patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
hi. thanks for help before - something new. Did I have a stroke? I do have anxiety problem also - with fast heart sometimes. On late night of 12/1/2011 - I had noticed heart rate 100 bps and bp 90/150. I went to hospital - and they checked heart rate 115 bps and bp 100/164. After another check 15 minutes later - heart rate was down to 100 bps and bp 90/150 again. Perhaps - for 30 minuntes on way to hospital I was very anxious so high reading on entry to hospital. I seated in hospital for an hour with 15 minutes reading - no medication - and after an hour, heart rate reduced to 90 bps and bp 140/85. I went home and slept. No medicatioin was used. Had not experience blurred vision, motion problem or facial movmeent issue or headache. Next day and including today (day 3) - I have moderate forehead pain at top of forehead and between the eyes on the nose bridge. And moderate fuzziness. Little dizzy, nausea perhaps. I do have sinus problem but not frequently - and some shortage of sleep for several days (6 hours instead of regular 7 hours). I am not sure -if this probem is related to stroke or tension or? should I have CT or MRI?I shall go check with doctor today - as now visisiting a foreign country there is langugage barrier. What precaution and medication to take in case of stroke? | Hello, I clearly understand what you are going through. -From your explanation, there is evidence you had a stroke. A stroke can be caused by poorly managed hypertension etc. It occurs in a very high blood pressure reading more than 164/100 mmHg. -You have issues with anxiety and high blood pressure. You should continue treatment for high blood pressure and try to get exercise at least 3 times a week to help with your anxiety. Also try to get enough sleep, as lack of sleep increases palpitations.- You can take Tab. Valerian extracts 400mg 2 tablets an hour before bedtime, any time you are having trouble sleeping. Best regards | |
What causes vomiting in a 3 year old?
My son is 3 years old and vomited 3:30 AM on Friday, about 7:30AM on Friday and 6:30 PM on Friday and 6:30 pm on Saturday. He s only had ice pops since his last episode and woke up acting fine (although he did yesterday too) how do I know when this is over? | Most of the stomach infections are viral in nature and will get better in 24 to 48 hours. Make sure the child is well rehydrated with fluids like tender coconut water, oral rehydration solutions. Probiotics might also help. | |
Q. How to confirm that a person is suffering from Systemic Lupus Erythematosus(SLE) ?
Hi doctor, How to confirm that a person is suffering from SLE (Systemic Lupus Erythematosus)? | Hi. Get ANA test (Antinuclear antibodies) done to diagnose SLE. Though ANA is positive in other autoimmune diseases too, it is strongly positive in SLE. Once this test is found to be positive, it is correlated with signs and symptoms to confirm SLE. In case of doubt, other confirmatory tests would be required. | |
What causes elevated blood homocystiane?
dear docter my doughter saniya 7yrs 8months old. today i tested blood homocystiane level test. Her blood level result is 69.56 umo1/L. Last five year she take tablet epilepsy sydrome or a diffuse brain disorder. please sugest me what can i do. thanks. | For elevated blood homocysteine, the good treatment is give her supplement of Folic Acid 5 mg. It will help to control the homocysteine level. Also being a vitamin only, it will have least side effects. | |
What could cause excess of sweating ?
Hi doc,I've been sweating excessively (on the sides and back of my head) when I sleep at night, so much so that i wake up with my pillow soaked (a large, very damp patch) every morning.I do not remember dreams/nightmares and I do not wake up in the middle of the night.I'm a 26 y.o male. | DearWe understand your concernsI went through your details. I suggest you not to worry much. Sweating is a body mechanish with which body temperature is regulated according to the outside temperature. Body temperature is maintained at a particular level throughout. Sweat also remove toxins from our body.Exessive sweating or hyperhidrosis could be due to infection, diabetis or thyroid problems. Anxiety or apprehension is another cause. Excess sweating is also possible on hot weather.Ask yourself. Is the weather hot? Am I anxious? If the answer to these questions are NO, then consult a physician for further diagnosis and treatment.Hope this answers your query. Availble for further clarifications.Good luck. | |
How can PoTS be treated?
Hello, I have been diagnosed with POTS a couple months ago and and now on midodrine Topril rubinal and Cymbalta. Two days ago and then again tonight my left arm has turned really red and blotchy and it is really hot. It does not itch and isn t painful, just looks bad and is really hot (like sun burned skin). Just wondering what this is and if I should e concerned | HIWell come to HCMI really appreciate your concern,what the symptoms being given here it could be infection and it need to be ruled out till the condition can be manage with Tab Diclofenac 50 mg once in day, it is least concern withe POTS there could be other conditions like arthritis condition muscular infection (Cellulitis) hope this information helps. | |
What causes small red spot on glans penis?
A few days ago I've noticed a small red spot on the left side of my penis head. It doesn't cause any pain or anything and it isn't raised. It seems to be fading but after showers or any erections it gets red looking again. I have protected sex with my girlfriend frequently. Could this be some type of skin irration or maybe a broken capillary? | Hello, The mentioned red rash doesn't need to be specific problem of the glans penis. It can be due to some irritation of penis skin. You can wear loose cotton underwear and avoid tight-fitting clothes. You can apply mild steroid cream over that. Keep your genitals clean and dry. If no improvement then consults a nearby doctor for a detailed evaluation or post photo of the lesion. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician | |
Skin darkening on hands, back and neck, face looks brighter than the rest of the body. Treatment?
hello sir i have blackness on upper open part of hands and back- neck when i have checked with Dr they said it is macular amyloidosis and there is no specific treatment,, but plz suggest me to get rid of it because my face looks brighter and hands and back-neck is black so it seems to very worst i cant wear sleeveless cloths as lower parts of hands are fair | hello, as per the details u have given, for macular amyloidosis .. there are two treatment modalities 1. avoid exposure to UV-rays mainly sunlight if u want to go outside use sun screen lotion 2. using combinations of mild steroid + keratolytic mainly salicylic acid and lactic acid preperations. 3. avoid excessive scratching of lesions- if u have itching use anti-histamines hope this will help | |
Infected pimple post rhinoplasty, no cure with antibiotics, advised removal. Should I wait or go for removal?
I have a rhinoplasty last march 18,2012 back in the philippines, it was ok for 2 months now i am having a problem.. And 6 weeks ago, i got pimple .. And doctor prescribe me anibiotic (amocixillin and Keflex) been taking for more than a month but didnt do any good.. Still look infected.. Just one 1/2 inch size of red spot, look inflamedred but didnt hurt me .. And the doctor suggesting me it might be infected and need to be removed but he didnt only culture .. Do u think i should wait for a while or do i need to remove it now? | Dear Rosec, Do you have redness/pimple on the tip of nose? If yes, did you receive an implant during your rhinoplasty? If no implant was placed during surgery, there is no need to worry. The pimple will go away. However, if an implant was placed this could be implant infection. In that case, antibiotic trial is suggested, which you have already received. Salvaging the implant in this condition will be rather difficult. You may be advised culture specific antibiotics failing which implant removal is the only option. Once the infection subsides secondary rhinoplasty using autologous tissue such as your own bone or cartilage can be planned. Stay in touch with your doctor. Best Regards. | |
How can the heart muscles damage be assessed?
sir, I am 36 years old male, recently had chest pain and was detected to have acute coronary syndrome with troponin T positive 0.98 ng, 100% stenosis in the left circumflex artery and got a PTCA with stenting to that artery. Now that i have passed 25 days after PTCA, I am still worried about having a second heart attack or some clot or stenosis in other places or even sudden cardiac arrest.. Please advise me what I should do? how to find out what percentage of my heart muscles got damaged | Hello, If there was no blockage in other arteries during coronary angiography, then the risk is very low to get another heart attack or cardiac arrest if you take your medications and follow a healthy lifestyle. And the percentage of the damaged heart muscle may be assessed either by Echocardiography or cardiac MRI test. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Lilit Baghdasaryan, Cardiologist | |
Treatment for burning sensation below rib cage?
about a week ago I started getting a warming/burning sensation on my right side between the bottom of my rib cage and waist. And now its changed to a liquid warming sensation. I have had no fever, no abdominal pain, no gas or bloating, no acid reflux. Just a little tender over my ribs on the back side.. | HiYou must get an ultrasound of abdomen for liver,kidney,diaphragm,gall bladder.consult a physician.Rabeprazole may help for burning issue.It maybe dyspepsia.Avoid Heavy meals,spices,alcohol and red meat. | |
Is it to be concerned about the kidney stone and bladder infection?
My husband has kidney stones and a bladder infection he has taken all the antibiotics and flowmax and he still does not feel like he passed the stones and he has no appetite he has an doctors appt soon but what I want to know is this a more serious sign of something else when we went to the hospital they checked his blood and kidneys and every thing was nomsl what do you think? | First nothing to be worry about as the kidney functions r normal. Smaller stones can pass even without pain in many patients. If you were my patient then I'll suggest u to maintain hydration adequately so that u will void approximately 1.5 - 2 lt of urine and examine ur urine for microscopy and cytology. | |
Depression after death of close relative. How to cope?
