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What is the treatment for the Partial collapse of D12 and Indentation over Nerve roots?
SIR MY MRI REPORT IS PARTIAL COLLAPSEOF D12 IS SEEN HAVING IRREGULAR SUPERIOR END PLATE WITH RITEROPULSION OF FRACTURED FRAGMENT CAUSING CANAL STENOSIS 9MM COMPRESSION OF THECAL SAC&CORD PARENCHYMA MILD ENCROACHMENT OFB/L NEURAL FORAMINA & INDENTATION OVER B/L EXITING NERVE ROOTS.PARTIAL COLLAPSE OF L3&L5 ARE SEEN HAVING NORMAL MARROW SIGNALS.ADV.PHYSIO | Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.This condition needs decompression and Posterior Stabilization Please consult your Neurosurgeon at the earliestHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care. | |
Black spots on face. Treatment without side effects?
hello doctor this is selvi here,iam 26 year old unmarried girl, iused melacare before 1 year and i stopped it and my face become dark and the doctor suggested me that melacare should not be used and gave so many cream but useless and it nothing done to my black mark in my side faces.my face contains so much of black marks now .i went to so many doctors but it didnt work out. how can i clear my black marks completely and to get better skin before.is there any cream should i use but without any side effect even if i stop using that cream i should not get any damages in my face. | Hi Selvi, There could be number of disorders which manifest as Dark black marks or hyperpigmentation on face and the treatmnet definitely depends on the underlying cause. So the treatment can only be prescribed after analysing your face. However in general for facial pigmentation, the preventive measures that you should follow are- 1) Avoid sun sxposure, use a sunscreen of Spf more than 30 even if staying indoors 2) take a vitamin c supplement and antioxidant supplement on daily basis 3) dont use fragrant creams or cosmetics over your face Avoid applying creams without doctor's prescription, melacare as such is a good cream however long term use and sudden withdrawal can lead to rebound hyperpigmentation, thin dry irritated skin etc. Take care. | |
Lymph node, night sweats, itching, swelling under armpit. Blood report, X-ray, blood work, normal. Help?
Had a small neck lymph node pop up during a course of antibiotics late July for what dr thought was a sinus infection, went back and put me on another round of antibiotics and started having night sweats so went back and she gave me another antibiotic and referred me to ENT and I started having flare ups of itching head to toe. ENT did a neck CT and said lymph node was in normal range and loads of blood work that came back normal. Sent me to endo and internist and all bloods came back normal. Went back to ENT for checkup and he said shotty node but had another pop up under arm so he told me to go see my GP. She was concerned it might be a breast issue ao she sent me for a chest xray which was normal and ultrasound of armpit and breast which I go to Monday. I woke up yesterday with a swollen area under other armpit that is sore. I am extremely worried about lymphoma and mentioned this to all doctors but they don't seem concerned. I don't feel like anyone is taking me seriously and want to know how I can speed up process to rule that out. | Hi, you are having swelling of lymph nodes, at different places, with out any source , so the diagnosis could be possible only by doing biopsy. So i advise you to consult a general surgeon for diagnosis and treatment. I to my patient with such symptoms prescribe ofloxacin, ornidazole, serratiopeptidase, and diclofenac sodium, for relief till the diagnosis is made. Thank you. | |
Q. I have itchy rashes all over the body and experiencing stiffness in the morning. Why?
Hello doctor, I have a daily clock like work since four years. I finished remodeling a manufactured home and college working full time. Every night starting around 9 pm I start to get stiff and then it slowly worsens by 11 pm. I can barely lift an arm or stand up without pain. Opening a bottle and buttoning pants during this time is a lot of effort too. This stiffness and inflammation also happens in the morning, while getting out of my bed and washing my hair is a real job for me to get done. The key points being by elbows, hands, and knees. Another problem I had that happened as soon as I moved out into my manufactured home is these scratches that do not heal, they look as if they are scars but then there are some that develop that are not from scratches. But it is more like a rash that itch (manageably) and they started on my underarms and the back of my hands, where now they continue to reside there. Now it spread to my legs, stomach and armpits. I have a sore throat now but I do not know if it associated with these problems. Please see the attached photos for the rash I am dealing with. I come from a polish background and my grandmother had RA, but not until her 60s and my parents never have had problems like what I am experiencing now. I am currently on birth control and Zoloft 50 mg daily. i did a thyroid test at the age of 17 and it was negative. | Hello. I have gone through your pictures. (attachment removed to protect patient identity). The rashes do look like urticarial. It may be induced by environmental changes or it may be due to some other problem coming up. But, they do happen due to some form of inflammation going on. The pattern of your pain is a bit unusual as it happens in the night only. It may be due to your muscles getting fatigued over the long day of work. But, early morning stiffness, does point out towards another inflammatory disease. I am going to advise you on a few tests which you should carry out and meanwhile start on anti-allergics for these rashes. Do update me. Also, I would like to know details on symptoms like oral ulcers, hair fall, joint swelling, worsening of rash on sun exposure, dry eyes, dry mouth,etc.? The reason for you are on Zoloft (Sertraline) is still unclear. Autoimmune. 1. ANA (antinuclear antibody test), 2. ESR (erythrocyte sedimentation rate), 3. CRP (C-reactive protein), 4. CBC (complete blood count), 5. LFT (liver function test). Urticaria. Anti-allergic. | |
Suggest remedy for recurrent sharp pain in the outer ear
My daughter is having intermittent, a couple of minutes, of stabbing outer ear pain, around the cartilage, does not go down her neck, no paini nside her ear, no headache, slightly red, slightly swollen, warm to touch. No ear piercings or trauma. Started hurting earlier today, continued all day, unrelieved by ibuprofen. She is in tears it hurts so bad. | Hi,Welcome to HCM.I understand your concern regarding your daughter, but unfortunately, any inflammation in outer ear is extremely painful as the skin over the external ear is stretched tight and any kind of inflammation will cause lots of pain. I suggest you avoid touching the inflamed ear frequently, get a prescription for an antibiotic cream with steroid which will soothe the inflamed area and continue with the painkillers. Once the swelling comes down, pain will reduce instantly.thanks. | |
Q. I was just informed that I have a personality disorder NOS. What does it mean?
Hello doctor, I am feeling extremely distressed, as I have just discovered through my physician, that in the past I have been given two diagnoses and not been told about one of them. One is bipolar disorder, which I am aware of, but the other is personality disorder NOS, and I have no idea what this is or what it means. I am currently taking Dosulepin and Mirtazapine. | Hello. In my opinion, do not get distressed by a diagnosis which you were unaware of till now, as an improvement in your symptoms is the most important. What matters is that, with treatment, were your symptoms under control. The categorical diagnosis should not affect you otherwise. Speaking about personality disorder NOS, personality disorder means chronic deviation from the normal way of reacting to a situation or expressing yourself, and NOS means not otherwise specified, that is, when you cannot exactly classify the type of personality disorder, it is put under this category. I suggest the following: Hope this solves your query. Remember every problem has a solution. You need to try to solve it. Help is only a step away. Feel free to ask if you have any further queries. For more information consult a psychiatrist online --> | |
Suggest remedy for getting pregnant
hi, I am a young lady of 25 years. I am trying to fall pregnant. I have stoped taking my Triphasil (birth Control Pill) for 7 days now. I have been on the pill for 11 years. After leaving the pill i started to mensruate. The bleeding has subsided however, i still have a very jelly like distarge that at times seems to have small amounts of blood in it. I would assume that this is normal However my questions to you are: 1. How long after leaving the pill will it be out of my system and will it no longer give me protection from falling pregnant? 2. What could i take to help me fall preganat as i have been on the pill for 11 years. | Hello,Thanks for writing to us. I have gone through your query and would like to offer my opinion. Natural ovulation usually resumes in a couple of months after stopping hormone contraception. Since you are quite young, you need not go for assisted methods now itself. Just continue with healthy lifestyle and prenatal vitamins. If you fail to conceive even after a year, see a specialist for further management. Hope this helps. | |
Suggest treatment for vomiting and loose stools in kid
I have a two year old daughter that began vomiting on Saturday night and although she is now no longer vomiting and has only had a couple of loose stools, over the last couple of days when changing her nappy she has had a light brown discharge in the front of her nappy. She also has a bad cough. Any ideas? | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. For vomiting give her an over the counter antiemetic (other than primperane as its contraindicated in children). For loose stool give an anti diarrheal drug and oral rehydration solution 5 tea spoons with each diarrheal motions to avoid dehydration. For cough give a cough suppressant and expectorant.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Salah Saad Shoman | |
Can Streptoquin be taken if allergic to Penicillin?
We are off to Egypt and I believe we can get streptoquin there for tummy upset. Are you able to take this medicine if you are allergic to penicillin. Ia there any other recommendations you could suggest to help avoid the tummy bug. Thank you Judithannryan@ me com | Hello, Streptoquin isn't the same drug class with penicillin so there is no reason to be allergic from it. To reduce stomach bug I suggest you to eat crackers bananas, soups, steamy vegetables, drink fluids to stay hydrated and rest. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician | |
Suggest treatment for fever in a 18 months old child
Hello, I have a 18 month old that started being really irritable last night and chewing on her blanket. Today, she is sticking her tongue out constantly and it looks swollen and she has had a fever of 101.7. Is this common with teething or could it be something else? | Hello. I just read through your question.Though teething can cause irritability and fever, fever over 101 is a bit higher than expected. This could be a harmless viral illness in addition to teething. If the fever doesn't resolve in 2-3 days, I recommend consulting with your doctor. In the meantime, you can treat with a fever reducer and make sure hydration is being maintained. | |
High BP, edema, swollen legs, liver and kidneys poked and prodded. Any ideas?
