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How can persistent temperature, aches, cough and a runny nose be treated?
OK--Thanks. My 10 yr old has a cough and runny nose and started with a fever tonight. Her temp was 102.3 at 12:30 and I gave her motrin. It was 101 at 1:30 and she was feeling very achy, so I gave her tylenol. Now at 2:30 it s back to 102. A little worried. What to do? | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.First, please make sure she doesn't have an illness that is more serious than a viral infection.Does she have skin rash? Is she alert, knows who you are and where she is? In supine position, ask her to lift her head and touch her chest with her chin. If there is no rash, she is alert, and can touch her chin then, it is unlikely she has a serious illness. Some physicians feel that a child's fever ought to be treated with only one fever medicine. This is because acetaminophen and ibuprofen are equally effective for fever. And acetaminophen is given every 4-6 hours while ibuprofen is every 6-8 hours so this leaves room for a potential mistake in dosing. Make certain you are giving the fever medicine as it says on label.She will feel better if she is not dehydrated, so remember to offer fluids (which can include Popsicles and Jello) frequently. I hope she is well in 2-3 days. If you have more concerns, please get back in touch.Regards,Arnold Zedd, MD, FAAP | |
What causes stomach bloating and shortness of breath?
I know that I have a hernia near my incision site from previous abdominal surgery. It is a bubble. Today as I stood up if felt like it popped and now I have lots of pressure around the bubble and feel very bloated. The only way to describe the feeling is tightness in the area and some shortness of breath. What could be causing this? | Thanks for your question on HCM. I can understand your situation and problem. You are mostly having GERD (gastroesophageal reflux disease) due to incisional hernia. This makes gastroesophageal sphincter lax. And because of this the acid of the stomach tends to come up in the esophagus and cause gaseous feeling, bloating, chest tightness, pressure etc. Gaseous distention of stomach can prevent lungs to expand fully. So patient feels breathing difficulty. Try to follow these steps for better symptomatic relief. 1. Avoid stress and tension. 2. Avoid hot and spicy food. 3. Avoid large meals, instead take frequent small meals. 4. Start proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2-3 pillows under head in the bed to prevent reflux. If you are still not improving after these lifestyle modifications then you need surgical correction for incisional hernia. | |
Can tobacco and alcohol consumption cause abdominal pain while having malaria and dengue?
Hello Doctor, I was diagnosed with malaria, typhoid and dengue 3 weeks ago, I was recovering well with medicine and my CBC reports where normal. But due to some stress I consumed alcohol for 3days last week and also I chew tobacco. Now I have severe pain in my abdomin and there is blotting also. I am really scared please help me. | HI, thanks for using healthcare magicThe alcohol can aggravate the stomach and may also cause issues with a liver that may have been impacted by your illnesses.It is likely not serious and should resolve with treatment but you should speak to your doctor so that you can be assessed.I hope this helps | |
Is yellow urine a sign of kidney infection?
I am currently being evaluated for a possible lupus diagnosis. My anti dsDna is positive, as well as my anti-histones, and a high positivie ANA. I've been having a slew of symptoms, but I'm most concerned about kidney damage. I noticed I have bright yellow urine almost all the time. It's bright enough that the toilet paper looks neon. I'm not currently taking any vitamins or medications. Is this a sign of kidney damage? | hai,usually the color of urine is depends on the type of food intake (includes medication).ususally urine color is yellow.unavoided urine for long time will cause variation in concetration as well as the color.since you are in evaluating the Lupus and ANA positive,lupus will cause damage to kidney at certain level. urine routine and renal function test will rule out the kidney condition.thank youhope i answered your query | |
Suggest treatment for arm pain with history of heart catheterization procedure
My husband had heart cath. procedure done on May 13, 2011 and they found three blockages, however, the arm has been hurting him for the past week.....is there anything we can do ......heating pad, pain pills, etc. He is 79 year old, weighs 205 pounds, and has been essentialy healthy all his life until the last month or so. | Hi,You mentioned he had 3 blockages so this pain can be related to heart also. I think you try tab Sorbitrate sublingually. If it responds it further supports the heart disease. But he should visit a doctor and get ECG done. Secondly, it can be cervical pain, due to compression of nerves between spine. Does this pain increases on neck movement, is it associated with tingling, numbness in arm or any neck trauma, if yes then it supports the diagnosis. Then he will need x cervical spine AP/ Lat view and further may need MRI. Till the time he can have tab neurobion forte which is a nerve vitamin.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode | |
What causes delay in periods?
hello...i am a 26 yrs old women, i am delayed by 13 days now..i have taken home pregnancy test but everytime its been negetive, i am unable to understand why there has been a delay in my periods..i had taken two emergency pills in my last cycle(can that be a reason?) and i have been travellin a lot in the last month which has been very stressful..i am having a lot of white mucus like secretion too...kindly help me out.. | Hallow Dear,Emergency contraceptive pills contain hormone(s). Hence, if you have taken them in this cycle, the menstrual period can be delayed for about a week or so. Delay by 13 days is a bit more delay. However, since your pregnancy tests are negative even after 13 days missed period, you are not pregnant; hence you may take Tab. Deviry for 5 days; 4-7 days after that you should get withdrawal bleeding. To avoid such stressful conditions, in future, if you do not want to go for pregnancy so soon, please follow some reliable contraceptive methods like birth control pills, condom or intrauterine devices. I hope this helps you.Dr. Nishikant Shrotri | |
Where does fluid in the lungs go after removal of a chest tube?
hi sir im mia from the Philippines I have been diagnosed for bronchiectasis, i just had biopsy yesterday to check the lump on my lungs, now i have a chest tube still attached , my doctor said it can already be removed since i already had biopsy, my concern is when the tube is removed where will th fluid go inside my body because i still have output of like less than 150 cc in 24 hrs. thanks really need your insight on this. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I need to know where is the tube put in? Why and which site was the biopsy done? If your tube is in the pleura, then wait till the drain is less than 50cc. Hope I have answered your query. Let me know if I can assist you further. | |
What could be the lump on the left side of my neck?
Hello and Thank you. I have a lump on the left side of my neck just above the collarbone. I discovered when I was examining my neck because the muscles right across my back where puffy like tension in my back. I am a breast cancer survivor with both breast removed. I am worried about the lump in my neck. Can you help me | Hi, thanks for sharing your health concerns with HCM! If I were your treating Doctor for this case of neck lump, I would come up with three possibilities, these include: 1. lymph nodes due to some chronic disorder like tuberculosis, lymphoma or chronic throat / neck infection or even malignant diseases especially in your case!2. The second possibility is of benign and simple conditions like lipoma or neurofibroma; there is nothing to worry about these! 3. The last possibility is of sebaceous cyst or some other cysts like branchial cyst or lymphatic cysts! Nothing to worry about these also!I suggest you to go for an FNAC and ultrasound of the lumps for confirmation and to relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | |
Q. I have tight foreskin and skin bridge. Will it affect the ability to have kids?
Hello doctor, I have a tight foreskin, and during sexual intercourse, I have issues with the ring constricting below my head. I also found out that I have a skin bridge between my foreskin and head. Due to this reason, I cannot fully enjoy sexual activity, and I cannot ejaculate inside my wife. I have tried masturbating and ejaculating inside, but having done that for several months, we are still not getting pregnant. I consulted a urologist, and he said that I should get a circumcision. Does having a tight foreskin and skin bridging affect the ability to have kids? | Hello. Your problems are not due to the skin bridge. Everybody has it. But the tight foreskin makes the intercourse a bit difficult and sometimes even painful. You are prone to get abrasions while having intercourse. You will be benefitted by the circumcision surgery. It is a safe procedure. If you do not want to undergo surgery, you can go to any infertility clinic and get an Intrauterine Insemination of your semen into your wife's uterus and make her pregnant. | |
Suggest treatment for frequent urination
Hi my 1 year old son is urinating a lot he went through 4 diapers within a hour radius the doctor i took him too is running a test for a uti and sugar in his blood but im worried because he is so younge and i dont know if i should wait or take him to the er to see if they can ultra sound his kidneys | Hi, I think the possibilities which need to be considered here are - 1. Pollakiuria. 2. Renal tubular acidosis. 3. Diabetes insipidus. I suggest you discuss these possibilities with the kid's pediatrician please. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology | |
Is a swollen ankle along with visible veins indicate a blood clot?