My grandpa had been battling cancer for the past 9 years and unfortunatly it took his life about a month ago. i knew it was going to happen sooner or later and i had been trying to prepare for it but how much can you really prepare for that, you know? about a week and a half before he died we had to take him to hospice for help and on the way he asked me the hardest question ever. see me and my grandpa had a very close relationship way different from normal families, i worked for him therfore i seen him daily, but on the way up to hospice he made me promise that i wouldnt leave him there alone and being as scared as i was i said yes i promise. he told me he was very scared and said he wanted me there to help him. this to me seemed so easy the first two days but then started getting harder and harder, i sat in that room for a week and a half not leaving for any reason, family tried getting me to leave but i couldnt cause i made that promise to him, well he took his final breath with me right next to him and it was the hardest and most heartbreaking thing i have ever done before in my life. this being i am 20 years old an have never had anyone close to me die before. i have been very depressed lately and im not strong enough to go see a doctor or counselor and dont really know what to do, i keep a straight and happy attitude around everyone but on the inside i hurt really bad. i am not suicidal or anything like that but this pain is unbareable and all ppl can say is that its gonna have to take time. it just seems the more time goes by the harder it is. my question is what can i do to help the pain go away? is there even anything that i can do? im starting to let my life slip away and im really lost. any help would really help, sorry for the long story but it was the easiest way to describe what happened and what i went through so yall kinda get an idea of what i can do for my situation. | greetings.sorry for your loss.see,first of all your grand pa always wants you to be happy.so you must try now.he must be somewhere out there watching you,and he defu=initely dont want you to be sad.and then as everyone sats time is the biggest healer.he had been so close to ypou that he will always live with you in your actions,your good deeds.he must have had an idea about you.as in what you should be doing in future,respect his feelings. | |
Suggest treatment for spinal cord issue
If a srgeon and a radioigist sugeest surgery for spinal stenois then the mri gets switch out,and the surgeon says oh it looks better now, and its a 50-50- deal on the recorvery, crock of shit, around l4l5 there like this lilspace my legs arnt working and cause ive got the medicare lost my blue cross when the wife bailed, but what a bunch of bullcrap , the top notch surgeon even told me it would help my legs , but my P.A. said dont do it hes not a good paitent which is not true,this dude just hates me so much he switch out the mri threw in a 8 yearold one this is maine for you they will screww you over when your down, ask what who a good lawyer then you never get treated right again, these p.a. telling real doctors lies is wrong, but they got money and lawyers lookin out for them .. The health care system in maine is a fn place you dont want to be unless your a good rich patient, bullshit,we got the worst of the worst in maine, nobody got money and if your paper work says you can pratice thats what they do, cause god knows they need the practice,These people might mean well but most of them were asleep in class, when they ask the pateint what to do and you better know cause they dont have a clue,so go on and suffer , and do know harm dont even get me started. | Sorry you're in such a predicament. This is a forum for the resolution of medical questions. Sounds like you're looking more for a place to express opinions regarding quality of healthcare. Since there's no clinical question at hand I'm afraid there's not much response I can offer. Also, keep in mind that the physicians reading these questions (comment in this case) are actually from around the world and may have no idea about the Medicare Health system in the U.S is all about.....or even know where the state of Maine is without having to consult a map! Hope you find the care you need. | |
What treatment should one take for pimples ?
hi am anuj i have a pimple in my face | Hi,Anuj thanks for query.This is a common problem of growing adult.Pimples happen becuase of pores of skin are blocked by dust or something and then they get infected.Hormonal changes,too much of fat in diet,poor hygeine all triggers development of acne.Please wash your face with good antiseptic soap after coming from out side,avoid too much of fat in your diet.In case of infected pimples please visit your doctor for course of antibiotics. wishing you good health. | |
Red,itchy and scaly lower eyelid, blisters and rash on the underarms and chest
My husband if 39 yrs old. He has been on lysinopril and metro propl(intermittent for yrs. he was told to take if bp was over 150) Then his lower eyelid had become very red and ithchy then scaley. The dermo gave him prednisone . He has since developed very dry ITCHY skin. He also has a blistery rash on his underarms, chest, arms legs and groin . There is also a raised red rash on his face and neck and also in the groin area. He is going nuts with the pain and the itchy dryness. Any help would be appreciated. | Dear Friend, It seems that you have developed severe idiosyncratic reaction to one of the medicines leading to generalized rash involving your whole body. This requires urgent attention from a medical specialist. treatment might require use of intravenous medication with strong anti-allergic medicines. Hope you get well soon. consult an ophthalmologist in case you develop dry and red eyes during the course of treatment. Take Care | |
Suggest medication for pain at the bottom of the tongue due to broken skin
the pother day i noticed that when i ate i was getting a bit of pain on the bottom of the tongue. it continued for a couple of days so looked in a mirror and noticed that on the bottom of the tongue on the left next to where the little vain/vine things are there was a little piece of skin that had apparently broken so its just hanging there. was wondering what can i do to get the pain to go away | Hi..Can understand your concern..As per your complain a small piece of skin hanging on the underside of the tongue can be Plica Fimbriata which is a small mucousal fold and it is a normal structure and not an abnormity....Although it can get inflammed due to some trauma caused by some hard food or any chemical or thermal burn and can become painful..You need not worry as it will be fine soon and you can apply lignocaine gel or oragel for relief..You can suck on ice pops and gargle with cold water..Salt water rinses can be relieving..In case of pain you can take anti-inflammatory painkiller like Advil..Avoid any hot or spicy food till it heals..Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora.. | |
Is shoulder and neck pain a symptom of arthritis?
I have a lot of pain in my shoulders all the way across from my right shoulder to the left. Some times I find it hard to lift my left arm. I also have pain in my neck. I know I have inherited some of the arthritis from my dad. He had rehmotoid arthritis. | HiIt maybe but not always.Get x-rays/MRI scans consult orthopedic doctor to evaluate.bloid test for rheumatoid,CRP, Anti CCP,ESR,CBC to find any arthritic cause as family history of rheumatoid is there | |
Could tiredness along with swollen face around the eyes after working in the flower beds mean stinging nettle?
Hi.. we are suspicious that our son may have been exposed to stinging nettle. He had worked in his flowerbeds 2 days previous to the terribly swollen face around the eye area. His eye swelled to the point where it was totally closed. He is tired and the area is terribly uncomfortable. | Hello,It is my pleasure to help you,As your son was exposed to the nettles while working in the flowerbeds he may be having allergy to the flower nettles. The symptoms following exposure to this is suggesting of allergy to the flower nettles. I would have suggested you to take your son to the allergy specialist. Immediately give oral antihistaminics and steroids to improve the present condition. You can put some cold packs on the eyesHe is having very severe allergic reactions.Hope you understand your sons problem.Thank you. | |
Can falling make a 16 month old feverish and lethargic?
16 month old fell hard when walking and hit forehead on wood floor two days ago. Has a bruise but acting normal since. This morning he woke up with fever, has thrown up and is lethargic. Fever goes up to 103.5 and goes down with Tylenol but goes back up before next dose. Could fever be from head injury? | The history of falling is probably unrelated to the feverishness and lethargy. But pain from the fall could have some relation. Moreover, vomiting even 2 days after a fall raises concerns about head injury.It is likely that he is suffering from a viral infection independant of his fall. If fever does not get controlled with tylenol, you may give Meftal P (mefenamic acid) which is more effective in controlling fever. It is better to visit a pediatrician and get him investigated since he is lethargic. | |
What causes right sided stomach pain after masturbating?
sir i m doing masturbation for the last 10 years not in the daily manner but whenever i m alone i did sir.Now i feel my right side stomach in pain when i do masturbation and my testicle get down sir, have i affected by any kidney disease? i would like to stop this habit sir, can i do? and how can i do? | Hi.Thank you for question.Let me assure that you are fine and need not panic.Masturbation for these age group is normal and is not associated with any harm.Pain in Right side of Lower Abdomen may be caused my several reasons like injury to the Testicles,Torsion of testis,Hernia,Hydrocele.I will advice you to visit your Surgeon for physical examination and necessary investigations.For relief of pain you can use Analgesics.Avoid Heavy work.Avoid Masturbating for few daysThis can only be done by self control.Avoid being alone,stop watching and thinking of porn,get yourself engaged with friends,study,etcHope i answered your questions.Wish you a healthy life.Regards,Dr.Arun Prasad. | |
What causes memory loss, passing out and throwing up?
i was in a car accident two years ago recently in the past 6 months ive stated passin out, memory loss, throwing up but its only when im sleepin and i starting to read numbers one way and saying them in a total different order i never had these problems before hat could it be | Hi, Since the car accident was 2 years your symptoms would not be directly related to that incident. If you are exclusively having the symptoms of vomiting that wakes you up at night then, an examination is warranted though this could also be due to stress and anxiety as well if symptoms are only present nocturnally. As far as the problem of seeing numbers differently from saying them again, a neurological examination is not unreasonable but given your PERFECT GRAMMATICAL form of writing that is evident in this question I also think this could be a symptom secondary to stress and anxiety since problems involving numbers but NOT letters/words would be less likely to be an actual BRAIN problem. Make sense? Hope I have answered your query. Let me know if I can assist you further. All the best. Regards, Dr. Dariush Saghafi, Neurologist | |
What causes an irregular spiked shape mass on my breast?
I had an irregular spiked shape mass then had biopsy done which came back nothing. I now have to go back in 6 months to have mammogram done again on right breast. it states asymmetry of the right lateral breast--bx stromal fibrosis. can you explain what that means | hello dear. An irregular spiked mass with asymmetry of the breast usually points towards a cancerous lesion. You should undergo a repeat mammogram plus sonography of the breast along with repeat biopsy. Hope that solves your queryregards | |
Q. What is causing stomach pain and low appetite with frequent burping?
Hello doctor, I have been having stomach pain recently, low appetite, and sometimes it hurts when I eat meals. Now I am feeling slightly better. I am sticking to liquid meals like soup and I am trying to stay away from lots of dairies for a while. Now I am burping almost every minute, and I have just felt gassy for the longest time. This has been happening for maybe three days. | Hi. I can understand your concern. By your history and description, the possibility of GERD is more likely. It is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause chest pain, indigestion, burning epigastric pain, burping, belching, etc. So take Pantoprazole and Levosulpiride combination on empty stomach twice daily. Avoid oily and spicy food. Avoid junk food. Avoid large meals, and instead, take frequent small meals. Please let me know if you are taking any painkiller or birth control pills. Also, let me know if you have a stressful life. I will be happy to help you further. Wish you good health. | |
What causes abdominal pain with abnormal bowel movement?
hello i have a question my boyfriend haves been to the doctors alot and they cant to seem to figure it out he haves bad lower abdominal pain every day it started when he was 13 years old and now hes 24 he doesnt poop normal but the doctors said thats normal for him whats ur advice? | Thanks for your query.Simple Chronic lower abdominal pain nearly of 10 years without any complications is mostly related to lower GIT and can be due to Constipation,abnormal bowel habits,worms,IBS,IBD etc. You should have an MRI and colonoscopy to rule out the exact cause as it is making discomfort..Thanks | |
What is the medication for allergy related asthma?
