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Positive osmotic fragility test, beta thalaassemia trait with or without alpha thalassemia 1. Explain
Hi, I am 34 y. Ferritin 582.4, flag High (ref range 23.9-336.2); iron (serum) 122, flag Normal ( ref 45-182); TIBC 331, flag normal (ref. 228-428)Hemoglobin type A2AHb A 93.8 percentHb A 2 : 5.3 percent , flag High (2.0-3.5)Hb E : 0 percentHb H : 0.9 percentHemoglobin (Hb) 12.9, Flag Low ( ref. 14.00-18.00)Hematocrit ( Hct.) 41.6, flag Normal ( 40.00-54.00)MCV: 64.7 flag low,(80.0-96.0)Osmotic Fragility Test: PositiveInterpretation: Beta thalassamia trait with or without alpha thalassemia 1.Please kindly what is my health condition for thalassemia and treatment should be taken. | Hello and welcome to HCM,Thalassemia (thal) is a blood related disorder.It is of two types- thal beta and thal alpha.Depending on the severity of the disease, it is trait, minor or major.Heamoglobin molecule is made up of two pairs protein chain called - alpha and beta.A decrease or absence of any one of these two pairs causes alpha or beta chains.So, in your case there is involvement of beta chain.If the beta chain is completely absent, it is called thal beta major.If the chain is present but in lower quantity it is called thal trait or thal minor. The trait is first detected at the age of 34 years in your case.It was not symptomatic during your childhood and adolescence so there is nothing to worry.Hemoglobin level is also marginally low so nothing practically needs to be done.Thanks and take careDr Shailja P Wahal | |
Suggest treatment for cellebellar vermis lacunar
my father who has been daibetic past 18 yrs always under control .he also has parkinson s from last 12 yrs .He had dizziness and was unable to walk ,Doctors said that there is a a small clot at vermis it is called as Cellebellar vermis lacunar acute infarct .Doppler test showed 50% blokage in the nerve of his neck . He was unable to walk for 2 days but now he does with support .Will he be able to walk /balance and will that clot improve with medication. Your help is appreciated. | Hello, Physical therapy is necessary for further improvement after brain infarction. Blood pressure should be maintained under control besides the diabetes. Blood thinners also should be used to prevent recurrence of infarction and to reduce the clot.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Erion Spaho, Neurologist, Surgical | |
Swollen toe, dark purple colour. Is it because of shoes? Treatment?
Hello, today when I woke up I kept scratching a spot on the side of my big toe , I just assumed it was a mosquito bite and it was really itchy. However, during the day it started getting extremely sensitive so that when I touched it, it would hurt so much and walking with my shoes hurt too. Tonight when I checked the spot again, it had swollen and turned a dark purple color with a vein or blood vessel or something sticking out. I have no idea what happened? It may have to do with the shoes I wear everyday but how do I heal it? Thanks! | hello, The probable cause of the swelling might be an infection with cellulitis.better consult a doctor and in the meantime I will put you on T.Chymerol Forte before food thrice daily with an NSAID to relieve the pain and an antibiotic DalacinC twice daily.try to avoid wearing shoes till the lesion subsides and also monitor your CBC and ESR. | |
What could be the WBC level indicate in blood test when having pancreatic cancer?
My husband has unrespectable pancreatic cancer...his wbc is 4.4, his lymphocytes are 0.4, his granulocytes% is 86.0, his RBC is4.04, his hgb is 11.0, hct is 35.3 and mchc is 31.2....I m very concerned...his nurse practitioner did not explain these to me...any help will be appreciated...my emails is angelicgaston @yahoo.com...thanks | Thanks for your question on HCM. I want to ask you few questions first.1. Does your husband on chemotherapy? 2. Does your husband have fever?His total WBC count is on slightly lower side. And this is seen when patient is taking chemotherapy. As chemotherapy drugs are immunosuppressive in nature, low WBC count can be seen. His neutrophils are very high, so of he is having fever than chances of bacterial infection are high.Otherwise report is good. | |
Which medical specialist deals with chronic fatigue?
Hello I am a 20 year breast cancer survivor . I had Inter ductal carcinoma, my treatment included a lymph node dissection, radiation, lumpectomy, chem0 and tamoxifin for 5 years. Now at 67 I started with a tremor in my left hand and leg and have hypothyroid disease and and have been diagnosed with parkinsons disease. I have fatigue and the only meds im on is 88mg of levoxl. I had blood work done to try and figure out why I have chronic fatigue. My ques is what specialist do I see to figure out how to get me some energy? I do not have ovaries as I had a hysterectomy in 1992 and my breast cancer was diagnosed in 1994. 1994. | Hi, dearI have gone through your question. I can understand your concern. You have multiple disease. Your fatigue may be due to parkinsonism, hypothyroidism or menopause. You should consult general physician. He can treat all the disease you have.Consult your physician and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Minor abdominal pain, cholelithiasis
Hi, I went to an urgent care center because i have been having minor abdominal pain . I was thinking it was gas pains at first. I had a ct scan today and the results read that the gallbladder is distended with faint increased attenuation within the lumen of the gallbladder that is suspicious for cholelithiasis. There is also a hazy appearance to the fat about the gallbladder. The urgent care center nurse said i should see a doctor today but I am leaving on a move up north from Florida tomorrow. I thought if i really watched my diet i would be ok until i get there. Should i postphone the move? | hi.. mild abdominal pain and the detection of gall stones incidently is not the indication of emergency.. but these stones if it moves out of the gall bladder and may cause obstructive jaundice.. see your gastroenterologist for this.. for mild pain.. which you are suspecting acidity can be managed by antacids... see your physician for that..all the best.. | |
Could persistent, dull pain in lower abdomen by due to diagnosed MCTD?
I've been diagnosed with MCTD. I've had a persistent, dull pain on the lower right abdomen for several months. All tests for infections and/or cysts are negative. Currently being tested for gallstones as the culprit. Could this be caused by the MCTD medicine I take? | Hi. MTDC and its medicines can cause this type of pain, yet it is important to locate the cause.I hope you have undergone a CT / MRI scan of the area. A good clinical examination is also of utmost importance as the information one gets may not be seen in any of the tests.Please be examined by a Gastro-Surgeon, telling his your history of disease and treatments so far. | |
What causes fever even after taking antibiotic therapy?
My son was diagnosed with right basal pneumonia 3 wks ago. He was given zithromax for 3 days. 4 days after the end of medication, he again had fever. After having blood test, it was found out that infection was high again. He was prescribed with augmention for 7 days. 5 days after the medication is done. He is again having low fever. Could it be that medication is not enough? | HiWelcome.I also think so.It must be either the medicine is inadequtely dosed or it may not be right antibiotic or there might be some othe focus of infection. Get a culture sensitivity of all the sites suspected to be infected, be done. Then treat accordingly. God bless. Have a nice day. | |
Can heart issues cause pain in the middle of chest?
I have always had asthma that gets worse usually twice a year when grass seeds. This year is has been a lot worse, my doctor did a breathing test and it showed I am getting enough air in but not fully exhaling. I did have improvement after inhaler was used. The recommended dulera twice a day- this caused throat swelling so I can not use it plus it really didn t give me much relief. Lately I have had severe chest tightness and pain in the right rib and shoulder. They put me on Adderall and Progesterone about a year ago could this be causing heart issues. I have been on Synthroid probable 6 years now. What is really concerning me is I take my inhaler before I run, I can walk at a fast pace with no issues but when I begin to run I get extreme pain in the middle of my chest and right shoulder. The pain goes away when I begin to walk again. Could this be heart related? | Hello dear, thanks for your question on HCM. In my opinion your central chest pain is more suggestive of GERD ( gastroesophageal reflux disease ). But better to rule out cardiac cause first. So get done ecg. If ecg is normal then GERD is more likely. You are also having worsening asthma.This also favours GERD more. Because uncontrolled GERD can lead to worsening of asthma. So better control of GERD is needed to achieve good control in asthma.Try to follow these lifestyle modifications for better symptomatic relief in GERD. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Start Proton pump inhibitors. 5. Keep 2 - 3 pillows under head in bed to prevent reflux. 6. Go for walk after meals. Don't worry, you will be alright. | |
What could be done for the decreasing oxygen levels having tiredness and fatigue?
My oxygen is running at 82-86 daily, I am always tired and get very fatigued instantly. I have been checked by heart doctors and pulmonary doctors. They tell me there is nothing wrong and live with it. I don t call this living. I am 57 years old , 5ft 6in. tall and weigh 210. I have gained 15 pounds this winter, I have no energy to do anything. 2 years ago they put me on a C-PAP thinking that would help,still nothing, was rechecked this month with no new results. am getting very annoyed. Did a stress test. saying I have low level o2 when I walk slow and medium but when I work harder the o2 improves. What could be causing this. I need answers. | Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of bronchitis, interstial lung disease (ILD) and Pulmonary embolism is more. So better to get done fresh reports like 1. PFT (Pulmonary Function Test) for the diagnosis of bronchitis. 2. HRCT (high resolution CT =thorax for the diagnosis of ILD. 3. CT Pulmonary Angiography to rule out Pulmonary embolism. Oxygen saturation of 82-83% is considered low and should be evaluated to rule out above mentioned causes. Better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suffering from ankylosing spondylitis. Prescribed infliximab rimecade, pain returns after temporary relief. Permanent cure?
M25 years male 85kg I have Ankylosing spondylitis I received treatment ( infliximab rimecade 100mg) as the following dose (0-2-6_and then every 8weekes)after finished the first dose I become better but after 5weekes from third dose the pain return as the same as I was before treatment . And I received fourth dose before the time and the pain was gone 5weekes later the same pain started again . I consulted a doctor in my town he told me I should take 3mg/kg means i have to receive 200mg every 8 weeks. Please dear doctor I need your consultation. thanks | Hello The recommended dosage of infliximab is 5 mg/kg as intravenous infusion on 0,2 and 6 weeks and then 5 mg/kg every 6 weeks in ANKYLOSING spondylitis. For the proper treatment ,you must consult a rheumatologist and abide by his instructions. Thanks | |
Suggest treatment to repair internal scarred facial tissue
i had a face treatment performed called thermage a year ago, after thetreatment i had a panic attack, felt it was going too tight did not sleep or eat and the left side dropped tightening just the lower jaw as it was a 6 month tightening period i tided desparately to stretch it back and now i am left with ridges under my skin only on the side i stretched, its like hard grissle it has led me to suicied as no one can really see but ican see the damage as its my face is there anything i can do to repair the internal scared tissue damage? | Hi, Thermage is a laser treatment, if there is no scar outside, there cannot be a internal scarring. So nothing to worry. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Saravanan, Cosmetic & Plastic Surgeon | |
What causes higher level of SGPT/ALT?
