my advise just wait till the result come it may not be cancer | |
What is the treatment for chest pain?
My mom is suffering from fever, she has cough and cold. This all problem has cause her chest pain now. As per doctor advice, we are giving her - For cough and chest Pain: Piriton CS, Histafree, and nebuliser for fever - Pacimol 500 mg. However the problem still persits. Please advice.. | Hello dear, thanks for your question on HCM. In my opinion you should consult pulmonologist for your mother and get done1. Clinical examination of respiratory system. 2. Chest x ray. Since she is not improving with drugs and having worsening cough, fever and chest pain , possibility of lung infection ( pneumonia ) is more.Chest pain on coughing is characteristic feature of pleurisy ( inflammation of pleura ). And pneumonia is the commonest cause for pleurisy. So better to rule out pneumonia first. So chest x ray is needed for this.She may need antibiotic drugs too.So better to first diagnose herself and then start appropriate treatment. | |
Suggest treatment for dry chocking cough
I have an underactive thyroid - for many years I get a really dry chocking cough. I have to get water and stop talking to rest the throat. It then produces lots of mucus. This can happen at any time out the blue, never when I am eating - maybe talking or even when I am driving. I did ask my GP many years about it and he thought it was an allegy but I disagree. When I have one of these coughing fits now it is getting worse. | Hi Dear ,Welcome to HCM.Understanding your concern. As per your query dry chocking cough along with lot of mucus are pointing towards condition known as severe upper respiratory tract infection. You may have lung infection or bronchitis. I would suggest you to consult ENT specialist and get it examined. You should get an x ray of the chest as well. Doctor may order blood test , throat swab test or virus culture test. Doctor may prescribe antibiotics such as Penicillin at least for 10 days along with decongestants and mucolytic agents . For now do warm saline rinses , take rest. . Do warm saline gargles with pinch of salt water. Mast cell stablizers such as sodium cromoglycate is effective to prevent infection. You should avoid hot, sharp and spicy foods. .Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
What causes severe back pain at the age of 50?
my mon is 50yrs old and suffering a backpain in the muscle. We thouth it was a pain from bone but aurthopadic doctor failed to inspect any type of disorder in bone. some advice us to go for a kidney specialist for kidney stonce suspect... what do u think pls give me some advice... the pain is longer then 12 months and growing up day by day.... | Hellothe pain could be due to 2 reasons● DISC PROLAPSE - get a MRI OF LUMBOSACRAL SPINE● RENAL STONES - get A ULTRASOUND | |
Suggest treatment for epigastric pain with belching
64 yo healthy female with no heart disease, nonsmoker, no history of clots. ?htn. Hx of chronic pain. Recently on mobic 15mg daily for several weeks. To er with eoigastric pain, belching, nasusea, vomiting. Neg EKG. Neg cxr. Relief of nausea with zofran. 80 percent relief with GI cocktail. Positive d dimer (3.05). No sob. No dyspnea. No tachycardia. Is spiral ct necessary? | Hi ! Good morning. I am Dr Shareef answering your query.Even though D Dimer test could also be elevated in some other situation (like an arthritis with chronic pain as in your case) as well, I would advise you to go with your doctor's advice for a spiral CT to rule out any other likely source to prevent any serious problem. Till then, you could go for a proton pump inhibitor drug and an anti emetic if need be. At the same time, I would also advise you to get your routine blood check up done like a CBC, ESR, RA factor, serum uric acid, serum lipid profile, blood urea, and serum creatinine. Further management would depend on the reports of investigations.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
What causes heart palpitations and headache while lying on the abdomen?
When i lay on my stomach, prop my upper body up with my elbows to read, my heart starts to pound and a noise like white noise or static is in my ears. I think i can feel my blood pounding to my brain and i get a head ache on one side, my right side of my head. All this stops after about a minute or so. | Hello. Thank you for your question and welcome to HCM. I understand your concern. Lyıng on the belly means that you are pressing against the abdominal wall. There is the aorta which takes the pressure of your weight pressing against the abdomen. It is a common law of physics that everything pumping against a blockage or resistence, should pump harder, in order to overcome that resistence. This is the same thing that happens in the human body. The heart pumps into the arteries, and the bigger the artery that has the resistence, the harder should heart pump against it, to keep proper supply of oxygen and nutrients distal to the resistence. If this is a worrisome event to you, then I suggest not to assume the lying on the belly position. I hope I was helpful with my answer. Take care. Kind regards, Dr. Meriton | |
What is the treatment for cancer in chest cavity and aorta?