I have allergy related asthma, girlfriend bought a horse and I get really short of breath almost gasping if I go near her or the horse, I have an inhaler but is there any other medications that could help me more as the inhaler only works for a bit then seems to stop working? | anti allergic medicine the combination of fexofenadine and montelucast is besttwice a dose is sufficient to control the disea you can take for long also without side effectsfoe permanent relief you can opt for sublingual immunotherapy after consulting allergeologist | |
What causes no pregnancy despite unprotected intercourse?
hi , i m a male of 21 yr n i m having a loyalful relation with my partner , from a past year ago we r doing unprotected sex in starting she had taken ipill & as we started doing alternate days i had made her stop to take that , and we use to do unprotected sex & doing also , but ther is not a single thing come to listen about any problem or pregnancy . so we bth are worried about that . we knw a single sperm can make a lady pregnanat . so y it is not happening in our case. . pls help us with your answer | only intercourse during fertile period causes pregnancy not during the safe period. fertile period lies on day 8 to day 21 of menses. so may be you are not practicing in fertile period. but if not then there may be some fertility problem that may require complete infertility work up of both partners. | |
Is semen analysis showing total sperm count 85 million/ml, RP motility 60, pus cells 2-3 normal?
Hi My semen analysis is as follows. Total Sperm count = 85 million/ml , Rapid progressive motility - 60, sluggish progressive motility -10, non progressive motility - 10 and non-motile - 20 Agglutination : Absent Pus cells 2-3 is this Report ok or is there any problem ? Is the pregnancy possible with this result ?. | Hello Your semen analysis findings may indicate semen infection.It is due to presence of few pus cells in semen.Normally semen shouldn't contain any pus cells.You may need investigations like routine hemogram,random blood sugar,semen culture and sensitivity.You may need to take antibiotics based on culture and sensitivity report.Motility is normal.Normally it should be at least 55 %.Your findings suggests over all 80% overall motility,so it is normal.Sperm count is also normal.It should be at least 20 millions/ml.Fertility is expected to increase with control of infection.Get well soon. Take Care Dr.Indu Bhushan | |
What could be the reason for having a tingling feeling in my hands and feet?
my hands and feet feel tingly (not like pins and needles) and my fingers feel swollen when they do not look swollen. they are also tender and by afternoon they are very weak. it hurts to drive. My feet also ache a lot and i have a cold sensation in my left leg as if i am sitting in a draft | Hello, The tingling sensation is related to the nerve. We need to check the blood glucose levels. Also, your hands look swollen but they are not, as this indicates that you have muscle weakness and they look flabby. Changes in sensation are always related to abnormal reactions in the nerve functions and need correction. The nerve may be getting trapped anywhere in the course and with simple general exercise and strengthening exercises, you should go well. Correction of posture, doing exercises, having more fluids will help you get rid of the symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Trying pregnancy, had laparoscopy for endometriosis. Suggestions?
I would like to know why I cant get pergnant if my husband and i have been trying for 8years this july 12 2013 i had laparoscopy for endometriosis done and my gynecologist told me that everything with me is fine i still dont understand then why i cant get pergnant i have intercorse with my husband every time i am ovulating and every other day so i know we do it frequently we already have a son he is 8years old can you please help me understand why i cant get pergnant???? | welcome to HCM!if all the investigations are normal-semen ,tubes, ovulation.then don't worry u will conceive.follow the advice of ur gynaec.have patience.u will be blessed. | |
Q. The shine and glow has disappeared from my face due to tension. What to do?
Hello doctor, There is darkness around my mouth and forehead also. And my total shining of the face is gone. But before five months, I was alright. But due to continuous crying and tension, shining disappeared. Please tell me what should I eat. | Hello. It seems you are going through some stress, which is causing this problem. That stress needs to be addressed. Based on whatever limited information you have provided, I will suggest you following - Kindly let me know if you have any questions. For more information consult a homeopathic physician online --> | |
Tiredness inspite of good sleep, weird thoughts about the yet to be born baby. Cause?
hello im 32 just about to become a dad for the first time, at the weekend i wake up and feel tired even though i ve had plenty of sleep. most of the time i have weird thoughts like everything i think about, good or bad, ends in the worst case scenario. ie, thinking about walking the baby in the park and then out of nowhere she gets attacked by a dog. ive been told by my gp that i have anxiety . i snap at my wife who i love and take the mickey out of her also when i should be complimenting her | Hi there ~ I am sorry you are having problems with depression and anxiety with episodes of anger. I hope you practice relaxation exercises like deep breathing, yoga, pranayama, dhyana, and routine physical exercise. I hope you also consult with a counselor and a psychiatrist to help with sleep issues if the counseling does not help. I hope this helps relieve your anxiety about the yet to be born baby. Take care and have a lovely day ! | |
Suggest medication for tooth pain
The tooth at the back of my upper mouth (right at the back) is broken and has been for about a year. When air gets to it I have lots of pain. Will the dentist be able to remove this as half the tooth is already gone I am too scared to go to the dentist. | Thanks for using Health Care Magic.Read your query.Decay in the tooth is causing the pain when air touches the tooth (usually referred to as pulpitis).I would advice you to take ibuprofen for pain ( if you are not allergic to any medicine).Visit your local dentist and have it evaluated by a radiograph.If it is possible to save the tooth ,then get the root canal treatment done,otherwise you can go for the extraction of the tooth.Visit the dentist before the pain become too intense,and you don't have to fear the dentist .Hope this was useful.Thanks and regards. | |
What cause muscles feel like constant charlie horse?
Hi my name is Anita. I have left lower leg pitting edema, and the muscles feel like they are in a constant charlie horse. The only way to get relief is to lie down with leg up above my heart. I have/had cellulites in the le daysft lower leg. I have been on Keflex for 4 days then my doctor changed it to Doxycyline for 10 days. It is some better, but I don t understand why my left leg looks and feels like it is in a charlie horse. | HiYou need Doppler venous flow studies of the leg since this may be a deep venous thrombosis--a clot in a deep leg vein | |
Suggest treatment for blockage in renal arteries
My question is: how soon will stem cell researchers find a way to grow new heart muscle and the blood vessels to feed them? Several years ago a cardiac surgeon butchered me, blocked blood flow to two parts of my left ventricle and robbed me of an active life. I would like to return to a normal existence. | Hi welcome to HCM.I understand your query and concern.Blocked renal arteries can be due to elevated blood pressure.This needs adequate timely investigative protocol.Curative stenosis can be due to inbuit stenting procedures.I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Drugs like antihypertensives and antiarrhythmics will help.Reduce the intake of fatty and fried food.One pomegranate a day will help to keep your heart at good pace without clot formation. Stem cell procedures are still under research.Stent insitu will be curative in your case. Consult a Cardiologist for further expert management.Post your further queries if any.Thank you. | |
How to treat severe headaches caused by 6 bad disk, herniated bulging?
I am 62 years old and have had severe headaches for years, had MRI done in July, I have 6 bad disk, herniated bulging, one with nerve protruding, and degeneration, my pain is very severe most days. Have appt. on the 18th for epidural injection........but late yesterday was laying on moist heating pad with usual pain, an all of a sudden it felt like I was having an explosion behind left ear in neck, it was so horrible, I screamed out. Afterwards very weak for about 2 hours......should I go to a hospital, or try to wait 6 more days?? Thank you, Rita B | Hi, Your headaches may very well be due to cervical radiculopathy. I would say that an emergency room visit would be definitely warranted if you were to have a headache of such a severe nature accompanied by nausea and vomiting or sudden balance... that would be worth calling 911. However, you are the only person who knows the severity and debilitating effects of the pain in your head and if it is something you've never experienced before then, I do not wish to be the decision maker as to whether or not you should seek emergency medical attention. You are truly the only person who can make the final call. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist | |
What to do if 5 year kid fell on 7 week baby?
Hi, my 7 week old baby was playing on her play mat and my 5 year old fell over her. Baby cried for a second I think she cought her leg on the front of her forehead but I can't see any marks and she's not crying now. Should I get her checked out still? | HiWelcome to the HCMI understand your concerns. Kindly check the following:- Range of movement of all major joints once the baby is asleep.- check for the breathing whether it is effortless in sleep or not.- have a complete head to toe examination in her sleep to rule out any bruises.If all the above mentioned things are fine, then don't worry and relax. Your daughter is completely safe.For further questions, you may contact me.Take care | |
Can an expired Implanon lead to delayed periods?
My implanon was inserted October 2010. It expired October 2013. It hasnt been taken out. I havent had a period since January 2014. I had sex February 14, 2014. Period still hasnt come. Juat started having lower abdominal cramps March 6, 2014. Does an expired Implanon delay your period? | Hello and thanks for choosing HCM, I am Dr Nilajkumar a consultant gynecologist and I will be helping you in your queries. Implanon if kept un removed may delay periods or cause irregular periods as small amount of hormones may be released from it for a few more days to months. However these are not effective in preventing pregnancy. So if you have not used any other contraceptive there is a likely hood of pregnancy. If you were in my clinic, I would first get a pregnancy test done to rule out pregnancy before attributing the delay to implanon. Hope this was helpful. Thanks for using HCM.Have a good day.Dr Nilajkumar BagdeConsultant Obstetrics and Gynecology | |
History of cervical cancer, had spotting followed by blood clots. Recurrence?