I have very high blood pressure, extrememe odema - distended stomach and swollen legs, I cannot seem to keep my electrolytes balanced, so I get terrble mucle cramps unless I take a lot of electrolyte salts (like nuuns).i have had my liver and kidneys poked and prodded and the doctor says they are fine, same with my heart.Any ideas? Thanks, Bill Mc | Hi,From your history it seems that you require evaluation of your case.Consult physician and get examined.He may go for,1,Liver function tests,2, kidney function test3, EKG,4, Blood electrolytes.After all reports he will come on diagnosis and treatment accordingly.Ok and take care. | |
Suggest remedies for occasional pain in the mid chest
Dear Sir,some time i have feel samll intensity pain in middle chest(at centre).and this pain goes when i drink some water.but exact reason is not known, and nothing come in X ray also.I will be thankfull if you proide some suggestion.Thanks SCP | Thanks for your question on Healthcare Magic. I can understand your concern. Your chest pain is central in position and subside by drinking water, so possibility of GERD (gastroesophageal reflux disease) is more in your case. GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of central chest pain. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Take pantoprazole tablet on empty stomach. 5. Keep 2-3 pillows under head in bed to prevent reflux. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest treatments for anemia
respected sir i am looking for the treatment for anemia cause i have a habit of masturbation due to over performing it i gets very weak i am doing this since 10years of age now i am 27 years old could not able to do thing just normal person do thats why i am finding a right doctorwho know my problem and give full treatment and make my life and career keep going .my mobile 0000 .type of problem. anemia blood deficiency .requirements. anemia | Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Need hemoglobin levels and complete hemogram to identify specific deficiency.2. If MCV is high, possible vit B12 deficiency.3. Low MCV would suggest iron deficiency. Correction of hemoglobin to at least 15g% is necessary. Followup with reticulocyte count after 15 days of starting treatment would show increase in reticulocyte percentage. Start immediately on vit B12 and iron therapy.4. If masturbation is affecting routine life, then you will require counseling.Hope it helps.Any further queries, happy to help again. | |
Suggest treatment for fever in baby
Hi, my 6 1/2 month son had a fever and 1 convulsion on 24 august. He was immediately put on frisium 1/2 tablet once in d night and then after 12 hours d other half. We had given his urine and blood for testing and it showed that he had a urine infection. The doctor prescribed 4 ml of zifi 50 to be given to him 2 times a days for 5 days. The doctor had also asked me to do his chest xray. The conclusion mentioned in d report is bilateral basal patchy consolidation seen what does that mean?? I chked with d doctor and she said it is borderline pneumonia. She has asked me to continue zifi 50 4 ml 2 times a day and respira 1.5 ml 3 times a day for 7 days. Can u tell me if d diagnosis and the medication given is correct. | Hiwelcome to HealthCareMagicFirst coming to last question , by description provided it seems to be a case of Acute respiratory infection with wheeze with Febrile seizure with possible Urinary tract infection , but difficult to comment without examination and detailed history like duration of seizure, type of seizure, whether self aborted or not, is there respiratory distress , if there is significant respiratory distress seizure may be due to hypoxia .Regarding medicines given , treating doctor decides medicines considering a number of factors, he or she is right person to decide about them.2. Bilateral basal patchy consolidation means patchy areas of consolidation in lower lobes of both lung . ( It is suggestive of pneumonia )Based on little information available , I have tried to answer your question to best possible , but your primary physician may be in a better condition to elaborate morethanks | |
Is pain in the hip common in a person suffering from scoliosis?
I m a 19 yr old female and lately I ve experiencing terrible pain in my right hip. I have scoliosis so I thought it was just from that. But it will not go away. Its in between the joint of my hip pelvis top thigh area. i feel tingling aching and pinching. When i stand or walk it has to be slow and sometimes i cant stand up all the way without falling. its getting worse and worse. i cant lay on my right side without cramping and then i cant move for a minute or two. It like gets locked up sometimes and I have to move my leg with my hands | Hello, The back pain you are currently having is caused by the main issue you have, scoliosis. In order to have a definitive treatment, surgery is needed to get relief from back pain and also improve posture. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Olgeta Xhufka, General & Family Physician | |
Suggest treatment for nightfall
good noon sir/mam i am suffering from a nightfall problem from last five year but i think that it is a normel act but now a days it happens so many time even sometimes 7 days a week so i am felling very tired and uncomfertable because of that pls suggest me a bst solution 4 this prblm.my age is 19 years and my weight is 56 kg. | Hello, The nightfall is common at such a young age. However, if you are feeling excess nightfall then try to watch fewer porn videos and magazines if applicable. You can try yoga and meditation. You can focus more on the study. So night fall is not the disease. But you can follow above measures to prevent it. If no improvement then consults nearby sexologist or psychiatrist for detailed evaluation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician | |
Is it safe to take Calpol along with Zithromax?
I've given my son his first 5ml dose of Zithromax for an ear infection before bed. His ear has been sore & I've been regularly giving him some calpol too (well within recommended dosage). Now I'm reading the small print & noticing I should have consulted the doctor if my child is taking or has taken any other medication recently along with the Zithromax. I'm just checking that the calpol & Zithromax combination are ok? | Hello!I have been through your question.Related your concern you shouldn't worry because that it is known that azithromycin and paracetamol don't exist any data to have interaction between them. So, what I suggest is only to give your child Calpol not less than 4-6 hour between,if need it and continue to give the dose of zithromax based on your son weight. I hope my answer help you.I wish your son a quick recovery. | |
Having raised, itchy bumps all over the body. Is it because of stress?
For the past two weeks my entire body has been itching extremely bad..i m miserable..and theres little raised bumps where i have been constantly itching now..I dont know if this is because of stress or what else it could be from?? I m not anymore stressed than i normally would be and I have no allergies I am aware of. What could it be??? | Hi thanks for your question.The small raised bumps whcih your mentioning could be due to constant itching. Itcung could be due to some allergens present in your environment or you might be consuming some food to which you are allargic Other common cause of itching include scabies ,which is infection and involves whole body. I would suggest you to consult some physician to differentiate between allergic reaction amd scabies further management will depenf on diagnosis. Hope this answer your question. | |
What is the surgery process for curing lung cancer?
I am knocking at your door for an answer of my question. Dr. my niece is 9 years old and she has good health, weight 32 k.g height 129.1 c.m. She is suffering with tumor in her lung. Dr. suggested that with the help of surgery it will be cure. I wants to take her CMC verllore for surgery. I want to know the cost of the surgery and the process which i have to follow. Please help me, we are from lower middle class family we can t effort big amount. I m not very good in English if i had make any mistake the forgive me. Kindly give me the answer i will be very thankful to you. ananda sankar chakraborty | Thank you for your question Ananda. Firstly I would say it is not a normal thing to have a tumour in the lungs as the lungs are the site of exchange of gases between the environment and the body. Secondly a tumour in the lung at her age could probably be benign meaning it is not cancerous or malignant meaning it is a cancer and has chances of sreading to other parts of the body. The fact that she is in good health now, it does not exclude that the tumour could be dangerous to her health in the long run as the tumour could start compressing other organs in her chest. I would advice you visit your consulting physician so that other necessary test are carried out to confirm the exact nature of the tumour so that an appropriate treatment is undertaken as waiting allowing time to pass might cause the tumour to increase in size to an extent where little or nothing could be done. Better still I would advice you seek the opinion of another specialist a thorcaic surgeon or a pneumologist. Goodluck and my regards to your niece.Keywords: Specialist consultation, confirm nature of tumour | |
Can tooth infection cause numbness and pain on the hands and legs ?
Hello Doctor, Thanks in advance for your kindly help. Dr, I had an OPG sterday and the doctor said that my wisdom tooth has been infected on both sides and left side the infection is more., and wants me to remove the wisdom tooth...I am going to get removed it this weekend. Now my doubt is, my left hand and left leg feel very numb (I do have chills and sweats on my left side) and i do have pain in my left hand... Please any one let me know whether tooth infection can cause numbness and pain in the hand... Thanks and regards, | If your dental infection is long standing, and you don't take care of it, it may show generalized symptoms like fever, fatigue, head-ache etc. But before this happen, you suffer from local complications like extreme jaw pain, difficulty in opening mouth, swelling of cheeks/neck, and sometimes there can be difficulty in breathing and swallowing also. If you suffer from any of the above symptoms than your pain in hand and legs can be due to your dental infection. Extraction is not the only treatment of infected wisdom teeth. If your wisdom teeth are impacted + infected than extraction is the only treatment option. But if they are not impacted, and can be saved, go for root canal treatment. Ask your dentist to interpret OPG to you, and than you decide. | |
Is the severe back pain, low grade fever and weight loss due to renal infection?
15 YR OLD FEMALE. NAUSEA, FATIGUE, LOSS OF APPETITE, WEIGHT LOSS OF 12 LBS OVER LAST 2 WEEKS (WEIGHED 120 TO START), BACK PAIN, LOW GRADE FEVER X 9 DAYS (99-100.8 ORAL). NOTHING SPECIFIC I CAN PUT MY FINGER ON BUT TODAY HAS SEVERE BACK PAIN. RENAL INFECTION? MONO? NO SORE THROAT. | As per you history, you may be suffering from PID (pelvic inflammatory disease), check for any foul smelling vaginal discharge. Consult a gynecologist | |
Can kidney problems cause bad breath?
sir i am suffering from a problem of bad breath and smell for past four years,i have consult for a dentist also he told every thing is normal,then whai is the cause for it?my friend told that due 2 the kidney failure it comes is it true? | Dear Patient,sure, this is called uremic breath. This is due by the elimination of some volatile molecules containing azote with the breath. This happens when serum azotemia starts to be high. To be sure about this, please do blood tests searching for serum azotemia. If it is high, you can reduce these symptoms with a low protein diet with or without the supplement of aproteic food. I suggest to discuss this problem with your nephrologist. May be your kidney function is getting worse. Take care. | |
What causes lump behind ear of infant?
There is a hard lump behind my 5 month old baby s ear. It has been there for 3 or 4 months. The doctor didn t say much about it and didn t seem to worry; however, it is still there. It is not associated with a fever and does not seem to bother him. It has not changed size, is smooth, and round. It is between the size of a pea or a small bean. | Hi Dear Welcome to the HCM,Enlarged posterior auricular lymph nodes are usually caused by the some infection/infestation of scalp and hairs.Nothing much to worry.Ketoconzole shampoo twice weekly will help in reducing these enlarged lymph nodes.If the hairs are infested with LICE then they also can be eradicated with permethirin lotion.Hope the query is answered,thanks | |
Does traces of albumin in urine suggest kidney damage?
My mom is 64 years old and recently she has done urine test and it showed she has traces of albumin in her urine , 2 months back she has done urine test but during that time no traces of albumin were shown.My mom has diabetes but it's under control also she has blood pressure but she is taking medicine for that as well.We went to the doctore 3 months back beacuse she is having some problem with her digestive system.The doctor said it's because of gastric and he prescribed some medicine for her which she is still taking.The blood test was done and it showed she has anaemia and for that the doctor suggested to take iron tablets for 3 months.When 3 months back the urine test was done no traces of albumin was found but on the 2nd test traces showed.My concern is that is it due to the medicines and if anyone has traces of albumin in urine does that mean the kidney is affected ?Please reply me . I am very much concerned.- Annie | Hi traces of albumin in urine is not a danger sign. It could be due to stress,fever,exercise etc. But as she is diabetic, there is chance of damage to kidney. If urine albumin is more than 1+ persistently,it is a very early hint of diabetes related kidney disease development. Hence you should check urine albumin at least once in 6 months. All the best. if you have any questions feel free to contact me. | |
What causes pain and swelling in the knee?
