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Suggest treatment for breathing problems
My boy friend has had trouble breathing, he keeps needing to stop and he just starts wheezing. He also feels like he needs to puke sometimes. This use to only happen when he played baseball and now it happens much more often. Especially while wearing clothes such as under armor. What do you think could be the problem? | Thanks for your question on HCM. In my opinion your boyfriend is having either asthma or bronchitis. As he is having progressively increasing dyspnoea with wheezing, we need to rule out asthma and bronchitis. So better to consult pulmonologist and get done1 Chest x ray2 PFT (Pulmonary Function Test).So consult pulmonologist and diagnose first. He will need inhaled treatment with bronchodilators. | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
What causes partial numbness and soreness in big toes?
I think that I have two problems... One: I have had partial numbness and soreness in my big toes and somewhat in the second and third toes for about two years. This has been accompanied by pain in the heels. Two: About two months ago I took a long walk while on vacation in Phoenix. (The warm weather was so welcome) Pain suddenly developed in the top of my left foot which has not gone away. I had it x-rayed thinking that I had broken some bone. No fracture showed up but the doctor said there was some slight arthritis. Can this be the cause of this sudden onset of pain? And could these two issues be interrelated? Thank you so much for your care and consideration. | You might have problem with your L 4 and L 5 nerve .Pain in great toe along with numbness realtes it with radiculopathy origenates at lumbar spine.Better to go for a orthopedic or else atleast see a physio. | |
Does Pravastatin cause chronic bad breath?
HI. My husband has been taking pravastatin for quite a while now. About 2 years ago I started noticing how horrible his breath smelled. He is immaculate about his personal hygiene. His breath is so bad that my entire upstairs smells from the smell in the bedroom. His vehicle smells as well. I feel terrible saying anything to him but he needs to know. I have been wondering if it could be this medicine. It is a putrid smell. I would appreciate any help with this. | Hello,Medicines can cause bad breath while at times it can be secondary to dry mouth or fungal infection in mouth that is caused secondary to medicine intake.It can also occur due to a number of causes like poor oral hygiene, oral and dental infections, post, sinusitis, reflux, respiratory infections, and diabetes etcetera.You should consult an Oral Physician or an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations depending upon suspected cause can help in diagnosis. Treatment of underlying cause will relieve the symptoms.As of now, you should start gargling with a flavoured mouthwash twice a day. You should chew flavored sugar free chewing gum. Do warm saline gargles twice a day. Limit the intake of high aroma foods like onion and garlic. Drink plenty of water and maintain a good oral hygiene.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora | |
Suggest medications for asthma
Hi This is Khaliq Nawaz from Lahore, Pakistan. Age 50. I am heart patient amd taking medicines like Disprin, Lowplet, Merol and Rovista. Now i am suffering with asthmatic problem feeling wheezing, lot of cough with jelly like Sputum. Please advise medicine and test for cure of asthmatic problem. Thanks.Khaliq Nawaz | HiFirst you should do a chest x ray and than a spirometry test.After will be the right treatment according to the results.RegardsDr.Jolanda | |
Experiencing mild pain on the right kidney
Yes. I woke up tuesday morning with a mild pain at the right kidney. I did increase my protein due to my athletic training before hand. I have since decreased the protein and kidney is better but urinating a bit more freequently. Salty flavor in mouth and lips and wanted to get an opinion | Hello and welcome to HCM.As an Urologist,i can understand your concern.Protein needs to be restricted only in kidney failure patients.Whether your pain is kidney related,can be confirmed by doing a scan.An ultrasound scan-KUB,will show clearly,if there's any kidney injury.To clear doubts, get examined by an Urologist, with following reports.urine and blood routine,and creatinine. These reports will clear all doubts .If you've any doubts,send the reports to me, as a direct question.Dr.Matthew J. Mangat. | |
What causes skin rashes with white discoloration?
Experiencing a fine rash on back, chest, abdomen for months, gets better, comes back. Then skin discoloration on back, chest, abd, upper arms which is a white discoloration when red rash not present. Feeling tired all the time. Lower abd. aching, abd. bloating. | Hi, The rash could be a pityriasis versicolor. But, your description is not adequate enough to tell that this is the final diagnosis. You could take an antihistamine tablet and apply an antifungal cream for a week. if your rash does not improve, you should consult your dermatologist for further management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian, Dermatologist | |
What causes fever and dry cough in a child?
My 9 month old dtr woke yesterday morning with a fever of 100.6 and a slight cough. Throughout the day her fever went up and down between 99 and 101.6 without the use of medicine. She then had a struggle sleeping last night even though her fever had been gone for a few hrs. She finally went to sleep after giving her Hyland's Hepar Sulph. Calcium. She slept good and has not had a fever all day but does sound a little hoarse and sometimes has a very dry cough. Do I need to be concerned about croup or bronchitis? I do have a stethoscope and have listened. Her lungs sound clear to me, but I am not a nurse or MD and only use it to monitor my son's asthma. | Ashtma may be familial in some cases. If she has persistent dry cough, get her examined by a pediatrian to rule out asthma.Viral infections associated with cough, fever etc may exacerbate asthma. For fever you may give paracetamol, for cough decongestant and mucolytic combination.For further queries regarding this disease or its medications you may take my appointment at Healthcare Magic.Dr. Khan Shoeb | |
What can cause extreme pain and swelling behind the ankle?
My husband woke up this morning with extreme pain in the back of his ankle, about 4 inches up from the bottom of his heel, and now the back of his ankle is swollen. We re not sure what to do as he didn t do anything to injure it. Any information would be appreciated. | Hello, The extreme pain and swelling can be related to an injury- can be bone or ligament injury. MRI scan is needed for proper diagnosis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Praveen Tayal, Orthopaedic Surgeon | |
What could chronic calf muscle pain indicate, recently underwent knee replacement?
My brotherinlaw is having severe pain in the calves of both legs. He has been having this problem for years and he recently had knee replacement on both sides. That seems to be OK. Muscle pain in the calf is the problem. He said it feels like cramping. When hestretches the muscle of the calf it seems to help. | Hi, You did not mention the age of your brother in law and for what reason, he underwent knee replacement. Assuming that he was suffering from osteoarthritis these could be the causes of his calf pain. 1. The most common one in osteoarthritis patients is varus deformity i.e. legs starts bending inwards, if that was the reason, he will be relieved with calf muscle pain now as he underwent the replacement surgery in which deformity is also corrected. 2. Calcium and vitamins deficiencies are also one of the cause, so start taking supplements. 3. Sodium potassium imbalance is also a cause for calf muscle pain, so take oral rehydration salt to correct it. 4. Wrongly designed footwear is also a cause of calf muscle pain. 5. Chronic venous malformations in calf muscles like varicose veins, or venous incompetence can be a cause so to rule out getting a colour doppler done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopaedic Surgeon | |
Suggest remedy for a big lump on the forehead caused due to a fall
My son is 2 years old (March 3rd) he feel down the stairs and landed on the side of his forehead on hard tile. Usually I don t worry. He is a boy and a toddler, he had fallen many times. there was a pretty big bump right away. He cried longer then usual and kept saying that out hurt sop I have him some children s ibuprofen and iced the bump as long as he let me. He took a long 2 1/2 hour nap after a while. Now, 10 hours later, he has a fever of 100.6 (armpit). I m just worried his head injury has something to do with his fever. Is this possible? Should I be worried? It s past midnight and I m scared to fall asleep. | Hi...I appreciate your confidence in the management of the kid. Usually head injury should not cause fever. But I take this opportunity to tell you about the danger signs of head injury - 1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorium or behaviour. If none of them are present, I don't think you should worry about his trivial head injury. For pain you can give oral Paracetamol in the dose of 15mg/kg/dose every 4-6th hourly.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
What are the symptoms of lung cancer?
3 weeks ago I had a large mole on my back removed, which was discovered to be a malignant melanoma. A few days later I had more of the area removed (Widened by 20mm) and a skin flap to cover the region.The area has healed well, however I am now beginning to experience a shortness of breath (Particularly when I first wake up, it is actually quite difficult to breathe, however improves throughout the day.)I have an appointment with an Oncologist in a few weeks to begin further testing, and was wondering whether this could be related and I should move the appointment forward? I understand breathing difficulties can be associated with the cancer spreading into the lungs, however I would have assumed this would occur in a later stage and I would be experiencing other symptoms?I do also have a sore throat and minor swelling bellow my jaw, so it's entirely possible I just have a "cold". I am a 27 year old male. | Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of post infectious bronchitis is more likely for your breathlessness. Bronchitis is very common after viral upper respiratory tract infection (URTI). So drink plenty of fluids orally and keep yourself hydrated. Do warm water gargles 5-6 times a day. You will mostly improve with all these. Since you are also having malignant melanoma, pulmonary involvement should be looked for. So if your breathlessness is not improving in 3-4 days, make an early appointment with your oncologist and get done CT thorax to see whether lungs are involved or not. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Am i pregnant or not as i got very faint positive pregnancy test?
