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What does the x-ray finding mean?
This was the x-ray findings: 1. There are fibrohazy infiltrates in both lung fields, more in the right with superimposed cystic lucencies in the right lung. 2. Heart and the rest of the mediastinal structures are shifted to the right. 3. Hermidiaphragms, costomeric sulci and the visualized bones are intact. what does this findings mean? thankyou | Thanks for your question on HCM.In my opinion your x ray findings are suggestive of right sided fibrotic lung.You must have TB infection in right lung in past. And your present x ray findings are sequelae of healed TB lesion.When lung fibrosis occurs, the healed tissue shrunk the lungs and pull the structures. So mediastinum and trachea are shifted towards right side.So no need to worry about this x ray as it is old fibrotic right sided lung is seen. | |
Q. Could my father's bradycardia be linked to his thyroid gland disorder?
Hello doctor, My father was diagnosed with thyroid gland disorder wherein T3 and T4 levels come as normal in results while TSH is pretty much high. Sometimes, the TSH value rises to 100. He has been on Levothyroxine or Eltroxin 100 mcg for the last 17 to 18 years now. Lately, he was hospitalized for emergency due to low heart rate and breathlessness. After many tests like Holter test, the bradycardia or arrhythmia was seen. | Hi. Firstly, from the reports (attachment removed to protect patient identity) it appears that he is having bradycardia and sinus arrhythmia, but no tachycardia. So, according to me, electrophysiology (EP) studies may be helpful, but not necessary. It could be due to thyroid illness as well. Your father's TSH (thyroid stimulating hormone) is slightly elevated and not very common to cause bradycardia at this TSH levels. Before going ahead, I think the dose of Thyroxine should be increased to 125 mcg and get TSH levels in normal range. Another possibility is sick sinus syndrome (sinoatrial node disease) if it persists after normalizing thyroid level. Treatment of which is pacemaker and EP study is not necessary if established he should go for it. You have mentioned about Epsolin (Phenytoin) to control heart rate. He already has low heart rate, so this should be reconfirmed. Because, he will need medicines to increase heart rate like Deriphyllin, Alupent (Metaproterenol), Asthalin (Salbutamol), etc., and not decrease heart rate. For further information consult an internal medicine physician online --> | |
Suggest remedy for napkin rash
my 2 year old daughter has really bad nappy rash she gets it everytime she does the toilet when i take her nappy off she complains its to sore sit down this time her both legs are bright red and her bottom is red will i have to take her in to a and e at the local hospital | Hi. Thanks for posting your concern at Healthcaremagic.I would keep a possibility of either diaper dermatitis, which is type of irritant dermatitis, the delicate skin in that area coming into prolonged contact with soiled diapers OR it could also be a case of candidal intertrigo, which is inflammation of the groin folds (diaper dermatitis usually spares the folds), the candida getting a chance to proliferate due to sweat and moisture in that area.-Keep the area air dry (avoid diapers if you can)-I usually advice my patients to use an antifungal+ mild steroid combination cream twice daily for a week (e.g clotrimazole+beclomethasone cream)-An anti-fungal dusting powder keeps the area dry and also prevents fungal colonization.take careregards | |
What causes recurring high fever?
hi , I am 59 yr old n since the last 1 yr i get high fever upto 103 C . Dr has done all the blood tests.. no malaria, typhiod liver is fine. lungs show slight infection but the dr said it is not a matter of concern. the cause could not be diagnosed. kindly help | Hello, thanks for posting on HCM.Fever for 1 year on and off should not be taken lightly. As per the x-ray finding you have some shadow in the lungs, have you been tested for presence of tuberculosis infection? If you have cough, have you done sputum examination for AFB (acid fast bacillus)? I would also advise you to consult an infectious disease specialist as you have not specified any other symptom you have along with fever, and it would need detailed examination and proper investigations to be done. It’s also important to rule out the presence of any lymphoma by detailed examination as it Is also known to cause unexplained non infective reason for fever for long time.For now I can advise you not to take it lightly and consult your doctor about the same. Thank you | |
Suggest treatment for something blocking chest
Hello Doctor This is Ratnesh and i am 72 yrs old. From last three month i was cough so i consulted doctor who adviced me various test. i gone through them and final report says that something is blocking in chest(cavity or may be blood clot). i am having severe pain in my stomach particulary at night. Doctor gave me drotin-m and nutrofid,symnase. But i am having same problem. I don't know where to consult now. | Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you should consult pulmonologist (lung specialist) for this report. There are many causes for blocking in the chest. This can be due to nodule, Mass, infiltration, consolidation, cyst, blood clots etc. So you will need CT thorax and bronchoscopy to confirm the diagnosis. And for this, you need to consult pulmonologist. Don't worry, you will be alright. Consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes pain in ankle as it got twisted about 5years ago?
Hi, i twisted my ankle about 5 yrs ago, i never got it checked out, i started a job where im on my feet walking all day, my ankle is now hurting very badly, feels like its breaking, And when i take a break and sit for a few minutes and try walking again i cant bare down on my foot because it feels like its broke, i have to walk a minute before i get any relief. its my left ankle, i cant turn my foot towards the left with out feeling alot of pain. What could possibly be wrong with it. and what can i do to relieve it? | Hi, Thanks for contacting HCM. In cases like yours with an ankle sprain and then continued pain, it is most likely that there was some soft tissue damage on the structures that support the ankle joint itself. There is a ligament and two tendons on the outside of the ankle that are the main stabilizers, and these structures can get stretched, partially torn, or completely torn with a sprain. Most times, these will scar back down and continue to support the ankle. Other times, they will not be able to do the job as they did before and will have to work "overtime" to do the same job. This area then gets inflamed and painful, especially after a full day of trying to stabilize the joint (being on the feet all day). It is wise to start out with an ankle brace and see if that helps the area, as the brace can do the job of these soft tissue structures and give them a break to help decrease inflammation/pain.I hope this answer helped, if you have any further questions, I am here to help.Thank you. | |
What is the treatment for heel pain?
I have pain at the bottom of my left hill. It hurts when it touches a surface, like a pressure point. Mostly when I lay in bed where my hill touches the bed or while I am driving where my hill touches the bottom surface of the car. I have to keep it up constantly so it won t touch a surface. Also when I exercise (walking on threadmill, the botom of my feet gets extremly achy after 15 min. I had PF by it went away but not this pain that I described. | Hello, It looks like that you are having calcaneum spur.confirm it with an X-ray. I suggest modified foot wears with silicon insole. | |
Does olive allergy cause shortness of breath and fatigue?
I have been eating a lot of black and green olives over many months I think I got the flu in early January, 2018. I had fever, coughing, tiredness and aches all over. However, even now in early April, 2018 I still experience a lot of fatigue and shortness of breath. Is there any chance that I have developed an allergy to the olives I have been eating, both green and black, possibly in excess. | Hello,If you have allergy to olives then after eating one olive you get started symptoms of allergy, but thing is this why you are getting these symptoms after eating olives this just simple flu, do not worry.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chandra Shekhar | |
Suggest treatment for sharp chest pain , nausea and arm pain
My 25 year old daughter had been through all the tests they can put her throughand she still has sudden sharp stabbing pains in the middle of her chest. Comes with nausea and then she is so exhausted she sleeps for hours! She has had Echos and EKGs and heart tests. they found that she has a prob with a valve in her heart and say it will cause her problems later in life. for now there is no neck back, arm, shoulder or left arm pain. they say it is not a heart attack or anxiety. but no one has answers. All her blood work came back normal. It is starting to scare me. She will be talking and a sudden sharp pain just grabs her in the middle of her chest and she gets nausea and then wiped out tired. Her doctor and heart doctor say its not heart issue. she found a cyst on her breast and doctor says it will go away but its so painful to her. when she bumps it or takes bra off. we don t know if its related. they wont refer her for CAT or MRI without a good reason. Well, does the fact they dont know count as a good reason to explore? please tell me someone has an idea. .Lori | If there is a valve issue which is causing her symptoms then it would need correction kindly consult a cardiac surgeon. Also get mammogram done for the breast cyst. | |
How long can moderate growth of staphylococcus be treated ?
how long can modrate growth of staphylococcuos e treated? | if treated with appropriate antibiotic,it can be controlled within 2 to 3 days. but you have to continue medicine for 7 to 10 days. | |
Q. I feel something in the back of throat with no pain and inflammation. Why?
Hello doctor, I have had a feeling like something had been at the back of my left side of the throat for a few days. I do not know what it is? Tonsils are not inflamed, throat a bit dry, and does not hurt to swallow. | Hi. One of the reasons for your symptoms is anxiety which you told. Globus hystericus is a feeling of something like a lump in throat which cannot be swallowed, or swallowed and reappears. Tonsils usually are asymptomatic unless very large and obstruct throat are inflamed causing severe pain. If your throat is red, or you run a fever then chances of inflammation are more. Alternatively, you may send a picture of your throat so that I may see any visible inflammation or tonsils. | |
Q. Why is there a skin patch on my lip that gets white and dries out?
Hello doctor, I have had this patch of skin above my top lip for the past couple of weeks. It has not worsened or disappeared. It is white and dries out. I have been putting on ointments but nothing seems to improve it. It does not have bumps. | Hello. It seems like Pityriasis Alba which is patchy post inflammatory hypopigmentation, usually on the face, in those who have dry skin or are atopic. I suggest you use Tacrolimus 0.03 % ointment, twice daily. Rub it in. Do you use a moisturizer on your face? How do you wash your face? Do you have any allergies? | |
What causes painful lump in the upper stomach?
Hi, iv ve had a tummy tuck with lipo 3 years ago and about 6 months ago I ve had a lump develop in my upper stomach area almost between my breast. It is painful to the touch and hard. I haven t told my doctor but I think it s time. Do you have any idea what it might be. I also have problems with my bowels! | Hi, Does the lump increase or decrease in size? specially, when you cough or strain?If yes, then it could be an Epigastric hernia. Anyway, you should see your Surgeon and let him examine the lump and advice you accordingly. If its a Hernia he will come to know and can be confirmed with a surface ultrasound.So, please see your Surgeon and follow his advice.Take care,Dr Rishi, New Delhi, India. | |
What causes body tremors, shoulder pain and dizziness?
