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Suggest treatment for asymmetrical face
I am 72 yr. old female, with slightly asymmetrical face (more supporting bone structure and muscle on one side than the other). Asymmetry has become exacerbated by loss of volume in skin. I can handle that emotionally, (and I know flllers are available, if I want to go that route) but my bottom lip has shifted toward the side of less volume. I noticed that in pictures about six yr. ago, but not it is even more apparent. My bottom teeth could use some orthodontics, (again -- didn t wear my retainers when I was a kid). What caused this shifting in my bottome lip? | Hello,The shifting is related to the muscle and nerve asymmetry. When aging these changes are quite normal, due to the loss of skin elasticity. Anyway, I would recommend performing a brain MRI in order to exclude a possible small stroke, which can lead to lip shifting.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
Suggest medicines for itchy red bumps
My indoor-only cat was diagnosed with notoedres cati mites a few days ago. I've been itchy with red pimply bumps for weeks. I've seen my M.D. (not very helpful, though) and she prescribed a topical steroid cream and some oral antihistamines. I'm in the process of hot washing & drying everything in this house + my cats are being treated with Revolution (Selamectin) and will be so every 2 weeks for 3 consecutive tx. My cat's veterinarians were more helpful than my M.D. I now have a permethrin cream to apply topically, but wondering if there is anything else I can do/should do to expedite this. Thank you for your time... | Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. Were I treating you, I would prescribe you antihistamines like levocetirizine/cetirizine in morning and hydroxyzine in the evening for at least 2 weeks.2. I would also ask you in detail whether you are on any other medications or you have any other medical condition that might be causing/associated with chronic hives.3. Sometimes worms/intestinal parasites can cause such symptoms. So I usually prescribe my such patients anti-parasitic drugs like nitazoxanide or albendazole.4. I would suggest you to avoid activities causing excessive perspiration and avoid tight-fitting clothes, which may aggravate itching.5. I would suggest you to apply lotion like calamine over the itchy areas/hives. 6. Please do not scratch the itchy areas as scratching would aggravate itching.7. If above treatment is not helpful, I would suggest you to get investigated to identify a cause.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards. | |
Suggest treatment for itchy rashes on legs
I have what appears to be psoriasis on the front of my left leg, between the shin and ankle. Is there an over the counter cream I can use to help alleviate the itching and help heal it? I just received my paperwork on Covered Calif,. so I will be seeing a physician soon. Thank you, Melinda Thanks, however, I am not in the position to pay for online consult . I will wait until I see a DR. Thanks | Hello,Thank you for posting on HCM.I can understand your concern regarding the skin lesions but its difficult to say whether it is psoriasis or or eczema in absence of clinical examination.Therefore, I insist you to post good clinical pictures to me so that I can help you in a better way.You can reach me directly through the below mentioned link. Hardik Pitroda | |
Brain MRI shows irregular signal patches in white matter of parietal lobe. What does it mean?
Hi, My MRI brain scan shows the below result. What does this mean? Am i having any problem in brain? multiple irregular hyper intense signal patches are seen clustered in the deep white matter of parietal lobes on either side on flair. minimal per hyper intense signal around atria and frontal horns. multiple tiny high signal foci scattered in the frontal lobe deep white matter on flair. small vessel is ischemic changes. | Do you have any history of paralysis or weakness in limbs? The MRI report points towards multiple infarction in side brain matter and is suggestive of stroke in past which may or may not have manufested clinically lot of research is happening in Stem Cell therapy field for ischemic brain injuries You may contact me on 09871408298 to know more about this | |
Could high HDL and low triglycerides be a matter of concern?
I just received results from a recent fasting blood test. Hdl was 92; tri was 43; Ldl was 102. The nurse who gave me the information said I really needed to watch my diet. This seems fairly optimal to me, and I said-- but the trigliceride (sp?) is low, and the hdl is very high, isn't it? She said the hdl was in the "normal" range-- not high. I think she's mistaken. Any advice? This all looks really good to me. I'm 58, female. | Hello,Brief answer: High HDL is a good result and lower levels of triglycerides prevent cardiovascular diseases.Explanation: My opinion is that lipid profile is the mainstay diagnosis of hyperlipidemia types, risk factor. High low density lipoproteins (LDL), very low density lipoproteins (VLDL), and triglycerides are a risk of cardiovascular disease. We call HDL the good lipid which acts as a barrier to prevent process of atherosclerosis. So the higher the level, the more benefit you get. I suggest my patients the following: healthy diet rich in fresh fruits and vegetables. Avoid fast foods rich in unsaturated fatty acids.The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about other risk factors like diabetes, obesity, and hypertension. Also exercise state.Conclusion: I suggest you continue on healthy diet mentioned above and modify your other risk factors, if any.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mahmmad Gamal | |
What is agglutination and is the sperm motility normal?
Hello HealthCareMagic:Pls interpret my semen analysis report for me..Liquefaction Time: 15mns // Vol: 2.5m; // Appearance: Pearly White // PH: Alkaline // Sperm Conc: 80 mill/cc // Total Sperm count 200 mill/cc // Agglutination: +1 // GRADE A Progressive : 20% // GRADE B progressive: 60% // GRADE C: 15% // GRADE D Immotile: 5% // Total Sperm Motility A+B = 80% // Total Non-Motile: 20% // WBC Count : 4-5/hPFWhat is agglutination and is the sperm motility okay? Also what is significance of WBC count? Thanks for this excellent service ! | Hi, Agglutination is clumping of sperm.you have mild agglutination. Count and motility are absolutely normal. You need to get a direct check-up with urologist to rule out any genitourinary tract infection (in view of agglutination and wbcs). Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr B. Radhakrishnan. Nair, OBGYN | |
Suggest treatment for a problem in the lungs
Hello Doctor, My sister has met with accident 20 days back and is currently in Columbia Asia Bangalore undergoing treatment for lung contusion as well along with spine injury.Doctors say that her cough reflecx is bad due to which she is unable to caugh out the secretions and mucus.Currently she is undergoing chest physio therapy and bronchoscopy to improve/ enlarge her lungs.Isnt there any way out to improve her cough reflex through medicines.Kindly provide your inputs | HiShe is currently taking the right treatment for the secretions believe me. In his condition medications don't help so much.Take care Dr.Jolanda | |
Neck swelling. Taking myfortic, stable graft. Renal transplant done. History of tacrolimus. Treatment?
Hello Dr. My husband has had a renal tranplant 10 years ago. At the moment he is taking only myfortic and his graft is stable. Previously he too Tacrolimus (Cellcept for the first 5 years). He has noticed some swelling in his neck and is wondering if it could be related. His Nephrologist usually checks his neck at consultations but we don t know why. Could you advise? Thanks A | any patient on immunosuppresent like myfortic or tacrolimus is prone for secondary infections.cervical lymph node tuberculosis,mumps due to viral infection;lymphomas can cause this,any abscess | |
What causes crying face in babies?
My son is 7 months old and when he cries his bottom lip pulls down much farther on his left side. At first the neonatologist said to watch this closely but his current pediatrician called it his crying face and it is common. If this is the case, do I not find any search for a baby s crying face and should I watch for other neurological symptoms. He was born at 32 weeks gestation due to superimposed preeclampsia and premature rupture of membrane. He had a small brain bleed seen a week after birth but at a 4 week later ultrasound it had healed. | You should wait and watch if some other symptoms occur or not..by 7 months if no symptoms has occurred , there are less chances of any pathological condition. .don't worry. . | |
Q. Why has the tip of my penis turned white?
Hello doctor, I am a 26-year-old male. Yesterday, I noticed my tip of the penis becoming white. I do not know the cause but the most part of it is white. I am not getting 100% erection also. It looks like the growth of the penis has also stopped. Can you suggest why is this happening? I am not sexually active. Sometimes, I get an erection but only for very less time. Please help. | Hello. You need to maintain strict personal hygiene. You can wear loose cotton comfortable undergarments. Get physically examined and investigated to rule out any medical problem and treat accordingly. Is there any pain or itching? A course of antifungal might be considered. Please attach a picture to guide you in detail. For more information consult an internal medicine physician online --> | |
How can a fontanelle hemangioma be treated?
I have a 3month old daughter that has developed an hemangioma on her her adjacent to her fontanel. I am worried whether it should be removed or left alone. I am also wondering what type of Dr. I should take her to have hemangioma accessed. I have already taken her to one surgeon and he seemed to be very radical in his ways and suggested immediate remove w general anesthesia etc. However, I asked a pathologist (a professor of mine-in dental school) and his suggestion was to leave it and will regress w time. Do you have any suggestions?? | DONOT DO ANYTHING for a small hemangioma . except a cosmeticproblem it dosent cause any problem and MAY NIOT reduce on its own.you can do following1) leave it alone till 2 to 3 yrs age2) one can use Steroid cream or inject steroid which will RETRACT the size of hemangioma3Laser treatment can be considered after 4 to 5 years age DONOT WORRY its just a cosmetic issue and better not touch at 3 months age | |
Why am I unable to have bowel movements while suffering from ventral hernia?
