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Q. Why is there pain in opposite tooth after root canal treatment?
Hi doctor, I did a root canal before a couple of days. But I have pain in the exact upper tooth of the root canaled tooth. I have attached the X-ray after the first sitting of the root canal. Please suggest. | Hi. I can understand your concern regarding dental health. In this condition, it will take time to have healing of the ligament and tissue at the end of the root of the root canaled tooth as it was previously affected by the infection. So do not worry and take antibiotics and analgesics prescribed by your dentist. If the pain persists even after all these, then go for check up with a radiographic investigation of the same tooth. | |
What causes pain in the chest area of a child?
Hi, my 5 year old Grandson has been complaining of pain in his heart for a month. He has seen his pediatrician....says no heart murmur..keep an eye on it. Today, at school during lunch he went to the nurse with pain in his heart...nurse contacted his father and said his heart rate was 108...after sitting with the nurse it went down..He has appt with his pediatrician tomorrow for an EKG..what could be going on? | In your child's case an ekg will surely tell wether he had a heart issue or not but considering his age you need to look if he is not having spicy stuff too often as this is another scenario where many childern of young age develop gastritis in such a young age | |
What could cause middle toe numbness?
I am 26 quite healthy, have high myopia. My concern is that for six months i have had middle toe numbness in my left foot only. its just on the back of the toe and sometimes feels like its numb but not sure. Just before that i had slightly twisted my ankle but that wasnt a big deal. I have had it for a while and more recently i have started to feel dizzy. i went to docs and they said that it was an inner ear infection as my ears were waxy (due to small ear canals) i had forgotten to mention the numb toe but it had not seemed important. Problem is the dizziness seems too much as i have not been able to go to wr#ork. I am rone to anxiety but i am pretty sure its not anxiety. Just wondering if you think it could be something more that that. I also feel pressure on my face and feeling as if there is tightening around the eyball. Any knowledge of anything would be helpful. Note i do feel that sometimes when im less tense the dizziness does not feel as bad but i still think the numbness is worrying and may be something. (Mother has diabetes Father Heart valve replacement) | Hello,Thanks for the query.Conditions like peripheral neuropathy has to be considered.Consult a neurologist and get evaluated. Investigations like nerve conduction study has to be carried out.Wishing all the best. | |
Q. What measures can be taken to control stress?
Hello doctor, I am taking too much stress and I know it is not correct. How can I control my stress? Please give me some solution to control my mind. | Hi. Stress is part of everybody's life today, but if you really want to enjoy your healthy life, you have to know how to deal with the stress. Note down all the things in your life which make you stressed. Try to solve them, so that they do not come in the way of your happy life. If there are certain things which you cannot change or not in your control, accept the reality and move on. After all, why to worry about things we cannot change. Similarly, make a list of things which makes you happy. Try to do these things whenever you get time, in fact, you have to take time out for these things. No medicine will work, believe me, it is you and only you responsible for your happiness. The key is with you. The door to happiness is not outside, it is inside us. It is our choice. | |
Why does my scalp stink and has a bald look?
when i was born after a few days .. a baby s thin layer of skin leaves the body but in my case that skin got stuck in my scalp.! my hairs are getting thinner, i live in india and my scalp is getting dark and tight, i have to wash my hair monday wednesday and friday because i have a oily scalp. my scalp stinks and itches if someone pours water on my upper scalp, i look bald, i am just 15 year old, my scalp on the back has more hairs as compared to my upper scalp, difference is felt and seen when i put my hand over my head, i have to daily go in sun for my coachings, what can i do ? please help me ! i am sick of those split ends and thin hair and itchy scalp | Hello, I have gone through your complaints and would recommend you to use a Ketoconazole shampoo twice weekly. Apply Minoxidil 5 percent lotion on the bald areas of the scalp twice daily and take hair supplements like tablet follihair once daily. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist | |
Weight loss, stress, nausea on thinking of food, forgetting to eat. Tips to gain weight?
Hi! I have a problem with my weight! I ve never been even chubby, but I was a normal size. However due to stress with my final exams in high school a year ago, I lost that few kilos that would make me look healthy and I am trying in vain for more than a year now to get it back but I can t because sometimes even the idea of food is makes me sick or I just forget to eat or not hungry at all. I work out but even that does not help much. I fear that I will lose even more weight if something does not change soon. What should I do? What should I eat? | You need to be evaluated for anorexia nervosa / bullaemia nervosa You can eat whatever you feel like without putting any restrictions You should be benefited from a psychiatrist consultation n addition, focusing on your career might help in preoccupation with your such symptoms | |
Does hard lump in front of ear above ear lobe requires attention?
22yrs old; 5 4; 174lbs; family history of diabetes, heart disease, and auto immune diseases: MS and lupus. I have a small, hard lump in front of my ear 1 inch above earlobe. Painful when pressed. Didn t notice it until I leaned my face into my hand. Should I go see a doctor? Doesn t hurt unless it s pressed. | Hi...it may be skin inflammation or infective if pain increase nd throbbing in nature....just try anti inflammatory drugs like brufen 400mg twice a day... if swelling dose not respond we can further plan for ultrasonogram nd treat acordingly.... | |
How can a movable swelling on the lower back be treated?
My husband has been sick for about a year. At first symptoms were mild occasional pain in abdomen. I noticed a enlarged area on right side around kidney area. A few months later it moved around toward his bk. Then awhile later to,his hip then completely covering his left side from waste down to leg. Pain is severe. He has a high tolerance for pain but it s got the best of him. I believe that whatever is wrong is very bad. Loss of weight. Appetite loss smothers sometimes. Has a bad cough | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .Hope this clears your doubt .Wishing you fine recovery .Welcome for any further assistance .Regards take care .Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query for your husband in details .* The movable swelling over the back indicates soft tissue lump as lipoma , neurofibroma or others , needs confirmation with clinical examination .* Rest of the symptoms as weight loss , appetite issues need detailed case examination .Hope this will help you for sure .Wishing him fine recovery .Welcome for any further guidance .Regards . | |
History of brain tumor. Have headaches, dizziness. Should I be concerned?
Hi, im around 19 years old and was diagnosed with a brain tumor not even a yr ago. And they don't know whether it is cancerous or not. But I have major headaches everyday. But I've had about 2 MRI's and the tumor has grown. But recently everytim I stand up I get very dizzy and everything will go black for about 20-30 seconds and my head will ache really bad! Should I be concerned at all? Is it normal for this to happen? And everyone tells me im getting up too fast but sometimes it will do it when im just walking and most of the time I don't get up fast at all! | Hello,thanks for using health care magicPersistent headache are likely due to the increase pressure inside your cranium due to the growing tumor. Symptoms associated to growing intracranial mass generally worsens as the mass increases in size causing compression of brain structures.You need to meet a neurosurgeon for better evaluation and investigation. For definitive treatment of the mass related headache, surgery will be needed and it will be best at an early stage.Hope this helps you.Best regardsDr. Achuo | |
Suggest treatment for cervical spondylosis
I have had a small bulge in the front of my neck for about 12 years which the doctor descdribed as a non toxic thyroid gland which he said needed to be removed to prevent it from becoming cancerous. Meanwhile In 2012 after massaging the back of my neck with an electric hand held massager to reduce a neck pain, I got a stiff neck which landed me in the hospital. This other Doctor ordered an MRI. The result read thus: OBSERVATION:-The study shows loss of cervical lordosis due to muscle spasm. Minor marginal osteophytes are seen at multiple levels . The vertebral bodies show normal height and marrow signal intensity. No evidence of fracture or dislocation seen. No evidence of destructive or sclerotic lesions present. The bony spinal canal appears normal at each level. Intervertebral disc saces shows reduced T2 signal intensity is suggestive of desiccation changes. C3-C4 intervertebral disc shows diffuse circumferential bulge and causally directed central extrusion causing indentation over thecal sac. There is both lateral recess and bilateral neural foraminal compromise with mass effect on bilateral traversing nerve roots and spinal cord. subtle T2 hypersensitivity is seen in the the spinal cord suggestive of myelomalcia . C4-C5 intervertebral disc shows diffuse circumferential bulge and focal central protrusion causing indentation over thecal sac and bilateral neural for amine compromise. The cord at ather levels shows normal signal intensity. CSF spaces are normal and show no evidence of mass lesion.. The Atlas and axis are normal with no atlantoaxial subluxation. The posterior elements and spinous processes are normal. Facet joints and unconvertebral joints are normal. No soft prevertebral //para vertebral collection is seen. IMPRESSION :MRI features - Degenerative cervical spondylosis as described above... I have always had shoulder and upper back pain since year 2000. Since 2009, after an anxiety attack I sometimes experience muscle tension in both sides of the back of my neck near the skull and it causes head aches and pains. When massaged the pain extends to my shoulders and my upper back muscles and my arms. I have also started feeling some pains and discomfort in my legs, hip and bottom joints and in my fingers. I have also observed loss of muscle tone in my arm and legs. During these episodes I also have blurred vision. All these symptoms are occurring more often now. What is the best thing I can do now. I | HiFor cervical spondylitis use a collar in daytime,do isometric cervical exercises, take myoril tab twice a day after meals, pantop DSR one tab empty stomach once a day.Lyrica 75mg and methycobalamin one each dayConsult a spine specialist if he agrees with above treatment..A physical therapist may give cervical traction for 10 days ,10 minutes daily,if your spine expert doctor agrees.Hopefully all this shall help you.Refer to spine surgeon for further management. | |
Does using hydrogen peroxide as an oral rinse affect the taste buds?
does using hydrogen peroxide as an oral rinse affect the taste buds? I've been using hydrogen peroxide for about a month, and while it's helped my gingivitis very much I've noticed that I've lost a degree of tasting ability on my tongue. I'm also using a fluoride rinse in the morning with the peroxide, and a Crest gingivitis rinse at night with the fluoride. | Hello, Thank you for consulting with HCM.As such there are no studies that prove that hydrogen peroxide causes damage to taste buds. But still excessive use of it causes altered taste sensation.Better you should discontinue with the mouthwash for sometime and observe the response.Continue with only one mouth wash at a time otherwise combined they will | |
Suggest prognosis of sarcoma cancer with aorta tumor and spine metastasis
My boyfriend has sarcoma cancer. Tumor is wrapped around aorta and has spreak to spine. Legs are weak. Doctors stated he could go paralyzed in 6 months. They are doing surgery tomorrow and stated there is a 50% chance he could die? Is this true? Is this a risky surgery? | Thanks for your question on Health Care Magic. I can understand your concern. Yes, this surgery is very risky and chances of death on operation table is highly, roughly 50-60%.This is because of the location of tumour. When tumour is around major blood vessel like aorta, chances of bleeding are more. So sudden massive bleeding during surgery can happen and it can cause death of patient. So this surgery is definitely very risky. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What need to do for sharp pain and numb feeling in kneecap?