Dear doctor today I have noticed some spotting at first it was red and there were little blood clots now its a light brownish red,my biggest concern is cervical cancer cuz I have had it twice in my life and I had 2 incidents where there was heavy bleeding which was around the time I first started on the depo shot when I was 17 years old and then again 2 years ago I am now 24 years old and I have been on the shot for 7 years and I have never had this problem except for the times I just mentioned to you here and I had cervical cancer close to around those times and some time after those incidents. I don t know what to do please help me thank you. | Hi, Recurrence of cervical cancer is common. Can you please give me the detail description of disease and the treatment you have received. I specially want to know the stage of cancer when you was diagnosed with this disease for the first time. Now a pap smear will be the first investigation. Consult your gynaecologist. Take care. | |
What causes excess saliva discharge?
Hi. I'm a singer and I've noticed that there's an excessive amount of saliva in my mouth making it where I can't sing due to it pooling up. I believe it's allergies because of the summer and I'm stopped up as it is. Should any allergy medicine dry up this influx of saliva? | Hello thanks for consulting at hcm..LOT of causes for excess saliva such as a new denture, stomatitis, infection of mouth/throat,,also due to allergies,, Even salivary calculi in the salivary duct also causes pooling of saliva,, so get a occlusal radiograph and ultrasound examination if this is the case..Atropine medicine will usually dry up the secretions, but whether required for you has to be evaluated by your general physician,,IF it is caused by allergies, first you have to find due to which allergen, so kindly consult a allergy specialist and followed by a oral physican for a check up and treatment,,,Hope it helps,,take care.. | |
What is the best treatment to get pregnant?
We got a baby after 3 abortions of 2 weeks each. Unfortunately that baby had pulmonory venous stenosis. He was operated on at Narayana Hrudayalaya Bangalore successfully. Unfortunately we lost him in the very next month. He was 10 months old. Now my question: we are having a big question mark in front of us on the status of our next pregnancy. The very though of that problem which our baby is pulling us back from next pregnancy. We are longing for a baby. Please advice us. What should be done? What are the precuations to be taken? What tests to be done? | Hello,I have gone through your query and very sorry for what had happened. In the current scenario, you need to have proper prenatal counselling before attempting another pregnancy. You should see a specialist in high risk pregnancy to help you. If you happen to stay in Bengaluru, you can approach Dr. Kamini Rao to help you. Several factors like consanguinity, blood group incompatibility, genetic abnormalities, infections, heredity etc., should be evaluated. Proper preparation before attempting another pregnancy gives better results. Hope you find this information useful. Take care. | |
Liver enlarged with increased echogenicity with homogenous parenchyma. What is the meaning of this?
i had my ultrasound what does it mean when the Liver is enlarged with increased echogenicity with homogenous parenchyma. Hypoechoic region is seen anterior to the gallbladder fossa and prota hepatis.Portal vein and hepatic vessels are not dilated with anechoic lumen Intrahepatic and extrahepatic ducts are not dilated. Common bile duct measures 0.4 cm. Gallbladder wall is not thickened with no evidence of intraluminal echogenicity within. Pancreas and spleen are normal in size with homogenous parenchyma. | Hi raymond, Welcome to healthcare Magic! The findings your liver is reflecting on ultrasound is suggestive of a diffuse insult to liver. It can be due to viral infection or toxin exposures like alcohol, drugs, contrasts, mushrooms poisoning etc. This can resolve from here or may lead to more damage in due course of the disease. You should get the Hepatitis markers for Hepatitis A,B,C,D,E , Liver function test, Prothrombin time, INR and an repeat ultrasound abdomen after two weeks. I hope the advise would be informative and useful for you. Take Care! | |
What causes burning & sharp pains from left hip area to down the knee?
I have numbness and burning with intermittent sharp pain from my left hip area down to my knee. I have a history of scoliosis and Baastrup s syndrome but have never had sciatica or the intense pain in my left thigh to knee. I can only lift my leg (straight up) about 8 -10 inches from the floor. Does this sound as though I many have a ruptured or bulging disc in my spine? The pain is more intense when I have to stand, especially standing in one place. | HiThank you for asking HCM. I have gone through your query. Your problem can be due to intervertebral disc herniation in lumbo sacral area. A positive SLR ( straight leg rise) test gives a strong suspicion towards this. A MRI of lumbo sacral spine will be helpful to rule out this. Muscle relaxants like cyclobenzaprine, NSAIDs like aceclofenac, neurotropics like pregabalin and methylcobalamin will be helpful for this. Physiotherapy and back muscle strengthening exercises also should be done along with this. Hope this may help you. Let me know if anything not clear. Thanks. | |
What causes a 17 year old to go unconscious 4 times a day?
my 17 year old daughter continues to pass out about 3-4 times a day.....Saturday night she was unconscious for 35 mins.....she has all the heart test done and everything comes back normal, EEG normal, MRI normal, no infections, electrolytes normal, etc......please help | HIWell come to HCMI really appreciate your concern, the given history of your daughter could be suggestive of hysteric attack it is the functional kind of disease for confirmation it is better to consult the psychiatrist, in my opinion it is the best way for her hope this information helps. | |
Q. After food, I get a gagging cough and reflux. Please suggest.
Hello doctor,Sometimes, after I eat, I get this cough that causes me to gag and sometimes I will regurgitate a little food. I also sometimes have this tickle in my throat. I am also constantly clearing my throat because of the drainage from the sinus down the back of my throat. The phlegm is usually clear and thick. | Hi. From the complaints, it seems to be some nasal pathology causing a post nasal drip and repeated throat clearing. Please send me the picture of your throat and get an X-ray of the paranasal sinuses and send me the picture. Also, tell me what medicines you have been taking so far so that I can suggest you accordingly. Take care. For more information consult an ENT otolaryngologist online --> | |
What causes abdominal pain and frequent urination?
I think I might have appendicitis. My stomach has been hurting for about 25 Hours (since the night before), and it is slowly getting worse. I assumed it was indigestion, since I have been having digestion problems for about a week, so I didn't eat any food all day (over 18 hours) and nothing has changed, if not more discomfort. I have been noticing an unusual amount of unination also, is it possible that i have appendicitis? | Hello....urgently get these tests done n send me a scanned copy of ur reports - (a) BLOOD SUGAR (a)COMPLETE URINE ANALYSIS (C) ULTRASOUND OF ABDOMAN AND KUB....regards...dr rahul | |
Intense pain right on the spine, numbness and tingling. Can this pain cause blood in urine ?
Can upper mid back pain . cause. Visable. blood in urine I think its too high up to be related to kidneys. I have had.issues in my lower back with disks I am thinking maybe the disk may have herniated. I have intense pain right on the spine and numbness and tingling Ness with loss of feeling to touch in some areas. | Hi Thanks for the query. Common causes of blood in urine include stones, infection and tumours. If you have persisting blood in urine it's best to get urine analysis and culture exam and an ultrasound of the abdomen and then see a nephrologist. From the description of the symptoms of back pain it does not appear to be related to the blood in urine. Hope his helps. Good luck. | |
Q. 2. 5 year old suffering from stomach ache. Which medicine has to be given?
Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. | Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness. | |
How risk to get pregnant age after 40?
Hello. I am a 42 year old educated Caucasian woman with 7 children. I would like to have another baby in the next year or so. I am fit and have had healthy pregnancies and deliveries. What risks should my husband and I be aware of to both myself and our baby? Thank you! | Hi,Welcome to healthcare magic. I have read your question.I would like to reply as below:1) You should be aware of anomalies like down's syndrome due to age.2) Get ultrasound scan done durng 12th week for the same.3) You have risk of bleeding which your doctor should take care.If you have any further queries, let me know so that I can help you much better.Wish you good health.Dr. Soumya | |
What chances to get pregnant?
I'm 19 yrs old, female. I have been on the depo shot & have been having an irregular period. I get my next shot Mon. which will be my 3rd one. Last night my bf & I had sex & he ejaculated in me a little. What are my chances of getting pregnant & what should I do ? Plan B wait till I get my depo shot, etc ... | Hi,If you are on depo there is no chance of getting pregnant. Just take your next shot on time. Actually depo functions as contraception also. So don't worry.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya | |
Had an ear infection without cold or allergy. Why pain and discomfort?
I had an ear infection about three weeks ago without any cold or allergy . I had spent significant amount of time in the water a few days before. We assumed that was the cause. I was on an ear drop that didn t work then had a zpack filled which immediately relieved the pain and discomfort. Since the end of my antibiotic , the ear has been much better but still wasn t 100%. Last week I caught a cold and had a good amount of congestion. Didn t change the ear much. Congestion is almost gone and still zero pain, and hearing seems to be OK, but still seems a little loose. The pressure is easily changed from popping (like in an airplane) to sniffing the pressure tight again. Neither seem to be 100% comfortable. Again, no pain, just can t seem to find the right pressure. Will this subside with the congestion, or is there still something else going on? Thanks! Alex | THIS IS ALLERGIC SINUSES NOT GOT RELIEVED AND RECURED AGAIN TAKE METROGYL 200 MGM BD TAB MONTAIR FX BD TAB ZINETAC 150 MGM MORNING SYP TOSSEX 1/2 TSF NIGHT NO STEAM APPLY NEOSORIN H EYE OINTMENT IN NOSE 2 DROPS OF SEA WATER IN BOTH NOSTRILS AT NIGHT 3 WK' GET XRAY DONE OF PNS AND GET TREATED | |
Q. Is internal vascularity in thyroid a concerning issue?
Hello doctor, I want to know what this report means so I can list my questions. I am concerned about the internal vascular nature of this report. I am attaching my last three ultrasounds. I am looking for your interpretation of the report and want to know if there is anything worrisome. I have attached two of my previous reports for comparison. | Hello, Welcome to icliniq.com. From your attached ultrasound reports (attachment removed to protect patient identity), I understand that you have a thyroid swelling (goiter) with multiple tiny nodules for which you undergo regular followups. I can also see that these nodules are quite stable and have not undergone any worrisome change, nor have any cervical lymph nodes been found enlarged. But you are presently concerned about the structure with internal vascularity, which is a newer statement. It is quite natural to be worried about such a finding, but give me the pleasure of saying that it is only one of the four parathyroid glands that are attached very close to the thyroid. The internal vascularity is only an identifying point of parathyroids rather than any clue to an abnormality. The size of the parathyroid may raise suspicion as to whether it is enlarged, such as in parathyroid hyperplasia, adenoma, or carcinoma. However, parathyroid hyperplasia is accompanied by a finding of calcification in the gland, while carcinoma (cancer) is characterized by invasion into surrounding organs (your report says “which appears to be separated from …”). As for parathyroid adenoma, please be assured that this disease manifests itself quite clearly in clinical and labaratory features, such as abdominal pain (due to the formation of gallstones, renal stones), bone pain, abnormal calcium and phosphate levels, and altered parathormone. Therefore, considering all points, I would like to assure you that “internal vascularity” is not a cause of worry, and the parathyroid even if it is marginally enlarged should also not create anxiety unless your doctor finds features of hyperparathyroidism in your clinical or lab findings. Since I do not know your clinical or lab findings mentioned above, I suggest that you may clarify the matter further with your respective doctor during your next scheduled visit. I hope this helps. | |
How to treat body hives?
