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What causes a knot below the rib cage in a child?
i just notced my 2 1/2 year old daughter has a small bruise below her rib cage and has a painless knot that rolls around in the middle of it. When you touch she says it does not hurt. What could this be? She weighs 30 lbs and has been very healthly child. | Hi...unexplained bruising / without any history of injury or trauma needs evaluation as it might be indicative of a bleeding disorder. It can show itself at any age. If there has been a trauma then yo can be rest assured as it is not bothering the kid. The bluish discoloration you are noticing is a subcutaneous bleed or bruise and the small lump you are able to palpate is a subcutaneous blood clot.Regards - Dr. Sumanth | |
What causes low pulse rate?
just dx with htn 170/100. Next week bad headache - went to ED. Bp there was 220/120. Given lasix,benadry,compazine. CT scan negative for brain bleed. Past few days, pressure better, but high at night. No headaches, but pressure in temple area. Have been on Hctz 25 mg, started a day before ED visit. Put on Lisinopril 10 mg, yesterday. BP much lower, but pulse is high - never was an issue. Body feels heavy, and sluggish when doing Adls. What the heck is going on? | Hi,It can be due to recent blood pressure variations. I would advise you to see your doctor and discuss the possibility of beta blocker. It will help to control your blood pressure and will decrease your pulse.Wishing you good healthin case of further questions don't hesitate to askRegards, | |
Have prostate cancer. Done prostatectomy. Undergoing hormone therapy. Increasing PSA level. What to do?
Sir, Myself Pradeep Kumar Sinha . I am suffering from Prostate Cancer . My prostatectomy was done during Sept.2009 . 30 nos of Radiation completed during Dec. 2009 . Now Hormone Therapy is going on. 5 nos (Eligard-45) has been taken in 6 months interval. Last taken on Feb. 4th. 2013. My PSA level on 31st. Jan.2013 was 3.91 ng/ml. On 6th March 2013 was 6.67 ng/ml. which is gradually increasing. Kindly suggest what to do . | Dear Mr Pradeep, Thanks for writing in. There is a possibility that your cancer is now not sensitive to hormone therapy any more. I would suggest imaging studies to rule out any evidence of recurrence of the tumor (like MRI pelvis, CT thorax and bone scans). Further treatment in the case of visible disease on scans or persistently rising PSA, may include other hormonal agents or chemotherapy if need be. Best Wishes, | |
What are the chances of pregnancy during ovulation?
after taking menogon inj i had a 1 cm follicle on 4th july at 10 am on follicular study. on 5 th july at 10 am dr told that it had ruptured and on the same day at 4 pm we had sex. can there be a pregnency chance? we didn t sex neither before or after ovulation. | Hello, having sex around ovulation has high chances of getting pregnant but sex should be done regularly for3-4days atleast for increasing the chances of conceiving. The ovum can be fertilised for 72 hours after ovulation. Sperm can fertilise for 24hours after ejaculation but maximum chances are in 1st 6hours of ejaculation so increasing the number of intercourse increase the possibility of successful fertilisation and pregnancy. | |
Suggest treatment for developmental delays in a child
I am a peds occupational therapist. I see a 4 year old boy who has some developmental delays. He is also seen for speech therapy. He has a very soft voice and doesn t seem to have much respiratory reserve to speak or sing more than a phrase or two. He has very slow processing time for following directions and seems to have some motor planning problems. He is a possible candidate for an autism diagnosis. My concern is that in addition to the soft voice he has a sporadic gasp-like breathing pattern - takes in a deep breath, holds it, then exhales. I can t pinpoint any specific trigger in his environment - anxiety, excitement, etc. Sometimes he repeats it several times. While he does this he seems to disconnect from whatever else he is doing. Others involved with him think it is a self-stimming behavior. I am concerned he has respiratory issues of some sort, or could it be related to seizure activity or something else? | neither a respiratory nor a seizure activity is likely, could you provide more information about his perinatal and natal history, and whether a brain MRI was done or not | |
How to treat the cramps in foot?
My feet are cramping. This is not normal. Both at the same time. Pain subsides or stops at the same time in the same areas. Calves also. Toe joint freezes upwards and I am unable to walk. Last as long as 5 minutes. Rubbing does not help. Started last night, been happening all day every few hours. Very scary. I m a truck driver for 10 years. Never had foot cramps, till now or leg cramps in the day either. Would really like to hear something. | Hello For foot cramp,Take plenty of water, fluid intake will dilute toxins.Physiotherapy with ultrasound and Tens will help you,Yes you can do exercises like swimming, riding stationary bicycle, but do not overexert yourself.Take potassium rich diet.Hot and cold fomentation to leg. You need to continue you medication for couple of month to see effects.Add tab methycobal 1500 once day.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take careHope I have answered your query. I will be available to answer followup queries. If you are satisfied with the answer, please give your review at the end of the discussion. | |
Advise on B.Hemolytic growth causing red rashes
Hello, my son 4.5 years is having red rashes on his body and face. We assumed it as measles but doctor took throat swab and it showed heavy growth of B.Hemolytic. We wanted to check what should we do should we go for another doctor for double check. Please advise. | Hello, Your sons symptoms seem to be related to a bacterial infection. I suggest using a cycle of antibiotics such as Augmentin to treat the infection. I also suggest using Calamine lotion for local application at the rash area. Hope my answer was helpful. If you have further queries feel free to contact me again. Regards, Dr. Dorina Gurabardhi General & Family Physician | |
Can I take anadin to reduce painful swollen cheek and gums?
I went to the dentist as I have a swollen cheek and my gums hurt. He told me he cant do anything for the pain as he cant see in my mouth properly and the xrays were not the best. He has prescribed me 2 things "Metronidazole" to treat the inflammation and also "Amoxicillin" I was meant to ask him if I can take something like anadin to help keep my tempeture down and relive some of the pain but I forgot. Unfortunately I was not thinking that straight as I have been in agony for 5 days now and am struggling to get any sleep at night.Thanks Nige | thanks for your query, i have gone through your query, the swelling can occur secondary to tooth infectio take radiographs like OPG and if you dont find any tooth related infection then you can think of any arterovenous malformation within the masseter muscle. you might have to go for ultrasound..the swollen gums could be because of the deposits or tooth infection...consult a oral physician and do a thorough examination for proper diagnosis... i hope my answer will help you..take care.. | |
What causes irritability in a child after an accident?
My daughter who is 16 months old had a semi bad accident on monday-tuesday morning so we rushed to the ER, she was legthargic the day after but that was to be expected, she sleeps more then her norm.(but is responsive while sleeping) and she is extremely irritable today and a little more wobbly then usual. I am unsure if i should go back in or just ride it out | Hi, Probably this accident left a bad experience to your baby, like a psychiatric shock to an adult, it will take some time but it will end. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist | |
Q. Is there any medicine available to relieve gum pain after scaling?
Hello doctor, My younger brother aged 18 years, is having teeth bleeding from a month. So I suggested him to consult a dentist and he went for it. As no one was there to guide him about what to do, he got into a trap by some brokers and they took him to their doctor. The doctor said it is pyorrhea and he started clearing it and did not even speak a single word about money. While cleaning his gum, my brother was having a lot of pain in his gums and his gums were receded. Although the doctor just cleaned his tooth and gums became too thin and he does not want to go there. Could you suggest some medicine which could relief his gum pain and make his gum strong like before? | Hi. The best therapy for healing of gums after scaling is as follows: 1. Saline water mouth rinses. Take a cup of lukewarm water, put 1/4th teaspoon of salt in it and do its rinses twice a day, mandatory for two weeks. New and healthy gums grow every 14 days so they will become better in two weeks hopefully. 2. Do Chlorhexidine or antibacterial mouthwash twice a day for two weeks. 3. Take tablet Froben 100 mg (Flurbiprofen) twice a day for three days. That will heal minor inflammation of gums. Kindly give me followup after a week. Avoid going to brokers because a proper doctor and sterilized instruments are very necessary for good oral hygiene. Take care. Stay happy and blessed. | |
Suggest cure for a lump
Hi, may I answer your health queries right now ? Please type your query here... I just noticed a hole on my forbear on my hair line that is big and empty and about the size of an erraser on the back of a pencil. What is it? What caused it and how do I get rid of it?! | 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 seems to suffer from-Basal Cell Carcinoma with a Scab removed,or it could be due to a Nevus with Mole changed in to melanoma or squamous celled carcinoma with scab removed,giving this lump with a hole in it.Treatement-Would be Surgical Excision biopsy with a wide Margin after FNAC Biopsy and histopath confirmation of diagnosis.Surgical Excision with Nevus(for a benign lump)Surgical Excision with wide margin(For Rodent Ulcer / or Basal Cell Carcinoma)Wide Surgical Excision with skin graft with Chemotherapy(for Squamous cell or melonoma cancer)or radiothrapy in few (with advanced squamous cell Cancer)-if need be.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 | |
What could be the reason for having extreme abdominal pain?
Hi I had sex yesterday evening with my husband and afterwards I had exterme abdominal pain. It was sore to walk, sit down and to laugh or cough. Its still very sore now to more. I think its around my uterus area. Can u help..I also had a miscarriage on 7th Jan | HI.This type of pain is usually caused in a condition called PID= Pelvic inflammatory disease or a mass of tube and ovary together.Since you are in pain now, it would be wise to undergo an internal examination by a Gynecologist and ultrasonography. You may get a better diagnosis. A proper diagnosis will help in a perfect treatment. ASAP. Take steps before this becomes a chronic problem. | |
Suggest treatment for a black mark under the eye in a child
HI, my child had and injury on his face the blackness spread to the eye. This was on May 2014, I took him to his pediatrician he had his eye check, x ray but he still has a black mark under his eye, the pediatrician says is allergy? I believe is something else it has been to long and the eye drops for the allergy has not reduce the mark. | Thanks for posting your query at HealthCareMagic. By blackness do you mean a black circle around the eye, what is commonly called black eye? Let me mention that the tissue around the eyes is loose and does not contain much fat padding. As a result, in case of an injury to the forehead or any other area close by, when some amount of bleeding occurs, it gets accumulated in the loose connective area surrounding the eyes. With time as the blood becomes degraded, the colour changes from red to brown, purple, bluish and blackish. This is what gives rise to a black eye. In a week or so, it resolves spontaneously without any treatment. So, you need not worry about that. Stay relaxed.Hope I could clarify your doubt. Feel free to revert back in case of any other further queries. | |
What causes pain in the lower right abdomen?