Actually my husband has had 2 artho knee surgeries and 3 full replacements...#1-parts too big, #2 not enough parts in, made it too loose, #3 all hardware and stability good...but he still has severe pain and swelling on the top outer side of his knee with skin discoloration... all has been done within 3 years..last surgery was April 15th....the ortho Dr says everything is fine and he just has to push through the pain.... | There should be some reason for the pain. But such things ate only understood once we see and examine the patient. I would recommend u to seek an opinion from other ortho. | |
What is the normal heart rate in a child?
What is the normal heart rate of a 20 month old? Note, he also has pectus excavatum and his heart has not been checked yet to see if the PE is effecting his heart in anyway, only xrays have been done. His heart rate runs around 130-150 at all times, I am worried about him, can you give me some insight on this please. | Hello,It is from 70 upto 110It is very imp to check why there is increasing in the heart rate period is usually accompanied with increased heart rate according to its degreeECG and echo will rule out any consequent problem in the heart, also its imp to do MRI to check the degree of PECbC is imp because the child may be anemicBesides, it's imp to rule out any signs of rickets as PE can be caused by Rickets.. | |
What causes breathlessness in a non smoker?
have been feeling slightly out of breath for past 3 days. Doctor has prescribed ab phylline 100 - 3 times a day for 10 days and montair fx once a day for 10 days. It's happening for the first time, could it simply be a clogged throat? Doc said my lungs are clear. I never smoke. Pls advise. | Thanks for your question on Healthcare Magic. I can understand your concern. Yes, it is possible to have breathlessness even if you are not a smoker. Not only cigarette smoke, pollution, dust, chemical Fumes etc can also cause bronchitis. When they inhaled in lungs, they cause irritation and inflammation (bronchitis). And this bronchitis causes breathlessness. Inhaled treatment is the best treatment for bronchitis. You are not improving because you are not taking inhaled treatment. So better to consult pulmonologist and get done PFT (pulmonary function test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilator (formoterol or salmeterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
How long should Metoprolol Tartrate be taken?
i got 4 stents; i am taking brilinta and Metoprolol tartrate 25 mg. I did not habe blod presure my blod ptresure is stable my pulse stable; i had chest pain and they put 4 stents; how long i need to take the Metoprolol ? i i have one month and a half since i took it; i know about Brelinta but not not about Metoprolol; | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Metoprolol is given after heart attack. Its given if someone is having decreased ejection fraction, in order to prevent further fall in ejection fraction. Also, it's given to keep heart rate under control if someone's heart rate is high and having residual blockages thereby preventing angina. So, in these scenario, these are continued on long term basis even if BP is normal. Hope this helps you and get back if you have any doubts. | |
Suggest treatment for genital warts
Hi doctor, not sure If i have genital warts, Tested negative for genital herpes, anyhow I tried Apple Cider Vinegar on what i presumed was warts (very small clump of 2-3 small bumps).. I soaked a cotton ball and left it on overnight with a bandaid...its day 3 and now the are with the cotton ball attached on my penis (right under the head by the cut) is black and feels somewhat burned...Is this Normal? any treatment to make this heal faster? any input helps | thank you for query.it is not clear about the morphology site symptoms duration of lesion etc.If it is diagnosed as wart then you can use resin like podowart but under supervision .So consult doctor for diagnosis and treatment. do not do self medication. | |
Is it possible for me to get a kidney with high antibodies and MGUS?
yes, my question is why can't I get a kidney with high antibodies even though I've been told it is possible. I also have MGUS which seems to turn the doctors away from helping me push for a kidney. So I have these two major problems so is it still possible for me to get a kidney? | Yes dear it is possible by doing kidney transplant particularly by autologous kidney transplant. You should have same blood group to the donor one. Hope you get well soon. Thanks | |
Can Gainehair n Keraglo tablets be used to control hair fall?
Hi, this is raghav i m gttng hair fall at frnt side and evn baldness in middle bt this is happening frm past 2 years bt I was using 2% gainehair lotion and keraglo men tab n kz lotion shampoo. Later I have stopped thm bsc i did nt get satisfied with thm bt nw i m using induleka oil n kz lotion I m using bt still hair fall occurs so shuld I continue with oil or shuld i use gainehair n keraglo tab..? I hve too much of confusion plz help me out... | hello raghav, i can understand your concern.hairfall may be due to deficiencies of sevral essential nutrients also, so i would advice you to get your hb, serum ferretin and thyroid levels tested.deficiency may cause hairloss - telogen effluvium or you may have androgenic alopecia.applocation of topical minoxidil is helpful but a time taking procedure, so you have to be compliant with using hairgain lotion. keraglow is having biotins which are good for hair growth so you can keep taking it for long as it doesnt have any side effects.you can add topical and oral fenestride for better results. procedures like prp (plasma rich platelet) therapy can also be very helpfulthank you | |
How to gain weight in a 2 years old child?
Hi I am looking for medicine for my 2 years old daughter who is having trouble growing and gaining enough weight. Do you have any recommendations?? By the way all her test results are normal but she is 1 kg underweight and very skinny. Thankyou for your help! | HIWell come to HCMFor the two years baby the weight is not matter of concern if the baby is playing well and normal and does not have any disease, in my opinion just continue the routine and no need to give any special diet or medicines, hope this helps. | |
Q. How to deal with teeth grinding that developed due to brain tumor?
Hello doctor, My nephew is 2 years and 5 months old and he had a brain surgery two months ago to extract a brain tumor. It was an anaplastic ependymoma on his fourth ventricle. After brain surgery, his awareness was low and he was on a ventilator for 50 days. He is doing well know, but our main problem is his teeth grinding (bruxism). It started five days before the surgery and it got worse after surgery. His teeth grinding made us extract three of his teeth and it is getting worse and it makes him cry and while crying he goes out of breath. His doctors do not know what to do about it. Please help us if there is any drug to make it better. | Hello. Sorry to hear about your nephew. Due to the tumor for which he was operated, the cerebellum (small brain) was affected. Due to that, he has developed bruxism which is a rare complication. Unfortunately, there is no effective established recommended treatment. Some have tried different groups of drugs like short course of L-dopa, Bromocriptine, and Baclofen. Out of all these, Baclofen has the least side effects which can be tried. Baclofen can be given as 10 to 15 mg per day in two divided doses. Let me know if the bruxism is more during daytime or while sleeping. For more information consult a neuro surgeon online --> | |
What causes knots on thighs with fibromyalgia?
I can run my hands down my thighs when laying on my side and it is very very tender and I feel hard like knots. I have been told I have fibromyalgia back in 1992.. Could these be nodules? At times it s so hard to get a good night sleep. YYYY@YYYY | Hi, dearI have gone through your question. I can understand your concern. You have fibromyalgia in past. Your lump may be due to some soft tissue tumor like lipoma, neurofibroma or dermatofibroma. You should go for biopsy of one of the 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. | |
How can rough skin on the fingers be treated?
hey ok so on my life hand my middle finger on the right side of the nail i have really rough skin and it wont go away i have used wart removale but it didnt work and now it has spred to another finger on my right hand so could tell me what the problem might be? is it a wart or dry skin what needs specail medication? | Hi, This is easily treated. Make a dilute solution of potassium permanganate (light pink colour) in luke warm water and dip the whole hand in it for ten minutes. Pat dry and apply moisturising cream till it becomes smooth and soft. Continue intermittently so that it does not return. Regards | |
What causes uneasy feeling with upper respiratory infection and contact dermatitis?
I have been suffering from an upper respiratory infection for a few weeks now. I developed what appears to be contact dermatitis on my lateral upper thighs several days ago, impetigo at the corner of my mouth three days ago, and had what has been diagnosed as a panic attack on Thursday. I don t feel I m the type to experience a panic attack. The symptoms are more like being jittery and uneasy as if you ve had too much caffeine. Any chance that this uneasy feeling/inability to focus is a result of the other illnesses I ve been experiencing? | Hi. I can understand your concern. These symptoms can be seen in anaphylaxis too. So better consult a allergist for the same.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
Q. I have white bump on penis with no pain or symptoms. What could it be?
Hello doctor, I had a white bump on my penis for the past three months. It did not cause any pain when I touched it, and when I tried to remove it in the shower, it did not budge. It is single and there was nothing else resembling it that showed up on my penis. It showed up maybe a day or two after sexual contact with my girlfriend. I am not sure if it is an STD. Today, during the shower I realized it was not there anymore. It either fell off or shrank, I have not been paying much attention to it the last couple days so I am not really sure. I am attaching a picture of what it looked like when I had it, and what it looks like now. It does not look like any STDs I have seen online, so I am at a loss as to what it could have been. Any help would be appreciated. | Hi. The lesion is not looking like an STD (sexually transmitted disease). From your history, it is asymptomatic and pain free. Whitish concretions can form due to the collection of subpreputial discharge or it can be Fordyce's spot. Wart can be asymptotic and go for spontaneous resolution. But it would have spread by now. Apply Mupirocin ointment on the spot. Clean the area with mild soap. Observe next time. If it is forming again please consult with your doctor and remove it and give for biopsy along with blood tests for STD for reassurance. | |
What is the treatment for severe anxiety?
I have been going through severe anxiety for 8 years.when it first started I used paxil which was a life saver.I stayed on it for 3 years with no problems.I went off because I was feeling good then 6 months later anxiety was back and I was a mess literally could not function.I got back on paxil and it worked great only 10mg did the job.I got off again a year ago and once again full severe anxiety.got back on paxil and once again worked.about 2 months ago I started drinking heavily and while still taking paxil 10mg my anxiety is back and it s bad I quit drinking and went to my doc who just increased to 15mg but for 2 weeks now no relief and I have lost my job and my life feels ruined.I m in severe anxiety all day.my question is why isn t the paxil doing the job should I increase again? | hii dearalcohol can worsen your anxiety due to GABA inhibitionsso better to avoid itin alcohol there is less absorption and metabolism occurs of certain drugs like paxil if required than take 25 mg for initial period to control your symptoms and add clonazepam .5 mg sos as and when requiredapart from medicines'do meditationsexercisetake proper sleephealthy dietavoid smoking and drinkingstress free activitiesdo your hobbiesmusicdo pleasurable activities all of this will help to handle daily stress and anxiety but medicines are must and say no to alcoholbe safeget well soonthank you | |
Is it to be concerned about severe pain above the eye due to a fall?