Hi. While on my knees, playing with my children last week, I moved a certain way and felt a very sharp pain in my kneecap. It was extremely tender afterwards for approximately one week. Although I had full range of motion without pain, any slight pressure on my kneecap, even the touch of my clothing was painful. The tenderness has gradually subsided but last night I noticed a large, dark blue bruise behind my knee and today my kneecap felt numb, tingly. and slightly stiff. It does not appear swollen. I am wondering if I need to see someone tomorrow or if taking it easy for a few days should do the trick? Thank you. | Take it easy for few days , nothing serious if you have full range , you had some bleeding which leaked to back of your knee (sever bursitis )Good Luck | |
Q. How can brown patches on the skin be treated?
Hello doctor, My aunt has skin problems for the past six months. She gets brown patches. She locally met a doctor who gave her a cream called Sunban after applying which the brown patches turned reddish. Someone told her to apply camphor and coconut oil after which the situation deteriorated and patches became more prominent. Now she has stopped applying anything on her skin. Please help her to overcome this skin disorder. I have attached photos for your reference. | Hello. First of all, I would like to appreciate your image quality and way of taking photographs (attachment removed to protect patient identity). Everything is nicely visible. The basic problem here is melasma. She has brownish pigmented patches that are usually developing on her face. They occur because of female sex hormone called estrogen or ultraviolet rays exposure or cosmetic overuse or nutritional deficiency like iron etc. Camphor many times irritates skin. But before that, I would like to know did she apply anything else with Sunban (Octyl methoxycinnamate, Titanium dioxide, and Oxybenzone) like some skin lightening cream? As with sunscreen alone, it is less likely to become red. Anyways, now she has developed irritant contact dermatitis. At present, she needs a good moisturizer and one low potent anti-allergic cream. I suggest you use Evion (Aloe Vera and Vitamin E) cream locally twice a day. You can also use Desowen (Desonide Topical) gel twice a day for five days and then once a day for five days. If the irritation still persists, you can use it alternate days I suggest you also take Levocetirizine one tablet as required. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. In the meanwhile as a precaution avoid excess sun exposure. For more information consult a dermatologist online --> | |
What causes chest pain with lightheadedness and tiredness?
age 19 height 5'10 weight 280lbs i have been experiencing chest pain (discomfort) in the left side by my pectoral for about 2 weeks that has now creeped its way over to the center (almost over to the right side), i also have noticed that it feels like there is a lump in my throat. i am a college baseball player and whenever i do anything physical the pain (discomfort) seems to increase, but it also happens when i just sit around at home. i just took my bp (10:15PM) and it was 128/72 with a pulse of 90bpm. symptoms: Chest pain (discomfort), but breathing seems to be normal, diarrhea, lightheadedness, and tiredness. | Hi,It seems that you have a muscle pain and some anxiety related to pain. I would advise you to take Ibuprofen three times a day after the meal for 5 days, unless you have allergy or some other contraindications to Ibuprofen and Kalms twice daily for some period.Take careCome back if you have any further questions | |
Severe headaches, pressure sensation in eyeballs, high BP, vomiting, had cyst in brain. Had brain surgery. What is going on?
3 years back, my son (24 years) was having severe headache and pressure on the eyeballs, later on had by high blood pressure & vomiting; we had to take him to emergency, and they punctured his head to take out some fluid, and then he had to undergo brain surgery to remove some cyst, which was blocking the flow from two tubes to down bellow. Now he is out of country, and seeing some red spots in his eyes, and very high blood pressure 160/105, in spite of medicines. What it could be?Anil | Hi,Thank you for posting your query.I have gone through the details. It is difficult to come to a conclusion without clinical examination. However, the medication for high blood pressure needs adjustment, as it is high.Regarding red spots, an examination by an ophthalmologist is also required. I hope it helps. Please get back if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
Does low grade glioma require surgery?
Hi, many thax for this informative forum. I was recently diagnosed with low grade glioma and the doctor prescribed epileptic control drugs and we apply wait and see attitude as in accordance to him their casses of dormant gliomas. I've sought second and third opinions and am told surgery is the best way forward, am in dilemma should I stick with my doctor advise or go for surgery | Hello!Welcome and thank you for asking on HCM!I agree with your doctor decision to wait and see, because this will help evaluate the speed of progression. From the other hand, surgery depends on the location of the tumor and the adjacent brain structure. So, it may be high or low risk surgery. I recommend follow up with brain MRI after 6 months, in order to evaluate the progression. If it grows very slowly, everything will be OK. Hope you will find this answer helpful!Kind regards, Dr. Aida | |
What can cause Herpes?
Hi, last night I found a growth on my boyfriend's penis that looks like a mole that has just developed over the past 2 weeks, also, everytime we have have sex my labia becomes grossly edematous afterward. I thought at first that it was just due to the friction, but now with seeing this growth I'm worried that it's herpes. Could it be anything else? he has a history of unprotected sex as well with multiple partners | Hi, Yes, it can be herpes. If it is multiple then you need to think of papilloma virus infection / syphilis. Share a picture for confirmation. Since he has history for multiple sex partners. You going for a panel of sexually transmitted infection disease test is advisable. Edema can also be caused due to sperm allergy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist | |
I have a small follicle cyst. Will it come in the way of my pregnancy ?
hi Doc, I just wonder if do I need to worry if I have SMALL FOLLICLE CYSTST? I started to my obgyne counsel yesterday. she told me to take PEDOVAR for three days and after that if my period did not come on june 19,2011 i need to come back to check again but if my periods will come on date was given to me i need to come back on the second day of my periods. this is the result of my ultrasound .. BG:51 NG:-10 FG:1.4/ DYN:2 ENH:2/2 SCC:1 85MM 7.5M F1234 BG:41 NG:-2 FG:5.4/ DYN:2 ENH:2/2 85MM 6.5M TRANSRECTAL SONOGRAPHY: UTERUS IS IN THE MIDLINE, ANTEVERTED AND NORMAL IN SIZE MEASURING 4.4 X 2.2 X 3.0-CM. ENDOMETRIAL STRIPE IS THIN, 0.4CM. CERVIEX IS WELL DEFINED. ABSENCE OF WELL FORMED GESTATIONAL SAC OR VIABLE FETUS. BOTH OVARIES ARE NORMAL IN SIZE BUT WITH PREDOMINANTLY SMALL FOLLICLE CYSTST. RIGHT AND LEFT OVARY MEASURE 3.1 X 2.2-CM, RESPECTIVELY. FALLOPIAN TUBES ARE NOT DILATED. RETROUTERINE AND RETROVESSICLE AREAS ARE CLEAR. REMAINDER IS UNREMARKABLE.:) is theres a chance to get me pregnant soon and normal? | Welcome to Healthcare Magic Good Day Small follicular cysts are usually non-significant and harmless. It should disappear in 2-3 menstrual cycles. You will need to consult with the Gynaecologist who will be able to help you with conception. | |
Why does my mother have muscle spasms and spine goes cold?
Please help me, my mom has been feeling really bad for over a month now. Right now at night when she lies down she feels like someone is pushing her head forward, her muscles spasm, her spine feels cold, and this is affecting her sleep. In the daytime the symptoms are less but at night they get really bad. What do you think she has? Thank you for your time. | This is cervical disc in C3/4 C5/6 and C6/7 also spondylitis with osteophites is possible i recommend MRI scan to confirmyour first option will be physical therapy Good Luck | |
What causes severe pain and soreness below the rib cage?
Hi there, my question is how do I treat pain & soreness to the lower side ribs please? I fell down some stairs over 12 months ago. X-rays & Scans were clear. However. I still suffer tenderness to the lower rear rib area. Any suggestions on treatments please? | Hello, I have studied your case. I suspect possibility of compression of nerve leading to rib pain.T his can aggravate due to injury.I will advise you to do MRI spine and orthopaedic doctor opinion.For these symptoms analgesic and neurotropic medication like pregabalin can be started after consulting your doctor.Physiotherapy like ultrasound and interferential therapy may give you relief.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
Suggest treatment for conceiving
hi name shabana khan age born 19may1975 married with two daughters my second daughter born on 12oct2004 since then i dint got any pregnancy before my periods was there fr 4 days but not it stop on second day i dont hv any problem like pain and all but now i want another babay can you pls suggest me | Hi Shabana , How are you doing ?I feel only problem is your age. Best time for pregnancy is between 19-35 yrs. Let me just explain - A lady has highest level of eggs ( around 7 million eggs) when in your mother's womb at 5th month. At birth lady has only around 4-5 lakhs eggs, At adolescence has around 1 lakh eggs , you will ovulate around 400-450 times in lifetime. In the race for ovulation every month healthiest eggs will rupture first & by age of 35 yrs healthiest of eggs will get over. At 40 yrs age most of the healthy eggs will get over. Chances of pregnancy is not zero after 40yrs age , but is reduced. Don't get disheartened , oldest mother's age is 45 yrs. The reason for reduced periods bleeding may be reduced hormones from the eggs. You can find the number of eggs in ovaries by checking Serum AMH level . This test can tell you the quantity of eggs , not quality.At this age you can think of IVF / ICSI. Do try other methods , if not successful take an earlier early decision for IVF. But even if you don't have good number of eggs, you have to go for Donor eggs. Then the embryos will be of age of donor. So irrespective of your age , you can keep having babies till the embryos get over. Donor will be known to you or not known. She will receive all the injections, once eggs are ready , they are taken out under scan guidance & then she is free to go.Your husband's sperms are taken the same day & embryos are made in lab by embryologist. They will be kept into your uterus on right timeHope I have clarified all your queries, do write back if any further queriesAll the bestDr.Balakrishnan | |
Suggest treatment for kidney stones
I am 38 years old and have recently had kidney stones although I have shown blood in my urine for over 2 yrs now. I do not have a period anymore because of a hysterectomy 6 yrs ago. I have taken a medication called topomax but only for a short time. I am having pain in the same area I did when I had my kidney stones (only about 2 weeks ago) and am wondering if I still have them or if something more serious is going on. I have done plenty of online research for my symptoms and the only thing I can find that remotely matches my symptoms is renal damage because the doctor wasn't taking me seriously and I had to suffer with these kidney stones until they just went away on their own. | HiKidney stones do not cause pain unless large or if they drop into the ureter and of the stones that drop into the ureter small stones pass by themslves. Larger stones need surgery. It is not clear from you query whether you have passed the stone previously or whether they are still there in the kidney and the size of the stones. If they are present in ureter than they might be responsible for your pain and I would advice urgent medical help. If in kidney then the ususlly do not cause pain unless there is associated infection or kidney damage(ususlly by larger stones and not smaller ones like 3-4 mm). If you need further help then please ask a direct/premium question and you have an option of sending/uploading reports of CT scan or ultrasound and blood tests for kidney function. | |
What causes cough with chest pain in 12 year old?