I am a 40 yoa female with Severe pain in my lower right abdomen near the belly button covering an area the size of the palm of my hand its a throbbing stabbing, teeth grinding pain. Nothing like I have ever experienced, worse than my most awful menstrual cycle could dream of being. 10 hours of wish I was dead pain, then after about an hour after I removed a belt and pair of jeans that were a little tight, but not too tight the pain decreased to a bearable level. Now 12 hours later its a constant throb on a lower scale, bearable, but I know its there. I took some left over hydrocodone to cut the edge, but I still feel it. No appetite, no fever, little nausea, no vomiting, Im not pregnant and have all my female organs intact. The pain has not stopped yet and two doses of hydrocodone has only decreased it a little, but its noticeable still, but I can now walk around, but feel better lying on my right side even though that is the side that hurts. | HELLO N WELCOME. HERE IS UR PLAN. GET AN ULTRASOUND ABDOMEN N PELVIS URINE RE CBC DONE. FOR NOW TAKE TAB NOSPA FORTE OR BUSCOPAN PLUS. DONT TAKE HYDRCODONE. RIGHT ILLIAC FOSSA PAIN IS COMMON IN ACUT APPENDICITIS. U SHOULD GET AN APPOINTMENT FROM A GENERAL SURGEON TOO. LET ME KNOW ABT THE RESULTS THEN. TAKE CARE. THANX | |
Suggest treatment for sciatic pain and pain in hips
I am a 21 year old female with sciatic pain on the left side and sever pain in my hips when doing anything, my dr has given me Gabapentin as I also suffer from hypertension and duplex kidney so I cant take aspirin and ibuprofen or anything like that she has also given me tramadol which I can only take as a very last resort if the pain inst settling, I have tried all of the usual heat treatments and nothing is settling the pain, I work with young children so I am always bending and running around and it does effect my back as well but even when I have time off the pain gets no better. Is there anything you can suggest that will stop this pain as its causing me to be depressed and effecting my relationships with friends and family as I am constantly in pain I am not in the best mood. I just want the pain to stop. Id appreciate any advise thank you. | Uh, first thing on pain is diagnosis. True disk disease affecting nerves in the back is quite rare under age 30. And, having pain from other back strctures such as the kidney and urinary tract is much more common in people who are known to have those abnormalities already. Finding the problem and fixing it would be the first thing.For a pinched nerve, any nerve medicine is likely to be quite helpful These include gabapentin, pregabalin, lidocaine, amitryptiline, and others. | |
Whats the causes and medication for pain in shoulder blade?
Hi I use my shoulders especially my right shoulder in a repetitive rowing motion in my work place. I have had unbearable pain under my shoulder blade all the way to nearly my armpit. It s been over 6wks now and the pain is non stop, I can t even lean back in a chair without pain | Hello ,since u have unbearable pain ; u might have torn your rotator cuff tendons or might have one of the lesion called SLAP. i would strongly recommend you to go see a doctor who would ask for an x ray to rule out bony injuries and go ahead with usg/mri to confirm the diagnosis after clinical examination.mean while u can apply some ice and take analgesic for time being.hope this helped you | |
What causes vomiting while on antibiotics for tooth pain?
The day before yesterday I woke up took my thyroid medication and had breakfast at 8am. Right after I went to dentist and at 2pm took a hydro codin for pain in my gums after getting a crown. I took another one as directed 6 hours later. I felt dizzy so I ate one hard boiled egg and a few hours later I went to bed...at 3am I woke up vomiting off and on til about noon time that day. I have been resting and eating saltin crackers, poweraid, water, and jello off and on but I still feel dizzy, weak, my head hurts, when I inhale and exhale I feel briused like feeling inside. My body feels soar too...like my neck. What does that mean? What should I do? | Dear user,Thanks for using healthcaremagic, I understand your problem, and like to inform you that vomiting is actually a side-effect of hydrocodone.There is nothing to worry as stopping it will cure the problem.You can start its alternative medicine Tab. NEPROXEN with prescription from your doctorafterIt do not have these side-effects, if you are not feel good after take this than you should visit your dentist again, so he or she provide better treatment.Get well soon,Thanks and regards. | |
What causes chronic fever with headaches?
my son has fever and was diagnosed with moderate yeast cell in his urine and was given 500mg metronidazole to be administered 3 times a day, after taking 5 times of flagy we vomits and complains of headaches? what might be the problem? is it with the medicine he s taking? should i stop it right away? he s 10 years old with the weight of 29 kls | it could be due to metonidazole as headache and fever are also side effects of metronidazoleinaddition to other side effects.you can taper or stop the medicine. | |
What causes conjunctive heart failure and is it essential to take Oxygen?
HI IHAVE BEEN TOLD I HAVE DAMAGE TO THE RIGHT SIDE OF MY HEART . I HAD CONJESTIVE HEART FALIURE IN DEC. HOSPITLIZED ONE WEEK ECO DONE. IRECIEVED MY MEDICAIDE CARD HAD A SECOND ONE LAST MON. RESULTS ARE NOT BACK. I GO TO A COMM.CLINIC CAN YOU EXPLAIN WHATS GOIN ON I ALSO AM ON OXYGEN 2 LITERS ATALLTIMES | Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of right sided heart failure and cor pulmonale is more. Right sided of heart is supplying blood to both lungs. So any problems in right heart will cause problems in Pulmonary arteries and lung. So these patients tend to develop Pulmonary hypertension and Pulmonary edema. Both these conditions will cause hypoxia (low oxygen) and breathlessness. So patient needs oxygen and other drugs for Pulmonary edema like diuretics. So this is the reason for your oxygen prescription. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What could be the fleshy particles passing with urine in kidney stone patient?
I ve been diagnosed with kidney stones, had three episodes in a month in a half, went to the ER twice and I m passing fleshy-like particles and no stones-it s incredibly painful and I m in so much pain. What are these particles and why am I passing them? | HelloThanks for query.You have been diagnosed to have renal stones ,Since you have repeated episodes of pain it suggests obstructive uropathy due to stone mostly impacted in ureter.and has to be dealt with immediately.Please consult qualified Urologist for proper evaluation and investigations like ultrasound scanning and to explore need for any active intervention to remove or fragment the stone .This is very important to save the kidney from being damaged due to back pressure changes (Obstructive Uropathy)..The fleshy particles that you are passing in urine are the infected debris with mucosal lining of bladder (Muck)Dr.Patil. | |
How can viral fever in a child despite taking Meftal-P and paracetamol be treated?
Hi,My daughter is 4.5 years old (15Kg) and is having Viral fever. Fever is going very high 103. I am using paracetamol and medtal-p combination. As the fever is coming back to higher range every 3-4 hours can I use these drugs alternatively? Regards | HiI am sorry your daughter is going through a viral fever.Yes you can use paracetamol and meftal p alternatively if fever gets up.Keep consulting with her pediatrician to rule out any associated bacterial infection.Keep well hydrated. Use OTC ORS with plenty of water.Wish fast recovery. | |
Suggest medication for Lupus & rheumatoid arthritis
I was diagnosed with having a small stroke. MRI confirmed a CT scan results from an ER visit July 2013. I am a 47 female, was diagnosed with Lupus sle as well as rheumatoid arthritis last march I do take methotrexate injections once a week, plaquenil, folic acid, iron, magnesium, and baby aspirin. I do not see my neurologist until mid May, and I know I have enough on my unhealthy plate so to speak as it is ...I have had these symptoms since last Jan 2012 they have come and gone over periods of time. My Dr will def remember us discussing this because Ive asked him to clarify what to look for in regards stroke symptoms. Is it the entire one side of body ? or a part of one side whether it s a limb, limbs weakness? , or side of face, weakness pins needles numbness ? Because I ve felt this for quite sometime but I have to say it s constant now. I feel pins, needles and numbness around left eye, hairline toy cheekbone for days at a time and now the past few weeks it s been constant! What symptoms that are newest to me are this hear sensation that radiates across my scalp. Just keeps going back and forth. .and when it s all over after about two days literally it has left me with a migraine. Lastly, I ve never experienced this hip & leg pain also on right side along with these spasms that awakens me in the middle of the night where I can t even move or stretch out my leg to get up to go to the bathroom which is why I am trying to get up in the first place. Some new symptoms and some old but def much longer time periods I feel them then last year. I can best describe the leg pain in the middle of night as excruciating stabbing deep muscle pain along with these pins, needles, & chills in my legs. My question is could something else be going on ? Because I know my lupus dr will say these aren t lupus symptoms! | Hello, The treatment of chronic problems like Lupus or Rheumatoid arthritis depends on the severity of the illness. The painkillers and disease-modifying agents can help after a detailed evaluation by a rheumatologist. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon | |
Sweating, sudden hot chest with red blotches, hot neck when nervous, anxious and upset. Solution?