Hi I just had a blod and urine test and my SGPT/ALT was 93. My SGOT/AST was 46. I am 43, 5 9 at 210lbs. I am a weight lifter/body builder. I lift pretty aggresively.I haven t had any type of supplements in over 5 months.I just had my 2nd shot of a series of 3 for hepititus. I only dink 2 or 3 beers every 2-3 weeks. Any thing to worry about? Should I get a follow up test. I had these test done because i had a sore throat and the Dr. was worried about mono and strep. Thanks. | HelloIncreased SGPT/ALT indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes etc.It may be related to beer intake in your case.SGOT is non specific and it increases in many conditions.You should avoid beer completely.You may need few more investigations like routine hemogram,random blood sugar,lipid profile,viral markers,ultrasound of abdomen.I also suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It helps in regeneration of liver cells.Get well soon.Take CareDr.Indu Bhushan | |
What causes irregular heartbeat with muscle twitches?
Hi, Lately i have had som odd symptoms. I feel my heartrate has been more irregulare lately. Also i have had alot os muscle twitches. They kan be big or small, from one to a prolonged twitching. I have also felt creeping in my skin, usally going from my neck to my head. Sometimes other places. I have also felt inner tremors at night. I usally wake upp i the middle of the night feeling vibrations coming from inside my body. Usally the chest area and armes. My puls feels normal though. I have had these symptoms ( exept for the tremors) before but alot these last weeks. I also hade rashes before but nothing like that lately. I have felt som anxiety about my university applikation and my fathers death this year. I have thought it might be psychological but ime scared it might be something else. I havent seen a doctor about it yet. I saw a doctor about the rashes before and they said it might be som sort of allergic reaction. What could these symptoms be related to do you think and what can i do about it? | Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, your all symptoms are mostly due to stress and anxiety. But better to first rule out heart related diseases like arrhythmia (rhythm disturbances in heart) as this can cause similar symptoms. So get done ecg, 2d echo and Holter monitoring (24 hours continuous recording of ecg). If all these these are normal then no need to worry for arrhythmia and other heart diseases. Possibility of stress and anxiety is more in your case. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic and other supportive drugs. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks | |
Q. Why do I have a back spasm?
Hi doctor, I have narrowed disc in the center of back. There were no problems for almost a year. I usually do surfing, yoga and kung fu. But I woke up early around 3 AM last week with a super sore and stiff back. When I am lying down it hurts to cough, or I will roll from side to side. When I am getting out of bed, if I am upright, the soreness goes away. I can have a nap after lunch, and I do not have sore at that time. The pain in the back comes due to alignment and causes problems. But it resolves quickly. | Hi. The back spasm is due to excessive activity that could have aggravated due to faulty posture in the bed. Do a lot of icing. Stretch your back and your hip flexors. Do spine extension like cobra stretch. If you can, engage in glute stability exercises and do warm up and cool down. Hope this is helpful for you. For more information consult a physiotherapist online --> | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Suggest ways of conceiving a baby
Hi I am 20 years old and I have 1 son who is 4 and me and my boyfriend has been trying to work on a baby for 3 years and we have been together 4. And I was wondering about taking the prenatal pills and my questions for you are. How much does the pills cost? Where can you get the pills at? Do your baby still comes out looking like you and your baby s daddy? And how long does it takes to work? | Hi.The pills will be quite affordable, and you should be able to get about 60 tablets (2 months supply) for anything around 5-10 $. You should be able to get the pills at any medical store, just ask for pre-natal supplements or take folic acid supplements. Haha, yes of course your baby will come out looking like you, or your babys daddy, or a mix of the two of you, the pill only helps with preventing growth and developmental abnormalities. The pills are just nutritional supplements, and provide the nutrients your baby needs to grow and develop within your womb, so it basically works immediately after being taken.Are you sure you are taking about pre-natal supplements? Or pills that make you more fertile?Best wishes. | |
What is the cause of bleeding?
Hi i am 31 and have had the mirena coil for five years. This afternoon my stomach became extremely bloated and aching. My husband and i had sex last night and after i bled quite alot which never usually happens. Is this possibly linked to my coil or a separate issue altogether? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I suggest you to consult a gynecologist as soon as possible as there are chances of misplacement of Mirena and cervical or uterine trauma. Urgent USG abdomen and pelvis is required. Hope I have answered your query. Let me know if I can assist you further. | |
What are the side effects of kamini tablets?
Hi, I am a 26 yr old male and addicted to kamini tablets for about a year now. I have 4-5 tablets a day, two tablets per dose. Plz tell me what are the effects on my health, my sex life and plz also tell me the best way to quit them. I also smoke more after having the tablets to enhance the effect. Thank you | Hi, Kamini is an over the counter Ayurvedic formulation intended for treating men’s sexual problems like erectile dysfunction and premature ejaculation. However there is no clinical study done to prove its safety and efficacy in treating such conditions. Moreover it contains opium as an important active ingredient which can cause euphoria, constipation, vomiting, dependence, addiction and withdrawal symptoms if stopped suddenly. You should avoid taking it. Its dose should be gradually reduced over several days under the supervision of a doctor to prevent withdrawal symptoms. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali | |
Q. I am having explosive diarrhea since three months. Please help.
Hello doctor,I am having diarrhea since three to four months. What actually is happening is I am getting large amount of water which is clear with small broken pieces of feces. Also, I can see tissue like (lace-like) mucus like things in my feces. I have abdominal discomfort when I do not defecate. My diarrhea is like expulsive and when I apply pressure at the coccyx, the water comes out explosively nevertheless, how many times I do this. After defecating, I have mild pain in my legs. I do not have obvious signs of dehydration but yes cheilosis is present and abdominal discomfort. I cannot have my meals properly. But, I feel hungry with gaps, I cannot finish my meal but then I feel hungry after an hour or so. I hope you help. | Hi. From your symptoms, you could have a chronic infection or inflammatory condition of the colon associated with malabsorption. It could be a number of things so we need to approach in a stepwise manner. If symptoms are associated with certain food intakes like dairy or gluten, it could be intolerance or allergy to these. Please get the following investigations done and let me know the results. That will help us narrow down the list and identify the cause. You have vitamin B deficiency which also suggests malabsorption. For more information consult a general practitioner online --> | |
What causes pain in the left side around the kidney area?
hi I have a pain in my left side around the kidney area not sure why I have this pain it came on suddenly?? it hurts when ever I cough or move that area. I did have a few alcoholic beverages last night but not much and I have not had a injury. my cough is not an issue im just getting over the flu but the pain in my kidney area is quite painful. | Hello Left side pain may be due to many reasons like renal calculus,liver or gall bladder pathology,musculoskeletal pain etc.You need proper clinical examination and few investigations.Investigations include routine hemogram,RBS,liver function test,urine RE/ME,ultrasound of abdomen.Ultrasound of abdomen is very important in you case,as it can exclude many conditions.Treatment depend upon findings.Get well soon. Take Care Dr.Indu Bhushan | |
What is the lump under rib cage along with loss of appetite and vomiting?
Hi. My 35 y/o boyfriend recently told me of a lump under his ribs on his right side. He can not feel it with his hands, but can just feel it. The last little while he has also been vomiting in the mornings and doesn't have the best appetite. Any thoughts? | Hi, dearI have gone through your question. I can understand your concern. He has lump under rib cage. It can be due to some soft tissue tumor like lipoma, neurofibroma or dermatofibroma. He should go for biopsy of that lump. It will give you exact diagnosis. Then he should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Received heart cath. Internal bleeding. Went into liver shock. Received blood. Is this rare?
My mother recieved a heart cath about a month ago and internally bleed throughout her body. Her blood pressure dropped. She was put into a medically induced coma . If that is even said right. She went into liver shock. Her kidneys shut down. She was losing as much blood as they put in. In all she recieved over 40 pints of blood. She had a second surgery out of nowhere. Her stitch in the artery would not hold. He grafted another piece of artery on. She survived that surgery when they said that it was possible for her to die. She is still in the hospital but out of I.C.U. Her kidney function may return and she is eating now.. My question is....Is this a rare thing? | if we are concerned with common peopole then it is a rare case but we are concerned with cardiac patient who comes to a cardiac surgeon then it no more remain too rare, these days aortoplasty, arterial grafting repair and even barbiturate indued brain comma are done to save the life of patient on the the operating table.i think you should hold hope and faith on your treating doctors after and all they are expert of what they are doing for saving life. wish you all the best . | |
Any suggestion to reduce pinching sensation in leg?
I was playing raquetball and i took a step and feel too much weight on one leg. And after 30 secs i felt a pinching sentation. That was yesternight and i woke up today, barely being able to walk on the leg. What happened? And what can i to relieve the pain? | Hi..You had a soft tissue impingement in your ankle...Nothing to worry...I suggest you to...Kindly do lot of icing frequently....Gentle massage over calf and muscles on outer aspect of leg...Gentle stretching over the calf...If possible roll a ice bottle under the leg...I also recommend stretching of gluteus, Hamstrings...Keep it compressed with compression bandage..Hope this is helpful for you...Kindly revert back in case you need any more help in this regard... | |
Suggest treatment for rheumatoid arthritis
hello i am a 48 year old the underwent interferion w pegusis treatment and have been dormid all the meds for RA will really effect my current illnesses. I am also on Cymbalta and 800mg gabapintin and have gerd takeing 40mg nexium? the test for Jan HCV again came back neg i also have hyperactive tyroyeds, What 2 do. start RA treat ment cuz it smoving uppretty fast???? HELP | Hello, The treatment in rheumatoid arthritis is done according to the severity of the symptoms. You need to consult a rheumatologist for proper assessment and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon | |
Suggest treatment for a painful lump on the buttock
Hi, I have a painful lump/pimple in my buttcrack, it doesn t hut when I defecate but is painful when I sit. I have tried applying topical treatment for a few days to no avail (antibacterial wet wipe, then cream for hemorrhoids and finally a compress with Salvon cream) . I am getting worried what should I do? | Hi, dearI have gone through your question. I can understand your concern. You may have some abscess or fissure or fistula. You should go for examination. By examination only you will get definite diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What is side effect of frequent masturbation?