My 12 year old daughter has fever for 5 days, up to 104. Today it is 102 and is coming down with advil. She now has a croupy cough for the last 3 days and has some pain in her chest. She was on a z pack, now on biaxin, prednisone and albuterol via nebulizer. What is going on???? | the symptoms that you have told are suggestive of upper respiratory tract infection with wheezing. This occurs due to exposure to cold temperature or some allergens. I suggest you to do and x-ray chest. An examination by doctor should also be done. | |
Abdominal pain, nausea, diarrhea, disorientation, ringing in ears, muscle pain. Causes and treatment for symptoms?
I woke up at 4am with extreme abdominal pain , nausea , and diarrhea . About five minutes after these symptoms my body temperature dropped to 96.0, I became clammy, and my face became flushed. I got started experiencing extreme disorientation and couldn t even talk. I started to hear ringing in my ears and got very dizzy and weak. Once the abdominal pain lowered I fell back asleep. When I woke up I was still nauseous, had diarrhea, and an average stomach ache. My body is back to normal now except every muscle in my body feels weak, especially my neck , and I have been sleeping all day. What could this have been? | Hi, From the description it seems that you have some sort of g i infection causing all those problem . BECAUSE OF DEPLETION OF BODY FLUID PROBABLY YOU HAD FALL OF BLOOD PRESSURE CAUSING THE RINGING IN EAR ,PROFOUND WEAKNESS AND YOU WENT TO SEMICONSCIOUS STATE AND SLEEP . Please consult physician and get a check up and treatment For the time being you may start on brakke tab 1 tab 2 times after taking some suitable feed that you can tolerate . take vibact ds i tab daily . and peptard d 1 cap daily , for pain take decolic tab 1 tab s o s . hope you be all right soon | |
Suggest treatment for infertility
my wife report hormone test usg and hsg , Elisa my sperm analysis report are normal my wife having 28-30 days period regular trying to conceive last 9 months taking folicacite ,dupston asa ,clomid tablets in regularly still i am not success y plz healp me | Hi,Thanks for writing to HCM .The problem may be in ascend of sperms or in fertilisation or in implantation. As everything else is normal .I would suggest you to go for IUI which is intrauterine ingestion of sperms. Let me tell you how it increases chances of conception. Here the sperms are washed and healthy sperms are placed in uterus. The problem of ascending is solved and also since sperms are washed there won't be any wrong reaction with egg.With normal hsg I would suggest to try 3 cycles of IUI. I hope you concieve in that. Next option if this fails is IVF(invitro fertilisation) . You can discuss with your gynac doctor. Hope I have been helpful .RegardsDr.Deepika Patil | |
How should armpit lumps with night sweating be treated?
My husband is 40 yrs old. He has had two courses of Kelfex to treat the pea size lumps under his armpits. they are still there and he has night sweats all the time...what else could this be besides hidradenitis? Should I take him back again since they didn't go away with this course of Keflex? | HI,Dear,Welcome to HCM.Based on the facts and data of your query,you seem to have night sweats from Hideradenitis.Your Keflex treatment is not effective,hence I would suggest you,-Instead of treating with keflex,Consult a Surgeon and plan for its excision under antibiotic cover.This would resolve your problem totally.So Don't Worry at all.Consult on these lines and if need be treat it according to Suggestions of your Surgical specialist doctor.Hope this reply would help you to resolve your sever anxiety.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!! Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS | |
Suggest treatment for depression in a cancer patient
Myhusband fininshed his cancer treatment of seven chemo treatments and 36 radiation treatments in Jan. for lung cancer. During treatment he had to have a feeding tube inserted as radiation was burning esophagus and unable to swallow. Now he is on mend throat does not hurt and has no problem swallowing, but he refuses to try food says it taste terrible. He had started eating small, but quit and won t even eat a dish of ice cream. Also, refuses to exercise as can hardly walk due to bad back. On Febr. 19th, we go in for CT scan and report s from doctors as to any progress the treatments accomplished. I am I looking at depression on his part | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In cancer patient you can use Seroquel with good results or sertraline. Hope I have answered your query. Let me know if I can assist you further. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Had liver transplant. Kidney not working properly. Is there any solution apart from kidney transplant?
My father had Liver transplant last month, after transplant, his liver is functioning fine. But now doctors are saying his kidney is not working fine and needs to undergo kidney transplant. Diebaties is the root cause of Liver & kidney malfunction. Even his heart is effected. My query is: Is there any solution apart from Kidney Transplant? What about Stem Cell therapy for Kidney. What is the success rate & how much does it costs in India. | Hi, Welcome to HealthcareMagic forum. I have read your report with diligence. I am sorry for your father’s condition. Kidney transplant is suggested when renal functions fall below 20% of normal. If renal functions are above 20% renal functions are usually maintained on regular dialysis. Coming back to stem cell therapy, this is a recent technique principled on the idea that new cells/tissue can be formed from root stem cell taken from embryo. However this technology is still in nascent stages. The success rates of this procedure are yet to be known. It will not be a good idea to try stem cell for progressive medical conditions needing kidney transplant. I would suggest you to discuss with your nephrologists about his current renal functions and plan for transplant as suggested by your doctors. Hope this helps. Regards | |
What is the cause of right upper quadrant pain?
I was diagnosed with mononucleosis at the end of November. I have had some right upper quadrant pain but, nothing like what started late last night. I have been awake most of the night as the pain is acute enough to not allow a comfortable sleeping position. I'm concerned that I shouldn't ignore it and go in to work. | HI. If the pain is so much , it goes in favor of a gall bladder pathology as the first differential diagnosis. Ultrasonography will help to have a correct diagnosis and be of a guideline for further treatment. | |
Can i attend college while suffering from jaundice?
Sir i am suffering from jaundice from past 7 days my bilurbin level is around 5.5% i am feeling fine apart from a pale yellow urine and bit pale yellow eyes i am maintaining a strict diet and having salads and fresh vegetables sir is it ok for me to go to college in this condition? | Hello,It is not advisable just now to go to college. Rest is important for a fast improvement in jaundice. To extend your leave for further at least one to two week. The sugar cane juice, apple juice, mango juice useful. The low-fat diet took. Avocados, beet, lemon juice, garlic, dandelion, spinach, Indian gooseberry are some good food in such a condition. Avoid strenuous activity.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Parth Goswami | |
Can Anamol - 80 stick be placed in the anus of a baby if fever is not controlled by Crocin?
Hi, my 15 month old baby is running high fever ,around 101.3 degrees Fahrenheit on thermometer, even after being administered crocin drops about 3.5 hrs back. Can i plant the ANAMOL - 80 stick in his anus before the next crocin shot? It s midnight in India (Bangalore)..Please help | Hi, both anamol and crocin contains Paracetamol and one should not repeat Paracetamol before 4 hours. I don't think it will help you, instead you should do cold sponging of baby and continue crocin. Wishing your child good health. | |
What causes a brown circular spot on the right side of testis?
I found one brown circular spot on the right side of my testes (my right) and I am not sure what to make of it. It does not hurt whatsoever but I never noticed it before. I'm wondering if maybe it's just a birth mark or something but can't make it out for sure. | Hi, does it itch? It could be a ringworm infection if it has come in the recent past. You should see a Dermatologist for best advice. I usually advise my patients Miconazole ointment for a week after cleaning and drying the area and also keep the area dry at all times. Take care.Dr Rishi, New Delhi, India. | |
Would the blood clot in the right groin area move?
I have a blood clot in my right groin area. I am taking blood thinner. Should I have a filter in case the blood clot breaks away. How will I know if it is moving? I am 86 , 5ft 10, 200lbs and am very healthy for my age I do not have to take any other meds except the blood thinner. | Hello and welcome to HCM, Blood clot in the groin region can break and lodge at distant site and cause ischemia of the distal site. Blood thinners help to dissolve the blood clot and keep blood in fluid state as far as possible. However, you can use filters to prevent the fragments of blood clot to lodge at any narrow site. You need to consult your treating doctor for clinical assessment and thus treatment. Thanks and take care Dr shailja P Wahal | |
Q. My vaccinated pet dog scratched me today. Should I get the rabies vaccination?
Hi doctor, I have scratched by my pet vaccinated dog today few hours ago. Also there was no bleeding in my hand. But there is some redness there. So guide me that it is still necessary to have ARV. Also before 5months ago i was vaccinated with arv when there is scratch of dog then . | Hello. Welcome to icliniq. Although unvaccinated animals are more likely to transmit rabies, vaccinated animals can also do so if the vaccination of the biting animal was ineffective for any reason. A history of rabies vaccination in an animal is not always a guarantee that the biting animal is not rabid. Animal vaccine failures may occur because of improper administration or poor quality of the vaccine, poor health status of the animal, and the fact that one vaccine dose does not always provide long-lasting protection against rabies infection in dogs/cats. The scratch on your skin comes under category II for post exposure prophylaxis for which anti rabies vaccine is indicated . And although you have taken the vaccine 5 months before and your dog is also vaccinated there are very minimal chances of you or your dog having rabies but there is a very miniscule chance. But according to the guidelines you should get vaccinated again. Make sure to clean the area of scratch properly and thoroughly with soap and water. Observe your pet for the next 10 days and see if it’s health deteriorates which if does would be a strong indication to get vaccinated. Dog bite Anti rabies vaccines Wash the area thoroughly with soap and water Follow up after 10 days | |
Suggest treatment for shoulder pain
I have been having chronic pain from my shoulders to my lower back for approx 2 months. It is getting more severe...I have been heating , taking Advil and trying to do massages once a week w/little relief. The pain seems to be worsening and at times is hard to even get my self up from bed unless I position myself just right and move very slow | HelloYou need this evaluated by a doctor and I would get both x-rays and an MRI of your spine to see if there is a bone issue or a ruptured disc problem since this condition is so serious right now.Depending on the results of those studies, you may need spinal surgery | |
What causes sharp pain from upper back to rib cage?