Hi, I have gotten 2 very faint positive prego tests. So faint you can hardly see it. I don t start my period for another 2 days and will test again. My areolas are darkening and getting bigger, and breasts are very very sore. More sore than how they get before I start. I have a couple prego signs but nothing major yet. What do you think? | Hello, and I hope I can help you today.If you have not yet missed your period, even if you are pregnant, the line will appear very faint on the pregnancy test as your hormone levels are extremely low at this time in pregnancy. So there is no reason to assume that the test was wrong as the greatest likelihood is that you are actually pregnant.However, women can have a situation where they have a positive pregnancy test and then get their normal period on time. This is known as a chemical pregnancy and is caused by the situation where the egg is fertilized but never implants into the uterus and continues to grow. So I encourage patients in general to try to avoid performing pregnancy test before they actually miss their period, as even though you have a positive pregnancy test this early, it does not guarantee that the pregnancy is going to take. If your cycle is late, there is no reason to assume that there is any problem with the pregnancy.If you do retest after you miss your period and the line is still very weekly positive, it may be reasonable to see a physician and get a blood test for the level of your pregnancy hormone. Pregnancy hormone levels are supposed to double every 48 hours so by the time you miss your period the levels should be significantly high enough to produce a clear double line on the pregnancy test especially if you perform it with your first morning urine as recommended. Low hormone levels in early pregnancy can indicate that the pregnancy is not developing properly or that it can be an ectopic or tubal pregnancy, which needs to be diagnosed and accurately managed by a physician.In the meantime however, I encourage you to stop drinking alcohol, eat a balanced diet, begin taking prenatal vitamins and get enough sleep as a greatest likelihood is that you are pregnant with a very early normal pregnancy.I hope that I was able to adequately answer your question today, and that my advice was helpful.Best wishes and good luck with the pregnancy,Dr. Brown | |
Can shortness of breath be treated?
Hi Dr., I am a caregiver to an 87 year old and a hospice patient with congestive heart failure, has an oxygen 24/7, has liquid morphine .5ml every/hr. She is in nebulizer and bedridden and alert. She has an episode of shortness of breath attack once in a while and it happened at 3 or 5 am when she wake up. The hospice nurse told me just give her 1 push of morphine every 10 minutes. What is the other relief for her. Sometimes she s yelling, she needs help, she wants to have treatment in the hospital, but she is hospice. Thank you. Jean | Dear MadamThanks for your query.The exact treatment for this episodic breathlessness depends upon the cause of breathlessness.If you could find any disturbance of rhythm at that particular time? If her diuretics dose need to be adjusted, especially the time? If she coughs a lot followed by sputum production at that time indicating need of clearing her airways frequently. A little dose of home oxygen helps sometime.Hope this helps to some extent.SincerelySukhvinder | |
Brown, lighter discharge during periods, feeling of heartbeat in tummy. History of having unprotected sex. HPT blurred. Guide
Me and my boyfriend tried to make a baby last august. I had my weirdest period it's brown and very unusual since my period is regular its much a lighter flow than i usually had and its on off for 6 days. And now im feeling a geartbeat on my stomach. I took a pregnancy test and its negative but with the second one its blurred the result doesn't come out. Am i pregnant or its normal to have a heartbeat in the tummy? | Hello,To confirm pregnancy, I suggest to undergo one blood test for beta-HCG which is more relevant in early stage. Other reasons are hormonal imbalance, stress, pelvic or vaginal infection, old endomtrial tissue etc. Kindly, consult with your doctor after the blood test. | |
What causes swollen ankles and feet along with discoloration in the elderly?
hi i have very badly swollen ankles and feet and now my toes are purple and blue . i hurt so bad i can barely walk . been to dr three times this week, xrays show nothing i thought i had broken bones . hegave me pain med i broke out in hives , changed to tylenol 3 with codine . helps with the pain . but tomorrow i have to have some other scans done of my feet and toes , i forgot what he said . i am afraid i have gangarine or something serious . he also increased my water p;ill to higher amt . i do have diabetes and degenerative arthritis all ove and bone on bone in my knees and shots don t help anymore either i am 77 yrs old thanks jan torres oh is this advice free ? if not i cannot afford to pay . | Here I suggest with patients who are diabetics along with hyper tension problem its common that they develop often swelling on feet and ankle area. Now when we see there is a discoloration of skin along with swelling that means there is a problem with circulation too. As well if this area start paining along with change in skin color then its time to do some tests like dopler study and sensory evaluation for your lower limb blood vessels and nerves. And based on that only the treatment can be plan. I suggest to go ahead and Dont be scare of doing any test or with test report. Because if there is some thing happening wrong you need to know what it is and take treatment in early stage so you can cure it fast and come out of it early.Since you are diabetic with different joint arthritis as per your explanation, I also think so that there is a problem with nerves and blood vessels supplying to lower limb. How ever the conformation can be done only with physical evaluation and test report. I can only suggest to do some stretching exercise for legs to improve circulation and take the treatment properly.Think positive live healthy take appropriate rest and balance diet as per your medical health. And once you start recovering do regular exercises like stretches, walking or cycling etc.Take care. | |
What causes skin rash with red spots after a fever?
my daughter 9 month old got 100-102 fever about 3-days, then treates with oxidil 500mg ist injection and then 250mg 2nd injection and with caricef syprup (2 doses 2.5ml per day) and anti malerial fensidar (single dose). now she is fine but got skin rashes with red spots. please suggests. | She may be suffering from dengue. Rash after the fever subsides and associated red spots( purpura) are very common in dengue shock syndrome. If the child feels irritable,drowsy, bleeds from any sites or develop more purpura rush to nearby hospital for evaluation. Please get a report of blood platelet count done urgently. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
What is the advised course for Acitrom tablets?
Acitrom tabs - how do you the exact quantum to be taken ... when you take 2 mg for a week and check INR is nearly 6 and if you take 1 mg a day for a week, the INR is down to 1.4 -- how does one find the median - .5 mg is not available to given say 1.5 mg to check how it varies. pls let me know | Actually I need to know indication for which you are prescribed Acitrom.we usually monitor INR to adjust dose to get its best effect without risk of bleeding.If you are given for prophylaxis against deep vein thrombosis your INR should remain around 1.5 and for patient with replaced prosthetic valve it should be around 2.5Now Acitrom is available in strength of 1 to 4 and recently 0.5 is also introduced.in your case 2 mg daily if high and 1 mg daily is low .so you can take 1mg and 2 mg every alternate day.check INR after 2 weeks.depending upon INR value you may adjust the dose . | |
Sudden onset of itching on inner thighs, left of abdomen, chest, temporary relief with steroids. Cause?
For about a month now I had a sudden onset of severe itching on inner thighs, left side of abdomen , right hip area, and upper right side on chest . The only thing that began to clear it up was steroids. The minute I got off them it came back with even worse than before. I am waking up in the middle of the night from it. I haven t used any new meds, lotions, or detergents so I don t think it s allergies. | they are fungal infections it occur in humid area keep clean you start antifungal forcan 150 mgm once week tab allegra od apply candid ointment bd in day clean when wet with sweat apply calamine and sdometines mycoderm powder | |
Suggest treatment for pulmonary embolism
My 88 1/2 year old father was diagnosed about 3 weeks ago with a pulmonary embolism. He was on coumadin, (sp?), for about 3-4 years then went off of it in late January/early February, and, even with this diagnosis, does not want to return to it. He lives in a wonderful assisted living community, does not smoke and is not over weight at all. Fully aware that all situations are different, is there any kind of forecast you would be willing to share as far as what to expect as far as his quality of life and life expectancy? Thank you! | Thanks for your question on Health Care Magic. I can understand your concern. Pulmonary embolism is common in old age due to atherosclerosis and stiffening of arteries. Severity, life expectancy, prognosis etc depends on 1. Size of embolism (massive embolism can cause sudden death). 2. Involvement of pulmonary artery. If main Pulmonary artery is involved then prognosis is poor. But if distal, smaller arteries are involved then prognosis is good and hence life expectancy is more. 3. Severity of pulmonary hypertension. Pulmonary embolism (PE) almost always cause Pulmonary hypertension (PH). So if PH is severe then prognosis is poor. So please let me know these details, so that I can guide you more about life expectancy in your father's case. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks. | |
What causes inflammation on legs and ankles?
began- inflammation-lower legs-swollen ankles-1 mo. ago [-history]-osteo--xstop-surgery-several mo. ago----take fluid--tabs-----taking daypro-no temp--my DR is going by circulatory, not convinced----but i do have test relating--history--- low circulation --legs--- but surgical DR--said no prolonged sitting [computer sitting ]could be it read infection fibula-?????-----77yrs old active not excercising rt now----------have list meds-history----surgeries-----------only gave you what seems to fit \ | Hi i am Dr Ahmed Aly thanks for using HealthcareMagic site ,I had gone through your question and understand your concerns .. In my opinion you may have a kind of vascular injury or insufficiency . from your given history you mentioned taking anti inflammatory painkillers daypro ,fluids and nowadays a bit inactive .your surgeon mentioned avoiding sitting and bent knees while using your computer to decrease your blood stasis . Venous blood moves from your legs towards the heart opposing gravity , standing or bending your knees for a long time will make more blood in your lower limb , if your venous system is clear from any kind of occlusion or obstruction blood will freely move toward the heart . For now i recommend you decrease your weight and elevate your feet upon a pillow while relaxing , wearing compression stockings will prevent further blood from staying in your legs also avoid bending your knees to prevent bending your blood vessels and narrowing them . Doppler U/S on your lower limbs blood vessel to rule if you have any minor clot or DVT ( deep vein thrombosis ) thus decreasing your venous return and swelling of your legs . ask your surgeon for proper thrombolytic drug and dosing and try to be more physically active and i do not think your swelling is related with any kind of infection i think you have a vascular problem . elevation and previous instructins will be helpful for most of cases if swelling persists i recommend visiting your surgeon for proper evaluation and management to prevent further complications which in some cases is very serious .Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health,Any further clarifications feel free to ask. | |
What causes itching and syncope after taking Potassium Chloride?
i am itching now, I am on 20 meq potassium for 14 days also I am ra heart monitor for a month, because I am a new patient for a heart doctor, I have not had a heart attack, I have been passing out, but I been told that the medicine made me pass out | Hi,First I want to know-1) For what have you taking potassium chloride.2) What other medicines are you taking.3) Had you under cardiac monitoring for feeling of passing out or some other other problem was there?4) Have you started having feeling of passing out after starting potassium chloride.5) Have you any kidney problem?Potassium chloride usually given for low potassium level in blood (hypokalemia).Hypokalemia is due to potassium loss from body as after severe loose motions, vomiting, certain medicines causes loss of potassium in urine, kidney problems (kidney unable to retain potassium and potassium lost in urine as in case of Renal tubular problems)Sudden fluctuations in potassium level or persistently elevated potassium level in blood (some time happen in patient on potassium supplement) may have bad effect on heart rhythm which leads to cardiac arrhythmia which may associated with feeling of passing out.Itching may be due to allergic reaction to potassium chloride. I will advise you do serum electrolytes and immediately consult your doctor who has prescribed potassium chloride to you. | |
How to stop vomiting after a bee sting?
