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Why is there bleeding from nose in a child?
hi, dear doctor my son 5year old and he have complain from nose some time blood coming. we use different type nasal spray and gel but problem still there, for the time being relief feeling then again start. I also contact with ENT but they advise use the nasal spray or gel. Please Doctor advise me what will do. Regards, Rehan | Hello. Thank you for choosing healthcare magic.Nosebleeds are common in childhood. There is an area in the nose wherein the blood vessels are covered by very thin membrane. And this area is prone to exposure to trauma or injury and dry air. The usual causes of nose bleeding in children are when the child touches or pokes it with his finger, foreign bodies, dry air or when there's upper respiratory tract infections, or allergic rhinitis. There's also often a history of childhood nosebleeding within the family.During nosebleeding, you should compress the nose and make your child sit upright with his head slightly tilted forward to avoid the blood to drip to the back of his throat. You may also apply cold compress to the nose. If this simple measures did not help, some patients are given Oxymetazoline nasal drops to stop the bleeding or nasal packing. For repeated cases of nosebleeding, it would be best to consult your ENT so he can identify the area in your child's nose that is bleeding. He will also investigate further other probable causes such as bleeding disorders.I hope I was able to help you.Regards, Hannalae Dulay-See, M.D.Pediatrician | |
What causes lower back pain with bladder fullness?
I got up in the middle of the night because I felt like I had to pee with a full bladder, only a little came out. The same thing happended when I woke up in the morning. I have noticed some lower back pain as well. I understand that I should see a doctor, but what is the most likely cause? | Hello, Thanks for your query. After going through your query I came to know that you are suffering from retention of urine . You have not mentioned your age. If you are more then 50 years old then you may be having benign enlargement of prostate (BHP) , for which you require a operation (TUR) for which you have to visit urologist.You also have chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. Back exercises, neurotropics such as mecobalamine and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is low than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You need to done MRI TO RULE OUT other causes. You can discuss with your treating Doctor about it. I do hope that you have found something helpful and I will be glad to answer any further query. Take care. | |
Suggest remedy for lump in neck
Hi, my 6 year old daughter has had a lump in her neck for 3 months and she has now been referred to a peadiatric consultant, her appointment is in 3 weeks. She is generally otherwise well, but is quite often complaining of stomach and head aches and her legs and back aching. She doesn't cry, so I don't think they are too bad, but she does know the importance of not lieing about been ill, so I do believe her. Do you think I should ask for the appointment to be brought forward? ..or am I just getting over anxious thinking they are all related and really should not worry. Thanks | The cause underlying the neck lump needs to be evaluated. If the size of the lump is static, it is less concerning. In that case, you need not worry. But if the size is gradually progressive, you should try to prepone the appointment. Treatment would depend on the cause.The pain in abdomen, head and legs are probably unrelated. | |
Suffering from diabetes, developed Pylonephritis and pedal edema. Can I start Cilar10?
My wife is 60yrs old suffering from type2 Diabtes 10yrs.and HTN 5yrs.Recently she developed Pylonephritis Rt.Kidney and with inj Meropenem and Oflox.S.Creatinine reduced to 1.5 from3.6; Her B.P is170/80; with Telma H40 , B.D.She developes pedal edema to CCB. Shall I start Cilar10 instead of Telma 40.H? | HIThanks for your queryTelma H is not known to cause pedal edema. Cilacar on the other hand is a variant of CCB and has a small chance of producing edema.So I would probably stick to the current prescription.However if there are any problems in the future its best to change medications under the supervision of your treating physician.Hope this helpsGood luck | |
Q. Can high cholesterol with palmar erythema mean liver damage?
Hello doctor, I was diagnosed with palmer erythema last year. I am 28 years old, however, I started drinking moderately from 16-20 then stayed sober for a year and a half. However started drinking again at 22 and have been more of a binge drinker consuming on average of 20-50 drinks a week over the last 5 years. I never drank everyday usually 6-10 one day during the week but would drink alot on Friday annd Saturdays. Since my PE diagnosis I have had my liver enzymes checked 3 times along with CBC and autoimmune diseases and just about every kind of blood work that could cause along with an ultrasound and everything has came back normal except my cholesterol and triglycrides were a high. Since I have gotten my triglycrides in healthy range but cholesterol is still a little high. My question is how accurate is all of this in detecting liver damage. I do not have any symptoms of disease except the red palms. And should I be concerned? Since I am now sober as I have talked to several people in the cirrohsis and and fatty liver disease community and it definitely scared the heck out of me how dangerous alcohol really is. So I am just hoping to get some advice and if there is anything else I can do to be certain? Or what is your opinion on my story? Definitely never drinking again and totally not worth the risk of developing some kind of liver disease. | Hello. Do not worry. You may have anxiety more than disease itself. For raised total cholesterol you may take low cholesterol diet with regular exercise. Quitting of alcohol may be useful. Get it done ultrasound abdomen and liver scan. Avoid alcohol intake. Use tablet Pantoprazole before breakfast for one week. Eat green leafy vegetables, do yoga and meditation. Be happy and do not worry. If cholesterol is still high, then you may take antihyperlipidemic drugs. Please consult your physician, he will examine and treat you accordingly. Take care. | |
What cause occasional deep breaths in a baby?
Hi, i have a 1 month old baby who was born about 1 week before the determined date by our doctor. I have noticed that she sometimes breathes deeply, so that her stomach bulges heavily everytime she inhales. I just want to make sure this is no problem. | hi, this is a normal pattern of breathing in small babies. Small babies breathe fast then stops for sometime and take a deep breath. It's a common thing. There is no need to worry about this. However, an examination by doctor should be done so that cardiovascular examination and chest examination can be done. Take care. | |
Is the prescribed treatment appropriate for achieving conception?
Hi my name is Bharath, i got married on may-11 at age of 29 same as with my wife.After 6 months also my wife did not concieve pregancy.We have consulted doctors who inturn gave folic acids medicines and said to come 2 or 3 days after periods.When visited at the said time they gave medicines and said to have sex in a paticular period.This is repeatedly going for 2 to 3 months but still my wife is not concieved.Kindly suggest ony situation as we worried about hospitals whether we are on the right treatment or not. | Hi,Welcome to healthcare magic. I am Dr Ramadevi Wani. I will be answering your concerns today. Don't be worried. Your wife will conceive. Among couples trying for pregnancy, 80% of them conceive in the first year and 90% of them conceive by the end of second year. As it is almost a year since your marriage, I suggest that you both consult gynecologist and get hormone tests, Fallopian tube patency test for your wife and semen analysis done for you. Based on these test results further treatment can be planned. To increase the chances of conception, you both should maintain normal BMI, stop smoking (if smoker) and have sex 4-5 times in a week. Your wife should continue taking a tablet of folic acid daily. I hope this is helpful. If you have further queries, do contact me through healthcare magic. Best wishes,Dr Rama. | |
How can iron deficiency anemia be treated?
Had some blood work and was call in by my doctor because he said my iron count was low which was a 7 j haven't been feeling well dizziness and difficulty breathing. I went back to my doc who sent me to the hospital for a blood transfusion.. The hospital ran another test and my iron came up to 8.5 so no transfusion was given .i want to know if 8.5 safe and is that ok. Thanks | Hi there,8.5 is a safe hemoglobin level. There is no need for blood transfusion at that level of hemoglobin.Make sure anemia is because of oron deficiency only and continue iron supplements.Thanks and regards,Dr. Girish Kamat | |
Why am I feeling numbness in my fingers in the mornings?
sir from last 4 month i am feeling numb in my hand fingure when i wake in morning but the day time its normal.as per doctor direction I gave some test where in ESR reports says it 42..pls let me the reasons.or its any serious diseases inside my body. What are precaution need to be taken for future | Hello, The possible causes of numbness in the early morning are: 1. Sleeping in a bad posture like on one side with flexed elbows. 2. Diabetes. 3. Carpal tunnel syndrome. 4. Alcohol consumption. 5. B12 and vitamin D deficiency etc. So keep armrest while sleep. Use pregabalin. If symptoms not improved please consult your physician/neuro physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | |
What are the symptoms of viral fever in a child?
This is for my daughter of 2 1/2 years old. She had temperature of 38.7 degc yesterday morning. That we gave her paracetamol. Later in the night the same temperature arise. We gave her paracetamol again yesterday night. This morning temperature started rising. So we gave parecetamol in this morning too. She doesn’t have any other symptoms like cough or sneezing. She is ok to have food. Is this viral? After having paracetamol she is very normal. | Hello. Welcome to 'Ask A Doctor'. I have read your query and here is my advice. Toddlers get numerous viral infections because there are many different viruses(from eyes, nose, throat, mouth, lungs) in the community being carried by many persons(e.g. daycare). Toddlers come down with so many of these infections because they haven't been exposed to the viruses before and their body does not have immunity to them. Symptoms of viral infections include:-fever-skin rash-a cold-croup-tonsillitis-mouth and gum sores-pneumonia-vomiting-diarrhea-muscle aches-pink eye Yes, your daughter can have a viral illness with only a fever. The fever from this type of illness usually lasts 2-3 days. Hope I have answered your query. If you have any further questions, I will be happy to help. Arnold Zedd, MD, FAAP | |
Suggest treatment for rash on inner thigh & perinial area
I have what appears to be a heat rash on my inner thighs and perinial area for about a week now. Medicated powder is definitly not helping, nor does Hydrocortisone with aloe. I tried calamine lotion and it started to dry the area and the little bumps got smaller only I'm not sure if it's safe to apply calamine lotion to such areas as the perenial and the scrotum. | HelloThanks for query .You seem to have what is called as Jock Itch ,Use topical anti fungal ointment like Meconazole to be applied twice dail .Wash your genital area with warm water twice daily .Wash your inner wares in boiling hot water mixed with anti septic solution Dettol .Dr Patil. | |
Suggest remedy for bilateral lateral hip pain
I am 55 y/o female. I have had progressively worsening bilateral lateral hip pain over the last 14 years. Xrays 12 years ago were negative for arthritis. I use Tylenol with some relief. The pain is worse at night, with gradual relief on lying on my back. It is also worse with stepping up even one step. I have no back pain, and no radiating pain. I ALWAYS have pain... it is never completely relieved. | Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion you will need a fresh X Ray to clear your hip condition, there are many causes of hip pain, and radiological screening is the primary step.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.Special note- Any medication prescribed needs to be taken after consultation with your personal doctor only. | |
Suggest an alternate to chemotherapy
I have recently gonn through 3 months of Taxol chemotherapy which was ver successful in shrinking various uterine cancers and lymph node cancers but the livr cancer did not respond. This latest regemine of chemo has left me totally exhausted and it wa suggeste that I take a month off then resume the taxol for the receptive cancers plus an additional chemical to hopefuly be responsive to the liver. This is my sixth session of chemotherapy and I m not sure I can tolerate further chemo treatment. Is radiation or some other treatment feasible. I am currently under the care of Dr. Ernest Han at the City of Hope. Sincerely (Mrs) Gail D. Davis | Hi,Thanks for writing in.Cancer is a difficult condition to treat and at times certain lesions in organs like liver might not respond as expected.Liver metastasis occurs in many patients with cancer. Treatment of liver metastasis not responding or showing slow response to chemotherapy includes the following methods.1. Surgery.2. Neoadjuvant chemotherapy.3. Local ablation (eg radiofrequency ablation).4. Adjuvant chemotherapy.5. Intra-arterial chemotherapy.6. Selective internal radiation therapy (SIRT)Please discuss the above options with your doctor as there are criteria to provide treatment and the patient must have a cancer that shows features within the criteria of treatment. Please do not worry. | |
Suggest treatment for premature ejaculation
Hi, may I answer your health queries right now ? Please type your query here...I have been suffering from a problem.that is when i talk to my same ages any female my sperm get relise.i have tried a lot to control it but i can not do it.i am male and my age is 17.how can i control this problem? | Hi, It is called pre-ejaculatory fluid. It is common in a person who has a lot of sexual urge and no sexual contact. It can be prevented by decreasing sex urge by - regular exercise and yoga. Having regular sex can also prevent this issue. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist | |
Abdominal US report shows diffuse increase in parenchymal echotexture, fatty liver. Fear?