Hi, I am mona from dhaka,bangladesh, I am 28 years old, My weight is 46kg & i am thin & bulky , I masturbate one a day, it is my old habit,I am not sex with a women yet, My penis size is 4.5' when it is eject, Now, my question is , Is my penis size is ok for sex? How can i stop masturbate??? What is the bad effect of masturbate??" | Hello, Clinically there are no proven side effects of masturbation. But you can have temporary less sperm count if you do continuous masturbation. Avoid stress and too much masturbation. Avoid smoking and alcohol if you have it. Maintain proper hydration and have a healthy diet. Hope I have answered your query, let me know if I can assist you further. Regards, Dr Shyam Kale, Family and General Physician | |
Q. Why am I having serious sleep paralysis with shortness of breath?
Hello doctor, I am having serious sleep paralysis. In it I feel like I can move my muscle a bit like slightly moving my finger or speaking short words like "maa". But I think I am hallucinating that too. Plus I am having acute bronchitis in this case and have to breathe through the mouth. So I have difficulty in sleeping as my mouth shuts automatically and have to wake up instantly due to shortness of breath. | Hello. As far as your bronchitis is concerned, I advise my patients to avoid smoking and take steam inhalation twice a day. I also advise syrup Phensedyl BR (Ambroxol and Guaifenesin) 2.5 ml twice a day for five days and tablet Allegra M one tablet at night for five days. If on clinical check up a bacterial infection is suspected I add Amoxycillin 500 mg BD for five days. You can share my opinion with your doctor and take medications with consent. To diagnose a condition of sleep paralysis I would advise you to get sleep studies done first. | |
Can infection cause high liver enzymes and low WBC count?
The past couple months I've been sick. I'm 19 years old. The doc said it was a virus...mono/strep came back negative. About a little over a week ago I went back in because nothing has changed, got blood work done..my white count was low-ish and my liver enzymes were high. I had a fever the weekend before I got the blood work done & took tylenol for it. My throat has been sore, coughing, yellow from my nose & sometimes from my throat, my ears have now started hurting...I'm on vacation currently. My doctor called today & told me more results came back and I have strep, and other elevations so he wants to see me as soon as I get back. Should I be worried something more serious is wrong? Or is this just a virus? | Hi, dearI have gone through your question. I can understand your concern. All viral infection can lead to increase in liver enzymes and lowering in wbc count. Please send me your all reports of liver function test, complete blood count and other so yhat I can help you further. Thanks for using health care magic. Wish you a very good health. | |
Am I likely to be suffering from an infection with abnormal bilirubin level?
hi sir i found in july that stone in gb , bilirubin 3.8 , sgot and sgpt near about 260 after this i admitted in hospital after recover bilirubin and sgpt and sgot . doctor suggest to remove gb and i have operated 25 days ago but now again my bilirubin is 1.08 and sgot sgpt near 96 why i have infection again and any problem in life after gb removal | Good day and thanks for your question. I do not think you have an infection. From the values you gave, its actually decreasing in value because we expecting a gradual reduction in the liver function test values. Lets give it more time probably in another 3 to 4 weeks and repeat the investigations.Are you having any other symptoms?Hope it helps. Kindly write me if any other issue.Thank you. | |
How to get rid of lump in my throat?
I have a growing lump in my throat, back in May 2011 it was checked for cancer and came back negative, since then i have had more soar throats then my combined life and can not stop coughing. it hurts when i lay down i feel like i am being choked and it is hard for me to eat i feel i have to fight with this lump to move over and make room for the food. not sure if it is related but this morning i was dizzy and black-out for 1.5 minutes. | Hello and welcome to HCM,A lump in the throat can be inflammatory, or neoplastic.Polyps are common lesions in the throat.Since, the lesion is causing difficulty in swallowing and breathing, it is necessary to excise the lesion.Before excision of the lesion, an imaging study of the throat is required to assess the site and extent of the lesion.Before excision of the lesion, biopsy of the lesion is required.Thus, consult your ENT specialist for clinical assessment and management.Thanks and take careDr Shailja P Wahal | |
Q. I have testicle pain after an episode of mumps. Please advise.
Hello doctor, I had mumps five months ago and after that, I started to have an infection in my left testes. It was swollen and now it has shrunk to almost half the size of the other one. As I am sexually active, I feel a pain in each of the vas deferens after sex. If I do not have sex for days, they become sensitive. I was treated with Ceftum 500 mg, the first time I had an infection. Now my question is, is there any chance that the infection is still in my body? And, do I need to get examined for it? For the time being, please suggest some precautionary antibiotics for my relief. | Hello. I can understand your concern. You had mumps and this is a viral infection known to cause an inflammation of the testis in some cases. Take care. For more information consult a sexologist online --> | |
3 years old baby suffering from Agyria pachygyria
About my son age 3yrs. healthy,he is suffering from AGYRIA- PACHYGYRIA COMPLEX (according to MRI ).He is getting 3 to 4 attacks daily,taking medicine SOVAL 2.5ML,TEGRETAL 5MLtwice a day. | Agyria-pachygyria is a disease of neuronal migration characterized by total or partial absence of sulci and thickened cortical mantle. Pachygyria was considered as a less severe form of agyria-pachygyria complex and had a broader spectrum of clinical features than agyria . In many cases, agyria and pachygyria coexist in the same patient. Although some of these disorders have a genetic basis, the cause of the migrational arrest is still unknown. Seizure and development delay are the most common presentations. These patients are always retarded in motor or intellectual function. The advent of CT and MRI have made the diagnosis of agyria-pachygyria during life possible. In addition to neuroimaging studies, EEG abnormalities are also helpful in the diagnosis of agyria-pachygyria These abnormalities in agyria-pachygyria described previously including generalized high amplitude fast activity, high amplitude sharp- and slow-wave complexes and an alternating pattern consisting of bursts of sharp waves alternating with periods of electrocerebral depression. Agyria is often associated with dysgenetic syndromes such as Miller-Dieker (A developmental defect of the brain caused by incomplete neuronal migration and characterized by smoothness of the surface of the brain (lissencephaly) occurring in association with absence of the sulci and gyri (agyria) and thickening of the cerebral cortex with four rather than six layers (pachygyria), microcephaly, characteristic facial appearance, retarded growth and mental development, neurological complications, and multiple abnormalities of the brain, kidneys, heart, gastrointestinal tract, and other organs.) and Walker-Warburg (cobblestone lissencephaly II). do continue with this medicine attack will reduce | |
What causes pus filled spot on scrotum?
On my scrotum there is what appears to be a puss-filled spot, although it's solid. There are one or two of these - close by there is a much larger blister like version that isn't white capped as if it had puss in. In no way does it seem to be connected to the testicle. | Hello, Please visit a general surgeon/urologist for the opinion. You may be having a sebaceous cyst on your scrotum area. this needs to be surgically removed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr SHOBHIT KUMAR PRASAD, Psychiatrist | |
Suggest treatment for fatigue , chest pain and headache
hello I am a 37 yet old female three days ago I became very fatigued and woke up the next morning with severe chest pain and over the past few days I have accumulated some other symptoms including headache palpitations burning pins and needles in my hands and feet some times my chest pain is accompanied by pain under my left shoulder blade I have had two ekgs two ex rays blood work all to come up negative it does get worse with lying on my back and when I exert my self even walking in the store however I sleep on my left side and when I wake in the morning I feel relatively well but Seem to go down hill rather quickly and today the burning pins and needles (that come and go like the chest pain generally in sink with all the symptoms) are seeming too spread up my arms and legs the doctor put a halter monitor on me and has me scedualed for and Echo Wednesday I m at a loss as to what to do | Also get yourself evaluated by a neurologist, such that nothing else is missed. Hopefully you have yourself diagnosed. | |
What causes a rash on the back,collar bone,neck and face?
ive recently broken out with a rash on my back,collar bone,neck and face. they are little red bumps with a white head...like a blemish. It itches and bruns. two weeks ago i had an allergic reaction to an antibiotic in which they gave me another antibiotic shot along with prednizone. i believe all of that is out of my system,but now i have this. Any ideas?Dawn | Hi,You may be having photo sensitive dermatitis most probably.Consult the Dermatologist for the perfect diagnosis and proper treatment. Avoid sun exposure.Avoid contact with suspected allergens.Take a course of steroid in tapering dose under observation of doctor.Take antihistaminic. Apply mild steroid cream.Hope this helps.Dr.Ilyas Patel, Dermatologist. | |
Is it advisable to use inhalers in a 8 year old?
Hello, Doctor, My son is 8 1/2 yrs old. he was suffering from cold last week. He had been taking Budamate 200 rotacaps since 8 months. Is it safe using this? Last night he could not sleep due to Cough, and now today doctor has advised us to use Levolin Inhaler for 5 time after 2 hrs. gap. Do you think is it right to take these inhalers? are there any side effects for this?....Pls. advise, I am very upset...!! | Suggestions:1. There are certainly alternative management therapies in allopathy now-a-days. Medicine has advanced a lot and not asthma is 100% controllable.2. Inhalers are the newest management strategies for this. If I were your paediatrician I would have suggested the use of Budamate metered dose inhaler (100mcg) 2 puffs twice a day through a spacer and this is for regular use for 8 weeks. Another metered dose inhaler is Levolin and this can used as rescue therapy whenever the kid is having severe cough in spite of regular usage of Budecort. The technique is very important and very crucial for the drug to be delivered correctly to the lungs. Regularity of medicine usage also matters a lot. So do not discontinue abruptly after you notice some improvement. The technique of administering an inhaler using a spacer has to be taught to you by your doctor and these are prescription medicines. So I suggest you consult your paediatrician for this.3. Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ un-cleaned a/c vents/ cold weather etc....we can specifically say this is the cause - unless we observe the kid closely - best person is the parent.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
What causes intense thirst and weird smell to his breath?