I have release remitigh M S I am having my firstatta attactI think.Iam very jerking movements.Iam having a hard time holding things.I also have pain in my. Shoulder has sharp pains my hip also in dizzy. I recently broke my wrist and on pain pills I have stopped taking them .have chariot Marie tooth and antiphosph antibody antibody syndrome. What should I do?go to emergency room? Oh I also felon my hipand havingmajor pain in my leg also a Couple of weeks ago had exray and my hip is not broken Any advice? Input? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Dear tremors may be due to Ms involving the cerebellum . Dyskinesia may present with CMT disease. May manifest as a tremor but rare. Antiphospholipid antibody syndrome may present like muscle pain weakness. Hope I have answered your query. Let me know if I can assist you further. | |
How can burning sensation in the lips and gum and drooling after using Listerine be treated?
After using Listerine which contained peroxide for several weeks I experienced burning sensation in my lower gum and lip. There was nothing to see, however except some swelling of the gum. The swelling has gone down now, many weeks later, but since then I have experienced either a very dry mouth OR increased drooling from corners of the mouth especially when eating but sometimes even when just talking | Hi, This can be due to the fact that using a concentrated solution of mouthwash can cause inflammation inside mouth leading to excessive salivation. It can cause drooling however not a very common phenomenon. So, my suggestion is to consult an oral physician and get evaluated. If there is inflammation inside mouth better such ice pops and do warm saline gargles. Take soft meals and avoid spicy foods and drinks. Drink plenty of water. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora, Dentist | |
Suggest treatment for severe anger disorder and depression
I don't even know where to start. This is going to be bizarre.My wife is depressed because of what happened in our wedding almost 3 yrs ago.We had quite a disagreement during wedding planning, and adding to that is my mom interferes a little.I ended up not wearing the right color of tie that we had agreed on, and she absolutely hated it.She has been angry, disappointed and kept asking to redo the whole wedding party and photos.I don't think it's wise to redo the whole party considering the whole financial burden and time. We just bought a house 2 yrs ago, and she's not working. I'm the sole provider. She has been very angry all along, and occasionally would be enraged and scream and cry because she's upset about what happened on the wedding day. Sometimes when she's angry, she'd say very mean things like wishing very ill things on everyone that she thinks crossed her during the wedding (i.e her mother in law, sis in law).Recently in the past 6-8 months ago, she started showing symptoms like panicking, afraid that certain parts in our house are contaminated with lead (kitchen cabinets, chandelier in bedroom), and even in the bathroom she's afraid she'd touch the mirror frame when washing her hands. In the past 2 months, her symptoms are getting worse, she's getting more and more dependable on me, and not even dare to get food or water in the kitchen by herself, and at the same time still upset and angry about the wedding. She still insists we should redo the wedding party and invite everyone. She'd repeatedly asked for my assurance and wash her hand to make sure she doesn't touch the painted kitchen cabinet, chandelier in the bedroom, mirror in the bathroom and among other things. Nothing gets done in the house. I've been doing all housekeeping, and working a full time job with busy schedule. She's blaming everything on me and I cause all her problems. I feel like walking on eggshell. Anything I do can be wrong and cause her to be angry and feel her belongings are damaged. For example recently, I opened a mail once with mail cutter nearby her handbag, and she's panicking about it, and feels her bag has broken pieces of cutter. That's just one of the example among other things that I can hardly explain here.I want to understand what's happening to her. Is this a serious mental condition with her?Thanks,Atmizer | DearWe understand your concernsI went through your details. I do understand. Your wife do not have a serious mental condition. But Obsessive Compulsive Disorder is a mental disorder (OCD). OCD should be treated with a combination psychiatric medicines, psychotherapy, life style changes and meditation and is fully curable. You should consult a psychiatrist first and start treatment. If you require more of my help in this aspect, please use this URL. sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
What causes blotchy arms and legs to a 22 month baby?
My daughter is 22 months old and today i have noticed her arms and legs are very blotchy. There is no rash and its not raised. I dont know if it is nothing or something to be concerned about. I took her to the doctors earlier thinking she had an ear infection and at the time I had not noticed her arms and legs. It tuned out that she might just have a cold virus thats going around. She also has had a fever for a couple of days now. So my concern is her blotchy skin. Its red and white. What could this be? | Hi...by what you quote I feel that she might be having a skin condition called status marmoratus which is the result of fever or ambient temperature. This is a common phenomenon if the kid is active otherwise. Once fever settles or ambient temperature improves, she will come out of it automatically.Regards - Dr. Sumanth | |
What causes chest pains with spitting urgency?
I have the constant urge to always spit and it is a foamy white spit except in the morning a little worse. Every night when I go to bed I seem to get congestion in my chest and can sometimes become very painful and can wake up with a sore chest for maybe hours almost until nighttime again. I do have a history of acid reflux but I do not feel as though this pain could be acid reflux related due to constant pain. I also will get headaches and this causes a lot of anxiety in my life. Currently taking Prilosec everyday and have had an ekg which was normal. ALso had an upper gi that came back ok aws well. I have had this constant urge to spit and chest pain for quite some time now and would love to figure out what is going on inside my body for this constant pain. I am only 25 years old but it has significallant affected my lif | Thanks for your question on HCM.In my opinion you are having anxiety and related symptoms mostly.But since you are getting chest congestion and foamy sputum in night after lying down, we need to rule out cardiac failure first.Your symptoms are typical of orthopnea and orthopnea is seen commonly in heart failure.So get done 2d echo. If 2d echo is normal then no need to worry much for cardiac issue.Anxiety seems more relevant cause in your case.Anxiety is one of the most influencing factor for acid reflux. So control of anxiety isust in your case.So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution.Avoid stress and tension.Be relax and calm. Don't worry, you will be alright. | |
Continuous cough, weird feeling in chest a week after cleaning bathroom with bleaching agents. What should be done?
I was cleaning my bathroom about a week ago with a product containing bleach. It had gotten so strong in my bathroom, I had to run out because I couldn t stop coughing and almost couldn t breathe. I struggled to get the window open. Now a week later, I still cough every now and then and my chest feels weird, not painful, but it doesn t feel right. | allergic to fumes take singular 10 mg tds syp ventrolin 1/2 tsf tds syp tossex 1/2 tsf bd add liquid antacid 3 week to prevent recurence | |
Suggest treatment for headache and loss of vision
My 8 year daughter complained headache. My wife gave her crocin advance half tablet yesterday afternoon ... yesterday evening same dose was repeated but she vomited immediately ... another dose was given today afternoon ... my daughter complains of headache and loss of visio for right eye ... doctor says it s due to migraine ... my wife also have migraine problem ... currently doctor has suggested ibuprofen and paracetamol for pain relief and saying problem may persist for couple of more days... I am worried ..could it be due to crocin advance tablet? Daughter has just traveled to Uk from India on 11 oct | Hi,From history it seems that case of your daughter requires evaluation.Having loss of vision should not take lightly.Even if it can be due to migraine, it should be investigated.There might be having some problem in her right eye like lazzy eye or some refraction of error can cause headache as well.Consult ophthalmologist and get examined.Ok and take care. | |
What causes back and chest pain while taking deep breaths?
hi, on Friday I started pain in my upper right back.At night I started having pain in middle of my chest. I woke up and had to drink water and was able to sleep. some time later I woke up again and couldn t sleep in any way without taking water.I still have both things going on.It still hurts in the back when I try to take deep breath.What am I having? | Hello dear, thanks for your question on HCM. Since your back pain and chest pain is relieved by drinking water, I think you are having acute gastritis due to hyper acidity. But better to rule out pneumonia first as chest pain deep breathing is seen in pneumonia. So get done chest x ray. If chest x ray is normal then no need to worry much for pneumonia. You are having acute gastritis. So avoid stress and anxiety. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Start Proton pump inhibitors. Go for walk after meals. Keep 2 - 3 pillows under head in bed to prevent reflux. Don't worry, you will be alright. | |
Should my neck and back of ears feel so sore if I have a chest infection?
Hi, I'm really sick I have a really sore neck and behind my ears really hurt also having trouble breathing and have had a fever since Monday went to see the doctor yesterday he said everything looks fine but he couldnt hear enough in my right lung so I had and X-ray done and there was sign of infection in my right lung he gave me antibiotic. Should my neck and behind my ears feel so sore if I have a chest infection? | Hi,Thank you for your query. I can understand your concerns.In case of basal pneumonia with dry pleurisy,involving pleura overlying the diaphragm ,pleural pain may be referred to the tip of the shoulder from the central part because the pain fibers run in the phrenic nerve (C3-5).In such case the pain may felt in the neck adjoining the shoulder and may extend to the ear region,though primary pathology is in the lung..Regards Dr. T.K. Biswas M.D.Mumbai | |
I a d & c essential for getting pregnant
i have be trying to have a child for many years and I findley gotten pregnant in January but I miss carried and i am trying again and it is very difficult the reason I think that I got pregnant the first time because I had d n c to clean out old blood should I have the same thing done again. | Hi, d n c is not required to get pregnant. You should get yourself evaluated first. Do a thyroid profile and prolactin levels and a ultrasound for your uterus and ovaries. Also a semen analysis of your husband should be done. If everything is fine, you can take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question.Regards Dr khushboo | |
What causes infestation in different parts of body?