I had hives all over on Friday. Went to the doctor and was prescribed prednisone and benedryl. The hives are not as bad but from the waist down they have been coming and going. Especially when I sit or when it has been over 6 hours of benedryl. How long should they last? | Hi,The duration of treatment depends on the symptoms. Since the symptoms came down by another 1-2 days of same treatment the symptoms will come down. It also depends on exposure to the allergen. Avoid the allergen. Wear sun dried cotton clothes and inner wears. Use of calamine lotion for topical application . This will help you.wish you faster recovery. Regards | |
For how long can medicines given after anoplasty be continued?
after anoplasty docters use 3 stan in my hard, i use ascard 75 mg coranitac ,loplate 75 mg , mepresor 100mg ,wiinrtot 20mg ,all madicane i m using from one year ,my weight 68 and hight 5.5 i m men my calstrol is 150 , my age 48 can i taken can i cauntnew my madicane ? | Hello,Is it angioplasty or anoplasty? Usually post angioplasty medication should be continued for one year. But further continuation depends upon your risk factors and other complications.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 | |
How can swelling and pain in the jawbone be treated?
My son had his wisdom teeth pulled yesterday he is experiencing swelling and jawbone on the outside feels like someone punched him, his gums are tender, also stitches feel tight, his jawbone hurts on the inside but more nuisance pain but certain positions make the stitches feel like they are pulling no excurating pain | Hello,Pain and swelling just a day after a wisdom tooth extraction is not abnormal. It is commonly seen due to inflammation of tissues post-extraction, and at times swelling also occurs due to hematoma formation. So all the symptoms that he is facing are not abnormal and will get better in a period of about a week to ten days. So, for now, he should do cool compresses over the swelling. Take a combination of antibiotics like Augmentin and anti-inflammatory painkillers like Ibuprofen. After 48 hours start doing warm saline gargles. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
How to treat pain in chest and blockage just below my neck?
Hello Dear Dr Am 48 years old and pure vegetarian and no smoking and alchohol habits. I have pain in centre of the Chest and some time i feel something struck just below my neck. I have under gone ECG , ECO AND TMT Tests. Also Blood Test of Tripolin I and report is Normal. Am really un-easy and my productivity has come down as am afraid. Kindly help and suggest me some good medicine and how to overcome this problem. Thank You Sir. | Thanks for your question on Health Care Magic. I can understand your situation and problem. Since your extensive cardiac work up is normal, no need to worry for major heart diseases. Possibility of GERD (gastroesophageal reflux disease) is more in your case. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of Central chest pain and something struck in the throat. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Start proton pump inhibitors and prokinetic drugs. Don't worry, you will mostly improve with all these measures. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
How to get pregnant fast?
im married for 1 year and 4 months, for the first three months of being married me and my husband agrred to use contraceptive for me not to get pregnant, then he went abroad for nine months, when he arrive we decided not to use anything because we are ready to have a baby but unfortunately, he went abroad again but still we're not able to conceive a baby..any advise how to get pregnant fast? we have not see any doctor/ob gyne yet. | Investigation treatment will be inline with primary sterility. Your ovulation and patancy test is to be done and incase of yoyr hus band seman analysisis to be done. after examining the report treatment can be decided. | |
Q. Does my echo report indicate any bigger issue?
Hi doctor,I had anterior myocardial infarction five years back, and I was on medications until angiogram and angioplasty were done last year. My last month echo report states, mid anterior septum, anterior wall, and anterolateral wall thinned and hypokinetic. Apical septum, LV apex thinned, and akinetic. Dilated LV with moderate LV dysfunction. No LV clot, 2+ tricuspid regurgitation, moderate pulmonary artery hypertension, mild mitral regurgitation, impaired RV function (TAPSE 1.4cm), dilated right and left atrium, and EF is 40 %. Does the above indicate any bigger trouble? | Hello. Hope this helps you, and get back if you have any doubts. For more information consult a cardiologist online --> | |
Q. Is it safer to take Zoloft after inguinal hernia operation under general anesthesia?
Hello doctor,I am about to have an open inguinal hernia operation after 15 days. I have been having terrible anxiety leading up to it. I went to my PCP today and informed him of this. He prescribed 25 mg of Zoloft for me. I have read that it takes a month for Zoloft to work. Also, I have read that Zoloft can cause bleeding and complicated risk after surgery. I will be under general anesthesia. Is it safer for me to wait and begin taking the Zoloft after the surgery if I need it? | Hi. I would like to know that whether your hernia is the cause of anxiety. If anxiety is the case let me assure you that you have nothing to worry from surgical aspect as hernia repair is not a complicated or major surgery. So, the blood loss should not be worrying if you were only on Zoloft. But would like to know if you are having any other medication. Also, since your BMI indicates you are obese, which might be one of the causes for a hernia. Would like to know some other parameters like your blood pressure and sugars, your cardiac status as indicated by ECG and 2D echo. How is your exercise tolerance? Your coagulation profile, other basic blood reports like CBC. How about laparoscopic hernia repair? Or why not under regional anesthesia? Would also suggest yoga and meditation to relieve your anxiety and stress. For more information consult an anesthesiologist online --> | |
Q. What should I do to reduce myopia?
Hello doctor, I have myopia problem, but day by day it is increasing. What should I do to reduce it? | Hi. Unfortunately, there is no proven treatment available for this condition. People have tried various treatments like intraocular pressure reducing drops, or atropine in children. It is a good practice to get your refraction done six-monthly as using improper glasses is a stimulus for eyes to grow more especially in children. | |
Suggest treatment for dead pain in left side of the chest?
I have a dead pain in left side of chest.... worsens at night and my throat/ windpipe constricts ... very tired and worn out with normal tasks... out of breath easily, cough for over a year .. heart races after exertion... cant lie on left side and sometimes not on back either | Thanks for your question on Health Care Magic. I can understand your situation and problem. In my opinion, you should first get done ecg and 2d echo to rule out heart diseases. If both these are normal than possibility of lung related causes like bronchitis or asthma is more. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is must for the diagnosis of bronchitis or asthma. If it shows obstructive airway defect than you will need inhaled bronchodilators and inhaled corticosteroid (ICS). Antihistamine and anti inflammatory drugs are also useful in your case. Don't worry, you will be alright but first rule out cardiac diseases. Hope I have solved your query. Wish you good health. Thanks. | |
How to avoid lyrica mediated severe side effects?
I STARTED TAKING LYRICA PREGABALIN ABOUT 4 TO 5 WEEKS AGO.HAVE SUFFERD WITH CHRONIC PAIN IN MOST OF MY JOINTS FOR ABOUT 4 YEARS NOW. OSTEO ARTHRITIS IN LEFT HIP BOTH KNEES. HAVE HAD TKR ON R/ KNEE. NOT SUCCSESFULL, STILL VERY PAINFULL WHEN BENDING. SPONDOLOSSIS IN MY BACK. BOTH L/R SHOULDERS TORN LIGARMENTS.THIS IS CAUSING PAIN IN MY NECK MOVEMENTS. HAVE MANY SLEEPNESS NIGHTS BECAUSE OF THE PAIN. I AM WORRIED ABOUT SOME OF THE SIDE AFFECTS OF THIS MED. LYRICA.. BED IS MY WORST ENEMEY. PAIN BECOMES WORSE. SOME SIDE AFFECTS SINCE I STARTED TAKING LYRICA. MEMORY LAPSE, DRY MOUTH, CONCENTRATION, PIN PRICKS NUMEROUS PARTS OF MY BODY,DROWSINESS,UNSTEADY ON MY FEET, ITCHING,HOARSNESS IN MY VOICE, WEIGHT GAIN OF 6 KIL, DIAREAHO AT LEAST ONCE A WEEK, AND EVEN CONSTAPAITTION SOMETIMES I THINK I SHOULD STOP TAKING THIS MEDICATTION . YOUR ADDVICE WOULD BE MOST WELCOME. REGARDS PATRICK ARNEL.. | Hello, Pregabalin can cause side effects like unsteadiness, memory loss, lack of coordination etc. The alternative is non-opioid analgesics like Acetaminophen and topical analgesics like Lidocaine patch, at a dose of 1.8 % or 5 %-applied over the sites of pain for up to 12 consecutive hours per day. Capsaicin 8% patch -up to 4 patches are applied once for 30-60 minutes. Over the counter preparations (Iodex)of menthol, methyl salicylate though weaker have an effect on pain. Anti-depressants like Duloxetine, Amitryptiline have also been used for chronic pain and benefits are outweighed by side effects in most patients. Other anti-epileptic drugs besides pregabalin (as you are intolerant), are Oxcarbazepine, Carabmezapine, Lamotigrine, and lacosamide used for neuropathic pain with variable success. These are all prescription drugs. You can additionally go for complementary therapies for chronic pain like acupressure, meditation, yoga, massage, chiropractic, guided energy, and biofeedback. Hoarseness of voice and weight gain(6 kg) warrants exclusion of Hypothyroidism ( go for serum free T3,free T4 & TSH level). Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist | |
What causes recurrent difficulty in breathing?