I have a 2yr old that just started having seizures. He has had 3 in 2 months. He also has intense thirst and has a wierd smell to his breasth. Is it possible he is diabetic? we have a neuro concult on Aug. 9th just wondering if i should bring this up as one of my concerns> | The most common cause of bad breath is poor oral hygiene.Bacteria that build up on a person's teeth, tongue and gums can cause plaque (the soft, white deposit that forms on the teeth's surface), gum disease and tooth decay.Eating strongly flavoured foods – such as garlic, onions and spices – is likely to make your breath smell.Some types of medication can also cause bad breath. Is he on any medicines ? Dry mouth, also known as xerostomia, affects the flow of saliva. A lack of saliva can cause bacteria to build up in the mouth, leading to bad breath.In some cases, gastrointestinal conditions may cause bad breath. For example, H. pylori infections (bacterial infections of the stomach lining and small intestine) and gastro-oesophageal reflux disease (GORD) have been linked with bad breath. I have briefed the few conditions causing bad breath. TO your doubt if he is diabetic, I would ask if there is any family history of diabetes and of course check his FBS, 2 Hr PPBS and HbA1C and decide. Intense thirst,appetite and frequent urination can make one think of diabetes.For seizure as you said, an EEG will be useful and your doctor will ask . Please get back to me with more doubts.Regards | |
Is pregnancy possible through pre-ejaculatory fluid?
Good afternoon, I am a virgin but yesterday I was having "relations" with my partner. There was no complete penetration but I have heard pre-ejaculatory fluid and my last period ended more or less on November 26. I wonder what the chances are that I can get pregnant? | Hi, In few studies, pre-ejaculatory fluid was shown to contain sperms. however, other studies found opposite results. Therefore, the chance of pregnancy is extremely low, if at all. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sujoy Dasgupta, OB & GYN Specialist | |
Suggest treatment for ischaemic heart disease
My father underwent an echocardiography,that revealed Ischaemic heart disease.Doctors are suggesting Enjiography,which can t be afforded right at this moment for monetary problems.Can you pls prescribe medicines for the time being to continue with. | Hello, Your doctor on the recommendation for coronary angiography. Anyway, I would like to review your cardiac ultrasound report in order to give a more professional opinion. In the meantime, I would recommend taking a daily aspirin to help prevent future myocardial infarction, taking statins in case of high cholesterol levels and avoid straining physical activity. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | |
Is Finabald tablet an effective cure for hair fall?
For Hair fall treatment my skin doctor advised me to take Finabald & Folgroom tablets... After that his clinic has been shifted to another place so i cannot consult him evendays. still im having those tablets and it produce good results.please advise shall i continue it?Thanks, Kamal | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You can take Finabald tablet for up to 6 months. But you should consult your Dermatologist immediately in case of any undesirable effects. You can take Folgroom tablets for a long period of time without any worry. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian | |
Under infertility treatment, taken HCG shot. Will the egg be released?
hello, im under infertility treatment. I was given 3 fsh injections and on day 14 my follicle size is @ 35 mm and endometrium thickness is @ 11 mm. Now I had a HCG shot 10,000 units. Could you please tell me whether 35 mm size can release a egg and could it be still a follicle or just a cyst? FYI - I had a laproscopy in order to puncture my cysts 2 months back... | Hi, 35mm follicle might be just be a cyst. But more importantly, if you didn't have cyst in previous scan of this cycle, it might indicate corpus luteum (formed after follicle is ruptured). Considering the second optimistic property you can go ahead with treatment. | |
Will taking solian tablet bring me out of hallucination ?
hello, i don t know how to ask.i have a problem with my brain from 4yrs ago,i had some halucinations and my doctor told me that is a psychotic episode,i am in deppresion fase 2,close to schizophrenia and gave me solian..i stoped this treatment from january cos i wanted to know how i feel and the trues is i am ok except that my brain is still vibes and is in pain most of the time.my question is ..can be posible to have a wrong diagnosis? cos i never heard about any depression or schizophrepia with pain and vibes and wich starts on 33yrs old.and i feel on my brain all my emotions also,in different locations.now i am 37 and i know that when i started to going crazy i was nervous,not depressive.excuse for my english and thank u. | Thanks for the query If your question is whther the initial diagnosis was wrong then i think it is highly unlikely because u did have hallucinations and it definitely improved after taking the medication and it looks like u r in relapse now after stopping them. It is a little risky to stop the medications on your own a= If your question is since you are 37 is there any other cause for your bodily pain then yes it is possible that there might be another cause for the pain. In either case please see your doctor and dont take independant decisions. Have a healthy living | |
I have been getting small patches of dry skin on my upper arm. Is there any thing I should may be do ?
hi doctor , i m 15 and for the past year i have been getting small patches of dry skin on my upper arm, and recently i woke up with a large (about half the size of the palm of my hand) brownish patch of dry skin on my breast, its not itchy but sometimes a little sore , is there any thing i should may be do or anything it might possibly be ? | hello dear ur problem is not looking grave it looks as if u r most probably suffering from dry skin . u can apply lactocalamine.or it could be fungal infection. Visit a dermatologist. | |
What causes lack of motivation and mood swings?
I am researching behavioral information on my daughter. Based on research but not an evaluation yet, trying to better understand her moods, impulsive remarks (sometimes no sensor), lack of motivation, concentration, follow through, and her blaming parents, mostly me, the mother, for everything she feels has gone wrong. She's in therapy, tried anti depressants (wont consistently stick with medication, and stops taking it. Makes her feel sluggish). She has a poor diet, sleep issues and very little exercise. No one has figured this out yet. Any suggestions will be appreciated. I know a diagnosis can't be made. | hi and thanks for quetion.i think your daughter has major depressive disroder as per your symptoms. i will prefer start antidepressent like escitalopram or desvenlafaxine with if required than anxiolytic for sleep disturbsnce. her mood will improve about 50% than start psychotherapy according to psychiatrist advise. thanks | |
What causes kidney pain and change in smell of urine
pain in left kidney since last night..lower back kind of throbbing pain Also for the last few months change in smell of unrine..not all the time but alot of times is strong smelling and I have a bad taste in my mouth when I do. Does any of this sound familiar? | Probably you are suffering from urinary infection where you may get loin pain foul smelling urine. You should go for complete urine examination and urine culture for further management. All the best. if you have any questions feel free to contact me. | |
Rash on neck, bumps on arms and upper lips, swollen. Taking pills. What could be this?
My mom has a rash started on her neck then spread then got on her face then got pills and it help but she waited months to do that then she got cream but couldnt put it on her face after the pills she started getin bumps on her arms the her lips became really dry and red and swollen n now she has red dots/bumps on her upper lip and her face got tight. Do u kno what this is? | Rash on the face.upperlip.arms is pmle.use sunscreen in the morning and steriod ointment i n the night.rule out anaemia | |
What causes nausea,stomach pain and dark patches under eye?
My daughter aged 9 has been feeling nauseous for 3 weeks now on and off. It is usually worse in the morning and she wakens with stomach pain. I had her checked a few days ago by the doctor who prescribed dicycloverine hydrochloride. This seemed to help at first but her pain has returned. What is concerning me most is that she has dark patches under her eyes and on her hands. Is it likely just colic like the doctor thought or could there be another reason for these symptoms? | Hello, Your daughter may be suffering from a depression or stress, you should seek an advice from a psychologist in the first place. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Salah Saad Shoman | |
Does gall stones cause heartburn and constricted feeling in throat?
I have been getting a slight heartburn sensation for approx. 1-1/2 weeks off and on throughout every day. There is also a feeling of something stuck at the base of my throat in the hollow on occasion. The heartburn is not consistent with anything in particular (e.g. food, drink, lying down, etc.). I recently had a CT to check my complete chest to lower abdominal area, which came back normal. An U /S in the recent past noted a couple of tiny stones in my gallbladder. I had this same situation some years ago which eventually disappeared. I am at as to what other searches I can do for these symptoms. I am wondering if gallstones (even if tiny) can bring on symptoms of this nature. Where do I go from here. | Hello Heart burn and constrictive feeling in throat may be due to gastro-esophageal reflux.It is most likely not related to gall bladder calculi.You may need upper GI endoscopy.You may need combination medicine of proton pump inhibitors and domperidone.You also need definitive treatment of gall bladder calculus i,e surgical removal of gall bladder(cholecystectomy).Gall bladder calculus is prone to infection and obstruction,so it is advised to get rid of calculus early.Take CareDr.Indu Bhushan | |
Does posterior cranial fossa arachnoid cyst cause memory loss and ADHD?
I am a 26 year old, 285lb male who was recently in the hospital for attempted suicide. They did a CT scan and radiology determined that I have a Posterior Cranial Fossa Arachnoid Cyst, and I have been having headaches for 20 years straight. The doctor never told me. Now I am my balance continually, having nausea in the evening, and severe troubles focusing and able to remember. I was diagnosed ADHD and take Amphetamine*Salt 90mg daily. I also take Seroquel for other reasons at night. Is this cyst the cause of my problems? | unlikely. arachnoid cysts are present when you are born as they are a result of a malformation of arachnoid tissue. they can be massive but are always asymptomatic. you should look to other areas as the source of your symptoms | |
How to treat PVC during pregnancy?
Hi, I recently started having PVC's a little over a year ago. The dr was able to see them on the EKG. The dr said that they increase with stress and pregnancy. I did expreience them in the 2nd trimester of preg and then they stopped. I am now 6 weeks postp. and I started having them about a wk ago. More noticeable at night and in the morning. I am concerned, they are scary. My sleep has obviously changed and stress level. Is there anything I can do for them? | Welcome to HCMMany cases of palpitation are benign, especially when associated with normal ECHO and may not require treatment. If you also have symptoms like blurred vision, dizziness, loss of consciousness, shortness of breath, chest pain along with this, you need further work up and treatment… The treating doctor alone can suggest better depending on need, based on his assessment of the situation. Regards | |
Can Clonidine be taken for high BP?
I already take Diltiazem and Hctz for blood pressure. It has been 5 wks since I had Kenalog 40 mg in both shoulders. Have fought blood pressure since then. Dr just prescribed Clodine just when BP climbs iver 150 on top and 90 on bottom. Did not say anything about pulse, which races. Right noe it is 135 iver 75 with pulse if 90. My oroblem ux my head. It has felt like it id going to blow up since shots 5 weeks ago. I also had cataract surgery on last eyebSeptember 5. Should I go ahead and take a clinodine since it is still under 150/90. Dont know what to do about head. Also should I use heat or ice on back of head? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Clonidine is usually given for resistant hypertension.The only precaution is for Rebound hypertension:don't stop the drug abruptly;discontinue therapy by reducing dose gradually over 2–4 days to avoid rapid increase in BP. Hope I have answered your query. Let me know if I can assist you further. | |
Want gaps filled in the teeth. Want caps over number 2s. Possible?