EVERYONE I KNOW THINK I 'M NUTS. I THINK I HAVE SOME SORT OF INFESTATION THAT IS EVERYWHERE. WHEN I SAY EVERYWHERE, I MEAN EYES, NOSE, MOUTH, EARS,SCALP, GUMS, AROUND AND UNDER MY FINGERNAILS AND TOENAILS, GENITALS, AND EVERYWHERE ELSE YOU AND I CAN THINK OF. WHAT COULD THIS BE? | Hi,Welcome to HCM!Are you having any symptoms? If you have symptoms like fever, weakness, bodyaches etc, that may suggest of some generalised infection.However, in absence of any symptoms and if you just feel that you are infested, you might be needing a psychiatric opinion. There is nothing wrong in it as you might be suffering from some phobia and it can be get rid of with the help of Psychotherapy and medications.Hope this information helps. Feel free to ask if you have any doubt.Wishing you a speedy recovery and good health.With warm regards,Dr. Sridhar | |
Suggest treatment for high blood pressure
Hi, may I answer your health queries right now ? Please type your query here...I have been on 12.5mg 1x daily of hydrochlorithiazide for about 1 1/2 yrs. for moderate high blood pressure 145/90. At first my blood pressure improved to 120/80 or lower. About 4 mos ago at my yrly checkup my blood pressure was 130/85. I thought that was high but my Dr. did not say anything and did not adjust my medicine. Recently I am experiencing headaches, extreme fatigue and some intermmittent bouts of dizziness. These were the same sypmtpoms I had pre diagnosis and tx. I am now wondering if my medicine should be increased to at least 25 mg daily or higher or another medicine. I also sometimes can feel my heart beat or pulse in my ears and neck when lying down to sleep or even when I awake in the morning. | Hi. Sounds like you may need to adjust your BP medications. First thing I would do is check your BP at home with a machine. If you don't have one I suggest getting one. Omron is a good brand. Best to check first thing in the AM when you are relaxed or when you feel dizzy or fatigued. Several options. One is diet. Less salt and processed foods. Try organic foods if possible. Moderate exercise may also be beneficial.If this doesn't help, then the options are to increase HCT to 25 mg daily or a combination pill such as HCT/ACE INHIBITOR. There are quite a few of these meds and they are usually the first choice for high BP as per JNC (Joint National Commission) 8 guidelines. Hope this helps. | |
What causes pain in pubic area that extends till the penis?
When doing squats, I get a sharp pain, feels like my pubic area is ripping, with a sharp pain that feel like it extends the length of my penis, I notices the pubic ripping , or strain pain, also while lifting 5 gallon buckets of dirt. Then at the gym while squatting, the stained pain extends the length of my penis. This is not Inguinal, I know that pain and feeling from past experiences. | HiWelcome.I have gone through your query.It might be due to strained muscle but need to be confirmed, kindly see orthopedician for further help.Hope this helpsTake care | |
What causes bleeding during pregnancy?
Hi, I am around 6 weeks pregnant. My last menses came on 5th february. My problem is that on 9th of february i started having blood spots. on 10th February i started bleeding but stopped on 11th february, but I am still having the blood spots. is there any anything serious, do i need to go to emergency? I didnt have any appointment before 2nd march. Any suggesstion would be helpful. | Hi dear, I have gone through your question and understand your concerns.Bleeding or spotting in early pregnancy can be due to ectopic pregnancy, subchorionic haemorrhage or threatened abortion.I will suggest you to get a ultrasound done to confirm the diagnosis and get appropriate treatment.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma | |
Suggest treatment for swollen and itchy legs
Around 10 weeks ago I was bitten on my legs by some common gnats (in the UK). Both legs became very swollen and itchy and I became itchy on my upper body also. I was advised to take anti histamines (ceterizine hydrochloride) and prescribed flucloxacilin. The problem persisted and I was prescribed a different antibiotic (can t remember which) and piriton. After two weeks of antibiotics the problem seemed to subside. 10 days after this (about two weeks ago) the itching returned. The original bites on my legs have still not healed and the itching has spread to my palms. The soles of my feet are also very tender and I have had bruised heals for awhile. My hands and fingertips are also very tender and sore. I am now taking fexofenadine which I have been on for about a week. I have had results from a blood test during this and my GP feels it is a ongoing reaction, not an infection. I am, however, becoming increasingly concerned, particularly now as the fexofenadine is not helping. Thank you for your help! | Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, this certainly is reaction and talk to your GP regarding the prospect of using a short course of steriods, as this is what we do usually, but for that he will have to see if there is any contraindication of its use in your case, moreover the body will try managing with it but be careful of the fact that sometimes body over responds to the allergy and cause damage to itself.I hope that answers your query. If your want any more clarification, contact me back.Dr Narender Saini | |
Red, elevated itchy welts on the mole removal sites, not changed medicines, avoided exposure to sunlight. Cause?
I recently had 5 moles removed by a dermatologist . They were removed approximately 4 weeks ago. Last night I woke up and all of my mole removal sites were extremely itchy. They all seem to have red elevated itchy welts around all of the scars. I have not been putting anything new on the scars, and I ve avoided all sunlight to these areas. | Hi Thanks for your query at health care magic . The elevated reddish itchy welts what you are talking about is mostly Hypertrophy scars or keloid formation.The reason for this is mostly your tendency of wounds to heal by hypertrophy our forming keloids.There have been various treatment modalities which needs to be done in a proper methodical manner by a trained and qualified plastic surgeon after confirming the diagnosis by seeing you in person. The treatment includes : Injections triamcinolone with inj 5 Flouro Uracil into the lesions Silicon sheet application over the lesions Using pulsed dyed laser over the lesions (PDL) The entire treatment will be done in sittings done 4 weeks apart.and complete duration is usually 6 to 8 sittings. Good bless | |
What does 'bilirubin total-1.23 and direct-0.51' suggest?
My father 84 year old suddenly has very swlloen ankles. his serum bilirubin total = 1.23 mg/dl, bilirubin direct = 0.51 mg/dl, bilirubin indirect is 0.72 mg/dl & serum urea = 21.00 mg/dl. Does he have jaundice?? Why is his feet and ankles (both feet) swelling so much? the swelling is painless | Hi,Thanks for posting your query.I am Dr.R.K and I am pleased to assist you.The bilirubin levels arewell within normal limits only. So your father is not having any jaundice.As far as the leg swelling is considered, there are a number of different conditions which can cause it - which include heart disease, liver disease, kidney disease, varicose veins etc. These conditions cause painless swelling. You can discuss with his doctor about these possibilities.I hope that answers your question.Regards. | |
Is bleeding and abnormal cells on cervix during pregnancy serious?
Hi doctor. I am six weeks pregnant. My period started on November 19 and started again on December 17. However, it was not my period that appeared on December 17, as I am six weeks pregnant. However, I have bled every day since December 17. I saw a doctor on Monday and they ran blood work. My blood work is normal. They also did an exam and noticed that I am bleeding from my cervix, not my uterus. I had an abnormal pap in the summer of 2010 and now there are abnormal cells on my cervix. I am in no pain. I am very worried. I have an ultrasound appointment on Monday. I am really worried about the bleeding. My mom told me tonight that she has lupus anticoagulant. What should I do? | hi..If your last period is on Nov 19 th u can't be 6 weeks pregnant by Dec 17..may be u had forgotten the last day of your period..I need to know what is the abnormalities in the pap smear u did ..cevical erosions are more common in pregnancy and u may have bleeding from that ..no need to worry for cervical erosion ..it's not dangerous.. but I need to know the pap smear report before I can assure u | |
What causes sporadic chest pain and tightness?
Hi there I am due to see my GP next week, however I was wondering if you had an opinion. I am a 24yr male and in good phyisical condition. I have had a long grade pain in my right lung for a month now and it seems to fluctuate around a little. It does not seem to get worse when I move or anything. My chest sometimes feels a little tight although again this is sporadic. My breathing is fine mainly, although on few occasions I feel it is a little effort to take a proper breath. I did consider Pleurisy as a possible reason. I did have a nasty cold in November which went to my chest, for a week before recovering. I am a sporadic social smoker, although I can go without for a number of days. Many thanks | Hello dear , hiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with - musculo skeletal ache - neuronal bundle issue - intercostal ligament sprain or strain - lung lobe related issue - others * Needs clinical assessment with x-ray chest to find out the most perfect reason out of these .Hope this will help you for sure .Regards dear take care . | |
What causes dryness in mouth with metallic taste?
Hi I'm 30. During my last period I experienced a completely dry mouth and a bit of a metallic taste in my mouth. Now today where I expect my period I'm experiencing the same: dry mouth with a weird taste. What's wrong because I have never experienced this before? | thanks for your query, the dryness could be because of decreased salivary secretion from the salivary gland due to a stone in the duct or any other pathologies..dryness can also be because of certain drugs...seconadry to the dryness you might be feeling the metallic taste or if you are taking metronidazole then it can cause metallic taste..consult your oral physician to rule out these causes and for prompt daignosis. you can yuse artificial salivary substitutes like wet mouth gel...keep sipping lot of water...i hope my answer will help you..take care.. | |
Painful polyp in the gum, headaches. Need surgery?
Hi; my daughter went to the dentist today with pain in her mouth. There a small lump on her gum and the dentist said it is a polyp that can be fatal. For her not to talk nor eat or take anything for the pain. She is having headaches and the dentist says it is due to the lump. She needs to wait 3 days with nothing for pain or to help the lump. Once coming back to see him he will determine if she will need to surgery to remove it. What is and is there anything to give her relief til she finds out? | GO FOR SURGERY AT THIS TIME WARM SALT WATER GARGLES RELIF U.. AND TAKE PAIN KILLER WITH SARSITOPEPTIDASE.... | |
Can mono cause dizziness and white spots in stomach?
my 19 year old daughter went to doctor last week and said that she was feeling dizzy when standing up. seeing white spots. got back the blood tests taken and they said that at one point she had mono. not that i remember, but can mono create symptoms such as dizzy with white spots and pains in stomach | Hi,Welcome to health care magic,Dizziness even in sitting position is concerning.It could be due to othostatic hypotension,vasovagal or neurogenic but needs to be evaluated further.It could be due to variety of causes or it could be transient. Perhaps if the dizziness is not troubling your day to day work, then you may wait for few days. Until then you may take proper hydration and electrolyte balance with some symptomatic antihistamines treatment like betahistidine. Do not panic.However if the problem is persistent, you should see a doctor at the earliest and get evaluated further. I will suggest you undergo routine blood count, ESR, blood electrolytes, tests for vestibular (balance) system like electronystagmography or rotation tests to diagnose the cause for dizziness. Your local physician or GP will know about the test. He/she will can order the test after complete history and thoroughly clinical examination like temperature, pulse, blood pressure which will enable us to arrive a diagnosis.Regards, | |
What causes fluid filled in heart and brain in baby after C section?