Hi,I'm a 30 year old woman, I've always been healthy but I have this problem since my 20s. Whenever I'm nervous, anxious, emotional, really unhappy about something or really happy about something, I start sweating, my chest and neck become very hot and red blotches appear mainly in my chest very rapidly. Is is very disturbing in social situations. What can I do to solve this problem? Thanks | Blushing is a common reaction. it may be a part of social anxiety disorder or social phobia. If blushing, sweating, along with possibly tremors or stuttering occur when you are in a social situation; you may seek the help of a psychiatrist. The other features of social phobia which you may be having are:1) Fear that people will evaluate you/ judge you in a negative way when you are in a social situation. Such fears are more likely in public speaking, talking to a crowd, or meeting many people at a party or social gathering.2) Many people have symptoms described in 1) above. But they should be severe enough to cause limitations in your functioning. Or you find the anxiety so severe that you avoid situations completely. This then leads to further social problems.3) You think this fear is excessive, but seem to have no control over it. There are medications as well as Cognitive Behavioural Therapies (CBT) for dealing with social anxiety. The disorder is sometimes almost a part of your personality, that it stays throughout life. However, medications or psychotherapy will help you deal effectively with the symptoms. Do seek a psychiatrist's opinion on it. | |
Could breakout of hives in an infant be due to Amoxicillin?
my 19-month old son has an ear infection and was prescribed amoxicillan. This is the 3rd time that he's had this medication. suddenly on the 7th day of taking this drug (the 3rd time) he broke out in hives and his face swelled up. could he have just recently developed an allergic reaction eventhough this isn't the first time taking this medicine?? he also had chills tonight. | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that your son had an allergic reaction to the antibiotic given to you leading to rashes and swelling..It is one of the common presentation of allergy to antibiotic that leads to rashes and swelling..Many a times there is a delayed allergic reaction as the antibodies against a specific allergen are gradually formed in the body and once they are sufficient in concentration they try to fight against the allergen leading to the symptoms..You should also immediately giving him the antibiotics and consult your treating physician and get evaluated and he can give him anti allergics like benadryl for relieving the symptoms..Doing cool compresses and applying Calamine lotion can also help..Give plenty of water to wean off the effect of the allergen faster by increasing the excretion through urine..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | |
Chronic asthma, had severe headache, tongue dryness, uneasiness after taking Synasma for chest infection. Had experienced similar episode in the past. Suggestion?
Hello Doctor, My mom is a chronic asthma patient and uses accuhaler 50/100 and ventorlin. She had a chest infection last week and was prescribed Synasma 400 twice a day. She suffered a severe headache , dryness of tongue , and uneasy feeling all over her head after taking it for two days. It started from her left side of neck and creeped towards head, behind her left ear. She was in acute pain for four hours at night and each time she tried to move her neck towards left, she experianced a vertigo like feeling. It was warm in that place and I tried to put some water (even if she had chest congestion). After few hours it was reduced to normal. We found she had this experiance way back in 2009-10 when she was prescribed synasma 400 for 7 days. We didn t realised that time that it is due the drug and had to admit her to a hospital, because we thought it was a symptom of cerebral irregularity. But obviusly nothing was diagnosed. Recently I was reading some reviews and found that this drug has caused some adverse effects on a few users, and may have some part to play specially on salbutamol users. Please confirm. The headache caused by the drug was reduced in a minute to a certain degree by using a simple ear wax removing drug like ceruklin. Please explain. Is it required to consult ENT specialist? Thanks and Regards | Hello. Synasma doe not cause this type of pain (I would suggest that you use generic drug name instead of a brand name as an ethics). Although, theophylline group of medicines are known to cause neurological side effects including convulsions. So they should be used with caution. Remember a simple rule for asthma: Patient should be only on preventers (accuhaler in your case) regularly and should need very occassional salbutamol as a reliever. If salbutamol is needed on more than 3 instances in a week, you need to step up preventive treatment. Infection needs antibiotics and not doxophylline ! Not all asthma exacerbations are due to infection. In fact very few are. -Dr. Tushar | |
What causes lesser discharge of semen during ejaculation?
Hi, I am 32 years old, 185 cm and 95 kg. I have enough semen, actually it is like before. I used to shoot out when I was ajaculating but these a few last months I find that it doesnt shoot out any more even if I try to hold my ejaculation for a few seonds. Any suggestion? thanks in advance | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You are slightly overweight, exercise regularly and take high protein diet. Such a symptom may arise because of stress, some emotional problem, drugs/alcohol or some medication that you might be taking. Don't worry take vitamin supplements which have Zinc and Folic acid, high protein diet like eggs, meat, liver, dairy products, nuts, fruits & veggies do help in increasing the sperm count and volume. I mean to say, take care of your general condition, stay relaxed out of stress. You should get a general health check up done to rule out any developing pathological condition. You can take medicines that help to improve the sperm volume and count like Clomiphene Citrate oral, Serophene etc. You are very young focus on anti-oxidants, sleep & healthy food with regular exercise. Take care. Regards, Dr Nupur K | |
Suggest treatment for stomach pain,vomiting and rash in a child
Hi there, my 6 week old baby has got lots of spots that all have pussy heads on, it started with 3 and has now spread. got anti biotics cream which has cleared up a little on face, but now the course has finished and overnight spread to neck and up back of head. Today continuosly being sick and projectile too and screaming with tummy pain, poo is rare. please can you advise. | it seems like an infection and chidren especially infants are very vulnerable to infection wich may cause sepsis i would suggest you to do complete septic work up that is CBC, CRP, blood culture and if possible LFT, RFT, Serum electrolytes and start with a broad spectrum IV antibiotic like CEFTRIAXONE and could plan for further treatment plan based on reports | |
What causes the leg to be cold and blueish colour?
Hello. I rolled my right ankle about 10 days ago in the park, on the uneven grounds/grass. I did not have any bruising, however, it swelled up slightly right around the bone. I didn t see a doctor because it didn t seem serious as the pain was manageable. I am on crutches now because it is painful to walk on it or put any weight. I have used the RICE method. My concern is that my leg is always cold, whether compressed or not. It changes colours ie blueish, purple from time to time and the it is very tender around the bone. Are these normal symptoms? | Hello,I have studied your case and I think you have ligaments injury .There is collection of blood in the tissue and this is getting dissolve so you are seeing colour changes. I would suggest you to take a x ray and make sure that it is not a hairline fracture. You will need splinting. Walking cast can be applied so that you can walk also. I hope this answer will be useful for you.Let me know if there is any other followup questions.thanks | |
Suggest treatment for hip fracture and bruise on the cheek
Hello, Two weeks ago I missed a step while going down the stairs and fell very hard on my bum, I fell so hard I thought I had broken my hip bone. The second day after my fall I noticed a VERY big deep purple bruise in my left cheek, with a dent (looks like a horizontal dimple) I did not think much of it since I thought it was part of the healing process, today, two weeks after the incident, the bruise is still visible and almost gone but the dent is still visible and visible through my pants.. I ve done some research and found out that this may not heal because it could be fat cell destruction and need fat injection or fat grafting. To be honest i am very concerned about this and now very self conscious, I will be seeing my family doctor in about two weeks but i would like some type of explaination or solution to this please and thank you | Hello,I have studied your case, Due to blunt injury there can be hematoma collection .The bleeding that occurs result in hematoma collection. Over a period of time, as hematoma resolves it cause local skin symptoms around the hematoma. Continue ice application, and thrombhophobe ointment may help and take rest.Take precaution to avoid infection around hematoma.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
What does bleeding after Plan B pill usage indicate?
Hi there, i have a question. On january 5th, i started my period. It was a normal period for me, lasted about 4 or 5 days. Then, on January 17th, i had unprotected sex with my boyfriend. The next day, i bought Plan- B and took it. within 24 hours of having sex. Yesterday, the 25th, i started my period again. Is this normal? Could i be pregnant? Or is this just nothing and I'm over thinking. I'd appreciate the help because I'm kind of freaking out over this. | HelloThanks for writing to us with your health concern.This could be withdrawal bleed from Plan B due to the hormones.IT could be a earlier than normal period, also due to effect of Plan B.Please take a pregnancy test 2 weeks after unprotected sex.Take care. | |
Why am I having sudden high temperatures?
I am 33 years old I have hep c I have an appointment in august with a doctor to start treatments but for te last month and a half. I will be setting at home and ill feel good then all of a sudden ill go from feeling good to having a tempature of 103.5 and it will last for about 6 to 8 hours then its gone. I don t understand and im scared its happened 3 times in a month and a half. please I need to figure out whats going on. | Good morning I am sorry to hear about your ill health The symptom of intermittent fever is not related to your hepatitis c infectionIf I were your doctor, I would examine you thoroughly and investigate you to find out the cause of your fever which would be most likely due to some infection Hepatitis c infection is easily curable with the currently available treatment Hope this would answer your question It would be my pleasure to answer your future queries Wish you a speedy recovery | |
What causes tightening of body in children s body?
Hi doctor, My 12 years child have a problem last 3 month he is suffering from right glands and now glands is ok but las 2 month hi is new symptom like he says that every thins is moving and than he fall straight and whole body is tight like a rod when any body give some water in her mouth than he is normal we check every thing last ct scan is also done but no one problem found in ct scan report but situation is increase day by day kindly suggest what we do. thanks | one can not make a diagnosis unless it's videotaped and shown to neurologists; it could be dystonia, habitual spasm or even GERD... so get it videotaped such event and get the appropriate consult. | |
What causes pain in the left side in a light smoker?
I have had some lung pain for about 5 days now. In fact I am not even sure if it s the lungs or a heart, but its mostly on the left side. It is not so much as pain, but a very strange feeling (left chest) I don t know how to describe it. When I drink water for example, I even feel like it s actually going down on that left chest. Searching on google some people have said it s like butterflies in the stomach feeling, except in the chest, so it mite be that. I am 21, and extremely light occasional smoker (4-5 packets a year since 18) So I really doubt that would be much of a concern. There were some neighbours in the same apartment building we painting, and it just occured to me, maybe that could have been the cause, because of the smell it has been for 2 weeks? I am really not sure. I also havn t been going much outside lately, but I ve just went for a walk today and yestarday. I know that the only thing you probably have for me is to take an ex-ray, but is there anything that you may know that I could have? Thank you. | Thanks for your question on Health Care Magic. I can understand your situation and problem. Left sided chest discomfort in a smoker can be due to 1. Heart diseases 2. Lung disease like bronchitis or lung infection. 3. Gastritis. So better to get done ecg and 2d echo first. If both are normal then no need to worry for heart diseases. Get done chest x ray and PFT. If these are also normal then no need to worry for lung diseases. Sometimes gastritis can cause similar symptoms. So quit smoking as soon as possible. It is not a good habit. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitor. You will mostly improve in 1-2 weeks. So don't worry, you will be alright, but first quit smoking and get done above mentioned investigations. Hope I have solved your query. Wish you good health. Thanks. | |
Why has stiffness persisted after undergoing undergone surgery for distal femur fracture?