My dad was just told he has cancer in his chest cavity and it is in a ribbon fashion and is around his aorta, just wondering how often this happens. Havent done a biopsy yet, scheduling one for him! I know it s very serious, just need to know what to expect? | If your dad was told he has cancer in his chest cavity then u must immediately do CT scan of chest with contrast.Also if a space occupying lesion is found in his chest cavity then biopsy from that lesion along with immunohistochemistry test to determine the primary site is necessary.I would also recommend he does a CT scan of abdomen and Bone Scan to find which stage of cancer he is in.RegardsDR De | |
What causes painful lump on the prepuce of clitoris ?
I have a painful lump on the prepuce of my clitoris that appeared about 2 days ago and has got bigger. It is painful particularly when pressed and uncomfortable. I am a 17 year old female who is not sexually active and is generally healthy. What could it be? | Hi, If I were your treating Doctor for this case of clitoral lump, I would come up with three possibilities, these include: 1. inflamed benign cyst like sebaceous cyst2. folliculitis, infection at the base of a hair3. benign tumor like conditions like papilloma, polyp or fibroma Nothing to worry about these also!Just take cold compress and local antibiotic lotion and wait for 1/2 days!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | |
Will the discontinuation of the intake of tetracid drug lead to abnormalities?
hi doctor i 32 years ago i pregent and last period is 20-12-2010 but taken tetracid drug 1 capasule untile 30-1-2011.but stop drug after this day.i did 4d sonar in 23 weeke and appear no any abnormaility but weight is 580 grams and dignosis is symetrical growth restriction what opinion? no medical history for any disese iweight is now 70 k.gram | HI, Thanks for asking. I understand your concern. Tetracid contains tetracyclin.. the antibiotic . Tetracyclin is not reported to cause fetal abnormality except for teeth staining in fetus. Symmetrical growth restriction of baby can be due to - Restricted bone growth during taking tetracyclin.. this effect disappears after the tetracyclins are withdrawn. Other possible cause include thyroid deficiency/ malnutrition of mother. Thanks. | |
Head sways when working with computer. What could be the reason?
I noticed my head automatically sways from right to left and left to right again... This is especially noticeable when I work with the computer and start walking... I receive a reprise for this condition when I drive or when I exercise... This happened like 1 1/2 months ago and my dr is unable provide an answer of what is causing the swaying... Was wondering whether you have any ideas what is causing it? | could be a neck muscle contraction or involuntary spasmthese occur if any supplying nerve root is irritableMRI cervical spine can look for nerve root statephysiotherapy and muscle relaxants will help | |
Why my kid is having loose motion after eating or drinking anything?
hi, Doctor, my kid vomiting what ever she eats and we took her to doctor. now she stopped vomiting but immediate eating or drinking milk loosing as motion smelling like vomiting. please advice us. Here doctors also not clear about the issue. Please help as soon as possible | Hi, Thanks and welcome to healthcare magic.You have not mentioned the age of the baby.Normally infants less than one year pass motion immediately after eating.This is because of brisk gastrocolick reflex.Nothing to worry about it.Hope this rely is OK for you.Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam. | |
What to do if having multiple myeloma and experiencing loss of balance, headache and sickness?