I have a sharp pain in my upper back that travels to my rib cage. I do not have trouble breathing and did not have an injury. I am just recovering from a pulled neck and shoulder on the other side. I am prone to neuralgia in my head but I was wondering if this is that or gas? | I just want to know whether you have heartburn or vomiting. Pain in upper back to rib cage could be due to gastritis or simple myalgia. Take Tab Aceclo plus along with Tab Pan 40 twice daily for 5-7 days. Avoid spicy food and drink plenty of water. I hope your symptom will be relieved. If not get a MRI thoracolumbar spine done and get a physician opinion. | |
Is Rosuvastatin better than Atorvastatin for the prophylaxis of a coronary heart disease?
A literature search suggests that rosuvastatin reduces LDL cholesterol (unfractionated) more than atorvastatin at a comparable dose, ie., 20 vs 40 mg. With regard to coronary prophylaxis, is there sufficient reason to switch from atorvastatin to rosuvastatin. Thank you. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Both drugs are equally good and effective to control on cholesterol levels. Rosuvastatin specifically decreases LDL to significant level, other than this there is no specific reason to switch from atorvastatin to rosuvastatin. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap | |
Could the secondary inhalation of cannabis by 15 month old be a matter of concern?
Hi. I m a 20 year old mother to a 15month baby girl. I ve smoked cannabis pretty much every day for the last 4years. I can t seem to stop. I suffered with depression for the last 2years which makes all this that bit harder. I don t want my doing harming my daughters development in any way may it be now or in 10 years. So I was wondering what second hand cannabis smoke ( if she inhaled it at any point ) could do to her??? Please don t think that I sit in the same room as her as its being smoked because that s not the case. Its always in a completly separate room to her but I only have a small one bed flat so it stays around no matter how hard I try to get rid of it. Please help me. | yeah.. passive smoking is also equally dangerous when compared with active smoking.. even though you may smoke in different room ,you baby is at a high risk of respiratory infections and respiratory diseases. | |
Is the following uterine ultra sonography result normal?
Hi, may I answer your health queries right now ? Please type your query here...gravid uterus shows a single gestational sac. means sac diameter measures 38.1mm corresponds to 8 weeks 5 days yolk sac is seen measuring 4.0 mm. crl measures 24.7mm corresponds to 9 weeks 1 day. the gestational sac is regular. good decidual reaction seen fetal cardiac activity is seen hr : 167bpm. internal os closed. cervix appears normal in length right ovary not visualized. left ovary appears normal exophytic fibroid measuring 19.1x 47.6mm is noted arising from the fundus of the uterus. impression: single viable intrauterine gestation at 8-9 weeks exophytic fibroid uterus | So you are having a fibroid along with your pregnancy.as your pregnancy advances there may be certain changes in the fibroid and you may also face some minor problems.but don't worry you can handle them well.you may need frequent consultations and fetal monitoring along with some rest and medication | |
Stomach pain. Endoscopy and colonoscopy normal. Prostrate cancer two years ago. Suggestion?
Hello my husband has had stomach pains for 18months to two years now and he just cannot sleep, he has had endoscopy and colonoscopy also ct scans and xrays all showing nothing. Vic had prostate camcer 2 years ago actually had it for about 8 years without treatment but 2 years ago had radiotheraphy, One doctor said Vic has diverticulosis but no matter what medication or foo dhe does not eat it does not ease the pain, he is at his witts end can you please suggest anything.Sheila Olley ( wife ) | Hello, Thanks for the query to H.C.M. Forum. If I were treating doctor of this severe pain ( of your husband) I would come up with these reasons. 1 The most important reason may be acute ( chronic ) gastritis with recurrent episode of pain due to various factor as radiotherapy for prostate cancer , drugs causing gastritis, tension ( of disease ) , stress . As you mentioned that endoscopy and colonoscopy didn't find any thing. In chronic gastritis usually we don't find any thing except mild erosion in lesser or greater curvature of stomach. Try raising the head of your bed about 4 inches with blocks. It might also help to avoid eating or drinking for 2 hours before your husband lie down. To help control the stomach acid , one should not drink alcohol or drinks with caffeine in them or eat chocolates or spicy or greasy foods. Also take some antacid ( with ingredients oxetacain in them). As symptoms are very severe so proton pump inhibitor may require. 2 You mentioned that there is diverticulosis . In my opinion this is not a case of diverticulosis. The symptoms of diverticulosis are distension, flatulence & sensation of heaviness in the LOWER abdomen ( as all these symptoms are not present )3 The most important reason of this pain is tension & anxiety . Diagnosis can be confirmed with the help of a psychiatrist . In my opinion simultaneously consult a psychiatrist /gastroenterologist and get their opinion. Good luck for your husband. Dr. HET | |
What does the spot on lungs as shown on PET scan suggest?
the drs. have been watching a spot on my dads lung they want to repeat a pet scan but he seems to not be able to get over pneumonia now they say the spot may have a hole in it any ideas what this may be? | Thanks for your question on Healthcare Magic. I can understand your concern. Pet scan is diagnostic for many lung diseases. Since you are saying that spots on PET scan are having holes, possibility of cavitory lung lesions is more in your father's case. Following are the possible causes for such lesions. 1. Tuberculosis 2. Fungal pneumonia. 3. Cavitory carcinoma 4. Lung metastases 5. Cystic lung diseases like bronchiectesis. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks. | |
Suggest treatment for depression and panic attack
Last night I suffered what I would classify as a major panic attack. I have suffered with clinical depression for years but this was totally out of the blue and totally different than anything I've experienced. The doctors have been changing my medications constantly, trying to find something that would work properly - the last change being adding amitriptyline (25 mg.) just a week ago and discontinuing Viibryd and Quitiapine. Today, I've still been showing symptoms of panic. Any suggestions. | DearWe understand your concernsI went through your details. Please understand that depression and anxiety are treated with a combination of drugs, psychotherapy and meditation to get full manageable ability. If you had a panic attack, it is due to an underlying anxiety disorder. You must be having a host of anxiety problems associated with your depression. You need to manage them with the help of psychotherapy and meditation. Please consult a clinical psychologist with the permission from your psychiatrist.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
Front bottom gums hurt. Tiny white spots on gums. No bleeding. Treatment?
my front bottom gums hurt . it started yesterday morning and it gets worse and worse as the day goes on . i found that there were tinny white spots on my gums too . it only hurts when it has pressure on it or if i move my lip in front of it. it doesn't bleed and it my gums under mt front lower 4 teeth .i'm 13 if that helps | Hello,White spots may be arised due to aphthous ulcers.I would suggest you to maintain good oral hygiene.Take plenty of fluids and nutritious food.Rinse your mouth after every meals.Vitamin b12,c, supplements has to be administered.Maintain oral hygiene well.Avoid stress.Use soft bristled toothbrush .Hope this helps. | |
Cramps in tummy, pelvic bone pain, have spasms, excessive thirst. Should I drink a lot of liquids?
Good Day.Been experiencing odd cramping in my tummy toward the right hand side of my tummy just above my pelvic bone. At times it feels as though its "traveling" up. Its more like spasms. They happen at intervals.I have also developed this sudden thirst. I am always thirsty. I have to drink liquids in the morning and evenings. The need to drink is higher during those times. I can go without drinking during the day.What is wrong with me? | Hi welcome to Health care magic forum. Thanks for choosing H.C.M.Forum. You have got right abdominal pain, Just above the pelvic bone some times it is travelling up. you have developed sudden thirst, mostly in the nights. It appears that you have urinary tract infection, or stones in the urinary tract. you may need to have M.R.I. besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards | |
What does this X-ray report indicate?
My x-ray shows that I have a small granule as in the right lung apex. What is it and is ther a test or treatment for it? I just have been through almost a year of an unidentified bacterial in my sinus cavity. It appears to be taken care of via a surgical flush. However it was one that is hard to get rid of. Should I return to my e.n.t. For another culture? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Granuloma in the right lung apex should always be evaluated for tuberculosis. Tuberculosis is most commonly seen in the lung apex. So consult pulmonologist and get the CT thorax and bronchoscopy done. If it is suggestive of active tuberculosis, then you will need 6-8 months of anti tubercular drugs. This might also work for your undiagnosed sinus infection. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest treatment for puss coming from gum
hi my my gum hurts around one of my molars there seems to be puss coming out when i press against the area that hurts and as another worry under my jaw when i squesh my neck skin to where i can kinda feel around my neck area there is a hard oval like ball and it hurts when i squeeze it. | hello thanks for consulting at hcm..the pus around gums could be abscess due to periapical or periodontal cause,,and the oval thing is swollen lymph nodes,, either ways do salt water gargle thrice daily,,u may need iopa x-rays, so u may need scaling and root canal treatment for ur infected teeth ..so do consult ur dentist asap,,hope it helps,,tc | |
What does this X-ray report indicate?
Hello excellent doctors, My mother is currently on the 2nd month of taking TB medications but her pulmonologist advised her stop medication and started prescribing antibiotics and wast old to have the fluid drained immediately after this xray results: Homogeneous opacification of the right hemithorax, sparing the right lung apex, obscuring the right costophrenic sulcus,right hemidiaphragm and right heart border precluding adequate assessment o the heart size. Impression: Right Sided Hydrothorax.What does it mean? | Thanks for your question on Healthcare Magic.I can understand your concern. Hydrothorax is collection of fluid in pleural space.There are two pleural layers surrounding lungs. Normally there is 10-15 ml fluid in pleural space. When this fluid exceeds, it is known as pleural effusion (Hydrothorax). According to chest x ray description, she is having massive Hydrothorax. She needs to drain out this fluid and start treatment based on fluid reports. She may need higher antibiotics or anti tubercular drugs based on reports. In my opinion, fluid drainage should be done. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. | |
Suggest treatment for severe elbow pain
I have a painful elbow -- it hurts when I lift anything heavy, I can t play badminton because it hurts too much -- and there is a hard bump on the outside of the bone. The pain began when I was playing tennis for the first time in ages about three months ago. Unfortunately, the pain has gotten worse. It hurts almost all the time now. | Hi,Thanks for your query.It seems to be tennis elbow. Tennis elbow is a form of OVERUSE SYNDROME. So, the more you are involved in lifting weights with the affected hand, the more you experience pain due to stretching of the extensor tendons.So, adequate rest is necessary for the affected limb (avoid lifting weights) for the soft tissues to heal. Analgesic medications are to be taken as and when needed.If the symptoms are not resolving, then a local steroid injection is indicated, which provides significant pain relief for a few months.consult an orthopedic surgeon for a detailed evaluation and further management.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Suggest treatment to control sgpt level
Hello, doctor. My husband is 35 years old and 172 cm height , underwent medical checkup and found that his SGPT is high; 98 due to fatty liver since one month and he is on strict diet and exercising daily but still its high and barely coming down to 82. Please advice | Hello, Welcome to Health Care Magic. I read carefully your query and I understand your concern.I see your husband problem description, as you mentioned here the SGPT (ALT) is high because the fatty liver.Fatty liver need a lifestyle changes that mean diet with a low saturated fat food and exercise minimally 30 minutes of brisk walking every day, also your husband should monitor the weight, he should maintain a healthy weight for his height. Your husband should avoid absolutely the alcohol intake.You can add to these the medication that can help with detoxification of the liver and also normalize the metabolism of lipids and proteins like Essential L these help to reduce SGPT.He can add to this treatment the intake of omega-3 fatty acids and antioxidants e.g. vitamin C he can take vitamins B. I recommend you to follow-up your husband with a gastroenterologist.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Kind regard,Dr .Marsida JANKO | |
What could cause a brownish chapped line above the lips?