Hi there, my number 2 s are missing, I have a dentist appointment on Thursday and I dont know how to ask my dentist I want my gaps filled, I have know people that have had caps put over their number 3 s and made them look like a full set but I have asked my dentist a number of time but they say they cant do nothing,,,i really want it done! | Hi, Thank you for the query. According to the history given your lateral incisors are missing. If both the lateral incisors are missing then i would advise you to go for a bridge or can even go for an implant which is more conservative treatment though surgical . If the gap in the area where lateral incisor is missing is very less then slicing and rebuildup can be done which more cosmetic . This can be decided only after clinical examination of the your teeth size and space . Hope this information helps you. | |
How can I cure red patches on the neck ?
Hello, Five weeks ago I picked at a pimple on my neck . I rubbed the area raw. The skin has healed since then but I have been left with a very reddened patch where I rubbed the skin. I know this was very silly of me but is there anything I can do to reduce the redness and help the scarring fade? I am frightened I will have this mark for the rest if my life. | Hi...dear user.., Thanks for choosing HCM., Due to rubbing and picking at pimple area.., produces.....POSTPIGMEND SCAR..., It is due to protective phenomenon form our Skin.., The scar and pigmentation not further allow of .., infection and direct sun..., Scar formation only .., seen in involvement of dermis.(2nd layer)., But it is not permenant....slowly regressing..., For quick result..., 1) Using Moisturizing cream....ELOVERA, LOZISOFT., 2) Morning times use..SUNSCREEN LOTION...SUNCARE SPF 50.., 3) Avoid further sun exposure..., 4) FUSIBACT...Fusidic acid...momentasome..for night appication.., ok..good luck.., | |
Q. How can yellow teeth and cavities due to improper brushing be cured?
Hello doctor, I am an 18-year-old boy. I have a big problem with my teeth. I did not brush them for the past two years. So, most of the teeth have started yellowing and have got caries. My dentist told me that it will change when I starting brushing them but it is not the case. Please help me. I want my smile back. | Hello. Looking at the condition of your mouth (attachment removed to protect patient identity), I can say that you have got a lot of dental problems like dental caries, discolored teeth with stains and tartar. These problems are causing the bad breath which is not going to get away with only tooth brushing. You require a systematic treatment plan for your mouth like scaling, finishing and polishing, filling up the various teeth and extraction or root canal treatment depending on the condition of the teeth. But the good news is that your condition is very much treatable. So, you need not worry. You just need to visit a good dentist who can take care of all your problems. For more information consult a dentist online --> | |
What are the symptoms of lupus?
i am a 45 y/o female with Celiac disease and Hashimoto's thyroiditis. I have been very fatigued for years, now have multiple joint pains but all lab work is normal. I have had lesions on my scalp for years, the derm. told me it was foliculitis. Could this be a lupus type symptom? | There is a possibility that it could be lupus but for that testing will need to be done like ANA and ENA profile . | |
Q. Please see the x-ray, and tell me the reason for my foot pain.
Hi doctor, I have foot pain, and I want to get some advice on the attached x-ray. I have been using moon boot for eight weeks (non-weight bearing), but I had to walk with it over the last couple of weeks. What is the dark area at the base of the first metatarsal area? Should I be concerned about the space between that area? And should I also be worried about the spacing near the cuboid and the fifth metatarsal on the oblique view? I do have a fourth base capsular disruption, as per my surgeon. | Hi. I have seen your x-ray (attachment removed to protect patient identity). Please let me know these details. Revert with more information to an orthopaedician and traumatologist online --> | |
Is smoking advisable after a sub dural hematoma surgery?
Morning Doc, My Age is 27 and I m Male.I recently underwent acute sub dural hematoma surgery left frontal one month ago by using Burr hole drainage.Surgery was successful and I was discharged home after 2 weeks.I used to be a heavy smoker I started smoking from the 3 week of post surgery.Can I smoke does it effect any-kind to my surgery?It s 5 week now I m getting light pain in the left-back side of the head.I used to have double vision before surgery but after surgery in 3 weeks it got cleared.But I feel dizzy.How much time it takes to recover from that?Can I start my daily activities?I can still feel slight tingling in my right leg and arm how much time it takes to recover from that?And my movement of neck is medium.When Can I have sex with my wife?How much more time it takes for me to become normal? | Hello, You can gradually start your daily activities including sex, since you have been discharged from hospital.Smoking should be avoided definitely.The full recovery may take a couple of months. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical | |
Will sauna belt affect pregnancy?
My wife has multiple fibroibs and a blocked fallopian tube. She is currently using a herbal drug to correct this and she was also asked to use a sauna belt to heat up her tommy while she also massage with castor oil. We have not had children and I want to know if the use of sauna belt will not affect her from conceiving. Thanks | HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.As such there are no studies or information available about use of Sauna belt and its effect on conceiving.I will suggest to start on folic acid , B12 supplements at once, it will help to lower various risks of pregnancy.Opt for a healthy diet and regular exercise.Add more fruits and salads to diet.if both fallopian tubes are blocked , before trying for IVF , please ger diagnostic laparo -hysteroscopy done , if not done earlier.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam S Neurgaonkar | |
Will clomid 50mg and primolut 5mg medication help to conceive?
hiactually i previously had a miscarriage and when went to the doctor he is giving me clomid 50mg and primolut 5mg on every mensus cycle to consume . i see the doctor on every 4th day on my mesus every month. than straight away i start with clomid. after 13days of mensus i start with primolut one per day for 10day. doctor saying this will help to concieve the baby faster. please if you can help me in telling if my doctor recommending the right thing | Hi, I think clomid is fine but you can take some other progesterone instead of primolut N like susten or duphaston. Talk to your doctor regarding this. Track your follicles growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. You can try like that for 3 to 6 months. Hope I have answered your question. If you have any other query I will be happy to help. Regards Dr khushboo | |
What causes pus cells in urine during a pregnancy?
hi i am 24 year old and 2 months pregnant, doctors said that I have puscells flowing out of my urine, its count is 8-10.doctors said that it may be due to some infection, which can be cured soon.May I know the resons for the occurence of these puscells | Hi.It can be related to poor hygiene, poor hhydration, long duration of sitting, using an unclean inner garment, not changing an inner garment for long, sexual intercourse, kidney stones, and many more.Best wishes. | |
Q. Does Seroquel extend the time of my derealization last longer?
Hello doctor,I have been using an antidepressant for the last two to three years. About two months ago, I received very exciting news that I had been waiting for a long time. After a short while, I had panic attacks one after another. I asked a doctor and learned that the things I was experiencing were depersonalization and derealization.For the past two months, I have been, living in fear and anxiety, hoping it passes, but nothing significant has happened. Now the doctor prescribed me 25 mg of Seroquel an antipsychotic drug. My antidepressant prescribed has also doubled in amount. I have read that Seroquel can have negative consequences when taken unnecessarily, or it can lead to schizophrenia.I am moving abroad within the next three months, and need to have healed by then. Do you think that there will be adverse effects of Seroquel on me, such as worsening my situation, intensifying the feelings of fear or making the time of my derealization last longer? What should I do? | Hello. Seroquel is Quetiapine and is an antipsychotic drug, but the drug is also used in mood disorders like bipolar disorder or resistant depression. The drug does not make a person schizophrenic. A lot of psychiatrists use this drug as augmentation therapy for depression or insomnia. If they have prescribed this drug, then remain relaxed. This will not cause any harm to your mental health but will help you. The drug is safe to use and has no severe side effects. | |
Suggest treatment for memory problem
I am 19 years old. I m studyin B.tech in civil. From past 3 years i m facing problem of forgeting everything. I don t remember any formula nor do i remember answrs. This problem increased after i took admission in civil. I practise sums nd write answers everyday inspite of that i forget in exams. While studying i cannot concentrate, watever i read it does nt enters my brain. I teach my friends nd they get good marks .I am fed up of this problem. I wanna make my brain sharp. please help me Plz plz. | Hi,Thanks for being on healthcaremagic.comSince you are having memory difficulties at young age, I'd suggest you to get your thyroid function tests and serum vitamin B12 to rule out vitamin B12 deficiency. These abnormalities can cause memory loss in young. Please follow up with details after getting these tests. If these come normal, then it's better to see a neurologist in person for you.Regards,Dr.Ajay Panwar,MD,DM(Neurology) | |
What are the alternates for milk intake?
Hi i am sana from pakistan...my three years old daughter has refused to drink more milk since one year...how to pull her back to milk?...what about nido and other whole milks....or supplements like pediasure...medicine like Ossobon D....do these complete my dds calcium defficiencies... | Hello ma.Since your daughter is above one year you need not worry too much about her milk intake. On an average 300 to 400 ml of milk is sufficient for one day at this age. You can give it in 2 to 3 alliquots.Nutritional supplementary products are better started after 2 yrs of age. You can anyhow continue medicines prescribed by your Pediatrician for nutritional supplements. Any further doubts I would be glad to clarify. Dr.V.S.Sri Vidhya Chennai | |
Is it safe to take ceftaxidime and Levoquin for Pseudomonas pneumonia?
My Husband is in the hospital with pseudamonas pneumonia. He is 78 and smoked for about 27 years and may have copd. The doctors did a bronchoscopy and are giving him ceftaxidime and levoquin. I can't seem to get prognosis information from them. They say he may be in the hospital for 48 more hours. They do tell me he is very sick. Is this pneumonia curable? | Thanks for your question on Healthcare Magic. I can understand your concern. Yes, this kind of pneumonia is curable. Don't worry. Pseudomonas infection is common in COPD patients. Pseudomonas infection always require dual antibiotic coverage. He is taking correct medicines. Ceftaxidime is cephalosporin group of antibiotic. Levoquine is le of look. It is also broad spectrum antibiotic. So both these are good against Pseudomonas. So he will mostly recover with these antibiotics. Once he is out of this pneumonia, get done adult pulmonary vaccines like pneumococcal and influenza vaccine to prevent recurrent respiratory tract infection. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. | |
What are the causes of lung nodules getting larger in size?
I have been diagnosed with a lung nodule that has reportedly gotten larger ,since 2010. What are the possible explanations/causes other CA? I advised to see a pulmonologist and want to go to the most experienced and competent doctor the Rocky Point, Port Jeffeson, Stony Brook area. | Hello Welcome to the HealthcareMagic As your lung nodule is increasing in size, malignancy needs to be ruled out here. Causes can be benign nodule, cancer, tuberculosis, abscess, rheumatoid arthritis etc Biopsy needs to be done to rule out cancer. Histopathology examination done from biopsy. Hope I have solved your query Consult pulmonologist for detail history and physical examination and discuss all these Take care Regards, Dr. Parth Goswami, General & Family Physician | |
What can be the cause for breathlessness?