My friend just had a baby, two days ago. He was 5lb 6oz emergency c-section after 48 hours of labor. The baby has fluid around his heart and brain. He is in a nicu unit at a very small hospital, also he has been vented and cant control his body temp. What should she do??? I have suggested moving him to the 20 min away children s hospital. | HI,Welcome to Hcm,Its a difficult neonatal condition which can happen in multiple situations like infection and some not so common conditions. Very fact that baby is needing ventilator and not being able to maintain body temperature suggests that he is not very stable. I agree with you that baby should be in a better Nicu unit. However, baby should be in a clinical condition to be shifted to the hospital and the treating unit is the one who can decide on that. Hope this advice helps. Take care. | |
Diagnosed PLID, on Winop, Neurobest, Amilin, Maxima 20, no improvement. Suggestions ?
As per discussion with my doctor, I have PLID problem. He prescribed me some medicine: 1.Winop (Ketorolac Tromethamine 10mg)----- 1+0+1 2. Neurobest (Vitamin B1, Vitamin B6 & Vitamin B12 )-------1+0+1 3. Amilin ( Amitriptyline Hydrochloride BP 10mg)--------0+0+1 4. Maxima 20 ( Esomeprazole BP 20mg)-----------1+0+1 I am taking this medicine for 1 month, but not improve my condition. Please give a suggestion. | HiThank you for your question.Prolapsed Lumbar Intervertebral Disc can be very painful at times. Next medication I would add for my patients after the ones you have described is gabapentin or pregabalin. This acts specifically for nerve related pain. A lumbar brace may help by decreasing painful movements.Next option if medicines are not helpful is selective nerve root block. This needs careful reviewing of the MRI image and is done by a spine surgeon/pain specialist under image guidance. Most of the patients will seek pain relief with this and the injections can be repeated if needed. Injections followed by physical therapy keep pain under control.Surgery(microdiscectomy) is a last option if all the previous ones cease to work.Hope this is helpful. I would be happy to answer any questions you may have. | |
MRI shows disc bulge causing indentation of thecal sac, narrowing of neural foramen. Solution?
Hi Doctor.. Good day!!! I happened to get my MRI done due a neck pain and stiffness . Impressions are as follows: a. Minimal posterocentral and right paracentral disc bulge at C5-6 level causing subtle anterior indentation of thecal sac , mild narrowing of right neural foramen. No significant nerve root compression. b. Mild posterocentral and right paracentral disc bulge at C5-6 level causing subtle anterior indentation of thecal sac, mild narrowing of left neural foramen causing mild indentation of left exiting nerve root Please advice whether this can be cured ? what are the do s and don ts.. Can i swim ? and ride bike ? Appreciate your quick response.... Thank you.... | H, Thank you for posting your query. I have gone through your detailed MRI reports of the cervical spine. It is reassuring to note that there are no serious issues. Findings suggest mild disc bulges at multiple levels, leading to compression of nerves in the neck region, which travel to shoulder and arms. You should do regular neck exercises. Avooid carrying too much weight on shoulders or over the head. Swimming is fine. Bike riding for shorter distances and without too much jerking is fine. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: drsudhirkumar@yahoo.com | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Allergic to adhesives, have intense dark burns, breakout from head to toe after laminectomy, foramenotomy. What action should be taken?
Here goes, I had laminectomy , foramenotomy and removal of a fibrous cyst . Before this surgery, and a period over 10+years I have been very allergic to ADHESIVES. ALL ADHESIVES!! So imagine my surprise to 24 hours after surgery my back is deep dark red that burns so intense, then a few days later I broke out head to toe with welts, hives and an itching, burning rash . All the P.A said was wow, you really are allergic to that adhesive! . Really? Because I have this problem of itching and burning skin 4 weeks post op, no other choice to seek legal help. Even the hospital discharge says allergic to ADHESIVES and tape. | so these are you knowyou can reduce them in 4=6 wk by antiallergics no option in surgery without many adhesive materialstake ot of warm waterrake alegra 120 mg bd for 4 wkapply steroids creams locally it will take 4 wk | |
How long will I survive while only 30% heart is working?
I am a patient with LBP & Sugar. Doctor after doing some tests said that my heart is working only 30% after I has a stroke of heart attack. My age is 74 at present. He has prescribed 1)CARDIVAS 6.25mg 2)REKOOL 20 Tab 3)FRUSELAC DS TAB 4)R PPI TAB 5)TONACT 40MG TAB 6)GLIMET DS TAB & 7}COBADEX CZS TABlETS, with so many medicanes HOW LONG WILL I SURVIVE? | Great question and one that is often the source of anxiety. One of the first rules of medicine is that you shouldn't hang your hat on a number. With good medical care, care with your diet and physical activity, no one can use that number to give you a number.Work with your doctor and other members of the healthcare team to keep your outlook good. | |
What causes a lump at the bottom of shaft after masturbation?
hi i woke up a few days ago after masturbating and woke up with a small lump on the bottom of the shaft of my penis ... it hurts a little like if i touch it . I havent been sexually active in quite some time therefore doubt it's an std . i imagine it could be lymphocele but can't find any pictures to definitely say that that is what it looks like . what do you think ? | Hello, If you've never had sex, little white bumps on the shaft of the penis may be pimples, a skin cyst, or ingrown hairs. These are common and they're nothing to worry about. Another condition that's normal and no cause for concern is pearly penile papules. Genital warts (HPV) also can show up as bumps on the penis. Therefore I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. K. V. Anand, Psychologist | |
How can I solve my husband's psychological problem that he can't have sex ?
hi..my husband is of 48 years and he is having psychlogical problem that he has made a pshycological thinking thah he can not do sex...and most of the time when he tries to do sex he fails to perform...and due to this many suicidal ideas comes in his mind.he is suffering from this problem for last 25 years..he consulted a psychiatrist but no relief was there.... | As a life partner of him you can rule out what is exactly fear in his mind. try this skillfully by discussing on d subjects he likes.you can make d best counseling as a wife.never put any pressure or make negative thinking. Vajikaran Therapy in Ayurved is quite useful. | |
What happens during heart valve replacement surgery?
dear sir, i am suffered from-ECHO DIAGNOSIS REPORT- RHEUMATIC HEART DISEASEMODERATELY SEVERE MSMODERATE MRMILD PAH NORMAL L V SYSTOLIC FUNCTIONNO VEGETATIONNORMAL L V SYSTOLIC FUNCTION MITRAL VALVE AREA-1.2DOCTOR SAYS I HAVE TO REPLACE MITRAL VALVE | Hello Sir , With a valve area of 1.2 there is good chance that medicine alone can manage your symptoms and we may delay the valve procedure for latest couple of years . Also I would wish for some more detail like the Wilkins score of the mitral valve and exact continuation of mitral regurgitation and there is high probability that a ball on valvuloplasty would be enough and no need to go for a the surgery at this moment. I recommend you should get a second opinion of a senior cardiologist in your city. Regards Dr Priyank Mody | |
Have a rash on the thighs, labia. Get it when it is hot and sweaty. Itchy. No medicines are working. Treatment?
Hi. I have had a rash on my inner thighs and labia area for a couple months. I get it sometimes in summer or when hot and sweaty. Usually a diaper rash cream works but not this time. Its extremely itchy. I've used anti.fungal. hydracortisone. Yeast cream. Nothing worki.I am worried now because I.also have these growths that are increased in size. And am getting more.all in the inner leg/ thighs and now labia. I am miserable and don't even want to have sex with my boyfriend. This is all new. Haven't been to see doctor yet. | Hello,Thanks for posting on HCM,It will be difficult to tell exactly what type of rash you might be having without seeing it. A little more information regarding the characteristics of the rash such as type of primary lesion, distribution, color, base, contours etc. If the cause can be determined then treatment could be effective. You might be suffering from contact dermatitis which is a type of skin diseases when the body comes into contact with specific allergens. From the look of things you will need to consult a dermatologist who can confirm or rule out my suspicion. Treatment is multidisciplinary and will involve you you using appropriate soaps/cleansing agents and you may also need to take antihistamines such as chlopheniramine to get rid of the itching.Hope this helps | |
What causes knee pain?
I am now 38, When I was 17 I went to basic training, I hurt my knee, It felt like a toothache, I couldn t put any weight on it for about a week. In time it got better. Over the years, more and more frequently, it gets like how it is now, I feel like I can t even squat down on it. Sharp pain, it feels like its coming apart when bending it. When I stand up, it pops real loud. Feels instable, I wear a stretchable brace all the time now. How do I know you are really a doctor that can help me, and not just a scam? why don t you answer my question, then if it helps, I would be glad to pay you. | dear Sir I have understood your concern see you mentioned injury 18 years before so chances happened to your bone since then which is gradually may due to negligence of proper care to your knee joint at the time after injury this problem persists... now we can do a lot if you agree to do this. first need to get x-ray done to confirm about bony change, as you mentioned popping sound present at time of sqaut this indicate some degenerative changes happening in your joints. if x-ray is normal go for MRI study which confirm soft tissue injury in your knee. if you go to physical therapist, they can evaluate by some special test done. see nobody can prevent changes happened to bone and joint but we can surely prevent it from further spreading so by physical therapy like ultrasound and IFT modalities your pain will be relieved then at home apply alternative cool and warm water pouring. in center learn strengthening exercises for knee muscles then only after dedicated effort for 1year you will recover better. I hope you satisfied with this answer, still have any questions feel free to ask me. thanks dr Hemang Jani. | |
Developed itchy penis with red patches? Why is it spreading to nipples? Due to unsafe sex?