About 7 days ago, I noticed my lips and slightly above my lips were cracked and chapped, reddish and hurt when I moved them.As the week progressed, they began to stop hurting so much, but instead became a dark brownish line above my lips that makes them look swollen.Please help me, as it is spring break, I have only a week for it to heal, people pointed out that it looked like herpes when it first appeared, now it looks more like a mustache and I don't want them to think such things, I know it isn't herpes as I have never had a sexual encounter.Why are my lips like this?How can I fix this? | Hi,Thanks for posting the query, Apply a sunchroma lip balm externally over the lips.Avoid sun exposure.Drink plenty of fliuds which are rich in vitamin C like lemons, oranges.If the symptoms persists or worsen get the checkup done.Take care! | |
What causes severe body pain with numbness?
My mom gets these scary attacks suddenly and nobody seems to know what they are or the cause. It starts with a pain in the upper arm/shoulder and goes down her arm. Then she gets a sudden severe weakness on her right side of the body (mostly her limbs). She can barely move her right side and she begins to pretty much drag her leg and the rest of her right side. She pretty much collapses and goes to bed to sleep when that happens. When she wakes up the next day, she is better and it’s as if nothing ever happened. What could this be? | Hello,Your mother probably suffering from:1. Panic attacks or2. Seizure disorder followed by Todd's palsy3. Hypokalemia with paralysis or4. Meningitis etc.Until proper examination is done it is difficult to say what is the problem. So please take her to neurophysician he will examine and treat her accordingly.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 | |
Suggest treatment for vomiting in 4 month baby
Hi I m sukhjeet. My son is 4 months old.he still spits up. What ever he drinks vomit out right away. It s going on since he is born. It s so depressing. Some times I have to change him 10 times in a day. I give him colic aid as well. Before feed. And I tried changing formula tooo.whT should I do? Please help | Hiwecome to HealthCareMagicI understand your concernVomiting in babies is mostly due to reflux ,which normally persists till 6 months of age.It is not cause of concern provided baby is gaining appropriate weight,passing urine every 4-6 hourly,active ,accepting feed,tummy is soft.It does not require any medication apart from proper burping aftee feed and feeding baby in sitting posture.It will disappear at 6 months of age when semisolids are introduced.Hope I answered your query.thanks. | |
Does clomid increase the chances of pregnancy?
Hello, I am 41 years old and am ttc. I just got back my test results from my blood work. My AMH was low 0.7 and my FSH was 7.8. Estradol was 49, prolactin was good. Is it still possible for me to conceive naturally? also could clomid increase my chances? | Hello!Thanks for your query.Your possibilities to conceive naturally are very low.You can use clomid.Clomid is the most well-known fertility drug, probably because it is the most commonly used.It's also effective, stimulating ovulation 80% of the time.Take care of your self | |
Have problems with kidneys, constipation, body soreness. Taking lithobid. Herbs would work?
Hello I am a woman of 72 who has been lithobid for 30 years. I had to be taken off because my kidney s were showing neg signs which concerned my Dr. did not recommend to replace lithobid,he felt because I would not be a threat to myself. I am having physical withdrawa, such as, consipation and body soreness,what can I do,would herbs work? Sincerely, Lucille | Hello young lady. Welcome to HCM. Unfortunately many who have taken Lithium (Lithobid) for prolonged period can develop kidney problems and it is essential to withdraw the drug at that point. You should have been started on alternative mood stabilisers before slowly withdrawing this medication. Kindly consult your psychiatrist who can advice you appropriately based on your medical/ psychiatric condition. I would strongly urge you against trying herbal medicines at this stage since their impact on kidneys is not known. Regards. RB | |
What causes lump in right armpit that oozes pus when popped?
hi there i have a lump in the centre of my right armpit, i did have a sebacious cyst there a few months ago but it has seem to have gone now. the doctor i saw about this cyst told me it was just my glands. i have squeezed the lump and white puss comes out and then a little bit of blood then it goes down for a few days until i start touching it again. could this be a cyst aswell. or can you pop your glands and does anything come out of them. | hi.based from your description, it could be hidradenitis suppurativa. this condition usually occurs secondary to a follicular reaction with subsequent infection and abscess formation. it is best if you consult with a physician, preferably a general surgeon, for clinical evaluation. medical (proper antibiotic regimen) and surgical (incision/excision and drainage) will be directed accordingly.hope this helps.good day!!~dr.kaye | |
My doctor just rang to tell me that my recent MRI showed a shadow what does this mean ? I have been referred to a neurologist but need to know why this means. | Welcome to Healthcare Magic Good Day It depends on the patient's history. It could be scar tissue, area of swelling or oedema, tumor, infection etc. | |
What can be the permanent solution of hair fall?
good afternoon doctor, I have suffering from hair since 2 years. i have taken Dr. Batra's course for 6 months, the fall was stopped when i was using the treatment but again after a break of one month the hair fall started. Can i get a permanent solutions for my hair fall. | Hi...It seems that you may be having a condition known as telogen effluvium. I would like to say few things about telogen effluvium. It is a condition in which the hairs fall in telogen stage of hair cycle. The causes may be many like. ...tension,anxiety, thyroid diseases, endocrinal diseases, hormonal diseases, diseases like typhoid, malaria,viral diseases,surgery,trauma,drugs like anticancer ..methotraxate ,internal diseases,anaemia,nutritional deficiencies..... etc might precipitate the disease. Excessive sun exposure may be resposible for the disease. Dandruff may be responsible..it should be ruled out. If it is there, ketoconazole shampoo may be done. You consult dermatologist for firm diagnosis and treatment.Investigations may be done to rule out thyroid disease and other internal diseases. If they are there,proper treatment may be taken.I generally treat my patients in following ways..-Nutritional deficiencies may be treated.-Tab Biotin 10 mg daily may be taken for long time. -Vitamin E cap 400 mg daily may be taken.-Minerals like iron, calcium, zinc..etc may be taken in proper dose.-Mild steroid lotion may be applied on the scalp daily at night.-Mild herbal shampoo may be done twice a week.-Oil like almond may be applied on hairs to improve hair shaft quality.Above treatment is not pprescription..you consult dermatologist to have prescription | |
History of pancreatitis. Have kidney stones. Due to surgery?
Hi, about a 1 1/2 ago I underwent a major surgery to repair my bile duct strictures, I had suffered from pancreatis from the time the took my gall bladdar until this surgery (1o years), they perfomed a roux en y (not gastric). I now suffer from severe kidney stones, is this a side effect/result of the suregery preformed? I had never experienced anything like this before. They are very painful and mimick the pain of pancreatits. | Hi,Thanks for writing in.There are three problems to be discussed in you.1. History of pancreatitis ?following gall bladder surgery.2. Major surgery to repair bile duct strictures.3. Present problem with renal (kidney) stones.From your history, it is unlikely that kidney stones have developed from the earlier pancreatitis or biliary stricture problems.Since you have a history of pancreatitis, I suggest you also talk to your gastroenterologist and get your pancreas enzymes (lipase) evaluated. If raised, changes of chronic pancreatitis must be looked for through ultrasound scan or CT scan of abdomen.Your kidney stones will cause pain along sides of abdomen and radiating to pelvis, sometimes causing pain in testis if you are male.Hope this helps. | |
How safe is taking warfarin for antiphosphilipid and factor V leiden?
I have Antiphosphilipid and factor V leiden and I am on 11mg of warfarin... I just moved to a new city and I have had a hard year with a PE being on 20,000 units of heparin a day and now my INR is staying at 1 or lower I am have been realy ill the past few days and I am sooooooo tired. The Anticoagulation clinic here that I found bc I have to have some monitoring has told me that this needs to be handled but I havent found a new Hemotologist as it is very hard to do on your own... I need help and I am getting sick diahhrea and nauseated with headache I do keep very hydrated, another thing 3 weeks ago I ruptured my ACL could this cause issues??? No DVT | Hi, dearI have gone through your question. I can understand your concern. You have thrombophilia. So you should take continues warferrin treatment to avoid any clotting in body. You should maintain your INR between 2 to 3. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What causes diarrhoea while on Motrin and Tylenol for fever?
hello, my 10 year old son has been running a fever above 100 the last 3 days now and i have been alternating back and forth from Motrin and Tylenol. He has been having diarrhea as well with cough and running nose. What else can i do. I took him ti urgent care and they tested him for strep and it came back negative. I am just concern about all this pain meds going into his body for so long. | Hi...Thank you for consulting in Health Care magic.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day.If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all.Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Regards - Dr. Sumanth | |
Pain in the stomach. History of acid reflux. Need further investigation?
my stomach hurts a lot more frequently, i have had acid reflex since I was a baby. Sometimes days it bad others not so much. I have a family history of stomach problems that runs in my family. Never been diagnosed. I frequently use the bathroom and often have wet farts and discharge when I use the restroom. It also seems like I have to pass gas a lot more. | Hello dear... The symptoms as mentioned by you suggest that you might be having Gastro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus. Medical management consist of taking Proton pump inhibitors like Omeprazole, Pantoprazole,etc. (which prevent acid formation in stomach) Metoclopramide can also be used but it has some side effects on long term usage. Surgical treatment includes Fundoplication, in which the upper part of the stomach is wrapped around the lower esophageal sphincter to strengthen the sphincter and prevent acid reflux Also avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. Try to sleep on the left side, or with your upper body raised. If symptoms still persist, it will be better to consult a Gastroenterologist. There is no need to worry...you will be fine. Wish you a good health & speedy recovery. Thanks & Take care | |
Pinkish discharge after unprotected sex. Have back pain with abdominal discomfort. Pregnant?
hello i had unprotected sex on march 5th my boyfriend ejaculated in me, around march 11 i had brwnish pinkish mucucus like discharge when i wiped myself. my period was due to cum march 19 but it didnt show until march 27. even after my period stopped 2 days ago my breast are still sore and i have discomfort in my abdomen along with back pain, could i still be pregnant | hello,First of all, you did unprotected sex close to your ovulation day or fertile period. Here, chance of being pregnant is quite high.Brownish pink discharge may indicate implantation bleeding. Here, you need to do one blood test for beta hcg & TVS scan to rule out conception.Following test report, consult with gynecologist for next line management. Good luck. | |
Are joint pain with headache common post tetanus shot?