Hi I am suffering from short breathing, breathlessness. I am leaving at coastal area. The major problem I face in the month of May rest of the year it is ok. I am taking duolin rotacap in case of such attack, previously it was working but now a days I have to take four dose in a day which I don t want to take. Plz suggest what to do. Wheather it is astama or cold. Thanks | It is very difficult to diagnose you of any asthma or COPD just based on your breathlessness. You have not mentioned anything about cough, fever and sputum. Also whether you are a smoker or not is very important. I will prefer that you do some basic tests like CBC, Chest Xray and a spirometry. You can either post your reports and history or see a physician around your place with the reports | |
Suggest treatment for bipolar disorder
my father aged 65 yrs is suffering from bipolar disorder (mdp) for last 5 yrs . he was on antidepressant and mood stabilizers for 4 yrs and gave up all medication for one yr as it was not helping him very significantly. is there any cure. his cycle is almost monthly alternating between depression and manic states. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I read your question carefully and I understand your concern. I am afraid there isn't a cure for bipolar disorder, it is a chronic condition. However it can be controlled through medication greatly helping to conduct a normal life. The mainstay of therapy is indeed mood stabilizers and antidepressants. The fact that previous therapy was not enough doesn't mean it should be interrupted. You should discuss with his psychiatrist other alternatives, there are different types of mood stabilizers and antidepressants, switching to another alternative may be more effective than the previously used ones. Hope I have answered your query. Let me know if I can assist you further. | |
Can masturbation cause any side effects on health?
um...hello....i was kinda curious since i remember reading in an article....that sex is hhealthy.....so does that mean masturbation is also healthy?....and also another quiry.....if the above is not true..., are there like disadvantages or "sideeffects" or adverse effect of masturbatig? :) | Hello, Sex and masturbation, both are healthy. Therefore do not worry about it. but make sure that you masturbate only three or four times a week.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist | |
What is the treatment for extreme depression?
Hi there, to anyone out there who can help?? This is my sheer letter of desperation, and in need of HELP AS SOON AS POSSIBLE!! - hopefully whoever is reading this will pass this on and keep this letter forward as I need to fight for my dad in some way as he is fighting for his life. Please take the time to read his story, and perhaps someone out there can hear my calling and assist me… Here goes… My father whom is 65 years old, a man of incredible strength , super fit at his age, strong , motivated and helpful in more ways than words can say to others, had fallen seriously ill !!! My mother passed away from cancer suddenly in 2 weeks being in hospital they also found out the cancer too late, she died on the 24 April 2008. We all went thru bad depression, but all have recovered... so first thing before anyone diagnoses my dad’s problem related to my mom’s passing is wrong. That I can promise you. So on to getting to the bottom of my father’s terrible road … of illness My dad started to show signs of shortness of breath , and he seemed to be using a lot of his neck muscles to do the work, from being a super fit martial artist , to being short of breathe on walking distances became odd. He complained about being so tired all the time, he just could not sleep enough even though he was sleeping regularly and often in the day too. his appetite started to subside from being a very big eater loving his red meats , to having lost cravings for any such food , and at times skipped many meals , and over the past few months had been losing weight , of course to some extent being alone since my mother past had a bit of an effect , however all of us children sent him to three different GP doctors and he had blood tests done and apparently all was fine. They informed him it was possibly anxiety and stress, depression, and put him on anti – depressants, of which made him even more tired, so he would take them occasionally but did not finish his course.. Also in beginning he would lose a bit of his voice and try clear it when he spoke , doctors thought it was reflux , ulcers and heartburn , prescribed nexiam , He always complained about his tummy, his stomach gave him a lot of problems first would be constipated and then it would be diarrhea, he kept on saying it felt like a blockage of some sort... but continues with some laxitives. He went back to the doctors a few times complaining he was not getting better , they | DearWe understand your concernsI went through your details. I suggest you not to worry much. Anxiety and Depression is known to create physical fatigue and mental fatigue. You are anxious about those series of life events which kept you at the edge of toes, which is giving you these series of symptoms. Disappointment in unexpected life happenings can cause anxiety and depressive symptoms are you are experiencing. Understanding those disappointments may be of help. Researches have shown that medicines alone cannot cure mental disorders. Psychotherapy to have life style changes, Yoga and meditationn to streamline thought process and metabolism can be practiced for easy and permanent cure. Contact a psychologist for further information.If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to over come your problems.Hope this answers your query. Available for further clarifications.Good luck. | |
Suggest treatment for high cholesterol and heart pain
HI, I had angioplasty done in June 2008.i was taking Plavix and Crestor regularly for one year.Then Dr said Plavix it doesn t need to continue. when ever i do stop crestor, my cholesterol goes high.I do have a little pain in heart also, sometimes. I am 60 yrs old lady. I do have knee problem so i can t even walk . D o you have any ayurvedic medicine for chelation of my all cholesterol plaque to remove from blood. Please give me details for consultation fee and all details furture also. I am in Los Amegeles, ca U.S.A. now. | Hello Your Crestor medication must continue for life, as this kind of treatment can prevent heart attacks and the chances to have a heart clot. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Salah Saad Shoman, Internal Medicine Specialist | |
Does being on dialysis cause dry cough?
Hello, my father is 74 years old and receives dialyisis three hours a day two days a week...he been receiving this treatment for aprox. 9 months. lately he has been suffering from a cronic cough he coughs alot mostly a dry cough can you help my family we are wondering if this may have something to do with his dialysis, we have tried all diffenent types of cough meds and nonthing helps. pls help my family if you can. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Dialysis doesn’t cause cough. However sometimes it can cause fluid accumulation in chest and cause cough. Get an X-ray chest to look for any fluid accumulation. Consult your physician and empirically start on antibiotics like Levofloxacin. Hope I have answered your query. Let me know if I can assist you further. | |
Do artificial sweeteners cause ulcers on the tongue?
I have a very sore tongue, repeated ulcers especially on the tip. Can it be a response to artificial sweeteners or toothpaste? My grandmother had myasthenia gravis and complained often of a sore tongue, don't remember if ulcerated. I have 2 sons with autoimmune diseases, type 1 diabetes and Graves disease. I had HELLP syndrome and am concerned. | Hello and Welcome to 'Ask A Doctor' service. I have reviewed your query and here is my advice. As per your complain you are suffering from RECURRENT APTHOUS ULCERS which is causing you the eruption ulcers on the tip of the tongue. It can be caused due to a number of reasons like stress, nutritional deficiency [iron, vitamin B12 and folic acid], hormonal changes, acid reflux, tongue trauma due to some sharp teeth or tongue biting habit, excessive intake of sour and citrus foods, uncontrolled diabetes and other immunocompromised conditions etc. You need to consult an Oral Physician or a general dentist in this regard to get evaluated and treated. For aphthous ulcer you can do warm saline gargles. Gargles with Benadryl and milk of magnesia can help. Apply numbing gel over the sore for relief from pain especially during eating. Take a multivitamin tablet for a period of 15 days. Avoid spicy, sour and acidic foods. In case if still the condition does not subside the physician can prescribe you to take a steroid course as it it the ultimate treatment in case if nothing else works. Hope I have answered your query. Let me know if I can assist you further. | |
How to diagnose presence of elbow cancer?
I have had Parkinson's disease for 20 years. Now (diagnosed in 2008) have breast cancer, had mastectomy, chemo, & radiation. Now the breast cancer has spread to my bones. With the PD I fall alot.. I thought that the bump on my elbow was from falling all the time. Now I read on computer that there is such a thing as elbow cancer. Mine is on] the left elbow ( doesn't hurt at all), but ios geting bigger and smoother every day. What should I do? | Hi I did understand your concern.There is no such thing as elbow cancer , however there can be several different types of growth that can present as elbow swelling. They can be benign or malignant. It can be reactive due to soft tissue swelling.It can also be due to lymphatic removal from the mastectomy you had if the cancer was on left breast.I would recommend you to consult a doctor and if needed get a fine needle aspiration cytology or a biopsy done to see what are cells making up the swelling. Also if required the doctor may order an imaging study like an MRI of the left extremity to know from where is the lesion arising(bone,muscle,soft tissue).I HOPE THIS HELPS | |
Liver test done, abnormal values for GGTP, SGOT, LFT. Diet recommendations?
Hi- My name is XXX, my brother age 32 just got his health check up done in which his liver report was not very good, his ggtp, sgot and lft test was nt good at all. We have shown him to the doctor and is on medicines. I have maintained in diet by reducing oil and fatty stuff and alchol which is much less what he used to take. Just wanted to ask u what diet should he follow to maintain his report well. Thanks | Hi, He is having high SGOT/SGPT level with your history it seems he is having Alcoholic hepatis or Fatty live due to damage by alcohol .The most important step is complete and permanent abstinence form alcohol. You may take help of experts in this regard also. You can check a enzyme called GGT for liver injury. A Sonography of liver and if required a Biopsy will confirm a diagnosis. Serious complication like cirrhosis develops in long run ? As far as diet is concerned a well balance diet with vitamins and minerals trace elements is all that is required. take help of Dietician and aGastroenterologist. All the best | |
What causes lump in the arm?
Hi, I'm sorry to bother you but I have fpund a lump on the inside of my right forarm. It is about the size of a pea and hard. My arm keeps going tingley - simular to having your blood taken and the doc releasing the band and the blood rushing back. My arm looks slightly swollen and I can see slight brusing - however I haven't bashed it at all. Could you please give any info? Kind regards Louise | Welcome to Health care magic.1.The history suggest a painless lump in forearm - if it is at the joint place the possible cause will be ganglions which are seen after a mild trauma or inflammatory reaction. 2.Which needs to monitor, if symptomatic needs a small incision and drainage followed by antibiotic treatment.3.If the lump seen in the middle of the arm in the muscle area - it could be lipoma - fat containing lesion.4.Needs to confirm with ultrasound in both case and a needle sample will be taken if necessary.5.Excision is treatment of choice if symptomatic. Good luck.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. | |
Suggest stomach infection and blood in stool of an infant
My baby is now 5 months old ..he suffered from loose motion last 4days.at first..fever ,vomiting present..watery ,greenish,stool...mucous is present ...i gave..ORS.Medilac S,domperidome..now stool became Semisolid but this morning I saw blood streak in his stool.so..I did stool RE and result is 10 -15 pus cells and 10. -15 RBC HPF....I went to paediatrician and she gave metronitazole and cefixime+lactobacillus..my boy is G6PDdeficiency..I worried him ..I wanna know..he will recover within one week....thanks and I m looking forward your kindly advise and suggestion. | Your son is having dysentery....your pediatric doctor rightly prescribed antibiotics...u have to give for five to seven days...then he will be fine...Don bother about G6PD status...just keep a watch on his urine color...if it turns red/brown then u have to consult pediatrician... | |
Is attraction of ants towards undergarments a sign of diabetes?
