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What does the ultrasonography of the follicular study indicate?
Dear sir, my ultrasonography of follicular study reports DAY OF CYCLE RIGHT OVARY LEFT OVARY ENDOMETRIUM THICKNESS 10th day 12x10mm 11x08mm 06mm12th day 12x11mm 15x09mm 6.7mm14th day 12x07mm 17x12mm 7.3mm16th day 12x07mm 10x06mm 11mm minimal free fluid is seen in POD. pregnancy & not pregnancy . my reports. | Hi,Thanks for writing to HCM .According to your report your right ovary follicle has not grown properly and not ruptured. But your left ovary follicle has grown properly and ruptured. With this report we cant tell you are pregnant or not because if you conceive also it won't be detectable by scan till 5 wks. Your just 16th day. The first sign of pregnancy will be increase in serum b-hcg . It is positive after 12 to 15 days of conception. After 15 to 18days that b-hcg seen in urine and your pregnancy kit will come positive..So you have to wait for 2 wks to know the result. Hope I have been helpful .RegardsDr.Deepika Patil | |
What could be the life expectancy of a person with multiple heart attacks, dead heart muscle and weakened heart?
My husband have a server heart attack and two light ones. The main Artery to the front part of his heart is 100 blocked. Said surgery wouldn't help him because the heart muscle was dead . So he only has 25 percent working. He has no energy hard time breathing. Dr said he needed a difiberlatir but heart was to weak and heart rate was to fast to try to put on in at this time. I'm really worried about him. The dr said he was a walking time bomb. What do I need to look for and how can I help him? Can a person live a long life in this shap | Hello...Your description is incomplete. As you wrote that your husband suffered form multiple heart attacks and Angiogram suggestive of LAD 100% block. But you did not mention regarding other two vessels. A heart has three main blood supply. Most of times 100% block produces collateral automatically according to time so in many cases the part of heart supplied by a perticular vessel is not dead totally but sometimes when sudden blockage occurred then it may be possible that affected muscle part will be die. But still heart can function through other two blood supplies.As you also mentioned regrading work function that is 25%. I think it will be Ejection fraction of heart. EF 25% is significantly low and patient should go under ventricular defibrillation. But in my opinion, there is noting like leaving your hop and it is like walking time bomb. You should go for proper medication and surgery and your husband can live his life perfectly. So don't worry so much. | |
Tingling in arms and feet after having epidural in neck. MRI showed bulging disc. Serious?
Last Oct I diagnosed with bulging discs in my neck after complaining of left arm numbness and tingling . One week later I had an MRI taken which revealed I had bulging disc. The following day, I had an epidural in my neck. Since then, I have been until a week ago when I began to have tingling in both arms, hands, feet and toes. Today my thighs started tingling. Could this be something serious? How do I treat this? YYYY@YYYY | hi, you are complaining of left arm numbness and tingling which probably because of compression of nerve in your neck due to disc bulge.now this is not a serious problem this is just a process of spinal degeneration or wear and tear of joints and disc of spine.you took epidural injection but not get relief with it thats ok because inj. is just like jack-pot may work or may not be.your current problem not coming from epidural injection.first you have to do MRI of cervical spine with screening of whole spine and accordingly we can proceed further.till then continue physiotherapy and multi- vitamins tablets.Thanks | |
Suggest treatment for vitamin B12 deficiency and anemia
I have a b12 deficiency along with anemia, iron, folic acid etc along with severe neuropathy in my legs, my right leg turns outward when I walk, problems with my hips and disks that are degenerate disk disease-mild right now. What could be wrong or should I be looking for to get some help and relief from pain. | Hi, dearI have gone through your question. I can understand your concern. Your neuropathy is mostly due to vit b12 deficiency. You should take a course of vitamin b12 injection. You should also check your blood sugar level. Because diabetes can also leads to neuropathy. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
What could cause sore abdomen and back?
Hi my lower bottom right and left side of my back has been sore now for a couple years. I ve seen doctors and had blood urine test to check my kidneys and they all came back fine. I was wondering what it could be. Muscle? It s sore now but when you rub or push in on the area it sends a shooting pain. Any ideas? | Hello, As a first line management, you can take analgesics like Paracetamol or Aceclofenac for pain relief. If symptoms persist better to consult an orthopaedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Suggest remedy for fever,body pain,throat pain and dry cough
Actually I am suffering from fever from today .My friend suggest me to take levoday ,Ascoral plus cough syrup.While taking milk i vomited in the morning . I want get quick relief please suggest any best medicine whcih cure my fever,body pain,thoart pain,dry cough. | Thanks for contacting HCM. dear patient you should continue with levoday 500mg once a day. Take paracetamol with ibuprofen combination 3 times a day. you should take rabeperazole with domperidone Sr preparation once a day to combat side effect of medication and nausea. Stop Ascoril plus as it is not meant for patients of dry cough and may be harm full to you, instead start a cough syrup meant for dry cough which may contain dextromethorphan. Take steam inhalation 4-5 times a day for quick relief.Regards | |
Fleshy red bulge next to growing new tooth. Serious?
