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What could the findings in follicular study indicate?
i have taken follicular study now on day 12th my rt. ovary size 2.1 x2.1, 1.1 x 1.1 left 1.0 x0.9 , 0.8 x 0.9 mm endomet 9 mm day 15 rt. ovary 2.8 x 2.8, 1.5 x 1.5 left 1.1 x 1.1 0.9 x 0.9 endomet 11 mm they asked me to come on 19th day is there any problem pls. help email id YYYY@YYYY | Hi, I think your follicles are growing fine. On 12th day, it was big enough to get ruptured. So, you have a chance of pregnancy this time. May be your doctor wants to confirm the rupture, that's why you have been called on 19th day. Take progesterone for next 2 weeks. Discuss with your doctor. Do a urine pregnancy test at home after that. Hope it helps. Regards Dr khushboo | |
Suggest treatment for nasty head injury
I had a nasty head injury nearly 3 weeks ok now, I suffered cranial swelling, severe bruising over my face as well as 2 black eyes, I ve had X-rays and thankfully everything was normal though I had bruising to my optic muscle..I am now experiencing fuzzy feelings and some dizziness without doing anything...I am currently off work sick due to my injuries as I still have cranial swelling... | You can use NSAID (for example ibuprofene 400mg twice a day) to help the swelling and pain go away faster. Can you please explain better what you mean by optic muscle? | |
Pinkish brown patches on neck, shoulders, spreading, itching, burn on scratching, no skin peeling, fluids from patches. Causes?
i have pinkish brown patches on my neck and shoulders. ive had these patches for about 10 months now, they use to just away on their own, but their spreading and wont go away. i have taken off the necklace i use towear to see if that was the problem, but of course it wasnt, the patches have gotten worse and have become ichy at time, and burn when i stratch them, no bleeding or fluids come from the patches and my skin does not peel either. i feel like an lepord with these patches. can anyone please tell me whats going on?? | Hi, It seems like a fungal infection, otherwise called Tinea. You should try using topical antifungal ointment like Clotrimazole. It is available over the counter. You should apply it twice daily, in the morning and in the night. The treatment should be for a minimum of 6 weeks. They are known to recur. Therefore, application of the ointment should be continued for 2 weeks after the patch disappears. There are many other causes for this too like Isolated Vitiligo. It is ideal to meet a Dermatologist and confirm the cause for it. I hope this helps you. Get well soon. Regards, | |
Is Femilon safe to take for contraception?
hi doctor !!! before till 8 month she was taking an femilon but she stoped havin it since 8 months n also in these 8 months v did not have sex tooo!!! n now again she started to to take femilon is it safe!!! n v r worried to ve an i-pill for every 5 times in a month so doctor suggested use to use femilon plz tel me wat all should v do!!!???? | hello dear.understand your concern.look every contraceptive method have some side effects & failure rate.femilon have also miner side effect & failure rate like another contraceptive method.but it is more safe then i pill 5 times a month.so i advised to take femilon insted of i pill.that much use of i pill increase chance of miscarrage in future life.while femilon don't do that harm to you.hope this will guide you.best regardsDr.sagar | |
Irregular periods problem. Given medicine for cyst. Trying to get pregnant. Any advice?
hi ,im 25 years old i have irregular periods problem i concelted doctor she took ultrasound she said i have cyst and priscribed me folic acid and glucophage i also said her ,want to get pregnant she gave me ovamit 2nd day of periods duphaston 14th day of periods and called me for ultrasound 12 .days of menstruation alternative she repeated this treatment 4 time(4 months) still nothing happen .in january she give me gonal f 75iu notning happend in ultrasound report shows eggs are small .. taking this treatment from 7 months .. | HelloWelcome to HCMAs you been with the simple treatment for more than 6 months it will be advised that you get a hormone profile done.Also your husband's semen analysis needs to be looked into.After that we need to check your fallopian tubes and see if its all normalWish you all the bestDr Nandita Thakkar | |
What causes facial numbness?
I have facial numbness, that varies in location and pressure on head. Have had MRI CAT scans that all come back clear. I do suffer w/ HBP and Diabetes. Not under the best control. I am normally light headed. Is there any specialist that I should be seeing? | Hello, Peripheral neuropathy is a possible explanation for your symptoms. The best treatment for this condition is achieved by controlling diabetes correctly (Endocrinologist) and by treating the symptoms (Neurologist). I suggest you to get evaluated by your Endocrinologist and by your Neurologist for your issues. Hope you found the answer helpful. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical | |
How do i get rid of gall stones?
Hii I m 29 yrs.... I m having gallstones of 22mm.... but yet I dint felt any symptoms other than indigestion ( not always, sometimes) I am taking ayurvedic treatment... the stone is too big.... vl it b cured.... should I go for surgery or stick to ayurvedic medicine...I want to plan my pregnancy now | Hi, I understand your concern.I see similar problems many times in my clinic. And I always try to get more dipper with examination, particularly if patient planing a pregnancy.Gallstone disease during pregnancy may escalate attacks of colic and can lead to surgical treatment during pregnancy, that's why such question have to be discussed together with your gynecologist.Usually I recommend to make a laparoscopic cholecystectomy, then follow a special diet during whole pregnancy.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. | |
What could cause bruise on shaft of penis after having intercourse?
i have this bruise that reoccurs eveytime i have intercourse with a female. it is on the shaft of my penis. it feels different where the bruise is compared to other parts of my shaft. the skin where the bruise occurs feels like something is under my skin. | HelloThanks for writing to HCMYour problem may be related to less lubrication during intercourse.You should take time before penetration.You should try to be calm and before penetration spend sufficient time in foreplay.This is very important in intercourse.Increased foreplay lead to more lubrication in female genital tract.You should also use lubricant over genitalia before penetration.If problem persists then you can consult dermatologist for proper evaluation.Hope i have answered your query.Take CareDr.Indu Bhushan | |
Is a feeling of pressure above the colon upon bowel movement a sign of colon cancer?
I was noticing on recent bowel movements that I feel pressure several inches higher in the colon. I have had mild hemorrhoids and bleeding, but this does not feel natural. Could this be signs of colon cancer? I eat oatmeal, apples, and drink mineral oil. I also take a probiotic, stool softener, and herblelax and occasionally miralax. Thanks! | Hello, At the moment that you have diagnosed hemorrhoids I don’t think that you should worry. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Esmeralda Sera, Oncologist | |
What causes tightness in the chest?
I am recenly switched from 5-FU to Xeloda for my adjuvant colon cancer treatment and I have been experiencing chest tightness. My oncologist says its not the chemo. I did a CT,blood pressure,EKG, and everything was normal. Now he wants to do a stress test. Will the stress test give me the results as to why my chest is tight? I am 60,diabetic and also smoke | Hello,there are two possibilities, one is gastritis and reflux, other is heart problem. For gastritis, Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg beforebreakfast once a day for 2 weeks. For heart disease, you are already undergoing stress test, which will in all probabilities give answer. So follow above instructions and get stress test done. | |
Q. I am HPV positive and got treated for CIN. Am I prone to VIN?
Hi doctor, Before a week, I had symptoms of itching in the vulva area. Later, two sores or ulcers appeared. One on the clitoral hood and another one on the right labia minora. It burns when I urinate. I am HPV positive, and I recently got treatment for CIN before three months. I have attached the pictures. I am concerned that my HPV is out of control and now I have a VIN. It may be a vulva precancer. Also, I have not ruled out herpes. | Hi. I have gone through the attachment (attachment removed to protect patient identity). It is better to have full investigations as you already have a history of HPV (human papillomavirus) and treated for CIN (cervical intraepithelial neoplasia). When did you have your last cervical smear or visit to colposcopy clinic? It is better to have both. Have one high vaginal swab, one local hysteroscopic examination of the lesions as you might need biopsy or pus or discharge collection from the sores to check in a laboratory. It is better to have it in a infections control center by a specialist. Have a urine analysis and urine culture as well. Collect all laboratory results and discuss here. Have strict local hygiene. Use soft, and comfortable cotton undergarments. For some time it is better to use condoms to reduce sexually transmitted disease, and it is better to avoid forceful penetrative sex. Use only water for cleaning the affected area. Avoid using cosmetics or any other products. After the collection of all investigations and examinations, you can have tablet Doxycycline 100 mg twice daily and tablet Metronidazole 400 mg eight hourly for 14 days. For more information consult an obstetrician and gynaecologist online --> | |
what are the allergic reactions of seafood ( prawns, scallops, salmon) on a human?
my son ate some seafood for supper (prawns, scallops and salmon). About an hour after eating he got a thumb sized red mark with elevated white lines just at the base of his neck. He is 12 months old and has had no problems with salmon in the past. The red mark is subsiding about two hours after the meal. Is this a sign of an shellfish allergy? What should I be looking for in the next few hours? | Hi,Thanks for asking query on health care magic.Sea foods specially prawns cause allergy. They may produce urticarial rash all over the body with intense itching within a few hours.If a person has got past history of asthma it may start a full blown picture of asthma with brocho constriction and dyspnoea.Hope this answer will serve your purpose.Please feel free to ask any more queries if required.Take careDr.M.V.Subrahmanyam MD; DCH.Associate professor of pediatrics, MIMS. | |
Suggest treatment for panic attacks and numbness
hey doc, i tend to suffer from panic attacks, i have done my heart check all is normal, spine MRI is normal, but yet since some days i feel like there is somthing happening in my head, its numbness what i dont know, i get waves of drawziness and weak. im under medication of ciplar LA 40, telmi H 40, and Etizolam 0.5..please help | Hello,Since your tests resulted okay, you should not be worried about anything serious. Anxiety or panic may still cause your issues. Discuss with your Doctor for adjustment of treatment.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Is it abnormal to have 13000 wbc?
My husband has 13000 wbc ,Neutrophil 80,Lymphocytes 16, Monocytes 02 and Esr 59, blood culture report is normal. He is normal now. Since his wbc is high, i am scared.pl advise | Welcome to H.C.M. I am Dr Krishna Dubey.My dear friend , no need to be worry .Your friend's wbc count is raised , neutrophils are slightly increased (Normal wbc is 4000 to 11000/mm3 and normal Neutrophils in percentage is 40-75%) and E.S.R is raised(normal is 0 to 12) .It is looking due to infection.I advice you to complete antibiotic course like Cefixime 200 mg twice a day for 5 days. After then repeat your friend wbc with peripheral blood film.He should take plenty of fluids.He will be fine soon.Thanx for query. | |
What causes calcium deposits on gums?
I have what appears to be some calcium deposits below the top of my gums poking through. Rough on the tong. I popped one of the deposits off through the gum and it was a hard, white deposit about 1-2mm and round. Is this gingivitis? I have been rinsing with hydrogen peroxide and using listerine since this became painful a week ago and have removed 2 with a dental pick. | White deposits your mentioning are calculus or commnly known as tartar. You would require a full mouth scaling in order to remove all deposits. | |
What causes black color in tongue and saliva?