About a week ago I woke up an I could barely walk I haven't done anything to my foot to hurt it but it felt like my angle was cracked or something and as the day went by my ankle started getting red,hot,an swollen w alot of pain an now that a few days have passed it's no longer swollen red or hot it still hurts an I can't let my leg hang down or it feels like carrying a weight an still hurts to walk an now I see a vein that is really fat am painful rt above my angle bone so my question is could this be a blood clot and should I go to Rt an have it checked out?Thank u April | Dear sir /madam I would like to examine your ankle first, and would suggest you to meet clinician,It is difficult to come to diagnosis based on your description, | |
What causes shivering with fever in the night?
my nephiew is 5 year old, from last 10 days he is suffering from fever i mean first shivering is coming after than fever comes 102 degree at night time. we have gone from some tests like malaria, typhoid. malaria report is clean. i want to know what is actually? | Hi, Fever with shivering may be due to malaria and urinary tract infection. If the malaria test is negative you can do investigation for urine infection. If we treat the urinary infection properly then the fever will stop. You can give paracetamol every 6th hourly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rajmohan, Pediatrician | |
How can pain and trembling in the arms while playing tennis be treated?
my hand has been shaking for a while now. Every time I play tennis and hit a few shots it starts to shake vigorously. I can t hold anything for a while and there is pain in my arm and where my elbow is. The trembling usually stops 30 min after I stop playing tennis. How can I prevent shaking and pain from happening again when I play tennis? | Hello, As these symptoms sound to be examined by the physician on a clinical basis. Because having pain in elbow could be because of the tennis elbow. Like inflammation of the origin of the common extensors. Or it may be because of the nerve entrapment at the cervical spine. After a clinical examination, the therapy can be initiated. For now, I will advise to do icing and use tennis elbow brace and see if this is helping you avoid the pain. If so then we suspect it to be a tennis elbow and will be treated accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Suggest treatment for keloids
I had small keloids on my both ear lobes in past 16 years i have removed them 4 times by surgery (once by cosmetic-plastic surgery) every time it grew bigger. the last surgery was done 2 years back and i was asked to wear pressure clips now when i stop using them it starts grwoing again, please suggest what am i suppose to do casue i m really fed up of sugerys | Hi,DEar,thanks for your query to HCM.I studied your query in depth.1-In My opinion the small recurring keloids with 16 yrs history,could be treated by -Inj.kenacort-Intra-lesional , in stages ,to cover the whole of the post-surgical scar.2-Hope this would solve your query.3-Wellcome for any more questions on new or this subject also...Have A Good Day..!! | |
Back pain. Prescribed Signoflam and Digene. Pain when bending forward. Serious issue?
hello doctor, i am 24 yr male, suffering from middle and upper back pain for the last 5 days. Muscle became stiff and it was hurting me whenever I was leaning back n front or using any reclining chair. I consulted with a general physician who prescribed me PANIDO-40 & UGESIC for 4 days. Now situation is a bit better. Intensity of pain is lower now. Today my doctor prescribed me SIGNOFLAM & DIGENE for 3 days. Right now situation is better, stiff muscle became normal, but whenever I am leaning front or sitting with a forward bent, I can feel a irritation and little pain inside. Is there any serious issue in my health? Please help. | Hi, This stiffness and muscle pain most commonly occurs from bad positioning in a chair or during sleep. This is a temporary condition but can occur again if you do not take measures to modify the cause which led to this condition: for example, you might need to change your chair or pillows. The medicines you have been prescribed work very well to decrease stiffness. Along with those, you can resort to warm compresses over the back. This condition might take a few days to completely subside so do not get anxious, there is no serious issue to your health! | |
Suggest remedy for lump on upper back
I have a mole looking spot on my upper back it sometimes feels tender but doesn't really bother me but it seems to be getting larger and when I touch it, it feels as if there's pus in it and seems like its ready to pop. What could it be? Should I see a doctor about it? | Hello!Thank you for the query.If it is a dark like a mole, it can be a mole which has started growing. In such case, the mole should be removed and checked for possible melanoma malignum.If the lump is tender, swollen and painful, small abscess due to sebaceous cyst is possible. In both cases you should see a surgeon. If it is a mole, please do not wait with it.Hope this will help.Regards. | |
Suicidal tendency,sleeplessness,mood swings.cause and remedy ?
Hi i need some kind of advice im 18 im a girl an i am suicidal. I cant get the feeling to go away. And.. i have a lot of troble sleeping idk if it has to do with suidal. I feel soo depresed at times then out of no where soo happy. Im so comfuced. Also hear latly when i eat i feel so sick it dosent matter what i eat i just feel sick its makeing me not want to eat. I dont know what to do i dont have any medical inseranc right now. Please help ... sorry about the spelling. | Your suicidal feeling needs to bedealt with by a counsellor.Usually most schools and colleges have psychologists.USUally talking to these people will generally help you a lot.Your lack of appetite may be linked to your depression.You can take T Unizyme( enzyme preparation)twice daily to stimulate your appetite.Some physical activity might help you to get over your depression. | |
What can cause severe and sharp pain in the abdomen?
hi im jeaneth, i want 2 ask this one:july 1 i have my period then i took chlomid at the 2nd day of my period til 5th day of my period...the doctor also found infection during ive done papsmear wid her..i took also flagyl almost at the same time.i took flagyl for 9 days..now i have check up lately & they found me pregnant..but i have intensely sharp pain on my lower abdomen not consistent its on and off sharp pain.they check me but only fluid they can see on the ultrasound?doctor told me i have to come back after i week to see again my tummy..im afraid to take any pain releiver..pls help me.. | you are suffering from PID( pelvic inflammatory disease). supported by ultrasound too. you should take medicine for 1 week and should go for follow up. | |
Taking clomid. Feeling bloated, breast tenderness, headaches,blurry vision,weight gain,pressure on bladder,back pain and also missed period. Am i preganant?
thank you doc,am so confused my doc put me on clomid 50mg and now am having too much symptoms of pregnancy;bloated stomach,breast tenderness and pain,headaches,blurry vision,weight gain,pressure on bladder,back pain,bubbling or movements in stomach,and also missed period four days today,mood swings;took three home pregnancy test came out neg.please help.Took blood test but result still not out. | Hello. Thanks for writing to us. The symptoms you have are suggestive of pregnancy. Since your periods are overdue by 4 days, pregnancy is likely. Early test may be negative. Do a repeat test after a week.I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
What causes pain and swelling in the abdomen while suffering from UTI?
Upon the realization I had left a tampon in for 3 days, i quickly removed it. Being no stranger to b.v. I took a sniff of the tampon and a familiar odor was in my nose. The very next morning i woke up in excruciating pain in my left lower abdomen and a very distended belly. I m 5 9 115 lbs so when i push or feel my belly i feel a very firm ball or coil. Another factor is due to me having M.S. I also have chronic urinary tract infections and currently have one. I was given cipro for the UTI and the bacterial infection. 1. Will this rid me of both infections and 2. Is there something else that I should be concerned about?? In your expert opinion is there something that could be going on by my big belly that pains me quite frequently??? Thank you for your time,help,and consideration | Hi.Thanks for your query and an elucidate history. Read your history about tampon and MS and the problems now you are suffering from.If the tampon is sterile, it may not cause a big problem. This might have caused a minor infection. The smell in fact can be due to infection, and you already have been under tablet Cipro. This should take care of both the infections.I would advise further :Get an infection by a Gynecologist done for an internal examination, send the swab from vagina for gram staining and culture and sensitivity. Add on metronidazole and probiotis as they help to heal the vaginits and urinary tract too. The cause of distension and pain in the left lower abdomen can be due to :PID.Salpingitis orTO mass. The following investigations will help:Routine blood and urine tests with culture and sensitivity.Swab from vaginaStanding X-ray abdomenUltrasonographyI hope you would be fine soon, the moment a you et a proper diagnosis and treatment . | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Q. 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.---> | |
What causes nocturnal emissions and unwanted public erections?
sir i am 29 years old male unmarried. from 10 years, night fall happens after 1 or two days in much amount ( so my trousers wet ) without any attempt. my problem is so serious that even in market i cannot see any girl. i cannot watch plain movie due to penis can be excited. now from 3 days during day time my pens get excited and sperm fall. suggest me and give doctor add. in kolkata | Hi, Night fall or nocturnal ejaculation is not a serious issue at all because semen is a waste product and your body just throws out the waste product. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist | |
Irregular BP, cold limbs, low oxygen level, nausea, dizziness after stone removal. Reason?
hi doctor iam a male of 42 years of age ai had last week a stone removal by eswl the stone was 6mm and it has oassed out with urine ,but since it oassed i have irregular blood pressure 136/96 ,cold hands and feet.low oxygene level nausea and diziniess could you explain me plz and if you kindly answer me for free it my first trial | Hi, thanks for writing to HCM.Though there is a possible risk of developing Diabetes and Hypertension in the long run in people who undergo ESWL, there is no documentary evidence to say that develop within a week of ESWL.So, I think that your symptoms are unrelated to ESWL. I suggest you to consult a General physician for a detailed evaluation and further management.Hope this information is helpful. Good day | |
What are the home remedies to get periods?
Hi My last period started on 22nd feb 2014.I had protected sex with my husband but the condom broke and i took idoz 72 within 12 hours on 3rd march.I got dark brown spotting on undergarment for 3 days from 10th to 12march.It was not continous but spotting and it was sticky.I have not got my period still.I had sugarcane juice once in last two days and also had papaya but not yet got my period.Am i pregnant?.They say ecp is effective if taken within 12 hours and i have taken within tht time frame.What would you suggest me to do?I and my husband are not ready for kids as of now.Suggest me home remedies to get periods. | HelloAs per your equerry it can be pregnancy and for conforming it you can consult an ayurvedic physician near your area , if it is delayed menses you can take raj parvartani vati 2 tab twice a day after meals, it will help you and for further equerry contact me at drjasmeetdhami@rediffmail.com | |
Should i take 'lamivudin stada' for hepatitis-B if blood test shows HBeAG-2.85?
Hello, I am Trang Nguyen, 35 years old, weight 100 lbs, height 5'5" and have been diagnosed with HepB. I have taken medicine for 1.5 years: Lamivudin Stada 100 mg once per day. Most recent blood test shows HBeAG good at 2.85 and Anti HBe at 1.10. Must I keep taking this medicine forever? I am Vietnamese and my husband John Lyons is writing this for me. Please reply to my email address: YYYY@YYYY Thank you. | If you have chronic hepatitis B you should get your Hepatitis B DNA levels done. This will help to asses the response to lamivudine. The chances of the virus beveloping resistance to lamivudine are very high, to the tune of 80 % at 5 years. Your further line of treatment will be guided by your Hepatitis B DNA levels, SGOT SGPT levels, presence / absence of cirrhosis and availaibility of newer medications in Viietnam. Please consult your gastroenterologist . | |
Is gradual withdrawal of oxygen advisable when diagnosed with COPD?