I received a tetanus shot yesterday. The muscle at the site is very sore, I understand that. However, all of my joints now hurt and especially the ones that have been broke in the past. My spine hurts from my head all the way down and I have a bad headache. I feel sleepy but can t sleep. I am 44 yrs. With osteo arthritis | Hello, I have studied your case. There is possibility of edema or arthritis which can be due injection also.It may subside with time.Pain indicates inflammatory process or nerve compression.I will advise you to do MRI and Ultrasound if pain persist.Till time you can start analgesic and take rest.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
Cancer patient, stable mixed lesion involving the T9 vertebral body with expansion of the lamina. Should i be concerned?
I m a cancer patient who has been cancer free for 3 yrs. I ve had a ton of back problems but nobody listens to me. I did have CT scan that said: On image 30 of series 2, there is a stable mixed lesion involving the T9 vertebral body with expansion of the lamina and left transverse process contain both lytic and thickened trabeculation and also expansion of the left transverse process. And another that mentions Sclerotic Lesions. Should I be concerned? | Hi and welcome to HCM. You didnt mention what kind of cancer did you have,but thos doesnt sound good. It can be the worst (metastasis) but some other bones disorders may be considered such as spondilitis or primary vertebral tumours. MRI would show it better but this finding should be seen by oncologist and neurosurgeon. I wish you good health and good luck. | |
suggest medication to gain weight
Hi, I am 23 years old girl residing in ahmedabad. I am 5'4 in height and having only 45 kgs weight since I was 16 years old. I have almost tried everything to gain weight starting from eating lot to homeopathy medicines. but nothing has been proved effective so far. What should I do to gain a weight. Suggest me a doctor in ahmedabad, if possible. | Hi dear i read ur problem of not gaining weight.although u taken homeopathic medication there was no result.In ayurveda ur problem is known as KASYR ROG.In this the ras dahtu could not nourise the body so this problem arises. First of all u dont clear that ur menses are normal or not and digestive power is good or bad.This is very imp to clear ur problem.There is no bigger problem take my precaustion u will get gain weight.Treatment-SATAWARI CHURANA-2gmYAVANI SADAV CHURANA-3gmCHITARKADI VATTI-250mgAll above taken 2 times in aday with boil water.Daraksha avahleha -20 gm B.D WITH MILKPRECAUSTIONS-USE MILK ,CURD,GHEE,SWEET TASTE FOOD, NON VEG FOOD ITEMS.U COMPLETE UR SLEEP BEFORE LUNCH OR DINNER U WASHES UR HANDS AND FEETS .DURING TAKING FOOD DONOT WATCHING TV OR ANY INSTUMENT.THANKS FOR QUERY. | |
Nausea after taking Generess Fe. Will this side effect end?
Hi, my name s Allie. I m 16 year old and recently went to the doctors to recieve birth control . The pills prescribed to me are called Generess Fe, and the doctor gave me those because since I m petite (only 95 pounds) she thought a higher dosage would cause me nausea & Bad side effects. Since I ve started the pill about 5 days ago, it s giving me bad nausea, even though I take it before bed. When I waleup I can t even move or I feel like I ll throw up. Will this side effect end? And if so, how long will it take to go away? I really hate being sick & there s no signs of my nausea going away:( | Hello Allie, I am Kathy - a nutritionist- and I may be able to help you with thisNausea is a common side-effect with iron supplements. There are other iron supplements that are gentler on the stomach and you may want to discuss this with your doctor. I am assuming you are on iron because your iron is low. You can increase your iron naturally by eating high iron foods such as raisens, spinach, molasses and, if you eat meat, red meat is high in iron. Eating a source of high vitamin C along with your iron will increase the amount of iron you absorb, so fruit, vegetables are naturally high in C as is vitamin C enriched juices. Iron should always be taken with food. From what it sounds like, you are not eating with it. Try taking it in the am with food (but not dairy or high fiber foods) and include a source of vitamin c with your iron supplement. Food does decrease absorption, but if the iron is making you nauseous, eat and/or ask to be switched to a gentler form of iron. In summary, take iron in am with food low in fiber and a source of vitamin c. Check with your doctor about these problems and see if there is a gentler form of iron you can take. Increase your iron in your blood naturally by including high iron foods. High iron foods should be combined with a source of vitamin C. Have a Great Day! | |
Suggest treatment for bad breath
HI, I am suffering from bad breath from loast 2 to 3 years. NOw a days it's too horrible. I consulted few doctors in Bangalore, but there is not much difference. Can you please suggest me any good hospitals in Bangalore, where i can get the tratment.Thanks in Advance. | Thanks for your query, i have gone through your query.the bad breath could be because of the guminfection secondary to deposits or any pus discharge. It can also occur in respiratory tract infection or gastrointestinal disordes and fissured tongue.You have to consult a oral physician and get yourself examined to rule out the above said conditions.If it is gum infection then get your teeth cleaned and maintain oral hygiene, you can use mouth wash.If it is respiratory or gastrointestinal problem then you have to get trested for it.you can go to Dr. Mallika dental health centre in cambridge road, halasur bangalore and get it treated. I hope my answer will help you, take care. | |
What does large sized spots on groin area imply?
i tend to get medium to large sized spots on my groin area where I have hair - i am female. the medium spots tend to dry up and turn into large blackheads while the larger ones are often pussy and red. This has been occuring for several years now. What could it be? | Hi, If it is a wart, it can be due to unprotected sex, viral or bacterial infection. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | |
When to take pregnancy test?
Hello, I have just done a home pregnancy test and it come back negative but I have missed my period which has never happened before. I have been feeling sick and have heartburn which is what I felt like with my previous pregnancy. Do you have to do a pregnancy test first thing in the morning? | repeat test after 1 week if no periods. heart burn generally occur late in pregnancy. It's not a sign of early pregnancy. | |
Suggest treatment for blood in sputum, chest pain and pleurisy
i spit up old blood every now and then for past 4 or 5 yrs i sue to smoke 6 yrs ago and i have been hospitalized for chest pain and they found a spot on lung and watched it for 3 months didn go away but didnt grow but he didnt want to see m again im 23 yrs old and still have chest pain and sometimes it hurts when i breath in or out have been hospitalized for that also it was plurisy but im stilll having the problem since august should i be worried | Thanks for your question on Healthcare Magic.I can understand your concern. You are having smoking history with hemoptysis (blood in sputum) with spot on chest x ray.So we should definitely rule out lung cancer and tuberculosis in your case. In my opinion, you should definitely consult pulmonologist and get done CT thorax and bronchoscopy. CT thorax is far superior than chest x ray in identifying lung cancer.Bronchoscopy is beneficial in diagnosing TB. So better to consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
How can the side effects of a steroid syrup in an child be managed?
My daughter is six year and 7 month old , and for skin treatment doctor given steriod syrup, and her weight is increases ed , so after couple of week when we notice, and cehck the pediatrics ,he informed about this, and then we back to skin doctor and ask them about this that weigiht is gained more in couple of weeks ~ 5 kg , and he ask to stop that medicine. but still today ~ 1.5 years, but weight is not normal ... as of today having 34 kg. Please advice is there any way to reduce the side effect of it? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I wish I knew what her skin condition is. And all of the treatment she is receiving for it. The dose of her steroid medication. How frequently she takes it. Does she take it every day? For how long has she been taking the steroid? Yes, you are correct. One of the side effects of taking a steroid by mouth is weight gain. To decrease the side effect one has to reduce the dose. Depending on the reason for taking the steroid, one could taper her dose: reduce the daily dose gradually over a few weeks. Give your daughter the medicine every other day. Change the steroid to a topical steroid(lotion or cream preparation) and stop giving steroid by mouth. There are newer, non-steroid topical medications to treat inflamed skin. They are tacrolimus and pimecrolimus (these are prescription only). They should be used only on active areas of inflammation and not to use long-term. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for chest congestion in a child
Hi, My Daughter is 5yr old and is down with a bad chest cold. Doctor advised Duolin (5days)nd Budocart (10 days)along with Singular 5mg for a month. I was told by a friend of mine that duolin should not be given as nebulisation without adding saline to it. Could you help me know wat is the saline - duolin ratio if that is the method? Does Budocart need to be assisted with saline too? | Hi...if Budecort respules are being used then no need to add saline - By saline what we mean is normal saline (0.9%). But the Budecort respules need not be mixed with saline. You can directly nebulize them. By what you quote I feel that your kid might be having a Multitriggered wheeze or a Viral associated wheeze.Regards - Dr. Sumanth | |
Any suggestions for chronic pleuritis with fibrosis?