Hi my husband has multiple myeloma and has also been diagnosed with c.o.p.d.Due to this he was refused his stem cell transplant and at the moment is not on any medication.He attends hospital once a month for a zemeeta.He is experiencing a loss of balance sore heads and sickness are these symptoms of his illness. | you said he is only on Zometa now. I presume he is in complete remission. If the disease is in remission, his symptoms cannot be attributed to myeloma. Please dont delay medical attention attributing his symtoms to myeloma. please consult a neurologist. good clinical examination will point to the cause of his state and treatment can be offered accordingly | |
Suggest treatment for pain in thighs and testicles
im a 44yr old male.non smoker or drinker.i workout 4 times aweek.i have constant pain in my thighs and when i sit my testicals ache and into my stomach area.i have pain down both arms my elbows feel like red hot sharp pains in them.and also feel tired and no energy anymore.feels like flu symptons without the flu. its really painfull coming down stairs. | Hello,Pain in the things may be due to quadriceps muscle spasm or due to neuropathy associated pain. Pain at region of testis may be due to infection or radiating pain in intra-abdominal pathology etc.Some times lower ureteric pain may radiate to testis and medial side of thigh. Use tablet aceclofenac twice a day for five days. Get it done ultrasound scrotum and abdomen. Then consult your physician he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | |
TTC. History of miscarriage followed by giving birth to a baby with abnormal internal organs. Help
Hi I m 25 years I had a miscarriage in February 2012 and I got again in July during period I had sex and got pregnant and in march 2013 I had the at 8 months by c section the baby had abnormal heart kidney and liver problems baby stayed in nicu for a month died on April 12 2013 and 9 months later I m having trouble getting pregnant help please | Don't be in a hurry to conceive so doon after cesarean. ...you need ample of time for your body as well as uterus to be capable to handle a new pregnancy. ....the scar of cesarean takes 1 year minimum to be able to carry a next pregnancy safely...since you had a baby with birth defects....get your tests for congenital anomalies done and start taking folic acid 5mg along with multivitamin to cover up for any internal deficiencies for at least 3 months | |
I am a 65 year old paraplegic. I use my shoulders for everything, wheeling. lifting, transferring etc. Both shoulder s need to be replaced as determined by 2 separate orthopedic doctors. I s 6 3 and 400 lbs. How much weight and stress can shoulder replacement joints withstand? I have been putting off the surgery because I enjoy my work and business; and realize the recovery will be very long and may end my work. I was injured in 1973, L 1 and L2. | Hello, Don't go for shoulder joint replacement until it is absolutely necessary. Your paraplegia and heavyweight (400 lbs). Will definitely put a heavy strain on the shoulders. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nirmal Chander Gupta, Orthopaedic Surgeon | |
Suggest treatment for increasing weight and appetite
My son is eleven and a half and only weighs 26 kgs. He has to be reminded to eat breakfast, always brings school lunches home, unless it is junk but will eat dinner well. He is skin and bones. How can he get an appetite, gain weight and actually enjoy eating? | Hello,I would suggest to do blood test for anemia which might be one cause of loss of appetite. Also check for parasites. If these blood tests are normal, I would suggest encouraging your son to do some sports activities which may get his appetite. Also vitamins in form of fresh fruit juices may help in this situation.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Valbona Selmani | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Could the bumps on the head and shaft of penis be STD?
hello, i am concerned that i contracted an STD. i have had unprotected sex many times with many partners. what i have right now is small bumps on the head and shaft of my penis. it looks most like small ppp's and the little bumps on my shaft are not the froyde bumps because i have those too and these appeared much further up my shaft and are much smaller. when i squeeze the skin where the bumps are i can feel the little bumps grinding together, the skin on my shaft feels a bit rough now because there are many small bumps close together but not on top of one another. also this began with what i think was a yeast infection, i was able to get rid of that but these things took its place, i am circumsized, what do you think , doc? | Hello,It may be due to smegma. For that there is no need for any treatment. In case of bleeding you may require laser treatment after surgeon consultation. Watch for symptoms penile discharge, fever, abdominal pain than you may require detailed evaluation after physician consultation Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Shyam Kale Family and general physician | |
Is there any problem for taking over dose of synthroid 88?
Do I need to worry if my 3 yr old soon to b 4 in aug, 38lbs.....could have possibly taken 9 pills of synthroid 88. Called poison control and they said not to worry that he will b very hyperactive and moody for nxt 4 days. But my wife is still concerned even though we were told it will b ok after it works out of his system. What symptoms should we look for for the worst case scenario? Not sure if he took that many or not....that s the impression we are getting sence he threw away one of the packages and we can t find it now. That was earlier this morning not sure exactly what time.....but Definately over 9 hrs ago. | Hi thank you for choosing healthcare magic. Regarding your son don't worry that much and just wait and watch as he must not have taken that many tablets as he is fine, you should expect hyperactivity, increased heart rate, not able to sleep, irritability and tremors of his hands etc, as he doesn't have these after 9 hrs, I don't think you should worry that much. Just monitor him for another few days and he should be fine.Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. Take care. Dr J Sravanthi | |
Itchy rash on forearms, no change in routine, had spray painted. Help?