After 18 years of taking oxygen because I had COPD...I am now told by a well recommended specialist after looking at a picture of my lungs that he is going to gradually get me off oxygen...while I am thrilled...I thought that once you had COPD, it could not be cured, just treated.g Wondering | Hello, Do not worry if your arterial blood gases test is normal then no worries about you can try it. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist | |
Is tooth extraction and caps for the teeth in a 4 year old necessary?
Hello, my daughter just went to her dentist and I was told she had to have 2 back teeth pulled and 6 caps. She is only four years old. I knew it wasn't god when I brought her in. She has experienced no pain what so ever. I know it was my fault from lack of care but it is my job to make her feel the most comfortable as possible. Her molar on her right side is bothering her gums because it is infected and is starting to puss. She was prescribed amoxicillin. They scheduled four separate appointments to do the dental work. The appointments seem fairly close together. I don't believe it is enough time for her to recover before going back. I had asked for her to be put to sleep when the teeth were pulled and the dentist told me she recommended her to be on laughing gas because she was very cooperative. So my question to you is, how long does it take a four year old to recover from teeth being pulled and caps? Also, do you think the teeth should be pulled? Do you think I should demand her to be put to sleep? | Hello, thank you for consulting with healthcaremagic. As you are mentioning that your daughter molar teeth are infected, and even there is pus discharge , then you should get them removed as these are milk teeth not permanent and if you will leave them they will infect the erupting permanent tooth also.These capping which the dentist has mentioned will maintain the space for permanent teeth, so they are necessary. It will take only 1 to 2 days in recovery from pain otherwise she will be ok after surgery only. So please do not take tension and believe on the dentist. Hope it will help you. | |
What can cause numbness and swelling on the feet and toes?
I have numbness in my feet. a bit of swelling and the top of my toes have a burning tingling sensation. I am trying to pass a kidney stone and have had lots of urinary tract infections and even at times feel the urge to urinate but drops only ever come out, and the urge to pee is still there. I may also be a boarder line diabetic I have gotten treated for the urinary problems but my feet are still swelling and the top if my toes still burn and tingle. I have been experiencing a lot of severe back pain as well .What is going on with me? | Hello, Consult an orthopaedician and get evaluated. Most probably it’s due to neuropathic causes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
How long does it take to stop loose motion in 23 months old baby?
Hi, may I answer your health queries right now ? Please type your query here...my son is 23 months old , is down with lose motion from 8 days ,no blood had fever first 2 days now no fever,motions 3-4 a day,weighs 12 kg,having all water food everything possible, doc gave some antipasmodic, antifaculent, asked to wait,how long should i be patience.... | Hi...Thank you for consulting in Health Care magic.It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.Regards - Dr. Sumanth | |
What causes terrible pain in the tooth during pregnancy?
I've got an emergency dental appointment tomorrow as I have ferocious toothache. I was pregnant last year but gave birth to a stillborn boy- it was a highly complicated, abnormal pregnancy, and it was losing weight for my first two trimesters. I didn't know I was pregnant until six months on, and my tooth issues currently are related to a lack of additional dental care in that time.Can I take cocodamol and diclofenac today? Diclofenac for swelling, cocodamol for pain?is that safe to do? | Thanks for using Health Care Magic.Read your query.The pain and other symptoms suggests acute abscess.If you are not currently pregnant you can take diclofenac(if you are not allergic to any medicine).If you are pregnant now , you can take only paracetamol ,any other medicine should be taken only if your dentists prescribes for you.Please visit your dentist and get the tooth treated after having a radiograph done .Have your teeth cleaned and maintain your oral health well , so you may have no more major issues.Hope this was of relevance for you.Thanks and regards. | |
How long it takes to cure typhoid? Any diet plan?
hello doctormy daughter is suffering frm fever nd v have done the test the reports state that she has typhoid nd the ratio of widal test is 1:320 nd have been statrted on antibiotics zifi 50 dt do tht medicine is effective. nd also suggest me her diet plan . hw long does it takes to cure ths diseses. | Hello,Welcome to HCM,The medications for typhoid fever need to be given for 7-10 days during which fever should subside. Following recovery from fever, other things like weakness etc should settle in another week to 10 days.If the disease was very severe, nutritional supplements (vitamins & minerals) for about a month can help replenish the body stores.With the availability of antibiotics in this era, it has become very easy to treat typhoid and it is not a dreaded disease as was considered in older days.Typhoid patients should consume soft diet for 1 week if symptoms persist then inclusion of normal diet. Here is sample meal plan for typhoid patientsThank you. | |
What causes intolerable pain under the rib cage?
I was diagnosed w/ intercoastal myalgia. I had 3 cortisone injections at one visit and 7 at another. the last set was 7 days ago and the pain can subside but all day I have been nauseous and in intolerable pain. It is located under my ribcage, goes from front to back. | hithank you for providing the brief history of you.As you are having inter costal myalgia and already taken the cortisonecortisone, now you need to focus on the costal breathing exercises to improve the muscle strength of the intercostal muscles. the weakness in the intercostal muscle can be due to any of the past lung pathology which needs an assessment as well.Also, in my clinical practice most cases with intercostal muscle spasm are treated with therapeutic ultrasound therapy and exercises. Majority responds well.RegardsJay Indravadan Patel | |
What to do for improper development in child?
Sir my sister is having problem in brain.sir she doesn't talk,walk & see after her birth there is some part of brain is came out from a hole & shape like an a brain & connected from head a neurosergon dr.NAGRAJ Operation it & put again the part of brain in her head.Now my sister is having whole body but she can't play like a 12 years girl.she hear all sound. A-12,ht.-4feet,wt.-40 | Hi dear,I had gone through your question and understand your concern. It seems she has central paralysis. I suggest- Nootropil 800 mg 1/2 tablet twice a day for 1 month,- B complex with lysin 5 ml once a day for 1 month.- Massage, exercises.Hope I answered your question.If you have any further questions ,please don't hesitate to contact us, I am always happy to help | |
How to avoid unplanned pregnancy without condoms or contraceptive pills?
Good morning. Im 34 maried women.I would like to no if thereis any lube i can use not to fall pregnant and not to exspensive. That realy works please.I dont drink the pill and condoms is uncomfteble. Thers so much stuff on the internet but how much is true. Thanks for your time | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Other forms of contraception may be vaginal diaphragms, or usage of spermicide cream. Also you can use progesterone depo. If a couple has 3 kids may be tube ligation would be considered as contraceptive method. Consult your doctor which is more effective and safe for you. Hope I have answered the question. Let me know if I can assist you further. | |
What causes small red lump in neck?
Hi, I noticed a small bb sized lump in my neck 4 years ago. I was told by doctor not to worry. This once bb sized lump has within the last 5days become the size of a quarter. It is warm to the touch, and red. It is located on my front lower neck, 2inches left from the center, & about an inch above collar bone. It does not have a head like a cyst may have. Can you advise? | hi.based from your description, it could be a lymphadenopathy. benign lesions such as lipoma, fibroma or a cystic formation must also be considered. also, other tumor lesions (such as of thyroid gland in origin) must also be ruled-out. it is best if you consult with a doctor for physical examination and clinical evaluation. neck ultrasound and a biopsy may be recommended. management (medical and/or surgical if indications are found) will be directed accordingly, depending on the results of the evaluation.hope this helps.good day!!~dr.kaye | |
Q. I am having a hard time in hearing and itchiness due to partially extruded ear tubes. Kindly help.
Hello doctor, I have ear tubes that have extruded or partially extruded, and I am having a hard time hearing. My ears are itchy, and I am having extreme and instant pain if water gets in the ear (at the beach). I have an ear camera, and I can attach photos. | Hello. Please attach the pictures in which I can see you external ear canal and tympanic membrane. It can be due to middle ear effusion. | |
How to treat shin injuries caused by accident?
Hello, I had an accident at work - 48 hours ago now. I walked into a fire bucket which someone had left in a doorway - obviously the bucket didn t budge, so I fell heavily. I have a black Eye and swelling to my face. I also injured my shin and this is what is worrying me. I have swelling which covers most of the length of my shin, and there is swelling to the ankle. I can bear weight on my leg but it is painful, and the swelling shows now sign of going down. Sometimes the area even feels hot to the touch. A first aider applied ice at the time of the injury, and I have been keeping my leg raised. Is there anything else I should do? thank you | Gud day ..u have sweeling at shin bone.. seems u have injured ur lower limb wch needs1. Xray to rule out any bony injury,2. Needs plaster support above knee or in mean tym at home crepe may help u..3. U need medication to reduce swelling wiyh combination of analgesics. Like trypsin chymo tripsin, with paracetamol and antacids.4. Most imp of all elevation of limb on 2 pillows and ankle and toes to help u reduce swelling.Consult ur nearby orthopaedic surgeon | |
What is the purpose of nurokind gold 1cup injection?
hello doctor, my mother who is 50 yrs old, was sleeping in chair and felt stiffness in had for more than 2 hr. when we checked with doctor we came to know she got high bp.. she gave nurokind gold 1cup injection. what is the purpose of that injection? | Hello Neuro kind gold is a multi vitamin injection particularly given for Vitamin B12 , which in turn may help strengthing of nerves . It's generally not given for higher blood pressure and your doctor must have given it for other symptoms he might have thought were because of vitamin deficiency. Regards Dr Priyank Mody | |
What causes weak, lean, shorter penis, insomnia when on medication for BP/cholesterol?