Hi Sir, Iam 37 years old age.My ultrasound of the Abdomen report is Liver: Normal in size: 13.1 cm and shows with diffuse increase in parenchymal echotexture.No focal lesion seen.There is no suggestion of either intra or extra hepatic billary duct dilatation.CBDand portalveinare normal. Impression: *Grade-1 Fatty Liver . -For Clinical Correlation Please advice me what is stage & treatment . | fatty liver can cause cirrhosis, just like if you were an alcoholic (by the way if you drink alcohol, your fatty liver is going to get worse). You are still young and at a good time to intervene: you should lose weight, exercise, avoid alcohol and smoking. If your liver enzymes (blood test) are normal, then you should just f/u regularly with your primary physician, otherwise closer monitoring a possibly a liver biopsy may be needed. | |
What is the cure for pigmentation problems due to masturbation?
hello sir iam suffereing from pigmentation from last 6 7 years iam 27 year old iwas use so many creams it remove but after few days it will come again on my face and im doing masterburing from last 5 years so this is the reason for pigmentation and give best suggestation for this i will pray for u for my ending life | DearWe understand your concernsI went through your details. I suggest you not to worry much. You don't have to end your life for this silly reason. Masturbation is no sin and it cannot cause any sort of discomfort of pigmentation on the penis. Pigmentation could be natural and it is supposed to be color after your puberty age. Penis do become darker in every case. Creams will not help. For good married life and effective sex, penis color, shape, size and length never matters. What matters is love and affection. You are just 27. Concentrate on your career and forget about sexual matters. You are perfect.You might need psychological counseling., I am more than happy to provide telephone psychological counseling through healthcaremagic. Contact me through customer care, www.healthcaremagic.com.Hope this answers your query. Available for further clarifications.Good luck. | |
Suggest treatment for swollen foot
Hi, My father is 74 years old. His foot has swollen on last week. What type of diagnosis has to do for this case. Which specialist has to require to check his body? I am eagerly waiting for your kind reply. Best regards Sayeda Halima, PhD Bangladesh | Hello I have studied your case,I would like to keep possibility of gout as per your history and symptoms.In gout there is accumulation of uric acid crystals in joint mainly foot. This leads to swelling and redness in foot.Another differential can be nerve compression leading to tingling and swelling.Or it can be soft tissue injury due to trauma which is not seen on x ray and may need MRI if remains persistent.I will advise to do blood inv like complete blood count ,uric acid level, if required EMG –NCV[ nerve study] and MRI spine after clinical examination.Till time take analgesic and neurotropic like methylcobalamine and pregabalin consulting your doctor.If gout is confirmed you may need medicine accordingly and diet restrictionYou may consult orthopaedic doctor or MD medicine.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
Q. I have the problem of imagining more and I talk to myself. Is this normal?
Hello doctor,I talk to myself. I have done it for as long as I can remember, I called on my other worlds, and I play different people I make up their lives in their personalities, friends, and stuff. I run it like a movie, and I play one character make and the rest I react to. And will talk to me out loud and walk around and pick up imagery objects and makeup settings, like a movie.Last year I was in a mental hospital for a suicide attempt and cutting and stuff. And in there you do not get phones and stuff, so I was in my world a lot, but for once I was playing multiple worlds at the same time. When I am not alone, I play in my head. I still can function and get good grades and school, but I do not have friends I play in my world.I guess it started when I was 8 it bullied, and I liked my other worlds better, and other stuff happened to me. They call it trauma or whatever. But anyway you could say I got better. I play myself in my worlds with a different personality and world. The only thing staying the same is my name. But I am worried because I am 13 but do it in secret. But my brother is 9 but acts like 5 and doses it in the open. He is loud and runs around talking to himself, and my family thinks he needs to play a sport. So I am asking if this is normal or something or just another reason I am crazy. | Hello. It is good that you are insightful about your experiences and seeking out more information to empower yourself. The first thing to remember is you are not crazy. You are experiencing emotional difficulties, and you will get better gradually with support. You appear to be using fantasy as a coping mechanism to deal with problems in real life. Many people have this experience. We tend to use our imagination to visualize better scenarios. Some of us have an overactive imagination and wishful thinking and develop an elaborate fantasy world. It becomes unhealthy if fantasizing starts affecting your real life. With support, you can develop more healthy coping mechanisms. Have you tried writing down your rich imaginative fantasy world? Some find it helpful to write down their experiences into stories. You can try and see whether it is useful for you. I know that you are taking Lexapro (Escitalopram) medication, which can help with emotional problems. Are you also having any therapy? I will advise you to discuss with your parents or family and your treating doctor so that they can support you accordingly. You will get better gradually. | |
Suggest treatment for throat infection and fever in an infant
Baby boy 10 months old - started with cold and slight fever 99.5, gave crocin syrup once and next morning his voice sounded different. Gave him homeo medicines for a day and then visited the pediac. He said throat infection is no there and suggested DMP3 syrup and Ambrodil-S syrup 3 times a day (2.5 ml). Gave only Ambrodil-S 2 does now from yesterday night. Throat sound is as is and nose is also running. | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have throat infection and fever in an infant. It can lead to upper respiratory tract infection if not treated properly . I would suggest you to apply warm compresses on neck externally . Take paracetamol for fever. Visit pediatrician once and get it examined and start treatment after proper diagnosis. Doctor may prescribe antibiotics like amoxicillin along with anti inflammatory and anti pyretic . Take soft foods to avoid irritation to the throat. Drink lukewarm water throughout the day as it can provide relief. Milk boiled with a pinch of turmeric taken at bedtime for can be relieving as it has antimicrobial properties.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Need treatment for pneumonia
My friend and neighbor has had respiratory problems since March. She went to the emergency room and was told she has a low white blood count, but also has a really bad respiratory infection or pneumonia. Could you tell me what are the possibilities? They did send her to a hospital in another co. | Thanks for your question on Health Care Magic. I can understand your concern. Pneumonia is an infection most commonly caused by bacteria. But in some cases pneumonia can be caused by fungal infection, parasitic infection, viral infection and tuberculosis. So we need to rule out all these in your friend's case. And for this she needs to undergo bronchoscopic evaluation with BAL (bronchoalveolar lavage) analysis and biopsy. These will isolate the causative organism and guide us about effective antibiotic treatment. By this we can reduce total duration of treatment and speed up the recovery. Hope I have solved your query. Wishing good health to your friend. Thanks. | |
Suggest anti-inflammatory medicines for burning in thigh
i had bone correction suergery on my left big toe on the 31st august and lately i have been getting a burning sensation in my left outer thigh. i seen my own gp regarding this they put me on anti inflamitries i have been taking them now for a week and still not takling the paid away | HIThank for asking to HCMI really appreciate your concern and looking to the given history here I could say that if this is the inflammation and burning sensation then in my opinion the best drug are Tab Ibuprofen 400 mg three times in day and Tab chymotrypsin three times in day, hope this information helps you, take care and have a nice day. | |
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 --> | |
What causes sharp left-sided chest pain while on Flexidine?
Hello,I ve been taking 100mg of flecidine now for just over two weeks but have been getting sharp local chest pain on my left side and wondering if this is a side effect of the drug? I have had ultra sound on heart plus recent blood work to rule out inflammation and all test are normal. My doctor has suggested to stop taking the drug for now and see if chest pain subsides in the next week. Just wondering if this is a side effect of the drug? | Hi ThereAfter going through your query i understand your concern.I would like to tell you that generally there is no side effects of taking iodine supplements unless you are taking in very high amount. You can apply some local pain relief gel .Hope to have been helpfulKind RegardsDr. Navneet Bansal | |
Thoracic pain radiating around rib cage, into sternum, PVCs. Taking celebrex for arthritis. Can PVCs be caused by bulging thoracic disc?
Hi, I ve have thoracic pain radiating around my entire rib cage and into my sternum for 3 weeks. Coincidently I also developed PVCs in that same period. I have eliminated caffeine and alcohol, and celebrex that I was taking for arthritis . I m wondering if there is evidence that PVCs can be caused by a bulging thoracic disc. Thanks | Hello. Thanks for writing to us. A buldging thoracic disc is not a common problem and is nopt associatyed with PVCs. The pain in your chest is more mlikely to be due to a muscle spasm. Taking mild pain killers and doing a hot fomentation will be helpful. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
What are the symptoms of absence seizures?
hi,my son is 4yrs old.He is epileptic.I don t know which type of epilepsy he is having but doctors are saying it is absence seizures.He gets still for few seconds followed by vomiting and then sleeps.At present doctor has prescribed gardinal and tegrital,but still he is having same problem after every 20 to30 days. | Hi....by what you quote.. From the history I feel that it could be Absence seizures as the way you describe it is classical. The drugs will take some time to take up. If I were your pediatrician I would have suggested you to get an EEG and MRI done. Insm suggesting this because it has not been mentioned in the query.But the drug of choice for absence seizures is Ethosuximide.Regards - Dr. Sumanth | |
Should I take humira for ulcerative colitis?