I have been having a burning sensation around my bronchial tubes in the last year when I walk up hill and start breathing deeply. It seems if I continue walking it lessens. I m 70 with a family history of heart trouble. My resting heart rate is 60, my blood pressure is around 115 over 60. I haven t noticed it this summer but it just started again. I do fight high cholesterol and have had fairly good success with taking fish oil. | Hello,The difficult breathing when uphill suggest a problem with a decrease in cardiorespiratory reserve from various causes. In our clinic, we recommend EKG, x-ray chest, 2D echo, treadmill test for further management guidelines.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel | |
Does smoking lead to thrombocytopenia?
I smoke too much. Much less than I used to, however. I want and need to quit. Lately I have noticed huge bruises on my body where I thought I was just scratching an itch. I look beat up. My nurse friend mentioned low blood platelets... does cigarette smoking lead to thrombocytopenia? I'm scared - want to quit desperately! Want to be healthy for my kids. | Hello,if you want to be healthy you should quit smoking anyway but smoking does not cause low platelets. Bruising may be caused by a low platelet count but can also be caused by blood vessel fragility and platelet dysfunction. Sometimes drugs cause platelet dysfunction (aspirin for example). You should do a complete blood count with microscopic examination of the specimen and perhaps also consult a hematologist.Kind Regards! | |
What are the symptoms of sublingual papilla disorder?
Hi doctors .... i just noticed that the sublingual papillae taking the shape of thorn, very thin on the edges and a bit redish than normal look .... anything i should be worried about ....taking into consideration that last week i was suffering from intestinal catarrh- infection...thanks | Hello, You have symptoms of thin edges at sublingual papilla which is mainly due to dehydrated ora cavity, acid reflux due to systemic disease and could be due to an allergic reaction. Need not to worry. I would suggest you drink plenty of water and chew on sugar-free gums to stimulate salivary flow. Avoid intake of sharp and spicy food. You should gargle with a numbing solution containing Lignocaine for relief on tongue and pain. You can take an anti-inflammatory painkiller like Ibuprofen. It will start improving within a week but in case if the condition does not resolve to consult oral physician once and get evaluated and start treatment accordingly. Go for blood tests as per prescription.Hope I have answered your query. Let me know if I can assist you further.Regard, Dr. Harry Maheshwari | |
What causes dark red lump on the floor of mouth?
HI, I used chewing tobacco for a year and a half and just recently quit. I am 18 years old. A couple days ago, I noticed a dark red lump on the "floor" of my mouth directly below the tongue. It is not rock hard, but it is not soft either. It doesn't hurt either. I am worried. Help? | It may or may not be related with your habit. Is there any trauma recently.? Use tandem mouth wash for a week and consult a dentist soon | |
Can iPill emergency contraceptive pill be taken when having history of Cholestasis?
Hi During my first pdelivery 3 years back I was diagonised with cholestesis (heavy itching in the 9th month) and hence had an C section..I remember my doc saying then that I need to take care when I take any birth control tablet. I would like to take an ipill today as I do not want to be pregnant..Is it safe for me to take it ? I am 31 years old 5 feet 2 inches and weighing around 65 kgs | HiCholestasis effect is due to the hormone estrogen. That is why your doctor rightly advised against using birth control tablets. When she said this she was talking with reference to birth control pills containing both estrogen and progesterone.The I PILL contains progesterone only. So you can use I PILL without worrying about cholestasis. Moreover the progesterone is washed off from your body in few days.If you wish to postpone pregnancy I advise you to discuss with your doctor and use regular contraception.I hope I have answered to your satisfaction. | |
What is arthus reaction and what is its incubation period?
What is arthus reaction, how long would it take for symptons to occur and how long would they last. I am 32, 121lbs, had my splen removed at 15, had 1 pnemonia shot, then again at 25. But recenlty had a 3rd, my doctor said that Arthus reaction would be the only rare concern. However i had the shot two days ago and the area is red, sore to touch and slightly swollen. | Hello there,I am dr.milan an infectious disease specialist answering your question.Arthus reactions have been infrequently reported after vaccinations containing diphtheria and tetanus toxoid and few other including pneumococcal.Arthus reactions is a hypersensitivity reactions are rarely reported after vaccination. An Arthus reaction is a local inflammation of blood vessels associated with deposition of immune complexes and activation of complement, body's immune response. Immune complexes form at the site of high local concentration of vaccine antigens and high circulating antibody concentration. Arthus reactions are characterized by severe pain, swelling, induration, edema, hemorrhage, and occasionally by necrosis. These symptoms and signs usually occur 4–12 hours after vaccination. Recommendation is that persons who experienced an Arthus reaction after a dose of vaccine should not receive vaccine more frequently.I feel this is not arthus reaction. And you should follow advise of your treating physician.Hope i have given appropriate guidance to you.if you have any query you can consult me anytime.Give me star rating, helpful vote & thank you according to your satisfaction level.Thanking you. | |
Q. Can laughing fits preceding panic attack be gelastic seizure?
Hello doctor, An 18-year-old female lying in bed with no stimulus like TV and has a laughing fit. She cannot stop laughing, then could not breathe, so she had a panic attack and began crying. She has had similar situations about once per year for the last four to five years. Can this be a gelastic seizure? She is underinsured and would like to do nothing, but if it is likely something dangerous causing it she will have to see someone. Medications: Depo shot q three months for birth control, Vyvanse (Lisdexamfetamine) for ADHD taken in the past sometimes prescribed as high as 90 mg per day. She is not taking now as she has graduated high school and does not think she needs it when not in school. | Hello. I would like to know if she has strange behavior during all the time, fluctuations in her mood, sometimes cries and sometimes feels euphoric? If she stays alone time after time feeling depressive and other times trying to attract the other's attention, being euphoric and impulsive? In such a case, I would think about a psychiatric disorder. Otherwise, I would recommend performing an EEG (electroencephalogram) in order to exclude possible elastic seizures. A brain MRI (magnetic resonance imaging) would be necessary too. I hope this helps. | |
What does this X-ray report of lungs indicate?
HI my name is Dennis from alabang phillipines. I have been clinic yesterday for my x-ray.due to of my work requirments.and the result is SUSPICIOUS DENSITY IS SEEN IN THE LEFT UPPER LUNG. APICOLORDOTIC VIEW IS SUGGESTED. CAN U EXPLAIN,WHAT IS THIS RESULT?THANK U AND GODBLESS... | Thanks for your question on HCM. Normal chest x ray is taken in PA (PosteroAnterior ) view. In this view apical part of lung is overlapped by clavicle and upper ribs ( 1st and 2nd ). So any lesion in apical part can not be visualised properly, so accurate reporting is not possible. So apicolordotic view is done to overcome this problem. In this view x ray is taken in such a way that apical areas are clearly visualised and so proper reporting of lesion can be possible. So get done apicolordotic view. | |
Suggest treatment for erection problems and grey hair
Hi Doc!!!I am Salah, married in 2005, 42 years old with two kidz. Height is 5 feet 4 inches, weight is 70 kg. Sometimes I feel some erection problem as well as early arousal. I got hair loss and grey hairs Please tell me some medications but should be without after effects. With regards,Salah | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You have mentioned that you are having erectile dysfunction problem and for that problem your general physical examination should be done first. Your blood pressure should be check to rule out hypertension and if any positive cardiac history present than cardiac causes can affect erection as well. Your cholesterol value also should be checked. If you are having any prostatic problem then provide history regarding that. Smoking anxiety and depression also can lead problem in erection. For your hair loss any chronic illness if present should be ruled out and after detailed history and examination if it seems to be androgenic alopecia that is male hormone induced than topical minoxidil can be prescribed. Hope this will help you Let me know if I can guide you further | |
What does stomach gurgling mean?
I just had a biopsy which came back complex hyperplasia atypia. I am scheduled for a D & C in two weeks to see if I have uterine cancer. My doctor wants me to get a full hysterectomy no matter what they find.. A few days ago my stomach started gurgling, which is new for me. I am scared that it is a sign of cancer spreading. I have read that stomach gurgling is a sign of oavarian cancer. Can you tell me more about what the stomach gurgling might mean?Mary Ann | Hi, dearI have gone through your question. I can understand your concern. stomach gurgling is not suggestive of cancer. Its just a air sound. So don't worry about that. You have complex atypia so higj risk of utrine cancer. You should go for prophylactic hysterectomy. 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. | |
How can pain in the legs be treated without the use of a NSAID?
I have had foot pain( in both) and it is migrating up into my knees for almost a year. I thought it was planter fasciitis at first but the pain is broader now . I do not have high blood pressure, diabetes, or high sodium. I am typically dehydrated (I do not take in much fluids but trying to drink water). I have kidney issues and MGUS (protein in my blood). How do I handle the pain in my feet and legs when I can not take any NSAID type of anti-inflammatory drug? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The pain in the legs can be related to muscle cramps or poor posture due to plantar fasciitis. Increasing fluid intake will help. Hope I have answered your query. Let me know if I can assist you further. | |
Can liver transplant cure burned liver with tumor in it?
hi, my name is manoranjan my father of age 45 years he is suffering from liver damage from last 5 years now it come to serious we admitted in hospital but they told we con't due to liver already burned & a tumor is formed insid it , it seems to be cancer but it still not completly devlop it still a liver cancer that much the doctor told , so is ther any liver transplant r any more solution for that | Hi Mr Manoranjan,How are you? Which place are you writing from? I am so sorry to hear about your father's diagnosis. I am sure when you say the liver is "burned", you mean it has become cirrhotic? The liver is said to be cirrhotic when it has become hard and stiff instead of being soft. The problem with cirrhosis is that it is a risk factor for cancer, and it is very common for cirrhotics to develop multiple cancers. It is for this reason that the doctors advise you for liver transplantation. A transplant will not only get rid of the cancer in the liver, but also get rid of the cirrhotic liver which could become cancerous later. But not all patients are candidates for liver transplant. Whether or not a patient becomes a candidate for transplant depends on his age, physical fitness, cause of cirrhosis (alcohol, infection etc) and any co-exisiting diseases.I hope this helped and I hope your dad starts to feel better. lease do not hesitate to contact me for further details especially for places which offer liver transplant in India - rxsuresh@gmail.com | |
Suggest treatment for coughing up of blood
hi, i broke up with this psycotic little girl, and i am pretty sure she poisoned me, first my uvula got really swelled up, tryed to cough stuff up for a while, then lots of blood. coughed up at least 1 if not 2 cups of blood before i stopped caring... it really felt like i9 was throwing up my adams apple. i am 100% sure it was my ex. what is it, how do i stop/pervent it? | Respected user , HiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This seems case of acute erosive gastritis .* Suggestions for better recovery - Consume plenty of liquids .- Soft , light diet .- Avoid oily , spicy , non veg stuffs .- Intake of Cap. prilosec ( 20 ) mg morning and evening with sips of water before meals .- Syrup mylanta 5 ml every 6 hourly .- Consult later your PCP on urgent basis .Hope this will help you for sure .Regards . | |
How to treat anxiety?