I have no insurance and dont make enough money to see the doctor, but i have a ventral hernia and yesterday i started having server abdominal pain and can not have a bm, now i can hardly pee and im running fever and nausea! what is wrong, is my intestine trapped? | Hi. Pain, fever and nausea can be due to other reasons . If ventral hernia has trapped bowels you can have additional distension of abdomen, constipation and vomiting. Is there any pain on pressure on the hernia? Has it grown in size and not allowing return back to the abdomen? | |
My 26 year old daughter has an enlarged lympnode on her neck & diagnosed with castleman's disease
hi and thanks my 26 year old daughter was diagn with castlemans disease . she has an enlarged lympnode on her neck which they did a biopsy the doctor is sending her for a ct scan of the body to make sure its only that one . question why would they not do a pet scan (only doing a cat scan ) ? | FDG (the medicine used in PET scan) uptake in castleman disease is modest. No large scale studies have established the role of PET-CT in castleman disease. PET scan combined with a contrast CT can be done in this condition, though it is not obvious if addition of PET scan will add significantly to the treatment of the patient. | |
Suggest best diet to take when on Latuda
My daughter is on 80 mg of Latuda with dinner. She has the flu right now and doesn t want to eat. I got her to eat some jello and drink ginger ale with the Latuda. I have read that she should eat 350 calories for the medicine to work correctly is this right? | Hi...you have not mentioned the age of your kid. A patient on Latuda needs to drink plenty of fluids, especially in hot weather and during exercise. It is easier to become dangerously overheated and dehydrated while on taking Latuda. But 350 calories is not a big deal for a normally eating kid. So do not worry.Regards - Dr. Sumanth | |
How safe is ovum freezing?
hi ,i am going to be 36 yrs old women. Due to bad luck my marriage didnt work out and i am seprated. Now i am little insecure in regards to baby . I dont know when i will get remarrige and settled. I want to know ovam freezing is safe and how much does it cost in indian currency . I live in Bhopal mp | Hello, ovum freezing safe and can cost upto 1.5-2 lacs depending on the centre of freezing and number of eggs retreived and the duration for which freezing will be needed.In case you have any questions in future you can contact me directly on | |
Suggest treatment for social phobia
dear sir i am suffering from social phobia,i cannot communicate with friends or people effectively.i am suffering from past 8 years but i didnt knew that i had this problem but recently i came to know what i was lacking.i feel shyness to speak even with family members,when i walk i feel that someone is observing me.if group of people are standing i always avoid them.help me to come out of it. | Hi,From what you have mentioned, you are definitely manifesting symptoms of social phobia. You difficulty in communicating and avoiding people are due to the same.You should consult a psychiatrist for initiating treatment for the same. Medications like sertraline and paoxetine will help in treating social phobia. In addition, you can also opt for behavior therapy sessions which will help you relax and overcome your anxiety in facing the situations.I do hope that I was able to help with your query.Best wishes,Dr. Sunil Gupta | |
Suggest treatment for worms in kid
My daughter had small white little worms several months ago, the e.r doctor gave her a few pills to take in a few days and I kept every thing clean and washed and have them practice good hygene...then about a month later my younger son got them too, took him to his pediatrician and they only gave him one pill, I read they should get two treatment of pills to help prevent any reinfestation for any hatched worm eggs, but they said no, one pill will do it....now a month later and I find a dead worm in her stool....what should I do? It s an embarrassing thing and I m so tired of worrying about my kids dealing with this. | Hello, Worm infestation in a child is unavoidable because we could not stop them from playing with objects. Any object having contact with the floor will have hidden worm eggs that gets inside child's stomach through hands. So the main concern should be on hand and mouth. Make them to avoid playing in soil and soiled objects. Stop them from nail-biting, hand chewing. Thorough hand washing after playing and before eating anything is must. Rapid washing may leave some germs on hand. Teaching them proper handwashing using photos may produce good results. In addition to above, deworming syrup or tablet every 4 months irrespective of worms in them will be the best treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Rajeswari, General Surgeon | |
Suggest treatment for infection after having upper molar pulled out
My sister had an upper molar pulled on last Wed. Her face is a little swollen and there is a cream color in the socket. She was afraid to touch it because of what the dentist said for the blood to clot. I noticed she has really bad breadth so I looked at and thought it might be infected. I told her to start rinsing it out and trying to get the stuff that was in it out and I am not sure if she could call for an antibiotic or something. She is rinsing every hour with Peroxide and sometimes saline solution. I looked at it and it looks like there is some different things but I am not sure if it is tissue and am a little afraid to start poking around. | Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain the cream coloured stuff within the extraction socket is the scar tissue or the healing tissue that is responsible for the filling up and healing of the extraction socket and there is a big NO to poke it and you should not at all poke it or touch it..The swelling can be inflammatory swelling which can occur commonly after any surgical procedure due to soft tissue injury and will subside gradually..The bad breath from mouth can be due to poor oral hygiene in a fear of loosing the blood clot but now she can very much do proper brushing of teeth [avoiding the extraction site],use chlorhexidine gargles and also do warm saline gargles..As she still have swelling taking antibiotics like AUGMENTIN 625 mg thrice a day,IBUPROFEN 400mg thrice a day and Pantoprazole 40mg early morning empty stomach can relieve..Do cold compresses over the swelling..In case if the swelling does not resolve after a week more consult your dentist and get evaluated..Hope this information helps..If you find the answer helpful please give me a Five Star Review and click on found the answer helpful as a token of appreciation..Thanks and regards..Dr.Honey Nandwani Arora.. | |
What causes hand pain at night?
Hello...I am having trouble sleeping because of pain that I get in my rt hand..I do have on every night a wrist stabilizer that fits over wrist and palm. During the day 3fingers and thumb feel a bit asleep. YYYY@YYYY ...............I am 72 in good health..without heart issues. | Hi, The possibilities are a neuropathic pain due to the weakness of nerves due to underlying conditions like diabetes and peripheral vascular disease due to a poor blood supply. As of now, you can take analgesics like Tramadol or Diclofenac for pain relief. If symptoms persist consult a physician and plan for a Doppler to assess blood flow and do a nerve conduction study also. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Possibility of having vertigo due to the symptoms observed
Hello! I ve had vertigo symptoms lasting a month now, and my prescribed Meclizine has not had much effect. I stopped taking it maybe a week ago and now my poop has turned bright green. Other minor symptoms include ringing in ears, vomiting under stress, random but few hot flashes, and increased soreness in my back, around the shoulder blades and from my neck all the way down. I went to my doctor to address the vertigo and anxiety but she gave me Meclizine and instructed me toapply Epley s maneuver. I ccan t afford to see any more doctors... help! | If meclizine is not working for your vertigo ... I think you should start Betahistidine ... usually comes undeundee brand name Serc ... 8mg twice daily ... if still doesn't work, u can increase the dose up to 16mg twice daily .... the type of disease u are describing are symptoms of either BPV ...benign positional vertigo, or Minier's disease ... I recommend an ENT specialist consultation for ur condition. | |
What causes delayed periods and negative pregnancy test?
My period has been very regular for the last year, and was very heavy until November when it was shorter and lighter than normal. It is now approx 20 days late. Home pregnancy test came back negative, and I have not started/changed/stopped a hormone based birth control. I regularly feel fatigued, no matter how much I sleep. I have been experiencing cramps and mood swings. Bowel movements have increased and are often looser, but then days of constipation. I struggle to concentrate either at work or reading/watching a movie etc. I tend to be a lot more thirsty than usual. I started exercising more frequently about eight weeks ago, gradually building up to running 3 miles a couple of times a week. I m 24 years old, 5 3, about 135lbs. | Hello dear,I understand your concern.In my opinion there are various causes for delayed period other than pregnancy.They are hormonal abnormalities like thyroid abnormalities,polycystic ovarian disease(PCOD),overweight,obesity,stress, anaemia etc.As per your history I would suggest you to rule out the above abnormalities by getting done the necessary investigations like thyroid profile ,ultrasound and Hb.Thyroid profile rules out the thyroid problems,ultrasound for PCOD and Hb to rule out anaemia.I would like you to see the doctor as you might need medicines for withdrawal bleeding as it is not pregnancy.Avoid stress if any and weight reduction is helpful in case of you are overweight or obesity.Nothing to worry.Cycles become regular once the cause is treated.Hope this helps.Best regards... | |
What causes chronic knee pain?
I get knee aches a lot, it can be in either knee. I have had this for as long as i can remember, its a dull ache and feels like its cold, a hot water bottle does soothe the pain sometimes. what is this? if i know how its caused i can do something to prevent it happening. | Hi,Chronic knee pain is a common problem, reported in day to day life. It can be a result of:- Osteoarthritis or rheumatoid arthritis or gout- Tendinitis or bursitis or damage to the cartilage below the kneecap- Infections or Baker’s cyst- Obesity etc.Your history doesn't mention about the age and duration of complaint. I advise you to:- Do blood investigations like ASO, CRP, RA factors to rule out arthritis- X-ray both knees- Analgesics, anti-inflammatory and hot compress- Regular exercise to maintain healthy weightTake care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Yogapriya Vasudevan, General & Family Physician | |
Can you suggest the medicines to cure or control Hbs+
Hi i am mr.sharif age-32,height-1.70 meter. I am carring Hbs+ last six years. I stopped taking madecine from last two years. i lost my all perscription.so i have to need your suggesion to remove or control this virous. | Hello Mr.Sharif ; Welcome to HealthcareMagic Many people carry Hbs+ & can maintain proper health with a controlled diet & lifestyle.Nowadays even treatment is available to control & trails are on of newdrugs to remove it .As you lost the prescription I would advise you to contact & consult your doctor again & he will prescribe the required medicines for you.On line consultation will not help as you left medicine 2 yrs ago so it will be better to get physically examined;if required investigated then you can be treated by your doctor. Thanks | |
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 --> | |
Q. I have cough, sore throat and increased urinary frequency for a few days. What to do?
Hello doctor, I am a 28 year old male. I have some symptoms for the last few days like cough, sore throat, frequent sensation of urinating, with no or very little urine and feeling of incomplete emptying of the bladder. It is accompanied by pain, which feels like it is in the urethra. The frequency of urination is every 30 minutes, sometimes immediately after using the restroom. I was never sick before, so I am a little concerned. | Hello. I understand your concern. You have not given adequate history. Did you have any unprotected sexual intercourse in recent days? Are you at risk for STD (sexually transmitted disease)? If so, then frequent urination and burning accompanied by some pain can signify some STD. For fever and sore throat, I will advise you saline water gargling. Do it three to four times a day and avoid cold food for the next few days. If you do not have STD scare, then you can have tablet Ciplox (Ciprofloxacin) 500 mg twice a day after food, for five to seven days, and your symptoms will resolve. If you do have STD scare, then I suggest taking tablet Doxycycline 100 mg twice a day for seven to ten days, depending on your severity. If your symptoms are not resolving after two days, kindly consult your local physician and get yourself checked for STD, and they can do your urine routine and culture. | |
How to get rid of lump in the lung and its pain?
i have a lump in the lung and it started giving me a pian at times when i stretch out my hands to the both sides and during sleep in the night. i consulted the doctor and he took x ray and ecg and both are normal. the bp was 140/90 and there was a blood clot at the place where i ahd the lump. Please advice. | Hi,Dear,Thanks for the query to My HCM Clinic.I studied your query in details and understood your health concerns.-Treatment and Cause of your lump in the Chest-a-As your Xry Chest is normal,the lump with blood clot would suggest-?Insect bite? or post-traumatic hematoma on chest.b-Tb NSAIDs for painkilling and reducing the ?blood clot? insect bite and pain around it.c-If blood clot is there? hematoma- it would resolve in next 2-3 days time.Consult your ER Surgeon for this.This advise would help you to plan treatment with your doctor.Hope this resolves your query.Wellcome for further query in this regard. Have a Good Day...!!With Regards | |
Taking Udliv, Atocor, Rablet for high liver function values. Reports show high triglycerides. Is treatment correct ?