Hi, i m a 40 year old male, about 7 years ago i was diagnosed with ulcerative colitis and about 5 years ago i was put on humira. in the mean time, I keep having weird symptoms that i associate with the ulcerative colitis flare ups but my doctor says he doesn t think so. what happens is i start having pain at the back of my neck where my head meets my neck, when i yawn my diaphragm spasms(twitches), and i feel a little lightheaded. I get hot flashes and what feels like an adrenalin rush. when i fall asleep my dreams are usually crazy weird and when i wake up my heart starts racing and feel like i might pass out. this last part usually last about 5 to 10 minutes then sort of subsides. these symptoms will get worse and worse then i will get my doctor to give me prednisone to get things under control. the reason why i try to link this with my flare ups is i usually have diarrhea and cramping at this point. my doctors can t seem to give me any answers as to what these symptoms are caused by. the only thing that makes these symptoms go away is taking prednisone. Please point me in the right direction or maybe what this could possibly be. | Hi.Thanks for your query.Prednisolone is a steroid and if it is helping you the diagnosis of ulcerative colitis is done , confirmed . You may please take Humira and other medicines as per the advise of your Gastroenterologist. Take the following care:Check your blood for Sugar and calcium, prednisone and other hormones particularly Thyroid.Test of the stool repeatedly to see that there is no secondary infection or so, which has to be treated in time to avoid complications. Avoid all the foods and beverages which are known to give or enhance the problems. As you know these problems can pop anytime , yo have to be really careful.Control of the stress and anxiety help a lot to control these things. | |
Suggest remedies for negative thoughts after discontinuing anti-depressants
ehm well i was on antidepressants at the end of last year and came off them after two months because i felt fine, things are gradually breaking back down now and ive really started to notice that when i think about doing really simple things like brushing my teeeth i think in my head if you dont do this something bad will happen/ someone will die and i get really graphic pictures in my head and the more i try to shut it out the more i cant! is there any help i can get??! | DearWe understand your concernsI went through your details. I suggest you not to worry much. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Life style changes, change in thinking pattern, relaxation etc are as essential as medicines. Psychotherapy can help you changing your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information.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. | |
What causes lumps in elbow and groin area?
Hi, may I answer your health queries right now ? Please type your query here...I have a hard lump in the bend of my elbow and my daughter has one in her left groin. They are slightly painful. Both have been evaluated and teh doctor s say tehy don t feel like lymph nodes. We got a puppy 3 months ago. I took her to the vet last month and she was treated for worms.Could these lumps that we have be parasitic? | Hi,Welcome to HCM.Studied your query in all the details.Based on the facts of your query,Possibility of cystecerciasis in both you and your daughter, could not be ruled out as your puppy had worms treatment.As your doctor has confirmed that they are not Lymphnodes,Excision Biopsy after USG study of these lump would resolve the issue you had.Your Surgeon would be right person who would investigate for other complications of it.Hope this would resolve your worry.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!! Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS | |
I have small lump below my arm.Doubt whether is breast cancer symptom or not?
Hi I have small lump beloe my arm I showed it to doctor yesterday(Gynoecologist).She said its just a boil.but the lump is from 2 months. I doubts it not Breast cancer symtoms. When I pricked it I got some Yellowish and black semiliqid thing.which was smelling like shit. Dr. has asked me to undergo CBC,RBC,ERS blodd test. Tomorrow I'll get the report. please tell when whether that lump is cancerous. | Hi,Dharunya, Thanks for query, Lumps in the axilla may be due to few causes.It does not necessarily mean cancer. You might have, Infected sybacious cyst, Infected lymph node, Abscess in the axilla, Boil in axilla. So better get it examined by your doctor and go for treatment accordingly. Ok and bye. | |
Will Essential Forte N help in controlling GGT ?
Hi, I just got my blood test result and GGT showed 154 U/L, but AST and ALT are normal. Doctor suggested taking Essential Forte N for 2 months. Will this help? | Hello. Thanks for writing to us. GGT blood levels may be elevated due to liver disease, hepatitis, gallstones, diabetes, pancreatic disease, kidney failure, alcohol misuse, certain prescription drugs, certain herbs and supplements or taking very high amounts of supplements. The mild rise in GGT that you are having does not need any treatment if there are no symptoms. Proper blood investigations are needed to find out the cause under the guidance of your gastroenterologist. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drtayalrakhi@gmail.com | |
Q. What are the ways to cure erectile dysfunction and premature ejaculation?
Hello doctor, I suffer from erectile dysfunction and also ejaculate even just with holding a women. How can I solve this problem? I am a healthy person who exercises regularly, is not over weight and my lab reports are also fine. I know I suffer from lack of libido but do not know how to handle it. | Hi. Your blood test are normal except low vitamin D and B12 (attachment remoed to protect patient identity). Erectile dysfunction and premature ejaculation can be due to many causes. If erectile dysfunction is more prominent then first try Sildenafil and if it is improving, then okay otherwise go for penile doppler study. For both premature ejaculation and erectile dysfunction, Sildenafil plus Depoxetine may be helpful, take this tablet 30 minute prior to sexual activity. Also try the behavior methods called start stop technique or coitus interruption or squeeze technique. You can read these online and start practicing any one. These methods give good result but you need to do these daily and results are only evident after a few weeks. Also take Vitamin D and Vitamin B12 supplements. Serum testosterone ED and PME sildenafil plus Depoxetine Regular exercise, Avoid alcohol or tobacco. | |
What causes pale stool during pregnancy?
Hi I ve 2 problems 1 is I am very itchy down below and sore but my doctor said I had an infection but sent to lab and came back fine but i ve been sore now for like 8 months and I am pregnant plus lately my colour poop has been like clay colour why? Lol | Hi,I guess your concern is about causes of pale color stool during menses. Right, firstly I want to say that I want to congratulate you for your pregnancy. Its a very precious time for a women life. I can understand your tense - full situation but DON'T WORRY, IT'S HAPPEN DURING PREGNANCY, IT'S NORMAL, NOTHING TO WORRY. As you told that you have pale color stool and you are 8 months pregnant. This happens because of the drugs which are usually given to the pregnant women. So, RELAX. Secondly you told that you have itch and sore in down. And your reports is fine. So nothing is wrong. KEEP PATIENCE AND KICK OUT THE TENSION FROM YOUR MIND. With above discussion you can try out my suggestions:1. If you have also other problem like blood stained stool or loose motion etc along with pale stool then visit your treating doctor. He/she can helps you.2. You still having itchy down then use vaginal wash cream or liquid. These are easily available in medical store. It relieves your itch down.3. For sore down you can consult nearby dermatologist. He/she will help you.I hope the above information is useful, informative and helpful for you.Regards,Dr Sudha Rani Panagar | |
What causes heart palpitation and dizziness?
hi my name is jessica and i have a heart palpitation and dizziness a lot for more the 35 years and now is getting evev worst. i can even walk slow or fast. or turn upside down on my bed or get up fast or slow from bed sides. my heart palpitations.is very fast | Hello and thank you for using HCM.I carefully read your question and I understand your concern. You should not worry . I'll try to explain you something and give you my opinion. This palpitation has to do with a rhythm issue. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm.They cause a premature heart contaction that its not a normal one followed by a pause and than a normal heart contraction. In these cases you experience palpitation, flattering sensation, anxiety, difficulties in breathing deeply,dizziness.This rhythm issue might be what we call extra sistolic beats or different arythmia. There are different causes that might lead to this electrical issues like simple emotional stres, excessive coffee consumption or pathologys like anemia, hyperthyroidism,electrolyte imbalance, active infections ect.So, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and valves, a full blood analyze to exclude anemia, hyperthyroidism and the mos important a holter rhythm monitoring to see your rhythm tendency. Only after this we can better understand what we are dealling whith and how to treat it. Hope I was helpful.Wish you good health. Best regards, Dr.Ervina | |
Suggest treatment for mild Hydronephrosis and PCOS?
i m 26 year old nd gain a lot of weight that is 67kgs..there is excessive hair growth on some of my body parts..i feel mild pain inside tummy,,so i decided to do an ultrasound which showed polycystic ovaries nd mild left Hydronephrosis...so i wanted to know the treatments nd if its curable howmuch time it takes? | HelloPCOS should be confirmed by clinical findings,hormone profile and ultrasound findings.Majority of the cases only require conservative treatment.Surgical intervention is required in very few cases.Mild hydronephrois in left kidney need proper evaluation.There must be some underlying etiology like calculus,stricture etc.You may need further investigations like CT scan or IVP.Proper treatment depend upon underlying etiology.It may take 4-6 months for complete recovery.Get well soon.Take CareDr.Indu Bhushan | |
What causes fever and nose bleed in a child?
HELLO DOC.IM SONIA. MY 4 YRS. OLD SON HAD A NOSE BLEEDING SUDDENLY IN THE MORNING,AFTER HE S FINE PLAYING ALL DAY.THEN NEXT DAY SUDDENLY HE GOT FEVER.I GAVE HIM MEFTAL -P SYRUP & IT WORKED WELL, HE FELT BETTER THEN.BUT AGAIN AT NIGHT HE GOT FEVER WHILE HE S ASLEEP & SUDDENLY GOT FRIEGTENED,SLIGHTLY SHIVERING.THEN I MASSAGED HIS LEGS & HANDS,HE ATE SOME BOILED PLAIN RICE,THEN AGAIN I GAVE MEFTAL-P SYRUP 2.5ML.HE S ASLEEP NOW.PLZ KINDLY HELP& TELL WHY THIS NOSE BLEEDING & FEVER OCCURED.AND KINDLY GUIDE SIR.THANK YOU. | HIWell come to HCMI could say that this is nothing to worry because such symptom is very common in this age group due to cold and cough, but this can be taken as granted the condition need to be differentiated with other etiology as long as the pediatric age is concern because certain diseases comes out clinically in such manners, the fever could be due to allergic condition and viral infection is likely, hope this information helps. | |
Suggest remedy for vaginal lumps
I have a painful lump under the skin in the area between my vagina and my anus on one side only - it is not std related as i have had a full panel of labs a year ago and have been celibate since. Sitz baths are not helping & it now hurts when my underwear rub | Hi,Dear,Thanks for the query to HCM .I studied your query in depth.I feel concerned about it.In my opinion you are suffering from-?-Ant.anal abscess with fissure in ano .For it I would advise to consult a ER surgeon. Or / it could be boil with infection of skin .It could be post.bartholins cyst also and needs treatment by-a-Tb-NSAIDs,b-Antibiotics,c-incision and drainage-if its-abscess from boil,d-drainage with marsupilisation of the cyst wall,e-drainage with debridment of the abcsess tract with excision of anal fissure.Apical abscess.Hope this would solve your query.Please contact again and I would love to attend your queries promptly.Have a good time. | |
What causes blood in stool and fatigue while treating MRSA infection?