Hello, I recently developed a very itchy penis which when I itch, leads to red patchs which sometimes become red and glossy. It is very irritable and causes pain when i have intercourse. I also have developed itchy thighs.. It started just at the top and has now developed over most of my thighs. The itching comes and goes and shows in small patches , not lumps but itchy red spots. i am worried that it is an std as i have had a lot of unprotected sex recently (lesson learnt) but the symptoms don t relate to any std so i m puzzled!? i also have what i thought was joggers nipple? very itchy nipple and also my face sometimes has dry patches on the eyelids and near the hair receding line? It has been going on for the last 3 months and as i m still in China and not a native speaker, i can t really find any treatment or diagnosis. please help? | HIThank for asking to HCMI can understand this, these are two different conditions and that might not be due to unsafe intercourse, but this could be some allergic rash might have developed at the same time in two different areas, just wait till few more days the chances of getting alright on its own is likely, if this does not go away, then you can use "Tab Levocetrizine 10 mg three times in day" hope this information helps you, have a nice day. | |
Asthma attack, foaming in the mouth with spit bubbles, stopped breathing temporarily. Normal symptoms?
I have had two patients a week apart both suffer from asthma attacks. The first one was foaming at the mouth. The foam was clear, like spit bubbles. Both patients stopped breathing for some time and rescue breaths were given. After about 6-10 rescue breaths, both patients began shallow breathing on their own. Is this normal? | Hello, These are serious symptoms and you need to ensure that both of them do not suffer from allergies that may have triggered the symptoms. The attack that you describe is sort of something like airway obstruction with saliva as the 'foam' and ensure that they have an anaphylaxis management plan in place. If this was after a food they had ingested, a food allergy definitely needs excluding. Happy to elaborate if you have further issues. Thanks. | |
Is ALP level of 144 indicative of liver disease?
My ALP level tested at 144, but my AST level was 17, my ALT was 17 and my ALB was 3.9. Is this possibly indicative of liver disease? I have also been told I am in in Stage 2 CKD due to a Creatinine level of 0.8 (I am a 52 year old white, female, wt: 185 lbs). Does CKD have an effect on ALP levels? | Hi welcome to health care magic... Your liver enzymes level are within normal limit... Here your ALP not elevated because of liver disease... Your ALP increased because of chronic kidney disease... So yes CKD leads this increased ALP... For CKD investigate according to need like IVP or USG... And consult nephrologist for treating it according to severity.. Take careHope this will help.... | |
Suggest treatment for headache
Hi, my daughter is 7 years old, goes to school in 2nd grade. Today is the 2nd day she feels headech. Automatically it goes off. she explain me , feels pain from forehead to right side and left side of her head. Please tell me why its happen or what should I do. Thanks | hi on and off headache s not a big problem it can happen so often in schooling children mainly you can monitor her by keeping a symptom diary the diary mainly have the time and circumstances when symptoms arise then you need to consult an eye specialist to check her eyes because optical problems might lead to headache you need to observe for aggravating and reliefing factors of headache and that should me mentioned to exclude migrain headache can aggrevated by sounds light noise some food items like chocolate cheese pickle | |
Suggest treatment for cold, cough and fever in an infant
hello sir my 16 months old baby boy getting cold cough and fever and loose motions from last 7 days i am giving calfstop ,s mucolite and crocin syrup but it is not recovering so is it cerious condition? then what should i do if yes or what to do if not | Cough and cold are common in children of this age and are cause due to certain viruses. Generally these are not a cause of concern as these are self containing conditions and resolve in 5-7 days without any treatment of the cause. Antibiotics are ineffective in a viral infection. At times, in case of a severe reaction, secondary bacterial infection may be present and only then antibiotics are indicated. Generally the viral infections have an allergic component and some anti-allergic may help. The medicines being given are proper and you may continue giving them without worrying. Additionally, giving steam inhalation will help in diluting the cough and give the child relief. | |
What causes severe right-sided pain despite a normal CT scan?
Age 91 Male, good health for the age right side pain. more likely after walking/physical effort. Constant - severity comes - goes from 2 to 8 on scale of 10. 5 months. Blood tests - normal, x rays nothing, CT scan no organ issues, Orthopeadic review - no bone, joint issue, what the heck is it? | Hello, It can be a neuropathic pain due to progressive nerve weakness with age. Consult a neurologist and get evaluated. As of now you can take analgesics like Tramadol or Gabapentin for pain relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Suggest treatment for fibromyalgia
I am looking for a doctor that is accepting patients in the Abbotsford area. My doctor just up and left with no notice to her patients or clinic. I have Fibromyalgia and some othe health issues so I am looking for someone who has a little bit of knowledge in this area. | hi,thank you for providing the brief history of you.As you have mentioned about fibromyalgia, i have personal experience with cases of fibromyalgia and have found 99% success rate in them.Since you have fibromyalgia, the understanding of the condition will help to deal with it. Fibromyalgia is the pain in the fibres of the muscle, for which the implementation of breathing exercises will help improve the oxygen in the blood cells which is the major source of the energy for cellular functioning. Performing meditation will help control the emotional factor of the pain and weakness. Later on performing exercises will help further to improve the strength in the muscles and improve the metabolism of the muscles by which the pain in the muscle fibers will be reduced.I will recommend to follow this protocol -MeditationBreathing exercisesPhysical therapyRegardsJay Indravadan Patel | |
What causes heart murmur in an infant?
my 18 month old granddaughter had her 18 month old checkup 2 weeks ago all was great. mom took her to the Dr. today, b/c she's been coughing. He said heart murmur & is concerned got sent to Yale. Will stay a couple days. Now what & what's causing this? | Hello,Heart murmur in any individual needs further assessment. She needs to go for 2D Echo to see the exact pathology and cause of the murmur for further evaluation and treatment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sameer Maheshwari | |
Suggest treatment for pain and pressure in the chest
Hi, yesterday I fell and hit myself in the upper chest really hard? The pain comes and goes, but it was painful last night. Today, it still hurts, but I took some Aleve and Ice to keep it calm. Also, my breathing is a little more difficult than usual? I can still touch the chest, but it s hurts when you poke it. | Since you got injury one day back , still you are feeling pain in the chest.It also hurt due to touch .Difficulty in breathing .So in this situation the best way is get in physical examination as well clinical examination by a physician .However for time being you can take simple tylenol but physical examination is important. | |
Is TB contagious?
i brought my friend in the emmergency 2weeks ago because she vomit blood.they made some test on her but they got a negative result for ptb,they release her from the hospital but she ask them to comeback on the following week. one day i came to work with her before her doctor s appointment. last tuesday a day of her doctor s appointment they told her that she was positive in tubercolosis.I m afraid i might got her tb virus or bacteria? | Hi,Sorry about your friend hope she recovers soon.TB especially PTB (Pumonary TB that affects lungs), is contagious and it is airborne that is, it spreads through air when an infected person coughs. Although one can get infected with this bacteria, it does not lead to disease in all cases. It depends on the individual's immunity. Going by the history you give, the chances of you develpoing TB disease is very less (less than 5%) provided your immunity is good. And if her TB is other than PTB, it does not spread. If you develop fever, cough with flam, seek medical attention.Take careRajesh | |
How to confirm benign tremulous parkinsonism?
I am female and aged 66. Nearly five years ago I was diagnosed with parkinson s disease, although my only symptons have always been a tremor in the right hand and when tired, a slight tremor in the right leg. My dat scan showed abnormality on one side of my brain only. Could I have benign tremulous parkinsonism or am I clutching at straws? | Hello,I think that a positive DAT scan along with tremulous one half of body in this age is highly suggestive of a Parkinson's disease.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist | |
Need medication for dry cough and running nose
My draughts is 5 1/2 months old and she's been eating baby food for over a month and hasn't had any problems.. But I've noticed she has a dry cough and now is sneezing and has a runny nose. And she's had several bowel movements and her last one was very sticky... Is this normal? | HelloCough,cold with loose motion in this age is mostly due to viral infection.You can give her antiallergic(chlorpheniramine) with decongestant(phenylephrine) syrup three times a day. Put nasal saline drop in her nostril alternatively at an interval of one to two minutes,three to four times a day.Give her zinc syrup and probiotics for early recovery from diarrhea.It usually takes 4-5 days for these symptoms to subside.The main aim in loose stool is to prevent dehydration by giving adequate amount of fluids(ORS and feed).Observe for decreased urinary frequency,lethargy/irritability,decreased oral acceptance and if you notice any of these consult your doctor immediately.All the above mentioned medications are prescription drug,so get it prescribed by a physician.Regards | |
What causes numbness in right side of the body?
yes, I have a 28 year old daughter that is have episodes of like strokes. She can t talk right because it looks like the right side of her face has something wrong with it. Complains of numbness in the right arm, right side of her face. Doctor says she is having anxiety issue but I think it is something worse. The attacks just keep coming and just out of the blue. What do you think? | Hi,Thanks for writing in.Anxiety can cause symptoms as described by your daughter. However, it will help to get her investigated in a neurology clinic and then get her condition confirmed.The spine is made up of an alignment of small bones. These bones have sponge like discs between them and the spinal cord passes along the back of these bones through the spinal canal. There might be pressure on the discs in the cervical spine and this is causing slight pressure on the spinal canal at a particular level and causing pinching of nerve roots leading to severe pain in the area supplied by the nerve. As your symptoms are on the right it is possible that the nerve roots on the right side are affected.You require to be examined a neurologist and a MRI of the brain and cervical spine if indicated to know if the nerve are under pressure and the location. Individual nerves supplying the face and contributing in functions like speech must also be examined. She might also require to undergo electroencephalography to rule out epileptic seizure.If this has happened recently then it is a mild problem and treatment choices can be made available after detailed evaluation. Please do not worry. | |
How to overcome the skin rash problem?