hellow Doctor...good morning asking from India, Jamshedpur I am 45 yrs old man...having fine physique have no problem except high cholestrol and blood pressure for past 3 months for which i have started taken medicines. amlodipin 5 mg for BP and Atorvastatin 10 mg for cholestrol. with wife no much sexual relationship may be once in two months..but recently i am finding my penis is becoming week leaner and shorter..also not hard as before..though have full urge for sex...is that becaue of the medicines this is resulting..also i have a insomonia problem for past over 20 years and i used to take sleeping pills but not regularly as i take whyski may be 2/3 times a week...still my sleep is not up to the mark and full | DearWe understand your concernsI went through your details. Please understand, penis shrinkage is due to stress or anxiety. Penis cannot decrease in size as you already know. The area could shrink. The possible reasons are lack of sexual desire, stress or anxiety. Lack of sexual desire also is due to anxiety. You could have become stressed and mildly depressed when you detected that you have hypertension and cholestrol. You will be able to have sex when you realize these two are not a big problem at all. Take care. If you still need my assistance in this regard, please use this link. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck. | |
Gall stone stuck. Advised removal of gall bladder due to flare up of Hep C. Opinion?
i ve just had a gal stone get stuck went to hospital they said hep c is flared up bad and rthey will remove gal bladder later this month i will then go to someome to see about getting on interfiron (something like that) i concerned about quality of life and how long i could have to live. I found out ihave had hep c 13 years ago and it has never been a problem the drs alwaays say my numbers are good. could i believe that it might be that way again or is the galblader deadly trouble for me | Hi and welcome to HCM. Gallbladder can be removed with no risk even in patients with much higher liver damage than Hepatitis C. These is a risk of bleeding if you have cirrhosis, but if not then do not delay surgery because stones can cause some serious problems. Hep C is unfortunately incurable but it can be in less or more serious phase. You need to do often work ups, care for diet, take medicines and everything will be fine. Hope I have answered your query. If you have any further questions I will be happy to help | |
Q. Please let me know, is there any health issue in my routine health checkup.
Hello doctor, I have no issues as such but not feeling fit. I am more concerned about my health. I would like to know whether my routine checkup results are alright or not. I have no symptoms of any kind. I have taken ayurveda treatment for SGPT, SGOT, and high protein. I am attaching my reports for your reference. Please check them and guide me accordingly. Thank you. | Hello. I went through your reports (attachment removed to protect patient identity) and came across a few significant values. Elevated uric acid can increase the risk of kidney stones and joint pains. I would suggest you have plenty of water and avoid having non-vegetarian. Your blood cholesterol is not under control, and increased levels of hsCRP (high-sensitivity C-reactive protein) indicates the risk of heart attack and stroke. Maintain your blood cholesterol in the normal range. Elevated LDH (lactate dehydrogenase) can be observed in many conditions. Liver injury is one of them. Your reports show that in the past you have taken ayurveda treatment for elevated levels of SGOT (serum glutamic oxaloacetic transaminase) or AST (aspartate aminotransferase) and SGPT (serum glutamic pyruvic transaminase) or ALT (alanine aminotransferase). Hence, the rise of LDH is due to mild persisting liver injury. Low exposure to sunlight has led to low vitamin D. I would recommend you to start taking vitamin D supplements such as Cholecalciferol 60000 units weekly once for eight weeks and try to increase your exposure to sunlight. | |
How can pain and swelling in the lower gum be treated?
I have a tooth that got pulled about 15 years ago. It is my right bottom molar. There is a overlap of skin that the dentist said would heal it didnt now I get food like pepper in it but get it out and the pain stops. It is very sore to the touch inside and out and swelling with white marks on it. | Hello,It seems the area is getting infected. You should consult a Dentist and get evaluated and if needed an x-ray can be done. In case if there is infection, the area can be irrigated with antiseptic solution.A course of antibiotics like Augmentin can be taken and if there is pain, painkillers like Ibuprofen can be administrated. Also, do warm saline gargles and antiseptic mouthwash gargles.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora | |
What causes pink bumps on face of an infant after falling off from bed?
Hey my 3 week old newborn fell of the bed last night I have no clue how honestly all I know is I heard her crying and found her on the floor on her back she didn t cry that long and she seems fine nothing has changed except she woke up with two pinkish red bumbs on her face.. Im just so worried I can t stop thinking about it I feel terrible what do I do | Hi....I don't think you should be worrying. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorium or behaviour. If none of them are present, I don't think you should worry about his trivial head injury.Regards - Dr. Sumanth | |
Do symptoms such as sneezing, clogged nose and itchiness in the ears and nose indicate any type of allergy?
hello i really bad allergies, i get what i call an allergy attack. Meaning all out of nowhere i start sneezing uncontrollably, my nose gets completely clogged to where no air can get through, my eyes get very itchy and so do my ears, and i start to wheeze while breathing. my face recently started swelling up during this attack. I have no idea why or what starts it. It comes at any time of the day. | HelloAs you explain the situation yes these are signs of allergy for sureFirst you can take antihistamines such as Telfast orally twice for some days and it will improve your simptoms but for longer follow up you need to see an alergologist specialistRegardsDr Jolanda | |
Scheduled for spinal surgery, anesthesiologist said condition was severe and stopped.
Hi Doctor, I was scheduled for spinal surgery afew days ago and I arrived at the hospital for special surgery I was brought in the room to be prepared and the anesthesiologist came to speak to me and said she needed to speak with my cardiologist about my aortic regurgitation problem and she could not reach him. the problem was she was a littleReluctant to continue with my surgery because she said my condition was severe and I was sent home.My cardiologist sent the hospital a letter for clearance about a week before but apparently it wasn't enoughI was very disappointed by the way my number was a 4. | it seems the cardiologist should first evaluate aortic regurgitation and manage it before safe anesthesia can be given this is what your anesthesiologist means | |
What does the allergy test result indicate?
hi ,I get tested for allergy , and this is the result : 1.positive result for grass and mites . 2.positive result for orchard , blue and english rye types of grass, in addition to timothy type of grass.3. positive result for d.pteronyssinus and d.faraine which are both types of house dust mites. | Hello,Thank you for asking at HCM.I would like to explain your allergy testing result as follows:1. It shows that you are allergic to pollens and house dust mites.2. Both pollens and house dust mites are air-borne allergens. They usualy cause allergic rhinoconjunctivitis, allergic asthma, atopic dermatitis, occasionally urticaria/angioedema, etc.3. Practically, it is difficult to avoid them as they are air-borne. 4. If your medications are not controlling your symptoms enough or you tend to develop side effects due to medications, I would suggest you to consult an Allergist-Immunologist who will know your symptoms, investigations and medications in detail and may consider allergen specific immunotherapy which gradually improves allergy symptoms over a long period.Hope above information will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards. | |
Q. Can my smaller testicles get cured with HCG 5000?
Hello doctor, I am 33 years old. My testicles are the size of a grape and I experience low sex drive, and less sperm count. I have used some testosterone when I was about 16 years, the testes have never recovered since. I have been reading a lot and bought some HCG 5000 but I do not know how to use it, and I do not want to make things worse. | Hello. Basically, because of exogenous testosterone, your body has stopped production of testosterone from testis resulting in testicular atrophy and hypogonadism. Do you have children? Are you married? I would like you to get a baseline hormonal assay which would help us for future reference. I will not prefer hCG (human chorionic gonadotropin) and I would like to start you on Clomiphene citrate 25 mg every alternate day. Clomiphene is better than HCG. HCG can be given if there is no improvement with Clomiphene citrate. Exogenous steroids must be totally stopped. It will take time to recover and I will not give you 100 percent guarantee that your testis function will recover as there is severe atrophy. Recovery depends on the amount of testicular tissue left. But we will try our best. For more information consult a urologist online --> | |
Why do I have heart palpitations with dry chest cough?
Hello, I have been extremely concerned . I have heart palpitations on and off for more than 10 or more years now. I also get a small dry chest cough after a night of heavy drinking. I look online and I ve read symptoms of heart failure and I have most if not all of those symptoms . I know your going to tell me to see my doctor ASAP . | Hi welcome to HCM.I understand your query and concern.Palpitations and dry cough indicates arrhythmias of heart.I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6g/day.Regular physical exercise in the form of brisk walk for 20 min a daily is useful.Drugs like antihypertensives and antiarrhythmics,syrup.Tusk D will help.Reduce the intake of fatty and fried food.Electrophysiological study with or without Radiofrequency ablation is the procedure of choice in your case.You may also need Coronary angiogram to look for any co existent blocks in the heart. Consult a Cardiologist and discuss for further expert management.Post your further queries if any.Thank you. | |
Is tiredness, hearing and sight problem due to herpes virus?
I was diagnosed with herpes zoster virus around my eye back in December since then I have noticed my hearing and eyesight on that side becoming worse I have also had irregular periods feel the cold a lot more than others but seem to have trouble regulating my body temperature as it keeps creeping up to 38.6. I constantly feel tired however I have been told it is because of the herpes virus I am currently taking antiviral medication carbomazipine and naproxen all for pain in my lymph nodes however there is no swelling present. Do you think this is all related to the herpes virus I had 4 months ago or something new altogether? | Thanks for asking i healthcaremagic forumIn short: you may be suffering from Post herpetic neuralgiaExplanation: As you said herpes virus can involve ear and eye causing hearing loss and corneal erosion. But it has to be confirmed by examination by a doctor. Herpes can cause pain post infection for many months to years in the distribution of the sensory nerve. I think your doctor has prescribed you carbamezepine and naproxen for that only. Go to your doctor and get yourself investigated for any new problem which may be causing tiredness and rise in temperature. All the best. | |
Is vitiligo,joint pain and liver problems interrelated?