Hi Stephen, I recently developed an itchy rash on both my forearms. I have not ate or drank anything out of the ordinary recently, and I am not on any type of medication . I did however use spray paint whilst restoring an old bicycle frame. Any information or help would be greatly appreciated. Kind regards. Lorcan . | Hi, This itchy rash on your forearm could be due to irritant reaction to the paint that you came in contact with. To treat the same, you might need to take oral antiallergic like cetirizine along with application of a steroid cream. I would advise you to visit a doctor, so that appropriate diagnosis based treatment could be started. Hope that answers your query. Take care. | |
What causes a painful lump on the anus?
Hi, I had a small bump on my butt between my legs and went horseback riding. I thing it pushed the bump deeper into my skin and now it s about the size of a dime but deep in my skin. It comes and goes but hurts really bad. I also have a very small perfusion in my anus. | Hi, dear. I have gone through your question. I can understand your concern. You have history of constant pressure on that area. So you may have pilonidal sinus or fistula like lesion. You should go for examination. If needed go for surgery. Consult your doctor and plan accordingly. Thanks for using health care magic. Wish you a very good health. | |
Is cirrhosis curable?
When diagnosed with cirrhosis my meld score was 21. I had all of the terrible effects...swelling, severe fatigue, etc. I also had extreme ascites. I have been getting a paracentesis performed every 3 1/2 weeks with 8 liters drained each time. My diuretics are working it seems. So far the fluid is not returning. My cirrhosis was due to alcohol which I have now been free of for six months. My meld score has gone from 21 to 16 to 13 to 12 and today found out it is now 11. The primary question is: should this improvement over the past three months indicate to me that I might possibly recover 100% from this cirrhosis? Is it possible that I caught the damage just in time? What do you anticipate for me? | Hello, Thanks for your query.Liver Cirrhosis is something what can not be treated. It is not possible to remove the scar tissue that has been created by cirrhosis but it is possible to eliminate the infectious and inflammatory conditions and the congestion can be drained. This is irreversible condition and only way to get rid of it is liver transplant. But it all depend of the stage of the diseases. I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
What causes shortness of breath,fatigue,light headedness and palpitations?
Hi! I m 29 yr old female. For a month now, I ve been experiencing shortness of breath, fatigue, light headedness, headache, sometimes palpitations. During my first attack I experienced fast palpitation and shortness of breath. My doc said it was bronchial asthma. I already took medications but I m still experiencing it until now though the shortness of breath is not really always. I don t do work. I only stay at home. | is it of abrupt onset and offset or gradually.Have you got your hemoglobin tested and if it's normal, then does these episode preceded by any anxiety causing events, is it associated with wheezing.If all of these is negative you will need evaluation, like ecg and further tests like electrophysiological studies for which you will have to local cardiologist Try to count your pulse rate during the episodes if it's too high then you should visit local cardiologist. | |
On oxycotine, hydrocodone for damage to L4, L5 S1 and disk bulge. Injured L2 L3 disk bulge with pinched nerve on L3. No help from medication. Any other remedy?
i have been on oxycotine30 mgs and hydrocodone 10/325 for about 6 yrs due to a forklift ran over me and the damage it did was the L4 L5 S1 & disk bulge. Had surgery in 2007. the meds do not very well anymore. Is there another combination that i could ask the doctor for. I went back to work in 2010 and slipped on a hanger thrown on floor and injured L2 L3 disk bulge with pinched nerve on L3. The combination i have now is not really helping. | Hi thereDear user If i was your doctor i would recommend a fresh MRI lumbosacral spine. Most of the times the answer to such long standing problem is a decompression laminectomy. It has outstanding results and a permanent solution to your problem. Medicines, esp pain killers are good for short term pain but not very helpful in long term or chronic pain. If you still want to go for medicine then i think the best combination for you would be an NSAID and a Muscle relaxant. Many a times the back pain is due to hyper flexion of the vertebral column. In such a case this combination is very successful.Regards,Dr. Ammar | |
Experiencing excruciating pain in my mouth after teeth extraction
i had 3 teeth out on wednesday morning , ever since the numbness wore ff i have had excruciating pain on my right side of mouth, i had a bottom molar and top molar out but the bottom molar on the oppisite side is healing well. but my right side is in throbbing pain im on anti biotics and have been taking inbuprofen, so far i have had 20 since thursday, i dont know what to do? | HiWelcome to HCMFirst you should stop having ibuprofen, 20 tablets arr too much. If you have extraction and pain is extreme then there muat have formation of dry socket. So I will advice to get an iopa xray done and visit your dentist for local treatment so that he can put local application on it to relief your pain.Thank you | |
Can urea and creatinine level be reduced by medicine or diet?