Hello, Daughter (27 yo) has been diagnosed with a MRSA infection on her face. Antibiotics work when she is on them, but it comes right back after course is complete. She has lost approx. 20 pounds in the last 6 months. 5 7 130 lbs now 109lbs. She has noticed a substantial amount of blood in toilet after using restroom. Has always complained of stomach aches since old enough to talk. Complains of fatigue/no appetite/depression & anxiety attacks. Family history of Lupus and EB. Looking for any clue where to start on this. | Hello,For a young and otherwise healthy individual the most likely cause is hemorrhoids, particularly if constipation is an issue for her. Hemorrhoids characteristically bleed after passing hard stool and the blood is not homogeneously mixed with the stool but it's rather like if it's been spilled over them. Sometimes the blood is apparent on the toilet paper only. Your primary care doctor or a gastroenterologist will help you with the required investigation. Regarding the other issues, MRSA can be difficult to eradicate and you'd better talk with an infectious diseases specialist. Antibiotics by mouth are not usually enough and repeated use may result in the development of resistant pathogens. Weight loss also requires investigation for various causes including thyroid disorders and her depression and anxiety (but not limited to them only). So in conclusion, she'd better talk with her primary care physician for the issues you have mentioned. The MRSA may require expert help, since the antibiotics by mouth will be ineffective in many cases.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Panagiotis Zografakis | |
Is stomach pain normal during pregnancy?
Hi, i'm 31 weeks pregnant and i'm having tummy pain and back pain, my blood pressure is 135/85. The tummy and back pain is worse from yesterday and is constant. I feel like i have a feever but my temperature is 35. something.Yesterday i had to go up and down some stairs, could that be the problem? | Hi,I just wanted to know if the pain is continuous or is coming at intervals. If pain is severe and coming at intervals better visit a doctor who can tell you the exact condition by examining you. It may be normal or you may need some medicines to relax your uterus.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khushboo Priya | |
What causes difficulty in pulling foreskin back?
I am 55, 5' tall and a little overweight 11st. my foreskin is joining my helmet in a strange way i can no longer pull my foreskin back completely! if i do the skin tares in the places it has recently joined to. I was diagnosed with liken planis about 8yrs ago could it be something to do with that? | Hi, It could be due to conditions like phimosis. Consult a urologist and get evaluated. In severe cases you might require a circumcision. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What do these Echo and Stress test result for breathlessness and weakness indicate?
When walking up stairs I have been somewhat short a breath and my head feel funny like my blood vessels tightening inside my head, also my legs feel weak I have never experience this before. I am 72 yrs old. And have always been active doing chores around the house, lawn mowing snow blowing and lifting heavy materail in my sign business. I was going to have my varicose veins removed and my heart Doctor suggest I have test done. She did the stress test and echo. Result: Mitral valve is midly thickened/ calcified. There is no mitral swtenosis noted. There is a trace mitral regurgitation. Also The acortic valve is midly calcified with a mild aortic regurgitation. There is mild tricuspid reguritation. The pulmonic valve was not well visualized there is no pulmonary stenosis noted.There is trace pulmonic regurgitation. I m 5 8: tall and weigh 184 and I ve been riding a stationary bike for 30 - 40 a night. I have a hiatis hernia and have had mitrovalve problems in the past. I would have double heart beats and it would almost stop for a split second and I would take a deep breath and then all would be fine. I was wondering if I should be concerned. My Dad Died from a massive heart attack at 42. My Doctor said continue riding my bike and doing my chores. I just wanted a second opinion. | Hello,The mitral aortic and tricuspid regurgitation is mild, so active management not suggested. If the stress test is negative for inducible ischemia. I would suggest that you continue the same line of treatment. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Ponnambalam V | |
Are left side chest pain and arm pain signs of heart attack?
Late last night at 02 AM I felt pain in left side of chest & left arm slightly above elbow without any Shortness of breath, cold sweat, nausea, or lightheartedness, The pain subsided after half an hour taking SORBITRATEIs THIS a sign of heart attack? | Thanks for your question on Health Care Magic. I can understand your concern. Yes, all these are more suggestive of heart disease like coronary heart disease (CHD). Left sided chest pain with arm pain, at mid night and relieved by sorbitrate are characteristic features of anginal pain. So immediately consult doctor and get done 1. Blood pressure monitoring 2. Ecg 3. 2 d echo 4. Coronary angiography if required. Quit smoking if you are smoker. Don't wait at home, check yourself for heart diseases because this can be life threatening if not treated promptly. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes pain in body and muscles get loose after masturbation?
HI, I am 29 year old male with 5ft11inch height and 80kg weight. I am sufferening from a rare decease where after every masterbation I am getting weak. This is not my pshycological feeling but lost my muscles all over the body in the period of around 10 years. I feel pain in my body every time i am excited and I can feel some of my muscles are converted to semen which is coming out. This might be weird for you guys but is happening with me. i thought it was my pshyc which is working on me but I can see changes in almost every body part. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Masturbation is normal, natural and never unhealthy. But excess masturbation can kill your sexual stamina. Excess masturbation can also cause anxiety disorder, depression and thereby erectile dysfunction, premature ejaculation etc. You can be sure; there are no side effects to masturbation if you are able to restrict it to thrice a week. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand | |
What are the symptoms of potential pregnancy?
I was taking birth control for almost a year,i reciveved my period at the end of last pack, nothing differently i always experience light periods. i however the week before was sick alot in the morning and loss of interested in eating food. i was taking antibotics for my strep throat but i never thought it would effect my pills.I stopped taking my pills on monday so i only started the new pack by taking one pill.I have had unproctecd sex without taking my pill but today i spotted some blood i wondering if that is a sign of pregency or just becuase i stoped takin my pill.i am a smoker as well and i am tryin to get pregenct | If you are taking your pill on a regular and appropriate basis there is almost no chance that you are pregnant. Symptoms could be related to the antibiotic use. Anyhow, since we have a paradigm: any woman of reproductive age is pregnant until proven otherwise! you should have a pregnancy test done to eliminate any doubts, why wait or speculate? Take advantage of the diagnostic advances of this century | |
Can pregnancy happen with sperms in condom?
My girlfriend and I (I am demale) are trying to concieve. I have a male friend who has offered to give me sperm from his condom. He said this could work if I used it within a few hours. Is this true? Also I am too discustde at the thought of having sex with a man, and cannot afford IVF. How long will the sperm live inside the condom, and is it possible to fall pregant using this method? Thank you :) | Hello, I just read your query.The method you are telling is not an option to get pregnant. * If you can not afford IVF then you can ask a gynecologist about IUI(intrauterine insemination) where sperms are placed inside woman's uterus and they ultimately reach fallopian tubes and help in pregnancy.*This procedure is not as expensive as IVF and you can ask your doctor about it.* I hope you find my answer helpful.Thank you. | |
Suggest remedy for recurring amoeba infection in 9 months old
My 9mos. old daughter is infected by amoeba for a month already. We consulted a pedia then prescribed Flagyl. The bacteria was gone then after a week it came back and we rushed my daughter to the hospital and stayed there for 3nights and she has dextrose. We went out as the doctor said it s gone. We had our daughter undergone stool exam last 3-4 days amoeba is 0-1 however, RBC (for blood in the stool ) is 6-10 now, before it was just 4-6. My daughter s poop is still wet and has an unlikely odor. She is now taking rotazide(dont know the exact term). We have a sterilizer for bottles and distilled water for her milk. | Hello Mam, I just read your query. The main cause for amoebiasis is contaminated food and water. Amoebiasis is most commonly caused by entamoeba histolytica. *As you have mentioned that the infection re occurs in your daughter, and it usually transmitted through fecal oral route. The reason behind this might be that sometimes amoeba when enters in body and took time to eradicate and in your daughter there might be chances that it was not eradicated completely and was present in her intestinal tract and spread again through fecal oral route. Other reason can be inappropriate sanitary measure.* To help prevent spread of infection again and again adopt some preventive measures as medicine you are already giving to her:*Wash hands thoroughly with soap and hot running water for atleast 10 to 15 seconds after going to toilet or changing baby's diaper and before handling food.*Clean bathroom and toilet seats and taps regularly.*Avoid sharing of towels to help prevent infection.*Avoid using raw vegetables.*Boil water if you use water in other food items.*Use glass bottles in place of plastic bottles as glass bottles are better while preventing any infection. Try to change nipples of bottles after 7 to 10 days. Boil bottle and nipple every time before use as it would be more helpful than alone using steriliser.*As your daughter is already 9 months old then you can try giving her milk and other liquids with the help of sipper and can try giving her with the help of spoon as this will also help her because bottle feeding is more prone to infection. * Try all these preventive measures and you will soon feel positive results.* I hope you are satisfied with my answer. Thank you. | |
Will taking oxy pro elite for 2 weeks elevate liver enzyme level?
I have been taking oxy pro elite for 2 weeks after being off for almost 3 months. I went to the dr and had a blood test ordered. They called and left a message today stating my liver enzymes are high and wanted to repeat in 2 weeks. Should I discontinue oxypro? does it affect liver enzyme level? | thank you for posting your query.its adviced to STOP oxypro ELite immediately .further advice for the next two weeks:- abstinence from "Alcohol and drugs" - LOW fat diet should be followed- NO red meat- vegetables should be ingested daily- Moreover, less activity should be carried out (no sports). - use lemon juice (lemonade) once in a day-"recheck liver enzymes after 2 to 4 weeks".wish you good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik | |
whats the sucess rate for the first time of IUI?
i have to go for iui whats the sucess rate for the first time and is there any complication in that | Intrauterine insemination success rates vary considerably and depend on: age of the woman,type of ovarian stimulation used (if any),duration of infertility ,cause of infertility,number and quality of motile sperm. Intrauterine insemination has very little chance of working in women over 40 years old. IUI has also been shown to have a reduced success rate in younger women with a significantly elevated day 3 FSH level, or other indications of significantly reduced ovarian reserve. With significant male factor issues, IVF with ICSI is indicated and has high success rates for women under age 40. The risk for complications with intrauterine insemination is very low. The woman could develop an infection in the uterus and tubes from bacterial contamination that originated either in the semen sample, or through a contamination of the sterile catheter in the vagina or cervical area during the procedure. Careful cleaning of the cervix and cautious technique make this a rarity. | |
What causes bad odor from tip of penis?
I had a fishy odour from the tip of my penis. I m uncircumcised but the tip is always exposed as my foreskin stays back on its own. The smell comes from where my wrinkly foreskin sits at the rim of my penis head. I have no std s, it s not my urine and I wash it regularly but it always stank of fish. After researching online I saw it could be a bacteria causing the smell from within the foreskin that sits around the rim of the head of my penis, being that there is excess skin causing a moist area for the bacteria to thrive. For the last 2 weeks I ve been using a little savlon rubbed into the rim of my penis head and the smell has vanished from the first application. Is this safe to continue? Are there any further things I can do other than a circumcision which I do not/will not have done. Many thanks. | Hi,It seems that there might be having collection of smegma under fore skin.Due to deposition there might be having chance of Belano-prosthitis might give foul smell from the part.Clean the glans by averting foreskin and remove smegma gently.Apply antibiotic cream locally.Make a habit to clean glans while taking shower.Ok and take care. | |
Suggest remedy for tingling pain in buttocks
I have a tingling pain (more of an annoyance) in my buttocks which will occasionally extend upwards into my lower back and down the backside of both of my thighs. It s extremely uncomfortable when I lay down, I cannot find a comfortable position to fall asleep. What is wrong with me? | Hi there. Thanks for your question. Pain in the buttocks radiating down your thigh can be a manifestation of pinching if a nerve in your spine. Usually at the lower level that is L5 S1. Since its affecting your routine, you should get an X Ray of your spine followed by MRI if required( depending in what's seen on xray and whether u have relief with pain meds). Depending on severity of pinch u will need pain meds, injection or surgery. Hope this helps you. All the best. Regards Dr.SBK | |
What causes spine popping with deep breath?