I have Vitiligo and was wondering if there is any connection to it with joint pain, and liver problems. I did have several bouts with Hep B growing up, and presently am having ongoing pain in my liver. I m getting tests done, but I was just checking things out on these issues | Hello, Vitiligo is an autoimmune disease. It can be commonly associated with autoimmune thyroid disorder and Type 1 diabetes. Certain liver disease can be autoimmune as well like autoimmune hepatitis; rheumatoid arthritis is an autoimmune disorder which can be associated with vitiligo. Some more details about your clinical condition would be needed. What medications have you been taking for Hepatitis B? Interferon therapy in chronic hepatitis B too can cause Vitiligo. As you must be knowing Hepatitis B can cause deranged liver functions. Also information about the blood tests done (complete blood count, liver function test, thyroid profile), the ultrasonography and the complete autoimmune profile if done (like ANA, rheumatoid factor). The current status of your Hepatitis B is needed (like the last Viral DNA levels) and what medications you have been taking for it. You can contact an internal medicine specialist pr gastroenterologist for the same. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ayusmati Thakur | |
How can tonsillitis along with body ache be treated?
Hi I live on the beach in Perdido Key, Fl. I went to an urgent care this afternoon and I have a very bad case of Tonsillitis. It hurts to swallow and I have a low grade fever. I m a 51 female and in good shape. I do have MVP, and hypothyroidism. The doctor gave me Augmentin 875/125 twice a day, and Ninjacof liquid 5 ml four times a day. My ENT and my GP doctor always gives me a antibiotic and Hydromet. That s all I ve ever taken. I cant take NSAIDs, or codiene. I don t take any over the counter drugs except the blue Mucnex. What can you tell me about the Ninjacof or should I wait and get a prescription for hydromet? That s all my doctor ever prescribed me. I don t understand why the doctor didn t give it to me unless he doesn t use this drug. My body aches, and my throat he knows is very painful. Would should I do and is this cough medicine Ninjacof safe! Thank you, A,Onassis | Hello,I have not prescribed this Ninjacof medicine but I do know what it is (Pyrilamine-Chlophedianol). This is a safe medicine and is much safer than Hydromet syrup.Hydromet contains hydrocodone which is an opiate. This is only used in very severe cases of cough that will not go away with over the counter or less strong medications. It is not a safe medicine to constantly use.Many drug seekers also try to ask the doctor for this medication so that might play a role why he did not want to prescribe it as he doesn't know you personally.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Alexander Underwood | |
What treatment should be taken for pimples ?
hello, i am here to ask u regarding pimples . I am 19 years old female and i have got pimples and these never dries,after 1 month or more its starts to dry up and dark black spot remains and never squeezed them, even though the spots remains.I have got constipation problems and i am quite healthy.I am 4 feet and 9 inches only and my weight is 54 kg.i have serious digestive problem. My digestion is not clear, it clears after 2 or three days later.My energy level is too low and most off the time i feel sleepy.My help me, i need an solution and i want grow energy and do my work energetically.What can i do? Plzz help me. | FREQUENCY of stool,either three times a day or once in three day is normal. so there is nothing to worry about stool frequency. for energy level,you should eat balanced healthy diet full of vegetables & fresh fruits. do regular exercise 45 minutes a day for 4 to 5 times in a wek. | |
Suggest treatment for severe chest pain while breathing
i have been feeling chest pain for a while now from time to time but i always thought it might just be gases that i can t even move sometimes because it hurts but a while ago i started smoking shisha not much just few times but i stopped now because the last time my chest really hurt when i smoked and this was a week and half ago, since then everytime i sit near someone smoking just even a little i get immediate pain when breathing and sometimes even if i hold still, but for the past five days or week the pain doesn t go away i got used to it being there i don t event realize when it stops or starts plus since three days ago i think i have been getting pain on the upper back and other times the area under my breast going to the side this is plus the chest pain. i am still not sure what it might be but i hope i can get some help here and if its necessary to see a doctor. thank you | Hi welcome to HCM As per your description your pain which increase with breathing suggest 2 probability of either pleural( means outside lung but within chestwall) or musculoskeletal. would be good you GT your chest xray done and visit your doctor | |
Can you advise me how to prepone the period ?
Pleae Can you advise me how to prepone the period by taking PremolutN ? | Hi welcome to Healthcaremagichi...., the Primolut is hormonal tablet which helps in the ovulation.., it doesn't reduce the period of the menstrual cycle... also The drugs for postponement of periods are not indicated, until medically it is needed...Hope I have answered your question..Takecare... | |
Pain in the lower right groin area. Blood in occult test. Colonoscopy and endoscopy scheduled. Any advice?
I went to urgent care 2 weeks ago with pain in lower right groin thinking I had a hernia from dead lifts. Doctor found blood in occult test and a hemoglobin level of 9.7 in cbc. Am scheduled for both colonoscopy and endoscopy in five days. I usually work out hard five days a week and have not done so since I went to urgent care. Can I work out with this hg level or not? | Hi Occult blood in the stools can be due to many causes like colorectal cancer,adenoma's,bleeding peptic ulcer etc. You can do workouts until you get strained. If you comeback with above reports,i will clarify further Wish you good health Regards | |
Suggest remedy for ejaculation of semen while asleep
Hi I m having a problem in leaking semen daily in my sleep I know this not a wetdream because I don t have erection or feel it coming out and I m starting to get worried because everyday I wake up and see a small amount of semen in my boxers what is causing this and how do I prevent it I m 15 | Thanks for asking in healthcaremagic forumIn short: Do not worry about this , this is not a diseaseExplanation: If you do not masturbate/have sex/ejaculate by any means your body will try to remove old sperms to replace it by new. So, you may have ejaculation without your notice even when slightly excited or in dreams during sleep. So, do not worry be happy. | |
What could cause wrist pain?
I have been having wrist pain for a few days now possibly around 4/5 days. Hurts whenever I bend it backwards or apply pressure to it like pushing away or getting up.even hurts if I push on my wrist to pinpoint the pain. Like it s tender. But if I bend it forward doesn t hurt really. Then yesterday my hand ok the top like around my knuckles amd metacarpals started having really bad pain in which I had to apply a cold water bottle to. What could be wrong? Have no idea what I did. | Hi welcome to health care magic,Thanks for your query. Please visit orthopaedician and have x ray wrist. Till you visit doctor apply wrist splint. Take analgesics and give rest to the limb. I hope your query get answered. Hope more questions from you in future. | |
What causes difficulty in passing stools after Lactogen intake?
Hi Dr,My baby just 3weeks+ and I feed her with breast milk once or twice per day and lactogen when ever she is hungry but whenever she want to past motion sometimes she will cry, sometimes without any action. Why this thing happen?What is the best way to feed her? Pls advice.Thanks in advance | Hi , I'am Dr Suresh MD (paediatrics), I had gone through your question and understand your concerns.It is normal for babies to be little fussy or cry before passing urine and stool . It is due to urge pressure that may cause some discomfort. So there is nothing to worry, it is all normal.Best way to feed baby is exclusive breast feed on demand every 2-3 hours in proper sitting position followed by burping.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questionsTake care. | |
What is the treatment for pleural effusion on the left lung?
I am a male 53 years old, a Tanzanian living in Tanzania with serious lung problems. Right now I have pleural efussion on my left lung. This has come back after it was removed by icd tube at Manipal Hospital Bangalore in November 2010. I need immediate help. | Hello and thank you for asking in HCM If the pleural fluid is repeated than you should do a pleurodesis to prevent it forming again. Dr.Jolanda | |
What can be the cause of high liver enzyme and abdominal pain?
Hi my mother was prescribed statins for her high cholesterol and she has had high liver enzymes with pain in her abdomen, achy joints, itching and now loose green stools, the Dr has taken her off the statins now but she is worried as she has to go for a abdomen scan do u think that all these problems are related to the statins or could she have cancer or something terrible? Also she had her gallbladder removed 16 years ago because of gallstones, I'm so worried about her, please help. | The symptoms are pointing towards liver problem. Probably jaundice. Maybe due to Hepatitis. It is unlikely to be due to cancer. However you should let us know the report of liver function tests and Ultrasound abdomen should also be done. Also get test for Hepatitis A,B and C. Take care and will look forward to hearing from you. | |
What is the treatment for cough and chest infection?
My son of 43yrs old home on leave has been described with a chest infection and prescribed with penicillon and an inhaler with ventolin is not improving after 4 days prescribed by nurse at walk in centre in Blackpool has not been out of house and his cough is horrendous says it's worse. What now take him back? | Thanks for your question on HCM. I can understand your son's situation and problem. In my opinion, you should consult pulmonologist for him and get done 1. Clinical examination of respiratory system. 2. Chest x ray 3. Sputum culture and sensitivity. Chest x ray needed for the diagnosis of lung Infection. Since he is not improving with penicillin, better to start antibiotic according to culture and sensitivity report. Sputum culture will isolate the causative organism and sensitivity report will guide about the effective antibiotic therapy. So by this, we can avoid haphazard use of antibiotics. As haphazard use of antibiotics can cause delayed recovery and increase chances of drug resistance. So better to consult pulmonologist and start appropriate antibiotic treatment. | |
How to overcome the weight and appetite loss caused by a virus attack?
Hi, ive recently been ill with some sort of virus. I lost my appetite and lost nearly a KG in weight. I'm 45.1kg now. but ive also noticed small spot/blisters on my upper chest and shoulders in small clusters - can they be related to the virus or is it due to a defficiency in something?? | Thanks for asking in healthcaremagic forumIn short: It may be related or may not be related, can be differentiated only if I can examine youExplanation: Every one loses appetite and feels weak after viral infection. If the viral infection was associated with your so called spots/rash then may be measles/chicken pox/herpes. Or else if was accidentally found later or was present previously then may be fungal infection(Tinea vericolor). Visit a doctor to clear your doubt, it is extremely difficult to diagnose without seeing this. | |
What causes lump on the ankle after knee injury?