I was hit on the forehead and went flying off a bed and hit the back of my head I have two indents in a line from my hairline to my eye, they are about 2 cm deep and a finger wide, they are about 5 cm apart, there isnt any bruising but its tender and I have a sharp pain there I had memory loss for about 12 hours, blurred vision, headache, nausea, dizziness, a bump on the back of my head and neck pain all the way down into my back I was wondering if I should get it checked, im avoiding it because I dont want anyone mad at the person because it was an accident, so I dont want to go unless necessary | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You should see a doctor, it seems like a traumatic head injury and you should be examined for neurological deficits. Hope I have answered your query. Let me know if I can assist you further. | |
Q. How can I remove the acne spots on my face, back and chest?
Hi doctor, My acne is getting worse. The spots are on my face, back and chest. I have had the spots for about two years now. How can I remove the spots from my face? | Hi. I can understand your concern. Use a salicylic acid facewash twice daily and apply Benzoyl peroxide 2.5 percent gel on the pimples on the face twice daily and Benzoyl peroxide 10 percent gel on the pimples present on the chest and back twice daily. Along with this take a course of tablet Azithromycin 500 mg daily for three consecutive days in a week for six weeks. Besides this keep your face dry, avoid applying oily creams and moisturizers, avoid oiling of the scalp, use cosmetics labeled as noncomedogenic and reduce the intake of sugary foods. Continue this for six weeks and revert back. Seborrhea and hormonal imbalance. Acne vulgaris. After six weeks. | |
What causes vomiting after ingestion?
hello i have a 2yrs old son and today everytime he ate he would throw it up within 10min of eating and the he goes back to his normal self running laughing and playing now when i put him to bed he is burning up but when i use a rectal temp he is only at 99.5 | Probably your child is suffering from gastreosophial reflux, gastritis, food allergy etc.Give domperidone, ranitidine and ORS solution and he will improve within 2-3 days.However if your child develops fever, stiff neck, headache, burning micturition, abdominal distension orther warning signs, then you will have to consult doctor.For further queries regarding this disease or its medications you may take my appointment at Healthcare Magic.Dr. Khan Shoeb | |
Suggest treatment for a lump in the tailbone region
At the base of my spine and like above the anal opening, but still in the butt crack there is something hard right at the ending of the spine and it has been hurting for a while now. When I squeezed it tonight a light yello mucous like substance shot out and now there is just clear fluid. Is this a cause for concern? Could the clearish fluid be spinal fluid? | Hi,Dear,Thanks for your query to HCM.Dear I read your query and reviewed it with context to your query facts.Based on the facts of your query, you seem to suffer from-Pilonidal Cyst with abscess,which ruptured and formed Pilonidal Sinus.Treatment-USG / CT study of the Pilondal sinus and Second expert Opinion from Surgeon would help plan further treatment for you.As the recurrence is more with this sinus-I would suggest following options-Debridement of the Pilonidal Sinus with Excision of the Sinus or Marsupilisation of the Pillonidal Sinus.Coccygectomy-Removal of SacroCoccygeal / or tail bone would end the possibility of the recurrence of such pilonidal sinus with recurrent abscess.Hope this would help you to plan further treatment with your family and specialist doctors there.Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS | |
Bright red sore behind ear going upto scalp, ooze oily liquid, dye hair frequently. What could the cause be?
Bright red sore behind ear going up onto scalp , oozing oily liquid. Have had a problem with dry and flaky scalp yet oily hair for 4-5 years. Wash hair once-twice a week maximum. Recently trying (last 2-3 months) dandruff shampoo - not helping. Dyed just front part of hair twice within last 6 months (bangs) but have long hair. Could dye be the problem? No spots anywhere else. Could shampoos/hair-care products be the problem (use minimal of these), Could a liquid body soap cause problems in other places? Other Info: 19 years old Only regular earring piercings (2 in lobe only) over 10 years old. Rash on legs and arms that has been ongoing for over 1 year which we believe was the laundry soap as seems to be slowly healing now that we ve gone to baby laundry detergent. Patient is allergic to naproxen , and wasp stings. Makes me think allergies. | you can get allergy to any prduct at any time at any age all the things you asked can cause this even if you use sometimes means nothing once you are exposed to allergen it takes 3 week for body to adjust again i advise you to start with keep skin dry no oily greesy spicy foods no use of mustard copconut walnut groundnuts almonds soya oils use olive for application and cooking use non toxic soaps creams shampoos apply flucort lotion on scalp at night and wash with ketakonazole shampoo apply clidac a gel on the skin and scalp in affected parets of skin you can see the difference | |
Abdominal pain, gets distended, have rashes, hair fall, sleeplessness, headaches, constipation, swelling in ankles. Medication?
I have been having many abdominal issues for the past few years. I have a constant pain level of about 4 but sometimes it gets much worse, around 8 or 9 for 3 to 4 weeks. My abdomen gets distended, my skin itches, I can't stand to be touched and now I am having foamy diarrhea. I also have an itchy rash that resembles ringworm but won't stay gone with prescription cream. My hair falls out , my gums and tounge are sore and I have a hard time sleeping. I also have headaches and everything I eat irritates my belly. Have had the diarrhea before jus never foamy. Also, I get constipated easily. My knees have started hurting a lot and my ankles swell and I have a large amount of gas. I have had an upper gi scope, a colonoscopy, a few ct scans of my gall bladder, full blood work up 2ice, h. Pylori test, ultrasound on who knows what. Everything is always negative. I am just not sure where to turn or what to do. Don't want to be treated like a med seaker or like it's "all in my head" anymore | Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. You have got abdominal pain,some times more. recently you had foamy diarrhoea. There is rash like ring worm, and got cured with cream. You have hair fall, head ache, no sleep, what ever you eat it hurts your stomach.You had gastroscopy, colonoscopy, C.T.scan, gallbladder test, pylori test, and blood work, etc all negative. At last you came to the point that everything is in your head. Because most of the pains are from the head. As the stomach hurts, there is malnourishment, hair fall, insomnia, etc. Besides treatment follow some procedures as yoga, meditation, reading books for your interest, and hearing music. Take food at regular intervals, take more of bland foods like curd, bread, avoid taking spices, junk foods, and oily foods. though not confirmed avoid taking milk and milk products, and wheat,barley etc. Wishing for a quick and complete recovery. Best regards. | |
Small blood spotting before periods. History of having unprotected sex. What could this mean?
i had sex two weeks ago, we wore a condom ( it didnt break) but i let him put the tip in with out a condom, i am on the pill but i havent been taking it properly. im suppose to get my period next week on the 9th but im getting small blood spot in my underwear, what does this mean im getting really worried ! :\ | Hello, from the history you have given, I would say that it could be an ovulation period, provided it depends whether your cycles are regular or irregular, some people have spotting during the ovulation period..But since your intake of pills are not regular and you dnt have a complete protection from the condom , because if you don't take pills for more than 48 hours you need to have a back up protection for the next 7 days..So I would suggest you to waite for a week for your periods to come, if the periods haven't come, do a preg card test to rule out pregnancy...sometimes stress can also delay your periods...hope i was helpful to you... | |
How to cure swollen face due to tooth infection?
I have a re - abscessed tooth due to never capping it and the filling falling out. I saw the dentist and he a.hit my infected tooth pretty hard to the point that I cried for about 10 mins. B. He put me on penicillin and tylenol with codine.. 2 days later my face started to swell and i went to the er because the pain was getting worse he gave me vicodin and 800mg ibeprophen. It's been about 4 days and my face is even more swollen, the whole left side.. The infected tooth us my left k9... what would your suggestion to me be. I have been icing my face regularly. | Thanks for using Health Care Magic.Read your query.Was the tooth root canal treated previously?Swelling of the face and associated symptoms suggests acute exacerbation of the periapical abcsess.I would advice you to have a radiograph done and start with the emergency root canal treatment.If the tooth was previously treated ,start with the retreatment. Once the treatment is started the swelling will reduce gradually.Do not apply hot bag externally though ice pack will help.Antibiotics like Amoxicillin 500mg and Metrolag 400mg on prescription will be required.For pain ibuprofen is adviced ( if you are not allergic to any medicine)Do salt water gargling.Hope this was helpful.Thanks and regards | |
How to relieve foot ache and inflammation?
My fiancé n I r visiting my family in Toronto n his right foot has been aching n slightly inflammed; it was really aggravated after a cup of red wine last night. I am a telemetry RN in California; suspected gout. What is the fast relief for pain n swelling? Can we wait until we return to US on 7/3 for tx? | Hi,Thanks for your query.After going through your suffering, it could be due to gout. The remedial treatment for gout includes -1.Pain killer like naproxen, Ibuprofen .along with short course of cortisone.2.Drugs which lower the uric acid like- allopurinol and febuxostat.These are prescription only drugs so you may have to contact your local doctor. In addition to medication, the following suggestion may help to reduce pain--1. Ice fomentation- If the pain is not severe, try cold packs or cold compresses on the joint to lessen the inflammation and help the pain. Ice the joint for 20 to 30 minutes several times a day.2. Rest the joint.-. Raise the joint if you can on a pillow or other soft object.3. Plenty of water -A lack of water in your body can makes your uric acid levels raise even higher than they already are. Drinking water will help your body stabilize uric acid to a normal level.4 Dietary advice- The Purines, which are chemicals found in some food, when they are taken in food are broken down into uric acid. A diet rich in purines can raise uric acid levels in the body, Meat and seafood may increase your risk of gout. Dairy products may lower your risk.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
What treatment is suggested for pink spot under the lips?
"i had a cold sore , i pick it now its healed but the skin had ripped off ... now i have a pink spot ( under skin ) in my lips and i want to know what i can do for it to heal faster so my normal lip skin color would show , I Cant depend on time i have things to take care of & this is sort of embarrassing , Thank You . | Hi. Welcome to Healthcaremagic.I read your query. Cold sores are Herpes virus infections. It has a healing process of its own. But since you peeled it, the healing is delayed.Since its on moving area i.e. lips, keep the area moist with creams to avoid cracking. Apply ice over area which will help in soothing.Cooled used tea bags are also good. Most important is maintain good nutrition and hydration. Take multivitamin tablet once daily for 2 weeks.Do not peel it off. You can consult a physician and start with some antiviral medication orally or topically if required, but they are more useful in early phase.Hope the answer helps. Thank you! | |
Can poxs after recovery from chickenpox be a reaction to dairy products?