Hi, my upper spine clicks whenever I breathe in. It creates popping noises which are disturbing most of the time. I do not feel any intense pain however, only discomforts whenever they crack. Is this abnormal and what can I do to improve the situation? | Thanks for your question on Healthcare Magic. I can understand your concern. Yes, this is abnormal. This suggest instability of cervical spine. This is commonly seen with cervical spondylitis. It is inflammatory disease affecting intervertebral discs. So better to consult orthopedic doctor and get done clinical examination and MRI of cervical spine. You will need calcium and vitamin D3 supplements. Cervical collar or belt should be applied all the time. This is to prevent mobilization. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks | |
What is normal range in blood reports?
I HAVE LUPUS, AND JUST HAD BLOOD WORK DONE. MY DR SAID EVERYTHING WAS OK. I TOOK A COPY OF THE BLOOD WORK HOME. AFTER I READ THE REPORT, I DON'T THINK EVERYTHING IS OKAY. MY WHITE CELL COUNT WAS HIGH (12.9, MY PLATELET COUNT HIGH (18.1) ABSOLUTE NEUTROPHILS HIGH (10243), BUN/CRBATININE RATIO HIGH (31), UREA NITROGEN (BUN) HIGH (39), CREATINE RATIO HIGH (31) BESIDES WHAT WAS LOW. DOES THIS SEEM NORMAL TO YOU, PLEASE HELP | Hi,Thank you for your query. I can understand your concerns.i think you are having Lupus nephritis. There is also possibility of urinary tract infection,which is not uncommon in SLE, as your white cell count is high with high absolute neutrophil count. High platelet count can be explained by acute phase reaction. i will like to know your Blood pressure also.you will require the following investigationsroutine urine analysis (particularly for proteinuria (may be in nephrotic range), hematuria, RBC casts)24 hours urinary protein estimationurine culture and sensitivity testsyou can undergo these tests and visit your doctor or consult your doctor for advice at the earliest.Regards Dr. T.K. Biswas M.D.Mumbai | |
What does a lump on upper thigh indicate?
I can feel a lump in my right upper thigh. I can t tell if it s in the fat tissue or not. It s under the surface and doesn t show from the outside. I m 62. I ve had 2 lipomas removed from my left arm, but I m concerned this may be something else. I m sorry - I can t afford to spend $15 on this, so I ll make an appointment with my doctor. I didn t realized there was a charge. | Hi, greetings from HCM.Since you had two lipomas removed from your left arm you may be probably suffering from multiple lipomatosis.If it is enlarging in size ,or dialated veins over the swelling and hard or firm in consistency you need to consult a surgeon and rule out the possibility of soft tissue sarcoma by taking for biopsy.If it is soft and not enlarging do not worry. It could be benign | |
Q. Developed muscle twitching and shaking all over the body. Could it be something serious?
Hi doctor, I hope you are well and hopefully will be able to answer some of my concerns. For the past three months, I have been experiencing some unusual symptoms which have given me cause for concern. First of all, I am a 28-year-old female. Before three months, I started to experience a sort of internal vibration or shaking feeling all over my body. I still have this symptom today, there have been only a few days where it has disappeared completely. It also seems to get worse at night when trying to sleep. I have also developed random muscle twitching across my whole body; it comes on randomly and sporadically anywhere on my body. My final symptom which can vary on and off is muscle pain in all my limbs particularly my forearms and a sort of burning tingling sensation in my hands and feet. I have been searched online; it has given me the possibility of ALS. I am now absolutely terrified that I have this disease. My GP has done some muscle blood tests, and the only thing that showed up was a severe vitamin D sufficiency for which I am now on tablets. I do not think I have any muscle weakness, atrophy, etc. Do you think it could be a severe disorder or hopefully something treatable? I am a relatively healthy person I have diagnosed hypertension for which I take Ramipril. I am now taking prescribed vitamin D. Thanks for taking the time to read my concerns your opinion would be most appreciated. Many thanks | Hello. I passed carefully through your question and would explain that we can exclude ALS (amyotrophic lateral sclerosis), considering the fact that you have sensory complaints (tingling and burning sensation). From the other hand, this would be an exceptional diagnosis at this age. Also, vitamin D deficiency can mimic this clinical situation. Another possible cause to consider would be vitamin B12 deficiency or thyroid gland dysfunction. For this reason, I would recommend checking your thyroid hormone levels and vitamin B12 levels to investigate for a possible deficiency. As you are taking Lisinopril, I would recommend checking potassium plasma levels too as it can increase potassium plasma levels. Nerve conduction studies would help exclude ALS or peripheral neuropathy and put your mind to peace about ALS. | |
Does facial hair grow by using biotin ?
Does Biotin make you grow facial hair? | Hi,Welcome to HCM. Biotin is a water soluble B-complex vitamin.Biotin is a coenzyme in the metabolism of fatty acids and leucine, and it plays a role in gluconeogenesis.Biotin is necessary for cell growth, the production of fatty acids, and the metabolism of fats and amino acids.biotin deficiency causes: Hair loss (alopecia) Conjunctivitis Dermatitis etc. The use of supplement over a long period can cause thicker and stronger hair and as well as healthier nails. | |
How to reverse neuropathy?
Had small fiber neuropathy (I suspect a SCN9A defect which produces hyperexciability). Took Pilocarpine which eliminated tachycardia and altered bowel and bladder motility. Have connective tissue defects: Diverticulitis requiring bowel resection, stage 3-4 hemorrhoides, hiatial hernia, eosinophilic eosaphagitis, vericose veins, dry mouth - gingivitis requiring repair of gum-line carries in all teeth, frozen shoulder, etc. Traced this to muscarinic receptor neuropathy. What can I do to reverse neuropathy? Eric | Hello, I would explain that most of peripheral neuropathies are progressive and non reversible disorders. For this reason, I would recommend performing further tests to investigate first for the possible causes underlying neuropathy and then treat them if possible: - HbA1C for diabetes - vitamin D and vitamin B12 levels for possible deficiency - vitamin E plasma levels - PCR for inflammation - iron plasma levels - blood electrolytes, etc. Hope I have answered your query. Let me know if I can assist you further. | |
Q. How can I grow a full beard?
Hello doctor, I cannot grow beards on my cheeks but moustache and beard near chin grow properly, what can be done to grow full beard? Please help. | Hello, Welcome to icliniq.com. This is very common not to have full grown beard. As you have mentioned you have hair on chin and moustache but not on cheeks, you can consider meeting an endocrinologist and get your hormones laboratory test done. This is just to ensure that you do not have any hormonal issues. If everything is normal, you can consider beared transplant surgery. It is safe and permanent solution to your problem. | |
What causes lower decision power?
one of my relative is delaying every important thing in life . he is 34 ,does wants to take any responsible work, even though marriage. he washes his hands frequently & each time 2 minutes.he afraids what world may think about him ? his decision power is also becomig less. he does not wants to go out also. but he is doing his job satisfactorily . very sensitive in nature | Hi,I do appreciate your concerns for your relative. From what you have mentioned, your relative might be suffering from Obsessive compulsive disorder (OCD) in addition to other anxiety disorders. OCD is a condition in which a person repeatedly have thoughts regarding something and does some act to undo it. In your relative's case, he might be having obsessions of contamination and washing his hands repeatedly could be the associated compulsion. He might also have other obsessions, which will require detailed evaluation. His not wanting to take decisions and remaining at home might also be related to associated anxiety.I would suggest a psychiatric consultation for him for complete evaluation and initiating treatment. Medications like fluvoxamine would be helpful in controlling his OCD and anxiety.I do hope that I was able to answer your query. Best wishes. | |
Suggest treatment for dry and scaly rash on face
DEAR DOCTOR, MY FACIA.L RASH BEGINS WITH REDNESS,ITCHING,AND STINGING AND DRYING JUS T BELOW AT ANGLES FROM MY MOUTH TO CHIN AND SLIGHTLY UNDER NEATH CHIN. IT PROGRESSES TO SIDES OF FACE CLOSEST TO NOSE.IT BECOMES VERY DRY AND PULLS DOWN SKIN CAUSING MY EYELIDS TO PULL DOWN AS WELL. IT BECOMES VERY DRY AND SCALY AND MAKES MY FACE FEEL VERY TIGHT. PLEASE ADVISE. THAKS J WINTERS | Hi, It may be perioral dermatitis or demodicidosis. Consult the dermatologist for the perfect diagnosis and proper treatment. After thorough examination and investigations, he might come to a perfect diagnosis and accordingly he might give proper treatment. Avoid soap for washing the face. Avoid sun exposure which might exacerbate the rash. Apply metronidazole gel on the face. Antihistaminics like cetirizine may be taken daily. Antibiotics and anti-mite tablets may be taken after consulting the dermatologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist | |
Suggest treatment for infertility
My menses last month was on 18 October 2012, the gynae fed me on clomid from day 2 to 6, my 1st IUI was done on 1 November 2012. My menses came for this month was on 19 November 2012 (is a delay of two days from last month). If I have an irregular menses? how I know when I ovulate, even I used the ovulation kits? When is my ovulation since is so irregular? Ive tried all ways to be pregnant since the month of April 2012, yet not sucessful till now :( Blood test, sperm motility check, IUI done, check womb, ovulation and scan etc. My husband sperm motility is low and now I am 41 will there be miracles to be pregnant again? I am so desperate, I just wish I can be a mummy soon :( What should I do after fails IUI once? the percentage is so low for those who under go IUI to be pregnant. | HiI have gone through your considerationsIf anyone with such complaints comes to me i suggest them to go for INVITRO FERTILIZATION.In this technique the ovum and sperms are taken from wife and husband respectively and these are then allowed go meet outside the uterus in a special environment to form a zygote.zygote is then implanted in uterus.this procedure has very good results.Cloning is also a choice but controversial in some ethnic groups.Hope you got your answerYour questions will be appreciatedWish you good health and happy life | |
Q. Will taking Lonopin cause any complication in a pregnant HIV patient?
Hello doctor, My sister is 6 months 20 days pregnant with ART. She is having premature ovarian dysfunction. She was on Lonopin 40 mg with Ecosprin tablets. She had undergone two time ART procedure. All her reports were fine, but the fetus had no pulsations. So, she underwent two times for abortion. Now this time everything is fine, and her doctor advised to stop Lonopin. He said nothing to be worried about and no need to take an injection. Do you think she needs to take these injections and if she takes these injections full time, can it bring some complications? | Hello. No, she should not stop low molecular weight injection and instead take a good brand either Enoxaparin or LMWX and tablet Ecosprin 150 mg, as her previous history is such that we should not ignore it. If not taken, then she is at high risk for early development of high BP, slow growth of the baby, water level around the baby remains low and some time bleeding can occur during pregnancy. So you have to be very careful. | |
What causes vision loss, migraines with dizziness and syncope?