I have had a skin rash on the inside of both upper arms for over 12 months. On one arm it is the shape of a horse shoe and the size of a ten pense piece and It is slightly raised around the edge, pink in colour around the edge and I have 3 more on the other arm but slightly smaller and non of them are itchy. I think they have gone slightly bigger but not much. I have tried all creams like canistan, betnovate and daktacort to no effect. | Hi Your symptoms seem to be an allergic reaction.The most important thing is to avoid contact with the allergen.You can do an allergy test. Meanwhile,I suggest you to use antihistamines daily and calamine lotion for local relief. Hope I have answered your query. Let me know if I can assist you further. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Can soreness and pressure in the eyes be due to sinus infection?
Hello, My eye left eye has a feeling of a lot of pressure and is sore. Almost as if it s bruised, but it isn t and I haven t injured it in anyway. Could this be because of a sinus infection? I have been sick and really congested (all the time, I have really bad allergies as well). | ya congetion might be there you can use nasal decongestant if your nose is congested n you can use steam water inhalation to reduce your congetion n if it relieve ur eye pressure its because of sinus problem thank you | |
Suggest treatment for acne on the shaft between penis and testicles
I had small acne on the shaft between my penis and testicals. I tried to squeeze it but there was no opening. Now its a little bit larger but it doesn t hurt. I have it for a two weeks or so. What should i do? Should i wait some time,go to a doctor or take some antibiotics? | Thanks for asking in healthcaremagic forum Usually a boil will rupture with pus/will subside itself within 10 days. If its still persisting then it may not be a boil. It may be a cyst. So, please visit dermatoligist for physical examination and its removal if required. All the best. | |
What should be done to prevent blockage in the arteries?
If there is a patient who had endyoplasty in the past and after the time period of 1 year again there was a blockage at the same area. The patient do not consume alcohol or smoke, follow all neccsary steps to avoid blockage. what can be done? Doctor says that it in the gene of the patient. | Hello, Sometimes atherosclerosis, which is the main cause of blood vessel blockage is a genetic disease. This means that there is no way to prevent it, besides following a healthy lifestyle, take blood thinners (aspirin, clopidogrel) and statins (atorvastatin, simvastatin), closely monitor blood pressure diabetes if present. It is also important avoiding straining physical activity and stressful situations. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | |
What is the prognosis of adenoid cystic carcinoma?
My mom just had a t4b tumor removed from ACC which involved taking her entire mandible and 20 lymph nodes and nerves etc. All pathology shows ACC. She is 82 years old. She has requested hospice care and is now moved to a rehab as we await hospice evaluation. She hopes for fast relief from her misery. I have read that ACC solid cells are aggressive. Do you have any idea if this will be beyond 6 months of suffering? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, the tumor is aggressive and there are high chances of relapse. So long follow up is required. Hope I have answered your query. Let me know if I can assist you further. Thanks and regards. | |
Suggest treatment for influenca and sneezing in kid
Hi, may I answer your health queries right now ? Please type your query here... my mother 58 age, and last two years she is suffering sevier influenca with running nose,sneezing etc. now she became 85% deaf .did any medicine or an operation could cure her problems? seeking your kind advice | Hello, You can give her OTC tablet Claritin 1 tablet once a day. Warm salt water gargling can be done 3 - 4 times a days 30 minutes before food. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
What causes little bump on scrotum in 13 month baby?
My 13 month old appears to have a breakout of some sort on his scrotum little red bumps. He constantly pulls at the area and it appears very red. certain it is itching. We believe he had an allergic reaction to whole milk. that appears to be slowly clearing. What can I put on the scrotum to ease the itching and pulling he does. He pulled so much he tore a hole in his pamper. | He may be having atopic dermatitis... As he is allergic chances are more... Mild steriod application will help. | |
What causes painful lump under skin in forearm?
Hi, may I answer your health queries right now ? Please type your query here... I have had a lump under the skin of my forearm for about a year. Started out very tiny and now is very noticable about 1/2inch. Looks slightly bruised at times and hurts when i press on it. Actually hurts the whole forearm. Not too concerned but any ideas what this is??? It s become bothersome | Hi,Dear,Welcome with your query to HCM.Studied your query in full depth of its details.Reviewed it in context of your health concerns.Based On the facts, You mostly seem to suffer from-NeuroLipoma/ Neurofibroma with pain in forearm.The concern is about the painful lump which has grown lately.slight bruise is mostly due to the repeat handling due to the accompanied pain with this lump due to anxiety neurosis with it.Other possibilities need to be ruled out.For this Second opinion from Surgeon would resolve the issue.FNAC Biopsy or Excision Biopsy would fix this issue if worried much.Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.Welcome any further query in this regard,which would be replied in next session.Good Day!!Dr.Savaskar M.N.Senior Surgical Specialist | |
What causes painful bumps on the elbows?
I have these small tiny bumps only elbows. Had one that was a bump for a long time then turned into some sort of pimple. And I kept popping it and the stuff under was yellowish. There aren t itchy. Kinda painful Now I have a few on my other elbow can t pop them but they hurt a bit | Hi, It may be folliculitis most probably. Consult the dermatologist for the perfect diagnosis and proper treatment. You may take a course of antibiotic like Cephalexin. Apply antibiotic cream like Gentamicin. Take a bath in Dettol liquid. Improve hygiene and immunity. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist | |
Suggest treatment for ewing s sarcoma
In 2008-2009 I was diagnosed with Ewing s Sarcoma. I did a years worth of chemotherapy and 6 weeks straight of radiation. They moved my right ovary over so it won t get damaged from radiation. I ve been in a relationship for over 6 yrs now and me and my partner really want to conceive. I am getting a little doubtful. It is hard for me to find out exactly when, or if I do ovulate because I don t have normal periods (every month ) my period only comes when it wants to and out of nowhere. I finally had a period on my own last month which really surprised me and made me happy. It s February 20th today and I should have started my period by now but haven t yet. On another note, last night me and my partner were getting a little touchy last night and he even noticed that I had a thick clear discharge in my vagina. I know it normally happens before a period but I m not getting no cramps at all. Which I always do before I start. I ve never had this kind of discharge are all before and I have been sexually active since the day I ended my last period which was in January 27th. Does anyone have any guess or answers at all as to why I had this unusual discharge last night and if this is some kind of sign, could I possibly be pregnant or is my body finally functioning the way it s supposed to. Since I did have a period last month does that mean I can and do still ovulate | Hi,Thanks for writing in.It is possible that after getting treated for Ewings sarcoma by chemotherapy and radiation therapy, you have had a sub fertility and this is due to hormonal imbalance. If your periods are not regular then please consult your gynecologist and follow treatment to regularize it. Ovulation occurs 14 days before periods in most women. However since your periods are irregular therefore it is not easy to predict ovulation in your case. There are home test kits available to monitor ovulation or do ultrasound follicle monitoring around the time of ovulation.When your periods are regular then you might use the ovulation kit to know exactly when you are most fertile and conceive. If there is persisting difficulty in monitoring ovulation then there is a chance of pregnancy by artificial reproductive techniques. Please do not worry. | |
Should I visit a doctor for congestion and cough prolonged over a week?
Over the past month I have developed a bad cough with mild congestion and a runny nose. My cough is so bad it can make me shake and I have to stop what I'm doing or it wakes me up. When I cough, it sounds almost like a bark sometimes and occasionally I cough so hard that I have trouble inhaling again. Could it be a common cold or should I consult a doctor? It's been this bad for over a week. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * As per my clinical experience, the cough with this intensity indicates underlying lower respiratory tract infection. * I recommend to consult your doc for getting complete blood count, an x-ray chest for further treatment guidelines. Wish you fine recovery. Hope I have answered your query. Let me know if I can assist you further. | |
Diagnosed of bilateral PCOS, Dr. advised contraceptive, clomid. Can I get pregnant ?
hi.. i am 27 years old, married for 2 yrs and was diagnosed of bilateral polycystic ovary . my doctor wanted to regulate my mens since it is the reason why i went to her (i had a 40 day cycle the month before). she gave me an oral contraceptive pill to be taken for two months. then she said that she ll give me clomid on the third month. will this make me pregnant? | Hello. Thanks for writing to us. To regulate the cycle length, oral pills is the most effective way. Once your periods will become regular, then ovulation inducing drugs like clomiphene will help in you in producing eggs so that you can conceive. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
What causes less chest expansion?
Sir! May chest expansion is 4 cms. What could be the possible causes for it? Because of this I am not able to complete the words at one go while speaking and of late also suffering from loss of concentration, memory and hair loss. Kindly suggest some measures to bring it back to normal 5 cms. | Hello dear , hiWelcome to Healthcaremagic.comI have evaluated your query thoroughly .* There are different reasons for the same - decreased lung compliance - stress , anxiety related - minor infection issue - low hemoglobin or hydration issues - others .* Recommendations for better outcome- Deep breathing exercises , walking in fresh air , YOGA- Avoid smoking ( active / passive )- Avoid exposure to dust / pollens , if required use triple layer face mask .- Maintain hydration with plenty of liquids .- Balanced nutritious diet .* Later on if required consult your doctor for basic work up with some lab tests and x-ray chest with or without pulmonary function test .Hope this will help you for sure .Regards . | |
Suggest treatment for shingles
I am aFNP and saw my neighbor who has shingles from her left lateral lower thoracic area to her hip. She has been on Prednisone for two months. I asked her to contact her primary care MD and/ or go to urgent care for treatment. Is there anything else I need to ask her to do? | Hi i do care for your concern. Shingles is caused due to reactivation on chicken pox virus, that may present dormant for many years. keeping the infected region region dry will help a lot, as it may be superimposed with bacterial infection. i would advise to continue the same line of treatment being provided. The condition would take few weeks to resolve. Hope she recovers soon. If you have more doubts feel free to ask. thank you. | |
My mother diagnosed with T.B.was treated and has now been Diagnosed of COPD
My mother is 80 years old had been diagnosed with T.B.was treated and has now been diagnosed with C.O.P.D .she has been prescribed synerma 400 and FORACORT 200 inhaler .she is in india is she getting the right treatement and are there any specialized centers in india where she can be treated.. | Hello Dear, Your mother might be suffering from Post-Tb Bronchitis. The treatment is correct, i would advise to add inhaled anticholinergics and get a PFT done . Yes there are lung centres in mumbai .. Regards, Dr Indu | |
Can zinconia Syrup, be give to a child for loose motions?