Good evening, Mum 78 had sudden shivers on saturday night by sunday morning she was well, unfortunately on monday while watching the tv a bee bit her on the arm and in 10 minutes she started vomitting and her eyes were turned white, I called the ambulance and she was given antihistemic injection together with the drip and by mid day she was better and was discharged by 3pm from the hospital and was very weak could hardly walk, on wednesday she seemed better but still in bed and was feeling dizzy with bad `spinning of the head`. Today she started vomitting (not much) and I called our GP to see whats going on, he gave her an injection of Stemedil and told me she will be ok in couple of hours, at lunch time I gave her light meal and she vomitted all out! She feels very weak, cant walk, and needs to sleep! Shes diabeticon insuline, on anti caugulant pills, had a stroke 9 years ago but all was well affecting her speach...........dont have a clue what to do! Very worried! Her sugar level is normal, her pulse is ok, her blood preasure is normal! | Hello,Welcome to HCM,When bees sting a person they will inject venom through their stinger into the skin of the victim.People stung by bees will have an allergic reaction to the sting and in severe cases it will causes anaphylaxis.For any Bee sting, following measures should be followed1.If the stinger is present remove it immediately. 2.Apply ice or cold packs to the area to reduce the body's inflammatory reaction.3.Wash the area with soap and water4.Take antihistamine such as Benadryl.5.Pain relievers such as ibuprofen or acetaminophen can also provide relief of symptom.Aforementioned measures should followed whenever there is a bee sting.Thank you | |
What could chapped corners of mouth suggest?
Hi, I'm Diana and for a while now, the corners of my mouth are chapped. I've been applying the same chap stick ever since it started up - regular, not flavored or scented - I believe it made it worse, actually. And I'm convinced that my lymph nodes underneath my chin & tongue(outside on the skin) are swollen. But they aren't bulgey. It just hurts to move my next around. What is wrong with me? | Hi Dear, Welcome to HCM.Understanding your concern. As per your query chapped corners of mouth could be due angular chelitis which occurs due to excessive licking . It could be due to dehydration and fungal infection as well. I would suggest you to apply petroleum jelly on it. You should drink plenty of water. Avoid exposure to sunlight. Apply lip balm throughout the day to retain moisture, drink plenty of water,use humidifier at home and apply vitamin E oil at night.It will be better to apply lip balm having SPF 30 .Eat green leafy vegetables and fresh fruits.You an also continue honey usage. Visit dermatologist once and get it examined. Start treatment after proper diagnosis. Take supplements rich in vitamin B12.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
What causes heavy chest and breathing difficulty?
hi doctor, my wife is having dust allergy and being a teacher has to travel to remote village by bus, she is feeling heavy weight in chest and unable to breath properly, she coughs but sputum extract is not there, kindly suggest, this problem is there since last 1 year, she is 32 years now | Hi ThereAfter reading the details provided by you i understand your concern for your wife's health. As she is asthmatic and allergic to dust the most important precaution is to avoid dust and if her job is in village area then it become difficult to avoid dust. Discuss with her if possible change the job location or else she she need to wear dust proof mask all the time while out.Its also advisable that she should consult a pulmonologist for evaluation. I would like to put her on some MAST CELL STABILIZERS like MONTELUKAST for her dry cough. You have to consult a doctor personally for a written prescription.I wish her good health | |
What causes hard lump under left nipple?
I have a lump under my left nipple that is the size of a gumball, I m 15 and a male. I ve been told it s just hormones but it s very large. You can see a difference in the left size of my chest when I have no shirt on. I ve had it for about a year now. | Hi dear thanks for the query on HCMLump in young age is usually hormonal.it is called gynecomastia. Get the lump examined by the doctor.If in doubt get a fnac of the lumpWhich will give the microscopic diagnosis following which the further management either observation or surgery can be decidedThank you | |
Suggest treatment for coughing mucus plug in baby
What is cough mucus plug?my 2weeks old baby expelled it and she was in a lot of agony doing so, she bent backwards and was stiff, with skin color changed. It was horrifying. As a new mom I didnt know what to do and took her to hospital. If it happens again what to do and how to avoid this any home remedies? | Hi...Thank you for consulting in Health Care magic.Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Regards - Dr. Sumanth | |
What causes numbness on the lips, thumb and index fingers?
Hi, after I got up this morning, my lips and thumb and index fingers got numb for a moment, this occurred a number of times today, never lasting very long. I have never felt anything like this, wasn t painful or severe, just annoying. what can it be | Common causes for such tingling sensations are vitamin B12 or Folic acid deficiency and nerve compression. Do some simple shoulder exercises atleast twice a day. Start vitamins supplements. If symptoms persists see your neurologist. | |
What do lumps in the pubic area indicate?
I got some lumps on my pubic area not real bad but they usually come and go seem to have pus in them one got real bad and busted so I kept it clean for a week or two and bandaged up it went away but I got two more seems to happen with pressure against that area with my belt I wear it as less as possible I don’t know how to prevent the things from coming ip | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Lumps on the pubic area are usually lymph nodes in the inguinal region. Infections in the genital region or the legs are the reason for the lumps in pubic region (Inguinal).First thing, we have to find out the cause for swellings, a simple fine needle aspiration cytology will be sufficient, then we have to correct the cause.If it is simple pus, it has to be treated by antibiotic course.My suggestion is, please consult general physician for more information and treatment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Siddartha | |
Should the sperms be let out after injaculation and is it safe to injaculate?
Hi I might just be paranoid but I tried something called injaculation and i heard other doctors advise against it but I ignored it. After I did it I felt light headed for a bit and I am scared to even urinate. Should I try letting that sperm out or am I just being paranoid and should never injaculate again? | Hi,Do no be paranoid of having ejaculation, you mean to say masturbation.This habit is common at all ages.Once you enjoy masturbation, let semen come out and just relax.You may feel little bit discomfort while urination immediately after the act.This is normal.You enjoy the act but keep control on frequency.Ok and take care. | |
What causes sharp pain in sub-mandibular gland?
I am having quick sharp (3-4 second take your breath away) pains in my submandibular gland area (right side) as well as right under my lower right rib cage (near gall bladder area) simultaneously. I don t feel sick other than allergies - although I thought I had something on Wednesday, but woke up Thursday fine. Is this just normal gland work (fighting some infection somewhere) or something I need to be concerned about? | Hello,The symptoms can be related to an enlarged lymph node due to an infection. I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. I also suggest to do an ultrasound of the sub mandibular gland if the pain continues.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
What causes sharp pain in my finger and the vein looks darker?
Every now and then I get a sharp pain in my finger and the vein looks a lot darker than it normally does. It is painful to the touch. In the past, it has then gone away. What could this be. It just happened again and it worries me since I am getting older. It has happened probably five or six times in my life and it has been years since I recall it happening. | Hello, As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Any medicine to stop kidney stones formation?
I been having kidney stones, the last one I had to have it removed, and how I know that I am getting one I start to pass a little blood. my kidney Doctor put me on lemon aid and lots of water, now I think that I am getting another one. the last one that I had to have removed was three months ago. is there a pill that I can take to keep them from forming? | Hi,welcome to HCM. Kidney stone can be prevented to cosiderable extent by simple measures - that are common for all types of stones.1. Maintain adequate hydration. 2. Salt restriction.3.avoid nonveg protein as much as possible. 4. Avoid urine infection5. Citrate therepy.Do stone analysis to determine type if stone.Do basic urine report with culture, S.creatinine, CBC, s.calcium level , s.uric acid and PTH level.With above test, we can rule out the common causes fir stone formation. You can get back to me with these reports or you can consult nearby nephrologist. I think this would be helpful to you. Best wishes. TC.Dr Jay Patel. | |
Frozen eyebrow, heaviness, folds in eyelids. Botox surgery done on brow, frown lines. Treatment?