My daughter had a loose tooth for months and she finally pulled it (4th one on bottom left) I can see the new tooth growing under it, but there is red bulge next to it that is fleshy - she says that it doesn't hurt, but it bled a lot more than any other teeth my kids have lost. Of course it is a Friday night. Do we need to see a dentist or just wait to see if it dissolves on it's own? | Hello there , Thanks for writing your query, Redness and bleeding of the gums around the erupting tooth is normal and it is a sign of eruption. Nothing to worry about , as the tooth will erupt in the oral cavity the swelling will subside and the gums will confirm to the tooth . Though you need to maintain good oral hygiene to prevent gingivitis and infection. i would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or betadine which will give soothing efect and helps in preventing infection. i hope this helps , take care. | |
Q. Could Omeprazole cause changes in ECG and increase the heart rate?
Hi doctor, Please read my query and give me your best opinion. I am currently under a cardiologist due to fears that I have had a heart attack in the past and chronic chest discomfort. My cardiologist asked me to take a Holter monitor for 24-hours and the reports he gave me last week were normal. He said that everything was normal. He stated that my maximum pulse was 134 (while working hard), minimum 55 (while sleeping) and average 87. He did capture palpitations but said these were normal increases in pulse associated with activity. He stated that my ECG shows Q wave. Though he said, that is not a pathological and I do not have right BBB, (last week) he did, however, referred me for an echocardiogram to reassure me. He also said that it would be very unlikely for it to be abnormal considering everything else normal. I have had lots of ECGs for the last few months and all normal aside from the Q waves. I have also had my troponin levels monitored, and these too were normal. All doctors say that it is due to anxiety. Before four days, I was taken to A and E due to a sudden increase in pulse from 81 to 135. It then settled within 2 minutes, however as it had panicked me I attended A and E. In A and E, they checked my oxygen (99%), BP (153/92 mmHg) and my pulse (118). The ECG showed normal, sinus tachycardia; however, I was concerned over what looked like ST elevation in AVR. When I asked for the second opinion, I was told that it is fine as it was only in one lead in AVR and not an acute heart attack. I then requested a second ECG as my pulse had gone down to 90s. It again showed normal sinus rhythm and no issues and was sent home from A and E. I have since been in a state of worry over my ECG, which I have attached here. I would like to ask you if the ECG show any issues aside from my usual Q waves. Also, my QRS is long on the new ECG and on this day I started a new course of medication called Omeprazole, which can allegedly cause changes to heart rhythm. Could this have caused my long QRS and heart rate spike? I am a non-smoker, do not drink and have no family history of heart disease. | Hi. Anxiety and panic are the first possibilities. Sudden onset of palpitations is a very unusual sign of heart attack. None of the investigation and symptoms are compatible with the heart attack. Although there are some ECG changes like Q waves, which can be present, are indicative of heart damage in case of heart attack. But, your echo is normal and so no need to worry at all. There is also T-wave insertion in lead 3 and non-significant elevation in AVR. So, given these changes, I would advise for some stress test like treadmill test or stress thallium, which you did not mention anything about. If you have not undergone it, then you can have it to rule out the possibility of inducible ischemia. The QRS prolonging of such mild degree is not significant, and this much variation may normally occur with different ECG. It is not very common with Omeprazole. For further information consult a cardiologist online --> | |
Does the term heterogenous pancreas used to define pancreatic cancer ?
Hi. Does the term heterogenous pancreas used to define pancreas having some problems, small or serious, or does it mean pancreatic cancer? Hi. Does the term heterogenous pancreas used to define pancreas having some problems, small or serious, or does it mean pancreatic cancer? | welcome tohealthcaremagic you are worried all your questions will be best explained by your doctor and you can get all the informations and doubts cleared all investigations reports are to be corelated with clinical findings hetrogenous pancreas does not necessarily means ca all things are to be corelted and further tests to be done for a final diagnosis | |
What causes rash on lower hips and stomach?