My sons doctors said my son has a mild case of chicken pox. He started out with 14 poxs and they dried up after a week. Now all of a sudden he has about 15 more new ones. He was also having a problem with dairy and we stopped the dairy . Now he is eating dairy lately and not having a problem except these poxs. Im wondering if the poxs could be from a reaction to diary and not chicken pox at all . Is it possible he is getting the poxs from eating dairy. | HI, thanks for using healthcare magicOne of the signature features of chicken pox is the presence of lesions at different stages so it is not unusual to have old lesions as new ones appear.In terms of the diary, chicken pox does not occur as reaction to foods only as a result of contact with this virus.I hope this helps | |
Can infection be contracted by smelling urine?
My sink smelled like pee this morning as I was cleaning it I found a cup with yellow fluid and when I took a sniff it reaked. My roommate was drunk over the weekend and denies he peed in the cup. Is there a way to test if the fluid is pee. I can't stand the fact that he feels like he can get away with it. Also can I catch anything from the pee? I smelled and touched it a bit | Thanks for contacting HCM. You are concerned that your room mate urinated into a cup and that were exposed to the urine. To have the fluid checked to see if it urine is to have a urinalysis done. This is done by a dip stick with markings on tem to diagnose urine problems. The second question can you contract any disease from urine by smell or touch. The answer is not likely. I do recommend that you wash your hands well with soap and water. Hope this answers your question. Please contact us again with your health care questions and concerns | |
Suggest medication for sharp pain in middle of chest causing pain during breathing
Hi Doc I am getting a sharp pain in the middle of my chest, just a bit towards the left side , between both breasts. It lasts for about 2 minutes and then goes away. It is extremely painful to breathe when I get the pain. It been happening about once/twice a day for the past week.Please advise Thank you | Firstly you go through your self breast examination and try to figure out if you have any lump in your breast or your breast is painful or not. If its normal then you go ahead and get your cardiac workup done | |
Can high fever along with soreness in the hands and feet be symptoms of meningitis?
Hello Doctor, My 3 year olddaughter has a high fever (103) but her hands and feet are cold. She complains that her hands and feet are sore. She is delirious at height of fever We took her to a doctor who suggested that we give her Motrin and Tylenol in alternating applications. Her blood work results are due on Thursday but this is scarey. Could this be meningitis? What is the best thing to do next? Thanks | Hi, THIS IS DUE TO DIFFERENTIAL BLOOD CIRCULATION DURING FEVER DUE TO PERIPHERAL VASOCONSTRICTION. DO NOT WORRY ABOUT IT. Fever of a 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. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology | |
Sharp cramping pains in stomach, tongue hardened, low back pain. Reasons ?
Hey I have been getting sharp pains in my stomach for a few weeks now and tongue the last two days my stomach has gone really hard and earlier I had a cramping pain for about half an hour and then started to calm down and with it I also got lower back pain . It went off slowly after about 4 hours. I was also due on 2 days ago but I haven t came on yet. These pains are definitely not period pains! Could you advise me on what it may be! | hi , i have gone through your problems and i feel the pain is because of acid peptic disease(acidity) or because of biliary colic (due to gall bladder stones.please consult your doctor for anti acidity medications(PPIs) and for ultrsound scan which will tell about gall bladder stones, pancreas,kidney stones and other organs like uterus & bladder take care, bye. | |
What are the symptoms of ADHD?
I am concerned I may have adhd! I am now 30, I am 5foot4 and 10 stone. I have had a long history of drug misuse and am on methadone. My 7 year old son has adhd. As I have been working with an adhd nurse for him I have realised that I have and always have had alot of the same symptoms as my son. As an adult I find it hard to concentrate, I am easily distracted, I find it hard to prioritise tasks even the housework takes me forever. I feel a bit foolish about this and don t want to go to my gp, I have learnt to live with it. I worry, how can I help my son if I m having trouble with similar things? | ADHD kids make it through adulthood with Milder form of their illness , they can have a successful life .helping them during early diagnosis can assist them in achieving good evaluation in school , good relationship with peers and make them have goals and self respect .behavioral and psychotherapy are the mainstay of treatment , drugs like methylphenidate can help in concentration during learning hours because it has short half life . I hope this helps | |
Q. When can periods be expected after taking I-pill?
Hello doctor, My fiancee ate I-pill tablet because, after sexual relation, I touched and wiped off sperm and touched inside the cervix. So, we have doubt that she might get pregnant after touching inside. Please tell what will happen to her after taking the pill. | Hi. If her periods are regular and expecting it in a few days, she will not get pregnant as ovulation is over. But her periods should be regular. I-pill will also protect but it should not be taken frequently. | |
What causes red spots on lower spine like a bruise?
My 5 years old has 2 red spots on his lower spine that I first noticed when he was around 2. At that time they looked like he just leaned against a chair and the vertebras got irritated, very faint pink spots. The pediatrician said it was nothing to worry about. Now I see them again in the same area, but red like he bruised his back, but the spots are perfectly round... | i think its better if u get an mri spine done for ur child and get it looked by an orthopedician and if needed a neurophysician too | |
I had unprotected sex while smoking meth. Could i still be pregnant ?
Hi I am 32 years old and I had unprotected sex while smoking meth......is there a chance that I could still get pregnant? | Hi Welcome to HealthcareMagic. There are pretty good chances that you can get pregnant if you are in your fertile period.Please calculate your fertile period and get tested for pregnancy. As there are chances of pregnancy , I advise you to stop taking meth to avoid any effect on fetal growth. Hope I answered your question , If you need more information feel free to mail me. Take care | |
Suggest treatment for idiopathic parkinson disease
Hi. I been diagnose as having idiopathic Parkinson disease.I seen seven top neurologist and have dat scan all confirm having PD. What they differ between them is treatment : 1-A group said,delay treatment as much as possible,to delay side effect,while one or more said,start immediatly as the delay treatment can cause more damage to the nerve cell .Who is right? 2-Some of them suggested take Dopamine producing medication while others suggested taking MAO B inhabited medication ,some both.Who is right? Many thanks. | Brief Answer:You should start treatment when symptoms will interfere with your quality of life, when you will have functional disabilities.Based to your symptoms at the time of initiation of the therapy, and you age, the neurologist will help you to make the right therapeutic choice.Detailed Answer:Hello,Thank you for using HCM. I understand your concern. As you have seen lots of neurologists, I will try to give you an internist point of view. 1- Regarding the time of initiation of the treatment and the type of treatment in Parkinson disease there are not right and wrong choices, but appropriate choices based to the stage of the disease, the age of the patient and other preexisting diseases. It is recommended to start therapy when symptoms interfere with quality of life, when functional disabilities begin. As the Parkinson disease consists of a progressive, and irreversible loss of dopamine sensitive brain cells, at one point of your disease development you will need to be treated , but the doctors goal is to delay treatment as much as your clinical situation allows it, in way to avoid drug- induced complications. Even though there is a trend toward initiating therapy at the time of the diagnosis or early on the course of the disease , because patients may have some disabilities at an early stage, and there is a possibility that early treatment may preserve beneficial compensatory mechanisms. 2- What therapy to initiate ?Many experts favor starting with an MAO-B inhibitor in mildly affected patients because of the potential for a disease modifying effect.Meanwhile, dopamine agonists can be used for younger patients, with functionally significant disability to reduce the risk for motor complications (involuntary movements known as dyskinesias).And Levodopa for patients with more advanced disease, the ederly, or those with cognitive impairment.Combined therapy, is used in patients with motor complications.Meanwhile exercise, education and support should be considered throughout the course of the disease. Hope this is helpful.Let me know if you need more clarifications. Otherwise please close and rate the answer.Kind Regards, Dr. Juarda | |
Why am I having pain inside the calf of right leg?
I have pain in my right leg on the inside near calf, it has been painfull for the last couple of weeks. its in the same area where i fell a couple of years ago and i had a huge bruise which last about 8 months do you think i should get this checked. thank you Helen | Hi Helen...Your calf pain can be related to the fall, If there is any unhealed inflammation exists in the tendon or bursae.or a mild strain in themedial collateral ligament. that might give rise to such issues...Don't worry...I recommend you to get your knee checked to find the source of the issue...and start appropriate treatment...meanwhile...I suggest you to kindlyDo icing frequently in your painfully area...Don't strain your knee like running squatting....Keep your knee wrapped with a compression bandage if possible....Hope this is helpful for youRevert back in case you need any further clarification.... | |
Is the iron content level of 31% cause for concern?
Hi My baby is 10 month old,we have been to Dr. visit last week and the Dr. did a finger poke test for my baby for the Iron content level which was 31%. According to the doc, it shld be 32% or more. The doc. referred us to the diagnostic center for a complete blood test for my child. Is it a matter of Concern? | HiWelcome to the HCMI understand your concerns but don't worry. The late infancy is prone to iron deficiency anemia. This occurs due to poor supplementation of iron rich food as per the required amounts of growing infants. So, you may give him iron rich food along with iron supplement such as Syp Ferronia XT or Tonoferon. Hopefully it will be of help.Take care | |
Have back pain. MRI shows lumbar spondylosis and bilateral paracentral herniation. What has caused this problem?
Dear Doctor, My Husband is 42 yrs old and has been having backache since 5-6 yrs. 2 days before we got the MRI scan done & following is the result: • small posterocentral and bilateral paracentral herniation of L4-L5 disc indenting L5 nerve roots on both side. • small left Para central herniation of L5-S1 disc indenting the left S1 nerve root. • lumbar spondylosis . I m unable to understand these medical terminologies. our doctor has said that he had a mild stroke and I m very worried...please let me know if that was really stroke which has caused this problem or it is just spine/ neuro disorder.. Kind regards, Geetha | Hello, may be your doctor is trying to tel you in lay terms about the weakness caused to your husband due to disc herniation. Discs are cushions between two vertebra( back bone) which slip out from their places due to various reasons, ( e.g like lifting heavy weights, strain) and press on the nerves which are running just behind the disc and which give strength to our legs. So, as per the MRI its a neurological problem and not a stroke. You should get him physically checked from a orthopedic or a neurosurgeon and let them take a call whether he can be managed by conservative methods, ( like medications, physiotherapy) or if he needs a surgery. Take care. | |
How to get rid of depressive disorder with symptoms of panic attacks, restlessness and dizziness?