Hello doctor, i have undergone surgery for distal femur fracture 3 months ago. I am doing exercises regulary as adviced by my doctor, but still stiffness persist. i can only bend my leg upto 60 degree. Kindly let me know when i will resume my normal activites | Hello, It is quite common after major trauma and fracture. You might require physiotherapy. Consult a physiatrist and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Q. I have diffculty in bowel movement without laxatives. Why?
Hello doctor, I am 16 years old. My weight 87 kg and 1.73 cm tall. It has been a year since I am not comfortable having bowel movements. I go to the toilet once a week and the stool is usually hard to pass without a natural laxative and I use AgioLax. I do not know if the use of this laxative is safe or not but it is working every time whenever I use it. | Hello, Welcome to icliniq.com. You have chronic constipation. There is possibility that your large bowel is functioning slow, or it may be a problem with the ejection of stools and not necessarily slow bowel. To differentiate between I need to have more information. The laxative you use is safe, but it has the potential to develop tolerance i.e. it can lose its effect if uses for a long time. So as far as it is working fine you can use it. The other complaint you mention of bloating and fullness after a small meal are secondary to constipation. Recently the FDA (Food and Drug administration) has approved some newer medications for primary constipation, you can use it. Take tablet Prucalopride 2 mg daily. You can stop other medications for constipation. Let me know in a few days how you respond. If no improvement we can increase the dose or add some other medicines. I hope this helps. Chronic idiopathic constipation. Defecatory disorder. Tablet Prucalopride 2 mg daily. Follow up in one week. | |
Suggest medication for pain in the upper right jaw despite taking Z-Pak
Hello I have been having pain in my upper right jaw, I have seen the dentist he felt it was sinuses however i finished the Zpak today and the pain in still there if I do not take over the counter pain reliever... If I press on my upper gum as high up as i can close to cheek bone it i so sore I do not feel an abscess but I am getting concerned my face feels swollen especially in the a.m. | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain in case if you have pain in upper gums and is not localized to a single tooth and there is tenderness on palpating the area near the cheek bone, it can be due to infection in the sinuses as the floor of sinuses lies in close location with the upper teeth.I would however suggest you to consult an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations like x-ray and MRI scan can help in diagnosis and treatment can be done accordingly..You can be advised a course of antibiotics, anti inflammatory painkiller like Ibuprofen, decongestants like Phenylephrine..Steam inhalations and using a humidifier in your room can help..You can be advised steroid nasal sprays and saline nasal irrigations..Avoid spicy and chilled foods and air-conditioned atmosphere..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | |
What treatment should be taken for tongue cancer ?
My father has got tongue cancer in right lateral tongue. So pl help me. | Oral cancer especially on posterior, lateral (side), ventral (floor of the mouth) surfaces of the tongue are particularly considered more dangerous as compared to rest of the oral cavity, as they have more tendency for loco-regional spread and tendency for metastasis (spread to other distant organs). definitive treatment is always surgical approach, which sometimes is supplemented with either radiotherapy or chemeotherapy. there is NO OTHER ALTERNATIVE other than those mentioned. ALSO an EARLIER DIAGNOSIS and EARLIER SURGCAL TREATMENT will definitely render more advantages. so don't delay and rush to a good cancer hospital....... ALSO ENCOURAGE YOUR FATHER TO QUIT ANY HABITS AND RESTORE TO GOOD NUTRITIOUS FOOD AND ORAL HYGEINE | |
What causes tiredness and chest pain while having stents in heart?
My husband is 74 years old and he has no energy at all and he is tired all the time. He gets chest pains and already has two stentz in his heart and his muscles in his upper part of his legs hurt real bad along with where the kidney are. he thinks the doctor wanted him to come home and die. They didn't do anything for him. Do you have any answer that I can look for. Thank you. | I think his moral much down ...need counselling...after illness it's coming in many patient... Many hospital provide counselling for same... how is his previous activity level??? I also like to check his hemoglobin sr creatinine sr potassium and sr sodium levels..many times low potassium also leads to weakness ... Need detail evaluation.. Before any conclusion ... Take care... | |
Why did I smell ammonia followed by a vertigo?
Yesterday, I had a brief experience where I smelled ammonia, very strongly, as if someone was holding "smelling salts" to my nose. (At first I associated the smell with rubbing alcohol.) Then I felt like I needed to lie down. Then I experienced vertigo, or the room spinning. It only lasted about 30 seconds total. At the time, I was in with my physical therapist who was working on my ankle/achilles tendon. Should I be concerned? The PT wasn't sure if she smelled it or not. | HIWell come to HCMThe symptoms that is being stated here could be hallucination and this is noting to take the condition that you have for which you are going for physiotherapy in my opinion this is nothing to worry and try to control your thoughts, take care. | |
Suggest remedy for sharp pain in chest, neck, behind the eye and forehead due to stress
I have a sharp pain that shoots from my left chest through my left neck around my left temporal area behind my left eye and in my left forehead sometimes light sometimes aggressive and when aggressive sometimes causes me to rapidly clutch my left chest area immediately following I have a few seconds of blurred vision and dizziness and a rush that runs from my neck and head into my arms and my chest and my hands on both sides I have had an echo cardio gram of my heart and caradid artery with clean bill of health by general physician I have seen a neurologist with a clean bill of health I am seeing a back specialist and bone and joint specialist regarding a pinched nerve in my lower vertebrae that we are correcting but is not believed to be causing the problem I have had three emergency room visits for the same problem and all clear bill of health as well for my heart I always have regular blood pressure and the problem seems to occur more often when I m sitting rather than standing or laying down typically if I m sitting in a recliner or a vehicle seat or something of that nature I don t know who else to talk to. I m not sure if I should I see a heart specialist or if it s another problem I m currently overweight at 380 pounds live a very high stress life personally and professionally and I am concerned if maybe this is a gas problem rather than a heart problem and I am going the wrong direction. | Thanks for your question on Health Care Magic. I can understand your concern. Since your 2d echo and carotid doppler are normal, no need to worry for heart diseases and hence no need to consult cardiologist. In my opinion, you are mostly having stress and anxiety related symptoms. You are living very stressful life. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Try to loose some weight. Stay fit and healthy. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Liver tests done. Result slightly elevated. How to bring it back to normal?
Hi There. My doctor called me and said one of my liver tests came back slightly elevated , im going to call him monday to see what slightly elevated means. He said that he wants me to repeat blood work in 2-3 weeks and he will schedule a liver ultrasound soon to be sure. The blood work was done 12 weeks after completing a cycle of winstrol. what do you suggest to bring my liver enzymes back to normal range? | It depends of which liver enzymes are elevated (AST, ALT, Alkaline phosphatase or bilirrubin)? Depending on the reason why they are elevated is that recommendations can be given for you to get them back to normal. A good start is to avoid alcohol, and lose weight. | |
Suggest treatment for dry and congested nose
A couple weeks ago I had a sinus cold. I had a runny nose sore and nasal congestion along with other symptoms. Fast forward to the past few days and now I am experiencing more nasal congestion but this time I am not sick. I cannot breathe through my nose. I don t believe I have allergies. My nose is also very dry. I m having trouble sleeping because of this. Please help me. I hope I provided enough information. | Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. If you are experiencing such symptoms for the first time, I would not think of allergies first. 2. I usually suggest my such patients antihistamines like cetirizine for 7-10 days regularly.3. Regular saline nose washes with saline sprays as well as steam inhalation, if comfortable, will help you to recover early.4. If you congestion does not improve despite these measures, I would suggest you to get your nose examined by an ENT specialist to identify the cause of obstruction.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards. | |
Suggest treatment for stomach flu in a child
Hi 3.5 mo. Old cried quite a bit as appeared to be fighting stomach flu I had for 3 days. I am breastfeeding. She is eating well and does not appear sick anymore-just quite hoarse, raspy when trying to cry, talk. Should we be concerned. No other symptoms and is happy, sleeping well... | These are usually episodes of infant colic.You should burp her properly after feeding.Also you may give her drops Colicaid EZ 10 drops three times a day for 3 days.Rest seems to be ok. Don't worry. | |
What causes pounding of heart?
I'm 59; have type 2 diabetes. I am overweight. I am 5'7. I have had stress tests; holter monitors; echos etc. I have mvp. I intemittent wake up with pounding tachycardia; with burning on the inside of both of my arms. My heart actually pounds for nearly 20+ minutes. What could it be? | Hi, you're having MVP, which is very commonly associated with such palpitations.it's may be (supraventricular tachycardia )SVT which is very common in MVP. whenever you've such palpitations, try measuring your pulse or better would be to the an ecg done. | |
I am not exercising but still feel pain in abdomen. Why is it ?
My abdominal muscles hurt as though I did 200 crunches or some other physical activity, but I haven t done any exercising in at least two months. Why do they hurt? I m a 19 year old female with a healthy weight, and healthy eating habits. I d hate to make an appointment with my doctor if this is something trivial, so I thought I d post my concern here. Just 10-15 minutes prior to the pain, I decided to try a diet Coke (I usually stick to water, milk, or 100% juices). I doubt there is any relevance, but I can t think of anything else I could have done that would have caused any pain. Thank you for your time. | the problem is due to sudden stop of exercise.dont do like this that is sometime ovre exercise &sometimes no exercise .do exercise in level.for your problem you can take balarist liquid 2 teaspoon 2time after meal for 1wk . | |
Noticed swelling and bump on hand due to an injury
Hi, I fell on my hand yesterday and where I hit it there is a small bump, I m assuming it s just swelling, it hurt very badly yesterday and today it still hurts badly when I move it certain ways but it feels a little better, i tried applying pressure to other parts of my hand and the only sensitive area is the place where it was hit. Could I have fractured it? | Hello,If there is marked swelling with pain on movements or inability to move your hand then it is a fracture but if you just have pain and mild swelling, you can move your finger without pain then nothing to worry it will subside in a week.You can apply ice packs to reduce swelling and pain.Hope this helpsThank you | |
Any suggestion for left side testicle larger than right?