I spit in the sink and something black was mized with my saliva. my tongue is also kind of black. i had it black once before but that was after pepto tablets. i haven't had pepto though so I don't know what's wrong. Im freaking out. I did have some soda though, could that be it? | helloi have gone through your query.A black tongue discoloration is most commonly caused by organisms such as yeast and bacteria growing on the surface of the tongue. These bacteria and yeast produce blood cell pigments called porphyrins which give rise to the black color characteristically seen. The overgrowth of bacteria can also cause cells of the tongue to be shed more slowly, causing the tongue to take on a hairy appearance, known as a black hairy tongue.maintainig a good oral hygiene is the best way to treat black hairy tongue. Gently brush your teeth twice a day with a soft toothbrush. Also, brush your tongue. You can use a tongue scraper to make sure you're thoroughly cleaning the area.If you smoke, quit.having soda wont cause this.antibiotics or an antifungal drug can be used to get rid of the bacteria or yeast. Topical medications, such as tretinoin (Retin-A) may help.hope this ans helpsRegardsDr. shesh | |
What causes tingling in fingers?
I woke up this morning and my left pinky and ring fingers were tingling. I thought it was from sleepy in a weird position. However, 6 hours later it is still tingling. Doing a little research, I found that eating contaminated fish may be the cause. I ate fish last night for dinner and then ate leftover fish for lunch. While shopping, I experienced rather severe nausea; however that has subsided. Should I see a medical professional? | Hello, Most likely the tingling is caused by improper sleep position, nausea, in the other hand, may be caused by eating contaminated fish.If the nausea continues, or you will explain diarrhea or vomiting, you should see your Doctor.Otherwise, tingling should subside with time. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical | |
Can the application of manuka honey with oil safe on fistula?
Dear all, I was told I have a fistula after a quick check (nor MRI or fistulography) and I should plan a surgery.I am bit worried as the touching check was so quick and I dont understand why the doctor does not first check with and MRI do confirm the fistula? Regarding the Manuka Honey Healing benefits, should be applied directly or should the manuka honey be mixed with an oïl before being applied on the fistula? Thanks in advance for your help | Fistula is better treated with kharsutra process ....is the best treatment of ayurveda procedure....consult. To an ayurveda doctor who do practice of kharsutra near by ur place...will heal in 15-20 says | |
What can cause the bubbles in the child's heart?
Grandaughter aged 7 had Gillian barre 3 years ago and it appears she has recovered she mentioned bubbles in her heart and that it always does and her heart goes fast even if she doesn't run . Off to the drs tomorrow do you think it's connected and what can it be | Thank you for following up. She has tachycardia. We have variety of causes:1. Reaction to Pain- syndrome.Because children with Gillian Barre often feel back pain, painful tingling, muscle pain and pain in the head and neck relating to irritation of the brain.2.Dysfunction of autonomic nervous system, which is involved in the control of heart rate and blood pressure, is affected in two thirds of people with Guillain-Barré syndrome.Twenty percent may experience severe blood pressure fluctuations and irregularities in the heart beat.3.Other associated problems are heart failure, heart muscle disease (cardiomyopathy), tumors, or infections.4.Hyperfunction of thyroid gland5.Anemia( low hemoglobin) You should take your child to a cardiologist, get im examined(blood test for hemoglobin, ECG,ultrasound) and abyde by doctor prescriptions. In addition follow diet riched potassium:carrots, raisins, apricot, potato and etc. Take care Best regards | |
Suggest remedy for sinus infection
my health is not stable. I feel weakness. when some strength comes I feel teeth pain. or I feel cold infection . The cough does not come out from the nose. some time the water fall inside the throt during cold infection. water rarely comes from nose. The cold infection cath me very eaisly if i seat near a cold affected person. please suggest | Hello,Welcome to HCM,As you are having the symptoms of post nasal drip, which is suggesting me that you are having upper respiratory tract infection. Your symptoms requires following measures1.Steam inhalation with Vapocaps2.Salt water gargling3.Oral antihistamines.4.Oral antibiotics like Tab Bactoclav, 625 mg, twice daily for atleast 5 days.Thank you. | |
What are the symptoms of typhoid?
hey doc...i got da test done nd was told 2 hav typhoid...bt whni consulted anothr doc..he said its nt typohid fever...he askd me to get som othr test done..em confused wt to do...i dun hav feverr..or any other symptom of typhoid fever..em only havng cough..nd weakness nd im suffrng frm hair loss..my age is 25 nd my weight is 50 heights 5.1 | HelloYou are in dilemma that there is typhoid or not typhoid . These are symptoms ,these include.=Prolonged fever of low grade and morning rise of temperature.=headache =chills ( mild degree)=anorexia ( loss of appetite )=Abdominal pain. Above mentioned are main symptoms , other are ( less common ).Sweating, cough , malaise, arthralgias , nausea, epistaxis, and relative bradycardia.For confirmation get in positive culture of blood , stool .In Widal test if in any strain > 1:160 we consider it as positive , otherwise not positive.Hope this will help you. | |
Need medication for reddish brown spot on lower leg & shin bone
I have a redish brownish spot on my lower leg like right on my shin bone. I have had it now for 6 months and it won't go away. It itched in the beginning but then that went away. It also gets dry SOMETIMES. I have tried cortozone 10 and lamasil I think that's what it's called. | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have symptoms of reddish brown spot on lower leg & shin bone which seems to be due to hair follicle infection leading to folliculitis and it could be due to furuncle or boil. Need not to worry. Visit dermatologist once if symptoms keeps on persisting. Start treatment after complete examination and proper prescription. You should get skin patch test and allergy test done to find out exact cause of disease and start treatment accordingly. You should wear loose clothes and avoid sharing them with anyone. You should avoid touching or pricking bumps. I would suggest you to apply topical antibacterial ointment. You should apply betnovate ointment on them 2-3 times a day. You should take course of oral antibiotics. Maintain complete hygiene and keep area little dry.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Suggest remedy for lumps
I have a small raised hard lump of skin on the surface of my left nostril - I saw a doc who said it looked like a corn and prescribed Fucidin cream. But can you get a corn inside your nostril? And how can I treat it? (I'm male 33, no other medical history) | Hi ! Good morning. I am Dr Shareef answering your query. If I were your doctor, I would advise you to avoid pricking your nostril if you do this. If it does not heal with a course of antibiotic/antiseptic, I would refer you to an ENT specialist for a proper clinical examination along with related investigations for a proper diagnosis and further management.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
What causes breathlessness with lump in the throat?
I have been suffering for 4 months now with no help from anyone. I first start with breathing difficulty followed by a feeling of a lump/obstruction in the throat. When I yawn I have a bad taste and I still suffer from the "lump in the throat". I have had test after test. I am being treated for my asthma which they thought could be a cause but obviously not. I saw an ENT specialist who didn't give any real reason, I do have bad sinusitis and had small tonsil stones but he advised that this may not be the cause. Any suggestions? | Hi welcome to HCM...Noted symptoms you are describing suggest toward asthma.But you said you have doubt regarding it.For confirmation I will suggest you to do spirometry pulmonary function test....It will also detect COPD chronic obstructive pulmonary disease...Do you have smoking history????Causative treatment done....Chronic pharyngitis can lead lump feeling in throat .So examine your post throat for inflammationFinally let me know you sometime anxiety attack can lead such presentation.So Avoid it....Dr.Parth | |
What are the chances of conceiving with absent periods?
Hi I am 21years old and have been on depo provera for 4years, I have not gone back for my next injection due to wanting to concieve. I havnt had a period since I've been on this birth control, can I still get pregnant without a period? Also my endometrium lining is 4mm thick is this bad? I've heard bad things about this drug because of my age do I have a good chance of concieving? | Hello dear,I understand your concern.In my opinion the absence of periods and irregular bleeding are the most common sideeffects of depo shots.I suggest you to do a urine pregnancy test.If the test is negative there is no chance of pregnancy and the absence of periods might be due to sideeffects of depo provera.It will take some time for the hormonal imbalance to get back to normal .Dont worry.Once the hormones get normal the chances of conception increases.Best regards... | |
Suggest treatment for fever and nausea with CKD
Dear Doctor, I would like to inform you that my father is diabetic from past 24 years and he is also a CKD patient from past 5 years with normal CKD medicine for BP, Naphrocap, Ketosterol(used for one year) however from past few days he is getting constant fever max 101 almost every day( before starting the fever he feels very cold and he need cloth). His fever will go if he takes any NSAID. We have shown his urine RE for any UTI however the local Urologist confirm that he don’t have UTI infection. From Past few Days he is getting constant Vomiting sensation (every one hour). When we shown to a MD medicine he told us that this is due to a Spleen enlargement and gave some medicine for spleen. Currently he is very week and I really don’t know what should I do at this moment. Kindly advice me. PS: Recently we have done the ultrasound for him and his post residual urine is 20 mL and his Urea creatine level is 1.9 | HelloThanks for choosing HCM.In my opinion you need to have a blood culture test done to know the exact cause of fever and along with that as there is spleen enlargement you must check for malaria also. According to that report we will start the treatment.ThanksDr.Alekhya | |
Can any online doctor help me with the following results?
my husband age is 30 years old.he made semen analysis yesterday.his sperm count 50 million.his motiality is104 million/mil.viscoisty is normal.color whitesh.abnormal 20% and the dead 35%.can any doctor explain to me is abnormal and dead value is ok or not?. wedight 67 and his height 179m | HelloYour semen analysis findings may indicate normal findings.Sperm count is normal.Normally it should be at least 20 millions/ml.Your findings suggests 50 millions/ml,so it is normal.Motility is also normal.Normally it should be at least 55 %.Normal morphology sperms are also normal.Only 16 % normal morphology sperms are required for natural fertilization.Other findings like viscosity etc are also normal.In short,findings are normal.However,it need clinical correlation.Get well soon.Take CareDr.Indu Bhushan | |
Is cryotherapy effective for abdominal pain?
I have had abdominal pain for over 2 years after surgery for adhesions, I am currently on Fentanyl patches 87 microgrammes and Oramorph 40mg in 2 ml every 2 hours as needed and 75mg Amitriptyline and am still in severe pain. I've had 2 Pulsed Radio Frequency treatments which only worked for 5 days. The next step is an Ultrasound Guided PRF treatment. Do you have any other suggestions? Would Cryotherpy treatment be better? | Hi. All the treatments you have mentioned are related to ablation of the neurological pain. Whenever there is intestinal Obstruction such therapies as medicines you have mentioned and the medicines will not work as the mechanical obstruction has to be treated . I would suggest you the following :First of all to undergo enteroclysis under fluroscopy control to find out the mechanics of peristalsis and to find out the level of obstruction To rule out any electrolyte imbalance by blood tests.CT Scan to find out any compressing lesions .Once the cause is found The surgical correction has to be done to relieve the adhesions to get a relief.This alone can help you.Cryotherapy is not effective in abdominal pain of any reason, so no role . | |
How can severe stress be treated?