Please help I went to XXXX to have botox on my brow and frown lines on Monday .... I have been under huge stress lately and thought it would be a nice pick me up instead, my brow is almost frozen solid and feels so heavy. my eyebrows have been pushed down (unevenly) squashing my eyes down causing folds in my eyelids. I am in tears! the manager responded to my first mail to say it was perfectly normal and will settle and the feeling of heaviness will subside. now she will not respond to my emails. I look terrible and do not know if there is anything I can do? | hello and welcome to hcm forum, i would be glad to answer you query, according to the history presented by you it seems that you had a bad experience, botox if injected on a wrong site or in huge amount , it can result in a frozen look . also, sometimes due to a wrong injection site, upper eyelid droops, squashing your eye temporarily. i have not seen you clinically therefore cannot rule out the diagnosis, but in order to relief heaviness you can take a painkiller, just be calm . use 0.5%Iopidine eye drops(1-2 drops ,three times/day)it will lift your eyelid a little to make it look normal, just be patient. i wish you good health, take care. | |
Suggest treatment for homosexual behavior
My question is I am disturbed and stress I am searching my identity my gender , what I am , I am not what is in me I am? I was born male gender but since I was small I was behaviour as a girl Female gender but now I am 28 years old , I am confused what I am , I want to get marry with woman be father star my family but my mind changes , since small till now 28 years old I had homosexual relation with many man , ? What I am I want to change be proper man ? Help me | Hi. If you think or fantasize about men while having sex or masturbating then you are probably homosexual. If you think about girls in an erotic manner then you are not. So you will have to clear your mind and decide and act upon your inner thoughts. If you know you are homosexual then please dont marry a female and destroy her and your life. Go in for marriage only if you are sure that you are not homosexual. There is nothing wrong with being homosexual it is a way you were made. So dont worry but clear your mind and think what you want very deep inside. Hope I could help you.Take care. Dr Rishi, New Delhi, India. | |
Are mood swings, increased appetite and discharge signs of arriving puberty?
well, im 12 and half years old. i weigh 98 lbs. And i am extremely gassy and eating more than usual. and i m moody. I m also very lazy. and im feeling weird in my lower stomach. oh, and also i have been having discharge for a while. like a year. And it suddenly got extremely heavy. Could my first period be coming soon? | Hi, yes these are signs of puberty. Mood swings are usually seen at the start of menses. Take care. | |
Suggest treatment for cough and runny nose in kid
My 6 year old daughter has had a cough, runny and stuffy nose on and off since September. Sometimes it is barky, other times it is productive. She coughs all day, but not at all once she falls asleep. She complains her shoulders and neck hurt and occasionally her chest. We have tried Allegra, the nebulizer, NediMed, and Prevacid. She is 47 tall and about 50 pounds. She had her tonsils and adenoids out in January of 2010. She is allergic to trees. | Hi,It seems that your child is not controlled of her allergy symptoms. Also she could be infected by a atypical bacteria. A sinusitis cause by those bacteria could be the reason of the persistent symptoms. Came back to your doctor and ask for exams. | |
What is the treatment for a dog bite?
I got dog biten on Oct 3rd,the punture wounds healed nicely but there is a huge hard knot there..Went to ER twice gave me antobotics both times and said the last round of antibotics should make the know go away and it hasn't.Do you know what may be going on? | Hello,Welcome to HCM, The symptoms of knot after being bitten by the dog, as it was a lacerated wound which had lead to loss of tissue due to which it has healed by leaving that scar.Even after taking two courses of antibiotics the knot suggest that the wound should be healed completely.I would suggest you to apply hot fermentation over the wound and also you have to take serratipeptidase for rapid reabsorbtion. Thank you. | |
How can a painful temple lump be treated?
I was wondering, I have just noticed a lump on my temple starting. It s a not big maybe the size of a finger tip. It hurts to touch but doesn t give me a headache. When I bite down it hurts aswell. I do a lot of strenuous work but I m not sure if that would have anything to do with it or if I should see a doctor? | Hello!Thank you for the query.This lump is most likely a local skin infection. It may be caused by hair follicle inflammation, sebaceous cyst or any other skin problem. It has nothing to do with your work. As it is painful, pus is most likely inside. That is why I suggest you to consult general surgeon with this issue. The lump should be incised, drained and removed. Please do not ignore the infection in this area as from temple to the brain is very close and such infection can spread to the brain.Hope this will help.Regards. | |
Can the medication for hayfever with inflammation be stopped abruptly?
I have had severe hayfever with infammation 2 my face head and have felt inflammed from throat 2 bottom i have been prescribed prednisone 40mgs daily for 5 days should there be a decrease made slowly or is it safe 2 stop after 5days of treatment thankyou | Good day and thanks for your question. Use the medications as prescribed. Yes there would be a decrease in the symptoms once you start taking your drug and yes it is safe to stop after 5 days of treatment because prednisone is used for short periods. If symptoms doesn't get better, kindly visit your doctor.You can add Loratadine 10mg daily to the treatment for about 5 days too. Hope it helps. Thank you | |
Suggest treatment for itching and skin rash
What do u call the rash that I have got? Its red and its itches and it irritates me, But I have been doing my to ignore the hole thing. But now theirs a spot on my left arm that s just like the spot on my shoulder. Its the same thing. It feels a little rough to the tough. Please if u cant reach me @ that E-mail address then: PLEASE call me @ my son s home @ 865-332-0375. His name is Robert M. James. I am very concern bout what I have gotten. Its starting to bother me pretty bad. I just cant stand it much longer of the itching and irritation any longer. So Please tell me what I can do about this problem that I got. | Hi, You need to consult a plastic surgeon to rule out any skin malignancy. I don't think you should ignore this problem. Kindly share a picture of the lesion if possible, so that we can see it. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest better treatment for hair loss
hi, i had dengue fever 2 months ago...and now i am losing a lot of hair...is it because of that fever??.. i have started using Minoxidil 5% Topical Solution but i am scared of facial hair growth as i am a woman. is there a better way to treat hairloss...please help. | Hi..diffuse hair loss after fever or any prolonged illness is known as telogen effluvium...start taking biotin 10 mg daily along with iron and calcium supplements daily at least for 6 months...this condition gets reversed by itself with oral supplements and there is generally no requirement of topical minoxidil if its not severe or much visible. if you wish to use some topical therapy use minoxidil 2 % topical solution as it wont cause unwanted hair growth. you will get good results with above prescribed med in 6 months time...thanks.. | |
Can i be pregnant with my periods on?
I have gotten my period in February for about 12 days long and then in march I only had my period for two days which I think it was implantation blood and now its April and my period has started one week early me and my husband had intercourse basically the whole month on march I need to know if I am pregnant and on my period because I have friends that have been pregnant and on their period | Hello,Unprotected sex for whole month is quite risky for being pregnant. Period bleeding may be mistaken as early miscarriage or implantation bleeding.Here you need to undergo one TVS scan & blood test for beta-HCG to evaluate pregnancy status. Following test reports, you need to consult with gynecologist.In exclusion of pregnancy, reasons for irregular period is investigated properly and needs treatment accordingly.All the best. | |
Using amelexanox tooth paste for mouth ulcer. Not able to eat. Cure?
i got mouth ulcer 2 days back, after that i visited a doc. and he gave me some medicine but now it turn out to be more. it has spread all over my mouth and due to which i am not able to eat anything, doc. told me that is due to lack of vitamins , sleep and poor appetite , yesterday i consult a different doc. he gave me some medicine and oral paste ( Amelexanox) Lexanox which i applied last night, but in the morning still i have the same problem. How do i over come from this problem? | rx. cap. eldervit-zc b.d tab.rebagen b.d both for seven days. ointment. caziq or tess apply twice daily if u r having pain in that u can also apply anabel gel as required. | |
Can dengue fever cause severe leg pain?
hello I recently was diagnosed with dengue fever in mexico. i had my bloods done on the 8/12 and the 9/12 and then seeked help from a homeopath. i was bed ridden for 5 days and now i am experiencing unbelievable pain in my right leg. the worst parts affected are my hip quad and the ball of my foot. this is affecting my walking, sleeping and sitting. | Hello,Yes, dengue may cause severe leg pain.For that you can take tab. paracetamol. Kindly avoid NSAIDs during dengue.Keep yourself hydrated. Do daily check up for blood platelets count.Hope I have answered your query. Let me know if I can assist you further. Thank you. Regards, Dr Shyam Kale. | |
How to build motor skills and coordination in an infant?
Hi, my 10 month old daughter is in physical therapy to help with hypotonia her motor skills and coordination are very delayed and her left eye will sometimes shift in an opposite direction. She has a hard bulge on the back of her head where no hair will grow is this a possible tumor? | Hi... Hard bulge at back side of the head could be a Bony protuberance. I don't think it is related to the developmental delay the child is having.I suggest you get in touch with your Pediatrician regarding this for clinical confirmation by physical examination.Regards - Dr. Sumanth | |
Suggest treatment for severe abdominal pain
I have had a colonoscy and everything came back normal. BUt I have had ongoing pain in the abdomen for 6 months of so. Cat scan showed nothing. My Dr, cannot see me till end of May. Meanwhile I take a generic, Levsin, that sometimes helps with the pain and like now doesn't. It starts right in the middle upper abdomen I guess below the sturenam. It is a deep pain. | You may be suffering from peptic ulcer disease with spasms of gastric outlet. Please take a proton pump inhibitor like esomeprazole or pantoprazole daily empty stomach in the morning. Avoid high spicy foods and alcohol and high fatty food stuffs. If this is also not helping you with the pain, please go for upper gastrointestinal endoscopy and look for serum lipase and amylase during the pain. | |
Suggest treatment for small blood clots in the lungs
I just got discharged today I had a DVT and they also found small clots in my lungs and signs of past small clots that have gone through my lungs. I smoke marijuana and was wondering if it would be a bad to try to use marijuana as a pain killer instead of percocets at this point? | Thanks for your question on Health Care Magic. I can understand your situation and problem. You should not use marijuana as painkiller. Marijuana smoking is known cause of DVT (deep venous thrombosis) and Pulmonary embolism. So better not to start marijuana smoking again. This will worsen your condition. You need to take blood thinner medicines for atleast 6-8 months to dissolve blood clots. Avoid broccoli and other food which are rich source of vitamin K. So start blood thinner medicines and continue on it. Avoid marijuana smoking. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What are the side effects of propafenone?
Im concerned about a drug that my cardiologist wants me to start...... propafenone ...I have episodic a fib and have had this since I was a teenager.Im now 60.Ive read on the internet that most patiente are started on this in a hospital setting....Im just concerned as to how safe this drug is..I read about other problems arising that can be life threatening........Im kind of afraid to take it..Im to start it tommorrow.Ive took quinaglute up to now...I took that for 15 yrs...but it seems to not work as good anymore.........all the docs I tell this to say quinidine is more dangerous that the propafenone .Thats all I wanted to know about.thanks | Hello,I read carefully your query and understand your concern. The both medications are antiarritmic drugs.Several studies have reported that propafenone is safer and more effective in preventing attacks of symptomatic paroxysmal atrial fibrillation.So,I suggest using Propafenone.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
Suggest a remedy for sore muscles
I got a sewing needle stuck about half an inch into my hand, blunt end first. It bled a little, but I washed it and stuck a band-aid on. It doesn t bother me unless I move my wrist a certain way. It feels like a really sore muscle. Should I get it looked at? | Hello,I read carefully your query and understand your concern. The symptoms seem to be related to a muscle pain due to the injury. I suggest using a muscle relaxant such as Baclofen three times a day. I also suggest using magnesium supplement. If the symptoms continue, you should see your physician for a physical examination. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
What are the symptoms of bipolar disorder?