Good evening.Am was diagnosed with major depressive disorder, with symptoms of panic attack, restlessness and follow dizziness.De 9 days treatment with Cipralex 10 mg, 0.5 mg morning, noon a 5 mg.Evening. one pill doxepin to help me to normal slip.E 9th day of treatment to feel dizzy and feeling sick, just this afternoon I could not get out of pat.Mentionez yesterday I felt much better. I noticed srarea I have more bad afternoon. Thank you. | HiTo such a patient I would have advised to discuss with psychistrist Drugs of group of SSRI are also effective in panic attacks with antianxiety drugs so i use in my patient the combination ofv two groupsSome psychiatrist also like to use in addition for panic Generic named drug proponal a drug of betablockers group If there is no contraindications to itYou better follow the instructions of psychiatrist Some time yoga and relaxation also help in panic Thanks for trusting HCM team take careDr Lal Psychiatrist | |
Suggest remedy for smelly loose motions and rashes in anal hole
Hi my 19month old son since the past two night n during day has slighty loose stools n very smelly today his stool was slighty watery n a creamy colour n then later on in day could smell as if he s dirtied his nappy as I opened it the was a few flaky bits if poo..his anal hole has been very red. Can you advise. | Please control the lose motions first. Smelly poo indicates infection in intestines and indigestion. Rashes in anus is due to frequency of motions and also irritation caused by infection.My recommendation have always been clear on these conditions. Harmless Bilv (BAEL) dried pulp powder and that of chebulic myrobalan are the safest, harmless and no side-effect remedy for it. It can be used from very small babies' to children uto 12 yrs in different doses and frequencies. Ideally one or two days of chebulic myrobalan use will clean the intestines of toxins and mucous. It may have one or two more lose motions. Do not panic. Then bael powder to be used. Both are carminative and detoxifies and appetizers,help correct metabolism. Small children may be given these with honey.For local rashes in anus pure clarified butter (ghee) esp of cow if available can be applied twice or thrice which will sooth the skin. Alternatively JATYADI GHRIT medicine may be applied. | |
Q. Please recommend some treatment options to save my teeth.
Hello doctor, I am 20 years old. I have very bad teeth with many cavities. I brush my teeth twice a day. I also floss and use mouthwash every day. Even though I follow all the protective measures, my mouth is full of cavities and it has ruined all my confidence. Even though I get them filled once in every three months, I am getting a new cavity after giving so much care and treatment. I got a root canal treatment for one of my wisdom teeth. Please help me save my teeth. | Hi. I can understand your concern regarding your dental health. IOPA (intraoral periapical radiograph) of the affected teeth. For further information consult a dentist online.---> | |
When is the embryo usually visible in a pregnancy?
hello i have ovulated after 20 day of my cycle, i had a pregnancy test positive . my Dr says 5th week and the ultrasound says no embryo found in uterus, blood test says level of hcg 164 (on the 5th day of missed period LMP 31/12/2013 i have been adviced to take fertigyn hp 5000 inj .is it very early for the embryo to be visible pls advice as i am confused | hi..for the sac to be visible on ultrasound your beta hcg should be atleast 1500..it may be an early pregnancy.. so u can repeat scan after 1 week | |
Have fatty liver grade 1 and renal calculus with PCS. Not alcoholic. Reason?
i am abaan. i m 22 year old prob. in kidneys right kidney, tiny echogenic shadow measuring 2.8mm is seen in middle calyx of right kidney pelvicalyceal system is prominent on right side. LIVER: Mildly increased echogenicity of liver parenchyma is seen. Innference:- 1. Fatty liver grade-1. 2.Tiny right renal calculus with prominent P.C.S. I am not alcohlic then why Fatty liver problem ? i need diet chart | Fatty liver (FL) is commonly associated with alcohol or metabolic syndrome (diabetes, hypertension, obesity and dyslipidemia), but can also be due to any one of many causes[2][3]:MetabolicAbetalipoproteinemia, glycogen storage diseases, Weber-Christian disease lipodystrophyNutritionalMalnutrition, total parenteral nutrition, severe weight loss, refeeding syndrome, jejunoileal bypass, gastric bypass, jejunal diverticulosis with bacterial overgrowthDrugs and toxinsAmiodarone, methotrexate, diltiazem, expired tetracycline, highly active antiretroviral therapy, glucocorticoids, tamoxifen, environmental hepatotoxins (e.g., phosphorus, mushroom poisoning)OtherInflammatory bowel disease, HIV, hepatitis C (especially genotype 3), and alpha 1-antitrypsin deficiency. Renal calculus with pcs is a seperate problem.The exact cause for this is still unclear. | |
Suggest treatment for swollen neck lymph node
HI I HAVE HAD ONE SWOLLEN NECK LYMPH NODE ON THE SIDE OF MY NECK I DEVELOPED IT AFTER A TETANUS SHOT BUT IT WILL BE 2YRS ON OCT. 6 2011 SINCE IVE HAD IT MY NECK AND SHOULDER BLADE HURTS AND ITS PAINFUL LIKE I STRAINED IT PLEASE HELP, IVE ALSO HAD CAT SCANS XRAYS AND BLOOD WORK ALL WERE FINE. AND IT ALSO ROSE AGAIN WHEN I GOT A FLU SHOT AT THE ENDING OF LAST YEAR | Hi Dear ,Welcome to HCM.Understanding your concern. As per your query cold and sore throat . The symptoms can also occur due to bacterial and viral infection , tonsillitis or lymphadenopathy, it is not a serious condition and when you will take medication for treating the infection like antibiotics the swollen lymph nodes will resolve gradually.You should consult an ENT specialist and get evaluated and get tested for bacterial infection and viral infection to rule out the exact cause of infection and treatment can be planned accordingly. As of now do alternate warm and cool compresses over the lymph nodes. Doctor may also recommend tonsillectomy . Doc warm saline gargles and apply warm compresses on neck.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Have metastatic rectal cancer. On palliative chemotherapy. Done blood test. Want to understand results?
I have rectal cancer with mets to lungs and liver. I am not able to have surgery and I am on palitive chemo . I want to share blood test results on my liver which does concern me. It is important to understand results. GGT 374, LDPlasma 442, AST 56, ALT 70, ALP 125, BILIRUBIN TOTAL PLASMA 2, GLOBULINS CALCD P1 21 some of the above test result falsely increased by hemolysis - results today results july 11 ggt 461, LS PLama 227, ast plasma 41, alt plasma 72, alp plasma 129. I would like to know what what these results mean and what i can do to help. I tak folfiri ,dexamethasone, Granisetron solucortef aprepliant , allergic to chemo. | eventhough your liver is damaged by metastases, according above results your liver function is ok it means you can continue to take your drugs, | |
Q. MRI shows left mesial temporal sclerosis. Please help.
Hello doctor, My son fell down at school recently due to fits. He is 12 years old, boy .We consulted a neurologist. He adviced to take MRI. We took MRI and it disclosed as left mesial temporal sclerosis. Hence I request you to give me an advice. | Hello. I understand your concern and would explain that there is no reason to panic. There is no correlation between EEG and the MRI findings, as these MRI findings are suggestive of a birth defect in the brain which causes epilepsy seizures. His blood laboratory tests and cardiac ultrasound are unremarkable. He has had no seizures. So there is no need for medication or surgery. In my opinion this is an incidental finding, and all you can do is to repeat the MRI and EEG after a year. | |
Depression, suicidal, loss of self-confidence due to loss in business. History of kidney conditions. Treatment?
Hi.. My name XXXXX age 27 yrs married 3children 6yrs back i got kidney transplant my mom donate me kidney now i running electronic shop 2 months back i heavy loss in buisness so in depression 2 times try to commit susite i cant concentrete in buisness i loss my self confidence.....plz suggest me what i YYYY@YYYY | please take proper antidepressents with the help of psychiatrist.show him your transplant drugs.dont worry things will be ok meet psychiatrist | |
i have been feeling depressed and losing my interest in life, please help
I'm 26 yrs old and married for 2 yrs(love marriage). He is very caring and lovable. He smokes. He is 28 yrs old. The problem is we've a very poor sex life. Frequency of intercoure is 2-4 a month. It was a little better at 4-6 a month soon after marriage. He weighs 95 and is 6'2" tall. I've put on more weight recently. I weigh 84 and is 5'8" tall. I like to have atleast 3 intercouses in a week. But though he too wants to have, he is not initiating or if i initiate he says he is tired. We have even changed our home so that he travels less(sighted this as a reason earlier). He enjoys self sex most of the time. Says he started this when he was in his teenage. I feel very upset and whenever i speak to him about sex, he gets angry or tries to console me by saying he'll be more sensitive and never does. I've even left my job because i wanted a child and he said i leave my job before that. Its 10 months since iam at home and there is no improvement in our sex life. Recently he had UT infection and we found that he is diabetic. He'll sight this as an excuse hereafter, which iam deeply worried. What should i do to make him involve in sex? Now that our marriage is 2 yrs old, family members have started asking about a child and everyone is suggesting i undergo treatment. I've met a doctor already and advised us to increase our intercourse frequency, which my husband is not doing.I'm not able to tell this to anyone and i've started feeling depressed and losing my interest in life. Please advise. | This is a somewhat complex situation May I suggest for you to consult a clinical psychologist or counselor who works with relationships near your place of residence. | |
How to identify the type of ectodermal dysplasia and remedy?
My girl is one year and two months. She is ED and this appear in her hair and teeth till now i dont know wts its type and i dont know if this will appear in other parts or no also how can i care wz her few hair i dont know this is new for me i want to know how can i deal wz? Thxs alot | Good morning ,How are you .I see that that your 14 month daughter has problems with her skin and teeth.The big name that you use means that any part arising from the outer covering of the body like the skin ,teeth ,hair nails can get affected ---the spectrum of presentation is from mild to severe .and can be very varied.Best is to see a pediatric dermatologist (dr.for the skin).Please sit down ,think and write down if any of the other members in the family have similar condition .This information is important .The doctor will usually do a biopsy that is take a portion of your skin and study under micreoscpe .He will also have to take an Xray of face to see if the permanent teeth are present or affected .My advice is write the details and fix appointment --you will need support during the growing years of your child .There are some groups support available.Thanks and best of luck | |
What is the treatment for an injured foot?
I dropped a bed foot board about 25lb on my feet 2wks ago its still a little swollen and hurts to touch them on top. I can walk but when I sit I have sharp pain and I now have knots what could it be if I had ins. I would go to doc but I don t so here I am.. | you had a crack in your bone and its healing you should have had a simple cast any way its healing on its own 4 more weeks and u will be okay | |
How can allergic itching all over the body be treated?