Hi my son is 1 year and 11 months old he is suffering from loose motion, as prescribed by doctor we are giving him medicine but there is not effect in his health, Previously he has suffered from same problem that time another doctor has suggested fro Zinconia Syrup, kindly suggest we give this syrup to child. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Always start adequate supportive treatment for diarrhoea including oral rehydration solution, probiotics, zinc, b complex vitamins.As you are prescribed Zinconia syrup which contains zinc acetate (helps in case of diarrhea in children).If diarrhea doesn't stop by third day, I would advice to get a stool routine and culture test done to check for infection.Continue ORS therapy, suplemented in frequent small sips as much as child can drink.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shesh Jaiswal | |
Suggest remedy for red spots on the inner ankles
I have small red flat spots on my both inner ankles and do not itch. they are not fluid filled, have not gotten new socks, laundry soap, no new lotion, do have a dog (worried they are flea bites even though have looked her over and no fleas), I woke up with them this am and did not walk around barefoot outside or even walk around with shoes outside last night | Hi, Possible causes are hives or impetigo or leukocytoclastic vasculitis etc. Leukocytoclastic vasculitis an inflammation of small blood vessels in the skin. The typical red spots that appear on the feet, ankles and lower legs may sometimes spread up to the thighs and even to the trunk. This type of reaction is usually caused by a previous infection or new medication. Until examination is done it is difficult to say what it is. Apply moisturizer cream and use antihistamine in case of itching. Please consult your dermatologist, he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | |
Q. Kindly provide a solution for my hair fall and dandruff.
Hi doctor, I am 25 years old. I am facing severe hair fall issue. My hair becomes very thin and consist dandruff and white flakes. I have used Candid-B lotion, but need some other solution. | Hi. Revert back with the photos to a dermatologist online --> | |
Are there pregnancy chances with non penetrative sex?
Hi. On monday me and boyfriend were having fun. Later he got so turned on that he had put his penis inside my vagina for 10 seconds. Though he did not ejaculate in me. I still got scared and took ipill the next day (tuesday). Still chances of me getting pregnant? And now after 3-4 days can i finger myself? | Hello dearI understand your concernYou have did intercourse for the 10 second.But it cause pregnancy as precum enter int to vagina before the ejaculationBut you tool I pill with in 24 hour of the sex and it is highly effective in preventing the pregnancy.It is around 90-95% effective in preventing the pregnancy.So there may be 0-10% chance of the pregnancy if you did sex in the fertile phase of the cycle.Your next period can be delayed/earlier and occur with excessive bleeding.If your period will delay by the more than 12 days then go for urine pregnancy test and or blood HCG to confirm the pregnancy after consulting the gynecologist.Avoid stress, take healthy diet, drink plenty of water and do regular exerciseHope this may help youBest regardsDr. Sagar | |
What causes green watery stools in infants?
Helo dctr. My 5 months baby is passing semi solid dark green stool.Sometimes watery mucus stool after every feed from last 1 week. I have introduced cerelac and he is formula fed. I have opted for homeopathic medicine .but its not working. What to do? Please let me know | Firstly you stopped cerelac..b'coz this time only feeding time for your baby. Your baby passing semi solid dark green stools no worries b'coz it is dentition period.It is always happens in this age group.You can go with homoepathic medicine. 1. Bio- combination 21 given 2 tablets 4 to 5 times a day for 4 to 6 month.2. When stools are dark green semi solid u can go with homoepathic medicine Chamomilla 30 4 tablets thrice a day for 3 to 4 days. | |
I feel burning sensation in upper abdominal region with rash. Do i need medical attention ?
I am 65yr female experiencing upper abdominal under breast bone uncomfortibale feeling ( nausea ) that burns through to my back mostly when lie down to sleep ... I can relieve a little by burping also my bosy heat seems to have increased and I have agroin burning rash with that this also is from night sweating I am experiencing very uncomfortable feeling top of stomach under my breast bone with a burning sesation that goes through to my back... lie down to sleep it is more prevalent.. togehter with an awful groin rash.. My body heat has increased!!! I amm 65yr female | Hi Meek This is called gastric reflux where in the acid from the stomach comes back into the throat giving rise to all these unpleasant symptoms. And, this is common in your age because of the laxity of the valves controlling the reflux. You need to consume plenty of water, avoid alcohol or smoking if any. Consult your physician for medicines to relieve your gastric problem. Try to lie on the left side, use a thicker pillow and consume your dinner at least 2 hours before going to bed. Take care Regards Dr. Naveen Kumar | |
What are the causes of bowel obstruction?
My husband has bowel obstruction since 4 days, It is said so by the surgeon treating him has advised surgery for the same. What causes a bowel obstruction? | A bowel obstruction can be caused by tumors, twisting or narrowing of the intestines, or scar tissue, these are called mechanical obstructions. Obstructions can also occur because of inflammation or infection or as a side effect of certain medicines. These are called non-mechanical obstructions and are not included in this topic. In the small intestine, obstructions are most often caused by scar tissue (adhesions). Other causes include hernias, Crohn's disease, and cancer. A blockage can also occur if one part of the intestine folds like a telescope into another part, which is called intussusceptions. In the large intestine, obstructions are most often caused by cancer. Other causes are severe constipation from a hard mass of stool and twisting or narrowing of the intestine that may occur because of diverticulitis or inflammatory bowel disease. | |
Q. I get reflux with swollen and itchy throat with cough. Please help.
Hi doctor, I have had a bit of silent reflux in the past, which I have been able to identify by some coughing in the night. However, this was usually associated with certain alcohol or foods and it has never been a problem. Then, I was a bit sick and I noticed I had developed an itchy throat and cough in the next few days which turned into quite a swollen feeling in my throat, right up inside my ears and also sometimes on the chest. It has stopped now. At first, I thought it was viral or bacterial and took apple cider vinegar, lots of vitamin C and was prescribed antibiotics, all of which made my stomach very sensitive and the acid reflux worse to the point I was also having a low-grade fever every day. I changed my diet to low acid foods, and have been using Gaviscon double and it feels somewhat better. But laryngitis has not healed. My voice is cracky and has been for a month. Another doctor has prescribed Lansoprazole. I took it one day and my tummy was quite sore. I am unsure if I should continue it? My stomach has been very sensitive since taking the antibiotics. I am at a bit of a loss of how to fix all this. Though I take soft foods and Gaviscon my throat is not healed yet. I am a 40-year-old female. The only other issue I have is the gallstone issue. Please help me. | Hello. Your symptoms are suggestive of reflux which can cause laryngitis leading to sore throat and changes in voice. I will recommend you continue Lansoprazole, but if it is causing a problem then it can be changed to Esomeprazole, this salt may help. I will recommend starting the below treatment and it will help out. May need endoscopy if no improvement after two weeks. Reflux associated laryngitis. Capsule Lansoprazole one in the morning before breakfast for four weeks, Domperidone 10 mg one tablet three times daily before meals for two weeks, syrup Gaviscon 10 ml three times daily after meals for two weeks. 1. Avoid late-night eating. 2. Increase height of head end of your bed by 5 inches. 3. Avoid coffee, tea, and chocolate. | |
What causes tightening sensation in the pelvic area during pregnancy?
Hi I m 6 week and 2 day pregnant I m getting this thighting feeling at my pelvis area is quite discomfort special when I need to go to toilet I m really worried because I had two miscarrieges already this one quite different pregnancy to my others pregnancy is it normal. | HI, Thanks for the query. I understand your concern. - IT's natural for you to be worried following two miscarriages. But in my view, when you already know that your pregnancy is normal.. you should not be psychologically stressed... taking care is needed, but stress & tension can have adverse effect of pregnancy. * Actually frequency of urination& frequent urge ( may be taken as tightening .. is normal in early pregnancy, due to pressure of growing fetus presses on the urinary bladder. .. as a result there is no complete empting of bladder & the symptoms. - Try to pass urine in forward bendsng position with hands resting on knee. This relieves pressure on bladder.. it empties completely & there is no frequent urge& stretching! * If you are not relieved with this - Please consult your treating doctor, tell about your tightening before urination. he will advise you- - Get urine checked for any infection/ HSG/ Progesterone assessment to determine hormonal sufficiency & will prescribe needful medicines . * Actually you had 2 abortions in past.. routinely such patients are given Progesterone supplements ( as a preventive measure ) till 12-14 weeks are completed. You can discuss with your doctor about the supplements ( actually you must be already been prescribed ).. . As the hormone supports pregnancy , your tension would be relieved. Thanks. | |
How to cure lumps on groin area?
i Keep getting large lumps under my skin in the groin and inner thigh area, they are about the size of a 10 pence piece in diameter, sometimes larger. They tend to go very hard and round, they are sensative to touch, they will wither disperse in my skin or work up tot he surface and burst - they have blood and puss in them, these are very painful. My doctor said when i went on the pill this would halp and it did for the 1st year but they have come back and i still have no idea what is causing this or how to treat? | Hi, dearI have gone through your question. I can understand your concern. You may have enlarged inguinal lymphnode. It can be due to reactive hyperplasia, tuberculosis or lymphoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Suggest treatment for back pain after injury
My husband fell off the roof and he hurt his left ankle and his lower back. His back is severe pain, is this ok or should he go to the hospital. He does not want to go. His ankle is sprained bad but not sure if broken. It s his back that is more painful, he landed on his foot then down on his butt. | if i were you i would go to hospital. there can be minor fracture which can only be ruled out after xray for details examination. even if there is sprain in ankle he must need immediate medical attention. dont delay in trial and error procedure which can lead to further complication. just to rule out problem visit your GP or hospital ASAP | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
On 2nd cycle of IVF, no periods even after taking primolut n/ What should be done?