Dear Sir,I am 33 years old of weight 79 kg and height 1.74 m. I have been following my doctor's prescription of taking 1 no of Udliv 600 mg each before lunch and dinner , 1no of Atocor 10 mg after dinner and 1 no of Rablet 20 mg before breakfast since last 4 months. Before 4 months my SGPT was 107 and SGOT was 67. Recently I have found my SGPT and SGOT to be 62.2 and 54.4 . However, my triglyceride level is 204.2 mg/dl. Is my treatment going in proper direction? Moreover, I have been using Neurological medicine Desval-ER-500 since last 5 years due to epileptic disease. Does this medicine has any adverse effect in lever function? Please help....regards,AAAA | Hi, Welcome to HCM.Most anti-epileptic medications including Desval (Valproic acid) affect liver function, however, based on the information you have given your liver function is certainly improving (decrease in SGPT and SGOT) indicating that your treatment is going in the right direction. However, your triglyceride level is still high. I recommend increasing the dose of Atocor and repeating your lipid profile after couple of months. In this regard I will advise you to consult your primary physician and monitor your lipid profile as well as liver function. Hope this helps. | |
Skin boils. Reaction from Halloween treats. Rashes and white boils on shoulders and chest.
Skin boilsI believe I have had a reaction from Halloween treats, I do my best to not ingest granulated sugar as I have struggled with skin reactions in the past; rashes, and white boils on my chest and recently on my shoulders. I would like to quit granulated sugar completely again , as I found my reaction time if I cheat is now a lot faster, my body pushes the substance out more quickly. Does this sound like a familiar case? How can I safely take care of the skin without scaring? Thank you from Robyn | HiYou can use calamine lotion for skin. and use an antihistamine like cetrizine 10 mg once daily.Hope this may help you.If not getting better then consult your doctor.thanks | |
How to increase erection and ejaculation time?
Hi, i am 32 year old male, before i could masturbate 2 or three in a day, but recently i notice i can do only once in a day, i never used to do masturbation regularly,Seeing my present situation i am bit worried, how can increase my erection and ejection | Hello, Masturbation is considered as a physical exercise and you loose physical energy while doing masturbation. The physical energy capacity is directly proportional to your age and other physical and mental activities. In any case, it is never advisable to masturbate more than 4 times a week. Once you reduce the masturbation frequency, your erection power will be restored. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist | |
Does utrogestan causes irregular menstrual cycle?
I ve been taking utrogestan that was prescribed by my gyanaecologist for treatment of endometriosis. I have noticed that my periods are very irregular after taking these pills. I normally get my periods after 28 days but lately I get them within 21days. Is this normal? | Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to side effects of Utrogestan.It may cause change in your menstrual bleeding pattern, including spotting or bleeding between periods.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
Suggest treatment for headache, sore throat and body pain
Symptoms of an 18 year old male seem to be flu like: headache, sore throat, aching everywhere, feels light headed like he will pass out but doesn t, but the weird symptom is that he woke with a rash and redness on the first (largest) knuckles of each hand. He has had a fever ranging from 99.5 to 102.4 and it comes and goes. Any idea if this is something to be concerned about. Also his neck and back are aching, but so are his hips and most joints. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Does he has recurrent sore throat? or Chest palpitations? His joints are painful and also has rash and all above symptoms goes towards a streptococcal infection. Or rheumatic fever/heart disease. Though you have not mentioned about his heart condition. I suggest you to go to a medicine specialist. Do not ignore. Hope this will help you Get well soon Thank you | |
What causes faster heart rate after having food?
My girlfriend is experiencing an increased heart rate for a few moments around lunchtime and some general chest pain near her shoulder on the right side, which hurts to press hard on. She's also feeling some intermittent stabbing/numb pains in her right arm. She has Haemophilia C and has was diagnosed with anemia as a child. She has recently been using one crutch for a damaged tendon in her right foot (but switched arms regularly), but has stopped now after ~3 weeks of use. She is also 2 months into a desk job, when she used to work in retail. She saw her GP a few days ago, who tested blood pressure and listened for heart arrythmias but found nothing abnormal. She has considered ibuprofen, but was warned off it due to the Haemophilia. She has cut down her consumption of Coke Zero, coffee and seldom has alcohol, but after 5 days is still experiencing the symptoms above. She's thinking of getting some light exercise on a rowing machine, but I think she's worried about exacerbating it. Please can you offer any advice? | doesn't look like a heart pain as pressure increases right arm pain. Arm pain can occur due to bleeding occurring in muscle or joint. Palpitations can occur due to anemia. Get peripheral smear done followed by serum iron studies if needed to look for cause of anemia. factor 8 level should be checked once to know the status of hemophilia | |
Suppliments for extra energy in workouts and curb appetite
can i try oxyELITE pro, from GNC, while taking SSRI Celexa ? oxyELITE is used for extra energy during workouts and contains an appetite depressant. It lists Dimethylamylamine on the label as well as 100 mg caffine. if not, are their other suppliments to allow a little extra energy in workouts and curb appetite ? | Please don't try this... iwas on both and it gave me massive anxiety attack and insomnia and I havnt had those before or since.... do not try it. | |
Are there any side effects of medicine Olmatec along with crestor?
I m taking Olmatec 20 g for one year and since I m taking this drug along with crestor 10mg, my feet feel swelled up and it hurts when I put my foot on the floor in the morning and also my stomach feels hard and inflated why? I am male 45 yrs weight 190lbs,, Sandro at YYYY@YYYY | Hi,Suggestive of side effects of Crestor. There is no documented harmful interactions between these two medications when taken together. However based on the history given you seem to be suffering from the side effects of cholesterol lowering medication Crestor. I would advise you to consult your treating doctor to prescribed an alternate effective but a safer medicine like Colesevalam or Ezetimibe to treat high cholesterol.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Is it safe for an elderly person to take Tramadol for knee pain?
Hi I am taking tramadol 50mg, I was taking 2 three x a day now I am taking 1 three times a day. My question is it safe for me , I have real bad pain in my knees and just my whole body. I am 72 years young, and have been told that I had chf. Right now that is under controled. I am getting ready to have knee replaced on my left knee. I just want to take a safe pill. | Hello, Tramadol is a safe medication to take for the pain. I would recommend trying taking Acetaminophen. It is much safer. If it won't be effective, you can try Tramadol. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
Is there a treatment to cover the over gap between teeth?
Hi, I ve got braces and have had them for quite some time now. My teeth are getting considerably straighter but my problem is I haven t been putting my elastics in evet since I ve got them and when I have it has only been max 3 days so I still have an overgap. Is there anything my Orthadontist could put into my mouth once my teeth are straight to fix the overgap or will I have to have my braces in longer and start and proceed to put my elastics in until my bottom and top teeth are in line? | Hello,I suggest that you follow instructions provided by your orthodontist. The rubber bands are necessary to help tooth movement. noncompliance will extend the time needed to wear braces. Discuss your difficulty with wearing the rubber bands with your orthodontist. There may be an alternative such as a neck apparatus to wear at night that may be an option.If spacing can not be completely closed, there are options such as bonding, veneers, crowns or bridges to close the space. Stabilization after removal of the braces is very important to avoid a relapse. Wear retainers and follow instructions for the best long term result. Bonded retainers on the tongue side of your teeth are very common and ensure that you do not forget as it is fixed in place.thank you for your inquiry. | |
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 --> | |
Q. I have erection problem only when I am with my partner. Please help.
Hello doctor,I am 26 years old and recently I have started having issues maintaining an erection. I have no issues on my own but once with my partner, I experience shortness of breath and it just does not stay up. Any help is greatly appreciated. | Hello. Relax and do not worry. Do you have an erection in sleep? Do you smoke? Do you have a family history of medical illness? Occasionally, erection problem may happen to everyone. In your case, I think it is because of performance anxiety as there is no problem when you are alone. So I think you need to just relax and do not feel pressure. No tests required now. If required, you can take Sildenafil 25 mg one hour before intercourse. For more information consult an urologist online --> | |
Suggest remedy for cramps with back pain
ovulation? I am 25 years old, I have 3 kids. I am having lower back pain with mild cramps the past couple of days. Today it has gotten worse and I thought maybe I could be ovulating, but could ovulation feel like labor contractions? I have never had this happen before. | ovulation pain may simulate labour pain but not exactly like labour name, this is due to hormonal changes occurring with age , your body needs maintenance- do regular exercise, take multivitamins........... also get your haemoglobin level,take antispasmodics . | |
Is it safe to take advent for pneumonia?
my mother is 50 years old having weight 50 kg got Nimoniya... and doctors advised her tablet advent 625mg three times a day.... isn"t this overdose for her as she felt restless, headache and did vomiting also after taking medicine thrice a day .... but if she take twice a day... then she is ok... kindly advice.. | Thanks for your question on Health Care Magic. I can understand your concern. Advent is having combination of amoxicillin and clavulinic acid. Ideal dose is 625 mg three times a day.So better to take it thrice daily. Twice daily dose is insufficient and hence chances if partial or incomplete recovery are more. So better to take it thrice daily. If she is having vomiting then better to take advent after meals or some food. Also give her antacid and anti emetic combination prior to meals. These will help in subsiding vomiting. So give her thrice daily, don't give advent twice daily. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. | |
How to treat the pain and burning sensation in tailbone?