Hello doctor, i have testicles problems due to unblance .my left side testicle is little bit larger and down than right side testicle. I feel uncomfortable and pain in these occasionlly.so request to you please suggest the treatment and told that is this unblance have any effect on the penis ? | HIThank for asking to HCMI really appreciate your concern here looking to the history given here I could say that certain conditions are there and that need to be ruled out first is hydrocele and second is orchitis if something is found like this then it should be treated accordingly if these unremarkable then just forget this, hope this information helps you, take care and have a nice day. | |
Back pain, chest pain. Is it kidney infection?
i have been having back pain for the last couple days I thought I slept wrong it is located down and on both sides if I were to put my fists directly above my hips in the back it hurts right there sometimes I can't move without pain if I sit up straight and push my chest out it hurts really bad not sure if I slept wrong or if it is a kidney infection I don't want to go to the emergency room if it isn't necessary | Hi, thanks for writing to HCM.Based on the description, I think that you have suffered Acute lumbosacral strain.The general treatment guidelines are as follows -* Give adequate rest to the inflamed area making it to heal and recover* Avoid involving in activities that produces pain* Ice packing for 10 minutes once in 2 hours* Moist heat application over the affected area* Analgesic & Muscle relaxant medications as needed.If you don't find any relief with the above measures, a detailed clinical examination along with appropriate investigations are needed to establish a diagnosis.Hope this information is helpful. Good day | |
What causes headache and chills in a child?
Hello, My healthy 13 yr. old son was fine this morning then suddenly he was complaining of a bad headache and was freezing cold. I took his temp with 2 different thermometers and the temp was 95.6. He was very pale and cold. I bundled him up (inside home temp was 67) and gave him hot tea and hot soup. The temp came up slowly, was feeling better and headache went away. Temp now is 96.7 and 98 if he leaves the digital therm. in his mouth for a few minutes. Color has returned to his face and he feels much better.Headache is gone. He had the flu last weekend for 3 days with a temp of 103.2 but has recovered and was well all week. I may take him to the Dr. tomorrow for a check up. Any idea what could be the cause, and would if have been safe to have given him ibuprofin (for the headache) with a low body temp?? I would like to know in the event this happens again. | Hi.... by what you say I feel that he had an event of hypothermia which is not to be ignored at all. Even though he has recovered now, he may lapse into hypothermia and shock again, which cannot be predicted. I suggest that you take him to the nearest Emergency Room and get him evaluated along with his blood pressure and pulse volume by a physician.Regards - Dr. Sumanth | |
What causes a knot on the head after an injury?
My nephew hit his head on the ground after he crashed on his bike. (Kids bike) he hit it really hard. Has a knot on front of his head. But now he hasn t ate anything in 2 days bc when he does he gets really sick. Should I take him to the hospital. Is something seriously wrong? | The knot on the head is a bruise underneath the skin, but over the skull.If he is acting differently, it would be helpful to have him evaluated by his doctor.But the knot on the head would not be the direct cause of his sickness. | |
What causes lump in inner buttocks?
I have a very large purple welt ĺooking lump in my inner bum cheek. It is extremely painful. It has no head but is spreading so it s getting to the stage I can t sit down. It s there about 2 weeks. In the beginning it was a small red raised lump and went away I thought. It is very hot also. | Hi, dearI have gone through your question. I can understand your concern.You may have some external piles. You should take high fiber diet. Drink plenty of water. You can use lignocaine jelly for pain releif. You can go for surgery if medical treatment is not helpful. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
Q. Is bronchoscopy and tube necessary in a pneumonia patient with COPD?
Hello doctor,My father is in the hospital fighting pneumonia and has COPD. His latest X-ray has shown some improvement. The X-ray shows he has an extensive airspace and interstitial opacities in the left lung and patchy opacity in the right lower lung. The plan is to do a bronchoscopy and use a tube to assist in getting him oxygen. | Hello. I have gone through the history of your father's illness you have provided (attachment removed to protect patient identity). The X-ray reports are suggestive of pneumonia. At this stage, on initial antibiotics and supportive treatment, if he has not improved, bronchoscopy may be essential to isolate the organism that has caused pneumonia. This will help to guide antibiotic therapy. By tube to assist oxygen, they are possibly implying putting him on a ventilator? That may be necessary if he is not able to breathe on his own adequately to maintain oxygen in his body. For more information consult a pulmonologist online --> | |
How can i get rid of sneezing and blockage of nose in the mornings?
Dear Doctor,Early morning I sneeze continuously almost 1-2 minutes.after that I feel very uncomfort and my nostrils gets blocked.Only after 2-3 hours I could be able to have the normal position. What is all about this and what should I do to get rid off from it. | Hi,From history it seems that you got episode of acute allergic rhinits due to having some allergy in air.Take antihistamine like Cetrizine or Benadryl to get relief.If require put some decongestant nasal drops.Ok and take care. | |
What causes pain on one side of penis?
HI today I was in a chair and felt a small pain on the right side of my penis , a little I felt a small crawling on the skin of my uncircumcised penis , what could this be is it something to worry about or is it something should just keep an eye on ? | Thanks for asking in healthcaremagic forumIn short: If its only one time leave it.Explanation: Sometimes stretching of skin/muscle of inguinal region can cause pain. So, if it only one episode and after that if you are normal then be cool. If its severe and associated with other symptoms then visit a doctor. | |
What does tight chest during scarlet fever suggest?
i was diagnosed with strep throat last week,i know have developed scarlet fever and are covered head to toe in a pink rash. Lately, ive become very dissy, tight chested and suffering from pains in the bottom areas of my back. what is this? i am 17, 5 ft 2 and weight 8 stone | Hi welcome to health care magic... I really appreciate your knowledge... Here chest tightness and pain suggestive there might be lung infection involved... Following causes has to be ruled out.... 1.Pneumonia2.bronchitis 3.Pleurisy etc.... According to cause further treatment given.. But you mostly will need antibiotic in form of cefixime or amoxyclav... If needed hospitalization done and I. V. Antibiotic given.... If needed bronchodilator given if rhonchi present... Take careAdvise :Physician or pulmonologist consultation without delay.. Hope this will help | |
Can any online doctor explain me about follicular study?
hie I m a housewife, I completed my 2yrs of marriage this year, I had a miscarriage one & half years ago. now I m trying to concieve nearly from 1yr but not getting the results. my doctor suggest me Follicular study from 9th day of my periods. Can u please explain me in detail about follicullar study and what is the procedure about that. | HelloThanks for the query to H.C.M. Forum.On both side there are ovaries ,one ovary on right side , one left side .Beside there are so many follicles on both side around ovaries .On alternate month one follicle dominate and mature and burst after full maturation and release ovum .This released ovum enter into tube and move towards uterus for fertilization .Usually in between tube or in uterus it fertilized with sperm and after fertilization implant in endometrium of uterus .Follicle study shows that maturation and ovulation occurs or not.Hope this information will be helpful for you.Good luck.Dr. HET | |
Suggest remedy for scars and spots on face
hi im sasha and i just turned 13 when i was 12and a half i started to get spots on my nose and my forehead i picked them usually on my forehead i get lots of spot and right at the middle i had 1i picked on it and i read online mustered helps so i kept it on for the night. The morning. I got up I washed. My face and their was a big red circle. Then the skin started To peal . Now it a scar I tried creams mask lemon and water it helped.a bit I have a side fringe so u can t. Really. See it but when. It s windy. It embarrassing everyone. Can see it I just wish to have a clean.soft skin with no spot or scars right now I have a scars and spots. Please. Tell me sum tips. That will. Help its embarrassing... help plz | Hi,Most probably you may be having acne necrotica. Kindly consult the dermatologist for the perfect diagnosis and proper treatment. Most important point to be kept in mind is that you must avoid to prick the lesions. The sensation to prick may be due to tension or anxiety. Kindly keep the mind relaxed. Take anxiolytic if needed under doctor's observation. Apply clindamycine gel on the lesion. Take azithromycine 500 mg thrice a week till acne lesions subside. After healing of lesions,spots might take few weeks to clear. Apply vitamin E cream on the spots. Cleanse the face with facewash containing Konica acid and glycolic acid.Avoid sleeplessness, take proper sleep. Avoid oily food. Avoid exposure to sun. Take regular treatment.I hope this would help you.Thanks.Dr.Ilyas Patel MD | |
Continuous bleeding, PCOS, difficulty in conceiving with IUI. Prescribed modus, advised pelvic sonography, hormonal tests. Should I follow the advise?
i m having bleeding for last 16 days. doctor had advised to take modus 10 mg tablet for 25 days twice a day. and asked to go for pelvic sonography and some harmonal test. will u please advise me whether this treatment is gud and what benefit i will get it from this. i m married for last 11 years and still not conceived. doctor says i have pcos problem. i m worried and not able to find any way out i dont want to go for any artificial treatment. i had gone for IUI twice but it did not helped me to conceive. | Hello. Thanks for writing to us. A heavy bleeding that you are having needs hormonal tablets like modus with hemostatic agents like tranexaemic acid. You are getting the right treatment and you must follow your gynecologist's advice to have regular cycles. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
How can severe backache be treated?
Hi, I m 49 . Women. I ve don t have insurance at this time. But my back hurts l Slot of times when I stand on my feet.. it is in bottom of my back .. I can t give up and give in to the pain. Is there anything I can take over the counter or herbal. I walk on trails with my husband and we do try to stay healthy.. I m about 170 # and I m working on that weight ...Can you please help me | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Oral muscle relaxants and regular physiotherapy can help. Hope I have answered your query. Let me know if I can assist you further. | |
What is the use of etody,zevit,prothiaden and rabekind in knee pain?