Sir, Please help me with my question. I have registered myself for 2nd IVF cycle this month. I took primolut n 5 mg for 3 days (18th to 20th - 3 per day). However i have not got my periods till now. What should i do? and will this impact the IVF cycle for this month. the first IVF cycle was a failure as there no eggs retrieved (empty follicle syndrome) I really need your help. thank you! | Hi, You can get yourself checked with ultrasound & one serum E2 level. If both are within acceptable range (EndometriumWish you good health. | |
Suggest treatment for hypertension
27 year old male with hypertension was not taking his prescribed medicine and his blood pressure was found to be 175/120.. Now he is refilling his prescription and has taken his medication. Should he be in the ER or continue to monitor his BP at home while starting his meds. | hello,I have gone through your query.Thanks for using HCM.If he has symptoms like severe headache,Giddiness,chest pain or shortness of breath he should go to ER otherwise start Medicines as prescribed and monitor BP at home.My best wishesDr.Rajesh Teli,MD. | |
Took z-pack for tooth infection. Swelling around the tooth. Not able to open the mouth. What is happening?
I have a tooth infection and took a z-pack for 3 days, it helped the tooth pain but the day I stopped taking it the swelling i had around the tooth and under my jaw line seemed to get hard and a bit bigger. Its been like this for 2 days now and I cant open my jaw all the way. Not quite sure whats going on and I am a little scared about it. | hi ash27532, i think you got a periapical infection(infection below the tooth root) and due to pus collection you got the swelling and due to the swelling you are unable to open the mouth.consult a dental surgeon as early as possible.he/she will prescribe you some medication for anaerobic infection,muscle relaxant with pain killer,and antiinflamatory to reduce your swelling.take care bye dr.rahul banerjee | |
What causes back pain post mastrubation?
Hello Doctor,I am 34 and never have sex yet, now its been like more than 10 years that when i masturbate i get lower back pain. physically i m fit, i go to gym regularly. Can you plz let me know the reason of lower back pain. Will this pain may have any effect on my marriage life.Thanks | HIWell come to HMCHistory of masturbation and back pain are not related with each other, the back pain could be due to the muscular pain and this can be best treated with Tab Acetaminophen and Tab Ibuprofen 200 mg as per needed, hope this information helps. | |
Q. What causes palpitations and episodes of passing out for a few years?
Hello doctor, I had palpitations and episodes of passing out on and off for a few years. I had blood, ultrasound, and ECG (electrocardiogram) tests done, and so far, I have no answers as what is causing it. Is there anything they can do to help the symptoms at this point or do I have to put up with it and hope they find a cause and treat. | Hello. The probable cause in you is a cardiac arrhythmia. Firstly, were these episodes witnessed by others? And I guess there are tonic clonic movements as seen in seizures. Also, any precipitating events like stress, urination or passing stool, etc., this is to rule out the possibility of vasovagal syncopes. So, considering the likely possibility of cardiac arrhythmia and recurrent syncopes, there is an option of electrophysiological studies which can answer the cause. Otherwise, we will have to wait and watch until the episode of arrhythmia recurs and captured on ILR (implantable loop recorder). But, if you are having symptoms at present and there is nothing on ILR, then it cannot be a cardiac arrhythmia. So, if you are symptoms at present, then ILR should be interrogated, and if asymptomatic, then electrophysiological studies is an option. Otherwise, wait and watch. I hope this helps you and get back if you have any doubts. | |
Stabbing pain in the lower abdomen. Need medical attention?
Hi I woke up around 4am this morning with a stabbing pain in my lower abdominal pain (like a stitch feeling) it comes and goes its now 10.15 and i still have the pain its not getting worse it just keeps stabbing, I have been to the barthroom this morning with no problems. not sure if i should ride it out or maybe see my doctor. Thanks in advance for your help Carly | The pain could be arising from your pelvic organs - it could be even a ovulatory pain. Is it still there? | |
What causes red patches on the chest after smoking marijuana?
Hi i smoke marijuana and noticed red patches on my chest and under my neck appear around 30mnutes after i smoke. This has never occured and i am wondering if i have developed a allergic reation to it. It just started about 3 weeks ago. I smoke 1 blunt every 2 days and have allergies. This allergy season has been very hard and i need to now if the plant could nowbe one of my allergies. | Hi, allergy can occur with any food, plant,smoke,dust etc even at a later stage of life which was not before,this possibility cannot be rule out that u had red patches over chest and neck due to marijuana smoke,now to diagnose allergy there is no clearcut lab parameters except for drugs,and by history taking only one can comment on that,so If u are allergic then avoidance of allergen is the best way to get rid off it although there are good drugs available in market. | |
Suggest treatment for infertility problems
Hi I am Simran, 30 yrs old married for the past 7 yrs. now and have not been able to conceive. All my initial tests done like sonography, Fallopian tube tests and other blood tests were normal. After 2 yrs when again i got my blood tests done, my hormones are not in balance due to which i have delayed menstural cycles and no follicles. can i have a baby without IVF? | HAI,SINCE YOU ARE MARRIED FOR THE PAST 7 YEARS AND NOT OVULATING ,IVF IS THE IDEAL TREATMENT.IF YOU DONT WANT TO GO FOR IVF THEN CONSULT AN INFERTILITY SPECIALIST FOR OVULATION INDUCTION WITH IUI WHICH IS THE INTIAL TREATMENT BEFORE IVF ,IF IT FAILS YOU CAN GO FOR IVF.REGARDSDR.VANITHADEVI | |
Suggest bumps in mouth
Hi I have a sore/bump in my mouth and am not sure if I should be worried. I have seasonal allergies and been very sick and my mouth began itching really bad. Then I noticed a bump in my mouth but under the skin inside my lip almost at the bottom. Next I noticed the bump is out and looks like its filled with a liquid and on the end there was a smaller bubble. I haven't been sexually active for over 3 months. Should I be worried? | Hello, Read your query, there is nothing to be worried ao much bump in mouth canbbe due to viral infection , nutritional deficiency , poor oral hygiene, vitamin deficiency , carious tooth , periodontal or gingival condition . I will suggest you to consult dentiat and go for examination of oral cavity , and if there is periodontal or gingival problem then discuss with your dentist and go for investigations IOPA x ray if needed and its treatment Oral prophylaxis. In meantime you can take proper sleep , Nutritious healthy diet , you can apply ointment Gum paint for releif, take Liquid Electrol. Hope this will help you. | |
Prescribed Escitalopram. Trying to conceive. Should we not take medicine till completion of IVF cycle?
My partner has been prescribed Escitalopram Oxalatea Ta 10mg (previously citalopram), I have done some research to look at the side effects, of which there are many. This includes a possibility of decreasing sperm count and sperm production (not sure if this also effects the quality). I am 40 and have had my fallopian tubes removed due to them being diseased. He is 39 the last IVF cycle we did, we had to do ICSI due to the quality and quantity of his sperm. Obviously we want to do everything to give ourselves the best chance possible of being successful in our next cycle (which is February), should we hold of him taking the medication until we have finished treatment? | Dear Olivia, SSRIs can cause problems in spermatogenesis as you have mentioned. However, in your case, the risk-benefit ratio needs to be assessed regarding whether or not the medication can be discontinued. This would depend on your husband's psychiatrist's assessment of whether or not it would be advisable for him to be off the drug; plus, if ICSI is required, then what is the exact sperm number & quality. If it is reasonable, then stopping the drug may be more harmful than continuing the medication and proceeding with IVF/ICSI | |
How to treat amenorrhea for conception?
I went to my OB-GYN to seek advice on conception. I was given 2 medications: one initiated the menstrual, the second prescription was femara. I had a regular cycle for 5 months. During that time I tested ovulation and kept accurate records. Now I am not having a cycle anymore. Has my body gone back to its normal existence of not having a cycle? What are my options to conceive a child? | Take a tab clomiphene it will help you to ovulate. And you will become pregnant soon So dont worry. Hope my suggestions helpful and thankful to you. Take care. | |
Are the iron levels and essential Thrombocythemia a matter of concern?
My son(33 yrs) had some blood work done and his iron level was 194. He has a hematologist for essential thrombocythemia, who he saw yesterday, as his liver test showed ALT(94) and AST(51) which was down from the prior blood work done a week before. His hematologist said not to worry about the liver tests but I wasn t sure about the iron. I also was wondering if the hematologist was looking at the liver info re only cancer since that is his specialty too. Should any of this be of a concern? | Hi, dearYour son has essential thrombocythemia. It is myeloproliferative disease. He needs treatment for that. Don't worry about iron level and slightly high liver enzymes level. It is not a matterof concern. He should take aspirin to prevent any clotting. Chemotherapy is useful. Permenent treatment of choice is bone marrow transplantation. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What causes swollen and inflamed gums with blister on tongue?
I have a 3 year old son. He has been running a fever (approx. 102.5 at it's worst) on and off since Friday. Well, today he has complained of his mouth hurting and when I checked inside his mouth, I discovered he has swollen, red gums and a blister-like rash on the center of his tongue. It breaks my heart to see him like this....I fully intend to visit his pediatrician as soon as she opens tomorrow morning, just wanted to try to get some kind of idea what might be going on. Thank you in advance for your help!!! | Hi Dear,Welcome to HCM.Understanding your concern.As per your query your child have symptoms of swollen and inflamed gums with blister on tongue which is mainly because of herpetic gingivostomatitis, it occurs because of poor immunity of body and infection caused by herpes virus. Need not to worry about it, it is very common occurrence among children. Maintain proper hygiene of oral cavity of child. Take wet cloth and swipe it around gums of child to prevent deposition of microorganisms. Antiviral drugs such as acyclovir is very effective for treatment , give it with plenty of fluids as it can cause dehydration in child. Give antipyretic medication such as Crocin to get fever lower down. Sharp-edged foods should be avoided. A soft-bristled toothbrush should be used, and the teeth and gums should be brushed carefully. If condition keeps on persisting visit pedodontist once and get it properly examined and start treatment accordingly.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari |
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