I have a rash on both sides of my lower hips. They are small flat red bumps that itch like crazy. The rash is about 6inches long and 4 inches wide. Stranger yet is that 2weeks ago I got a similar rash on my upper stomach that seemed to inch from the inside rather then the skin surface. Therefore there was no relief from scratching alone. I applied cortisone cream and the rash cleared up in two days? Curious if either one is connected to another and more importantly...WHAT IS IT??!!! Thank you for any help and information on my ailment! Nancy O | Hi, Your symptoms seem to be related to contact dermatitis.I suggest you to use antihistamines daily.I also suggest you to apply calamine lotion for local relief. If you don't get better you should see a dermatologist for further evaluation. Hope I have answered your query. Let me know if I can assist you further. | |
How painful is Angioplasty? How is the pipe inserted? What is the recovery time? Also if you can tell me about the cost involved.My DAD underwent treadmill test and he was diagnosed positive at stage 2 out of 4. His age is 60 and weights 72Kgs. Height is 175cm. | Hi,Angiography is not a painful procedure. It's a minor procedure and local anesthesia is given, so pain is not felt. Wire is inserted in the artery and folded pipe called as stent is inserted and is opened with the help of balloon. Patient will be released on same day evening or next morning. So it's a safe procedure.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode | |
What causes anger while working?
and angry very easily especially i'm doing my work (i'm owrking from home)and every now and then my family member asks me to assist them in small matter especially when i am in middle with work whether important or not so important. What is wrong with me? | DearWe understand your concernsI went through your details. I suggest you not to worry much. Anger is the sum total of frustrations and stress. You could be both frustrated and stressed. Getting correct job profile and passion towards work removes your job frustration and stress. If you want peace of mind, enjoy your work and be passionate towards your work. If you do not like your current work change it. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | |
What causes a lump in the armpit in a child?
my grandchild is 6 months old and when you go to pick her up under the right armpit towards her back about level with breast she has a lump. yesterday while getting her ready for a bathand she was standing in crib she turned and you could see a lump about 1 plus inches wide and 3 plus inches long. what could this be. | This may b an enlarged lymph node. You should go to your pediatrician because this size is huge and abnormal. | |
How can ADHD be treated?
Hello, I have been having a tough time staying focused in class and preparing for my exams in law school. I talked to a friend who recommended that I check my symptoms online. I took an adhd survey online and it recommended that I speak with a physician. I don t have a lot of time to meet with my PCP right now but I was wondering if for convenience you would be able to help me? | Dear userWe understand your concernsI went through your details. Lack of attention, impulsivity, and/or hyperactivity are the bench mark symptoms of ADHD. But even any one of these symptoms are present abnormally it is diagnosed as Attention Deficit Hyperactivity Disorder. Common causes could be lack of discipline, negative family problems, too much TV or smart phone or social site use or gaming or internet addiction. Treatment depends on the symptoms and needs an expert intervention. I suggest you to consult a psychiatrist for diagnosis ad treatment. In the meantime, you can engage in physical exercise, relaxation techniques etc as an interim measures.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
Suggest remedy for dizziness and pain in ribs
Last month I had a very sore throat and I couldn t walk sit up on my own or eat. It started off with sneezing (I have no allergies)then it went to a sore throat always being tired,high fever,having no energy,and not being able to eat. When I went to the doctor they wanted to take blood work I never had a problem with it before but for some reason I passed out my blood pressure was low and I had a very high fever so they assumed I had pneumonia.I was given medication for this. A few days later I couldn t talk,walk sit stand or do anything without help. I had pain in my back and ribs and couldn t stand up straight. Finally I did many tests the day I went back to the doctor my temperature and blood pressure were almost normal they gave me medication for a kidney infection. Because of the medication I was on for pneumonia the doctor assumed it messed with the results as it all came back fine but my blood test came back positive for mono ( the kissing disease ) as of yesterday I started losing my voice again and getting sharp pains under my ribs and I just feel very dizzy. And once I finished the medication for the kidney infection I was back to my independent self.. and I felt amazing up until yesterday night | hi,as by reading your history, i am unable to understand that without confirming with an x-ray or MRI or CT scan how the medication was started for pneumonia and later for kidney infection. Well thats the past story, Since now you should focus on how to control the infection with pain and aches.Perform regular breathing exercises, oxygen is the major source of human body, human body can stay without water for 1 hour or more but without oxygen every second is important. because one cannot live without oxygen.Also, breathing exercises have been divided into -1. Deep breathing2. Diaphragmatic breathing3. Pursed lip breathing4. Costal Breathing5. Abdominal breathing.Performing this exercises regular can help you further to maintain the metabolism and also the lung capacities,Also , you need to perform the core stability exercises and pelvic floor strengthening exercises to avoid any kidney issues in future.Most patients with such symptoms i recommend the exercise along with medication and they bounce back faster.I wish you a Good health.RegardsJay Indravadan Patel | |
What does an infected lump on the neck indicate?