Hi I fell about a week ago; I was treated for a knee injury and my foot/ankle has always been sore since but just recently I m noticing a lump under my skin where my foot and ankle meet at the top. It s slightly bruised, makes it hurt to walk, and is painful as well as burns to touch it. Any idea what it could be and if it needs to be looked at or just have some extra healing time? | Hello,Welcome to the magical world of health care, I went through your query, and your concerns are valid.it looks like this is a blood collection, and getting it aspirated would be the right idea, that will not only remove it but will also clear all doubts on the nature of the swelling.I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks. | |
How to get rid of shin pain?
I was playing soccer and got my shin kicked pretty hard after the hit my whole leg was hurting I couldn't move it for a brief moment. Then I tried to move my foot towards me and everything was shaking and it hurt. Now I can't really move my ankle because of shin. Why? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. What I understood you hurt your shin and you are unable to walk. But it would have been great if you provide me is there any swelling in ankle or knee. I hope you didn't sustain a fracture because pain would have been much severe alongside deformity. Still if you are having doubts about fracture then cray with Ortho consult will do the job. If no such problem and no swelling/ instablity of knee. Take rest and apply ice with painkillers. Hope I have answered your query. Let me know if I can assist you further. | |
On birth control, had sex without condoms, had periods. Visible blue veins on breasts, low back pain. Pregnant ?
I an on birth control , have not missed any days. my partner and i last had sex on 16th November. we did not use a condom.My period came on time and lasted five days, however i have really visible blue veins on my breasts and have lower back pain and some lower abdominal cramping. I took a test 30 days after sex and it was negative. Could i still be pregnant? | Hello Good Evening,There is nothing possibility of getting pregnant, if you had your regular menstrual cycle after having sex.Menstrual cycle is the cycle of changes that occurs in the uterus and ovary for the purpose of sexual reproduction. It is essential for the production of eggs and for the preparation of the uterus for pregnancy.If egg get fertilized with the sperm then fertilized egg get implanted in the uterus wall after some days, and next menstrual bleeding does not occurred.It means you have your regular period on time then it means there is nothing like pregnancy.Amenorrhoea (missed period) is the first and most important sign of the pregnancy, hence you are not pregnant.Your symptoms are not related to pregnancy, you should consult to your GP, if they remain persist.Regards,Dr. Naresh Jain. | |
Seasonal asthma, throat inflammation on exposure to cold air. Will romilast medication help?
I am a 64 year old male patient of seasonal ashthama. I am looking for a medication for reducing my cold air sensitivity of my bronchial passage. Cold air and cold temperatures in winter season inflame my throat and air passage. Every entry of inhealed air, irritates my respiratory passage including throat. I heard about Romilast Tablets. Are they the right treatment to reduce my cold air sisitivity ?: | the best choice you can think of montelucast brandname romelast is the best you ca take 10 mg once a day continuously for life long you can increase dose to bd or tds according to condition you can also apply neosporin h eye ointmment in nose bd sea water drops 2 drops in each nose at night you can continue for long and all your symptomps will be under control no need of takin anti biotics avoid disprin spirin paracetamol dietry suppliments to prevent flare up of asthma | |
Suffering with writer's cramps. Is it curable through homeopathy?
Hi i am dileep from Chennai.... could you tell me the treatment for writer cramp .... i am suffring with that probelm from fast 2 years on words with my right hand ..... what is my question is .... this decese will affect to my body (like left hand and another part of body) . plaese let me know is any treatment in homeopathi. | **1. because writer's cramp (dystonia),causes problem with co-ordination, thus evaluation of neurological examination is essential to carry out any focal abnormality or motor dysfunction, so you should consult with a Neurologist first for the condition.2. you can consult with your Physician regarding EMG which can provide a definite diagnosis of your condition.3. If problem is with hands, make sure you use keyboard more often rather than typing, which will relax muscles of hand, and check with Physiotherapist for physical exercises.4. because the symptoms gets worse with use,so a "mirror effect" is also seen in other parts of body later in the course of disease. i.e. from normal activity to progressing disability.5. you can consult with Doctor of Alternative Medicine for treatment options after going through physical examination and Investigations. | |
What causes movable lump above hairline in a 11 year old?
My 11 year old is complaining of a marble size lump on his neck just above the hairline (slightly to the left side). It is movable and painful to the touch. It is not red---just normal flesh colored. I am thinking it could be possibly a swollen lymph node or a cyst. I plan on calling his doctor Monday but I am just trying to ease my mind till the weekend is over. Any ideas? | this is most probably a swollen lymph node that is painful to touch due to infection it might also be a lipoma which is smooth rubbery lupm that is easily movable under the skin | |
Getting excruciating pains in lower back. What could be the cause?
Hi I am getting excruciating pains in my lower back when I lie down especially if I have been standing for a long time. I don t know what I have been doing to cause this or what I should do about it. The pain will subside after lying down for a while but the first 20 minutes is pure agony. Suggestions on what it may be or how to help it? | Hello and Welcome to HCM, Thanks for writing to us. Low backache looks like a positional anomaly. The low back ache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation). Avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time Hope this helps you. Wishing you good health... Regards. Dr Saurabh Gupta. Orthopaedic Surgeon. | |
Q. Is it normal to have rapid heartbeat in a Wolf Parkinson white syndrome patient?
Hello doctor, I have wolf Parkinson white syndrome. I was admitted to a hospital last week and was discharged within one day. The doctor said that first, we can check through medicine, now sometimes I am feeling nervous and minute rapid heartbeat. | Hi. Wolf Parkinson white syndrome is caused by the presence of extra pathway of the heart electricity which causes parts of the heart to be excited before others and sometimes the connection between the normal pathway and the extra pathway cause what is called reentry cycle which causes an attack of tachycardia (rapid heart beats). Treatment options include medical and ablation. Medical: Propafenone 150 mg tablet every eight hours (control heartbeats). In severe cases ablation using a catheter is required. Beta blockers like Metalor is not suitable as it blocks the normal pathway and enhances the extra abnormal pathway. I recommend that you follow up and send me your ECG and echocardiography report in order to identify the type and severity of the arrhythmia. | |
52years old have respiratory problems.
if their is incressed markings with reduced areation in the basal lung field on the rt side my age is 52years I have hypersenstive pneuminia 3 months ago now my x ray show this | HI In case of any respiratory disease u have to do respiratory exercise take deep breath hold & leave slowly do it 10 -15 times in the morning in fresh air & evening also u 'll feel much comfort just with in 15 days & take help of physiotherapy with some homoeopathic treatment. good day | |
Can Doxepin and Zoloft be taken together?
I AM on Doxepin, and used to be on Zoloft. Can both meds be taken together? I suffer greatly from PTSD and have a bad case of Agoraphobia. I never leave the house anymore. I have the V. A. nurse do all my shopping. I want to go to Church but lost my right leg in an accident and the chair makes a loud noise coming in Church so I stopped going as when I entered everyone would stare. Or so I felt. I have a Psychiatrist and a Psychologist I see at the V. A. but it s been a while. My meds are renewed every 6 months after a short visit. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I can understand your concern. Doxepin is a TCA drug and Zoloft is a SSRI drug. Its not advisable to use Doxepin and Zoloft in high doses together. But in therapeutic doses under guidance of psychiatrist these drugs are safe together. Doxepin will help to supplement the actions of Zoloft and will help to treat the difficult to treat anxiety symptoms. So yes its safe to take Doxepin and Zoloft together. Hope I have answered your query. Let me know if I can assist you further. | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
What is the treatment for numbness and bruise in the foot?
Something fell on my foot cant remember what if it was a bottle or can of soda just slipped through my fingers and landed on a top of my foot.It was really painfull.I immediately fell numbness and extreme pain.Now 2 weeks later I have a little raised bump,bruise is gone now but the pain when I touch it or try to put my shoe on.I can walk it doesnt bother me at all just numbness no pain.When I try to touch the spot right at the top of my foot I can sense something movin like something brushing onto something and allot of pain.Right where the spot is I can feel something sharp inside and now there is a little swelling above two first toes.Did a bone in my foot broke? | HiWelcome to healthcaremagicI have gone through your query and understand your concern.You have probably got hematoma. As you have pain and swelling. It will gradually resolve.No need to worry much. To exclude fracture you have to get your x ray. Analgesic will be helpful in pain relief. Vitamin B and C is helpful in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care. | |
Suggest treatment to prevent constant watery eyes in toddler
hi my baby (1 year) eyes are always filling with water in the eyes , we are doing massage from eye corner to nose regularly as per doctor advice , but this is not at all coming down , but doctor telling they want to do small operation to open that pasage , this is the right or else any other way to avoid this opration | Hi, thanks for your question. your child might be having obstructed nasolacrimal duct. when a child does not respond to massage by 5-6 months it is managed by a small procedure to open up the blocakage. | |
Suggest treatment for musculoskeletal chest pain
So I've been diagnosed with Musculoskeletal chest pain, and I've told my doctor I experienced a bit of trouble breathing but there are days where I can breathe normally after a bit of exercise. I was also wondering if that could be the reason for my heart feeling as if it were beating faster, for example I went bowling yesterday and my heart would feel like it was beating faster and I would have to rest after a few games of bowling. This usually doesn't happen (faster heartrate from doing small activities) to me. I was wondering if this would go away soon enough or if there are any treatments, I was told to use a heating pad and I guess that helps a bit. Thanks! | Dear , Musculoskeletal chest pain has no relation to fast heart beats , it may be due to anemia or generalized fatigue .Diclfenac Sodium 75 ( Voltaren ) once daily for 3 days will treat your chest pain combined by a muscle relaxant and get away from cold air .you may need to visit your doctor to check out the cause of fast heart beat but don't worry , it will be a minor cause and simple treatment will push it away .Thanks | |
Will Folimost tablet and minoxidil solution help in hair growth?
hi! doctor my name is siddharth ,19years old i have been suffering from hair lose from 2 years, i had once taken follihair tablet for 3 months and Minoxidil solutio but now after 1 year again i told to have folimost tablet and minoxidil solution please recomend what i should do.? | Hello Siddharth,Thank you for posting on HCM.I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, cosmetic products etc.From your description, it seems you might be having Male pattern hair loss or Androgenteic alopecia, which is due to male hormone, testosterone. If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc, and recommend some basic investigations like CBC,blood sugar, Thyroid function test.I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3-6 months. (Follihair or Folimost) Also, would put you on solution containing 10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc). Finateride (Finax) can be used in selected patients after thorough counselling and checking your liver function. Finasteride, inhibits metabolism of testosterone at hair root level. It sometime leads to embarrassing side effects like impotency, decrease in semen volume but which are totally reversible on stopping the drug.I would advise you use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.Hope your queries are resolved and wish you best of health.Thank youDr Hardik Pitroda | |
Is HCG injection effective in the treatment of infertility?