Hi I ve had to deal with depression since my teens. I m now in my early 60 s. This last time was one of the worst. When I m not depressed I m enthusiastically productive and almost unrealistic in my confidence. I also have chronic pain management issues with fibromyalgia. JRA cooled in my early 20 s. One brother has bipolar. Could I possibly be dealing with some degree of bipolar disease? | according to your history you may be suffering from bpad.hypomanic and depressive episodes.the symptoms of bpad are decreased need for sleep,irritability,elevated affect.overreligiosity.overtalkativeness.increased energy in manic episode.psychotic symptoms may be present. | |
What does meniscal fragment in MRI report suggest?
I found out today via an MRI, that I have the following: a complex tear involving the medial meniscus. There is a linear oblique tear involving the posterior horn and midbody. There is a density seen anterior to the central posterior horn which is probably a displaced meniscal fragment. Should I operate? Is a meniscectomy likely or will it be possible to repair my meniscus? Thank you. | Hello, I have studied your case. Meniscus injury can be managed by arthroscopic repair.Meniscectomy will help you.Post operatively you need to do physiotherapy and knee exercises to improve range of motion.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 | |
Suggest treatment for abdominal pain and acid reflux
I get stomach pains occasionally and they start off mild and gradually get worse. I supposedly have acid reflux and I take Prilosec to help, but I still get these stomach pains. My urine and stool also smells a little off when I get these pains also. Any idea what's going on? | Hi.Thanks for your query.The most probable causes of such a pain in the abdomen which starts as mild and then gradually getting worse. Prilosec for acid reflux may help you, if not take an additional Domperidone, antacid, medicines for anxiety and stress, soft bland diet and a complete serene sleep. Urine and stool smell indicate that there may be an intestinal infection. Get a course of an antibiotic, Metronidazole and symptomatic treatment. | |
Suggest treatment for lump on tongue
Evening. My query is this: My mum bit her tongue a long time ago which formed into a lump on the side of her tongue. This has stayed the same for a number of years with no change in size or shape or texture. The lump is soft, she has no pain from it and has had no symptoms. Her dentist has recommended a biopsy which of course is now concerning us. As it has been there so long i do not think it can be anything serious. What are your comments please? From Miss K. | Hi Dear, There definitely seems to be a lot going on in your mouth. ulceration on the tongue as in your case need proper medical evaluation..Once you have noticed a lump in the tongue , one thing is for sure that it is not a normal part of the body.The probable causes can be:Foreign body granulomaBenign lump of the muscles Cancer Infection in the cut This can be ascertained only by a clinical examination, FNAC or Excision biopsy.I would advise the excisional biopsy for 2 reasons1. You get rid of the lump and 2. you get a histo-pathological diagnosis to be certain what the disease is and carry on further treatment if needed. MRI sometimes may help in diagnosis. So i would suggest you to consult oral pathologist for proper diagnosis and treatmentHope your concern has been resolved.Dr. Harry Maheshwari | |
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 --> | |
Suggest treatment for cyst in quad groin area
I have been diagnosed with a large cyst in my quad groin muscle, as seen on MRI. I am worried that this may be a tapeworm cyst as the symptoms started a couple of months after I was ill on a visit to Pakistan. Where should I go to get a diagnosis of the cyst origin? | Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data,you need to get to treat it by antihelminthic drugs from ER Physician and if no relief then-Surgical Excision of the tapeworm Cyst is advised.So I would advise you to consult a ER Surgeon ,who would treat it accordingly.Hope this would resolve your issues.Act fast.So keep cool and Consult your ER Surgeon, if need be , who would treat it accordingly.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good reviews and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N. | |
What are the side effects of nitrofurantoin?
Question about Nitrofurantoin side effects: Regarding the burning in hands or feet - at what point should one begin to worry (i.e., burning in one finger vs. burning in all 10 fingers, etc.) I m sure it will be fine in the morning but I just wanted to check. | Hello,Yours symptoms seem to be related to side effects of Nitrofurantoin. Burning, numbness, tingling is a less common side effect but it can happen. I suggest to use an anti inflammatory medication such as Acetaminophen if it is needed.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
What causes sudden memory loss, increased anger and irritation?
My husband had a stroke when he was six years of age. He now is 39 we have started to notice signs of memory loss, increased anger and irritablilty. Our primary doctor said it should not get any worse however our nerologist said it looks like the first stages of dementia. I am confused if it is vascular dementia why would our primary Doctor tell us it should not get any worse. He is showing signs of disoringtation etc.. Please help my utter confusing and should i be worried something could happen to him in the next few years? | HelloThanks for askingHistory of stroke increases the risk of a number of complications and progressive loss of memory is one of them. Repeated vascular insult on brain causes vascular or multi infarct dementia. The dementia is progressive but the progression can be halted by taking proper medicines. Medicines like cholinergic drugs as Donepezil, Rivastigmine are very useful in dementia. Other medicines like Memantin is also commonly used.Consult your doctor for proper treatment. Get his MRI done to see extent of damage in brain if any. Psychological tests like Mini Mental Status Examination will help in grading the extent of dementia and help to ascertain improvement.Thanks | |
What does black spot in heart in MUGA scan indicate?
My son-in-law - recent had an MI - with a torsade ventricular arrhythmia afterward. This was 3 months ago. He saw his doctor today after having had a follow-up MUGA and was told that he has a black spot in his heart - and they are not going to put in the indwelling defibrillator (he's been wearing a life vest) until they investigate. After 40 years of medical transcription experience - I don't really get what a black (dead) spot is. My daughter is very concerned. | welcome to hcm ...as your son in law had recent history of infarct ..and his MUGA Scan shows a black spot ..means the old infarcted part which is non functional type thing | |
Suggest remedy for erection problems in male
Hi i m 24 years male.. Earlier i use to master boost. But 2 yrs back I was in relation with a girl. I had done 2 times. Before doing this My penis use to get hard even when i think of a girl . But after that it is not getting harder even on thinking. Is it a problem or what | Hello dear,First of all, do not get influenced by any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful.Though medications like Cialis & Viagra increase blood flow to penis & maintains erection, it can be improved by having a diet rich in fruits, vegetables, fish, nuts & honey.Avoid stress...practice meditation..this helps in improving concentration & builds up the confidence level.Avoid smoking & alcohol.You can also do oil massage of the penis...it increases blood flow & maintains the erection.Wishing you a Healthy Life.Take care. | |
What causes knee cracking sounds?
Hello. I have quck question about my knees. when i move my knee down and up withouth standing still (having firm ground to push off) when i use my knee going up and down from lets say sitting position i hear crackings and i feel them in knees and it is realy realy uncomfortable feeling.Is it serious (i usualy jump on parkour) can i fix it by exercises or something. Thanks in advance =)Martin | Hello,I read carefully your query and understand your concern.I suggest you not to worry about cracking or popping when it isn't associated with pain or swelling. If you have cracking or popping that does cause pain or swelling, though you should do an xray of the knees for further. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
What is the treatment for cough and cold?
My 4 month baby boy has cold and cough. His nose is running and he is weezling also.He can't sleep for only one hour bcoz of cough. He wake up with cough nd atart crying. Pls can u prescribeme any medicine for now tommorow I will see the doctor for him pls reply as soon as u can | It seems your baby has bronhitis, you should start giving to her antibiotic -amoxicillin-advert syrup according her weight 50 mg/kg, approximately 125mg 2times. Then also you should give cough syrup-relent(ambroxol 30 mg+cetirizine2,5mg)- ambroxol 1-2 mg/kg ,aproximately 1,5-2ml 2 times. For temperature give to baby paracetamol- calpol syrup according her age. Drop nasal drops for baby 2drops 3times and wash her nose with saline solution. Do vibrational massage of back.You child needs in nebulizationI am wishing you speedy recoveryDr.Svetlana | |
Q. A stray puppy bit me on hand. What can I do now?
Hello doctor, A stray puppy bit me on my right-hand fingertip just little hard when I was feeding it (80 days back) but there was no bleed and scratch. And the puppy died after three days of biting me. Cause of that is adult dogs had bitten the puppy. I had three doses of vaccination six years ago and also I had antibiotics vaccination last six months ago. I am a drinker. If the vaccines are still in my body or now what can I do? Please give me a needful answer. | Hello. The one which you mentioned six months ago, was it a full course of vaccination? Because, six years ago, you just had three doses. So if six months back was a complete vaccination course then you should receive the booster dosage of vaccination. Some amount of vaccination will always stay in blood but its always advisable to take booster dosage with every exposure. So overall, if you have received the complete vaccination in the anytime in the past, then booster should be taken with every exposure even if it occurs two months after vaccination. Booster dosing involves two dosages at day 0 and day 3. For more information consult an internal medicine physician online --> | |
Suggest remedy for blotches on neck due to allergy
Well one day last summer I got alergic to the seat belt in the car which I thought was an alergy. I started getting itchy on my neck then the doctor gave me this cream which I used. Then next thing I noticed that my neck had about the size of a dime little blotched of bruses on my neck about 20 or more blotches. I don't know how to get ridde of the blotches there so imbaresing. I always have to wear a turtle neck to hide my neck. | Hi,Thank you for the query.I would like to know few more things which would help me in suggesting you better. Hence do not mind to answer these:1.) Since how long are you experiencing this problem?2.) Do you have headache, stuffy nose?3.) Do you get fever or sore throat?4.) Do you notice similar blotches while jogging or running?Your History suggests that you may be suffering from Pityriasis rosea, which is a scaly skin rash caused by Herpes virus and sometimes the cause is unknown and it is not contagious. It has to be confirmed, kindly get yourself examined by a Dermatologist so that he/she may examine you and suggest a bloodwork and Skin biopsy to rule out other causes with similar symptoms. Once confirmed you will be treated accordingly with Antiviral medications and Phototherapy if the symptoms worsen.However,You have a feature to upload the reports / image by yourself at the right side of the query page, please utilize that so that I can answer your queries better.Follow these lifestyle modifications:1.) Use lukewarm water when you shower or bathe, because it is less irritating.2.) If you have itching, use calamine lotion.3.) Stick to your treatment plan and go for regular follow up.Hope I have answered your query, I will be available to answer your follow up queries.Wish you Good Health. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
How to determine if one has inherited the Widow Maker heart condition?