My Mother is 80 Years old and currently as inspected by an Orthopadeic surgeon She is having no space is knee joints, and sever pain. He prescribed -- ETODY 90 ZEVIT PROTHIADEN 25 RABEKIND 20 Need to know whether these drugs are OK and sued for whic purpose | Hello, The medicine is used for this purposes since your mother is 80 and have reduced joint space. Etody - anti-inflammatory drug - used for reducing inflammation in the jointZevit prothiaden - is an anti-depression drug which will help her have good sleep in the night which may have got affected due to painRabekind - is for any gastric issues caused due to the medicine mentioned above. As the knee joint space is reduced, I will advise undergoing physiotherapy treatment like therapeutic ultrasound therapy and TENS therapy for reducing inflammation and pain. This works well in combination with drug therapy. Also, exercises will be implemented by the physiotherapist like static hamstring, static quadriceps and straight leg raise to improve the muscle strength and help improve the joint space. In my clinical practice of over 12 years, geriatrics respond well to a combination of conservative therapy. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
How are bruises caused around the knee treated after a fall?
My husband fell at work while descending on a ladder. His foot slipped through the rung of the ladder causing him to fall backwards while his leg was tangled in the ladder. He thought he was ok... a little sore ... only a small bruise on the knee. However... we started noticing swelling in his calf & the leg feels warm. Each day since the accident, his calf has become more & more painful, red & swollen. It s been 4 days now & quite a lot of bruising has developed around his knee & ankle even though the pain is primarily in his calf. Should he see a doctor... or is this normal healing?? | it sounds to me that the pain and redness around the calf only started 24 hours after the fall. if so, it might not be related to the initial fall itself. in my consult i would be worried of deep vein thrombosis which developed due to an injury to the vein and precipitated by a period of immobilisation post-fall. i would examine to see if it is only localised to the calf or if it has extended to the thigh. also i need to examine the lungs to make sure it has not dislodged and travelled to the lungs, causing an obstruction. to confirm my diagnosis i would order a doppler ultrasound plus other investigations as indicated. the treatment if the diagnosis is confirmed is to start on blood thinners and observe his condition until the clot has dissolved. he would probably have to be investigated to as why he is prone to develop such clots in the first place. | |
How can I get rid of pimples after waxing ?
hey whenever i do full face waxing or threading i get loads of pimples afterwords. how to treat them. plz tell | hi it is not pimple but folliculitis it is due to infection in hair root of the hair due to wax or threading ,hair root become open and increase chance of infection . u need to take care during it . keep aseptic precaution and use good brand material only . u need to apply antibiotic cream after it to prevent it . better to consult dermatologist | |
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.---> | |
Q. Can I use Kojivit gel to get fair skin?
Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. | Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
How to get rid of itching on palms and between fingers?
doc i have itching on my palms and between fingers more after eating sweets,also on forearms and back of hands,i had itching under my solestwo years ago which healed after six mths treatment with allegra 180 mg od and fluconasole 150 od.i ahve elevated sugar and take two mg glimepride /day and metformin500mg od.i have sarted allegra 120 mg od and avil10 mg to stop itching but want to get rid of main cause.pl advise.regards | Hi,As you had a history of fungal infection and get cured completely.At present,it could be due to recurrent candidiasis or tinea cruris or corporis or dermatitis or scabies etc.You may do some routine blood investigations and skin swab test but this kind of problem can be easily diagnosed by naked eye examination of a skin specialist.You may require topical corticosteroid with antifungal cream and other symptomatic treatment.But better you consult dermatologist and then start treatment.Thanks and regards | |
What causes severe pain and popping sound in leg?
When I awoke this a.m. - before- I got out of bed I was stretching my legs when I heard a popping sort of sound behind my knee. On a scale of 1 - 10, the pain associated with the sound was about a 6. Each time I stretched my leg it repeated. As the day went on I was almost unable to walk as I could hardly bend that knee or straighten out my leg. I took two Aleve and got some relief. Also put on a substantial knee brace which only kept the popping from being too severe. Again, this is not in the knee itself but seems to be in the ligaments behind the knee. What should I do? | You symptoms suggest a meniscal tear.you need to see an orthopaedic surgeon who would do an MRI to confirm diagnosis. Based on the grading and location of tear it can be treated conservatively or by surgery! | |
Suggest remedy for foot pain
I am having excruciating pain in my feet. I am an RN of 7 years and I just switched to night shift. I always wear the same brand of shoes and now am walking less on night shift, but it feels like the tendons in my feet are tight and painful. Why? What can I do? | dear madam,if i were your treating doctor would examine your feet for finding any any local tenderness or warmth, look for swelling of the feet and then come for diagnosis, | |
How to get rid of fungal infection on my groin?
I have fungal Infection on my gruin from last 10 days. I have been applying Betnovate-10. It though has reduced but has not gone completley. I feel that I need to take some antifungal tablet. Also, I need some ant-icthing tablet, since at night I coudn't contro itching. Pls hepl | HIThanks for posting your query to Healthcaremagic. If it is very much sure that it is fungal infection then betnovate will not help. You need to use Candid-B cream twice a day for 2 weeks . It will take care of Itching also. The best would be to consult a Physician or a dermatologist and confirm that it is really a Fungal infection. Hope this information was useful to you. Any clarifications feel free to ask . | |
Suggest treatment for severe leg pain
Hi my nan is in a lot of pain in her legs, she has many indentations down the side of her leg, not sure where bone or muscle. The pain has been there for a few days on and off but now won t stop even after taking moxolicam painkiller? Any help would be appreciated. | Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, these are signs of infection, and would be edema and features of cellulitis, please consult your doctor at the earliest.I hope that answers your query. If you want any more clarification, contact me back. | |
Suggest treatment for bruising and a bit of pain after an ankle injury
My mother is on plavix. Today she bumped her ankle on the foot pedal of a wheelchair and bruised quickly. Now she has a 25 cent size black and blue with very slight surrounding bruising and a bit of pain at site when walking. We iced it she can walk but should we worry. It has not gotten worse and she feels it is a bit better | Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion there is no reason for worry, just give time to the injury to healHope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.Special note- Any medication prescribed needs to be taken after consultation with your personal doctor only. | |
Q. I made a deep cut at the tip of finger. When will it heal?
Hello doctor, I am male, 50 years old, 5'5", 155 lbs. About a month ago, I accidentally made a deep cut at the tip of a finger. The emergency room glued the finger closed. Seven days later, it split back open. It was no longer bleeding, despite being an open wound. I taped it back closed and was very cautious not to split it open again. The finger seemed to heal together. However, for the last 10 days, no additional healing or changes seem to have occurred. The finger appears mostly together, but the area that was sliced is inflamed and sensitive to the touch and does not seem to be improving any longer. Though the appearance is a bit inflamed (swollen/red), I am mainly concerned about the nerves which sting or hurt a little when the finger touches things on this spot. I would like to understand more about the nerve damage or issues that could be permanent with this injury. | Hi. I went through the files (attachment removed to protect patient identity). You seem to really have a bad wound. But you need not worry too much about the nerve damage in this part of your body as this area is naturally rich in blood and nerve supply. Though healing may take some time and area may remain sensitive to heat, cold, and touch but all will be fine within next two to three weeks as natural regeneration may take some time. The present condition of your wound looks satisfactory. And for the swelling, you need to do pressure bandage for few days or it will heal with time. Just apply Voltral gel (Diclofenac) and swelling will be better soon. For more information consult a dermatologist online --> | |
Suggest treatment for skin tightening when on medication for PAH and ILD
Dear sir , My mother who is 58 years of age has been diagnosed with ...Right heart failure with severe pulmonary arterial hypertension / Mixed connective tissue disease / Interstitial lung disease / Hypokalemia ....and now has been under constant oxygen supply ...She has been prescribed to take meds as below: 1. Wysolone 40 mg for 2 weeks then reduction to 25 mg to continue . 2. Sildenafil 12.5 mg 3 times a day 3.Thyronorm 50mg daily once 4. Duolin MDI 2 puffs 3 times a day 5.Becosule-z once daily 6. Lasilactone once daily 7. Gemcal-ds once daily 8.Osteofos-70 once weekly 9. Potklor 3 t spoons 3 times for 3 days With these meds the patient has been experiencing a stretchy sensation on the forehead and the skin tightening too ....could u help us with the solution as why is she suffering such symptoms and will it be OK for her to take some homeopathy medicines with the above meds .... | hi, She is having systemic sclerosis and skim thickening, PAH and ILD is part of the disease. These changes are irreversible. I think she is receiving optimal treatment. Besides medicine chest physiotherapy, limb physiotherapy is very important. Yoga will help. It's better to homeopathic medicine because there can be drug interactions and you should discuss homeopathic practitioner if proven treatment is there or not. The medicine will help to halt the progression of disease. You should be under the follow up of local rheumatologist. | |
Q. My stomach pain is radiating to my back and vomitus is yellow in color. Please help.
Hello doctor, My sister is having severe stomach ache and yellow vomiting and the pain goes around her abdomen to the back. She is suffering from this pain for the past one week. Please help. | Hello. I can imagine you must be very upset about your sister. And I really feel sorry that she is in pain for a week's time. Well, the pain you mention that is severe and radiating to back is suggestive of pancreatitis. However, the possibility of peptic ulcers cannot be completely ruled out. Ideally, the pancreatitis that is inflammation of the pancreas (a gland at the back of tummy) should be managed in the hospital. However, the pain of ulcers (peptic ulcers) in the stomach and small bowel can be managed at home. But before making a diagnosis it is required that you provide further history about her pain. Did she have this before? And if yes, how long it last? Did she frequently have heartburn or acidity issues? Is she on some medications right now? You mentioned her age, what is her marital status? Did she have fever? or yellowish eyes? or dark yellow eyes? You mention she has yellowish vomiting, but is she able to take orally or she is throwing up everything like water or food that you give to her? You see all this information can help us to decide the most probable cause of the underlying pain and consider some treatment to see the response. For time being, you can give her capsule Esomeprazole 4o mg now and half hour before meals. Expect the reduction in pain if it is due to peptic ulcer disease. The pain of pancreatitis will not settle with this capsule. If she is unable to take orally, then you can visit a nearby nursing clinic and get IV Omeprazole 40 mg. Pancreatitis. Peptic ulcer disease. Complete blood count. Serum amylase and lipase. Liver function tests. Urine detailed report. Ultrasound abdomen. Follow up to discuss after investigation, or earlier before getting tested, if you have more concerns. | |
How can a blood borne disease be prevented?