Hello, my name is LaShan Lewis, I have been a customer service representative for over 12 years and I am finding it harder and harder to take calls all day long. I have been looking for some other form of work but haven t found anything that can support my family, like my current job. I am struggling mentally at work and looking for help. What would you suggest? | Hi LaShan Lewis!Welcome to HealthcareMagic! I have gone through your query and understand your concern towards stress at your workplace. I can suggest you to try to find some solution that can help in the present job. I can help you to get relief from stress through some stress relief techniques like drinking more water, doing regular exercise, following deep breathing techniques, meditation, etc. In the meanwhile, you can start on medication i.e. antidepressants like Escitalopram, which would help in dealing with your current situation. Hope this information is helpful. Take care | |
Experiencing constant pain at the back
For over two months I have had a constant pain in my back, seemingly from a nerve coming off the spinal column and just above my waist. It is certainly interfering with my sense of well-being, not to mention my physical life. Any ideas what the problem might be? I d appreciate any help so I will know who to see about it. | Hello,I had gone through the case and found that it might be nerve pressing by spinal cord.So go for MRI of spinal cord to find the exact cause of nerve pressing.Meanwhile take mild painkiller and nerve strengthening medicine. If pain is unbearable then go for physiotherapy.Hope my answer will be effective for you.Thanks | |
Q. I have low mood, debilitating anxiety, and intrusive thoughts about the past. Please help.
Hello doctor, For months I have struggled with low mood, debilitating anxiety, intrusive thoughts about the past, avoiding anything to do with the past, suicidal thoughts, self harm, and daily guilt and shame that has stopped me from hanging out with friends, or being successful in school. Everyday I just try to survive. My appetite sucks, I have trouble falling asleep and have frequent nightmares, I am exhausted all the time. I finally decided to get help. I saw a psychiatrist today, who concluded I do not fit any diagnosis, and with therapy I can learn to deal with the situation that causes these things. But there is no situation? How can someone be in so much pain for so long and the answer is basically that I am just too weak to handle life? I have never felt so awful ever and coming to that appointment was a big step for me. I feel like such a loser, I got nothing out of it except humiliation. Should I consider reaching out to a different doctor? Or am I overreacting and she is probably right? | Hello. I would beg to differ with the psychiatrist who you have consulted and all the symptoms you have mentioned are depressive symptoms which do need treatment with medicines. Therapy can only help increase the effect of medicines, it is not a replacement . I would prefer that a psychiatrist or a doctor should prescribe you a standard dose of an SSRI such as Sertraline 50 mg, and add low dose mood stabilizer such as Divalproex sodium 250 mg. Major depressive disorder secondary to a stress in past along with a probable personality disorder , will need further history to arrive at a diagnosis. Also consider doing some deep breathing, relaxation exercises. | |
Q. How to find the reason for chest pain? Will you suggest tablet for gastritis?
Hi doctor, My grandmother is 68 years old. She has a habit of drinking almost every evening, but not too much. For the past three days, she has had this acute pain in her back area right below her shoulders and has spread to the front of her chest. She has lost appetite and has not eaten much in the past three days. Our local physician said that it is due to some sort of stomach irritation from the increase in her white blood cell count. The doctor prescribed some medication, but it does not seem to be of much help as her pain is still there and increasing sometimes. I have listed the medications. Zerodol-P, Fexokast, Rabidoc-LS and Antacid gel. I would be very grateful for some medical advice. | Hi. Revert back with the investigation report to an internal medicine physician online --> | |
Is the sperm count normal?
Dear Doctor My age 30, am from Kerala , working in UAE , I checked my Semen , the report shows total volume 1.5ml & total count 42 millions/ml , please advice this is normal or abnormal . am already married , now 2 years finished . we don t have baby . i am very depressed . please advice. Awaiting your reply. | Hai,As from your report we cannot conclude anything about infertility.as count is normal.Even though count is normal,Active motile sperm should be more than 50 %then the possibility of conceiving got more chance.and other parameters should also within normal limits.kindly give entire semen report.thank youhope i answered your query | |
Suggest remedy for sore lump on the top of buttock crack
Hi, may I answer your health queries right now ? Please type your query here...hi i have a lumb on top of my butt crack that has a red sore and it bleeds sometimes and it comes and goes. It hurts so bad now i can not even touch the sore. Any ideas what i can do now and later? | welcome to Health care magic.1.Generally these kinds of symptoms are seen in the pilonidal sinus ( infected hair) which can be treated easily in early stages with a course of antibiotics.2.If it get complicated, it may cause sinus formation and fistulous opening and so all.3.You need a surgeon appointment.4.Dont ignore and leave for complications. Hope it helps you.Anything to ask ? do not hesitate. Thank you. | |
Is liver transplant effective for person with HBV affecting half of liver?
hi Dr.my brother who lives in Ghana has been diagnosed with HBV which seems to have affected his liver. Im told that more than half of the liver is affected according to the ultrasound images. In ghana they dont do transplants. so im trying to get him to India where they profess to have extensive expertise. But ghaians Drs says he may not benefit from the op | Hi, I had gone through your question and understand your concerns.Yes , in India liver transplants are not that uncommon . But mere affection with Hepatitis B virus does not need a liver transplant. Indications are 1. end -stage cirrhosis2. Chronic viral hepatitis3. primary hepatocellular malignanciesand othersWhat I think is that your brother is suffering from Chronic hepatitis due to Hepatitis B virus.Now, in patients with chronic hepatitis B, in the absence of measures to prevent recurrent hepatitis B( like putting him on antiviral drugs), survival after transplant is reduced to some extent , however prophylactic use of hepatitis B immune globulin during and after transplantation increases the survival to around 35-40%.Do not panic.I would suggest you to bring him to India. There are premium institutes like All India Institute of Medical Sciences (AIIMS) which does liver transplants daily.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. Regards. | |
Suggest remedy for a non displaced fibula fracture
I turned my ankle about 3 weeks ago, I thought it was just a sprain so I just put a brace on it but it hasn t gotten any better so I went to urgent care today and had an x-ray. They said that it showed a non displaced fibula fracture, that looked like it was trying to heal. They referred me to an orthopedic doctor, what should I expect? | helloFor fracture of lower end fibula, a walking plaster cast may be applied for 6 weeks fr imobilization to promote union of bone.Also walk with a walking stick after plaster to take weight off the ankle.It will healbest wishes | |
Suggest treatment for severe pain due to rheumatoid arthritis
I have been really dissatisfied with my rheumatologist. And I ve been only seeing my primary care physician for it. I recently got spinal x rays done and the primary care physician said she didn t see anything abnormal about it. I m concerned about my spine though. And I ve been diagnosed with o.c.d. In my knee. Have had 5 knee surgeries. And then got diagnosed with r.a. I was put on hydroxychloriquine and Prednisone and they have not helped. No other doctors are helping me. I am exhausted and tired of searching for answers. I just want to be out of pain. I m only 21, I thought I was going to live a normal life and live out my dream as a wild life conservationist. Now that dream seems unreachable. I just want any answers any information. I m tired of waiting. I ve spent half my life in and out of surgeries and I m about ready to throw my hands up and give in. Please help | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Ok, there are two broad categories of drugs for RA--those that modify the disease and those that are for pain. Anti-inflammatories are the best drug for pain and have non-zero effect on the underlying disorder. In addition there are a lot of basically chemotherapy drugs that should be used to halt the disease. Hope I have answered your query. Let me know if I can assist you further. | |
Reddish rash in armpit, thigh after working out. Caused by friction. Reason?
Everytime I go to the gym/run I get a redish rash and maybe 2 or 3 blister/bump looking things in my armpit and around to my back behind my armpit. I also get them on my groin around where my legs rub together and just recently when i was in bed with my gf i got a bump on my leg. I m guessing these bumps are caused by friction, but I don t understand why im getting these. I m a former marathon runner and i never had this problem | Hi, these rashes are termed as friction induced intertrigo common on two opposing surfaces like underarms and groins.you must use a mild steroid cream and a moistoriser to treat itTo prevent it you must wear loose clothes, a dusting powder and a moistoriser after bathtake care | |
Q. Will getting blood test for allergy help me receive the right treatment?
Hello doctor, So, I have hives, also known as chronic urticaria. Basically, I break out when the climate I am in is hot, or when I exercise. I visited my family doctor and he told me to get a blood test and he also gave me a Cetirizine (Zyrtec) prescription which is 20 mg. I have been taking this medication for about four days now, and I still get these itchy hives. If I were to get a blood test, will the doctor be able to prescribe the right medication, so I can get rid of these annoying hives? | Hello. The blood test should determine what allergen is causing the problems in you. Sometimes it can be a combination of allergens. Once we know that we help you avoid the same and prevent the sensitivity reactions. Allergies and hypersensitivities are not cured by medicines. Allergen avoidance plays the major role. Additionally, we can give you immunotherapy if the problem does not resolve. For more information consult an allergy specialist online --> | |
Suggest treatment for bilateral great toe ulcer
49 year old female, type 2 diabetes for 7 years.bilateral great toe ulcer,non healing for last 1 year.right-2cm x 1 cm.left-3cm x 2 cm.hb a1c-9%.VPT & HCPgrossly impaired.Doppler-normal.ABI-right-1.01cm left-.92.what r the primary goal of treatment? what r the plans regarding treatment?? | Hello,I read carefully your query and understand your concern. The treatment of ulcers in diabetes consist in:-Antibiotics, if an infection is present.-Anti-platelet or anti-clotting medications to prevent a blood clot.-Topical wound care therapies.-Compression garments.These types of wounds need a specific treatment by an orthopedist. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
Suggest treatment for fever and yellow discharge from eyes
My 16 month old has been running 101-103 degree temps for 2 nights now. Temps came back if I did not alternate tylenol and motrine every 4 hours today. Her nose is running non-stop and today the mucus is yellow. Tonight there was yellow discharge coming from her eyes when she cried. Should I take her in or wait till morning? The E.R. is full of people who could make her sicker. | HI, kindly clean babies eyes with clean cotton soaked in normal clean water, from middle to side of eye corner, atleast every 4 th hour. Also continue management of fever the way you are doing presently. and also sponge the baby top to bottom with each fever spike. Keep the baby well hydrated too. This is for time being, You need to visit the pediatrician any ways | |
What causes lumps in the vaginal region?
Since this past weekend i have developed these bumps between the butt and inner thigh and vaginal region. But it isnt affecting the inside of an vagina like an std, its just around it, where my hair grows and where my butt rubs together. they contain no pus but it seems to be getting worse. Im not sure if it has to do with sweat from the heat, last minute dry shaving, or what. what do you think? | Hi,Dear,Good Morning from India.Thanks for your query to HCM Virtual Clinic.-I studied your query in depth.I understood your concerns.-In my opinion-you may be suffering from -mostly from-furuncle of the hairfollicles of the peri-vaginal area .This may occur due to associated diabetes mellitus.-From the facts given-you mostly have -Furuncles of the peri-vaginal area.-You need to consult your Surgeon-and get fbs/pps done to rule out the diabetes issue with you-which could be causing it.-This would help to recover fast.-Not to worry for its recurrence and its definitely not a Cancer for sure.Hope this would help you to recover fast.Wellcome to HCM again for any more queries.Have a Good day. | |
How can a lump on the breast and bleeding from the nipple be treated?