Hi, I got off a plane two days ago after drinking a lot before the flight. I heard lots of popping and my right ear was in pain on the flight. Since I hav got off my right ear has been numb. I also suffer from anxiety and have a Cole sore on my lip which has been there for like 3 weeks and left untreated. Any ideas wot this could be.? | DearWe understand your concernsI went through your details. I suggest you not to worry much. I don't think anxiety and cold sores are in anyway related. Popping in your right ear could be due to the pressure difference in the plane. If you want to address your anxiety issue separately, please consult a psychologist as soon as possible.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | |
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 --> | |
Q. My premature baby pooped 10 times in the last 24 hours. Is it a sign of loose motion?
Hello doctor, I need a detailed medical advice regarding my son's medical condition. My baby was born on the 19th last month, but he was premature. He was born at 29 weeks. His birth weight was 1.26 kg. Due to his preterm birth, the baby was in NICU for 45 days and got discharged. During birth, he had RDS and a surfactant was given and later supported with CPAP for five days. Feeding was done with OG tube and slowly shifted to oral feed after 25 days (spoon feeds). Initially, he had feed intolerance, but he is fine now. NN jaundice was diagnosed and phototherapy was given. At discharge advice, weight: 1.89 kg, height: 45 cm, HC: 30 cm, breastfeed on demand, spoon feed every 2 hours. Medications: Caffeine 9 mg (now stopped), multivitamin drops (D3 and A to Z), Domstal suspension 0.5 ml, iron supplement 0.4 ml.As of today, he is 65 days old and his weight is 2.42 kg. In the last 24 hours, he is passing more liquid stools and not like a paste. His usual pattern is one to three stools per day. But, in the last 24 hours, he pooped at least 10 times and most are a bit watery. He is exclusively breastfed. No formula is being given. Is it a sign of loose motion? If so, what should be done? During his stay at the hospital, he caught a mild cold. His doctor gave him nasal saline drops and we are using it. It has been almost three weeks now and the baby is slightly coughing. One week back his pediatrician told no medication needs to be given and it will go away. He makes a lot of noise while sleeping. How to treat this cold and cough in a preterm baby? Will this lead to any other complication? His feeding is a challenge. He likes breastfeed, but sucks only for three to four minutes and falls asleep. If we try to wake him up, he is not active to take the further feed and within the next 30 to 40 minutes, he will wake up and demand feed. Due to this frequent feed, my wife gets really tired. Spoon feed he is taking but that too not as expected. He is passing urine well. My concern is whether he will drink enough milk when put on the breast? What should be the pattern to follow? He frequently makes a lot of grunting noises. We are much worried and doubt if it is because of any pain or discomfort. Are these sounds and moves normal? | Hello. Please find your answers in the same order as the questions asked: For more information consult a paediatrician online --> | |
How can a pulled muscle in the hip area be treated?
I fell two months ago, (basically did the splits!) didn t hurt much at time but week later I had a pulled muscle in my inner hip/groin area. hurts with movement of getting out of bed or out of car where I have to move my leg sideways. Do I just take it easy and wait for it to heal? Doesn t hurt when walking or standing but when I move just so it really hurts! | Dear patient It seems you have pulled adductor muscle of thigh. This will heal with time and till that time around 3 to 4 weeks you need to avoid activities which leads to pain like separation of legs apart. Do ice fomentation and take tab Ibuprofen 400 mg thrice a day for initial 5 days. If not helping please consult orthopedic surgeon nearby your area. Take Care Regards, Dr. Jayesh Vaza, Orthopedic Surgeon | |
What causes heaviness on the neck region with extreme numbness?
Hello, I have a issue with constant left side neck ache. I ve dealt with this for sometime now... about a year. Now the pain is getting more intense and I m experiencing some fuzzy/numbing on the left side of my neck down to my shoulder blade. At time it also seems that the left side becomes heavy feeling. Please advise. | by looking into your complaints you are sufferring with cervical spondylitis.for confirmation you need examination by radiologicaly to rule out disc pathology.right now you need to take rest for 2 wks. | |
Rash on stomach, spreading in nature
I have a rash that appeared 3 days ago in a small patch on the right side of my stomach. I then got a patch on my left side and now have it on my groin area and a few spots around my belly button. The rash is tiny red dots that look like pin pricks. I don't feel unwell, but am slightly concerned as it appears to be spreading. | Hi rash on the dtomach spreading and pinprick like lesions can be milaria or papular urticaria.papular urticaria is very rare in that area.Milaria is due to excessive sweating all over the body.it can be cured by atarax 25 mg at night .alaspan in the morning vitamin c tablet and application of calamine lotion can cure the condition.If no response start a antibiotic to rule out maculopapularr rash | |
Have rash on the thigh fold and scrotum for a long time. Have been diagnosed as jock itch. All test done, on medication. What to do?
I have had a rash on my thigh fold and scrotum for 3 months I've see 2 MD's and was diagnosed with jock itch they tried all the typical mess topical and oral that didn't help.I saw a dermo 1 month ago with the same diagnosis and got another topical. It has knocked it down slightly. It seems that I am constantly sweating under my scrotum,I wear only cotton shorts but with the cold coming that wont last much longer. I don't know what to do anymore I have my follow up dermo appt in 2 days after 30 days. I'm also taking lamatrogine for depression? I'm on disability and can't afford to pay I do need help and can't seem to get it can you help me | Hi rash on the thigh fold and scrotum is tinea cruris.it is a fungal infection due to excessive sweating.use of atarax 25 mg at night.terbinafine 250 mg daily once and application of terbinafine ointment can cure the condition..use of absorb dusting powder to decrease sweating and prevent recurrences | |
How long does a cancer patient have to live if he is unresponsive and taking a morphine drip?
Hello- my Uncle has had cancer for roughly two years and has had chemo for it. resulted in partial removal of bladder and prostate. the beginning of spring 2013 the doctors found a small tumor and he has been getting chemo for it. a few days ago he was rushed to the hospital with pneumonia. he is a very healthy patient the doctors said and that he'd be off chemo soon. at some point in the hospital he fainted but it was unseen by anyone. he was deprived oxygen and now is a vegetable. he is unresponsive for the most part. he opens his eyes when family talk around him but he's out of it. they started a morphine drip close to 48 hours ago. how long does he have to live? will I be able to arrive in time to see him? | HIThank for asking to HCMIn comatose or semi-comatose patients difficult to say anything because the vital organs are great matter if vital organ are functioning well then it is uncertain to say anything, if the vital organs are greatly affected then it can be judge by clinical examination that how long patient can pull him self, have nice day. | |
Could ringing in ears be due to side effect of taking oxyelite pro?
I have been taking oxyelite pro for 2 days now, just 1 pill in the morning, and I have been getting a ringing in my ear. Is that normal? I am 27 years old, healthy as a horse, 220 lbs and I eat a very healthy diet and exercise (in the process of losing weight) | Hello,Ringing in the ears (tinnitus) may be possible with oxylite pro in which recently FDA found fluoxetine drug. Which may cause this side effects but same time you have to check other possibilities like ear infection or allergy or other drug side effects etc. Please stop it and see if no improvement please consult with your ENT specialist he will examine and treat you 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 | |
Do i need to take anti-rabies again if previously vaccinated?