age 30, weight 134lbs, height 5'8". Gender, female.I have pain in my tailbone (as if I fell) and burning sensation in my lower leg. I had a UTI, which has since cleared up and I was on Norfloxocin for it. UTI symptoms are gone, but there is still some burning down below. | Hello,Avoid Sitting Postures for longer durations, for whatever shorter duration you want to sit take proper soft cushion to avoid Pressure on your spine against the seating surface.Take Good Analgesic like Diclofenac and Calcium pills. Maintain proper hygiene of the body especially the Genital areas, you will be alright soon.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Abdullah | |
Suggest treatment for severe pain under the ribcage
I have pain, discomfort under my left ribs and side, I have to go to the toilet shortly after eating. My stools are lose and float. I ve had this problem for quite sometime and went to the doctors last year but couldn t find a problem. Am I being paranoid? Many thanks Cheryl | Hi,Thanks for your query.Firstly the pain under the left side of the rib cage may be due to Gastritis(Inflammation of the stomach). I advise would be to avoid spicy and greasy food. Prescribe proton pump inhibitors like omeprazole. A gastroscopy will help in the diagnosis.Secondly it may be due to pancreatitis(Inflammation of pancreas). Stop smoking and alcohol if any. Blood tests like serum amylase and lipase will help in the diagnosis.Thirdly kidney stones. X ray of the KUB will help in the diagnosis. Antispasmodic for pain. Increased intake of water is advised. The size and site of the stone determines whether the treatment is medical or surgical.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
What causes lumps on the head?
I just found three walnut sized lumps on my sons right side of his head. They itch and there seems to be no bite or scab just lumps. He just recently got over hfam but the bumps are concerning me. One is right above right ear and just continue up equaling three lumps. I m really concerned. | Hi, dearI have gone through your question. I can understand your concern. He may have lymphnode enlargement, lipoma or some skin adenexal tumor. You should go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What could be the reason for having bump close to left canine which is filled with pus?
For a few months Ive had a boil/bump close to my left cainine. Now it is filled with pus and a second smaller one has appeared. It is occasionally tender, not much comes out and it seems to vary in size from day to day. I have had an apexcectomy in that cainine | Hi,Thanks for asking the query,It is due to presence of infection in the tooth that had drained the abscess in the surrounding tissue leading to formation of bump.A thorough examination by the Dentist is required also an IOPA radiograph.Drainage of abscess is required.Take a course of antibiotics and analgesics.At home take lukewarm saline and antiseptic mouthwash rinses.Take care! | |
Is it safe to take supplements like niacin,fish oil and magnesium to lower the blood pressure?
I am 55 yo woman - have not exercised for a few years after a foot injury - BP ranges from 145 over 80 to 139 over 72 - I get a really high rate at doctors office 175 over 90 as I hate the blood pressure cuff and the way it makes my arm feel. I am taking a bunch of supplements like niacin, fish oil, coenzyme Q10, Coleus foskholii, magnesium and potassium to help lower my blood pressure. I always have eaten healthy. Is it safe for me to start exercising? | Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that the episodes of high blood pressure during doctor appointments are related to anxiety, also called White Coat Syndrome. These episodes are not harmful and do not need any treatment. Regarding your blood pressure values, during most of the time, you seem to be borderline blood pressure. This means that for the moment some lifestyle modifications, besides the supplements you are taking would be helpful to reduce you blood pressure: -modify your diet (reduce salt and caffeine intake)- perform a lot of physical exercise (4 km of walking per day is recommendable, aerobics, etc)-lose weight, if you are overweight. Hope to have been helpful!Best regards, Dr. Iliri | |
Hi my name is Leisa, i am 39yrs old. I have had blood coming from my bottom for around 2-3 mth after i do a poo. I thought it may be heamoroids as i have had them once before. Recently the blood has become heavier and its smelly when i go aswel (more than usual) I also have noticed like a mucas or something around the poo at times. I have heaps of wind but no pain. I have not seen a doctor as i avoid going from some past bad experiences. Can you help? Thankyou Leisa | Hi well come to HCM. Since you are having mucus and blood both there are all the chances of you being suffering from ulcerative colitis and could be confirmed by colono scopy, May be dysentry even which can give similar picture but is usually associated with lt sided lower abdominal pain and colick and fever at times. Get done your stool test, and must consult your doctor as early as possible because chronic blood loss will lead to severe anemia like complication. Thanks | |
Is it ok to start medications before beginning of pneumonia?
I am 13 wks pregnant. I have had pneumonia 2 times over the last 3 years and am familiar with the symptoms. I currently am very week, and have a tickle in my chest that makes me want to cough once or twice a day. When I cough hard I can taste the congestion in my chest. This is the same taste as when I had pnemonia in the past. I have no fever, but when I went to the clinic the doctor said my lymph nodes are swollen but my chest dosen"t sound congested. I believe this is the beginning of Walking Pneumonia. Do I have to wait until I get more sick before they will prescribe antibotics?! | Thanks for your question on Healthcare Magic. I can understand your concern. Since you are pregnant, it is advisable not to take antibiotics by your own because majority of antibiotics are contraindicated in pregnancy as they can harm your developing baby. So don't take any drug especially antibiotics without consulting doctor. In my opinion, you should consult doctor at present and ask for prescription. Tell your doctor that you are pregnant. So that he prescribe drugs including antibiotics which are safe in pregnancy. Don't worry, you will be alright. But please don't take antibiotics by your own as you are pregnant. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Could brown pigmentation under nail indicate kidney problem?
index finger is brown just under nail and on the sides. I am seeing a doctor, but he is running kidney tests. Doesn't seemed too concerned about discoloration. I'm a worrier and naturally I feel this is a sign of something bad. I have had kidney disease when I was quite young. Thank you. | Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Brown pigmentation under nail would indicate old injury with absorbing blood. If all nails were involved, systemic disease like kidney cause could be possible. 2. As you have a history of kidney disease in young, the doctor is running kidney tests to assess the function at present.3. Not to worry now. Correlation with renal function tests is essential.Hope it helps.Any further queries, happy to help again. | |
Suggest remedy for getting pregnant
Hi. My husband (29) and I (28) are trying to conceive our first child. I am on Clomid to help me ovulate (second round). I am 11 days post ovulation on a 38 day cycle and not due for my period until Friday 13th. Are there any particular pregnancy symptoms that I need to look out for that specifically deal with Clomid users? | Hello,You should do follicular study after taking Clomiphene to know the exact time of ovulation and keep the relationship around it and IUI, if possible, for early results. Next month do serum TSH and serum prolactin if you don't conceive.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal | |
Suggest remedy for pain in calf muscles
We just came back from a 11 day car trip. Previously had DVT after a surgery over 10 years ago. Started having pain in calf at 11am today while in the car. Have been in Colorado skiing for a few days. Should I be concerned today, or should I wait to see if I have any other symptoms? | Hi.It would be best to visit any doctor in the region who can conduct a doppler, and help rule out any potential causes for concern. but in the meantime make sure you exercise your legs (by flexing and extending your feet while seated at least once every 30 minutes).Best wishes. | |
What causes swelling and lump at the dog bite site?
i was biten by my dog last monday, 7 days ago, and saw the doctor and was given antibiotics, and had a steri-strip on, however lately it's been been oozing with pus, and today we've noticed that there is a lump underneath the cut, what could this mean? | Hi.The lump can be a close-abscess with antibioma around .I would advise a change of an antibiotic, exploration of the wound, What about anti-rabies injections and Tetanus toxoid? | |
How can a pain and itching plus white compound on penis be cured?
Hi Sir, Iam getting littile pain + itching like sensation from py penis. today when i carfully observed there is some white compound in the tip of my penis and fore skin also. what is the cause for this problem and how it will be cured. Which doctor i have to see if required? | Hi,It seems that there might be having prosthatitis giving this problem.Due to collection of smegma and not doing cleaning of local part will give rise this infection.Make a habit of daily cleaning smegma collecting under foreskin while taking shower.Apply antibiotic cream locally.Ok and take care. | |
Can pain after having wisdom tooth extracted suggest nerve damage?
I had my impacted wisdom tooth extracted two weeks ago tomorrow. The "hole" is healing slowly but doesn't hurt anymore. The tooth beside the extraction site is the problem. It is very painful and the gum around it is very red. I also can feel my heartbeat in the tooth. Do I have nerve damage? | Thanks for your query. I have gone through your query.The pain in the adjacent tooth might be because of the exposure of its root surface during bone cutting. The pain can also be because of any sharp bony margins left out following extraction. The redness in the gums is because of the inflammation secondary to food lodgement.Nothing to be panic, the pain will come down in 2weeks. If it is not reducing then consult a oral maxillofacial surgeon and get it evaluated.If there is a shrp bony margin get it smoothened by alveloplasty.I hope my answer will hell you. Take care. | |
Are severe back pain, nausea and bursitis associated with ITP?
I am having severe pain in my left mid back. Also pain into left upper quadrant abdomen. Nausea, no vomiting. No diarrhea. Diagnosed with bursitis in right shoulder last Thursday. Steroid injection given. Also trying to wean off effexor. Taking 30 mg daily at present. Have history of ITP. | Hello, The back pain and bursitis that you have is not likely to be related to ITP. In addition to the steroid injection, oral muscle relaxants and regular physiotherapy will help in decreasing pain. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon | |
What do these fasting blood sugar levels during pregnancy indicate?