Hi, may I answer your health queries right now ? Please type your query here...hi my baby is ten months and she has a lump in her right breast the lmp look a bit darker than her skin and there is blood coming the nipple can you tell me what the problem could be. | Hi,Dear thanks for the query to HCM virtual clinic.I studied your query in full details updated from you.I understood your health concerns.Based on your query data, In my opinion ,Dear Your baby seem to suffer from -Right Mammary duct ectasia of the breasts with BND(Bloody Nipple Discharge)USG studies with prolactin/estrdiol level and coagulation profile tests are needed to fix the cause of this .Does not seem to be Cancer,as this complaint in adults would indicate.No treatment is needed as its self resolving condition in babies and is a part of normal hormonal-acclimatization of baby to the new atmosphere.Other causes like-Hemorrhagic Cystic Lymphangioma needs to be ruled out.If the lump persists or grows in size,Surgical excision could be planned,depending on the severity of situation.Hope this reply would help you to evaluate your case and treat it with your doctors in time to come.Hope this would resolve your query and worry and Anxiety accompanied with it.Welcome for any further query in this regard to ME.I would love to help you out.Awaiting for any further query.Wish you fast recovery from this intriguing health problem.Have a Good Day.Dr.Savaskar M.N.M.S.Genl-CVTS -Senior Surgical Consultant | |
How to treat back pain?
hi my name is laeq khan am , i have a problem in my back...my doctor has suggested me some medicines...the pain is in the bones i think ..as my doctor says...when i sit only then i feel the pain...when i sit on the bike...i feel pain more...can u help me out in this? | Hi,Welcome to healthcare magic.After going through your query I think your You are suffering from chronic backache.Treatment of back pain is exercises and analgesics (diclofenac SR). Sometimes strong analgesic(such as ultracet three times a day after meals) is required.Consulting with treating doctor is advised. Sometimes vitamin D deficiency is the cause so get your vitamin D checked .If it is low then vitamin D supplementation( weekly with milk) can be taken.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. I think your query answered.Welcome to any follow up query | |
Suggest treatment for severe abdominal pain
my daughter is 14 and experiencing abdominal pain on her lower abdomen. Just below the belly button and feels worse when standing and after eating. it is not constant and has been going on for about 1 week. She says the pain goes from mild to moderate. Any ideas? | Hi.Thanks for your query.Noted the history of pain in abdomen of a 14 year old daughter below the belly button.Feels worst on standing and sitting.The commonest reasons of such a pain in a young girl are:Meckel's Diverticulitis. This is an outpouching from the small intestine which is a mobile organ hence the pain increases with movement.Other reasons can be enlarged lymph node mass, appendicitis enteritis and so on. I would advise in such a case the following:CT scan of the abdomen and if the reason is surgical go for diagnostic laparoscopy and get the surgery done. I hope this answer helps you. | |
What causes testicle discomfort?
Hi Dr, I wanna ask regarding my testicle condition.. Few days ago, after taking bath, my right side testicle position feels move quit a bit higher but it still in the scrotum area. I was panick after that. Then the next morning I check, it back to normal. May I know what s wrong with this Dr? Also, my testicle also something feels uncomfortable (it s not pain but uncomfortable feeling on nerve) and it goes away after few hours like that. Sometimes after I masturbate it also had the same feeling. At some points, it can goes up to abdomen area. May I know why Dr? Thanks | Hi, It can be due to conditions like epididymitis . You can consult a urologist and get an ultrasound scan of your scrotum to make a provisional diagnosis. Hope I have answered your query. Let me know if I can assist you further. | |
Can anxiety make you feel like there are little shocks in your body? I feel twitchy like I can't stand being in my own skin. I have felt it before, and I know I have anxiety, but I don't know if this is part of it. It's very disconcerting. It is so scary because obviously you can't get out of your skin! | DearWe understand your concernsI went through your details. I suggest you not to worry much. Anxiety is a disorder and not a disease and disorder do not need medicines. But anxiety is capable of producing symptoms which are unheard of anywhere. It is related to mind being thinking weirdly. Actually, due to anxiety, our mind thinks and imagines symptoms. This condition is called somatoform disorder. Awareness, relaxation and psychotherapy should cure you.You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success.Hope this answers your query. Available for further clarifications.Good luck. | |
Is tylenolcod effective for sinus infections?
I have been suffering with a terrible sinus infection and am taking Amoxcillin 500mg 4x a day...the bones in my face hurt and have been for about a week now. My doctor gave me tylenolcod#3. My question. I took 2 reg tylenol about 1 hr ago. When would it be safe to take the tylenolcod#3. He recommended I take 1/2...but I will take 1/4 and see how that does...I do not like to take meds...thanks | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Tylenol is the paracetamol.It is very safe drug. It is prescribed for the mild pain and fever. So if you take it whole tablet it will not cause any side effects to you.For sinus infections you should take the proper antibiotic that can cure you. Without complete antibiotics treatment it can reappear.Please maintain good local hygiene by dressing and frequent cleaning. Oral gargle with hexidine can also help.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | |
Q. I get excessive tears in my eyes after Biotin intake. How to reverse it?
Hello doctor, For the past 17 years of my life, I had perfect eyes. I had a slight sinus allergy but nothing else. During high school I took a 500 mg Biotin pill in hopes to stimulate hair growth and the next day my eyes began to tear excessively. The following day my right eye stopped but my left eye continued. It has been almost two and a half years now and my left eye waters excessively to the point people think I am crying. This ordeal is really depressing. Especially, since I have been to four eye specialists and they are not able to help me. One said I had dry eyes, other said I had blocked tear duct, and other said I do not blink. I am currently on Restasis and still no improvement. Please help. This may sound foolish but could it have been the pill? If so is there something I can do or take to reverse it? | Hello. First of all, do not get depressed. Depression leads to a lot of other serious health issues. Now coming to your problem, I do not think your problem is related to Biotin use (at least not directly). Biotin is a vitamin, part of vitamin B-complex, which is required for many things (i.e. its deficiency in the body leads to a lot of problems). If you have taken antibiotics for a long time then you might have had a biotin deficiency. This deficiency might have resulted in conjunctivitis, which may cause excessive tearing of eyes. And the treatment is regular supplements of vitamin A and B complex. The other cause and this is one of the most common causes is a blocked nasolacrimal duct. See allergies often leads to swelling of tissues around it and thus the ducts get blocked. When the allergies resolve the ducts open by themselves. But sometimes infection or some other cause may keep it blocked. Thus causing excessive tearing. I do not think other causes of excessive tearing are relevant in your case. You should get your eyes checked by an ophthalmologist. Ask him/her especially to check for nasolacrimal duct blockage. Alternatively, you can also do a warm massage. Massage your part of the nose, on the side of the eye in which excess tearing is there, from the portion near eye to downwards 1 cm for 10 minutes every few hours, if possible with a warm cloth. This might relieve your blockage to some extent. Take care not to injure yourself. I hope this helps. | |
Q. If my periods are delayed due to pregnancy, can Medroxyprogesterone cause abortion?
Hello doctor, I have PCOS, and I missed my last two periods. Can I take Meprate or Deviry? In case I am pregnant, I want to keep the baby. Will these medicines cause abortion? | Hi. How are you doing? You can definitely take either of the medicines, they both are the same. They are both Medroxyprogesterone acetate, and it is the same hormone which is released from your ovaries in the second half of periods after ovulation. In PCOD (polycystic ovary disease), as you are not ovulating, this hormone will be deficient. So, taking the pill meprate will cause bleeding, only if you are not pregnant. If there is pregnancy, this same progesterone hormone is produced by the ovary to support the fetus. So, these medicines will not cause abortion, but it will support it further. These medicines are very safe whether you are pregnant or not. It can never cause abortion. Hope I have clarified your doubt, do write back. All the best. For more information consult an obstetrician and gynaecologist online --> | |
Hoe can erections that last for only about 5 seconds be cured?
Hi. My penis is like a small kid. And cannot maintain erection for more than 5 sec. I don t drink or smoke. And don t have habit of too much masturbation. What is wrong with me. I am too much worried about it and now always feel headache thinking about it and my future life. | Hello dear, Thank you for your question. Erectile dysfunction (ED) is a common problem that affects the life of many men. It is of crucial importance that you understand ,that not every problem with erection, is necessarily a definitive case of ED. Factors that can cause the problem you have been experiencing may include the following:1- Conditions like: Diabetes, High Blood Pressure etc. 2- Psychological circumstances like: stress, anxiety, extended use of pornographic materials etc.3- Certain drugs: like ant-depression drugs, some anti-hypertensive drugs etc. 4- Age is another factor as ED is common among elderly people. 5- Hormonal changes: thyroid disease, low levels of testosterone etc.Psychological stress is a common cause among young males. There is a simple way to differentiate if your problems come from stress. If your morning erection is preserved (erection when waking up in the morning), there is a high probability that your problems come from psychological factors. A consult with an urologist can give a more specialised insight for the causes of your condition. He/she may ask you to run some tests and/or an ultrasound of your penis in order to establish the cause of your problem. Some causes are perfectly treatable and you can regain your sexual health (ie if you have low levels of testosterone, substitute therapy will resolve your problem) There are many therapeutic options for the treatment of ED:1- Drugs like Viagra, Cialis,Levitra etc that you take before you are planning to have sexual intercourse. These type of drugs are perfectly safe to use and have minor side effects like: headaches, dizziness etc which tend to abate in time. You need a consult with your doctor to find out if the are suitable for you.2- Vacuum devices that create a mechanical pressure to give you an erection. They are very easy to use but may cause some discomfort, bruises etc.3- Penile prosthesis when all the above measures are not effective in taking care of your problem. I hope this helped.Don't hesitate to contact me, if you have any further questions.All the best. Dr. Alma | |
What causes typhoid symptoms to reappear in same period?