Hello. I have a question. I have been blacking out for over 6 years now. It doesn t matter what I am doing just all of a sudden I will get dizzy, feel sick and not be able to see anything. I have fallen down and haven t been able to get up for a few minutes as well. I have had constant and severe migraines for 6 years as well. I drink a lot of water. That is basically all I drink. I have the right amount of sugar that I am suppose to have. Lately these black outs are happening a minimum of 10 times a day. I thought that maybe it was stress but its been happening for so long and its happened during the times when I was completely stress free. | Hello!I understand your concern.In my opinion these faintings called syncopes can be caused by an orthostatic hypotension, a heart problem or even epilepsy. Migraine can be exacerbated by orthostatic hypotension , the most probable diagnosis in your situation.I would recommend further examinations like : a full blood cell count to rule out anemia, a HeadUpTilt test for orthostatic hypotension, an ambulatory ECG monitoring for cardiac arrhythmias. An EEG followed by a brain MRI if abnormal EEG finding would be helpful to rule out atonic epilepsy , although less probably based on your symptoms.Hope to have been helpful!Thank you for using HCM!Best wishes | |
What causes sudden paralysed hands and painful abdominal cramps?
hi there Can i ask u doctor a question? My wife was taking a shower and star geting her Hands paralyzed, Painful Abdominal Cramps, we run to the hospital a did a urine and blod test, but she got mad for all the waiting, and we left widout seen the exame.. | Hello ! I read your question and understand your concern. There are some metabolic disorders you should exclude. These are a possible hypocalcemia ( low plasma level of Calcium) and thyoroid gland dysfunction. These two disorders can cause similar symptoms . I would recommend to do a blood test for calcium levels and thyroid hormones. If these two analysis result normal I would think about a psychiatric problem. The reaction of your wife to the situation is another argument in favor of this diagnosis. I would recommend a psychiatric evaluation for a conversion disorder. Hope to have been helpful! Best wishes !Dr. Abaz Quka | |
Suggest treatment for type 2 diabetes
Sir my diagnosed with type 2diabetes.her wt-55kg age-61yrs.ger current sugar chart is Date FBS PPBS 1.3.14 134 135 5.3.14 114 230 6.3.14 180 203 7.3.14 134 230(lab test) Till 7.3.14 doctor kept her on tab glimlsave M2 morning and night,tab.janumet 50/500-1tab afternoon after lunch.cap neuro special - 1cap afternoon after lunch.tab rabekind20 -1 tab morning. Now from 8.3.14 he prescribed following medicine Tab glimisave M2-1tab morning and night. Tab vogo M .2 1tab after lunch. Tab janumet 50/500 1 tab at night Cap neuro special-1cap after lunch. Now sir my questation is that at night she is taking glimisave M2 and janumet 50/500 both. Her fasting sugar sometime comes 114,sometime 134,sometime 138. So taking both this medicine at night can create hypoglycemia.. her PPBS is high but he increased the night dose..at first he said to take janumet 50/ 500 after lunch but then he changed his mind and said to take janumet 50/500 at night.... I m worried that is giving these 2medicine at night can bring hypoglycemia | Thankyou for your query.As per your details regarding blood sugars it is certain that your blood sugar is raised despite taking medication. Kindly mention your dietary patterns because as per your post prandial sugar levels it is clearly evident that you are taking heavy dinner.You can do one thing that you can start small frequent meals, low carbohydrate diets, brisk walking 30 minutes a day for 5 times a week, green leafy vegetables, nuts, skimmed milk products. Regarding medical treatment instead of janumet you can take galvusmet 5/1000mg in the morning, one tablet glucobay along with metformin at the time of having lunch, and then at dinner you can take gliclazide in combination with pioglitazone and metformin.Yes sometimes too much of medicine at a time can cause hypoglycaemia, kindly let me know if you ever feel lethargy or get up from sleep due to intense hunger, or altered sensorium. Do mention it as you might have to change your drugs if such symptoms occurs.Get in touch anytimeGod Bless | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
What causes inconsistencies in menstruation?
my boyfriend and i had sex during the time i was most likely to get pregnant. i took an early detection pregnancy test and it said that i wasnt pregnant. and then i got my period but it came about 3 days early. the first day it was heavy and the next day it was light. it only lasted for 2 days. this is really unusual for because i always get my period on time and it always lasts for about 4-5 days. | Hi,A heavy period usually does not happen with an intact pregnancy. There can be slight variations in the menstrual cycle occasionally due to transient hormone imbalances which often settle down in a couple of cycles. These can be due to sudden weight disturbances, stress, certain medications and infections. If you are still in doubt about the possibility of a pregnancy, please get an assessment of the serum beta-hCG titres and a trans-vaginal sonogram. Hope this helps. | |
Diagnosed with infiltrating lobular breast cancer, had lymph nodes removed. Had bilateral mastectomy. Suggest?
I was diagnosed with infiltrating lobular breast cancer . 3 lymph nodes were removed and only 1 contained a minute amount of cancerous cells. I had a bilateral mastectomy about 6 weeks ago. I have recently learned that my prolactin level is elevated (161) and after a CT scan I learned that I have swollen lymph nodes in my stomach. What does this mean? Should I be concerned about any of this? | Hi, Infiltrating lobular carcinoma has a chance of spreading both to both the breast, this is the reason why bilateral mastectomy has been done. You have not mentioned your age anyway elevated prolactin level can have other causes. But lymph node enlargement in stomach should be thoroughly examined. There is a chance of lymphatic spread from lower part of breast to this region. A CT guided FNAC may be tried, consult your doctor. | |
Does anterior thigh pull require medical attention?
Hi. I was just playing soccer and took a relatively hard warm-up shot. I felt something in my anterior thigh pull. I ignored it and took another shot, at this point it almost felt like something tore. I m currently experiencing lots of pain and stiffness in my anterior thigh. I was wondering if this is just a Rectus Femoris sprain, or something more serious I should contact my physician about? | Hello, I suggest you to take a break from your activities. Rest, compression and elevate the leg. You can take non steroidal medicines like ibuprofen to relieve pain. if pain persist or you don't feel better consult with your doctor. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr. Blerina Pasho | |
Suggest remedies for pain in thigh
I slipped and scraped my thigh really bad almost 3 years ago and i started having pain in the same area today i had an mri done on it when it first happened and they said nothing was wrong so why am i still having pain i am 46 years old. 5 4 and weigh 128 lbs. thank you | Hello, The pain in the area can be due to a muscle injury in the area as there was a scarping. If the superficial skin has healed well then there is no need to worry. Rest and mild pain killers will help. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon | |
Could curved spine be the cause of backpain and numbness in legs and arms?
Hey doc my wife complains that her back hurts and her legs and arms goes numb. She was born with a curve in her back and doctors told her mom that she would grow out of it but u can see that her spine is curve could that be the problem or what could is be | Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you Question : Could curved spine be the cause of backpain and numbness in legs and arms?Answer : Yes . It can cause Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care. | |
Continuous fever with fluctuation in temperature, chills, fatigue, loss of appetite, stomach upset, very low sex drive. History of surgery for deviated septum. All tests normal. Help
My boyfriend is a 38 year old male who has had a fever between 99 and 104 for the past five weeks. All blood tests, xrays, ct's, urine tests, and cultures etc have come back normal. He gets very shaky and has chills and tremors when his fever starts. He is usually healthy, but has had a history of sinus problems and had surgery on nose and sinuses 2-3 years ago to fix a deviated septum. He has been getting weaker daily as his fever persists, huge lack of energy and tires quickly, has had a loss of appetite since the fever began and has lost 20 lbs or more from eating so little. He's been going to the doctor and hospital for weeks, but the tests show nothing. His mom has sarcoidosis (sp?), an autoimmune disease I believe. He has occasional cough (not bad and stops quickly but not usual for him) and has had an stomach upset lately (bloating, heartburn, constipation), and he no longer wakes up sneezing 50 times every morning, as he has EVERY morning since his sinus surgery. Not sure it's at all relevant, but he's had a very low sex drive for 15 years, which to me is extremely unusual. After his late teens, he has had little interest in sex and often goes months without interest. While single from 20-33 he went years without being sexually active at all. He is the total opposite of any man I know this way, just placing a very low importance on anything related to sex, although he can be aroused and perform normally when he does occasionally feel obligated to force himself to get "in the mood". Since the fever began, We have both done tons of reading online about possible diagnoses, but it seems to cause more questions and concerns, and no one can offer any answers and he can't his doctors to refer him to any specific type of specialist or anything, to figure out what could be wrong. Where can he turn next for help? His family doctor and hospital doctors have no idea, and keep telling him to come back every couple days if fever persists, but it has and he is desperate for help. Has missed a LOT of work from this and has not gone one day without a fever since it began. | Hi there ~After reading your history about your boyfriend, I believe that he has a chronic disease. He needs to be checked out for a sexually transmitted disease profile as well as run a panel for autoimmune diseases. A visit with a psychiatrist will be necessary to rule out bipolar disorder. I wonder if an infectious disease specialist can also help along with an allergist/immunologist. Please take all his previous investigations with you for these appointments. I hope this helps.Take care and have a lovely day! | |
How can infertility due to irregular periods be treated?