Hi I am 18 weeks pregnanat. My gtt reading is 152.I am taking glycomet S 500 half after breakfast.My sugar levels were controlled but since last 2 or 3 days they are bit high. Fasting is Post lunch 122 Post Dinner 142. Is there any sign of worry. | Hello,I have gone through your query and understood the concern. The cause of the recent rise in the blood glucose levels should be determined. Variation in the diet, stress, infection and also the increasing demand that occurs during the mid-trimester should be excluded. If needed, the dosage of the medication may be stepped up under the guidance of your doctor to maintain stable sugar levels in the body. As such, the elevation is only slight and so, please do not worry. Proper management will tide over the situation. Wish you good health. | |
Can white things seen in urine be the kidney stone passing?
I just had a kidney stone surgery but was left an stent inside until today, am having lots of pain and now am seeing white things in my urine, could that be particles of the stone? I know i had a 7 mm stone and was blasted, how do i know am passing stone? | Yes, your concern is very true.In my hospital, after lithotrity i.e. stone blasting , I always ask my patients to collect urine in a container & send it for stone analysis.Also, to all my patients who want advise to prevent stone formation in future, I advise to do metabolic work-up & 24 hours urine analysis.You can discuss this with your doctor.Hope this information is useful to you.Thank you.Regards. | |
Suffering from severe mood problems and want to quit masturbation
SIR I HAVE BEEN SUFFERING FROM SEVERE MOOD PROBLEM. I COULD NOT. STAY IN ONE PLACE MORE THAN 15 DAYS. I ALWAYS LIKE TO ROAM.I WAS ON CIPRALEX 10MG FOR 1MONTH.BUT. I DNT WANT TO TAKE THESE MEDICINES ANY MORE. I ALWAYS FEEL PRESSURE IN MY NERVES.PLEASE SUGGEST SOME HARMLESS THERAPY. I AM TANMAY AND MY AGE IS 28.I FREQUENTLY MASURBATE.AFTER SO MUCH MASTURBATON THIS PROBLEM HAS ARRIVED. | DearWe understand your concernsI went through your details. Please understand, masturbation is harmless and healthy. In your teenage, you can masturbate upto twice a day without any health problems. After the age of 20, you can masturbate once per day and the frequency reduces when you grow older and as you have other duties and physical stressors. So blaming masturbation for your mood disorder is not at all apt.You have mood disorder and anxiety related problems which you attribute to your masturbation habit. Wrong. You are anxious because of your lack of correct knowledge about masturbation. I suggest you psychological counseling and if need be, psychiatric anxiety treatment. Consult a psychologist first. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
What should be done to remove the red brown patches of dead skin on scrotum?
Sir, I am facing a problem on my scrotum. Red-brown patches of dead skin are being formed on it. I am unable to remove them with a body scruber as it pains while doing so. What steps can I take to remove those patches? Waited for a replyThank you. | Hi,From history it seems that you might be having dermatitis or fungal infection giving rise this problem.Apply triple acting cream and Vaseline on scrotum.Use glycerine soap for cleaning scrotum.Avoid synthetic inner wear.Ok and take care. | |
How to treat erectile dysfunction?
good eve. dr. dr. my brother is suffering from E.D. CONSULTED DR.PRAKASH KOTHARY- SEXO , DR. VIJAY KULKARNI -ANDRO & FEW PSYCHIATRICS ALSO BUT NO RESULT TILL DATETRIED SIDENAFIL & TADALAFIL TAB. & ALSO USE PAPRAVINE INJ. ALSO BUT NO USE DONT KNOW WHAT TO DO NOW TO SAVE MARRIAGE PLS. HELP WHAT TO DO NEXT | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Even after trying all the standard treatment for erectile dysfuction the patient does not improve then the last resort would be penile implant. I would advise you to discuss the option of penile implant with your urologist/andrologist. Hope I have answered your query. Let me know if I can assist you further. | |
Lower back pain, stiffness and pain while bending, physiotherapy didn't give much relief. Solution ?
hi Doctor, i am having a lower back pain . In morning i experience stiffness and while bending it pains. Also while turning in bed it is discomfort and pains. Its not like i cannot bend or cannot do work but it pains while doing these activities. Also if i stand for long 4-5 hours then it pains. I have done city scan and doctor told some physiotherapy exercise but that has not reduced it. Please let me know possible solution to it. Thanks, AAAA | hello you need to mention your age sex job to diagnose. do you have any xray for this complaint? ayurvedic mediacation is time proven for such complaints so use that. Since BACKACHE is a condition caused due to vata vitiation,any food that can aggravate the vata further must not be taken.Sour and fried foods must be totally avoided..Rice must be reduced;rather food grains such as wheat, millet and sorghum are better. Prasarani,is the drug that is most effective for the treatment of BACKACHE. Instead of sleeping on a soft mattress at night,use a hard mattress. Yoga asanas that can be used to prevent pains are: a) Bhujangasana b) Halasana c) Shalabhasana d) Shavasana e) Uttarapadasana use of mahanarayan oil and vishgarbh oil also very useful along with other guggul medications diet modification,some changes in day to day activity. dont be in same position for long time. have a nice day feel free to ask in detail. | |
What is granulomatous disease?
I am a soldier and just received an e-mail from a health care provider who conducted a chest x-ray on me during my deployment to Iraq. I have been given the runaround all day by my health care providers and only want some clarification on what my condition may be. My doctor told me that there were signs of granulamatous disease that had healed indicating an old pulmonary infection. What does this mean, and what should i tell my wife while I am waiting on an appointment? | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This indicates past lung infection either in form of bronchitis , pneumonia , tuberculosis or others .* Granulomatous disease is inherited primary immunodeficiency disease which increases body`s susceptibility to infections from bacteria or fungi .* Granulomas are masses of immune cells that are formed at the site of infection or inflammation . Hope this will help to clear your doubt .Wishing you fine recovery .Always welcome for any further assistance anytime .Regards . | |
What causes rashes and itching on knee after surgery?
Hi I had knee replacement surgery on October 25th. Since then off and on, I have had itchy skin primarily on the affected leg, but to some degree, on the other leg. No real rash, but if I scratch it, it lumps up like hives. This almost always happens at night. In the daytime, I hardly ever itch, and there is no rash. | Hi, I think you might be suffering from dermatographism. Dermatographism could be due to a variety of causes which is a type of urticaria. You could take antihistamine empirically. But, I highly recommend you to consult your operating surgeon and he may refer you to a dermatologist, if necessary. Hope I have answered your query. Let me know if I can assist you further. | |
Frequent urination, difficulty while having intercourse. What is the cause?
Hi! I`m 24 years old, think have sick prostate , just wont to know what doctor think. The symptoms i make a pi often, like readly after take a drink, can`t and don`t want sex with me girlfriend, before i didn`t have sex about 3 month, after during 1 month 2 times a week we made it 9 times per 2 days, and now i can`t do it ((, what is that could be? | DearWe understand your concernsI went through your description. I suggest you not to worry much. Why are you worried about prostrate gland? Do you know anything about it? Have you any experience about it? If you are in doubt, please do consult a physician. Do not have self diagnosis and self medication. Seldf diagnosis and worries can lead to undue anxiety and apprehension and thereby mental disorder. You might need psychological counseling., I am more than happy to provide telephone psychological counseling through healthcaremagic. Contact me through customer care, www.healthcaremagic.com.Hope this answers your query. Available for further clarifications.Good luck. | |
What does reversal of normal cervical lordosis mean?
ACDF hardware with associated screws are seen from C4 through C7. There is reversal of the normal cervical lordosis. The bone marrow signal is homogenous. C2-C3: No stenosis C3-C4: Right paracentral protrusion of the disc osteophyte complex effacing the thecal sac C4-C5: No stenosis C5-C6: Right uncovertebral arthropathy resulting in mild right neuroforaminal stenosis. C6-C7: Right facet and and uncovertebral arthropathy results in mild right neuroforaminal stenosis. C7-T1: No significant stenosis. The spinal cord is normal in caliber without any abnormal signal changes. No pathologic enhancement is seen. There are no prevertebral or paravertebral masses. | Hi there , welcome to HCM, thanks for your question.By convention we doctors use several technical terms to describe the alignment of the spine.Lordsis is one such term.When seen from the side our spine has 4 curves.In the neck and the lower tummy area the spine is curved backwards,such a backward curve is known as Lordosis. In the chest and tail.bone area our spine is curved forwards, such a forward curve is know as kyphosis. with forward facing and tw backward.Such alignment is required for up right posture of human beings so that our head is balanced on our limbs.So the neck area (cervical) we have natural lordosis (back ward bending)In the radiology report you have mentioned the normal lordosis of the neck is lost, that is the spine so no more curged as it should be.This can be as a result of normal variation, muscle imbalance,post surgery finding or owing to long term postural imbalance.However loss of cervical Lordosis is a radiological term and need not always be associated with clincal symptoms of pain and discomfort.Pain in such cases of post op loss of lordosis can also be due to muscle imbalance or some times due degeneration of adjacent level, which is c3/c4 level in the given report.Physiotgerpay with spinal strengthbeing exercixes ad medicines shold help initially.Further treatment would require correlation of your symptoms and radiology by a trained spine surgeon.Hope this answers your question.All the best. with best regards. Dr.SBK | |
Head cold, cough, sore spot on nose, swollen bump under skin, swollen sinus. Infection?
I just recently had a head cold, i now have a cough that is producing mucus and sounds raspy and issues with my nose . I am no stranger to this because i suffer from allergies throughout the year. My concern is that while washing my face last night i noticed a sore spot on my nose and it hurt like it had gotten hit and was bruised. I looked at it and noticed it was actually a swollen bump under the skin above my nostril ,also the left side of my face where my sinus is, is also swollen a little . My question is could i have an infection now? | Hi, Thanks for query. It seems that you might be having upper respiratory tract infection with Sinusitis. The bump you see might be due to infection in the nostril due to irritation and congestion in the nostril. Consult you doctor and go for antibiotic medicine under his guidance. Ok and bye. | |
What course of treatment should be done for abdominal pain and constipation?