I have been having typhoid for the past 3 years. I have taken shots (14 nos. of Ceftriaxone & Salbactum- morning and evening) followed by antibiotics cifran 500 mg for a week. However, the symptoms reappear at the same period annually. A m i a chronic carrrier? | Hello, Thank you for your contact to health care magic. I understand your concern. If I am your doctor I suggest you to confirm your self as a carrier of typhoid fever, you should do a duodenal aspirate culture or bile culture from gall bladder for Salmonella typhi, the causative agent of typhoid fever. If the culture report says that it is positive you are confirmed as a carrier. If it is difficult to get culture you can also get rapid immunological test typhidot, which is more specific test than that of widal. It also establish the diagnosis of carrier state in you.I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you. | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Suggest treatment to increase count of the sperms
hi, doctor, we married more than 8 years no child, my husband semen count is 12ml, 2 years before i got tube pregancy,after operation they remove tube.but now doctor suggest icsi, here too much cost how much cost in chennai, and also which medicine improve my husband sprem count, he has no bad habbits? | Hi welcome to healthcaremagic.I have gone through your question.Your husband sperm count 12_ million per ml??Then it is less than normal.I would advise ultrasound color Doppler of scrotum to rule out varicocele. And consult a urologist.Icsi cost varies from hospital to hospital.Hope i answered your question.Would Be happy to help you further.Take care. | |
What causes burning sensation in stomach and chest?
my stomach feels wiered and it has been years to start with burning in stomach and chest, my stomach smells. my stomach always soare and so is my throat. it feels like there is a dead mouse in there. i spit out a very thick white stuff. soare stomach makes me dizzy sometimes | Hi welcome to hcmYour symptoms are suggestive of Reflux gastritis.Antacids like pantop 40 will be helpful.thankyou | |
Advice treatment for pea-sized lump in the left side of my neck
Hi i have discovered a small pea-sized lump in the left side of my neck. It's directly in line with my ear lobe and is in the middle of my neck, but closer to my jaw than to my shoulder. it's not painful but it moves around if i touch it. is there any way to know if it is harmful or not? | Hello!Thank you for the query.This lump can be lymph node (sometimes present in this location) or some benign skin lesion like lipoma. Both can rounded, painless and located under the skin. As it it hard to diagnose it just palpating it, soft tissues ultrasound should be done. This test will allow to tell if its a lymph node or something else.Hope this will help.Regards. | |
What causes lower back pain and abdomen?
I have lower back pain and up a little higher. Also in my abdominal area (now on the right upper side). I have dimples above my butt area, I can touch this ares and it aches. My eye sight has become a bit blurry & I've noticed that my mind is a bit fuzzy.. My age is 56. | Thanks for your query.Your information makes me think of psoriasis. Psoriasis is a kind of skin disease typically involves painful inflammation of the joints and surrounding. You need to consult a doctor. Psoriasis can be cured. Wish you a healthy life. | |
I am getting some complication after c section
I have problem after second c-section i deliver my baby in 28-3-2011 (24 days ago) --- after 10 days of c-section i have some complication------swallowing and redness in left side and thing like fibrosis tissues or mass under the skin (size of tennis ball) and it get some time bigger and feel pain in this place. and in right side smaller and not heart.----- sever constipation associated with hemorrhoids .( i take daflon and some hemorrhoid creams and a lot of fiber vegetables and drinking water regime) . ------still have bleeding some time heavy. my first c-section in 18-6-2009 --my weight 97kg my height 172cm 28 years old. | Hi You need to be examined by your OB.There is possibility of fibrosed tissue at the incision site or a incisional hernia.Both can be ruled out by examination.The constipation can occur sometimes after surgery,if you hadnt had it before. Medicines and a high fibre diet should help. | |
Suggest some facts about knee replacement surgery
15 years ego. The doctor that we consulted suggested a knee replacement surgery. Can you please share some facts about the surgery...15 years ego. The doctor that we consulted suggested a knee replacement surgery. Can you please share some facts about the surgery... | Hello, There are more than 10000 facts about tkr. I can't write all the facts here. Could you please specify your questions. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Anuj Gupta, Spine Surgeon | |
Suggest treatment for swollen face and gums
Hi i woke up this morning with my face and gums swollen i recently had a filling fall out and i believe the gum is infected but there isnt any type of smell, but im in severe pain which would leave me to believe it is infected any suggestions would help | Thanks for using Health Care Magic.Read your query.Was the tooth root canal treated or was it a regular filling?The pain and swelling could be due the acute exacerbation the periapical abscess in relation to the tooth which had the filling.I would advice you to visit a endodontist and have a radiograph done. Root canal treatment will reduce the pain and swelling of the face.For the pain ibuprofen (if you are not allergic to any medicines ) can be taken. Antibiotics like Amoxicillin 500mg and metrolag will be required on prescription. If necessary ,abscess can be drained.Do salt water gargling. Do not apply hot bag externally.Hope this was useful.Thanks and regards. | |
What are the complications of dialysis?
sir i am a chronic itp patient since birth now i am 51 years male having creatnine 9 and urea 240..i dont want to undergo dialysis because of low platelet count as complications may increase i am nervous though slowly creatnine is coming down shall i avoid dialysis | Hi, I had gone through your question and understand your concerns.You should not be worried since complications are rare and usually not serious. More complications may occur if blood urea and creatinine grow above critical value. These values are significantly high and I consider that dialysis should be planned soon in consultation with your nephrologist. Complication are usually related to some changes in blood picture but this is usually handles by doctor on dyalsis and this should not worry you.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us.Wishing you good health. | |
What causes ankle swelling?
I was on a long flight from JFK to Istanbul, 9 hours. My ankles were swolen, one went down the other has stayed since March 8, it is now April 25 and there are red spots on my ankle. I saw a Dr. in Venice about two weeks after the March 8th flight who sent me to the emergency room. They did a blood test and said nothing indicated anything serious. I think it has improved a little, I got a blood thinner from the pharmacy, approved by the Dr. in the emergency room. I am now ready to go by bus to Prague, 2.5 hours and after a week, fly to London from Prague, 2.5 flight. Should I wear compression sox? This is on my right leg. In 2012, I broke the femur on my left leg and had blood clots after the surgery - all is healed now. I am an American artist and have been in Europe on painting residencies in Venice and in Cesky Krumlov, CR. I am in Cesky Krumlov, CR now till Monday. Do I need to go to the emergency room? I appreciate your help and suggestions. Thank you very much, Ms. Willie Marlowe 1/17/1943 | Hi Ms Willie. You are having swelling in the foot after a long flight. one month or more you noticed red spots also on the swelling . All your ER Reports are normal. In my experience this kind of swelling after long flight is common and is generally relieved on bed rest with legs above the level of heart. Sometimes swelling on one side could be because of Deep Venous thrombosis /varicose veins.In both cases compression stockings are going to help you so use compression stockings on long sitting journeys. Also get a color Doppler to assess any Deep Vein Thrombosis / varicose veins .Continue Blood Thinners also till the diagnosis is confirmed. | |
Q. Does spitting phlegm with blood is an alarming one?
Hi doctor, My partner had phlegm with blood just now without coughing. He does not have chest pain and a fast heartbeat. Before a day, he also had a headache and hot temperature. Yesterday, he poked his nose with his finger at night. This morning, he had phlegm coming with a portion of blood. Does it require medical attention? Does spitting phlegm with blood is an alarming one? Please suggest. | Hi. A possible diagnosis can be lung cancer. For it, your partner must be a smoker for 15 to 20 years or over 50 years so that he can spit blood continuously. If your partner does not have these conditions, then you must be calm. Respiratory tract infection can also be a cause for having phlegm with blood. A headache and fever will also support the diagnosis. Poking the nose with a finger can also be a cause for having phlegm with blood because blood can pass from the back of the nose to the pharynx. On considering the age, it is necessary to rule out malignant pathology. If the bleeding is not continuous, then there is no need to get tensed. In addition to bleeding, if your partner has a fever, headache, and cough, then respiratory tract infection will be a probable diagnosis. You can consult a family doctor for evaluation and treatment. If there is a continuation of bleeding and if your partner is a smoker, then it is necessary to do a chest X-ray. | |
Suggest treatment to control blood pressure
My Mother s blood pressure this morning was 151/113 pulse of 76. she had a procedure yesterday where she had several injections in her back for back nerve pain . This is the sixth time she s had this procedure and the time before last had a steroid flush which put her blood pressure through the roof where we had to take her to A & E to get some medication to lower it. The top number had gone well over 200 then. Should we just monitor her or should we be concerned? | Hi,You should monitor her for a week, if she has high blood pressure during a week you should see her doctor to correct her medications. Also, I would advise you to consult her doctor, and ask to prescribe some medication to take in case of very high blood pressure such as 200 mm Hg.Wishing a good health to your motherRegards, | |
Is brown vaginal spotting a symptom of pregnancy?
Hello. So ive bee trying to get pregnant and i had spotting for 2 days before my period. Kt stopped for a couple days and then came back with more and very dark brown? No clumping.. Not enough to fill a tampon or panty liner.. The flow is very light but again dark brown its been consistant for like 5 days now.. Could it be pregnancy related? Or just an odd menstrual cycle... As its not like any period ive had before. | Hello dear,welcome to Ask a doctor service. I reviewed your query and here is my advice. I dont think this irregularity of period is pregnancy related. You should do an ultrasound to see for anatomical concerns (ex fybromyoma). Than it may be a hormone dusbalance or sign of infection. Hope I have answered the question. Let me know if I can assist you further. | |
Had intercourse, felt sick, stomach problem. On folic acid. Can it be pregnancy?
hi, im a 26 yr old with a 7yr daughter, i ovulated on either the 26th may or the 27th, i am unsure as i have two ovulation calenders on my phone and they give 2 different dates. i had intercourse on the 25th, 26th and the 28th. for the last 2 days ive felt sick 1 min and the fine the next, my stomach does not feel normal even though ive been eating fine. ive been on folic acid for just over two weeks nearly 3 and i felt perfectly fine last week. i would like to find out that i am pregnant but at the moment im worrying myself silly with what if . if any body has been though what im goin though now please give me some advice and reply as i need some good news atm but no time wasters please. | hello,.If you did unprotected intercourse around ovulation time (as you told),then high chance of pregnancy is present. Do a home pregnancy test with urine after 1 wk of missed period.Check result and consult to your doctor. Then do periodic check up if you become pregnant.In this time,nausea,vomiting and slight stomach problem are present. Avoid pungent smell or odor and some foods that causing it.Take folic acid and Doxinate tab up to 3-4 months.Take protein rich diet,avoid long journey & heavy work, need proper sleep.Be well. | |
Suggest treatment for infertility
Hi Doctor...!!Previously i had a blood clot problem in brain.It is around 1 year back.Now we are planning for a baby.We got married 2.5 years back.since that time i'm unable to conceive.I have a sist near overy not in overy or tube.And my eggs are not developing properly.please suggest me. | Hi, Thanks for writing to HCM .At young age you had got blood clot. I suggest you to rule out any blood clotting defects and get them corrected . As that may hamper normal implantation. I suggest you to start with ovulation inducing drugs like clomephine . This will help your follicle to grow properly and rupture. You need to track the growth of follicle daily or alternate day from day 9.I suggest you to try with these drugs for 2 to 3 cycles. You can discuss this mode of treatment with your doctor.You will conceive soon . Be stress free . Because stress is main cause which hamper normal egg production. Hope I have been helpful .RegardsDr.Deepika Patil | |
What does "bilateral hilar and basal bronchial congestion seen" mean?