After washing my underpants I kept them to dry , to my surprise I see thousands of red ants around it. Is that a sign of becoming Diabetic ?? Is it any thing to do with diabetes ? I started washing it with warm water but after washing it also Red ants around it making me scared . Kindly answer | Red ants or for that matter any ant will get attracted to urine containing sugar (glucose) and the underpants soiled with such urine.Go for urine routine examination to confirm Glycosuria. You may be diabetic or having renal glycosuria. The next step would be estimation of blood sugar fasting and post-prandial.If inconclusive go for 'Glucose tolerance test with 75 G of glucose'. | |
Is there any other alternate nature medication for chemo ?
What about Vitamin B17, laetrile and Essiac tea? They are cures for cancer-we know two men who have been cured by the apricot kernels (laetrile) when chemo and radiation almost killed them. The AMA and FDA have known about them since the 70s and 80s. My husband has had prostate cancer for six years and with his Dr. has been doing watchful waiting . Now the Dr. wants do remove the prostate. He is taking apricot kernels and drinking the tea--we don't know how it will turn out. My brother- in-law had bladder cancer last Feb. They removed it lapriscopically and he went on chemo and radiation. He had to stop because of a heart problem. When they tested him again he had cancer in 20 places when it was originally encapsulated. He began taking the kernels and did go back on chemo. When they tested him in Sept. he was in remission. They still want to do more chemo. WHY? Can't you Drs. use the natural cures we know about without being penalized for doing the right thing when chemo and radiation are killing patients? I can't afford to pay you for a reply so if you have to be paid--forget it. Mary C. O'Dell | **1. First thing to look out for is : metastasis i.e. spread of cancer [since if it has spread thus it becomes highly unlikely to control the Infection through any system of Medicine. [as suggested in your brother-in-law history] 2. Ayurvedic preparations can act as an adjuvant or a co-therapy along with chemotherapy or radiotherapy.PS. Rasayan {Immunomodulation] chikitsa : i.e. The cell-protective activity of drugs helps to improve comfort and the quality of life of individuals with cancer, mainly: trifla, guduchi, punarnava. daily use of amalaki which contains vitamin C and foof containing vitamin E helps retard the formation of cancer. use of onion, garlic and turmeric in the diet, to some extent depress the growth and suppress the formation of cancer cells in the body.PS. According to clinical studies, such drugs have shown very impressive effects on protecting body from the side effects (of chemo and radio therapies) like alopecia, nausea, constipation, anorexia and vomiting. The patients who receive Ayurvedic treatment along with chemotherapy have shown more regularity in maintaining the chemotherapy cycles as the hematological levels can be maintained up to a normal state. More than 50 research studies on cancer carried out at various post-graduate institutes, have shown that Ayurvedic preparations are very effective as chemo-preventive and radio-preventive agents. | |
How to lower the prolactin level with natural remedies?
hello, I had some high levels of prolactine, for 2 years now, it all started after entering an early menopause, after my treatement with radiotherapy and chemoterapy for nasopharyngeal carcinoma. MY highest levels were 100, but after 3 weeks, with no stress, the prolactine was without treatement 44mg.I tried Dostinex 2 years ago for three months, but I had serious side effects, I am 45 years old, I don t want to have children anymore, can I lower my levels of prolactine with natural treatement? | Hello Mam, I just read your query. Follow the described things to control your prolactin level naturally:* Start doing exercise and yoga regularly, this will help you a lot in controlling prolactin level.* Avoid taking excessive stress as stress also increases prolactin level.* Take chaste tree berry 30 to 40 mg per day in the morning and within one month you will feel positive results. * Sometimes due to hypothyroidism or if you have high blood pressure problem and taking medicine for high BP then it might also cause hyperprolactenimia, then manage these things first.* I hope you find my answer helpful.Thank you. | |
Rashes between thighs
hello, i got rashes(ringworm) between two thighs near my penis.. i think you get my point which place am mentioning.. a few days later i applied cream and its gone now... but my problem is the affected area got changed to black colored skin.. how to i get my original skin color before the infection happen.. can you tell me some cream for applying that area to change the color of the skin.. | with advent of time the skin will regain normal colour. just have good diet and internally you can have gandhak rasayan to hasten clearing. | |
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.---> | |
Taking paracetmol and nurophen for painful cracked tooth. Getting pain on side of face. Cure?
hi there i have a cracked tooth at the back of my left hand side in my mouth and its wobbly also a wisdom tooth at the back at the top i have been taking paracetmol and nurophen i have been in pain since friday with it also it has been effecting my ear and the side of my face the tooth that is woobly is rotten. what would you recommend? many thanks stacey | Infected broken tooth can lead to pain and soreness of cheeks and jaws. Impacted wisdom tooth eruption can also cause pain in the jaws and teeth. Constant cheek irritation by broken tooth can also cause pain and tenderness. If tooth is broken, then you need treatment for your broken tooth. If nerve of the tooth is not exposed, then tooth can be restored with dental filling or crown but if nerve of the tooth is exposed or necrosed, then root canal treatment followed by dental crown is required for the tooth. If tooth is badly mutilated, then post and core procedure is required after root canal therapy. If broken tooth is unrestorable, then tooth extraction followed by replacement of missing tooth with dental implants or dental bridge is required. Only pain meds will be of little help. Hot compresses are not indicated as they will aggravate the swelling. You can do warm saline rinses to reduce the swelling. You need to get treatment done for infected tooth. If you have cost constrains, then you can visit a dental school where treatment is done by dental students under supervision of experienced dentists. You can also look for free dental clinics near you or can talk to your local dentist if you can pay in installments for treatment. By the time you visit your dentist, you can avoid eating from side of broken tooth. You can also apply orajel for some relief. Maintain good oral hygiene to avoid any secondary infections. | |
Suffering from mosquito bite allergy, black spots on hands and legs after receiving bites. Cure?
Dear Sir, My name is XXXXX. I am 28 years old. From Child hood itself i am having the mosquito allergy , and consulting with so many doctors. Once mosquito bite i have so itching and that part will become black dots. So in my hands and legs am having so many black dots , its spoil my beauty . So can you Please instruct how to remove this black dots. expecting your valuable reply. i need some natural home made tips . Thanks and regards.XXXX | Stop taking milk and diary products no mustard coconut walnut ground nut soya oils apply amla/olive use olive as cooking oil apply clindamyin gel over spots twice a day for long avoid going to mosuito prone area for cure you can go for sublingual immunotherapy for mosquito extract | |
How to treat biting sensation on ankles?
Hi. I am 62. I have a blood disorder. I don t know if I have anything to worry about, but I don t know why my ankles (the last couple of days) have (off and on, but not a lot), felt like something was biting me, but there has been no itching or redness. | Hello,Thank you for using healthcaremagic.I read you question and understood your concern.I would like to know the name of your blood disorder to give a better opinion.Anyway from the few details that you give I would recommend to check the Diabetes.It gives changing on the sensation in your feet.Dr.Selmani | |
Suggest remedy for lump at the place of implant
Hi,I ve had the implant now for almost 2 months and the area often feels bruised and itchy. It s gotten a little inflamed with a rash on two occasions and tonight I can see a clear lump at the top and bottom of where the implant is located.Is this normal healing? | Hi,Thanks for asking.Based on your query, my opinion is as follows.1. I think you are having an implant rejection or allergic reaction due to implant rupture.2. Itchy bruising lesions at the site of implant suggest possible allergy.3. Meet your doctor to see if the implant has ruptured. It could get infected and become serious condition. Meet your doctor at the earliest to evaluate and possible removal of implant. Hope it helps.Any further queries, happy to help again. | |
Suggest treatment for jaw pain
I am a 33 year old female. at 1030am i developed jaw pain, shooting pain from left ear to middle of chin and feeling syncope. i took bp with a result of 122/77 and then decided to check my cbg because i am hypoglycemic. it was 109 after a grande vanilla latte and a peach turnover 2 hours earlier...so i continued with my day. at 1230pm my feeling of like i was going to faint was still there, and the sharp jaw pain but then my left side of my chest developed a bad aching pain that radiated to my left shoulder and down my arm to right below my elbow. full deep breaths caused my left shoulder to hurt worse. So i took a 81mg aspirin and went to the ER. EKG showed normal and chest x ray was clear. this was on tuesday and it is now thursday ngiht and my chest still hurts. i f/u with my pcp on wednesday and he mentioned i needed to monitor this as i showed more discomfort when he pressed by my sternum then anywhere else. mentioned something of i could have a virus. his only suggestion for me was ibuprofen and time. what could be going on? should i just wait and see? should i request to speak with a cardiologist? I am 5 7 145lbs and live healthy lifestyle as i dont smoke and only social drink occasionally. any suggestions will be great. Thank you for your time in advance. | hiyou may also require checkup by a dentist for tooth issues and jaw pain,hope there is no external visible swelling in jaw.If EKG is normal, less chance for heart pain, but many a times early changes do not show on EKG, central sternal pain may have relation to heart, you may observe if physical climbing stairs or jogging or strnuous physical activity bring on any chest pain, if does, then a Tread mill test for heart and an echocardiogram aare neeeded and serum Treponin -T and I tests, for which a cardiologists consultation for all tests is necessaryInmeantime take ibuprofen as your doctor tells you, and arrange appointment with a cardiologist if chest pain is persistingbest wishes | |
Should urologist be consulted for microalbumin level being 63?
Hi, may I answer your health queries right now ? Please type your query here...am having pain and burning sensation close to my rectum and scrotum . my microalbumin level tested on 02/06/2011 is 63. it should be less than 30 what do i do or whom do i comnsult , a nephrologist or urologist? | Hello, I need to know a little history as well if you have any other illnesses like diabetes, hypertension or any sort of urinary tract infection. I suggest you visit neurologist for the work up of your illness. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. SAMEEN BIN NAEEM, General & Family Physician | |
Does increasing the dosage of Melatonin Max to 180 mg dangerous?