Hi I am having abdominal pain from my right side around to my back. this has been going on for about five days. I thought it might be constipation because I hadnt gone in several days. So I bought some Dulcolax I have been going some. I also thought it might be a kidney infection( I have a hiistory of them) So I started drinking a lot of cranberry juice. It seemed to be getting better, but know its back again. any ideas. | Hello, As per my surgical experience, the pain is related to possible gravels or calculation in the kidney or ureter; constipation may be in relation with intestine motility-related or else. Though there is relief with plenty of liquids, it has turned back, which narrate the need for an ultrasound of the abdomen & pelvis to find out the cause and treat in accordance with that only. Primary relief with cranberry sachet or pills and analgesic as dicyclomine or diclofenac if no history of drug sensitivity. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon | |
Q. How do symptoms like abdominal pain, fullness, nausea, and weight loss related to ovarian cancer?
Hello doctor, I have abdominal pain, fullness, nausea, weight loss, leg edema. I would like a second opinion and another interpretation of my scans, please. In February, I started having bad abdominal fullness, nausea, vomiting, anemia, and weight loss for a few weeks. Then I felt a little better but then I get the same again. I am worried about possible ovarian cancer as three of my aunts had it, my mom and five aunts had breast cancer and my grandma died of peritoneal cancer of ovarian origin. When I looked at the CT scans it seemed of pretty poor quality compared to the images I see online. Please help. | Hi, Welcome to icliniq.com. Thank you very much for providing detailed history and uploading all the blood tests (attachment removed to protect patient identity). Blood tests give us many clues. You definitely have less red blood cells than expected but also you have low white blood cell count. That definitely makes me think about some problems related to the bone marrow where those cells produced. With the production of less red and white blood cells, it is also expected you have a low level of blood proteins. Let me tell you about your abdomen-pelvis scan. Scan quality is good, they started with noncontrast, then got venous-routine phase with also additional delayed phase. Liver, gallbladder, spleen, pancreas, bilateral adrenal glands, and kidneys look normal. Uterus and bilateral ovaries are normal. Bladder is normal. What is abnormal? Intraabdominal fluid, ascites which explains your fullness. Good news is no evidence of ovarian cancer or any other masses. I highly recommend you to see a hematologist and maybe sample bone marrow. I strongly believe you have bone marrow disease regarding to production of blood cells, if you would like to read about it, it might be some mild form of pancytopenia, although your platelet number still looks low normal. Bone marrow diseases. Bone marrow biopsy. Bone marrow diseases. | |
What is the pain and numbness in shin along with chronic back pain?
I have numbness and occasional severe blinding pain below my knee on the shin. There is also leg cramping and spasams where my left leg just moves. The final thing is that I am getting permenent dark spoots almost like bruises on my leg. I have been treated for a bad back for a year and it just seems to be getting worse. Any ideas--Thanks | Thanks for the question. Do get blood tests for complete blood count, platlets, ESR etc, serum calcium and phosphorous levels.Take tramadol 100mg BD for 3-5 days,and neurobion forte OD, shellcal 500 mg BD and Evion 400mg OD for 3 weeks.Consult with the blood reports again. Do massage of leg and shin with voveran gel | |
Could pain in knee be caused by strain of the vastus medialis or sprain of medial collateral ligament?
I have a history of trauma to the knee. A physician diagnosed me as having sprained my medial colateral ligament and a 1st degree medial meniscus tear. The physical therapist disagreed and said it was a only a strain of the vastus medialis. So i was treated for that. I was fine until returning to biking left my knee sore. Now I'm experiencing slight pain. My knee becomes extremely stiff after having a shower. What is going on? | Hi. My opinion is that a vastus medialis strain would have healed with physical therapy, but a meniscal injury can cause persistent pain or discomfort. An MRI will give a definite diagnosis. Meniscal tears do not heal easily and you may need an arthroscopy to clean it. I advise a visit to an Orthopaedic surgeon. Hope this answers your question. | |
Suggest treatment for dry and discolored patches around pubic area
Hello there, For the last few months, I have been noticing some discolored patches around my bikini and pubic area. The multiple patches are only a little darker and browner than my normal skin, and every once in awhile they get very dry but not itchy. I am sexually active but have always used protection. I use lotion to fix the dryness but the coloration and patches remain. Advice please? | Hello, I can understand your concern for dry discolored patches around your bikini and pubic area.After analyzing your query I can make out that you have “Fungal infection” of the area causing discolored patches around my bikini and pubic area. These are common type of infections due to fungus which more commonly affects the areas which are more prone for sweating or moist areas.These can also be related to the hygiene and environmental factors along with hormonal problem such as diabetes.I suggest my patients to apply a cream containing anti-fungal creams such as clotrimazole for two times. I also suggest my patients to take antihistamine like Levo-cetrizine.I suggest you to prevent conditions of moistness or humidity to prevent fungal growth.Hope the information helps. | |
What causes back pain after getting hit on the kidney area?
I got hit really hard last night by an adult male with an elbow to my kidney while playing soccer. I had the wind knocked out of me and some difficulty breathing for a while. My back is throbbing where I was hit and occassionally I get a shooting pain or spasm. It s painful everytime I move. Is it most likely a really bad bruise or could I have some internal damage? I haven t seen any bruising yet. | Hello, I suggest you to take an appointment with your doctor to make urine test, abdominal ultrasound and X-ray. It is possible to be a kidney contusion or and damage of rib bones. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician | |
Is lisinopril recommended for high BP in an overweight individual?
I need to know if a blood pressure of 116/44 Pulse: 65 is OK. I am overweight [20 lbs], 64 years old, diabetic, and on tricor, crestor, lisinopril and hydrochlorithiazide. I have recently lost 15 lbs, and have been dieting and exercising 1/2 hour daily for two months. | Hi,I understand your concern and would explain that your actual diastolic blood pressure value is a little low. Do you have any symptoms like fatigue, dizziness, lightheadedness? If such is the case, I would recommend reducing the doses of lisinopril or hydrochlorothiazide, or even stop one of these drugs. As you have lost some pounds, it has helped achieve a new lower blood pressure equilibrium and you may need to reduce the doses of the anti-hypertensive drugs in order to avoid low blood pressure values. Regarding the difference between systolic and diastolic blood pressure values it is quite normal with aging, and it does not indicate any serious medical condition. Hope you will find this answer helpful. Let me know if I can assist you further.Kind regards,Dr. Iliri | |
Q. My mom has pain in the bones and lower back and gets bouts of imbalance. What is the reason?
Hello doctor, I want a consult for my mother. She is 60 years old and complaining of pain in the bones and back specifically lower back and feeling the presence of bone air as if it breaks. She also feels bouts of imbalance, while sitting, standing or even walking. She did an analysis and has a lack of vitamin D. Doctor prescribed vitamin D 50000 units once a week and calcium 300 grams. She also has blood pressure and high cholesterol but has not been prescribed a cure. What is the reason for the imbalance, since it appears at intervals? Do high cholesterol and blood pressure is related to lack of vitamin D? | Hello. Firstly, regarding her back pain, it is probably a spinal problem. Backache may be simply muscular, but considering her age, I would keep spinal cause as a first possibility. In spinal causes, it is probably related to compression of nerves, which would cause pain and may sometimes lead pain traveling into one or both limbs associated with tingling or numbness. So, Vitamin D supplements should be given, but alone is unlikely to help. She will also need an x-ray of spine and physiotherapy. Regarding imbalance, just make sure whether it is imbalance or vertigo. It may be due to neurological causes, internal ear causes, cervical spine causes. Usually, neurological imbalance occurs on activities and unlikely at rest, so I am considering the possibility of either cervical or internal ear causes. So, if she is having any neck pain or tingling numbness sensation in arms, then cervical may be a likely cause or else it is an internal ear problem. So, in my opinion, you should have a neurologist appointment for this. And low vitamin D and hypertension, cholesterol does not have any significant direct relation. They are different issues but should be under control with medicines as they are risk factors for CAD (coronary artery disease). I hope this helps. | |
Q. My doctor was unable to explain the cause of my concern. Please help.
Hi doctor, I am 28 years old. I was diagnosed as type 1 diabetic at age 25. I am used to smoke, but I quit when I was diagnosed. Recently, after a stressful situation I fell off the wagon for the first time since I was diagnosed and bought a pack of cigarettes. I did not smoke the whole pack, just a few. But, I started seeing vision changes and that seems to correlate with it. There are no floaters or flashes, but I have had this constant spot in my right eye for the past month or so. It looks exactly like the imprint light can leave in your eyes after staring at the sun or a light bulb for a long time and then looking away. It has been constantly there and never fades. It feels almost like this one section of my vision is more sensitive to light. It has got progressively more prominent. It was faint at first, but now it is very obvious and distracting when I am reading or working at the computer. It does not obstruct my vision and it is just incredibly distracting me. It is in a crescent shape. It is most obvious when I am working on the computer screen and then look away to a darker background. Also, when I blink rapidly, I see it and it almost looks like a strobe light. I had a dilated eye examination this morning and the ophthalmologist told me that there were no signs of bleeding or edema in my eyes. He said the vision changes I described were not a cause for concern, but at the same time he was not able to explain why I am seeing this. It is causing me a particular concern because once it started and I smoked another cigarette, it seemed to become more prominent, brighter, and more obvious in my field of vision. That really freaked me out and caused me to throw the rest of the pack away immediately. I have had pretty decent blood sugar control and all of my A1Cs have been in the 5.5 to 6.5 range since I was diagnosed initially. I take Adderall 25 mg for ADD and NovoLog. Is this a cause for concern? I was not able to find anything related to that type of vision change on the internet. I would really like to get an idea of what causes this type of thing for peace of mind and figure out if it is worth seeing a retina specialist. | Hi. Most likely, it is not something to be alarmed about. Unexplained visual phenomena. Follow up appointment in six weeks. Stop smoking and manage diabetes. For further information consult an eye care ophthalmologist online.---> | |
Suggest treatment for welts on shoulder
I was getting dressed and noticed two welts side by side on my shoulder. They were parallel and 1-2 inches long and 1/4 an inch thick at about a 1/2 inch apart. I ran my fingers across them And they faded and I ve been getting tingling sensations all over since. I m freakin ou | Hi,Good Evening.This is Dr.Savaskar from India,attending your query to my HCM virtual Clinic.-I studied your query in-depth and Understood your concerns.-You suffer from mostly-Urticaria.-Treatment advised -a-Tb antihistaminicsb-Tb Steroidsc-Ice compresses-would reduce the 2 red lumps on shoulder.Hope this would help you to recover fast-at home without any doctors help.Wellcome to HCM if you need more help.Wishing you fast recovery.With Best of Regards Dr.Savaskar M.N. M.B.B.S;M.S.(Genl-Thorasic-CVTS) i)Senior Surgical Consultant /Thorasic Super-specialist-CVTS, ii)Specialist in-Non-Curable-Diseases-like Cancer,Asthma,Psoriasis and Rejuvenation and Tissuefailure therapies. | |
Suggest alternative for Clingen forte?