we were just informed that my brother -in -law age 55 has the widow maker heart disease..he had a double bypass.. Both my husband and he were adopted and we just learned from his real mother's aunt that both his mother's brother and her father died from the same disease.. My husband age 52 has a very stressful job and has diabetes plus he is about 25 pounds overweight. Do you think he could have possibly inherited this disease | Hello. Thank you for your question and welcome to HCM. I understand your concern. I would like to tell you that the coronary artery disease has several risk factors. One of them, a strong one, is the genetic factor. Having blood-related people in the family that have had myocardial infarction or coronary arter disease without infarction, is a strong risk factor that descendents also will have coronary artery disease. There is a little data about the genetic inheritance of the ''widow maker'' artery disease, but ther all are inconclusive. For example, you husband has these risk factors: age above 45, diabetes, overweight and genetic inheritance of the coronary heart disease. With or without the ''widow maker'' in this scenario, I would recommend a cardiac check up for him: EKG, echocardiogram and cardiac stress test. I hope I was clear and helpful. Take care. Kind regards, Dr. Meriton | |
Suggest methods to keep MRSA under control
hi, I was diagnosed mrsa in march this year. I got treated w/doxycycline for 3 weeks then. In april I found a sore w/pus and was treated w/ bacrim ds for ten days. Now I had another sore ten days ago but MD said it was healed by itself. What should I do to keep the mrsa under control? any suggestion? | Hi, dearI have gone through your question. I can understand your concern.You have MRSA (Multi drug Resistant staphylococcus aureus) infection. You should go for sensitivity testing. It is resistant to routine antibiotics so sensitivity test gives you ides that which antibiotics are more effective. Then you should take that antibiotics. You should also check your sugar level. 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. | |
Seizures 1-2 per day. Taking different medicines. Advised surgery. What are the pros and cons?
My 23 year old daughter starting having seizures 15-20 per day when she turned 18. she was born 2 months 2 weeks premature, her seizures are somewhat controlled with medication, she is on 12 different meds per day, she still has seizures 1to 2 per day, her neurologist is suggesting surgery, what are the disadvantages vs advantages. | Hi, Welcome to Health care magic forum. The treatment failure of the patient depends upon so many factors. If she is irregular in taking medicine, if she is using some medicine which has seizures as side effect, like antihistamines,ofloxacin etc. Should not be exposed to bright light, or continuous exposure to light like Tv, or computer.Premature delivery may not be the cause, other wise they would have started at an early age. Regarding the surgery, the attending doctor will be the correct judge, and pros and cons will be there with all the procedures. Wishing for a quick and complete recovery.Thank you. | |
What causes sharp chest pain while sneezing?
I am a 28 year old male, 5'8'', 160 pounds. Whenever I sneeze there is an immediate, intense, and sharp pain on the left side of my chest that I believe is derived from my heart. This has been an ongoing problem for many years. I was on beta blockers for a short time last year to help with heart palpitations, but I quit taking them because I ran out. I also was taken to the hospital 9 years ago for severe chest pains. I have a 5 year history of frequent marijuana use, although I have not smoked in 3 months. I also had a 6 month period of time when I used cocaine heavily, but I have not used cocaine in 4 years. I was a pack-and-a-half a day smoker for about 6 years, but I have given up cigarettes, as well. I still dip snuff 5 or 6 times a day. I take hydrocodone for knee and joint pain about twice a week. I am worried that the sharp chest pains I feel when I sneeze could soon lead to a major health issue. How can I prevent this pain from reoccurring? | Thanks for your question on Healthcare Magic. I can understand your concern. Since you are having history of cigarette smoking, Marijuana smoking, snuffing etc, we should definitely look for lung diseases for your symptoms. Chest pain on sneezing can be seen in pleurisy (inflammation of pleura) and pleurisy is commonly due to lung infection and bronchitis. So get done 1. Clinical examination of respiratory system 2. Chest x ray to rule out lung infection. 3. PFT (pulmonary function test) for the diagnosis of bronchitis. If both these are normal then no need to worry for lung diseases. Sometimes musculoskeletal pain can cause similar kind of pain. So apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright. But first rule out lung pathology. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What is the treatment for dog bite?
hi, my son was bitten by a house dog but they didnot given any injection the dog. my son age is 8 years. and i have given all the doses suggested by the doctors. still i am confused about food. shall i give nonveg dood to my son.pls clear my doupts.thankyou, maivizhi.v. | Greetings! The post-exposure prophylaxis is a three pronged approach. All three carry equal importance and should be done simultaneously as per the category of the bite 1.Management of animal bite wound2.Passive immunisation: Rabies Immunoglobulins (RIG)3.Active immunisation: Anti-Rabies Vaccines (ARV) As far the food is concern , yes all type regular food that you give him can be taken! there is no restriction to food as far as dog bite is concerned! Regards! | |
What is the suggested dosage of antipyretic in child?
My kid s 3 years old and running temperature for the last 3 days. The doc has prescribed him cefexime syrup and Ibuprofen+paracetamol syrup. We gave him a dose of the antipyretic 5 hours ago, is it ok to give him another dose now as he is running temperature | Hi.. I would advise you to go for plain paracetamol suspension for fever in this age and use Ibuprofen only for uncontrolled fever. At present because you have this drug only you have to wait atleast 3 more hours to repeat the dose as it contains ibuprofen also. Dr.V.S.Sri Vidhya Chennai | |
Suggest remedy for abdominal pain during ejaculation
Hi,I have been experiencing sharp pain in the lower abdomen during ejaculation. It is usually on the lower right side but last time it was on the lower left side as well. It does happen everytime when i ejaculate . The pain normally goes away after applying painrelief cream. Please suggest me how can i get relief from it. Thanks- YYYY@YYYY | The pain during and after ejaculation can be due to a condition called '' Prostatitis''. This can be just a congestion of the prostate or Inflammation of the prostate or Cyst formation in the prostate or inflammation of the seminal vesicles. I would advise to get examined by an Urologist. He would do a per-rectal examination to see the size, consistency , tenderness, cyst in the prostate and seminal vesicles. A prostatic massage done by an expert can tell the diagnosis , break the cyst, get a sample for examination. This is helped by an ultrasonography and other investiagations of Complete blood count, Urine-routine , microscopy, culture and sensitivity.Prostatic fluid for microscopy, culture and sensitivity. Treatment is a long course of an antibiotic and treatment of the underlying primary cause which has caused this. | |
Can gall bladder stones be removed without surgery?
Hi, may I am fakhar abbas from pakistan im 25 years old last 2 weeks i feel pain in my belly in altrasound report shows stones in gall bladers docter says that u have to operate but i scared coz its a difficult opration Tell me it will recover medicens ?? Show names of medicens | HelloThanks for asking query on HCM. If you have symptomatic gall stones, as your doctor has diagnosed and had suggested cholecystectomy - gall bladder removal, best possible treatment is the surgery only. There are no tablets or other medicines which can cure these stones.Even if you require surgery, it is not a very major surgery which is usally done laparoscopically (key hole surgery). In the experienced hands this surgery is simple and risk free. You need not get worried.Take care. | |
What causes enlarged kidneys and ureters?
Hi, I m an urostomy patient of 18 months now and was diagnose with Inter Stitial Cystitus. Over a 20 year period my bladder became so deceased I couldn t even void without pain. My urologist did all that was possible and then some but no relief. My bladder ended up with cracks and ulcers. Found a wonderful surgeon who agreed to remove my bladder and my life has just turned completely around. Recently I passed a kidney stone with a small loop of wire in it. So surprised to find something of its size and didn t even feel any pain. My Medical Dr. did the urinalysis and ultra sound, found some infection, of which antibiotics were taken, but the ultra sound showed my kidneys and ureters were enlarged. Is there any chance this could be caused by having a full appliance (bag) occasionally or something else? I have a friend who has had this same surgery 25 yrs ago and she has this same problem, lrg kidney and ureters. | Good Day and thank you for being with Healthcare Magic! the enlargement of your kidneys and ureters is due to reflux of urine from the Urostomy back to the kidneys and ureters. This is inherent to the surgery you underwent and nothing to be worried about as long as you stay away from urinary infection. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: I would gladly help you. Best wishes | |
What causes headaches and loss of vision in the eye?