Hi I’m radhi and I have a problem of irregular periods after my marriage so we went to doctor and doctor did a follicular scan and said it’s normal and give fertilise f tablet for me on the first day of my period and now I’m in my fourteenth day of period and she already given me hcg injection for ovulation and ask us to have intercourse for three days and today is my ovulation now she scanned and told me that ovulation happens now use naturogest 200 mg dose for fifteen days and come to me if u done have your periods.. Now I’m thinking that I’m pregnant or not or I want to know that any chance of getting pregnant through this treatment | Hi there, After going through your question, I am of the opinion that:1)The tablet Fertilise f was clomiphene citrate. This tablet helped in recruiting more follicles and increasing the chances of ovulation.2) Inj. HCG is given when follicle is of a good size and is used to rupture the follicle and cause ovulation. This treatment has already worked since you have ovulated according to your ultrasound.3) Naturogest is for providing additional progesterone support to the foetus.So, in my opinion, you have been given the perfect treatment. There are high chances of pregnancy if there are no other causes of infertility like tubal block, uterine anomalies or male factor.I hope this was helpful.Regards,Dr. Shikha Shah | |
What is the treatment for open wounds?
Hi my name is Kyle. I just recently returned from a long trip in Samoa back to Hawaii. I have two cuts, one of my foot and one on my shoulder that were just minor cuts but no have turned in to big open sores that won't heal or stop pussing. They just keep getting bigger. What can I do myself to try and take care of it? | Hi, Welcome to HCM!Well, if they were minor cuts and are now turning into non-healing major wounds, there can be two causes resulting in this - 1. You didn't take proper care of the cuts and they have now become infected. You should have had proper cleaning and dressings and antibiotics to prevent infection earlier.2. Second possibility is that you might be diabetic as non healing wounds are common in diabetics.Now, I'd suggest you to visit a surgeon and get your wounds properly cleaned and dressed. Also, take an antibiotic course.Secondly, get your blood sugar tested to see if you are diabetic.Hope this information helps. Feel free to ask if you have any doubts.With regards,Dr. Sridhar Reddy | |
Suggest treatment for severe back pain
My daughter is 50. She hasn t had a period for 7 years. Experience pain in back, arms, can t sleep, hot flashes. Looking for a Specialist that knows about extreme cases of menopause. She is hysterical - all she does is sleep and cry. Has too many symptoms to list. We live in Claremont, CA | Dear; I understand your concern, there are a lot of options, hormone and non hormone supplements. Mood swings are part of the process with depression or anxiety . The best way is to start with a healthy diet, do exercise at least 3 times a week for 30 minutes, consult all her complaints with her primary care doctor and she will have an improvement. She is sleeping too much because of her depressive mood however, we always need to do a complete blood work to check for thyroid, anemia and other basic medical problems.Thanks for using our serviceDr Sara | |
Blood report showing elevated levels of SGOT, SGPT and cholesterol levels. Is this a problem?
Had to go for a full body check up for a comprehensive insurance scheme for my company and the results are thus: 1. SGOT: 69.7 U/L 2. SGPT: 27.2 U/L 3. Total Cholesterol: 218.3 mg/dl 4. Triglycerides: 219.4 mg/dl 5. PCV: 48% 6. HB: 16.0 g/dl 7. WBC: 10,400 cmm 8. ESR: 6 mm/hr Saw values of SGOT/SGPT seemingly higher than what is shown online. Though the doctors didnt say much on this, and only mentioned elevated cholesterol, I seem worried. Is all ok? | Hi, Thanks for using the HCM. I am happy to address your questions, the normal range of values for AST (SGOT) is from 5 to 40 units per liter of serum. The normal range of values for ALT (SGPT) is from 7 to 56 units per liter of serum. AST (SGOT) is normally found in a variety of tissues including liver, heart, muscle, kidney, and brain. It is released into the serum when any one of these tissues is damaged. The interpretation of elevated AST and ALT levels (which are not significantly high) also depends upon the entire clinical evaluation of an individual, and so it is best done by physicians experienced in evaluating liver disease and muscle disease. If there are no other symptoms hence he would have mentioned only on your elevated cholesterol which could be affecting your other organs, hence control on your cholesterol and a re-test after few months can be evaluated. Hope I have answered your query. If you have any further questions I will be happy to help. Thanks | |
MRI, blood work done, no orthopedic and rheumatologist can figure out. Have joint effusions. Arthritis negative. Suggestions?
I have already had mri's and bloodwork done and no doctors, orthopedic and rheumatologist, can figure out what is causing the issue. I have joint effusions and strain, constant pain and swelling in ALL my joints. All the bloodwork came back negative for Lupus and Arthritis ( all types). I'm constantly in pain, have trouble sleeping, bouts of exhaustion, strange rashes, basically all the signs of Lupus, yet I tested negative. I'm at my wits end! | No single blood test would confirm or negate a diagnosis of lupus or other rheumatc disease. Its only a rheumatologist who can figure out what you have exactly based on your symptoms and signs. So visit a rheumatologist. Sometimes making a diagnosis may be difficult at the initial stages of rheumatic disease since the picture may be similar in almost all diseases in their earlier stages. | |
Had brain surgery to remove a beneign tumor. Did another surgery for leaking spinal fluid. Now wants to sleep most of the day. Normal?
My husband had brain surgery to remove a beneign tumor. It was a nine hour surgery. Then nine days later he underwent another surgery to block a nasal passage that was leaking spinal fluid as a result of the first surgery. This second surgery was a four hour surgery. It is now five days later, and he is still very groggy and just wants to sleep most of the day. Is this within the normalcy range. He is 75 years old if this is a variable. | Hi,Thank you for posting your query.The recovery after surgery for brain tumor (the first surgery) and CSF leak (the second surgery) depends on multiple factors. Older age (as in your husband's case) is one of them, which delays the recovery. Recovery also depends on the location of tumor and any damage during the surgery. Occurrence of infection or electrolyte imbalance after the surgery (in the post-operative period) also delays the recovery.So, one has to be patient in the post-operative period, and take care of his diet and nutrition in addition to the medications, to ensure a rapid recovery. I hope it helps. Please get back if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
Suggest remedy for swelling in jaw line
I have swelling on the side of my face where my jaw line and ear lobe meet. Its in the front by the lobe. It started off small didn t bother me and now its itchy and purple. Right on my side at the end of jaw line. Its sensitive. I still have my wisdom but have never caused me any problems. | Hello Thanks for consulting HCM I have read your query . As far as swelling in jaw near ear lobe is concerned this can be due to infection of wisdom tooth , inflammation of gums or due to temporomandibular disorder. Dont be worried so much I will suggest you to consult oral Physician for examination and evaluation . Inmeantime do warm saline rinses , maintain proper oral hygiene . You can take medicin like Amoxcillin with Metronidazole by consulting with local doctor . Hope my answer helps you. | |
Diagnosed Hepatocellular carcinoma. Surgery done to remove tumor in liver. Tumors reoccurred. Taking nexavar. Suggestions?
Hi Doctor, My name is Umanath Rayar...my dad was detected with Hepatocellular carcinoma last july and undergone a surgery in liver to remove the tumors, operated by a Gastroentologist at Apollo hospital, chennai in august 2012. Two months he felt better...three months after we went for review...during that time we found out that four more tumors were grown around liver and pancreas . He is 70 now and cirrhotic liver condition. Now he is under medication, taking nexavar tablets. His serum bilirubin level is 4 now. your suggestions Doctor? | Hi. Well,you probably know how serious diagnosis is liver carcinoma, only more serious is when matastasis occur and it obviously happened. usually these tumors are seen during surgery,but it is possible that were grown in these 2 months also. Honestly, I have bad experience with such conditions. Usually we consider liver tumors resection if we have 2 or 3 well defined liver metastasis which dont invade blood vessels ,but unfortunately even when every tumor mass is removed, recidives are often. Four tumors localized intraabdominaly, near pancreas in patient with liver cirrhosis...this is inoperable for me.And I dont think that any surgeon would reoperate this. Now he should follow oncologist suggestions, have some chemotherapy if possible. Everything else is palliative. Encourage your dad and be supportive. Hope I have answered your query. | |
Suggest treatment for severe right hand pain
I started having pain in my right hand a year ago. It became worse about six months ago and now has moved to my left hand. Extreme pain at times at the base of both thumbs. I have tried Celebrex with no relief. I need answers soon. Its starting to effect my job YYYY@YYYY | Hello, I have studied your case.Due to compression of this nerve root there can be pain your arm and fingers .I will advise you to MRI cervical spine for better diagnosis.It can be due to various causes like sudden jerk to spine, due to facet arthritis, degenerative.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.Local injection may help if pain remains persistent.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with answer do not hesitate to rate this answer at end of discussion. Wishing you good health.Take care. | |
Suggest medication for pain and soreness in foot with lumped vein
i stand all day at work and 2 days ago i had pain on top of my foot it ways very sore when i reach home i looked at my foot and saw that a vein had lumped on the top of my foot. can you tell me what i can do to take the pain or make the lump in my vein go away. | Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to varicose vein.I suggest to use compression stockings.I also suggest using anti inflammatory medications such as Ibuprofen to relieve the pain.I recommend to rest and avoid activities that can trigger the symptoms. If the symptoms continue you should do an ultrasound of the leg for further evaluation. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
What causes scanty pubic hair during puberty?