I m ramesh, age 39 years, ht. 167 cm, wt 50 kg - in my x-ray of chest PA it is mentioned that 'there are bilateral hilar and basal bronchial congestion seen' what is it? Also in my CBC report, lymphocytes and eosinophils are shown high (47 and 7 respectively) any relation between these reports? Please reply. | Hello Ramesh There are bilateral hilar and basal bronchial congestion i.e. bronchoconstriction or bronchospasm in the portion of lungs ( bilateral or both lungs ) from where blood vessels, lymph nodes enter and leaves i.e mid portion of lungs .There is also congestion of bronchi in the base of lungs . This type of congestion occurs due to allergy to certain allergens , these are ,pollen , mite , dust , fine dusting powder , hay , fodder, sudden increase or decrease of temperature , certain drugs.These allergen produces bronchoconstriction ( as in your case on both lungs and in the base of lungs ( bilateral hilar and basal congestion ) and this bronchoconstriction causes bronchospasm , hence there develop cough , bronchitis etc.Now about the C B C report ) clearly mentioned that eosinophils count is high ( normal 2-5 %) , and this is due to allergy and bronchial congestion.Lymphocytes ( normal 20-40 -45 ) . This is non-specific , so don't bother about that . In my opinion you are having allergic bronchitis , so consult your physician and get his opinion.Good luck. | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
What causes neck swelling post a Laminectomy?
I HAD A SPINAL FUSION/LAMENECTOMY OF CERVICAL SPINE C-3 THRU T-2 IN APRIL OF 2016, EVER SINCE I HAVE HAD SEVERE PAIN AND CONTINUED SWELLING IN NECK AND UPPER BACK REGION WITH NO RELIEF. I AM FOLLOWED BY PAIN MANAGEMENT WHO HAS TRIED MANY MEDS AND TRIGGER POINT INJECTIONS WITH NO SUCCESS, I VE ASKED THE NUEROSURGEON TO FOLLOW UP AND FIND ANWSERS FOR THIS CONTINUED PROBLEM. THEY HAVE OREDERD AN MRI BUT I FEEL THAT I NEED AND MRI WITH CONTRAST TO GIVE BETTER IMAGES OF THE MUSCLE/NERVES THAT ARE CAUSING THIS PAIN, WHICH IS BETTER? CONTRAST OR NO CONTRAST? | Hello, I have studied your case.You may need to do MRI spine with contrast to see for nerve compression and discitis. If you’re new MRI shows disc bulge with nerve compression then surgery may help.If there is instability then fusion with fixation may help.As per your previous surgery of spine now there is possibility of discitis, which can be confirmed by MRI with contrast or CT myelogram.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and TENS therapy will helpI will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health.Take care. | |
What causes itchy lump at the site of bug bite?
Today I had the urge to scratch my ankles and right after a bug bite sized lump appeared on both my ankles it's slightly red, and no bite mark, and is warm I guess and doesn't hurt when touched, it's also tender. It's also still itchy, what is this it sounds worse than I could think of? | Thanks for contacting HCM with you medical concerns.You are concerned about a lump with itching on your ankle after scratching the itch. This type of reaction is a allergic reaction to an insect bite. What every bite you is causing your body to react locally to the bite. In my practice I have my patient use a topical steroid like hydrocortisone as soon as possible after the bite reduce the swelling and itching. This reaction may take fro several days to 2 weeks to fully resolve.Hope this answered your question. Please contact HCM again with your medical concerns and questions | |
Do dizziness and nausea in an elderly person need medical attention?
my husband developed severe dizziness getting out of bed..felt nauseous. no fever, it subsides somewhat when he lays down but doesn t entirely stop. he is 72 years old, taking a statin but no other medications. it s been about 3 hours or so now. should we go now to the ER? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You have to consult a physician immediately and it will be better to take him to ER now. It might be due to minor strokes or TIA(transient ischemic attack) and we have to take a CT scan as soon as possible. Hope I have answered your query. Let me know if I can assist you further. | |
How to get rid of candida yeast infection and get pregnant?
I've been trying hard to get pregnant for some years(3 years) without success, I also have a long history of candida yeast infection(abt 6 years), all the treatment I've made seem to be temporary and it keeps recurring with severe vaginal itching and smelly discharge. Pls, what can I do to be totally free of this disease and to get pregnant? | Hi,Welcome to HCM,You have two different problems. To prevent Candida infection, you have to prevent heat and moisture ( wettiness) in your vagina. To do this, you should avoid wearing synthetic panty, and G strings. Avoid any chemicals in vagina, like bubble bath, foam bath, vaginal douching, antiseptic solution etc. You must avoid tampoons, or any foreign body in your vagina. You have to take best hygienic measure during menstruation and before and after intercourse. you have to rule out Diabetes. If you are taking any antibiotics, you must use Flora tablets. Rule out any other associated infections. Avoid i even protected intercourse until you completely get rid of Candidiasis. Make sure that your partner also gets checked and treated. Usually Candidiasis is not a STI, but when you are getting it recurrently, better to treat him also. Some Candida species are resistant to usual antifungal tablets, so you may need to get either long course of the same tablets, or your doctor will choose the best one from the available antifungal medications. Once you are cleared of infection, then you should try for pregnancy. For Infertility, there is a full work out, and you have to be in constant touch of your Doctor.Best wishes.Dr Hamdani | |
What causes hyperventilation and severe tremors post intake of Ativan?
I AM TAKING ATIVAN 1 MG 4 TIMES A DAY. I AM ALSO ON TIZANIDINE 4 MG 3 TIMES A DAY. I AM ON WELLBUTRIN 300 MG 1 A DAY. I TAKE TWO TRAZADONE DAILY 100 MG EACH. I AM ON GABAPATEIN 600 MG 3 X A DAY. THIS COMBINATION OF MEDICATIONS HAS WORKED FOR FOUR YEARS. NOW I AM EXPERIENCING EXTREME ANXIETY ALL DAY. THE ATIVAN HELPS FOR ABOUT AN HOUR AND THEN I START HYPERVENTILATING AND SHAKE HORRIBLY. COULD SOME MEDICATIONS HAVE STOPPED WORKING? I AM ALSO EXTREMELY SAD AND DO NOT THINK WELLBUTRIN XL IS WORKING ANY MORE. PLEASE HELP ME. THANKS XXXX | Hello, Extreme tremors and hyper ventilation are due to receptor activation at acetyl choline pathway as there are multiple medications are going on which are known to interact with each others at central nervous and peripheral nervous system. Kindly discuss the same with your treating physician and get dosage adjustment with or without change of any molecule. Till that time, drink plenty of liquids and avoid further intake of any anxiolytic medications. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best. Regards, Dr. Bhagyesh V. Patel, General Surgeon | |
Took DRONIS 30 for getting period. Result negative. Scan report showed pregnancy. Any effect on fetus?
HI Doctor, My Wife consumed DRONIS 30 for geting a mensus which prescribed by a doctor, In a initial stage when mensus stoped Sep 17th was the last Mensus date the pregnancy test was negative, the following MOnth doctor prescribed Mensil tablets for a peroid but no output so Immediately without a proper test again Doctor prescribed a DRONIS 30 for 21 days, days passed 21st day (17th December) Stoped taking Dronis 30 after stoping a tablet today its 16th January No Positive result still she was wihtout period when I checked with other doctor advised for a Scan Now shoking news is My Wife is Pregnant for 3 Months will the DRONIS 30 would have affected the kid? My new doctor advised for DROPING A CHILD please advice Thanks & Regards Khaiser | Hello Thank you for your query. There is no problem if pregnancy occurred while Dronis 30 was being taken. However, there could be a lag in development of the baby or some other problem for which your gynecologist has advised termination It would help if you elaborate why she advised this. Have regular antenatal care, folic acid supplementation and enjoy your pregnancy. Take care. | |
Have intense itching on top & sides of shoulders. What are the problems with spleen?
I have intense itching on top & sides of shoulders. Had it since April/May after mushroom hunting in woods in IN & MI. Little red marks & swell if scratched. spread from 1-2 bumps to 6-9. worse at night. some problems now with spleen & body seems to try to get rid of poisons/toxins. Some thyroid issues. Dermatologist thought bug bites but not sure without test & weren t actively itching upon appointment. Also get itchy all over including head, but the intense itch is shoulders. | Hi, Thanks for posting your querry on HealthcareMagic. After reading your symptoms, i feel that it is aome kind of an allergic reaction as it is not limited to just shoulders. I would recommend you to take any anti allergic medication for 2-3 days as it may solve your problem. You can also apply calamine lotion topically in the areas of the red marks and aloe vira gel for symptomatic relief. If your condition does not improve then you must visit your dermatologist and undergo allergy tests or any other tests he deems necessary. Wish you a speedy recovery. Regards | |
Have deteriorating mental ability. Have alzheimer's dementia and hypertension. On medication. What to do?
Hi, I am Partha from Guwahati. My father has been suffering from Alzheimer's Dementia for the last 5 years and hypertension for about two decades. Present medication- Admenta 10mg (memantine hydrochloride) twice daily, Stamlo beta (Amlodipine+atenolol) in the morning and stamlo 2.5 mg in d evening. His BP is under conrol but mental ability is deterirating day by day. What should be our next line of treatment? | Hello Alzheimer's dementia is most common form of dementia in elderly. Hypertension is also very common in advancing age. You have mentioned that his BP is under control of medicines but his mental abilities are deteriorating day by day. He is on Admanta 10 mg twice a day. His progressive deterioration of mental abilities is due to psycho pathological changes of Alzheimer's disease. Other medicine like Donepezil can be added to his prescription. It help in slowing the progression of dementia. If he is getting aggressive and violent any antipsychotic drug in low doses can be added to his prescription like Resperidone. It will not only decrease abnormal behavior and aggression but will also decrease the progression of dementia. So I would advise you to please take him to a good Psychiatrist for proper evaluation. Thanks Dr. Seikhoo Bishnoi, MD | |
Q. Where does the unreleased follicle eggs go in a PCOD patient?
Hello doctor, I have PCOS. I want to know what happens to all these unreleased follicle eggs on ovaries? Why I have spotting after the period? And how can Yasmin help me? If it prevents ovulation so the number of follicle eggs would increase? What are the side effects once I get off Yasmin pills? Can you answer me with an explanation, please? | Hello. The unreleased follicles are multiple and tiny and small as the follicular phase is very long. FSH hormone is very high. They are all unripe and immature but one of them grows till ovulation (takes a long time in PCOS patients) and other undergo apoptosis, that is get dissolved. Some women experience spotting at the time of ovulation but not necessarily it could be due to ovulation. It could be mainly because of hormonal imbalances. I myself prescribe Yasmin to PCOS patients and works wonderfully as it is a low dose hormonal pill. It regularizes the menstrual cycle, the follicular phase becomes 14 days and luteal phase becomes 14 days, periods come on the exact date. It has Estrogen and Progesterone component which is active and it mimics like normal body rhythm (how it normally should be) unlike what imbalances happens in PCOS and corrects them. Spotting does not occur. The number of follicles do not increase even if it inhibits ovulation by a complex mechanism but the follicular phase which is very long in PCOS patients gets corrected thereby leading to normal FSH levels. Free androgen circulating in the body get decreased. Side effects on stopping Yasmin are again irregular or delayed periods and hirsutism may increase as male hormone androgen is increased than estrogen and progesterone. But before starting Yasmin there should be no cardiovascular disorders or gallbladder disease or active liver disease as it is a hormonal pill. It gives protection from breast cancers and ovarian cancers as well. Once periods get regular after three months, Yasmin can be stopped. It has to be taken for 21 days from the first day of the period then wait for periods and again start a fresh pack. | |
How to recover from the fever?