I just had an mri of the brain, they had read the results before I had even gotten back home. I am concerned that I may have ms or lupus. My mri results read that there is mild bilateral scattered foci of increased FLAIR signal are identified within the periventricular and subcortical white matter. Now I had the mri because I have been suffering from headaches and loss of vision in right eye. I have had blood work for auto immune diseases but don t follow up with Dr til next week. Could this mri prove Ms or lupus? I also have symptoms of both and Ms runs in my family | Hello!I understand your concern.In my opinion your symptoms may be caused by multiple sclerosis. Loss of vision in one eye is a very common finding in early ms. It is also called optic neuritis. Not typical for lupus.Your family history and the MRI findings are other arguments in favor of ms diagnosis. Multiple sclerosis can coexist with other autoimmune disease like lupus. Your complains do not support lupus diagnosis but your blood analysis will determine the diagnosis. Hope to have been helpful,Thank you for using HCM!Dr Abaz Quka | |
How to treat cough naturally?
my 21 year old son has been diagnosed with pneumonia. He is taking antibiotics, steroid pills and an albuterol enhaler. He is also taking an expectorant to help make his cough productive. However he can't sleep because of the cough. Is there any home remedy that can help? | Hi, Thanks for posting in HCM. I understand your concern. Your son needs to take prescribed medications which are essential to treat pneumonia completely. He is getting cough due to mucous accumulation and pharyngeal irritation. He can overcome it by doing the following: 1. Take steam inhalation twice daily. 2. Do salt water gargling with warm water twice daily. 3. Take decongestant medication if necessary. 4. Take medicated lozenges for throat soothening effect. Gradually, with the completion of treatment and by taking above measures, his symptoms should subside and he should be back to normal. Kindly do the follow-up with your doctor as advised. Hope the information provided helps. All the best. Regards, Dr.Ashakiran.S., MBBS., MD. | |
Suggest solution for symptoms of liver cancer
My husband has stage iv liver cancer metastic (feb 2011). He has lost a lot of weight, Lately he has not been eating only sleeping, but the last 2 days he has been eating. Are thes typical signs or should i get him to the hospital. He says he is fine. | For a patient with last stage liver cancer, these are typical symptoms of end stage disease and you shouldnt be worried about them unless they are distressing to the patient or life threatening. As it is the entire treatment now is symptom based and palliative. I hope he is on some form of anti-cancer treatment as that will also extend the duration and time period of his comfort. This you should discuss with your oncologist based on his fitness to withstand therapy | |
What causes skin discoloration in a 2 year old?
My child is 2 and a half months. her height is 23 inches and she weights 14 and half pounds. Her skin tone has different patches of discoloration. The discolored parts are lighter than the regular skin. We are east African. So id like to know whats wrong with her skin tone. The patches are not ruff they are the same texture as her skin tone. | HelloThis sounds like something called tinea versicolor--a skin fungal infection.It really isn't too serious and it can be treated with ketoconazole topical cream from a dermatologist | |
What causes pain in belly button area along with occasional leaks?
I had a tummy tuck about 5 years ago with no serious problems post surgery. I am now experiencing pain around the belly button area, and what feels like a sort of hardening in my abdomen. My belly button leaks fluid and occasionally bleeds, along with a disgusting smell. Not sure if all of this is related or not | Hi.Thanks for your query and an elucidate history.No... this is not related to your operation.This called an umbilical granuloma.Simple curettage helps along with antibiotics . | |
How to get rid of mouth ulcers?
hi sir, i had a mouth ucler last two years ago and it got cure but from that time there are some white red lines around my lips and also it makes night times itchings. kindly suggest to whom i sould consult a dentist or a skin or general docotor. Below are details. height-5.6 weight=55 | Hi, I have gone through your question carefully and understood your concerns. The mouth ulcer you got in your mouth seems to be due to viral infection, especially, if you have had flu like symptoms at that time. If the ulcer will appear again, I'd advise to consult with your family doctor and to run following diagnostic tests:- complete blood count to exclude anemia- culture of mouth swab to exclude fungal infectionFor the moment, I advise to keep a good oral hygiene and avoid having too hot drinks or foods. All the best! | |
What causes blister on the thumb after an injury?
My granddaughter smashed her thumb in the door,it had a small hard spot but now after a week it looks redness brown and there is a blister looking spot on the side of the thumb that has white dots inside of the it,she is a type 1 diabetic too.I don t know if that would factor into why doesn t seem to be healing | Hi,It seems that there might be having some infection after injury.As she is type 1 diabetes, she requires to give attention as there are all chances to spread the infection in whole thumb.Go for one course of antibiotic after consulting your doctor.Go for proper dressing after cleaning.Ok and take care. | |
Can fibromyalgia cause numbness in brain?
Hi, I'm a 25yr old female and was diagnosed with Fibromyalgia in May and currently taking Effexor XR 75mg. Lately, for the past month or 2 I've been dealing with a pain in my right side of my neck that goes up to my ear then temple then my right side of my head. Then minutes later I have this strange tingling/numbness on my right side of my brain. I get the numbess of the right side of my brain everyday throughout the entire day&feel like Ihave am earache&my right temple throbs hardto where it hurts. SHOULD I BE WORRIED OR IS IT APART OF MY FIBROMYALGIA? | You can not feel numbness of the brain. Probably what you want to say is the numbness on the side of the head.This could either be a part of the fibromyalgia affecting neck region or cervical spondylitis.Yes either way you need to worry and see a doc as either the fibromyalgia medicine needs altering or new problem needs to be attended to. | |
What is the treatment for high Blood Pressure?
I'm a 26 year old male and have been diagnosed with hypertension, blood pressure ranges anywhere from 130/85 to 155/95. I'm currenty on a blood pressure medication (lotrel), but it gives me extreme side effects - dizziness, confusion, hard to concentrate and extreme fatigue, not to mention anxiety at points. I feel at times I get myself so worked up that I make my own blood pressure rise. Any advice? | Hi!, firstly you are too young to develop High Bp, just wanted to know since when are you on this medication?? In any case the normal BP is 120/80 mmhg, upto 130/90 mmhg its accepatable.Lotrel is a pritty old medication, there are new medications available now.I would suggest you to meet up with a Cardiologist to have a through workup as to why you have developed high BP at this age and if required he will change your medications | |
What are the side-effects of Defcort given for skin allergy?
Hello Doctor.. i had an hair line crack in forefoot and a Doctor prescribed me an ointment Relaxyl DA Thermo gel after 1 and half month... but now i am having an skin allergy because of use of it.Now Doctor prescribed me defcort 6 for 1 week( three times per day). Might be skin allergic will be gone.. is there any side effect of it as it is steroid.. if yes, then what kind of precaution should i need to take. | Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. Defcort (Deflazacort) is a corticosteroid. For 1 week use, as mentioned my you, common side effect would be gastritis, stomach upset, vomiting, nausea, etc. You can avoid them by taking it after food, if necessary, you can also take antacids simultaneously.2. If you use corticosteroid for prolonged period, possible side effects are numerous, such as hypertension, weight gain, diabetes, cataract, glaucoma, osteoporosis, mental disturbances, skin thinning, etc etc. Also, if you take them for prolonged periods, you should not discontinue immediately; they need to be gradually decreased under guidance of physician.3. However, for 1 week course, you can stop as suggested by your physician. Hope above information 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. | |
What causes breathlessness with increased heart rates?
I recently turned 20 and just last month I started to have trouble breathing along with my heart beating really fast I feel.as if its popping out of my chest! It does this several times a day. I can t breathe deeply anymore unless I concentrate. What do I do,?? | Thanks for your question on HCM.I can understand your problem and situation.In my opinion you are having anxiety mostly. But better to rule out cardiac and pulmonary cause first. So get done ECG to rule out cardiac cause and chest x ray and PFT (pulmonary function test) to rule out pulmonary cause (asthma). If all are normal than no need to worry much.Anemia and thyroid problems can also cause similar symptoms. So get done CBC (complete blood count) and thyroid function test (TFT) to rule out anemia and thyroid problems respectively.If all of the above are normal than you are having anxiety only.So consult psychiatrist and get done counseling sessions. Try to find out stressor in your life and start working on its solution.Avoid stress and tension. Be relax and calm. Don't worry much, you will be alright. | |
Is the endometrial lining thickness normal enough to conceive?
Hello, I am a healthy, 42 year old. I have regular 27 day periods and seem to ovulate regularly. I had low TSH in the past year that is now corrected. I had a miscarriage 3 days ago. My ultrasound showed an endometrial lining thickness of 6mm today (day 3 ). Is that normal? Also there were 5 follicles shown at approx 8mm. Is the lining too thick? What are my chances of concieving again this cycle? Very fertile in the past. Only issue has been some thick lining. Thank you, Annabelle | Hi annabelle I think your endometrial thickness is a bit on higher side but it is day 3 only. You can bleed and have a thinner lining on day 5. So there is a fair chance of conceiving this cycle also. But you need to take some medicines to support your pregnancy as you had miscarriage in the past. Talk to your doctor regarding this. Hope I have answered your question. | |
Can I rely on antibiotics to treat bacterial vaginosis?
I was diagnosed with bacterial vaginosis and I was on antibiotic for 7days 2pills a day and I took my last dose and woke up the next day with a itch swollen clit they prescribed me a stronger antibiotic is it normal for it to be itchy and swollen your clit? | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.No, if your vaginosis is cured you never has swollen clitoris.In my advice your infection is not cured yet. You can take metronidazole and clindamycin tablet under your doctors guidance. If you have taken it in your current therapy, you can only substitute it.I advice you to wear cotton undergarments. Because synthetics material increase chance of resistance.Also keep hygiene because it will cure you earlier. Please wash your hands before and after hand wash.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | |
Have rash on the body. Looked like a sunburn. Had a fever 3 weeks ago. Suggestions?
Hi I have had a strange rash on my body. It starts out as a quarter sized round spot on my skin, pinkish in color, flat, looks a lot like a sunburn and then the spot gradually gets larger in a matter of days. I first noticed it about 2 weeks ago. I probably have about 8 or 9 on various parts of my body. No explanation, although I did have a fever for a couple of days about three weeks ago running between 101 and 102. | Hi rash all over the body after 3 weeks of fever can be dengue fever rash or chikengunya rash.first do platelet count to rule out dengue fever and if the rash is associated with pain it is chikengunya.treat symptomatically and apply calamine lotion | |
Can adrenal gland thickening lead to cancer?