I got bit by a bunch of mosquitos, and black and yellow longhorn beetles and now my entire forearms and calves are covered from top to bottom in bites, and they re relentlessly itchy. I can t sleep, patches of my face are red, and my lips got chapped very suddenly. Please explain possible causes. Thanks! | Hi i do care for your concern. Your history suggest allergic reaction to the insect bites. This is a type of hypersensitivity reaction against substance released by these insect. I would advise To consult your physician and get a shot of dexa if needed. Taking medication such as benadryl will help to reduce the itching. application of calamine lotion over skin will add to the help. Hope i have answered your question, if you have more feel free to ask. Thank you. | |
Suggest treatment for influenza with fever and shortness of breath
Hello: I am very concerned about my sister. She is 48 years old and has been sick for 2.5 week. She was diagnosed with influenza, but isn't getting any better. She's been running fevers up to 103, has a d-dimer of 798, night sweating, shortness of breath and very fatigued. She was given a chest x-ray today, that was clear. If no better tomorrow, her doc. said she has to have CT scan performed. She is a nurse so knows a lot about what could be going on. Could she have a blood clot? | HelloAs you mentioned that she is having "influenza " and all these symptoms are also an indication of influenza.Abrupt onset of fever , severe myalgia / arthralgia , severe dry cough(shortness of breath), loss of appetite , malaise , sore throat & rhinitis , as all these symptoms are of "influenza"She may have influenza.But the main question is type of influenza , so that proper medicine could be given.1 Seasonal influenza.2 Avian influenza.3 Novel H1 N1 influenza.Since you mentioned that your sister is a nurse so it is very difficult to say , which type of influenza , she is having .Tests are performed for detection of type of influenza.Immunofluorescence test &Hemagglutination inhibition tests .So first of all get in these tests so that exact type of influenza can established.As far she may have blood clot? Your query , it is very difficult to say anything because of short history of illness.So deal as I mentioned above. | |
Is there any pill by which penis would stand instantly?
hi i m 23 yrs of age i recently lost my virginity ,my penis took a lot f time to stand up,i was very nervous,the second time i did try fr sex it dint stand up,is their any prblem ,is there any pill by which it would stand instantly,or it was jus bcoz f my nervousness | Hi,From history it seems that you are having anxiety and due to fear of no erection of penis still aggravate the condition and you do not get erection.Forget fear of non erection and continue with sexual excitement and you will get erection.Ok and take care. | |
Any suggestion for unable to walk after having L45 micro decompression surgery?
I had a back operation 6 weeks ago for a disc that was sitting on a nerve and apparetly the bones were very crumbly. The operation was L45 MICRO DECOMPRESSION. The operation was a success but I cannot walk unaided. Bearing in mind that Iwalked into the hospital but came out with a zimmer. They are assuring me that I will walk but Iam getting depressed as the weeks are moving on and a holiday is booked for september. What would be your advise. Regards thankyou. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.It takes some time for proper walking if this is the spinal cord operation of L 4 L 5 nerve decompression.Have patience, complete recovery may take 3 to 4 weeks or even more. You have to go for physiotherapy for quick and better recovery.The only thing is the operation must have been done nicely. If no result seen even after couple of weeks then you have to inform the doctor about this.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Akhtarhusain | |
What causes high temperature, diarrhea, tiredness and headaches?
hi, my child has been unwell now for 5 days with a temperature that will not come down, at its highest its been 38.6 and lowest 38.2 and has been like this for 5 days. There is also flu like symtoms with it the worst being a bad dry cough, also vomiting and diarrhea, tiredness, headaches. Please help very concerned mother. | Hello,Your baby is suffering from viral illness probably, still needs an investigation to rule out other pathology. Give antipyretic every six hourly, maintain hydration, and provide rest. Investigations as per my opinion are CBC, urine complete culture, Widal test, blood culture.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sachin Kumar Agarwal | |
What causes low hemoglobin levels?
we have our patiants that their hemoglobine is getting down during the hot weather and when the wather is cold their hemoglobine is normal. if you can tell us what to do with them please? we have been to all over pakistan and afghanistan and right now we are in india and our patiants are under the investigation of three hospitals Max hospital, Appollo hospital and AIIMS hospital. but there is no diagnosis for this case. | Hi, dearI have gone through your question. I can understand your concern.Your patients may have change in hemoglobin according to weather.It may be due to hydration status. In cold whether they drink very less amount of water and it leads to hemoconcentration and causes high hemoglobin. In hot whether they drink more water and hemodilution leads to fall in hemoglobin. However it need study and investigations. 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. | |
I have a SGPT of 69 and fatty liver
Hi Doctor... My SGPT is 69 and having fatty liver ..... I drink alcohol occasionally..... Is it serious??? | Welcome to Healthcare MagicYour SGPT is marginally increased. Presence of fatty liver indicates possible reversible liver damage if you stop drinking alcohol and eating fatty food. You need to eat more green leafy vegetables, do brisk walking everyday to reduce the cholesterol if high in your blood. Are you on any medication now. Kindly do Lipid tests also to know your heart risk as well. | |
Q. Is clubbing in chronic smoker something serious?
Hello doctor, I am 27 years old, female. 130 lbs. Have a history of smoking slightly less than one pack a day for 10 years. Quit a month ago. I am concerned about finger clubbing. I have noticed a new curvature in my nail over the last few months that was not present before. It is mostly in my index fingers and slightly in middle fingers. According to the Schamroth's test, I have a very small window. I am really concerned. Could this be early signs? | Hi. This is mild clubbing and it is normal in young females. It is due to estrogen hormone in females. Please keep yourself miles apart from tobacco and alcohol. To be on the safe side, have a chest X-ray done and send me here to look for any pulmonary cause, as you have 10 years of smoking history. Usually, smokers develop clubbing when they have cyanosis, that is more concentration of deoxygenated blood in vessels but your fingers do not seem to be cyanosed. Cyanosis means the bluish appearance of nails, tongue and lips, etc. Your fingers and nails appear pink means no cyanosis. Again I emphasize to avoid smoking. Chest X-ray. | |
How can severe shoulder pain after an injury be treated?
Hello I am having pain deep inside my shoulder. It has been long term pain. It started about 5 years ago. I did 6 months of physical therapy. It got better but has recently been much worse after throwing a lightweight ball at a high velocity. It is like a deep achy pain. It gets fatigued very very easily. With certain movements it feels as though it is sliding in and out of the socket. There is also tenderness. I have meloxicam from a previous injury that I have been taking, but it has not made any difference. | Hello, As per your history, it may be due to blunt trauma. For pain, you can take tablet acetaminophen. You may require X-Ray of the affected shoulder for detailed clinical examination. After orthopedician consultation. Restrict your movements. Use support while walking. Further treatment mainly depends upon the underlying condition. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician | |
Is the loss of sensation in foot after treatment for water moccasin bite permanent?
My 16 year old son was bitten three weeks ago on the bottom of his left foot by a water moccasin. He was treated with 5 vials of Crofab and stayed in the hospital for six days. He seems to have recovered very well but says he has loss of feeling on the left side of his foot. Will the feeling loss be permanent of will the feeling gradually return over a period of time? If so, any idea how long a period of time? | Hello I have gone through your question and understand your concern. Post treatment with antivenin, temporary and/or permanent tissue and muscle damage can occur. Water moccasins venom is cytotoxic in nature therefore tissue of the affected area shows poor circulation and tissue regeneration is not possible on its own.If sensation does not return over a period of few weeks, it means no regeneration of tissue and the loss is permanent. Good luck. Hope your concern is answered. Thank you. | |
What causes sore red bumps filled with blood and puss?
I have red bumps showing up all over my body. They are very sore, filled with blood and puss, warm and hard to the touch. It takes about a week for it to scab up. One will pop up and a few days later another one appears. They are pretty big. What could this be? | Hello,Welcome to HCMThanks for posting your query in HCM.Your symptoms are most probably suggestive of Staphylococcal infections.It is usually caused by bacterium Staphylococcus aureus.It may be a boil or folliculitis.Staphylococcal folliculitis affects hair follicles on the face, scalp, neck, trunk or limbs but not the hands, soles and mucous membranes where there are no hair follicles. Folliculitis usually appears as a group of red bumps, which may develop into pus-filled blisters.I would advice you to go for topical antibacterial treatment like Fusidic acid and mupirocin .Treatment should last up to 10 days.To prevent getting such infections,follow these measures:1. Regularly wash hands, avoid nose picking, nails biting and skin scratching.2.Wear fresh, comfortable, airy clothes.3.Do not share razors, towels, clothes, bed lining with others.Thank you | |
What causes severe pain in the back and hip after having knee surgeries?
I have had 5 knee surgeries in the last 3 years...tore all ligaments in right knee and torn all but the PCL in the left knee. I will need more knee surgery in the future. Now I am having major back and hip pain on mostly my right side. How should I proceed? | Your gait ( walking pattern) may be leading to your back muscles and hip to work more and in compromised biomechanics. Better if you can take stick or walker support. Sometimes knee pathology can have referred pain to your hip. Get a proper walking support first. | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Should I stop taking forecox tablets?
Hi, Doctor I am taking forecox sinnce last 6 month. can i stop the tablets. when i had a operation, the doctor told me to continue 9 months taking this tablet.. but when i continue in summer season i get fill sum illness and my operation side is paining.. so please help me | Hello,It is better you don't discontinue the medication. If you have pain then get it done ultrasound and liver function tests. If both are normal then you have to continue medication. If any abnormality detected means you may consult your doctor he may write alternate 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 | |
Does Lyme s disease affect gall bladder?
I have been diagnosed with long term lyme s infection. I am told the reason I have developed symptoms of severe nausea and vomiting after eating a large meal or some fat, is due to inflammation of my gall bladder. The doctor is suggesting have my gall bladder taken out. 1) Does lyme s disease effect the gall bladder; 2) are my symptoms consistent with gall bladder inflammation; 3) Will the removal of my gall bladder decrease my sensitivity to fat and stop the nausea and vomiting. | Good day and thanks for your questions. First question, lyme disease does not affect the gall bladder. Second question, yes it could suggest inflammation of the gall bladder with other symptoms like pain on the right side of the upper part of your abdomen, jaundice and fever. Your doctor would advice you do an abdominal scan which can also show a gall bladder inflammation. Third question, yes the removal will stop the symptoms and that is the definitive management.Hope it helps. Thank you. | |
Back pain, kochs in spinal cord, swelling seen in back below the left shoulder. Thoughts ?
sir my wife 37 years old suffering from back pain when we met doctor he told that she is suffering from koch;s in spinal cord we can see swelling on her back little below her shoulder on left side and doctor advised to take medicine for 1 year can you give some detail about it and we have seen ortho surgeon is he the right specialist | Yes ortho surgeon is the right specialist. Treatment for spinal TB is given for 1 yr or more. If patient has improved you should not worry otherwise consult you treating doctor. | |
What causes pain in the lower abdomen?