Hi, my doctor prescribe to use 4pkt of clingen forte caps 2pkt this month before menstruction period and other one after mens period for 3 months. I get only one pkt on phamacy which I m using I have try to look for another pkt without any success. Is thre any medication I can use insteady? | Hello,You may use clima forte pessary for infection. If you developed any allergy means you may consult with your treating doctor he will examine and treat you with alternative medication.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | |
What to do when crown comes off the front tooth?
My top right front tooth has a crown on it. It came out completely and I had a root canal on it. That lasted for 7 months. Now half of the crown cracked off - split down the middle. Went to the dentist and he repaired it and it lasted for 24 hrs. Now it has come off again. What can I do? | Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have crowned tooth in front region , dont worry you is go to dentist and go for recementation of crown , or go for placement of new crown . You avoid eating from front tooth atleast for few days . Hope this will help you. | |
Suggest medicine for fever in children
my child is four years old his CRP was 8.0 positive TLC 10800 HB 11.3 in April dated.his fever was 106 degree.his fever was controlled by antibiotic leriago accutaz 1000mg ampicilin etc.after 14 days he recovered.now he is again suffer by fever 102 degree.what i do now | Hi...Thank you for consulting in Health Care magic.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Meftal-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
What are the symptoms of low platelet count?
Last three years I’m facing the problem of low ‘Platelet’ count. When I take steroid ‘ Omnacortil 40 mg --- 20 mg ---10 mg – 5 mg through doctor for four months then ‘Platelet’ count increases to 1.2 to 1.4 & as it is for six months. After six months it starts to going down to 70,000 within next three months. I never suffered in ‘Deng’ or any severe viral fever. My age is 58. What is the side effect of using steroid? Can you suggest any alternate medicine of fewer side effects? Whether spleen operation is advisable & permanent solution of low platelet count? What is the after effect of spleen removal? If I do it, what precaution I should take? T.K.GHOSH Dy. Manager (Nuclear Fuel Complex, Hyderabad) 040-0000 0000 | Hi, dearI have gone through your question. I can understand your concern.You may have immune thombocytopenic purpura(ITP). In ITP your body produces antibodies against your own platelets and causing destruction of platelets. Steroid or immunosupressent drugs are helpful. You should go for bone marrow examination to confirm the diagnosis. Then you should take treatment accordingly. Spelenctomy is helpful in severe cases. Steroids or immunogobulins are drug of choice. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
Lower abdominal pain, bleeding after intercourse. Have Polycystic ovaries. Done pap test. Do I need HPV test?
hi my name is cheryl and i am 30 yrs old n just found out today that i have polycystic ovaries. my question is should i get an hpv test or is that test done at the time of your pap. i have been getting lower abdomnial pain off and on and keep on bleeding after my period for weeks on end then stop for a little while and it starts all over again. Also i tend to bleed right after having intercourse and have gone for many internal and external untralsounds which have showed nothing and just recently went to have another untral sound done and this time it showed that i have polycystic ovaries, but that still doenst answer the question to the pain i get or the uncontrolable bleeding or the bleeding after intercourse. | Hello, Thanks for the query to H.C.M. Forum. Let me explain that ,what happens in PCOD cases ( Poly Cystic Ovarian Syndrome or pcos).There develops , 1 Dysfunctional uterine bleeding or irregular bleeding or scanty bleeding or amennorrhea .2 Hormonal changes . 3 L H /FST alteration.4 atretric changes in ovarian follicle stroma. Your bleeding after intercourse may be a coincidence , but main reason may be pcod.Since your main complaint is menses related so may be due to PCOD . Consult another Gynaecologist ans get his opinion and all test required . Good luck. Dr. HET | |
What could sharp burning pain in chest with nausea suggest?
I went to the ER last night bc I was having a Sharp pain and a burning sensation in the mid chest area and back I was also nauseous and weak and very dizzy... when my results came in they said I had an inflamed liver, pancreatitis, and urinary tract infection, what does that mean and how did I get all of that? | Thanks for your question on Healthcare Magic.I can understand your concern.Inflammed liver (hepatitis) and pancreatitis are almost always from secondary septicemia.Since you are having urinary tract infection (UTI), this caused release of inflammatory mediators in blood which is causing hepatitis and pancreatitis.Pancreatitis in any infection is considered as severe infection.So better to start Intravenous antibiotics for UTI, Intravenous fluids for pancreatitis and hepatitis.Usual time for recovery is 15 days.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Lump behind lower right leg, dark purple in colour. Symptom of cancer?
hi iam 26 years old male i have a small lump on the back of my lower rite leg had it over 3 months been drs said it was nothing but i did not make much of the dr the lump is about 1/2 centermeter and is round and is v dark like a perple clouer in the center what is this also over the last mounth or so i have flet weak a v trid then fine what is this i keep thinking i have cancer sounds silly as prb fine thanks | Hi As the lesion is very small,nothing to worry. If it is growing rapidly,changing its colour/surface,becoming fixed ,painful then it is of concern. If you have any doubt,Consult your surgeon.Get it removed and send the removed swelling for Biopsy(Histo pathological examination). Based on the biopsy report,your further treatment will be planned. But,it looks like a Benign swelling,not cancer. Wish you good health | |
Stopped birth control, feeling nauseas, bloated and pink spotting. Could I be pregnant?
TTC, I stopped taking birth control , I was supposed to start my new pack on november 25, but didnt, now the last three days I have been nauseous, bloated, and this morning I had pink spotting. Im supposed to get my period between now or in the next couple of days. Could I be pregnant? Or is this a side effect of going of off birth control? | Hello Good Evening,This might be either implantation bleeding or pill side effect bleeding:Implantation bleeding – a very early sign of pregnancy – occurs when the fertilized egg attaches to the uterine lining. During implantation, the fertilized egg (called a blastocyst at this stage of development) burrows and embeds itself underneath the wall of the womb (uterus). Because the uterine lining is rich with blood, some women can experience spotting and even cramping during this process.For the most part, implantation bleeding is lighter and occurs earlier than your regular menstrual period. Sometimes, however, implantation bleeding may be heavier, so it can be easily confused with a regular period. So both the possibilities are there, so you should wait for next 5-7 days and get urine pregnancy test done.Regards,Dr. Naresh Jain. | |
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 alternate medication for pain other than Diclofenac Sodium.
Dear Dr.Venkatachalam: My wife is taken Diclomax 50 (Diclofenac Sodium BP 5mg) for years for killing the pain of ankylosing spondylitis and Hip & Joint bone problem. Now she is getting Sediment in her kidney. what is the reasons and other pain killer she can take. | hilong term painkillers & nsaids can cause chronic kidney diseases with alteration in the urea ,creatinine, electrolyte levels which are really dangerousplease stop diclofenacyou can start her on tab tramadol which has very mild opiod effect but very safe on the kidneys.pregablin & gabapentin in lower doses are also very good in controlling the pain of ankylosing spondylitis safe on the kidneystake care | |
Prescribed with lustral and OCD. Experienced seizure. Can I take lustral?
My son had been prescribed lustral 50 mg for his depression and OCD. He is also an alcoholic and during his last detox he had 2 grand mals. He has been on citalopran for the last 4 years but his GP felt a change would be better for him. I have read comments on this website and read that lustral should not be taken if someone has had a seizure. He had never experienced a seizure before but he was on his 9th detox with librium (70 tablets over 7 days). He had the seizures on the 1st day. He was at home, but luckily his girl friend is a nurse and knew what to do at the time. Please could you put my mind at rest regarding his taking lustral. Many thanks. | hi lustral side effect are Central nervous system: Dizziness, fatigue, headache, insomnia, somnolence what your son had alcohol withdrawal seizures which are very common in first 24-48 hrs lustral is not the culprit for his fits take care | |
What are the chances of brain damage?
When my granddaughter was born she went twelve minutes without breathing. Is it possible she doesn t have any brain damage. They put her in a cool cap for three days. Her eeg and mri were good but my wife is freaking out that she is going to have damage. | HelloThanks for your kind question.Well there might have been a chance of anoxic ischaemic damage,especially since you mentioned twelve minutes,thats a long time and can cause significant damage,but since MRI and eeg were normal,That seems to be good news.But however a through examination by a neurologist would be great.regards | |
71 years old, MRI showed split cord abnormality. Physiotherapy helpful?
I am a 71 year old female. Today I saw a Neurologist at the University of Washington in Seattle. My MRI showed split cord abnormality. I went to see this Doctor because I m in alot of pain and I hate to increase my pain medications . He said I should see doctor that deals with sports injuries. The appt. is in the works. Also some phyicial theropy may help. He was reluctant to consider surgery because of my age. Would like your opinion. thankyou, Maryellen Person | Hi,Thank you for posting your query.I agree with your doctor. Split cord abnormality (diastematomyelia) is generally a congenital condition, and presents with symptoms in early childhood. So, if you have remained almost asymptomatic till now, surgery may not be needed (not considering the risks involved in a spinal cord surgery).So, I think physiotherapy is the way to go.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My email: drsudhirkumar@yahoo.comMy blog: | |
What causes insomnia along with dizziness and chest pain while on Loxapine?