MY HUSBAND HAS LATE STAGE PROSTATE CANCER WHICH RESPONDED VERY WELL TO IPT (INSULIN THERAPY) HIS PSA DROPPED FROM 379 TO 96. CANCER CELLS IN BLOOD DROPPED FROM 51 TO 0. UNFORTUNATELY EVEN SMALL AMOUNTS OF CHEMO. ARE PLAYING HAVOC WITH HIS RED BLOOD CELLS, HIS WHITE CELLS AND HIS HEMOGLOBIN IS ABOUT 8.6? A DR. HAS NOW ADVISED THAT HE SHOULD GO ON TO MELATONIN MAX WHICH WOULD BE 60 MGMS AT NIGHT FOR 2 NIGHTS THEN INCREASE TO 2 CAPS OF 180 MGMS EVERY NIGHT. THIS IS FRIGHTENING TO US. WHAT IS YOUR OPINION PLEASE. DESPERATE WHITE CELLS 1.8. RED CELLS 2.7, PLATELETS ARE 73. YYYY@YYYY | HiMelatonin dosages vary depending on the reason this supplement is being used. Dosage guidelines for adult range from 0.3 mg to 5 mg per day. For sleep disorders, most individuals will take 2 – 3 mg one hour prior to bedtime.Produced from the neurotransmitter serotonin in the brain’s pineal gland, melatonin is a hormone that is released into the blood and cerebrospinal fluid. Secretion of this hormone increases when external light is low. Its release is inhibited by the presence of light.Using a natural melatonin supplement can help to improve sleep disorders and alleviate insomnia. Taking a small dosage of this supplement in the evening can shorten sleep onset time and improve sleep quality and duration in some cases.Melatonin (N-acetyl-5-methoxytryptamine) may have additional benefits for health, including acting as an anti-oxidant, improving mood, supporting muscle growth and exhibiting several anti-aging effects. Melatonin dosages are considered safe when used appropriately, but should not be used for longer than six months at a time without doctor supervision.Melatonin is a hormone that our bodies produce in the pineal gland. It is released when it is dark out and drops off when it is light, suggesting that it is involved in regulating our circadian rhythms and sleep cycles.In recent years, melatonin has been synthesized in laboratories and released in supplement form. Melatonin tablets have become a popular option as a natural sleep aid with low risk of side effects.However, high doses of melatonin can result in psychological effects similar to a hypnogogic state. Some users report feeling very relaxed, while others report hallucinations or impaired cognition. Many report serious side effects, such as memory loss, disorientation, confusion and disrupted sleep patterns.Melatonin is used to for insomnia, shift work disorder, sleep-wake cycle disturbances, jet lag, circadian rhythm disorders in the blind and other sleep disorders.Research shows that it is effective for alleviating symptoms of primary insomnia and it may have benefits for certain types of secondary insomnia. For these purposes, melatonin is taken in pill or capsule form approximately 30 minutes before bedtime.Melatonin can also help prevent sleeplessness in hospital settings, where bright light and disturbances can make sleep difficult.Melatonin supplements also have an anti-anxiety effect and can promote better moods for some users. Recent research suggests this supplement has anti-agi | |
What could uniform rash on back be with history of pancreatitis?
My husband has a uniformed rash on his back. No raised welts or pimples. He says there's no itching or burning but I'm afraid it may have something to do with his pancreatitis which he was diagnosed with 4 years ago. His doctor said he has a neucrotic pancreas. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The rash has nothing to do with pancreatitis. Pancreatitis never produce rashes and it might be something else. You can apply calamine lotion over the area and if it’s persist, better to consult a dermatologist. Hope I have answered your query. Let me know if I can assist you further. | |
Stomach pain. Family history of kidney stones. Should I be worried?
Hi, i m experiencing a slight pain in my stomach especially when i turn around when i m laying down...and when i exhale. Just started happening today. I m 19 years old. A bit worried because my mom and grandmother have had kidney stones before...but i m hoping that this is perhaps only happening because I haven t ate much today. Should I be worried or can this happen because my body is asking for food (i don t feel hungry right now though) | Hi, Welcome to Healthcaremagic. The pain in the abdomen you have could be due to gastric upset or indigestion.The pain you describe do not appear to be due to any serious conditions. Do take antispasmodic medications , if the pain do not subside even after the medication, it would then be essential for you to get examined and rule out conditions like kidney stones which rarely do present with such pain. Wish you good health. Regards, | |
How long can you take metformin ?
Hello Docter,im ramya 23 yrs old, n newly married [only 4mnths] but by periods is very irregular before marriage n now its self im getting my periods after taking tablets only [premoult n and mettafformin 500MG] for 10 days by advice of my docter but hw long i should take tablets from 3 years im facing this. Im not getting my periods naturally. I WAN TO GET PREGNANCY SOON and i also get the test of hsg xray my left fallopin tube were blocked and small cysts were found in ultrasound scan .so, i cant get pregnancy by these problems? please give me Advice and help me ,ovalution is possible by taking premoult n its support to release egg? | Hi,Ramyaji, Thanks for query, Your irregular period might be due to cysts, Your case requires evaluation. Consult your gynaec and discuss about, 1,to regularize the period, 2,problem of cysts you got, 3,Block fallopian tube, ok and bye. | |
What does a pus-filled bump on the leg indicate?
I have what looks like a pus filled bump on my leg...it’s the second one in a month...do I have some type of infection since I have gotten two in less than a month and it’s in the same area? My friend seems to think I have an infection and it’s leaving my body at the weakest spot | Hello,You may have a skin infection that needs treatment.There are bacteria that normally live on the skin. If there is a cut or scratch on the skin, the bacterial can sometimes enter through the broken skin and cause an infection to occur.You should be seen to see if oral medication is needed.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Michelle Gibson James | |
Suggest treatment for kidney cysts
Dear Doc, I am a 44 year old man. My father had kidney problems which led to his death in 1993. I have just been diagnosed of having kidney cysts, probably simple. I have pain in my right side, between ribs and pelvis and the Ultrasound scan today showed a 7 cm long cyst. How can I improve my health and can this be treated. | HelloYour findings suggests large simple renal cyst.Generally it only require regular follow up.Simple renal cysts are age related developmental cysts.Generally in asymptomatic patient it doesn't require any treatment.Surgical excision is only indicated if it is associated with pain,infection,size enlargement etc.So,there is no need to be worried.It is generally a benign finding.Get well soon.Take CareDr.Indu Bhushan | |
Increasing, severe scoliosis causing intense discomfort with frequent neck and back pain. Advised fusion. Other options?
I have severe scoliosis (about 100 degree curve) that has aquired over the past seven year or so. I had a mild one at the age of 3 when I obtained an SCI, but by the age of six and wearing a brace it went away. Like I mentioned it came back about seven years ago and has slowly increased in severity. I am currently seeing a doctor, but he says the only thing he can do is a fusion and I really DON T want that. It is getting to the point where no matter how i position myself I can t get comfortable and I usually wake up in the morning with my neck and sometimes my back hurting. I m thankful I don t have any lung or heart problems yet. Any suggestions on what I can do? | Hello Jaz, Welcome here on hcm. You wrongly thought. Actually you want comfort from the problem. So you have no option other than operation. So go for it. Thanks | |
Is surgery essential for varicocele?
I have varicocele(left side, grade I). My doctor has suggested for surgery but Radiologist told me that it can be cured by taking medicine. which one is best. Do I really go for surgeyry? I got married 2 years back and waiting for children. Thanks in advance | Hello, Surgery is the treatment of choice and it will not be cured by drugs. If you are asymptomatic you can wait. You can also try newer techniques like embolization also. Consult a urologist and he will direct you to various treatment options. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
What causes hip pain post a back surgery?
Hello, I ve recently been recovering from back surgery and it seems to be slowly improving until a few days a go when my hip started to bother me, today, as I have been told repeatedly that I should walk so I took a walk down the driveway to the mailbox and back and later took out the garbage(all with the aid of a cane) later, after lunch, I was tired and took some ice and laydown for an hour and now when I got up, the pain in the hip is much worse. Is this a severe injury or am I falling apart a little at a time. I am 86 years old? | Hello,I have studied your case and I think pain in back of hip joint is most probably due to compression in nerves. Since you have gone through a spine surgery some time there can be nerve irritation during surgery or after surgery due to scarring. I would suggest you to wait for three to four days.Taking NSAID like Brufen and if that pain continues after that then you need to visit your doctor and may need a repeat MRI to confirm the diagnosis.If there is any nerve compression then you might need re exploration. I hope this answer will be useful for you.Let me know if there is any other followup questions.thanks | |
What causes a stabbing pain near the belly button area?
I lifted a bushel of cucumbers last night at work and thought i was getting stabbed by a piece of wood but it was something inside of my stomach on the left side, near my belly button area. When i move or cough i feel a horrible stabbing tearing pain.It also hurts to touch the area and when it happend it felt numb to touch. I was just wondering what this could be and if I should go to the hospital or is it just a pulled muscle? Please help! | Hi.Thanks for your query.Read your history and understood the problems.No,No... this is not just a pulled muscle. The pain in the umbilical region after heavy lifting can be due to the development of the umbilical hernia. Get the following things done:High resolution ultrasonography of the abdomen and the wall, and umbilicus. Clinical examination by a Surgeon. The treatment will depend upon the diagnosis hence made. | |
How can I get rid of these bumps on my butt ?
hi, i have bumps on my butt, i ve tried rubbing alcohol but that doesn t work. my family doctor says they are boils. what should i put on them? | hi dear , if your doctor has said you they are boils then you can apply antibiotic like neosporin on it. use antibacterial medicated soap to avoid recurrent boils . take care | |
What causes nose bleeding in an 8 year old?
My son is 8 yrs. old. He gets nose bleed quite often in summers as well as in winters too. Infact he is having nose bleed fro last 4 days at some or the other time of the day even in sleep. What can be the reason for such a regular bleeding state? Pls help. | HI...I feel that it could be only a simple case of epistaxis where only pressure with relieve the bleeding. But the issue is that frequency warrants bleeding disorder to be ruled out. I suggest you consult your pediatrician to work up and rule out bleeding disorder.Regards - Dr. Sumanth |
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