Got bitten by Cat 3 months (Mar 20) ago on my hand...got vaccinated with rabies immunoglobulin and a series of scheduled shots. Last July 10, the same cat bit me again in the face...I washed it with soap and water and applied antibacterial ointment...do i need to get another set of shots? Thanks :) | Thanks for posting you query to health care magic.There are different vaccines are avialble in market based on diffterent method of preparation but in your case you had vaccination 3 month back so no need to take complete vaccination if previously taken completely i.e. 5 doses. but as cat bite on face so take booster vaccination in form of single shot of vaccine .hope you are satisfied with my answer . feel free to communicate if any query .regards,Dr.Manish PurohitInfectious disease specialist | |
Q. We lack sex because of premature ejaculation. How to overcome this problem?
Hello doctor, Lack of sex with my husband. He ejaculates prematurely. We avoid sex to reduce disappointment. Since from married years, it has never been better even after numerous counselings. No communications, we are like just best friends. I need a lover to help me get well again. I am taking Yelate antidepressants, Stresam, Ivedol sleeping tablets six in number. | Hello. If he has a fear of something (based on experience) like failed in proper sexual intercourse, he will try to avoid that, because he thinks that it is going to be abandoned, and going to face humiliation in front of you. So he thinks it is better to have no sex, no desire. So in management part first relax him, conquer his trust that you love him even without sex. Now start working on a treatment. 1. SSRI (antidepressants) and Clomipramine. 2. Anesthetic sprays on glance before sex (only study support it). 3. Weak pelvic floor muscles sometimes contribute to it. Kegel exercises may help strengthen them. Find the right muscles to tighten by stopping your urine in midstream. Hold them tight for three seconds and then release them for three seconds. Do this 10 times, at least three times a day. Wear a condom, and It may desensitize him. Some men find that masturbating a few hours before sex helps them stay in control during intercourse. Have proper counseling by a psychiatrist | |
Q. How to manage unilateral paralysis of the diaphragm?
Hi doctor, What health implications have been observed with a unilateral paralysis of the diaphragm? I have had a plication performed, but it failed and is back to the original issue. Currently, I am suffering from shortness of breath, chest pain with dizzy spells and increased heart rate. I am on Propranolol for the heart rate issue. Please help. | Hi. Traumatic or some cancer causing nerve compression. MRI Scan and spirometry. Unilateral diaphragmatic paralysis. For further information consult a pulmonologist online.---> | |
What causes bumps on penis after having unprotected sex?
hai ,i had unprotective sex two months back. after that on first week i had uti.after that small bumbs formed on my penis and body and small cuts in my hands and tounge then it cured .now im having small bumbs on penis vain pain on my hands and legs also calf pain under arm pain thigh pain and buttox pain .please reply does it will be the symptoms of std | Thanks for asking in healthcareamgic forum I appreciate your concern. They may be due to STD. So, visit a doctor for investigation to rule out STD and for further management. ALl the best. | |
Suggest methods to reduce ALT levels
Hello Doctor. I had my LFT recently in which all other values were in the high but within normal range with bilirubin being 0.9. But my ALT(SGPT) level was above high range i.e. 73. I had a fried diet before going to the test. I am worried as I have to give medical next week for my immigration. So i went to my family doctor who advised upper abdomen ultrasound. result for everything was with increased parenchymal echogenity and fatty liver grade 2. I need to bring this ALT level down asap so that nothing wrong appears in my immigration medical. Do i need to have Hep test. I am on Vitamin E 400 2 times a day with dieting. Kindly advise, many thanks. | Thank you for posting your query.SGOT (AST) and SGPT (ALT) are liver enzymes located inside the liver cell and some other tissues.these enzymes play an important role in the metabolic processes.an increase in the level of these enzymes reflect an INJURY to the Liver. medically, the condition is know as "Hepatitis".Lab results reveal MILD hepatitis. YOu need to test for HepB & C serology too.if all causes of hepatitis are ruled out , then abstinence from "Alcohol and drugs" and low fat diet should be observed. Moreover, less activity should be carried out (no sports). recheck liver enzymes after 2 to 4 weeks.wish you good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik | |
21 years old. Memory loss. May I know the reason?
A friend of mine has been having moments of memory loss at random intervals of his life. I am not sure when they started, all I know is that he's 21 right now and sometimes he has lapses in memory, possible blackouts too. They don't last long and they are as frequent as no more than one a month. Usually one every 4-6 months. This last time he has holes in his memory throughout the whole day, no black outs, but he's realizing the holes now that he has had a nose bleed for the past half hour. | He must consult a neurologist and have a CT scan of head.Loss of memory and black outs may be due to stress but organic reasons have to rule out with scans | |
Suggest treatment for severe pain due to broken toes
My adult daughter broke two of her toes, one was a complete break. This occurred 4 weeks ago and she is still experiencing significant pain (not constant but enough to make us wonder if she is healing properly). She has no insurance and had the bad toe set at hospital emergency room. Should we see about trying to get to an orthopedic doctor and see if she may need additional treatment (this will have to be paid out of our pockets and we do not have a lot of money). Thanks, YYYY@YYYY | HiWelcome to healthcaremagicAfter going through your query I concluded that your daughter got fracture of her toe nearly one month back. By now it is likely that her toes must have united. Now she needs exercises of toe and analgesic for pain relief. Vitamin B, vitamin C and calcium supplements will promote healing. You can take analgesic such as ibuprofen. You can take vitamin B-complex and C to promote healing. You can discuss with your Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us . I will be happy to help you.You can also write to me directly on below link: you good health.Take care. | |
What causes central chest pain on exercising?
I'm a healthy 40 year old female..delivered a baby 4 months ago. I just resumed an exercise routine. Ran/walked 5K on treadmill 5 days ago. Ever since, I have intermittent (several per day) sharp "twinges" of pain in center of chest between breasts. I'm wondering if this is more likely a strain or could be cardiac symptom | Thanks for your question on Healthcare Magic.I can understand your concern.Possibility of musculoskeletal pain is more because you have to started exercise and running after long break. So apply warm water pad on affected areas of chest.Take simple painkiller like paracetamol or ibuprofen.Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain.Don't worry, you will be alright with all these.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Q. My TSH value is 13. 38. Am I suffering from thyroid?
Hi doctor, My TSH value is 13.38. Am I suffering from thyroid? Please suggest me. | Hi. Revert back with the required details to an internal medicine physician online --> | |
Suggest medication for high blood pressure and NPH problem
Hi, My father is 71 years old.from last 5 days his blood pressure has increased to 180/110.other sysmpotms He is passing urine unknowingly and is facing difficulties walking.consulted physician after checking his CT scan report said he might be facing NPH problem and to consult a neurologist.Want to know what are the tests,treatments avaliable? what is the safest treatment we can go for ? is it a risk to take treatment/ go for any surgery at his age? | Hello and welcome to 'Ask a Doctor' service.I have reviewed your query and here is my advice. Test to confirm the diagnosis is MRI and lumber puncture which is include removing some amount of fluid and looking for the improvement. This is the confirmatory test.Treatment for this condition is surgery where is pipe is placed between brain and abdominal cavity to drain excess of fluid. Although surgery will more risk in elderly, it should be done otherwise condition is progressive and will lead to further deterioration like walking difficulty and memory loss of the patient.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar Makode | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
How to treat a tear in the frenulum after stretching it?
I have torn the frenulum under my tongue through pulling of my tongue, I heard it snap. I only did it yesterday and it didn t bleed much but is sore today and I can see that is is torn. Do I need to see a dentist or should it heal by itself? Thank you. | HelloThanks for consulting HCM, Read your query, as you have injury in lingual frenum I will suggest you to consult dentist and go for examination of frenum and if needed discuss with your dentist and go for ointment application for healing like Pansoral or Mucopain on injured frenum and vitamin B supplements , do warm saline rinses , Avoid eating hot and spicy food , and restrict your tongue movements until it heals.Hope this will help you. | |
What causes pain in lower right abdomen?
I WAS A DRINKER SINCE 10 YEARS. I USED TO TAKE 180 TO 240 ML PER DAY. MY CONSUMPTION INCREASED TO 300 ML PER DAY IN JAN 2010. I STARTED SHOWING SYMPTOMS LIKE SHIVERING IN HANDS, LOSS OF APPETITE, VOMMITTING SENSATIONS ETC IN AUG 2010. IN SEP 2010 I CONSULTED A DOCTOR .MY USG REPORT SHOWED FATTY LIVER CHANGES &LIVER ENLARGEMENT. I WAS GIVEN 2 DAYS TREATMENT IN HOPITAL. MY LFT REPORT WAS ;- BILLURBIN 1.49 , SGOT 80, SGPT 84. AFTER 10 DAYS MY LFT WAS NORMAL. AFTER THAT EVERY MONTH I USED TO FOR USG AND LFT . TILL DATE MY ALL REPORTS ARE NORMAL. BUT WHEN I CONSUME ALCOHOL FOR 2-3 DAYS MY APPETITE LOSSES AND SLIGHT PAIN IN LOWER ABDOMEN IN RIGHT SIDE HAPPENS .THEN I QUIT FOR 10-15 DAYS THE PAIN DISAPPEARS AND APPETITE BECOMES NORMAL. I HAVE STOPPED TAKING ANY LIVER MEDICINE SINCE NOV 2010. NOW A DAYS WHEN I PRESS MY LOWER (RIGHT) ABDOMEN IT SLIGHTLY PAINS.FOR HOW MANY WEEKS SHOULD I NOT TAKE ALCOHOL. SHALL I AGAIN GO FOR LFT& USG. | Hi ! Good morning. I am Dr Shareef answering your query. My reply to your query on alcohol would be that one should quit alcohol consumption completely to stay healthy. Liver is not damaged on a single insult caused by the alcohol, but it happens due to chronic repeated insults as is happening in your case. Gradually it might lead to cirrhosis leading to portal hypertension and hapatic failure. Therefore, I would advise you to quit alcohol completely and modify your life style towards the following:1) Routine regular exercises depending on your medical fitness2) More of roughage and enough liquids in your diet3) You could add as much fresh fruits in your diet, and more of carbohydrates which is good for your liver.If you observe the above, there might not be any need to go for artificial liver tonics along with so frequent investigations and you would do well overall.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
What does blood test 300 in ygt s and 200 in alkaline phosphate suggest?
hi i have waldenstrom lymphoma my last blood test showed a level of three hundred in my ygt s and over two hundred in the alkaline phosphatase i am concer4ned the cancer has gone to my liver or bone cannot see a heptologist for eighteen weeks should i try to see someone earlier by the way i never drink can you come up with any ideas please | Hi and welcome to hcm. Thanks for the query. These blood findings usually indicate certain liver diseases and sometimes some other such as pancreatic or bone disorders. you need to do more detailed gastroenterologic work up to see is there some biliary duct obstructon or liver lesions.WIsh you good health. Regards | |
Suggest treatment for pneumomediastinum
hi im Kenneth two weeks ago i was diagnosed with pneumomediastinum and couldn't breath and because of it i get panicky and nervous, the illness went away for a few days and its affecting my daily life to where i cant even walk without feeling tired and out winded | Thanks for your question on Health Care Magic. I can understand your concern. Pneumomediastinum is common in asthma and bronchitis patients. And these can cause tiredness and breathlessness. So in my opinion, we should rule out asthma and bronchitis in your case. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.