Yes my husbands sleep pattern has not been good for about 2 months. he is on mental meds tradasone.loxapine,colosapane,and beneadryl and he still is not sleeping. he has chrons disease and irratible bowel syndrome. he has lost 11lbs within a year,poor appreciate due to cigarette smoking. he stopped smoking 12 days ago, his sympthoms are poor appreciate, coughing due to copd, occasionaly chest pain, fatigue, dizziness, doctor found bleeding in the bowels and anemia. can you tell me what could be wron with him. | Trazodone and loxapine don't produce insomnia. You can talk to your Psychiatrist for your problems.Some of the problems are related to Physical Problems so joined consultation of Psychiatrist and gastro physician would be of great help. | |
Suggest treatment for heaviness in chest with swollen glands
last night after dinner I noticed my glands started to swell in my neck and become uncomfortable. I thought it was just a sore throat until the pain started to spread across my face. Meanwhile I was getting stabbing pains down my sides, fine I usually experience discomfort after eating. Since then however it has got much worse, a heavy pain on my chest which was unbearable to touch and spread down my arms, back and neck, it became harder to breath; also my abdomen was extremely tender. This morning my chest is still heavy and painful to touch, and my glands are visibly swollen and tender. | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This is in relation with infection of salivary glands with secondary cervical lymph node enlargements .* Needs thorough clinical examination , necessary tests of laboratory , x-ray chest and ultrasound neck for clinical confirmation and further management guidelines .Hope this will help you for sure .Regards . | |
Q. Shall I take injectable vitamin B12 to improve my fatigue symptoms?
Hi doctor, I have been diagnosed with chronic fatigue syndrome. I am taking 3 g of Valtrex a day, increased from 2 g before four months. Until a month ago, my CFS seemed to be improved. Then last month, I had a major setback with the return of symptoms beyond fatigue, such as heart palpitations, tinnitus, tingling or burning in hand and feet, balance problems, shortness of breath, loss of appetite and a new set of stomach pains with occasional diarrhea. I am taking B12 and folic acid orally and my last B12 test was high. I think 1600. My blood work has been borderline pretty consistently for years and it is followed by the most recent CBC, which was taken last month is as follows. HCT around 37, 35.7; HGB around 12, 12.6; MCH around 34, 36.5; MCHC around 32.5, 35.2; MCV around 101, 103.9; platelets 146-119, 152; RBC around 3.6, 3.44 and WBC around 4.2, 4.5 My doctor has told me that these results are not significant and cannot be an explanation for my recent major relapse. I read a recent case report where the B12 blood test does not always mean that the B12 is being absorbed or used by the body. Is there any possibility that this minor turn down could be responsible for symptoms? Is there any down side to start injectable B12 to see if it makes a difference? Are there any additional blood tests that might clarify this? I know that the dosage of Valtrex is high and that antiviral can affect CBC. | Hi, Welcome back to icliniq.com. Based on your query, my opinion is as follows: For further information consult a hematologist online --> | |
Got operated for tb node in chest. Feeling slight pain in abdomen. Chances of mittelschmerz?
Hi, I am Sarita from Mumbai, In the month of March 2011 I had a tb node in my chest & got operated. I was continuing my medications for 2 months & left . I started it again & it almost 6 months completed till now. Now I am feeling a slight pain in my right & left lower abdomen . would this be a mittelschmerz or stomach tb. Kindly advise. | Hi Indirakonar, As you told that you have been operated for the TB node in the chest and after taking medication for 2 months you left it and again completed the course for 6 months. From this I understand that this is TB of lymphe nodes and not the lung and you have to surgically remove the node also. It is common that TB medication for TB of other part of the body apart from the lung is for long duration and should be stopped only after consultation with your doctor only. Now the pain in the abdomen can be because of recurrence of this or because of some other thing. I would suggest you to consult your doctor to make the confirmation and have the investigations done and keep monitoring yourself. Thanks and take care | |
Can i take 'folinext' while trying to get pregnant?
hi doctor, i'm 26year old and trying to conceive since last 4-5 months but unable to conceive till now, my friend suggested me to take 1tablet a day of folinext (otsira).i've started taking it since a week..but wanted to know whether its safe to take it without any doctor's prescription or not?and till how long should i take it? | Hi , How are you doing ?Folinext is Folic acid a vitamin B. You usually get this vitamin from food. But it is prescribed for pregnant women & those trying for it. It has no side effect. But by just having this tab you will not get pregnant. Keep having this medicine as you never know when you get pregnant & take it till 3rd month of pregnancy.Everyone is investigated for infertility only after 1 yr of unprotected sex.But if you are anxious , you can have the following testsHusband- Semen analysis at least 2- done 4 weeks apart preferably in an infertility center ( examination done by andrologist), Blood sugarsWife - Blood Sugars, Thyroid profile Ultrasound scans to evaluate Uterus , Ovaries & adnexa Confirm tubal patency- most important- Tube is the connection between uterus & ovaries( the bridge where sperm meets the egg & forms a baby) this is size of hair follicle & cannot be seen on scans. So check with HSG( Xray with dye), or SSG ( Scan with dye) or LaparoscopyIf all this done & found normal , nothing can stop a pregnancy with God's willHope I have cleared your queryAll the bestDr.Balakrishnan | |
When will side effects of radiation leading to pain in right pectoralis major get over?
Hi, I am diagnosed with pectoralis major myositis after radiation therapy of right breast.I had breast cancer stage 2 ,passed all treatments : chemo 6 cycles, lumpectomy with axillary lymph node removal and following 36 radiation on June 2013, after 5 months pain is start in right pectoralis major area, pain relievers don't helping, took NSAID Celebrex, no effect, now doctor told me " late side effects of radiation",how long can take it? | Hi and welcome to HCM, thanks for the query.It is hard to predict,it can take from several months till several years and sometimes permanent smyptoms can be expericened. YOu should find the painkiller which is most efficient and have physical therapy to relieve pain.Wish you good health.Regards | |
Does Twinrix vaccine cause any harm if not shaken before use?
Yes, I was given the Twinrix vaccine in does of three injections over a time period. I recall that the nurse who administered my injections forgot to shake it until it turned opaque as directed. Will that have any ill effect or be harmful to me since it is recommended that Twinrix be shaken until turns opaque before injection? Thanks, Concerned Lady | Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should not worry.It never causes harm. Not Shaking the bottle never harms you.Vaccine is for the protection purpose. So if someone won't shake it, its effect are lowered but it never harm you.You can check the titre of the antibodies circulating in the blood of you to check the effectiveness of the vaccine administered.And accorsingly if the further action is required can be taken.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist. | |
What causes pain and burning in chest?
my chest hurts and has been hurting for the last 6-8 months i went to the docs but they told me many different things n i dont thing its anything they told me my pain is sharp and it lasts most of the day when i breath in it hurts when i move a certain way it hurts when i go outside in the cold it kinda goes away but not fully | Thanks for your question on HCM. As a rule in chest pain, we need to rule out cardiac cause first. So get done ecg. If ecg is normal then no need to worry for cardiac cause. Stress induced GERD appears more in your case. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. So better to follow these steps. 1. Avoid stress and tension. 2. Avoid hot and spicy food. 3. Avoid large meals, instead take frequent small meals. 4. Start proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2-3 pillows under head in the bed to prevent reflux. 7. Avoid smoking and alcohol if you have these habits. 8. Loose weight if you are obese. Don't worry, you will be alright. | |
What causes a hole in the tooth?
Hello since Sunday I been having a spin on the bottomBack left gum I look and seems it is overlapping my tooth not so bad now as it was but the it a hole when I push the gum and it really hurts info have an appoint for tomorrow but any suggestions to what it could be???? | Thank you for your query.As I can understand, this pain may be due to inflammation of the gums over the impacted third molar on the left side or may be due to carious exposed third molar of the same side.You have to undergo Clinical examination and an OPG X ray to ascertain the cause of the pain, after that the treatment will start accordingly. | |
What is causing the swell and blister looking sore in my daughter s mouth?
My 6 yr old daughter had a filling put in a bottom back molar yesterday - her first filling. Today, her bottom lip on same side is swollen and has a whiteish blister looking sore with a line extending out of her mouth resembling a burn line. I ve tried to call the after hours phone number for her dentist to no avail. What could be the problem and what can I do for her? | Thanks for your query, I have gone through your query.The swelling and blister could be because of the burn or trauma caused by the aerotar (heat produced during cavity cutting). You can use a topical anesthetic and analgesic like anabel gel 3-4times daily for 5days. The other cause of swelling could be gum or tooth infection. If it is because of infection then you have to take a course of antibiotics like penicillin(if you are not allergic).I hope my answer will help you, take care. | |
What causes lower back pain with normal urine test?
Hi there! I have a lower back pain and pulling in my bladder. I believe its a UTI but no results yet just a dipstick test (leukocyte 2+). Have a UTI almost every month for 15 months (no UTI in the culture only blood or leukocytes actually)... Having an MRI with contrast for abdomen scheduled tomorrow. My question is: is it dangerous to have a contrast if i don t know about my kidney health (constant infections)? My doctors don t make much out of these infections, ultrasounds always come back normal as well... Thank you! | Dear patient Recurrent uti may affect your kidney and may lead to glomerulonephritis. Sensitivity of ultrasound depends on experience and may not pick up renal pathology. Before going for contrast your serum urea and creatinine must be done and allergy to contrast dye must be ruled out. If serum urea and creatinine are normal then there is no harm In doing contrast mri. Take opinion from urologist before going for contrast mri with serum urea and creatinine report. | |
Why are periods coming early after using birth control pills?
I started taking birth control this january and it was working great, but then in june my period started about a week early. So i called the nurse i was getting birth control from and she changed it. It was working well until about a month ago and then my period came early again. What would be your suggestion for what i should do? | hi thanks for writing to usare you taking pills properly?are you taking other medications which you are taking like any antiepileptic drugs,some antibiotics may interfere with absorption of birth control pillsif there is intermittent bleeding then vaginal infection needs to be ruled outhope this information was useful |
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