my friend has had fever for d past one and a half week!she was first told that she has utilater she was told that the medicines given weren't workingshe did a culture test and it came out clearlater the docs suggested that she for sure had uti but the test didn't come out positive because she had taken medication, which is contradictory to what they said before about the medications ot workingshe was later advised to undergo a blood test for the second time now where they took 4 syringes full blood!i also think i should mention that she was detected with an inflated ovary and underwent a cancer test which came out negative.also the doctor suggested not to undergo surgery for the same since she barely just turned 19 and has a little deficiency of blood and is think and weak!please help!!! | Thank you for the query.Urinary tract infection is a common ailment, specially in young females (due to poor personal hygiene and use of unclean washrooms). Urinary tract infections are commonly diagnosed by symptoms (high grade fever, increased frequency of urination, burning during urination, pain in the loin or lower abdomen etc.). Urine for routine examination can be used for diagnosis, which reveals increased pus cells or sometimes red blood cells. However, urine culture may not be positive always. This occurs when the individual has already been exposed to an antibiotic before the culture sample was collected. Responding to antibiotics may not always be a criteria for this and resistant strains are very common.Blood investigations have probably been advised to check the infection parameters or maybe for blood culture.In the meantime I would advise her to drink plenty of fluids and maintain personal hygiene. Urinary alkaliniser may help. Acetaminophen may be taken for fever (but not >3gm per day). Since she has anemia (deficiency of blood) she can take oral iron and folic acid supplementation. Please do consult your physician for further advise.Hope this helps you out. | |
What will happen if a child happens to swallow a disinfectant?
Hello, My 10 month old put a travel size Lysol can in his mouth. He got the lid off and put the pray cap in his mouth. It did not spray but I m not sure if there was some residue on the spray cap. If there was, it would have gotten in his mouth. We gave him lots of fluids and have been watching him. What should we do? What should we look for? | Hello. I just read through your question. The amount we are talking about is completely non-toxic. giving him the fluids was a good idea as a precaution. Nothing else is really necessary. the worst that would happen is a little headache, which would be demonstrated by some mild irritability. However, it is unlikely he will even experience that. You have nothing to worry about. | |
Q. Why is Wellbutrin not showing its effects any more in a depression patient?
Hello doctor, I am 28 years old with height 5'8", weight 120 kg, and married. I have been suffering from anxiety and depression for the past 12 years. One day I was driving to college and suddenly got a panic attack all of a sudden for the first time. I was really scared and thought I would die. I thought there was something wrong with my brain, so I had thousands of tests and then brain MRI. All was perfect. During that time, I weighed 80 kg. I was so scared that I was totally on the bed for two years. I gained 40 kg in a year by eating all day. I was scared, fearful, and depressed. I tried lots of medicines, but nothing helped. Then a GP suggested me Cipralex and Xanax 1 mg twice a day. Things started getting a little better. Then I decided to lose weight. I lost 55 kg in two years. At that time I was almost 20 years old. I left the university because I was not able to focus. My father is an industrialist, so I joined him and worked very well for three years. When I was 23 years, I was better enough to make friends. I used to hangout and started taking alcohol weekly. I started enjoying alcohol, and the effects of Cipralex were going away with time. After a year or so, I went into depression mode again. Then I consulted a pschiatrist and he put me on Wellbutrin XL 300 mg, Seroxat CR 25 mg, Xanan 1 mg thrice a day and Rivotril thrice a day. After a few weeks the honeymoon period of Wellbutrin kicked in and the life changed. I was focused and powerful. I just did whatever I wanted to. I started earning money. I mean my dad was happy from my work so he used to give me enough to enjoy life. I became an alcoholic. I got married two years back and have a son now. I used to drink all day long even in the breakfast. I build so much tolerance that I would drink two bottles of vodka every day and night, and 15 cans of beer in a day. My weight has again gone back to 120 kg. By the time I increased my Wellbutrin dosage to 600 mg per day on my own to get that honeymoon effect back, but nothing changed. It is now all where it started, lying on my bed, panicked, fearful and depressed for the past 10 days. I left alcohol 10 days back cold turkey. I had an LFT test and the GGT was around 700. I just do not want to die of liver cirrhosis. I also had a CBC test and it was 99 percent normal as well. Hepititus B and C are negative. I had an ultrasound abdomen four months back and at that time, al | Hi. I have gone through your problem and understand your concern. The doses of Wellbutrin (Bupropion) are towards higher side and dose of Seroxat CR (Paroxetine) is towards lower side, while benzodiazepine is also towards higher side, but it can be gradually tapered to lower side. Once the alcohol withdrawal symptoms decrease, you can lower the benzodiazepine doses. Usually I recommend to my client Seroxat CR 50 mg to manage the symptoms of depression. I would suggest to stop alcohol and continue the same medicine. Of course, increase the dose of Seroxat. Regular exercise is very important, and management of alcoholic liver disease has to be considered. Thiamine in doses of 100 mg three times a day and if required Metadoxine can be used. All these are prescription-only drugs, so you need a prescription for the same. For more information consult a psychiatrist online --> | |
What could be the reason for having shortness of breath and light headedness?
I m currently having a weird feel mid chest. not pain but a heavy feeling and some air hunger like I can t fill up my lungs. last week my doctor did an emg and it was normal but ordered chest xray, stress test and echocardiogram which are scheduled for the end of the month. still having some shortness of breath some lightheadedness periodically. I m wondering if this is anxiety (already take Cymbalta) or something else? | Thanks for your question on HCM.I can understand your situation and problem.Your symptoms can be due to anxiety but it is still early to stamp anxiety as diagnosis, because your investigations to rule out cardiac and pulmonary causes are still left.Chest heaviness,lightheadedness,shortness of breath , all can be seen Cardiac causes like heart failure, coronary artery diseases etc and pulmonary causes like chronic bronchitis , pulmonary fibrosis etc.So get done chest x ray, PFT (pulmonary function test), 2d echo and stress test to rule out above causes.If all the above investigations are normal than anxiety can be the cause.So consult psychiatrist for diagnosis and treatment of anxiety.Avoid stress and tension. Be relax and calm. | |
Have breathing problem, abdomen pain with vibration in body. Sonography showed appendix. Is it curable with medicine?
Hello Doc. I am 27 year old female a wife & a mother. i hav got breathing problem. since 1 day i was having excessive pain in right side of my lower abdomen. my family doc suggested my for sonagraphy also she checkd my bp which came 140/70 is it ok & also i got vibration in my whole body. whn my sonography was done it was examined that i am having acute appendix. i wanted to ask u is it curable by taking medicinal course or should i get it operated. please help | Hi ! Appendicitis is more of a clinical diagnosis and sonogram may be a corroborative investigation in arriving at the diagnosis. However, once you are being examined by your treating doctor and the sonogram also shows that you have got acute appendicitis, then the right treatment for this condition is emergency surgery after doing all other routine investigations like blood and urine test. Not infrequently some physician treat this with antibiotics to control the infection without surgery, but this carries the risk of perforation and other complications related to appendix and so I as a surgeon would not advise you for the same. The Blood Pressure checked for you does not need any treatment for the time being as the upper (systolic) level could be due to the pain in abdomen. The vibration in your body is also not related to your present symptoms of pain abdomen. This might be due to the anxiety factor if no other neurological problem is faced by you.I would suggest you to consult a general surgeon at the earliest for management of acute appendicitis. Wishing you an early recovery. | |
What does a lump on the elbow indicate?
Hi, my 74 year old mother noticed, yesterday, on her elbow a piece of fatty substance around her elbow (around her bone). No pain. No discoloration. When she extends her arm no pain. She describes it to me like a glob of fat below her bone. It feels spongy. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.The most possible lesion responsible here is soft tissue lump in form of lipoma or sebaceous cyst. I would suggest consulting a consultant surgeon and confirm the same.I hope I have answered your query. Let me know if you have any further questions. Regards,Dr. Bhagyesh V. Patel | |
Why do I get jerks while putting pressure on my brain?
1. Hello. I am a male, 56, stay in Mumbai. I developed epilepsy at the age of 18 (predicted by my Doc when I was 16, and kept me on ACDs). I am an asthamatic too (not very serious) and am allergic to certain types of dust. I smoke but dont drink now. Since 1982, I have been taking Carbamazepine 400 & Phenytoin 100 once in the morning. The seizures became rare after that. In 2011 (April), I had a major seizure (after 16 years) that lasted for 2 -3 minutes. Everything seems to be fine so long as I am sitting home doing nothing. The moment I stress my brain by I begin to get the shocks jerks ....whatever you call them. Things like- say, involving in a complex Math problem, arranging the book shelf, working on a machine design or doing multitasking (like going to the grocers with a list of more than 8-10 items which I have to search for in that shop), or cooking without the printed recipe at hand and without the ingredients arranged properly in advance .....etc. | Hello,According to your historical account, most possible diagnosis of your problem may be juvenile myoclonic epilepsy. This type of epilepsy has onet during adolescence and characterized by generalized tonic clonic seizure(GTCS), Myoclonic jerks and absence seizures. This jerking is usually present in morning and associated with lack of sleep and exertion. I will advice you to consult a neurologist who will evaluate you properly and suggest EEG. The drugs being prescribed are also not in adequate amount. Moreover if the diagnosis came out to be JME then drugs need to be changed.hope you find advice helpfulWishing good health | |
What is the treatment for the fungal infection on the head of the penis?