Hi, my father is of age 78 and is having a blood urea level 270 and creatinine stands at 3.4 for the last 4 months; and is having unbearable pain in his bones/joints. The doctor is suggesting hemodialysis twice a week and for the rest of his life. We are a worried lot and want some advice regarding this. can the urea and the creatinine level be reduced by medicine or controlled diet? | Hi, thank you for asking Healthcare magic.I have gone through your query and understood your concerns. Urea and creatinine are waste products that are eliminated from the body by the kidneys through urine. If the kidneys are still functional, some drugs can be used to increase the urine output thereby increasing the rate of elimination of these substances from the body. In the case where the kidneys are no more functional (when a greater percentage of the functional units of the kidneys are destroyed), only hemodialysis can eliminate them. I would suggest you do as the doctor has said. The more you delay, the more the condition would worsen.I hope I have answered your queryI wish him well | |
Could artery blockage be cleared through Yoga and diet?
my father is 57yrs old he got heart attack in year 2009 .after angiography doctor suggested angioplasty but after angiograpy he got creatnine level high(4.8) and vomating contiously ,then doctor suggested to take drug and wait for creatnine level come down. now he has consulted to dr agrawall(moolchand hospital delhi) who preffers allopathy and ayurveda both.during the period of one week my father blood sugar level is under good control and he feels better now.his medication is taking place through pranayams,exercise and few drugs. i want to ask that weather i am going to right way or not.may my father get rid of his artrey blockage through thisn medication and diet controll. | HelloThanks for posting at HCM. your father has been diagnosed with blocks in the heart arteries and has been adviced an angioplasty which means the block severity is greater than 70%. These blocks in the heart are cholesterol depostis which grow over time. Diet and yoga can only decrease the progression if these blocks. Blockages in the heart arteries over 70% severity cannot be treated by medications, diet or lifestyle changes. It requires an angioplasty or if many arteries are involved, a bypass surgery. Also he needs to be on lifetime medications like blood thinners, cholesterol lowering medications and other beneficial drugs for the heart. Please dont underestimate this, as the blocks will grow with time and it may lead to frequent troublesome symptoms which will affect the quality of life. I understand that his creat shot up to 4 during the angio, so you must be afraid that it may shoot up again. Please visit a nephrologist (kidney specialist) to evaluate the cause of the high creatinine. It can be caused by the dye used for angio also. In that case preventive measures can be taken and angioplasty can still be done after taking required measures as adviced by a nephrologist. Wishing him good healthRegards | |
What causes the symptoms of yellow eyes and raised spots on liver?
my d-dimer is 1000,but found not 2 have any b.clots,but found that my spleen is eating my b.platelets,from my hep C,whats the next step. thank u age 52,5,7",had hep c 4 20 years,liver is showing signs of damage,bone lose,yellow eye,slightly raised spots,liver spots and the lost of pigmation spots,where 2 go from here. | 1) your diagnosis is Hepatitis C virus related cirrhois (liver damage) with portal hypertension (spleen eating platelets)2) you need to consult medical gastroenterologist for further evaluation and to start treatment for hepatitis-C if required.3) cirrhosis (liver damage) is irreversible so eventually you require liver transplantation. | |
Q. I have white, acne like boils on my face. What could it be?
Hi, I have acne like boils on my face. When it comes in contact with sweat and water it looks white. What could it be? | Hello. This could be an entity called milia. Milia are small white bumps that appear superficially on the skin. There are several treatments for the same. Do not try to squeeze the lesions. It will lead to pigmentation. To confirm if the lesion is milia, attach pictures of the same and consult a dermatologist online --> | |
Endometriosis, action of Norgest?