6/12: diagnoses - hospitalized with chronic severe gastroenteritis, asymptomatic for bilateral pleural effusions. Rt lung drained approx 425cc; transudate. 7/12: diagnoses - gall bladder attack; multiple DVTs & simultaneously multiple bilateral pleural emboli. Tested positive for primary onset of APS: antiphospholipid syndrome. Began anticoagulant therapy. 8/12: diagnosis - removal of gall bladder 11/12: diagnosis - non alcoholic fatty liver disease, liver infection & extremely high liver enzymes. NOS all B vitamin anemia & NOS iron anemia. 3/13: diagnosis - shortness of breath, rt pleural effusion, approx 400cc drained; transudate. 9/13: diagnosis - difficulty breathing, rt pleural effusion, approx 450cc drained; transudate. 12/13: diagnosis - shortness of breath, rt pleural effusion; wait to see. 1/14: diagnosis - symptomatic chest pain, diff breathing, rt pleural effusion; VATS thoracentisis & pleural biopsies. Pathology final diagnosis: chronic pleuritis with fibrosis. NO MALIGNANCY. O2 since 12/10. 12/13 Renexa 500 mgs/2x day & breathing treatments PRN. 11/12 Famotidine for acid reduction. Immunosuppressants do not work. Any suggestions? | Hello, It is hard for me to say exactly what is wrong with the current treatment. However, I recommend you to consult your treating doctor if you are feeling not comfortable. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist | |
Does allergy to ibuprofin cause discoloration of scrotum?
My 3 yr old s scrotum is bright purple on the top part and darker than normal on the bottom half. He is acting normal, no fever, no swelling. We found out he is allergic to ibuprofen last week, with lip swelling two times we gave it to him, so we are sure he is allergic to ibuprofen. Could this color change in his scrotum be at all related to having given him the ibuprofen from five days ago? We notice the discoloration started yesterday (4 days afterward) and thought he was just cold from being in the ocean. We are seeing our ped later today, but wanted to do some research in the meantime. Thanks if you have any thoughts. | Hello, In my opinion, the symptoms of scrotal discoloration are not related to Ibuprofen allergy. There are many other conditions that can cause scrotal discoloration. One of them is testicle torsion. So, I suggest doing a scrotal ultrasound to confirm the diagnosis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dorina Gurabardhi, General & Family Physician | |
Q. What are the ways to reduce weight in a thyroid patient?
Hello doctor, I am 68 years old, 1.87 m tall and 140 kg weight. I need to lose weight but it is very very difficult. My thyroid analysis is attached. Is this the reason? What should I do to lose weight at my age? Do I need Thyroxin? TSH 4.88 μIU/ml, free T4- Gen .3 0.96ng/dl. | Hello. Yes, you are overweight. Your BMI is nearly 40. Blood sugar high/HbA1C 7.9 increased, ask your diabetologist to adjust the dose (attachment removed to protect patient identity). Control BP. But from your laboratory reports- T4 0.96 is low/TSH is 4.88 just increased. Hypothyroid state, plus overweight obese. So, if you add a tablet for thyroid, it will help to correct TSH and T4 level as well as lower your weight. You can add tablet Thyroxin 50 mg OD for three months. Diet- Avoid spicy fatty food, take lots of green vegetables. Daily 45 minutes walking. Review with TFT results after three months with your body weight. | |
Suggest treatment for myocardial infarcation
uncle has gone through myocardial infarction recently after angioplasty in 1999 and bypass in 2009. Ejection fraction currently is 20. blood pressure 80/52. saturtion 96-100 heart rate 90-100 resp rate 18-30. He is on drugs currently and has to use cpap and bipap sometimes. please suggest some treatment or advice | Because of myocardial infarction your uncles heart has become weak as compared to normal humans, the main problem is its inability to maintain normal fluid balance, medical management is what I would help you. Fluid restriction less than 1 lt a day maxLow saltDrugs like beta blockers, eg. Carvedilol, metoprol, ace inhibitors like ramipril, diuretic furosemide with aldactone, statin, aspirin may be titrated as per his bp(which is low) heart rate and other vitalsDigoxin may be considered Lastly look for dyssynchrony, if present CRT, dual pacemaker like think may help improve pumpingSir the question you asked required detailed discussion after reviewing all available reports and treatment he is already. For further information email Priyankmody86@gmail.com | |
What causes dull pain on my upper right side of my lower rib?
Hi, I have been experiencing a dull pain on my upper right side near my lower rib. Its constant off and on but had a sharp pain yesterday for a few seconds but went away although the dull pain is still there. I ve been feeling this pain off and on for about 2 weeks thinking it would go away | Hi thanks for contacting HCM.Do you have history of trauma or any unusual activity or heavy weight lift or exercise or blunt trauma???If yes you could have muscular strain...Rest and analgesic need for it.If ribs tender to touch x ray done to rule out fracture of rib..It might also be costochondritis of lower rib.Brufen can be taken...As your pain is at right side abdomen USG done for rule out liver pathology like fatty liver or colitis like condition...I hope your concern is solved...Take care..... | |
What causes cough while on Xarelto?
i am 62 , male and have taken Xorelto for clotting for several years. I have had a minor but irritating cough with tickling in my upper chest for about a year. I also suffer from seasonal allergies, but the time of year does not seem to matter with regard to the cough. Is the cough possibly related to Xorelto? | Thanks for your question on Healthcare Magic.I can understand your concern.Xeralto is having rivaroxaban.It is not having any side effect of coughing.So we should definitely evaluate your coughing.You are having allergy so possibility of allergic bronchitis is more for your chronic cough.So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).You may need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Oral combination of antihistamine (levocetrizine or fexofenadine) and anti allergic (montelukast) once a day at night is also beneficial.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Q. Why am I having painful bump with folliculitis below nipple?
Hi doctor, I am a 33-year-old obese male. About 1 and a half years ago, I had a painful folliculitis, right below the left nipple which was cured after taking some antibiotics. It had caused a tiny bump below the left nipple, which when touched hurt. Anyways, after taking antibiotics it got healed. The place, however, continued to have a bump, but it was hollow to touch. You could press it down and when released, it would pop back up again. There was no pain. About three weeks ago, I felt pain in the exact same spot where I had folliculitis and sure enough, it was back. It was painful to touch exactly like when I first got that. So I took antibiotics and the folliculitis got cured again, in the sense that there is no longer any pain to touch it. However, the bump of the folliculitis still remains. It does not pain at all to touch no matter how hard you touch it, and the size of the bump has also lessened. However, that bump remains and feel hard underneath, though it does not hurt to touch. What should I do? | Hi. The description you have mentioned is quite classical for anetoderma. This condition arises whenever the skin's elastic and collagen fibers are damaged because of an infective or inflammatory condition. Due to the painful folliculitis, a few of these fibers in the affected area could have been damaged resulting in such condition. This can occur as a consequence of any skin disorder, it is totally benign, and if not causing any trouble best to leave it alone. However, in case you want to try something for it, you could use Tretinoin 0.025 % cream over the affected area for two hours daily. | |
Q. Chiropractic session is not helping my dizziness due to C1 dislocation. Why?
Hello doctor, I am struggling with dizziness due to C1 being out. My chiropractic sessions are not helping. My chiropractor does not hold the C1 itself, but just my head and cracks. Is what he is doing wrong? Should not he grab the out of place bone and crack it? | Hi, Welcome to icliniq.com. I have reviewed your question. I am sorry you are experiencing back pain and dizziness. Believe it or not, 80% of people will experience back pain at some point in their life. I do have several questions before I can fully answer your question. How do you know C1 is your issue and how do you know it is out? Have you had any other diagnostic tests to explain your dizziness? Any CT scans, MRIs, etc? When did the dizziness start? Have you tried any exercises for this issue? Answers to these questions would be very helpful. Since I do not have the answers to the above questions, I can only say this. Chiropractors are taught to examine the whole spine and evaluate the whole body, symptoms and all. If your chiropractor is not adjusting C1 like you want him to, it probably means that he is finding something else that he believes may be more of an issue for you. With that being said, it is ultimately your decision as to whether or not you continue to see this chiropractor. Without answers to the questions above and without reviewing the chiropractor’s notes, it does not sound like he/she is doing anything wrong by not grabbing the out of place bone and cracking it. I would always encourage my patients to get a second opinion if they wanted. I hope this helps. | |
What causes an increase in the white blood cells?
HI YA i am 29 weeks pregnant and have rencently had my last midwife appmt. Everything is normal except my white blood cells were high (I have had a cold and sickness over the last month) plus I have trace sugar in my urine - should i be concerned? | Hi,Increased white blood cells are seen when there is an inflammation or infection. As you have cold, it could be that showing up on the cell count. What type of cells are increased? Lymphocytes or Neutrophils?Also the normal value of white cell count is changed from 11,000 to 14,000 in pregnancy, so hope this is kept in mind while reading the report. If your count is less than 14,000 it would be considered normal.The trace of sugar in urine needs to be evaluated, it could be a sign of gestational diabetes.kindly get a 75 gm Oral glucose tolerance test done.Hope this helps.Regards. | |
What does low morphology due to amorphous heads on sperm analysis mean?
hi my husband is 25yrs old. 5'10 230pounds. He just had a sperm analysis the results say he has Low morphology due to amorphous heads and also high white blood cell count. what should we expect when he sees a urologist? Will this be a easy fix? Is there a cure? Should we be doing something to help? it seems so hard to find info on this topic. what does this all mean when were trying to get pregnant? also my husband is epileptic he has a toumor in his brain. hes been tegratol XR for the last 11yrs. Could that be causing these issues? other than that he;s healthy as a horse. | Hello, Consult a urologist and get evaluated. We have to rule out possibilities like varicocele. If symptoms persists you can opt for newer methods like IVF. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Alcoholic, weight loss, blood in vomit, feels giddy, diabetes, not eating regularly. Cancer?
my dad takes excess of alcohol since 12 years..... the following symptoms are 1)weight loss 2) vomiting sometimes blood in it 3)redness in the eyes 4)not eating regularly feeling giddy he has blood pressure and diabetes ,i need to know what he is actually suffering from is it cancer please send me a reply as soon as possible thank you | Hi...cant say for sure...could be simple gastritis even...get an endoscopy done if possible...Dr. Ashish Verma | |
Suggest treatment for a non-healing laparoscopic incision
I am a 32 yr old female. I had a laparascopy 4 weeks ago, two of the incisions have healed, however the third incision was through a hair follicle. It is not healing and has pus coming out of it. Had a skin culture, showed no infection, but I am concerned that it is not healing. Have used neosporin, aired it out, and washed it 3-4 times a day with Dial antibacterial soap. It's not healing. | Thanks for posting you query to health care magic. some time some wound take longer time to heal and there are so many causes for that .if your culture is not showing infection than there might be some other causes .I would like to suggest you some measure which will help in rapid healing :1.no need to clean it 4 times a day as frequent irritation interfere with healing .you need to give rest to your wound so that regeneration can be takes place .So I advice you to do cleaning with normal saline and hydrogen peroxide 3% and dressing with povidone iodine with metronidazole cream .every 24 hr if discharge is lalrge or every 48 hrs if discharge is small amount .Take multivitamine tablet containing vitamin b complex , vitamin C and Zinc as it help in rapid healing .give rest and restrict movement of wound part .no need to wash with soap.presently oral antibiotic is not needed as culture is negative but if pain develop at wound site and discharge increases oral medication with consult to general surgeon will be required .Hope you would be satisfied with my answer . Feel free to communicate if any query .regards,Dr.Manish PurohitInfectious disease specialist | |
Suggest treatment for throat cancer
i live in las vegas nv and my mom lives in upstate new york. she has been battling cancer in her throat and the doctor said that it is on the corited artery and he won't operate . my mom has alot of life left and i just wan't to find a doctor that would try to help her. | Hi,Thanks for writing in.The carotid artery is a major blood vessel that carries blood to the brain from the heart. It looks like your mother has a cancerous lymphnode in the carotid triangle region. This is a delicate area and surgery is difficult. Therefore is the throat cancer has spread to this area then it is best to provide treatment with chemotherapy and radiation therapy so that the lymphnode reduces in size and this can mean that there will be better chances of her survival.In stage 3 and 4 throat cancer with carotid region lymphnode spread if treated well can have a 5 survival of more than 36 percent and this is a good figure. Please take her to a cancer treatment where she has insurance and get her treated and she will live for long. Please do not worry. | |
What is the lump on my knee?