Hello Sir, I am Satveer Singh and my age is 23. My height is 5"10". My weight is 80 kg. I have a BALANITIS deseise due to fungal infection on the head of my penis. It also has redness on it. The size of my penis is also not normal. Its about 4 inches. I never had sex with girl. Please give me the solution.. | hai,First clean your genital area with some antiseptic soap or solution.do retract your skin above your glans penis and wash it clearly.i advise to apply anti fungal cream in and around the penis area for 4 to5 days.keep changing your inner wears and do wash it in a sterile way to avoid transmission of infection.no need to worry about your size of penis.follow a hygienic way to keep away from infection.thank youhope i answered your query. | |
Q. Is there a chance of pregnancy after protected intercourse using condom?
Hello doctor, I and my partner had intercourse two days ago. He used a condom but can I still have a chance with pregnancy. But two days after intercourse my stomach starts to hurt and I am spotting blood. I have read about spotting to be a sign of pregnancy but after a week after intercourse can it just be my period? My period had to start in nine days, but my periods are irregular. Can they come up to more than a week early or late? Please suggest I do not know what is going on. | Hello, Welcome to icliniq.com. I have gone through your query with diligence and would like you to know that I am here to help. Based on the information provided, I would like to rightfully start by saying that condoms are 98.9 % effective in preventing conception. The 1.1 % is due to a poorly manufactured condom or due to inadequate care taken to follow the instructions of use. In my opinion, if you followed the instructions of use, there should be nothing to worry about. As for the spotting, this could purely be due to the sexual act itself. Many women have mild spotting after sexual intercourse, some simply due to the excessive contraction and relaxation of the muscles and some due to rough sexual intercourse. As for an implantation bleed, this takes place quite a few days after the sexual act, so it cannot be assumed to be a sign of pregnancy. This, in my opinion, is most probably due to the sexual act itself, or due to an early onset of your period. Wait and watch for a few more days, and if the spotting subsides then this was purely due to the sexual act. If it gets heavier then this is an early-onset period triggered by sexual intercourse. Please also make sure you keep track of your menstrual cycle if at all you do not experience your period now. If there is a delay in your periods, then conduct a home pregnancy test around two weeks after the sexual act and write back to me for further guidance. Do not worry, pregnancy is unlikely. I hope this helps. | |
Suggest remedies for Hair fall
I am 22 year old boy weigh 60 kg height 5ft 10 inch suffering from severe hair fall and frontal hair thinning MPB previously doctor adviced me for mintop forty solution it worked well, i quit it beacuse of alcohol content in it..(religous issues). No one in my family is bald, currenty a doctor adviced me for zocon lotion for dandruff 2 times a week It is working perfectly for dandruff and stopped hair fall. I consume nutrilite hair skin and nail IN MORNING suppliment and 2 seven seas secod at night I want to ask u that 1) is there any side effect of zocon fluconaxole lontion? How safe is it? 2) is there any non alcoholic type of mintop forty available ? 3) what should i do to stop this hair fall?? | Hello, You may try Androanagen solution. It is also a Minoxidil topical 5% solution but has a different base than alcohol. In addition I suggest you to take finasteride tablet. It is also an approved remedy for androgenetic alopecia. You may continue with fluconazole lotion for dandruff. It is a safe and effective remedy for dandruff. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Kakkar S., Dermatologist | |
Does any environmental contaminators cause tongue cancer?
My husband died at 33 with squamous cell carcinoma of the tongue, his sister was later diagnosed and now his Aunt, also childhood neighbor, grew up next door to these people has it. Have you ever heard of environmental containaments that can cause tongue cancer besides the obvious, alcohol and drugs? | I am really sorry for the losses your family have suffered. Dear madam, reasons for oral cancers are many, amongst most common things we eat like, spices and especially chilly, besides the obvious reasons like nicotine (in any form, like chewable tobacco with or without lime). at this point i would like to aknowledge that there is a strong familial prediliction in many cases, as you have already mentioned that the other family members have also been diagnosed with this deadly disease. however besides these factors, chemical level of water and radiation of mobile and internet waves have also been enlisted as the cause of cancer.Dr. Neha Vanza KhareAsst Prof. RKDF Dental CollegeBhopal | |
Semen test done for colour, viscosity, reaction PH, sperum concentration, sluggish, pus cells. Is it normal?
dear sir, my semen report is period of sexual abstinence 3 days,liquefication time 35 mins, colour: grey white,volume:1.0 ml, viscosity: poor, reaction PH:8.0,sperum concenration :45 m/ml,motility:rapid progressive 20%,moderately pogressive 40% ,sluggish 20%,non motile 20%, agglutination :absent. Morphology Normal 80%,abnormal 20%, microscopy pus cells2-4/hpf, red cells:2-4 hpf please tell me sir this is normal or not ? which way improve my health? 5 | HelloThanks for your query,based on report of your semen analysis that you have posted it appears that your semen analysis report is well within normal range as per WHO standards as for as morphology,sperm count and motility is concerned except the fact that presence of 2-4 pus cells and and 2-4 RBC is suggestive of infection of either seminal vesicle or Prostate.You need to take antibiotics like combination of Trimethoprim and Sulphamethoxaxole (Bactrim) for 4 weeks to control infection Repeat your semen analysis after 4 weeks.Dr.Patil. | |
What causes frequent cold followed by wheezing in infant?
My younger son is 11 months old now. Often he s getting cold and it turns out to wheezing soon. My ped prescribed asthalin/ ventorlin for cough and wheezing. Nebuliser was also used. My question is, why he is getting cold often? Blood test is also taken and everything is normal. | Hi, I'am Dr Suresh K Yadav MD (paediatrics), I had gone through your question and understand your concerns,Your baby seems to be suffering from reactive airway disease or hyperreactivities of airways . I mean in a normal baby this type of illness is limited to cough only , but in babies having hyper reactive airways (body responding more than what is supposed to ) it leads to spasm of airways leading to wheezing. Chances of this be allergic are more if there is family history I'd allergy or asthma. It is also common in babies having respiratory problem at birth. Your babies is not getting cold more , but his cold is becoming complicated more due to wheezing.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 questionsTake care. | |
Suggest treatment for mucus cyst on lips
Hi,A year ago a mucus cyst developed on the inside of my bottom lip. I consulted a specialist and got the cyst surgically removed soon after. Months after my surgery I felt like the cyst may be coming back so went back to my surgeon who reassured me some scar tissue had developed, which was disappointing, but nothing to worry about. Whenever I consume marijuana,which is very rarely, I feel as though the area where I had the cyst removed begins to swell up in size, if only for a couple of hours. Can you help me with this? I'm not sure what it could mean and whether it might bring it back on?Thank you,Karla | Dear Carla,avoid marijuana. Maybe it supresses your imune sistem or some other smoking material is creating "local alergic" reaction. Even fungus like Candida is posiable, so you sholud check that with doctor, to take swab in mouth.All te best. | |
Q. I have a whitish lesion on the lateral side of tongue. Is it leukoplakia?
Hi doctor, I have a mild whitish lesion on the lateral side of tongue. I am afraid that it might be hairy leukoplakia. Thank you. | Hi. Thanks for your query on this platform. You noticed recently a white lesion on your tongue. For further queries consult an internal medicine physician online --> | |
Can lower abdominal pain be a symptom of bladder infection after antibiotics treatment?
I have had subtle pain in lower abdomen radiating to my right kidney for about 6 weeks. Feels somewhat like cramps. Been to doctor and she thinks is bladder infection but will not go away with several treatments of antibioiotics. Am 70 years old and had hysterectomy 30 years ago but left ovaries in tact. No other symptons. Could it be something else? | if it is recurrent urinary infection u may be having multiple antibiotic resistance .u need to do urine culture and sensitivity test to know the proper antibiotic u r going to respond & the organism causing the recurrent infection can be detected . | |
Suggest treatment for upper back and neck pain
I m a 28 year old male. I am 5 8 and 260 pounds. I have sever anxiety and am on paradise time for that and it does help. As of late I have been having major upper back and neck pain accompanied with these odd episodes with my heart. I will be sitting and within a second my heart rate jumps from a resting 60 bpm to over 200. There is no pain anywhere it s just very uncomfortable and scary. The heart rate slow during if I lay on the floor and push in hard on my stomach. It usually take anywhere from 5 to 20 minutes for my heart to return to normal. Is this related to my back, my stomach, my esophagus or my heart? | HelloThis sudden increase in your heart rate is most probably the part of your anxiety. Its not related to your back or oesophagus.I think you should visit your doctor again.The back and neck pain would require a treament in the form of physiotherapy.You can take tablet combiflam when needed for pain. Do hot compresses for muscle relaxation. Can wear a cervical collar for neck pain.Thanks | |
Do cardiac spasms cause a myocardial infarction?
I went via ambulance to emergency room with crushing pain in left chest and arm. ecg normal, troponin .02, then elevated to .1 er diagnosed nstemi and i was admitted. cardiac CT showed no CAD. Totally clear. cardiologist diagnosed Prinzmetal s angina. Did I have an MI caused by cariac spasm? | Hello, It seems that you have had myocardial ischemia. As there was no evidence of CAD in the cardiac CT scan, Prinzmetal angina could be a possible option. Anyway, I would recommend performing a dobutamine stress echo or a coronary angiogram in order to exclude coronary artery disease (CAD). Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ilir Sharka | |
What could be the reason of having headache , heartburn ,internal abdominal heat and rib pains ?
what can i use for headache , heartburn ,internal abdominal heat,rib pains, back pain ,and general bone ache? i am having all these symptoms presently. | Welcome to Healthcare Magic Almost all of these symptoms can be attributed to gastritis. You need to take bland soft fat free diet for relief. Drink more water. Eat fibre rich food like fruits and green leafy vegetables as well. Try keeping away from wheat and oats and see if symptoms subside. Drink plenty of water. Exercise daily. If you want specific relief it is best you get an endoscopy done and if there is gastritis ulcer you will be prescribed good anti-acid agents like Omeprazole which are excellent for relief. | |
Had hernia repaired. Now paints in left abdomen. Have left hand variocoele. Is it related?
I've seen a gastrointestinal consultant about pains in the lower left abdomen in a similar position to where I had a hernia repaired 20 years ago. The pains are also accompanied by severe wind. The hernia was a congenital inguinal hernia that was accompanied by a hydrocoele. The consultant has carried out a CT scan and a colonoscopy and ruled out a reoccurence of the hernia. He says there is a little evidence of wear to the bowel but nothing serious. However, the pain is there. Both the pain and the wind sometime get less but at other times they are both severe. My family doctor says I also have a left hand variocoele, which may or may not be related, though it too causes quite a bit of discomfort at times. I am occassionally feeling the need to pass water more frequently but this sensation isn't always present. All these symptoms feel very similar to my original hernia and the pain is in a similar place but have had no more than the occassional bit of discomfort since the original surgery. I'm therefore still worried it may be something else. I'm happy to accept I don't have a serious bowel problem but something is not right. I don't know what to do. | if everything is normal you may have food protein allergyget allergy doctor consultation who can find by blood serum test to which protein you are allergic and after witrhdrawl of protein will be better | |
Q. Other than surgery, is there a treatment for my mother's femoral neck fracture?
Hi doctor, My mother is suffering from a left femoral neck fracture. Is there any other treatment other than surgery? Please suggest. | Hi. I have gone through the attachment (attachment removed to protect patient identity). The age of the patient is 72 years. At this age and with this fracture, there is more harm in not doing surgery as compared to doing surgery. Such patients can develop respiratory difficulties, bed sore, and infection due to immobilization. Hemiarthroplasty is a good option at this age, but in some conditions, a total hip replacement would be ideal. But it is decided after seeing the patient. For more information consult an orthopaedician and traumatologist online --> |
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