I am taking treatment for infertility . I missed my periods and after a scan go to know that it could be endometriosis . Doc has prescribed Norgest 10 mg for 10 days.......what is it for? | Hello. Thanks for writing to us. Norgest gives a progesterone support to the uterine lining and withdrawal from this will cause a withdrawal beeding like your normal periods. It is not likely to alter the disease process- endometriosis. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
Q. Please tell some home remedies for scars caused by skin allergy and acne.
Hello doctor,I had a skin allergy and had immense breakouts. The pimples and acne have gone but have left too many icepick scars. So, please tell me about any home remedies which will do miracles for me and what should I add to my diet? | Hi. Home remedies are not going to work on any acne scars since the pathology is below the dermis and topical applications will not penetrate till that depth. The procedure like TCA (trichloracetic acid) would help for icepick scars. For more information consult a dermatologist online --> | |
Severe pain in lower stomach, not having food. Cause of pain? Treatment?
HI - My mother is 85 and has been experiencing severe pains in her lower stomach/pelvic area for the last day. She was awake all last night and has not eaten today. She has not been able to go to the toilet and is worried about going to bed tonight because of waking up in pain. Not sure if she should use something to try and make her go to the loo or if she should try something to reduce the pain and possible inflammation. Could it be an infection/ she has diverticulosis? She is generally healthy | Hi, Thanks for using HCM.Since your mother is 85 year old and experiencing severe lower abdomen pain for the first time, this may be due to constipation, UTI, ureteric colicky, muscle catch, Intestinal infection or any other cause like tumor. Since no fever we can rule out infection. But get done one USG abdom once along with complete hemogram and urine test for diagnosis. Hope she is not taking any other drugs. For pain she can take NSAID like Paracetamol or aceclofenac. After diagnosing can take suitable treatment. Ask her to take plenty of water. Consult your doctor for examination and management.Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care.RegardsDr. Lohit | |
Suggest treatment for positive stool fat globules in baby
yes i want to knw that what are the causes of positive stool fat globules? what can be a diagnosis if 2 month old baby has this this test positive? 2 month old baby girl with recurrent history of hospital admission due to GE she can t tolerate feed,(she is on DBF+FOrmula milk) | Dear parent,Fat globules in stool is tested in two ways.One is quantitative and other is qualitative. Please give me an idea of what type of test u have done. fat globules in stool more than normal range in this age group can be due to formula feeding, malabsorption,cystic fibrosis.Thank you | |
What causes thigh pain and lump like sensation in the hand?
I felt a sudden stinging stabbing pain on the back to side of my thigh. Felt like something bit me or stung me. I could also feel a long knot type swelling with my hand. My husband says it looks more like a bruise than a bite. It is sore to the touch but not constant hurting. It does feel warm. Amy suggestions? | Hello, Consult an orthopaedician and get evaluated. You have to get an MRI scan to rule out conditions like hematoma which can present with similar symptoms. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain, General & Family Physician | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Can i drink coffee during typhoid treatment?
Hi Doctor, I'm a typhoid carrier and I got infected once again. My doctor told me to get some rest, gave some medications. I'm a habitual coffee drinker and I find coffee helps my digestion. While under treatment, can I drink coffee to help me with constipation? | Dear Friend.Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.As far as your query is concerned, you can drink coffee. It won't cause problems as such in typhoid fever.But i must tell you that Carrier state of typhoid is relatively rare.In case you are being guided by your Widal Report, they have no significance.I would advise you to take a second opinion.This is my personal opinion based on details available here. If you still have any query you may please ask me.Stay Healthy. Dr Anshul Varshney , MD | |
Does the brown discharge after ICSI procedure mean that treatment is not successful?