Hi, I have been facing very irregular periods from last 6 months,as I want to conceive I visited doctor who on first month did follicle study, reports showed no egg formation. Hence, she advised me to take dronis 30 for 40 days once in a day, and fertisure f twice a day. So I want to know am o taking ryt medicines, and would it be helpful for me to conceive. Pls advice. | Hi I think you should do a thyroid profile and prolactin level and a ultrasound done to see uterus and ovaries to find out the cause of irregular periods. If anything is abnormal, it can be treated. Dronis is an oral contraceptive pill which is given to regulate menstrual cycle but you can't get pregnant while using it. You will need some medicines like clomiphene for inducing ovulation. Talk to your doctor regarding this. Hope it helps. | |
Q. Experiencing pins and needles in both legs. What can be the cause?
Hello doctor, I had a neck fusion a few years back. I like to understand more about my MRI. I am going to start Gabapentin for nerve issues soon and also I have Crohn's disease and Lyme. Currently experiencing pins and needles in both legs. I have seen a neurologist and going to see a few surgeons this week. I would like to know, what you think about all this information? The neck is worse than the back at this point. Also, I want to know what my options are for fixing scar tissue? Thank you in advance. | Hi. I have read through your query in detail. Sorry to hear the pain and discomfort you are having and wish you a quick recovery. Please find my observations below. Your MRI scan reports (attachment removed to protect patient identity) show that there are changes seen in the neck region of the spinal cord at the level of fusion surgery for which the term myelomalacia (softening of the spinal cord) and myelopathy (compression of the spinal cord) has been used. The cervical spondylosis has probably increased from before. These changes make the neck changes a little worse than the lower back. There is significant pinching of nerve roots at C6 - C7 level on the right side and this becomes important because it affects your daily activities. There are changes in the spinal cord at this level which is a concern. If you are right-handed and have to use the computer at work then this can be one of the reasons for the tingling and numbness. The lower back problem is mild and is of less concern when compared to the neck. In conclusion, the visit to the neurosurgeon should be focused on reducing the nerve pinching in the neck C6 - C7 level and preventing any progressive changes in the spinal cord at that level. I would be glad if you can share the CD so that I can have a look at your images. However, my observations will most likely be the same as mentioned above. | |
Suggest remedy for lumps in neck
i just turned 14 a couple of days ago and i had a pain in my left peck when i bumped it. It only hurts when something touches it, i ignored it but tonight i had touched my peck there is a small lump but it does not hurt as much as it did when i first found it. I don't know what it is but I'm a little worried it could be serious. | Hi! Good evening. i am Dr Shareef answering your query. Even though it needs a clinical examiantion, from the history it seems to be a hematoma (collection of blood) in the subcutaneous tissue resulting from the bump. Usually small hematoma would get absorbed by itself and nothing more might have to be done. If I were your doctor, I would prescribe you with an anti inflammtory along with a proton pump inhibitor and ice-soakages for some time for a symptomatic relief. If it increases, then you might have to see a surgeon for further opinion and management.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
What are the symptoms of potential pregnancy?
I am about 4-6 days away from starting my period, I did have intercourse around the time I would ovulate. First day of my last period was 6/11/10 and I had sex early morning around 2:30am on 6/24/10. I am now having mild cramps at times they feel like it is my period and other times it feels more like a bladder infection. I also have been a little bloated yet it comes and goes, as well as chunky white discharge. Wondering if this sounded more like my period or beginning on pregnancy. | Hallow Dear, Yes, you did have sexual intercourse during your fertile period and the chances of pregnancy are quite high. Please remove the concept from your mind that in pregnancy there are cramps in the abdomen. In fact, any pain in the lower abdomen during pregnancy is not a good sign. You are yet to miss a period. You have got two options:1. Wait for the period to be missed. A week after that, perform pregnancy test on the overnight first morning urine sample. 2. Perform Beta hCG test. This test is very specific and sensitive and provides reliable results even few days before missing period. Wish you good luck. Dr. Nishikant Shrotri | |
Noticed a large lump at the bottom edge of the penis
Hi, i have a large under the skin lump on my bottom at the edge of my cheek about 2cm from my anus. It is somewhat uncomfortable and i can squeeze puss from it, thick white puss mixed with blood and sometimes a yellowy runny liquid, similar to a spot. Could you provide guidance as to what this may be? | not to worry much as this is benign condition like infected sebaceous cyst leading to abscess formationif really worries you can go for an FNAC test for confirmationall the best! | |
What causes lightness in the chest and ringing in the ears while on Bystolic for blood pressure?
been having pretty consistent symptoms; they come and go thought the day lightness in chest / left arm ; not pressure or pain the opposite of that , but not really numbness either Ringing in both ears lump in throat 38Yo Male recent (march) negative stress test due to abnormal EKG for inferior infarct Cardiologist stated heart was good but I m no getting enough push On 5mg bystolic recommended by GP for blood pressure. | Hi, You seem to have functional overlay as you are having a lot of unrelated symptoms which do not fit well with organic disease. Please continue beta-blocker Bystolic (Nebivolol) for your BP. To my mind, an anti-anxiety drug like clonazepam will help. It is a prescription drug. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist | |
What causes pain from ribcage to groin area?
I have a pain that starts from under my rib cage that goes to my groin area, sometimes sharp cramp, burning or like an ooze kind of feeling. It hurt really bad after I ate lastnight and felt like my stomach was going to explode, used the bathroom a few times but it wasn t bad. I haven t had anything to eat or drink today because I was scared but today it feels like a slight burn or like something is oozing | Hello,I have studied your case and I think you have GIT infection. This has cause abdominal pain in you. I would suggest you to eat normal diet today with less spicy food. Do not eat any sea food or egg. If there is any abdominal pain then you can take cyclopam tablet which is a antispasmodic tablet. Also drink lot of juices. If this pain continues even after taking these medicines then you need to contact with your physician and you might need to take antibiotic like Norflox TZ. I hope this answer will be useful for you.Let me know if there is any other followup questions.thanks | |
Cavity filled, jaw muscle pain, hurts to open mouth. Reason?
Hi. I just got a small cavity filled yesterday in tooth number 17. I'm 27 and it's only the 3rd cavity I've had in my life. As soon as the numbness wore off 3 hours after the procedure I started experiencing jaw muscle pain... Is this normal since I was a little tense during the 15 minute procedure? It hurts to open my mouth and also if I press on my cheek where tooth 17 is... | welcome to HCM!take some analgesic anti-inflammatory drug which your dentist has prescribed.wait for an hour.if alright, take the medicines prescribed properly.if no reliief, consult your dentist. | |
What causes pain in chest and arm after cardiac surgery?
My father is 60 years and on 1st february 2011 he went under cardiac surgery CABG . He is not having the problem he was having before but after surgery 15 days he started having some burning sensation in whole chest and pain in both arms and this occurs in the morning and at night and gets relief after 10 to 30 minutes and now it is 6 months post surgery and he is still having same problem, the cardiac surgen says this is not a cardiac problem, gastro doctors say this not a gastro problem i showed to gastro also but the problem still persits what to do a. please help | what kind of pain is this , does it occur on exertion, does it relieves on rest, have you tried tab Sorbitrate 5 mg sublingually. My suggestion is you try tab sorbitrate sublingually and if it's getting relieved on it, it can suggest cardiac origin. Also, You can try antacid like pantoprazole 40 before breakfast for gastritis. This can also be related be related to damage to nerve and tissue after surgery. So at last you can discuss with your physician regarding tab Pregabalin 75 mg bedtime which stabilizes nerve. | |
Q. My foot is swollen after being scratched by cat. Am I infected with rabies?
Hello doctor, I was scratched by a cat in my left foot and a little blood went out. It was like three or four days until now, when I noticed that my left foot is a little swollen. Am I already infected by rabies? | Hello. Because of the dog bite, inflammation can develop and in inflammation swelling can occur and pain also can be there. The incubation period for rabies is two weeks. So, you are not having rabies but to prevent it if you are not vaccinated then get rabies vaccine because it is not too late. The vaccination schedule is at 0, 3, 7, 14, and 28 days for non vaccinated person. If you are previously vaccinated then the schedule is different. Take care. For more information consult a general practitioner online --> | |
What causes swollen ankle post shin injury?
2 weeks ago I had a vice fall on my shin and it cut it a little and my ankle is still swollen. The cut area is red and there are tiny red dots around the area. This area itches. I do not think anything is broken or fractured since I can walk and there is only slight pain esp. if you touch it. I am concerned about the cut area though with the redness. | Hi. This sounds like an infection with cellulitis where you had the cut. It is important to have this treated with antibiotics to prevent spreading of the infection to overlying skin and bone.Fluid from the swelling in the injured area gravitates down and that will cause ankle swelling. Please go to ER for proper management. | |
Is delayed period after non-penetrative sexual activity a sign of pregnancy?
So my girlfriends period is now two weeks late. We’ve never had sex but I did finger her around 2 days ago about 10-15 minutes after I ejaculated and I don’t know if I had any on my hands. She also had her wisdom teeth out two weeks ago. We are very worried that she is pregnant. Help? | Hi, No pregnancy without intercourse not possible, yes it is by IVF, or any advanced technologies for infertile people. but not possible naturally. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Minakshi Biradar | |
Is my lower back pain serious? Suggest treatment
Hi I recently had lower back pain which lasted for more than a month! On taking the Xray, it showed Sacralization of L5 and mild lumbar scoliosis convex to the left with a+1 vertebral rotation at apex of the curve.Is it a very serious problem and what is the remedy for this problem. | Sacralisation of lower lumbar vertebrae like L5 means gradual fusion of the lower lumbar vertebrae as in case of the sacrum where the vertebrae are already fused. Otherwise there is some degree of movement between the lumbar vertebrae. As a result of such fusion scoliosis or a lateral curvature of the spine may occur and the nerves exiting from the two sides of the lumbar vertebrae get compressed resulting in pain. Since it is age dependant degenerative lesion, not much can be done and there is definitely some cause of concern. Please be in the follow up of an orthopedician. Traction and physical therapy with ultrasonotherapy and hot compress should give you relief. Surgery is required in extreme cases but you need not panic as of now. | |
Suggest treatment for costochondritis
I was diagnosed with costochondritis last Tuesday. I don t have any more CC Pain. Now my left shoulder hurts. It hurts when I reach for something, especially in the ground. And, it hurts my shoulder when I burp. It s a stabbing pain. Is there a particular shoulder joint that s effected? | Hello, I have studied your case.It can be rotator cuff injury which may need MRI for confirmation.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor.You may consult physiotherapist for further guidance. He may start TENS ,or ultrasound which is helpful in your case.You may need to take rest for early healing.Also check your vit B12 and vit D3 in your blood.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take careRegards Dr Vaibhav | |
Yellowish eyes. Blood test shows high bilirubin levels. Gilbert syndrome?
Good afternoon, I'm a male , 3 years old.I've just taken my latest blood tests and I have found an high level of unconjugated bilirubin, 2,85 mg/dl instead of 0-0,8 mg/dl. the conjugated birilubin is 0,36 mg/dl instead of 0-0,2 mg/dl.All the other results are normal, including GGT, ALT,ST, hemoglobyne and erithrocitus.My health condition is currently good, the color of my urine and stool is normal, I'm not loosine weight, I don't feel itch. My eyes are a kind of slightly yellow.My doctor diagnosed a Gilbert Syndrome: do you think he is right?thanks best regards | hello good afternoon. Yes. Gilbert's syndrome is a common cause of unconjugated hyperbilrubinaemia. the onset usually shortly after birth. it a benign condition you are suffering from. wish you the best. | |
Suggest treatment for chest infections and phlegm discharge
I've been suffering from phelgm for last fifteen days and it is irritating me a lot like the chest infections whereas it's not that infection. Whenever I cough and through out the phelgm / sticky substance it gives me relief. You are requested to suggest me with some medicine for the said problem. | Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of lower respiratory tract infection (LRTI) or bronchitis is more. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test). Chest x ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You may need antibiotics, antihistamines, anti inflammatory drugs, inhaled bronchodilators and inhaled corticosteroid (ICS). So better to first diagnose yourself and then start appropriate treatment. So consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks. | |
Red blood cells found in urine, hernia, cyst in kidney. How to treat them?