Yesterday I came into contact with the blood of a student at work. I washed my hands thoroughly but there is a good chance I got some on my cardigan sleeve and also my handbag (both of which are black so I cant know for sure). I washed the cardigan in the washing machine with a benzalkonium chloride solution, however after research I am told that does not kill hepatitis. I also wiped my bag down with antibacterial wipes which contain the same ingredient. I can t use bleach on these items. Will this be enough to prevent catching hepatitis or any other blood borne disease from the blood? I am worried there could be germs in my washing machine now too. I have bad dermatitis on my hands which is why I am also worried about contracting something. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Continue to take all the medications that you are prescribed for dermatitis. It is better not to use that cardigan again. You should visit ER at the earliest & go for PEP, Post exposure prophylaxis. It should get started within 72 hours of the exposure ideally. You should take ART, antiviral medications if you are in a potential risk of HIV or Hepatitis. Don't panic, keep yourself well fed & hydrated. Take probiotics, diet rich in protein take calcium & iron supplements to boost up your immune system. Eat healthy avoid junk food. Hope I have answered your query. Let me know if I can assist you further. | |
Q. Why does my 1. 5 year old baby get recurrent urinary tract infection?
Hello doctor, My 1.5 year old baby has suffered from UTI for the last 18 days. The culture report showed Klebsiella pneumoniae 100000 cfu/mL. Her doctor said Colistin is sensitive and she has been treated with Colistin and catheter IV for 15 days. But, her infection is not clearing and is going up and down. Today's report says pus cells 30 to 40, RBC 6 to 8 and epithelial cells 1 to 2. She had open ureteric bilateral surgery for grade 5 reflux on the right side and 4 on the left. Please guide us doctor. | Hello. Your baby has proven UTI - urinary tract infection with Klebsiella and is Colistin sensitive and unfortunately not responding. Also, she had bilateral reflux, which is prone to cause recurrent UTI. The reason for persistent urine infection may be underlying anatomical defects (the reflux), resistance to Colistin or involvement of upper urinary tract (kidneys). I recommend you to repeat urine cultures and get an ultrasound examination to look for any complications developed and whether any intervention is needed now, as during active infection other imaging studies are deferred. I need to know, how many episodes of UTI she had earlier? Also, give me more details of reflux and surgery done and antibiotic prophylaxis being used. Please continue her antibiotics. Thank you. Revert back with the answers to the above questions to a paediatrician online --> | |
Suggest remedy for persistent coughing and sticky phlegm
For the past 2 weeks every day i snort & cough up bloody smelly sticky phlegm. I do cough up alot of clear phlegm in the morning - non smoker. Also recovered from chest infection about 1 month ago - finished antobics. No fever no pain, once i get it out i feel fine. | Thanks for your question on Health Care Magic. I can understand your concern. Since you had chest infection in the recent past, possibility of post infectious bronchitis is more in your case. Your symptoms like constant cough and phlegm since 2 weeks are commonly seen in bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test). Chest x ray is needed to rule out recurrence of lung Infection. PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need antibiotics, antihistamines, anti inflammatory, inhaled bronchodilators and inhaled corticosteroid. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
Should i be concerned about the burning sensation in hernia?
Hello,I was diagnosed with a small iguinal hernia on my right side in February this year. I had not issues, but I did some physical activity last weekend and their is now a burning sensation coming from that general area and it feels sore.Should I be concerned or just watch and wait? | Hi,Usually, when hernia is small, I recommend my patients to wear corset to try to put pressure on hernia, so preventing complications. I also advise not to go for heavy physical activities that involves abdominal muscles to prevent complications. At your case, if hernia size is the same and you are only having burning sensation, I advise to wear a corset for few days and avoid physical activity. If after few days, no improvement will be seen, you can contact a general surgeon to further evaluate your hernia and determine definite solution to it. Hope it helped!Dr.Albana | |
Any suggestion for swollen lymph node in neck, sharp pain in temple?
I have had a swollen lymph node in the back of my neck since april of 2012 I have had fevers on and off. I have been to the doctor and different doctors. I had an MRI done and blood work done and everything came back normal. So then I was sent to the thyroid doctor and they did a sonogram and said it was a swollen lymph node and I had a few more in my neck. But blood work came back normal? It will hurt soo bad sometimes to where I get sharp pains to my right temple? I just want to know how to make it go away? Also I thought it was bc of vyvanse and so I stopped taking it a month ago but its still getting worse. Nevermind im not paying 15 dollars thank you for your time | Hi, After going through your description I am inclined to think that the cause of pain could be something different from swollen lymph nodes- like a cervical spinal disease, or a migraine. Consult a neurologist for most probable diagnosis and treatment thereof. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Gopal Goel, Orthopaedic Surgeon | |
What is the treatment for small ankle effusion?
My 2 year old hurt his foot and the x-ray showed no fractures but did reveal a small ankle effusion. The doctor recommends an MRI, but since my son is only 2, he would probably have to be sedated. Is there anything we more could learn from the MRI that would be helpful in treatment? | Hi. More important to me is how the swelling is? How the pain is? Is he able to walk? If his ankle is becoming better by the day, then MRI is not needed. He can be observed for a few days. In the meanwhile he must rest his ankle. So he will need some bandaging over the ankle and can apply Volini gel (diclofenac) over the area and can take Paracetamol syrup by mouth for pain. | |
Suggest treatment for lupus
we live in rural missouri and my daughter has lupus we need to find a doctor which has some knowledge in this disease and can help up. Our problem is we are 3 hours from Kansas City. We are in North central missouri, five miles from the Iowa line. Des Moines is 2 hours away. She has several problems, is 40 years old and finding a doctor which we can reach without driving all day is pretty hard. Perhaps you could direct me to some sort of forum for finding a doctor closer to our area? | There is lupus foundation covering big areas , you can check in that else you can write to us with the problems and we will help you out in every possible way. | |
How can we get relief from itching , burning and aching of yellow bruises near armpit ?
MOM HAS UNEXPLAINED YELLOW BRUISES LEFT UPPER BCK NEAR ARMPIT itching and burning and aching what should we do? Hi i am speaking with my mom female age 65 years old . She is complaining of a peculiar itch (which she just revealed to me right now has been itching mom for years!?!)on her left side of back where bra is near armpit below there. Mom also sees several yellow bruises and is also feeling pain. They seem to have grown in size since yesterday AND THE DAY BEFORE.Shape is elongated and one splatter shape. Pain is involved as well-achiness. She saw her primary care today and he told her not to worry and go next week for an xray. I will withhold what I think she needs to do until you kindly respond. Thank you, Miki HELP! | Welcome to Healthcare Magic Good Day If it is a scaly rash, many 'splatter' shaped on the back it possibly suggests fungal infection called Pityriasis rosea. Sher needs to avoid using drying agents like soap for a while. Use moisturiser cream over the area. She can take an antihistamine like Tablet Cetrizine 10mg at night over food, with water to relieve her from itching. Show her to the Dermatologist for a thorough examination and appropriate treatment. | |
How to get rid of pain while cough?
I have bronchitis and was given antibiotics and ventolin but everytime i cough the back of my head just above the neck hurts and also on my temples. When i bend it also hurts like a throbbing pain. I am also on gerd medication. So my question is how can i make the pain go away when i cough? | HI, thanks for using healthcare magicPersistent coughing can be associated with headaches and chest discomfort.The most effective way of decreasing the discomfort would be to treat your coughing.In addition to the antibiotics and ventolin , you may want to consider the use of a cough suppressant, these are normally available over the counter.If this is not an option, you can try honey, this has been shown to help coughing.I hope this helps | |
What causes small lump below the knee after injury?
Hi, i found a small lump, size of a dime, below my knee, near my Anterior Tibialis. it moves around and doens t hurt. I had broken my foot, was in a cast for 2 months and also developed a large fatty tissue mass on the side of my knee, but that has decreased in size. that one was sore, but it was rubbing against the cast | Hi.Thanks for your query and an elucidate history.This looks to be again a collection of tissue like fat. I would advise to get ultrasonography and FNAC just to confirm what it is. You can wait and watch. It may regress. If it does not regress or increases in size, redness or develops some symptoms , you can get an opinion of a Doctor and may be get this excised . | |
What is the painful,blood/pus filled lump near the vagina?
So I have a blood /puss filled bump on the outside of my vagina and I thought it maybe a pimple but I don't know it hurts a little and I was wondering what it may be? But it's not big . Can anyone help me? And I doubt it's an std bc me and my. Bf stay protected | Hi,This may be a Bartholin's abscess that is infected. I suggest you see your doctor as you may need antibiotics. I the meantime, warm baths may ease any discomfort. Regards,Dr K A Pottinger | |
Suggest remedy for fractured sesamoid
Hi I have a fractured sesamoid by family genetics but it has been bothering me for over 3 months now. I am going to the podiatry and been but in a medical walking boot but doesnt seem to be healing. So i was wonder would surgery help even if it was fractured by genetics | Hello, A fracture of sesamoid bone usually does not need surgical repair. This heals on conservative treatment. You can continue with the boot and rest. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon | |
Q. Does tapering the dosage of Nexito cause relapse of anxiety?
Hello doctor, I have anxiety and panic attacks from last six years. My doctor prescribed Nexito Forte 10 mg. My doctor tapered the tablet to Nexito Plus 5 mg three years back. My questions are: Is the relapse due to decreasing the dosage? Should I increase it again? | Hello. The dose of the particular drug depends upon many reasons. So, it is difficult to tell that this dose is effective or not for the particular person. Now coming back to your questions, first Nexito Plus (Escitalopram and Clonazepam) has only half of the dose compared to Nexito Forte (Escitalopram and Clonazepam). So, when tapering the dose, few persons may relapse. If you develop the symptoms of anxiety, you need to increase the dose again. And it is quite difficult to predict who is going to relapse. Secondly, as the Nexito Plus has a lower dose of the drug, it is quite prudent that it may not be effective in all persons. So, increasing the dose is a good option. Similarly, when one is tapering the dose, some symptoms may reoccur. Then one has to slow down the pace of tapering as to avoid the relapse. So, if you are stable on Nexito Plus, then no need to increase the dose, but if you have symptoms then you need to increase it. The dose is basically changed according to the response and side effects, one is tolerating. It is individually designed to meet the requirements of that particular person. Thanks and regards. For more information consult a psychiatrist online --> | |
Why doesn't my pregnancy show up in the vaginal ultrasound scan?
last time i had my period was august 22nd n i believe im pregnant but i went to the doctors yesterday and they did the vigina ultrasound n they said i cant see it, is it posible that some thing medicaly wrong with me? i have syptoms of being pregnant and i took a test and it came up posotive. | Go for repeat test because sometimes upt can be falsely positive. If it shows positive results again then go for usg scan after one week. Sometimes very early pregnancy can be missed on scan. | |
How can i overcome low immune system and balance?