I am 11 days post embryo transfer through icsi procedure. 1 good quality egg transferred day 2, I am getting brown discharge and now it has turned black, quantity of discharge is minimal and today's home pregnancy test proved negative. Does this mean the treatment is unsuccessfull? | Hi,It could be implantation bleeding also. But you cannot say for sure.Home pregnancy test wont be positive so soon. Please get serum beta hCG test done after 2 days to confirm pregnancy.Regards | |
Suggest treatment for anxiety disorder and shortness of breath
I am 63 and about two weeks ago began having episodes of shortness of breath. They don t stop me from doing anything just really annoying. I take meds for HBP and take a tranquilizer as needed (not often). I did notice today after taking the tranquilizer that the episode has eased up. I have been known to have anxiety but heart disease runs in my family. I have been tired and not sleeping really well. I see my doctor every 4 months and this past year by blood sugar hit right at 7. We are treating it with diet changes. No chest pain, no other pains to speak of. Last blood work in May everything was normal except cholesterol and blood sugar. | Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of anxiety related shortness of breath is more in your case. But better to rule out heart diseases first because you had high blood pressure and cholesterol. So first get done ecg and 2d echo. If both are normal then no need to worry for heart diseases. Stress and tension can cause similar symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Along with drugs, counselling is very important in controlling stress and anxiety. So avoid stress and tension, be relax and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest treatment for ruptured l4/l5 disc
my l4/l5 disc is ruptured and it is pinching my sciatic nerve, and my l5/s1 disc has degeneration going on, what can i do? and will these heal? im 20 years old, 6'1 260 lbs athletic and strong build and i was hoping i would'nt have to get surgery, i am into brazilian jiu jitsu and grappling, will i ever be able to compete in these sports again? | HiThank you for asking HCMI have gone through your query.The treatment option depends upon the extent of injury.For mild and moderate injury i treat with NSAIDs like Aceclofenac muscle relaxants like thiocolchicoside neurotropic drugs physiotherapy and exercises.If it is severe injury or those who are not improving with all these measure on mild to moderate cases i recommend surgical decompression of impinged nerve.Now microdiscectomy surgery is available which you dont need a hospital stay also.For continuing into sports,depends on the extent of recovery and strengthening of muscles.But it is advised not to go into violent sports in most of the cases.Hope this may help you.Let me know if you have any further query. | |
Suggest treatment for typhoid fever
Good day,sirMy wife is suffering with typhoid fever at 99-99.5 degree for the last 1 month.he is taking medicines, but no recovery. temprature does not go to 98.4 from 99-99.5. doctor has not given any tablet for temprature like crocin.he said fever is due to infection.pl advice. | Hello,Welcome o HCM,As your wife is having fever for last one month it may be a fever of unknown origin (FUO) which should be thoroughly evaluated to find out the causes for the fever. As she is having for last one month all the relevant investigations should be done to rule out the cause of fever.As your doctor has prescribed paracetamol to reduce the fever, this drug will act for 6 hours and it will control the fever for this duration but it cannot cure the condition. The source of infection should be found out by the investigations.To confirm it has typhoid after having fever for last one month your wife should undergo stool and urine culture to confirm it. There are many conditions which can lead to fever of more than one month which should be evaluated thoroughly.Thank you. | |
Is it possible to get pregnant despite primary Aminhoria?
Hi, i am 36 years woman, i never had period in my life. i went to Gynecologist at the age of 16 after ultrasound she told my mother that my overies are fine and i might get this menestral cylce after some time. but i never had one till now. i have consulted so many doctor but as per reports my overies and harmones were all OK. but beside this i got intestinal infection and stomach pain very often. i have undergone 2 surgeries owing to intestinal obstruction in 1999 and 2009. doctos told me that i have Primary Amminohria as my other body growth is all normal. i got married in 2007 and my husband is satisfied with our relationship. but we have no kids. i read some blogs where girls with this Primary Aminhoria have kids through some medical process. Kindly guide. | Hi,I understand your concerns but in order to find out if you can get pregnant you need to do an ovulation follow up ultrasound scan. If the ovulation is normal then yes you can get pregnant.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Salah Saad Shoman | |
What is the treatment for jaundice?
My husband, aged 44 years is diagnosed with Jaundice. Test results are as follows: S Total Bilirubin = 4, S direct Bilirubin = 3, S indirect Bilirubin = 1.1, SGPT = 3872, WBC = 4800, platelates = 1.18. His thyroid TSH is also elevated to 17. We are so worried. please guide us. | Hello and thanks you for your query. I am Dr. Rommstein and I will try to help you as much as I can with my answer.First the right cause of jaundice should be established. It can be liver damage due to alcohol or virus or blockage of biliary ducts. He should do ct scan for beginning and check vitally markers.I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.