My son is 14 having lower left side pain about inch away from belly button and hurts to pull up from bed cough sneezing pains are very sharp just was wondering what it could be hurt before but went away like a yr ago and now its back he has been taking tylenol more then he ever has | HI.Pain in the abdomen on the left side of the belly button which increases on pulling from bed, coughing and sneezing can be due to indirect inguinal hernia or torsion of testis. Get this clinically examine by a Surgeon and get operated to get a cure. | |
How to cure swelling of vein in cheek and tooth sensitivity?
Hi im 23 and 5''7 I weigh 11 stone 4.I have a swollen vein in my cheek and a few of my teeth feel sensitive if I touch them but I dont have toothache or an abcess. I can see my cheek is swollen from visibly looking in the mirror and also if i look directly in front of my I can see it at the corner of my eye. And it feels tight and swollen if I touch my cheek. I recently had an ear infection but that was the other side it was my right ear not my left. | Hello!Thank you for posting here.You did not mention if you had any tobacco habits.This tight feeling and swelling can be due to this.Quit smoking and pan chewing habits if any.Sensitivity when mild can be treated with desensitizing tooth pastes like colgate pro relief, or sensodyne.Apply it on the tooth you have sensitivity and leave it on for five minutes.Rinse it off and brush normally.Use it twice in the manner i explained.This swelling must be seriously looked upon.Get a clinical examination done.You must get a biopsy done if necessary.In extreme cases of sensitivity, root canal must be done.This cannot be related to your ear pain.Regards. | |
What causes the discomfort in scrotum getting stick to thigh when sleeping?
Hello! I seem to have this issue often. When I try to fall asleep in bed, my scrotum seems to stick to my inner-thigh. It is very annoying and I spend a lot of time trying to separate it. Is there any way I can keep it from sticking? It is a very big annoyance... | Thanks for asking in healthcaremagic forumIn short: You can use a separating clothe between your thigh and scrotum for relief.Explanation: It is very common to feel this. It occurs in almost all the males. So, if you want to avoid it, you can use a clothe separating your thigh and scrotum while sleeping. | |
What causes lower back pain during pregnancy?
I am 24 weeks pregnet with my 4th child Yesterday morning i woke up with Lower back pain I stayed off my feet to see if that would help Last night I could not get any sleep becuase no matter which way I laid the pain would not go away i stil have the pain this morning I thought that it was just the baby growing is it something I should worry about? | HI, I have read your query & understand y6our concern. Pregnancy hormones cause loosening of pelvic ligaments. As a result the pelvis is stretched due to growth of fetus .. this leads to pain in back in pregnancy. Also as the baby grows, the abdominal weight increases. So there is much more load in front of body.. making imbalance due to shifting of line of gravity.. the back muscles stretch the line of gravity back to normal by contracting & pulling the body back. This creates lot of stress to back muscles & so the pain. * this can be managed by doing pregnancy yoga exercises to strengthen the back muscles. * back pain also follows calcium & vitamin D deficiency. Replacement of these controls the pain. - some times vaginal/ pelvic infection or inflammation can cause the back ache. This needs a gynecologist's advise / investigatios & specific treatment. ** you should consult your gynecologist for proper guidance after checking you up. thanks. | |
What causes lower abdominal pain and vaginal spotting during pregnancy?
My daughter is 6 months pregnant with her 3rd child, the youngest being born April 4th 2016. She is type o- blood type. Yesterday when she stood up she had a sharp pain in lower part of her stomach, so intense that she had to sit back down immediately and wait for the pain to stop (about 5 minutes). Just now when she went to the bathroom she had blood when she urinated. More than a spotting. Now she had blood during her last pregnancy but not this heavy. Should we head to the hospital now? Or what do you recommend? | Hi,I guess your concern is spotting and you should go to hospital now. Visit a nearby hospital/ nursing home where obstetricians and gynecologist specialist are available. If you have sufficient time go directly to your treating doctor. Firstly let us focus on your pain in lower part of stomach plus spotting followed by bleeding. These are the warning signs that there might be some problem in placenta ( placenta connect the baby to the womb of the mother). Some problem of the placenta has caused this warning scenario in your daughter. For this you need to see the above said specialist as fast as possible. Secondly I would like to focus on child birth spacing, that is if minimum gap between two babies is not adequate then this kind of scenario may happen- PRETERM LABOUR ( not a good time to discuss in detail about it). In short I can say that womb of the mother will not be fully ready/ has full strength to grow a new baby if proper spacing between babies or pregnancy is not there.I would like to suggest that you rush to visit a nearby hospital/ nursing home where obstetricians and gynecologist specialist are available. If you have sufficient time go directly to your treating doctor.I hope the information is useful, informative and helpful to solve your daughter's problems. Let me know if I can assist you further.Regards,Dr. Sudha Rani Panager | |
Is it safe to have another surgery for stents within months?
Twelve. Weeks ago I had a heart attack , I needed to have stent surgery and they implanted 2 stents, afterwards I still have angina not all the time but a couple of times a week, after going back to see the doctor who did the surgery he thinks it would be best to do 2 more stents in another artery which has 3 narrowings, this is planned for January how safe is it to do this so soon after the last op a? | Hello and thank you for using HCM.I carefully read your question and I understand your concern.I will try to explain you something and give you my opinion.You should know that if it is a narrowing in your coronary artery than the intervention shold be as soon at is it possible.If it os not an emergency, than you can take time to plan it.But you should not worry for the time you did the first intervention.This does not interfere with the next one.The firs time you had an infarction and the stenting was an urgent situation.The next procedure, is a planned one to reduse chest pains and prevent another heary attach from tje other blocked arteryes.As son as you do them the better is for you organism, so dont worry.Hope I was helpfull.Best regards,Dr.Ervina. | |
Periods delayed. Genital contact, no penetration, semen dripped near vagina. Spotting with pink discharge. Pregnancy chances?
Hi need an urgent reply about this. . . My period was due two days ago but didn t show up. My period is kind of irregular though and shows up maybe a few days late sometimes. Thing is, two days ago I also got intimate with my partner. We had genital contact but no penetration, however a lot of semen dripped onto my thigh and near my vagina entry. I m afraid that while washing the area I may have pushed some in instead and am now considering taking an emergency contraceptive pill (which I just bought at a pharmacy) as I ve read online that sperm near the entry of the vagina can in fact make its way to the fallopian tubes and can even stay alive for up to a week. However, today I see pink discharge spotting and am expecting that my period is arriving. Is it possible for me to have my period if I got pregnant? Should I take the contraceptive pill or not? This would be my first time and I haven t had penetrative sex yet. Please help, thanks. | Hello,There is no chance of pregnancy in above type of sexual activity just prior to period due date (2 days ago). 1-7 days period date alteration is normal thing. You may take contraceptive pill to take extra protection against pregnancy but literally it is not necessary in this context. Also pill may cause next cycle delayed or earlier due to hormonal imbalance.As you are getting spotting or pink discharge now, it indicates that your period starts shortly. It is impossible to be pregnant during period. Therefore I suggest to wait at least 7 days before proceeding to investigation of irregular period. In such cases, you need to consult with your gynecologist.Avoid stress, take healthy diet with iron supplements, control body wt and take a sound sleep. Practice safe sex in future to avoid unwanted pregnancy.Be well & take care. | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Son has low self confidence. Rarely gets up from bed. On medication for anxiety and depression. Treatment?
My son is 21years old. At age 13we noticed changes in his self confidence etc... we took him to the Dr had him evaluated after many Dr visits and the put him on anxiety medicine and anti depressants. Sad to say he continues to go downhill more and more. We have tried treatment at mayo clinic, many psychiatrists and no help to make a short story out of the past 8 years. Now he rarely gets out of bed because he says he has so much physical pain. Can you please give me a direction to try. My son is very smart and always feels like he knows the questions the dr s are going to ask before they ask them and I feel like all of the drs WE have had contact with doesn t want anything to do with him. I know that there has to be a place where these type of people go to get help and be around others that ate intelligent to a scary leg I would appreciate any suggestions. Thank you | Hello and welcome to Healthcare Magic. Thanks for your query. I'm sorry to hear that your son has been doing badly despite treatment. In such cases, where multiple trials of medication fail, it is a wise thing to re-evaluate the case completely and re-examine the initial diagnosis. With the very little information you have provided about your symptoms, it is not possible to get any definitive direction about the diagnosis. I would suggest that you try to get an independent, unbiased second opinion from another psychiatrist. You can also try psychological and behavioural therapies, in adition to the medication. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist | |
What does purple dots on forehead of a child mean?
my 6 month old nephew has purple dots on his forehead. They were on his nose but moved to his forehead. A few days ago he had a red rash all over his body, that faded some but it came back again last night after the purple dots appeared on his forehead. His temperature is fine. The doctor prescribed benadryl and my niece, his mom, gave him that. It helped him sleep but he still has the dots. what is wrong with him. | Hi.. by what you say I feel that you should be going through a mild allergic reaction of the skin or urticaria.Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.Please revert back to me with images so that I can guide you better.You can approach me at the following link.Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.Please find the link below -www.yyyyyyyyyyyyyyyyyyyyyy.com/doyyyyyyy/dr-yyyh-amperayani/67696Regards - Dr. Sumanth | |
What causes painful toe inspite of its fracture?
I broke my 4th tow on my right foot two years ago. I went and had it xrayed, after I broke it and they told me it was a spiral fracture.Now it has been giving me some pain and discomfort lately. is it possible that the bones have seperated? When I bend my toes it clicks into its spot. | Hello, There are few possibilities which cause pain even after 2 yr of injury in your great toe: 1. Fracture get malunited, if the fracture fragments get united at the incorrect position it will result in pain: 2. Fracture still not united i.e. nonunion. 3. If there are arthritis changes started in your toe then your toe will be pain painful 4. increased serum uric acid also result in pain in the great toe so get it checked Get the CT SCAN done to rule out any of the above possibilities. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jaideep Gaver, Orthopaedic Surgeon |
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