Hi. Why do I feel spaced out, numb, or high when I look up to the left, forward or turn my neck? My tongue feels numb when this happens. I get sharp right side of face pain, eye pain. I have joint pain, trouble walking. I also get spine pain, middle pain and weakness. I have infections a lot. Uti s. Swollen glands. Inflammation in right eyes needing steroid. Neuropathy. Bad muscle cramping in legs and even torso. Balance and coordination issues. A poor neuro psych eval in info processing - cognitive decline, fluid buildup in body with mottled skin swollen lymph nodes maybe due to constant infections. Dr s agree low immune system high inflammation. | the reason could be sever spondylosis with osteophytes blocking your vertebro basilar artery that supply your head and brsin with blood also osteophytes could cause all your other neuropathy symptoms i suggest doing a CT scan on cervical vertebra to confirm i hope i my advice will be of much help Good Luck :) | |
Suggest treatment for elevated bilirubin levels
My son aged 15 yrs was diag on May 23,2011 for Jaundice with S/Bil Total 2.2(Dir1.0 and Indct 1.2) SGOT41,SGPT 54, Hb;11.2gm.With 7-8 days rest levels came down to normal rgs with marginal raised OT/PT. However after two wks nd till two months now, the T/Bill is back at 1.6--2.2 with Hb howering arn 11.5 or so. Othervise the boy is active nd asymptematic. Urine o/p is 'N'. HBS Ag nd HCV both are -ve May I seek ur opinion nd further adv pls. Regards | Thank you for posting query.further evaluation needed. need some test results,get done following blood tests: ESR, CRP, lipid profile, get ultrasound abdomen also.then post results here or visit treating physician.further advice:abstinence from "Alcohol and drugs" - LOW fat diet should be followed- NO red meat- vegetables should be ingested daily- Moreover, less activity should be carried out (no sports). - use lemon juice (lemonade) once in a day- walk 30 to 40 minutes everyday.- or swimming is alternative to walking- NO sports and NO jogging-"recheck liver enzymes after 6 to 8 weeks".if any further questions, feel free to ask.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik | |
Suggest treatment for rapid heart rate
Hi, I am 100 percent pacemaker dependent, the past few months I get out of breath very easy and my heart pounds so hard you can actually see it, I have been told that the battery in the pacemaker is used at 92 percent and the will change it at 98percent...I was wondering if this was causing the shortness of breath and heart pounding...I am very active and even though it bothers me I walk 2 miles every day | Hello, You are most likely having symptoms of heart failure. Your pacemaker needs to be evaluated and you also need to have another workup done in order to see if you have other areas in your heart which randomly fires impulses causing the irregular beating. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Chuckie Miguel Bacolod, Internist / Hospitalist | |
Will having sexual intercourse during a period help to get pregnant?
i want to know that sex during periods is harmful or not. aur kya pregnancy karni ho toh yehi time better hota hai . because i want to be pregnant and last 6 months me and my husband tried but no result should be come. please suggest kaise possible hai | Hi, Thanks for writing..In a 28 day period, 14th day is the day of ovulation. Fertile period is 8-18th day. So having intercourse between 12th to 16th day helps in attaining pregnancy. After trying for pregnancy spontaneously for 1 year if it is unsuccessful, both have to get evaluated to detect the cause of infertility.. Husband has to get a semen analysis done and you have to get a scan done to see for ovulation and some blood tests.. Hope I have answered your query.. Good day.. | |
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 --> | |
Itching in palms and legs. Weight gain. Elevated levels of SGOT and SGPT. Side effects of steroid injections?
Hello, My sister in law back in Bangalore, INDIA is pregnant with her second baby and is 32-33 months pregnant. She started having itching in her palms and legs 2 weeks back and it didnt go away. She also gained weight of 6 Kg in a month. Doctors did some test and found elevated levels of SGOT (56) and SGPT (92) on 24-Jan-13 and prescribed her Udiliv 300 MG. However it didnt go away and Doctors repeated test and found very high levels of SGOT (194) , SGPT(289) on 3-Feb-13. The immediate diagnosis of fatty liver does not seem to hold true because her other levels are normal and there is no jaundice or vomiting etc. Viral Hepatitis Test is also negative. One of the options being discussed is to give steroid injections to fast develop baby lungs and get the baby prematurely out. What is best course of action for her and the baby including but not limited to medicines, natural foods , avoidance etc. Is it necessary to have the baby prematurely out with help of steroid injections ? Are there any side effects of steroid injections ? Can she take Liv 52 Syrup for liver health while taking Doctor prescribed medicines. Any pointers from you will be appreciated , please advise. -Sincerely | Hi, From the description given it appears to be a case of HELLP syndrome which may complicate afew pregnancies. The patients needs to take liver protective agents like ornithine containing preparations along with sorbitol or tricholine citrate. Udiliv will not help. Steroids will have deleterious effects on the Gi tract rather than the liver. A close watch needs to be kept on the liver function. Liv 52 is a ayurvedic liver tonic which may not be of significant help. I would advise you that she should be kept under close supervision of ateam of doctors comprising a gynaecologist, pediatrician and a gastroenterologist. This will reduce the chances of missing out on any complication. I hope this answers your querry. Regards | |
Suggest medication to cure ligament injury
Iam suffering from liagment injury in my right knee past one year after consult doctor and taken proper medicine and phyesiotherapy i got well and i started playing foot ball from past two weeks i feel pain in my both the knees i taken medicines still ihave no relief kindly recommed me some medicine | Hello, Wear a knee brace to stabilize the knee and protect it from further injury. Take anti-inflammatory painkillers. Non-steroidal anti-inflammatory drugs (NSAIDs) like Aspirin, Ibuprofen or Naproxen will help with pain and swelling. Surgical intervention might be required for repair. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr AJEET SINGH, General & Family Physician | |
Had intercourse and missed birth control pills. Used it as emergency contraceptive and having stomach pain. Suggest?
Hello. I had intercourse on sept 12th b4 this date I had missed some of my birth control pills (jolessa) . The day after I found a chart on the internet where u can use birth control pills as an emergency contraceptive so I took 4pills and then 4 pills 12 hours later . I was uneasy about it working so the day after I took these pills which was Saturday I went and took the plan b pill now im having stomach/ abdominal pain. Should I be worried if im pregnant? ?? My cycle is still late. | HelloYou have taken an overdose of hormonal pills. Thats definitely not done. Obviously due to sudden influx of hormonal medication, your cycles will be erratic. Expect irregular cycles. | |
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 --> | |
Q. Should I give Meftal-P if fever persists even after P-250?
Hello doctor, My son has got a fever from the morning and I have started with P-250 with 6 ml as his dosage. He is 6 years old weighing 20.4 kg. I have completed the fourth dosage for the day at 11.30 AM. His current temperature shows 102.7 F. Should I go ahead with Meftal-P 60 ml suspension if the high temp persists? If yes, then what time should I give him that and what would be the right dosage for him? | Hello. Most of the kids do not respond to Paracetamol alone which is present in P-250. I suggest giving syrup Ibugesic plus (Ibuprofen and Paracetamol) 12 ml which is required for his weight. And this should be repeated every six hours. If the child has a fever between those six hours, you can give Meftal P 8 ml. This can be repeated every eight hours. Always wait at least two hours after every medication for the fever to reduce. If it does not reduce, then you can give the second medicine. Also, always do tepid sponging of the whole body 30 minutes after giving medicine in case of high fever to dissipate heat faster. If the child develops any other symptoms like cold or cough give symptomatic medication for it. It looks like a viral fever as of now. Hope this has answered your question. For more information consult a paediatrician online --> | |
Q. Can I have testosterone blockers to prevent testosterone production?
Hi doctor, I am a 20 year old male and I do not want to do a MTF transition. However, I would like to stop my body from being affected by testosterone. I just turned 20 and as I grow older my body will continue to produce testosterone which will change my body into something more manly and cause me to lose my youthful relatively more feminine appearance. I would like to prevent that by taking testosterone blockers. Can I do this? Additionally, if I take the testosterone blockers, will there be any permanent effects? Or will the effects eventually wear off after taking them? Thank you. | Hi. First let me make sure that I have understood your query. Basically you are a male and want to remain as a male but you need to avoid the manly transition and retain your feminine look. Please correct me if I am wrong. Well, there are many ways to do that. But what is important here is do you wish to retain your feminine look for entire life or only for few years? Do you want to have sexual orientation as a male or as a female? The available options are as surgical castration, medical castration and testosterone blockers. In surgical castration only testes will be removed and not the entire genitals and no operation in medical castration but testes will stop producing testosterone. Testosterone blockers will reduce the action of testosterone on the body as long as you take them but once you stop them the testosterone starts showing its effects. Moreover you need to keep taking the blockers for as long as you need the effect and hence if you take it for longer duration the chances to have permanent side effects increases. |
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