Hi I saw my doctor about a lump on my ankle I had an ultra sound and he then told me it is just a fatty deposit, does this sound right and is there anything I can do to get rid of it? | Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query.you have mentioned that you have lump o your ankle and Doctor saw that , did Ultrasound and you have been told that it's Fatty deposit ...Fatty deposits are known as Lipoma and they are benign conditions so you need not to worry about those .If it's giving discomfort or you have some issue due it regarding cosmesis then you can consult your physician for its removal which is via surgical procedures.Other conditions which cause lumps on Ankles includeTraumainfectionScar tissueBursitisCystsAbscessetcMost of such Lumps are treated via Surgical excision except few cases where Antibiotics and other drugs can cure without Surgery like in Cases of infection and some small abscessesHope this may help you. Let me know if anything not clear. Thanks. | |
Give a diet chart for a person who has high micro albumin and diabetes
My Father in law has high microalbumin in urine test of microalbumin 436mg/L? He is a high diabetic and blood pressure patient. Please share the deit chart to control the same apart from medicine that has been suggested by GP. Regards Sucharita | Hi Suchrita Welcome to HCM Read your prob, presence of microalbumin in urine shows high uncontrolled diabeteas of altered kidney function. you first you sure normal leval of blood sugur by drugs or insulin. n get one blood test for renal function. discuss it with nephrologist n start proper treatment. as diabetes n high blood pressure is cause of altered kideny function. Dr aseem 9982583020 aseemadhuri@gmail.com | |
Suggest treatment for blurred vision and dizziness
This morning while driving I suddenly got blurred vision and felt dizzy with a rapid heart rate. I quickly pulled over and stuck my head between my legs and did deep breathing. I felt fine prior to that. Woke up early, excercised. But skipped breakfast and had only had coffee. I am also under stress and suffer occasionally from panic attacks. | Hi,Thanks for writing in to us.It is possible that you had attacks of dizziness and blurred vision due to low glucose as a result of skipping breakfast. Please make sure you eat well in the mornings. What happened is that overnight the glucose levels in your blood came down and then when you skipped breakfast earlier in the day and had only coffee then the blood sugar rose only a little. Essentially the blood glucose level was still below normal. In addition you are also under constant stress. Both these factors caused less amount of glucose reaching your brain and set of a temporary shut down and working on emergency supply. Blurring of vision and dizziness were warning signs that your brain is not getting enough nutrition and it is showing signs of distress.Please do mental relaxation exercises to keep stress away and eat well before going on drive in the morning. | |
Using addderall for a long time. Hearing voices in head. Side effect?
Yes I believe my husband is suffering bad side effects from prolong use of aderall . He is hearing voices and believes people are following him. I don't know what to do . I have tried to show him the other articles. However he doesn't believe me he thinks I am lying. Please give me any advice you can and tell me if this is permenent. | Dear Yes. It could be due to aderall. But small doses seldom creates it. Any way, from your description, it is not clear why your husband is taking it. Is he suffering from Psychoses or depressive episodes? Is he under psychiatric treatment? Consult a psychiatrist for further advice. Also make sure he consult a clinical psychologist. Wish him speedy recovery. | |
How can memory loss and confusion be managed?
My wife is facing brain fog, acne, and a general sense of cofusion. Her memory loss is pronounced around her menstration time. She is post menopausal. She is afraid to handle tsdks like driving distances and has trouble making decisions. Strong mood swings and some depression. Her condition is becoming worse. Any suggestions Dr. Rynne? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Memory loss and episodes of confusion she is experiencing are concerning for possible early stages of dementia. Depression is a common association with memory loss. Detailed neurological evaluation, Thyroid function test, vitamin B12 levels, complete metabolic profile and CT brain requires at this point. Please be advised to follow up with her primary provider or neurologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Lekshmi Rita Venugopal | |
How to get rid of lumps under nipples during puberty?
hi im a 13 year old boy. and i have large lumps under my nipples and ive had them for more than a year and it says on health websites that your only supposed to have them for a couple months. They hurt when i barely touch them. i know its a puberty thing but i want to get rid of them ASAP. | Hi, These are very normal during puberty and there is no drug which can make that disappear suddenly. If the pain is unbearable I suggest you take Ibuprofen on as and when the required basis. Of still in pain then I suggest you consult your pediatrician along with your parents. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
What causes cyst on brain and is this dangerous?
I was told by a hospital that I have a cyst on my brain. They said that I could have been born with it as a baby. I had an MRI back in 2009 and the results showed a cyst on my brain.I saw a specialists, but all she said was: please come back in 6 months and she would check on it. She said nothing else about it. I was horrified!! 6 months is too long of a wait.Could you please tell me, exactly what it means to have a cyst on my brain? and if this is dangerous?Thanks so much. | Hi,Thank you for posting your query.I have noted your MRI brain details and anxiety about the reports.Unfortunately, you have not posted the details of the MRI report. I request you to upload the complete MRI brain report, for us to understand it better.Also, what are your symptoms, for which MRI brain was done?There are some cysts in the brain, which are present since birth. These include arachnoid cyst and porencephalic cysts. These cysts contain water and may not cause any harm. If there are no significant symptoms because of your cysts, no action is needed. An MRI may be repeated after six months to see if there is any increase in the size of cyst.If the cyst increases in size, it can be removed by a surgery.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
What causes discomfort in ankels when suffering from hyperthyroidism?
Hi, I am on medications for Hyperthyroidism & palpitation for little over a year. I am 47 years old lady. For almost a month I started feeling heaviness & dis comfort in my both ankles. I like to mention for almost month & a half I did not have my period. This is the first time happened in my life. I thought I may be pregnant then I checked with pregnancy test strip, it was negative. What could be the reason for all of this things happening? | Hello, It could be that your thyroid medication needs to be adjusted or it could be a side effect of your medications. Other causes are less likely but in any case you need to see your doctor for an exam and some blood tests.Regards | |
Red itchy scrotum,flaky when healing with red bumps on penis.What could be cause?
I believe I need a DNC done but it seems that I keep getting recurring yeast infections. Sometimes I don t know until I have intercourse with my husband and then it s too late...His scrotum is red itchy and when it starts to heal it gets real flaky. before it heals he gets red bumps on the penis . What can I do to help him get rid of this? | Hi,It seems that you both partners got yeast infection and requires treatment of both partners.Apply ant-fungal cream locally.go for oral anti-fungal medicine like Flucanozole 150 mg once in a week for 4 weeks.Keep local parts clean, dry and airy.Ok and take care. | |
Suggest treatment for an upper lobe nodule in lung
I had went to the hospital shortly before Christmas because my heart was beating funny. I got diagnosed with P.A.C.. Today I recieved a letter from the hospital notifying me that they had found a 7mm right upper lobe nodule. At the present moment I have no health insurance and am in the process of getting settled in a new state. I guess my question is what should i do now? I'm not sure how serious it is and what I need to do. | Thanks for your question on Healthcare Magic.I can understand your concern.7mm lung nodule should be followed up with repeat CT scan after 8-10 months.If this shows static or regression of nodule then nothing should be done.But if this shows enlargement of nodule or appearance of new nodules then biopsy should be done to rule out malignant nodule.If you are active smoker then you should quit smoking as soon as possible.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
I have continuous pus in wisdom tooth. Do i need medical attention ?
hi doctor i have offensive pus in my wisdom tooth in the lower jaw .i use alot of antibiotics then i take swab . i find gram +ve microorganism .i have continous pus . tell me the treatment thanks | hi.if ur wisdom tooth is continously showing signs of infection, then it is better to go for extraction of tooth.wisdom tooth has almost no role in occlusion, so get the extraction done.and then take antibiotics, which wil control the infection.wish u good health | |
Need treatment for lyme disease
My question is regarding possible lyme disease or coinfections. I have been having horrible symptoms since january that seem to be attacking my nervous system and joints and muscles and tingling on my left side of face and leg balance issues and random anxiety attacks. Also had some high heart rate issues for about 3 weeks back when i first started feeling bad and then the other above symptoms all came afterwards. So would a western blot test or another late stage test need to be performed or do i need ot see a neurologist or infectious disease doctor. I havent felt 100% better in the last 5 months but better from when this all started but have no energy or as active as i once was. Thanks for your feedback | Hello,Welcome to HCM,As you were diagnosed to have lyme disease which is an infectious disease caused by Borrelia bacteria and it is a tick borne disease transmitted to humans by the bite of infected ticks.The symptoms are suggestive of the lyme disease.I would suggest oral doxycycline, if you have taken this and if there is resistant to this you can take either cefuroxime or azithromycin. These medications should be taken for atleast one to four weeks.The drugs used to treat this condition is not known to cause any cancerous conditionsThank you. | |
Will masturbation affect my married life?
Dear Sir, I am doing handpractice on not daily basis but do twice a week, what will effect after marriage . I do this with my wife who is living in other city. What should I do for good health. My age is 28 year and Weight only 57 Kg. height is 5'10". please tell me a proper guidance. Thanks & regards Suresh | doing masturbation twice a week is not a problem.it wont affect your sex life.dont be afraid.take healthy foods.avoid alcohol and smoking.have sound sleep.these factors helps to increase your sex drive. |
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