Hi I am wondering about puberty. I got my first pubic hair when i was around twelve and a half and im now just turned 14. I have got sperm, I have started growing armpit air although only a few (not many). But my pubic hair around my penis hasnt changed a heap since I starte puberty. I have dark pubic hairs but not heaps of them like a bush. I am only 158cm tall so I am wondering if I am slightly delayed or something? | DearWe understand your concernsI went through your details. Body hair and pubic hair depends on the male hormones. In your case, you are just 14. Your have pubic hair. Many adolescents even do not have the pubic hair even at the age of 15. Heaps of pubic hair will appear only after 20 or so. Your body is not developed as a full grown adult. You are just a child with characteristics of adult. You must keep it in mind that, pediatrics is up to the age of 16. We consider you as a child before 18. Wait and watch and don't be upset on these matters. Concentrate on your education and career. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. | |
What causes sticky lumps in the armpit?
my fiance is 46, he has had a hard bump on his arm pit that hurts for like 3 days now, it's getting bigger, he just woke up and his armpit was sticky with kinda like a brownish pus. it has white little bumps that look like a pimple when its ready to be popped. do you know what it might be? | Hi.Thanks for your query.Noted the history about yiur fiance and understood the concerns.The hard lump of three days in armpit with brown pus is suggestive of an infected sebaceous cyst or a boil.I would advise him the following in such a situation.Consult a Doctor to get a clinical examination and a valid prescription of an antibiotic, anti-inflammatory medicine with a painkiller property.Get a reference for a General Surgeon to see if incision and drainage are required.Apply liquid povidone iodine locally. | |
Suggest treatment for chronic hepatitis and elevated liver enzymes
hello dr i m suffering from hepatitus my alt is117 & my bliurobin is 139 from last 2 months it is still condition dr advise me liver biopsy on the report comes and it shows (openion: Chronic Hepatitis with mild active no fibrosis) i already tested my hepatitis B & C which is negative now tell me what to do | Hi thanks for contacting HCM....Noted you have chronic hepatitis .....Your hepatitis b and c negative....So following can be the cause......-non alcoholic steatohepatitis-alcohol hepatitis -alpha 1 antitrypsin deficiency-Wilson disease-autoimmune condition-drug induce Rule out above causes by detail history and work up....From biopsy sections IHC or special stain can be done to rule out alpha 1 antitrypsin deficiency or Wilson dz Symptom of other systems also searched for.....If autoimmune condition present immunosuppressive drug needed.If abdominal pain and diarrhea with gluten diet then celiac disease ruled out....Meanwhile low fat diet needed.One tsp Cumin seed powder with buttermilk can be taken....Take care.If needed final treatment is transplantation..Dr.Parth | |
What causes rashes and bumps under nostrils?
Hi- my 13 year old has a rash under his nostrils. There are little red bumps but it is not itchy. It does not seem to be responding to mupriocin. That is all we have tried. He does get seasonal allergies and he has had a little bit of a runny nose which we are trying to treat with cetirizine. Can you suggest any thing else we could try ? | Its Acne which is common between 11 to 13 years of age...it occurs due to blockage of skin follicles...you may apply retinoid cream and antibiotic gel like erythromycin for local application...avoid sunlight drink more water | |
What causes pain and tenderness in knee?
I have ongoing pain, tenderness and knots at the side, bend of the right knee and the tenderness goes down from where the knot is. I had a vascular ultrasound which I was told was negative for blood clots. What else can it be? It has been going on for about a wee and getting worse, the area is enlarging. Thankyou | Hello, It may be due to knee trauma or injury. For pain you can take tablet acetaminophen. For further assessment you may require MRI knee after orthopedician consultation. In case of swelling you may require aspiration after orthopedician consultation. Use knee cap. Use support while walking. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Shyam Kale, Family and general physician | |
Q. A foul smell comes out of my nose. What could it be?
Hi doctor, I have a serious oral problem for 9 years or so. I am now 19. I have had this metallic taste in my mouth and white tongue, no matter how much I scrap and scrub. Some foul smell comes out of my throat. My mouth can be close yet this smell still seems to get out most likely through my nose. People close to me and people I trust say it is a fecal smell. I have been to the dentist and he told me that my teeth were fine. Brought tongue scrapers to no avail. Switched off the alcohol mouth wash. At a time in my life, I was brushing my teeth 6 or more times a day. To this day, I still brush my teeth four times a day spending at least 15 minutes in cleaning my mouth. My mouth never feels fresh. I have spent countless money on dental products yet nothing has changed and the problem seems to get worse with age. I am all out of options. I need some advice on what to do and some sort of diagnosis or at least a point in the right direction. | Hi. Foul smell is formed by bacteria. So, it is seen in conditions where they are residing for a long time. Normally our nose and throat have commensals and they get washed away by our normal secretions of the nose and throat. Bad smell in nose is seen in conditions like, atrophic rhinitis and pharyngeal web or diverticulum. Atrophic rhinitis, in which it smells bad. After some time, the patient does not get bad smell and only the people around get it. It is a nasal disease and can be diagnosed by examining nose. Pharyngeal web or diverticulum is a condition in which a small pouch is formed from pharynx, away from normal tract. So, whatever you eat, a part of it does not go to the stomach below and escapes into the pouch. It stays there for some time and automatically comes back in pharynx and goes stomach. In this condition, due to retention of food bad smell is produced. For further information consult an ENT otolaryngologist online --> | |
What does stabbing pain in knee suggest?
I had an injury to my right knee and right shoulder. I am having an issue with my right knee for the past couple days. it feels like a pulled muscle, and when I stand up and try to walk its stabbing kind of pain and it also feels like the muscles are fixing to snap. My question is should I get it checked out? | Yes you must see an Orthopedic or physio and go for mri scan this could be problem in soft tissue like meniscus and ligament | |
Q. I had sex on the 12th day of my cycle. Could I be pregnant?
Hello doctor, I had sex 11 days after my period. Today is my expected date of period, but I did not get it. I am having white discharge. Am I pregnant? | Hello. Revert with more information to an obstetrician and gynecologist online --> | |
What causes chest pain with 30% of blockage?
My wife just had an arteriorgram via the wrist. She had chest pain and received relief with a nitro spray. She has been diagnosed with Atrial Fib. The cardiologist found a 30 percent blockage. He said this was not sufficient to cause her chest pain. Where do we go from here to determine what causes her chest pain? | Hello and welcome to 'Ask a Doctor' service.I have reviewed your query and here is my advice. It's unlikely to have chest pain with 30%, now there are two possibilities, one is gastritis which mimic heart disease and do respond to nitroglycerin spray. For that try tab pantoprazole once a day before breakfast. Also avoid hot, spicy, oily food. Avoid heavy meals instead have multiple small meals and don't lie down immediately after meals instead have walk for sometime. Second possibility is blockages small vessel disease which is difficult to pick on angiography which will also respond to nitroglycerin spray. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar Makode | |
Do women ovulate while taking birth control?
Im on nortrel 7/7/7 birth control. My boy friend and I had protected sex on the 8Th of this month. He did not ejaculate. I do not eat as much as I should. More like 1 full meal a day. Do I ovulate on bc? And do you think I should be worried about pregnancy? My period is suppose to come on the 30th. I m very nervous. I'm not feeling weird or anything just my stomach. The doctor took a test last week and it came back negative. Could that have been too early as well? | Thanks for query on HCM.If you are taking your birth control pills regularly then there are no any chances of pregnancy even if unprotected sex at any day.Urine pregnancy test is ideal after at least 8th day of missing cycle.Wait for next cycle,then start your pills again regularly.Keep in touch with your doctor. | |
Suggest medications for rash due to lipomas
I had 4 lipomas removed from 3 incisions, 2 in May and 1 in July. I have had a rash in the area for over a month now. My dr has tried prescription cortisone and referred me to a dermatologist who gave me a different steriod cream. After two weeks, the rash is not any better. Any thoughts? | Hi, It could be an infected rash. I would recommend you to apply topical antibiotic like Fucidin acid cream on the affected areas twice daily. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist | |
Suggest treatment for leg weakness with limping in leg
I am a 61 year old male I believe to be in excellent health. The only surgeries I have had is shoulder surgery. For the past several months I ve noticed a gradual limp with my left leg. It s fine in the morning. As I walk on it, it starts to become weak feeling. Left leg feels heavy, almost weighted down. When I lay on my back and raise my left leg straight out, it is weaker than my right leg. When walking rapidly, left leg seems to almost lose control and wants to turn outward. I have had minor chronic lower pain for many years, no surgeries so far (too many auto crashes). Rarely I have minor left knee and hip pain. I attribute this to regular age related pains. When standing to put on pants I can t raise my left leg as high as my right leg without minor discomfort. Help | Hi, I had gone through your question and understand your concerns. I think from your description of your problem, the probable diagnosis is lumbar herniated disc disease. I suggest you to consult a Neurologist and to discus the possibility of imaging study of your lumbar column (MR scan). You need plain radiographs of lumbar column as we'll, since there been trauma, to evaluate any bone damage. Th treatment depends on imaging studies results. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. |
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