I was told 2 years ago I had adrenal glan thickening and was told by the doctor that he saw no rumors and did not know what causes it and to not worry. My mother died because of a tumor on her adrenal glad and cancer of the lungs. Should I go to another Dr. For another opinion? | isolated thickening of adrenal gland is not cancerous. it is better TO take second opinion, to rule out any hormonal imbalance because of it. One more thing is to get PET ct abdomen, that can also help to rule out any malignancy or infection | |
Suggest remedies for pain after susten 200 injection
I m early pregnancy last week thr is a little bleeding Yesterday i have put susten 200 injection thr is heavy paining last week also i have take this injection i suffer from pain for about five days but doc recament to take for five weeks what ido with this pain what is the relef | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Susten or any intramuscular injection can cause pain for few days. It will resolve spontaneously in few days even without any treatment. You can take analgesics, like Diclofenac or Acetaminophen for pain relief. Apply hot compression over the injection site, which will provide symptomatic relief. Wishing you good health. Thanks. | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
How long do symptoms of typhi o and typhi h last?
hi, age- 23 height- 5 3 weight- 57 was tested and found typhi O 1:160 and typhi H 1:40, have been taking antibiotics for 7 days and still experience backache, tireness, mild fever, abnominal discomfort and joint pains. why am i not feeling better yet? | Hello.. Welcome to HCM.I am Dr Jigar(ID specialist).First of all diagnosis of typhoid with help of widal test which is done in your case is not meaningful in many cases. Also onset and duration of fever is important and on which day of fever the test was performed? All these are important. In your cass titre of "h" is also less.If i was your doctor then i would have suggested blood culture during initial period of fever and before taking antibiotic. This will serve dual purpose, isolate the bacteria and then antibiotic sensitivity will give clue to treatment. As you already have taken course of antibiotic(again not mentioned which) this test will not help now.Finally i suggest you to consult expert doctor for persistance of symptoms. This can due to either incorrect diagnosis or antibiotic resistance. I hope this will help you. Wish you rapid recovery.Regards.Dr Jigar | |
Does pneumonia developing in the left lung,require consultation with a doctor?
I was diagnosed with pneumonia starting to develop in my lower left lung yesterday, I have been running fevers on and off but today I have an extremely stuffy nose and if I barley move it exerts me and I have to catch my breath. Should I go back to the doctor or should I give it some time? | Hello,Thanks for trusting Healthcaremagic!I have gone through your query and I can understand your concerns.Based on my clinical experience I can tell you that it is better to avoid self treatment in condition like pneumonia.Delay in treatment can lead to the development of unwanted complications.I suggest you to consult a general physician and get the following things done:-1.Start a short course of antibiotics like "levofloxacin" for up to ten days.2.Make a temperature chart to assess the prognosis and can take paracetamaol if you have fever.3.Do a repeat X- ray to look for any improvement by treatment.4.You can take antihistamines and nasal decongestants if signs of nasal obstruction is present.Most cases resolve with prompt antibiotic therapy,In case of persistent symptoms you might need intravenous antibiotics as prescribed by your physician.Hope this information helps.wishing you good health.Regards.Dr.Shinas | |
Cirrhosis of liver, alcohol induced, nexen. Liver transplant?
I HAVE CIRRHOSIS OF LIVER , ALCOHOL INDUCED. mY ALPHA FETOPROTEIN IS 1000 AND CT SCAN SHOWS HCC with portal vein involvement. I am on Nexem. I know its terminal, but i want to live. All my other organs are fine. Can I undergo liver transplant? If no can i donate my kidney, eyes ... after my death? | HIThank for asking to HCMReally sorry for hearing that, of course you can go for liver transplant, you better have opinion from the concern department, whether you are qualified for this or not, think positive, hope this information helps you, take care and have best luck. | |
Q. What could be the cause for schistocytes?
Hi doctor, My friend recently got a blood test done and they told her that she had a large number of schistocytes. However, she was not found to be anemic and has no other history of serious health issues. She is 30 and thin built. She has been anemic on blood tests occasionally in the past. I do not know if it is related. They also did a CT scan because of abdominal pain and found a 10 mm lesion on her liver and inflammation of her uterus and stomach. She saw her gynecologist for an annual checkup last month and everything was normal. She had some acid reflux and gastritis problems on and off in the past. She also has been using the NuvaRing birth control for the past two years. They recommended her to see an oncologist for the liver lesion and a gastrointestinal specialist for the stomach inflammation. My question is, everything I have read about schistocytes says that they are caused by either trauma or by disorders that cause persistent anemia. Since she was not anemic, what could be the cause for schistocytes? | Hi. I have gone through your query and can understand your concern. Schistocytes are nothing but fragmented or broken red blood cells, which are formed due to trauma to the cells. There are many causes of schistocytes in blood, One of the causes is microangiopathic hemolytic anemia. But, you have mentioned that she is not anemic. Other causes are thrombotic thrombocytopenic purpura and hemolytic-uremic syndrome in which there is a defect in platelets and fibrin, which causes destruction of RBC's. But, in these conditions the peripheral smear will show other abnormalities in platelets also. Other causes are aortic stenosis and prosthetic valve. As she has lesion in liver, I suggest to get her evaluated properly as some systemic diseases and malignancy can also cause disseminated intravascular coagulation and destruction of RBC's. In my opinion, she needs liver function test, kidney function test and ultrasound of the abdomen to confirm the diagnosis. Also, get her ECG and 2D echocardiogram done. If the morphology of liver lesion will become clear, then it will be easier to reach the diagnosis. For further information consult an internal medicine physician online --> | |
Are mesenteric panniculitis causing abdominal pain?
Dear Dr Ramk,mhna, I am 35 year old male had pain in lower abdomen. I was asked to take CT scan and CT scan shows I have mescentrc panniculties. I would like to understand about this condition and treatment for the same. i am in chennai in tamilnadu. | Hi.Thanks for your query.Mesenteric panniculitis is a rare condition. In this condition there is a fibrosis affects the fatty tissue of the mesentery, that is the membrane by which the small intestine and colon are suspended in the abdomen and gives passage for blood and lymphatic vessels.The specific cause of the disease is not known. The diagnosis is suggested by CT Scan and is usually confirmed by surgical biopsies.Treatment is empirical and based on a few selected drugs which are prescription medicines , hence you have to contact a General Surgeon or Surgical Gastroenterologist. | |
What causes frequent urination after having Nestle Nan Pro 1?
Hi , my baby weight is 3.6 when he is born. After 1 month went for check up still my baby weight is 3.5. Doctor advised to give simlac 1 4 Times a day, simultaneously with BF. After a 2 weeks my child weight increased to 4.2 but simlac make my baby restless unable to burb, constipation, and gastric problem, again with doctor advice I switched over nestle nan pro 1 , it s comfortable for him but have frequent urinatione, will my baby gain weight can u advice. Am giving breast feed too. | Hello 1 monthold baby can utinate 6 to 7 times a day Which is normalInitially ther is less breast milk which was not enough for ur baby After giving him similac ur baby gain wt That means ur baby is need more milkIf u have enough bf then not to worry and also give nan 1 to him U should gradually decrease nan 1 after ur baby satisfied with bf No worry for urination | |
How can severe backache be treated?
Sir,i am 37years old women.for past six months i had serious backpain in disk bulging(doctor told that disk water content level decresed).in amway can cure with this problem.use glucosamine, chondroition and msm complex? Any side effects?please answer me sir. | Hello,Back pain can definitely be cured, if we know the reason causing it. Back pain for 6 months may be due to disc degeneration or instability in the lower lumbar spine.Diagnosis needs to be confirmed by:1. An x-ray of the lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities.2. MRI of the lumbosacral spine to check for soft tissue like disc and ligament pathology. Both can be done at the radiology center nearby you.If both are normal, then the pain may be due to muscle weakness, and you need physiotherapy. Visit expert an orthopedic spine specialist is recommended with reports.If there is disc degeneration and prolapse physiotherapy helps a lot except in case software nerve compression due to disc prolapse. Glucosamine and chondroitin are cartilage supplements and do not have major side effects.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jayesh Vaza | |
Should i take 'ovumax' injection if follicular size is >0.67 cms?
Hi, My doctor have asked me to get done the follicular study. I have started that and the endometrium size is 0.67 cms on 26.12.2011. Now the doctor has asked me to get the next scanning done on 29.12.2011 and said that if the follicular size is >= 0.67 cms then take Injection Ovumax 5000 units SC.Please advise what does this indicate. | Hallow Dear,The egg is inside the follicle. Immediately after menstruation, the follicle and the egg inside are very small in size. Day by day, they go on increasing in size. About 14 days prior to the next menses the egg is released from the follicle. Just before the egg release (ovulation), the follicle attains the size between 18 mm and 21 mm. Endometrium is lining of the uterus. During menstruation its outer layers get shed off when it becomes very thin. Day by day, it also starts becoming thicker. A healthy endometrium is between 9 mm and 14 mm thickness at the time of ovulation.You have mentioned the size of follicle and thickness of endometrium, which are too low; however it is not clear these sizes are on which day of the cycle. If these measurements are at or around the ovulation, they are too low. You will need some medicine to increase the size of the follicle. As the follicle grows in size, endometrium also will become thicker. However, Ovumax is an Injection which contains Human Chorionic Gonadotropin (hCG) hormone. This injection is given to induce ovulation from a well grown follicle. It would not help the growth of the follicle. For growth of the follicle, Inj. HMG has to be given. Clomiphene citrate also may be of use; however, it may hider the growth of the endometrium.I would not advise you to go for these or such injections before you get some of your investigations done which will try to point out the deficiency. Get your blood examined for FSH, LH and AMH. Based on there levels, further management should be planned. Please report to an Infertility Consultant for expert and scientific management.I hope you got the required guidance. Dr. Nishikant Shrotri |
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