I am 56 years old, male. I got my urine tested after seeing that my that urine colour is dark yellow previously never had this problem. Any ways Urine DR indicates occassional Red Blood Cells. I also have a lump sort of protusion on my front upper thigh portion leading to the scrotum which I believe is the hernia . I had an ultrasound of whole upper abdomen in October 2012 tiny cysts were discovered in my kidneys. I am regularly jogging and doing physical exercises no weight training just plain flexibility workouts. My height is 5 feet 9 inches and weight is 60 Kg I dont have diabetes and hypertension . Do let me know what should I do? Is it something serious. | Hi, Welcome to HCM, After going through your history,you seem to have inguinal hernia and for this you should consult a General Surgeon, please understand there is no medical treatment for hernia and you should get it operated to repair it if your muscles are weak a mesh of Dacron may be used. Your urine showing RBCs this may be due to UTI, or an kidney stone if there commonly. You can repeat a ultra sonography to see any abnormality in prostate or kidneys and bladder. your surgeon may give course of urinary specific antibiotic for 7 to 10 days, you can repeat urine R&M. Please continue to follow healthy lifestyle. Take care Good luck. | |
Is it ok for belly button to change?
My Seven year old daughter has had her belly button change from an innie to an outtie since the summer. She says it doesn t hurt and she s not overweight. When she lays flat on her back, it goes back in. I ve also noticed some swollen lymph nodes in her neck and brought her to the doctor. Said it was probably an infection but she wasn t sick at the time. A few days later she developed a low grade fever for a day and now she s stuffy. She s still eating normally. Should I be concerned? We have an appointment with our family doctor in three weeks. Not sure if we should try to get in earlier. Thanks | Hi...it is hernia and sudden appearance of a previously non-existent hernia is definitely a matter of concern. I suggest you see a pediatric surgeon immediately. Do not wait of the 3 weeks later appointment. If it gets obstructed it will become a surgical emergency.Regards - Dr. Sumanth. | |
How to prevent the perineum from causing pain?
Hi, I have a problem with my Perineum. I was sent home today because I just couldn't walk and walked like I had something up my ...so anyways This happens to me on towards the weekends as I work as a waiter. Most of my work is walking to work, walking at work, walking home. Is their any way I can prevent my perineum from hurting besides not walking. When I don't work for a day or two paint goes away until I work again. Some works days are 13 hrs long. I sit for 20m that day. | Hello, If the pain goes away when you don't work for two days or so, the then pain is due to excessive usage of the joint and associated muscles. Consult a bone specialist and get an X-Ray done for the treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist | |
Is there any side effects of taking prolomet xl for a long time?
.I have been taking prolomet xl 25 since last 3 years, I always check B.P. and it is always between 120 to 140 and 80 to 90, Can I continue the same medicine or stop to take the same . There is any side effect of taking this medicine for long time email address - YYYY@YYYY | Hi,Age, gender and other associated medical illness not mentioned. Prolomet Xl-25 (metoprolol) is a 'heart' selective beta blocker commonly prescribed to treat hypertension. As long as your blood pressure is controlled you may continue to use it as prescribed by your doctor. Its common side effects on prolonged use include decreased heart rate, fatigue, difficulty in breathing (more common in patients with bronchial asthma), mood changes, and erectile dysfunction (impotency).Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
What causes stoppage in menstruation?
Hi I haven t gotten my period for two months and I was spotting for two days then on my second month I started cramping and my breast got sore but no period I took two preagnancy test and they came out neggative could I still be preagnant also I ve been feelin fatigue naseus and moody | Hi dear, I have gone through your question and understand your concerns.Delayed periods can be due to pregnancy, stress or hormonal disturbances like hypothyroidism, hyperprolactemia or polycystic ovarian disease.Negative urine pregnancy test rules out pregnancy.I will suggest you to get your hormonal profile done including thyroid and prolactin hormone levels, and ultrasound to confirm the diagnosis and get appropriate treatment.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma | |
Suggest remedy for fever in an infant
Sir my 3 year old son with 14.5 kg weight. Suffering from fever on today evening. Having fever of 98.9 f to 105.6 f. Given syp fefanil 5 ml twice but showing the up & Downs in fever. So recently given half tab of Meftal -p . Can we need to give the syp combiflam. | Hi,He might be having viral fever and may remain for 2-3 days.You can give any one of medicine you mentioned.All have got same action on fever and bodyache.Important is to give enough water and liquid and keep him well hydrated.Ok and take care. | |
Severe back pain. Reason and cure?
Hi Herrick I had a pain on my left side which made me feel uncomfortable for 2 hours over night. It was not severe but I felt pain more in my upper back. I had tests 1 month ago after chest pains and was told my heart was ok and it was probable a stone in the gall bladder .The tests were done at RAH adelaide The pain went away after 2 hours after sitting up I had thought of taking a pain killer. As we are going on a Pacific cruise tomorrow I was wondering if it was ok to take aspirin with me. I am 76 In the afternoon i went to a BBq wrere I had more to eat and drink than I normally do. Don | hi i had gone through your query and understand your concerns. i would come up with two most possibilities to fit your condition .these include1.first possibility is,CHOLELITHIASIS;formation of stones within the gallbladder.2.second possibility is,APD ACID PEPSIC DYSPEPSIA .possible causes include;-irregular dietary habits,-modern lifestyles (drinking,smoking,etc),-EXCESSIVE USE OF PAIN KILLERS,ANTIBIOTICS,STEROIDS for even minor complaints, -CURRY,HURRY, and NIGHT WATCHING,-SUPPRESSED STRONG EMOTIONS are the main causative factors.I hope this is helpful for you, thank you | |
Could feeling of chemical smell have any association with brain aneurysm clipping surgery?
Two years ago I had a brain aneurysm clipping surgery. For the past few weeks I have had this strange smell similiar to a plastic/chemical scent in my nose and my mouth. Does this mean anything? Could thi be related to the brain surgery I had? My e-mail is YYYY@YYYY | Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.This strange smell similiar to a plastic/chemical scent in my nose and my mouth are suggestive of temporal lobe dysfunction and with history of aneurysms, you need to take it seriously and immediately consult your neurosurgeon. Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care. | |
Trying to conceive. How to to boost fertility? Advice?
My husband and I have 2 Children whom were conceived rather easy the first one took one month and the second took only 5 months however we are trying for our third and are on month 10 of trying do you have any over the counter things I could take to boost fertility or any advice on why this time it is taking so much longer? Thanks in advance | hi, in case of regular ovulatory cycles and normal semen analysis proper planning will help in getting pregnancy, you track your ovulation with ovulatory kits, plan intercourse during that period, normally in case of regular cycles between 12 to 16 days will be ovulatory period, if you plan intercourse in that period at least on alternative days the chances of pregnancy will increase. if even then you are not able to conceive you consult gynecologist once to find out any other underlying problem and get treated. take care. | |
What is the small hard lump below my ear lobe that radiates pain?
I have a rice sized, hard bump behind my lower left ear directly behind the lower ear lobe that seemed to appear over the last 4 months and won't go away. It feels it is sometimes sending an infrequent pain down the side of my next that lasts for 2 seconds. | Hi.Thanks for your query.Read and understood your history of a small rice sized hard lump behind the ear that sometimes cause 2 second sharp pain. The possibilities are:GranumolaNeurofibromaCyst on a small sensory nerveSince it is so small the ultimate treatment would be to get it excised under local anesthesia and send for histopathology examination to get a final diagnosis. Also watch for similar lumps anywhere else in the body. | |
What causes raised bilirubin count in a new born baby?
my new born who is 4 days old is discovered with bilirubin count 16.i had an amniotic fluid leakage and the baby was delivered after 32 hours.Is the abnormality due to the delayed delivery.He is also seen with red rashes and hot boils all over his body.Is there any problem with the babay?Will his brain get damagedd due to this increased billirubin count??? | hiaccording to your details child is having jaundice which need phototherapy the problem can affect the brain and can cause fitting attack tooamniotic fluid leakage more than 16 hours is also a concern of sepsis it needs septic screening also better admit the child and do the septic screen as well as phototherapy | |
Huge ridge on belly while doing push ups. What kind of hernia is this?
When doing push-ups there is a huge ridge on by belly; it is about 10 inches in length and perhaps sticks out two inches. What kind of hernia is this? Is there danger? In addition, I had inguinal hernia surgery repair about 10 weeks ago. (repaired with mesh) Things have been great. Recently, less than a week ago, it looks like my somewhat fat belly is not only fatter, but has dropped lower in the front...over my belt. In addition there is a small indention a couple of inches away from the scarred incision, as well as small ridges and a small bump leading away from the scar. There is no real pain. The doc said I also had a belly-button hernia, but was not in need of immediate repair. Pleas advise... Don Henry YYYY@YYYY | Hi As per your query,you are having umbilical hernia. There are no medicines for any hernia. You have to get operated. Sometimes ,intestines or omental fat may get into the sac and get obstructed. To avoid complications,get it operated as soon as possible. Wish you good health Regards | |
Suggest treatment for 35%EF with heart blockage
35 years old born with a 3rd degree complete heart block. Have a pacer with lead replacment at which time the tip severed and continues to anchor alone in the heart along with the replacment lead. Very nervous about the tip and nothing attached. How can it be removed and if left what could happen. Also had an eko and found I have a 35% EF - nervous about that as well with my heart block. Please advise | The pacing leads become surrounded by scar tissue near the tip. There is likely no concern there. The abnormal EF is a concern warranting review with the pacing doctor. If confirmed, a modification in the pacemaker may be warranted. | |
Can blood report have altered readings due to pneumonia?
Hi, I had some blood test last week, I have been in hospital for lung problems, and when I saw the specialist yesterday, I was given an appointment for the gynie unit, as I was told I had a reading that was high in the blood test, that must have shown some abnormality. I cant remamber what it was, and I have been given an appointment for 9th March, which has worried me as it does seem very soon. The doctor did say that the reading could be altered by my having pnumonia, but I am quite worried, I am 54 and have not had a period for about 30 months, I had a smear test about 2 years ago and all clear. Could you give me more information on what the blood tests could have revealed? thank you | most likely your blood report is showing high WBC related to pneumonia. its usual to get high WBC with infections as these are cells to fight the infection.if your doctor has not sounded any alarm, dont worry. |
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