There is a reoccurring pus filled lump appearing on my neck. I have done all the reports and they are normal with mild pulmonary prominence and fatty lung grade one. still waiting for my tissue culture report for TB. So what might be the reason for reoccurence of the lump as I have been operated already twice last year. Also i have been given medications for TB last year for 6 months though it was not detected. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * As per my surgical experience, the recurrent lump on the neck indicate atypical organisms responsible for the pathology . * In our clinic, we recommend tissue culture and pus sensitivity reports with biopsy of scrapping material to find the root problem and treat. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for granular disease
Hello there, I am suffering from what my doctor told me a granular, small foreign bodies appearing on my soft palet...it itches me and give me discomfort. A kind of solution which i heard the doctors was suggesting , Iodine , i am appling it twice a day after food but the improvement is less. what do you recommend me. thanks | Hi, dearI have gone through your question. I can understand your concern. You may have some foreign body granuloma or other granulomatous disease. You should go for biopsy. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Took kit tablets along with wife, feeling tired, dizziness, nausea, vomitting. Need to see a doctor?
HI, me and my wife took af kit tablets on 30th July. Out of 3 tablets we took the first one at 12 noon, second one at 5PM and white pair at 9PM. After that we travelled from India to UK starting at 1 AM of 31st July. I had unusual sleeping during travel. I consumed a bottle of wine from the flight also. Reached UK at 8PM 31st July. I feel very tired now( dizziness , nausea and vomiting ) for the last two days. Is there any need to consult a doctor here or will it be okay? Many Thanks Rahul | Hi i think dizziness .nausea and vomiting can be due to ur travelling or due to drugs.usually kit contains secondazole which causes these symptoms when taken along with alcohol.nothing to worry as it subsides by its own by taking rest for one or two days | |
What is the cause of fever with hands and feet getting ice cold?
Thank you dr..my 1yr 2months old son often gets fevers and his hands and feet will be ice cold his stomaxCh very hot very hot...also he does not eat i have to make everything into a puree then i hold him down and hold his nose for him to swallowPlease help me | Hi...what you are describing is quite common in fever. Because of differential blood supply, to the skin, the stomach region and the head and scalp will be very hot and the hands and feet will be cold. During fever the kids will not be eating well. Do not worry. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Regards - Dr. Sumanth | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Suggest treatment for a lump under the armpit
Hi, may I answer your health queries right now ? Please type your query here...I found a lump under my right armpit/lymphnode area about five months ago (extremely small). I forgot about it until it got larger last week. I went into prompt care and recieved a ten day antibiotic which has helped some. | Welcome to health care magic. 1.The history suggest most probable cause could be lymph nodal enlargement.2.Lymph nodal enlargement is seen in case of any infection / inflammation and it can be localised or systemic.3.So treat the cause ( any underlying medical conditions).4.If its getting better as you said then its fine wait for few more days until the antibiotic course finish.5.If repeats - Get an FNAC - fine needle aspiration cytology for better evaluation. Good luck.Hope i have answered your query.Any thing to ask do not hesitate. Thank you. | |
Q. How to cure dry and flaky skin?
Hi doctor, My hands are dry and flaky. How to cure it? | Hi. I have read your concern and examined your picture (attachment removed to protect patient identity). For further information consult a dermatologist online --> | |
Can collapsed lungs cause pain around the ribcage and breathing difficulty after an injury?
98 hours ago On 7/18 4pm I tripped or stiff left arthrofibrotic knee stiffened & I fell approximately landing on front lawn with unusual rise on it. falling on far upper front left side of torso. while carrying 1 box.the rib area? hurts on 7/20 12pm my dentist always checks blood pressure was high 164/80 later on it was about 150/80 today however I am winded just climbing 1 small flight of stairs from main bungalow floor to the attic bedroomdo I have a Collapsed lung my mother's oximeter shows mid 90s | Hi, It is not impossible. I suggest you go to the nearest emergency department for an x-ray of your chest. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anders Mark Christensen, General Surgeon | |
What causes lumps in the genital area?
Hello i shave alot in my genital area im a 21 year old male very athletic work out 6 days a week which causes alot of sweat i usually shave every 3-4 days on my genital area legs thighs ass but i noticed now i have a red bump on my lower part of my penis and it does not hurt no white head either also have one under my balls and gooch area ? They are not sensative to touch it doesnot hurt to pee just showed up randomly i am sexually active ! But i have been freaking out with all this research online i get razor bumps bad when i shave think it could be from a dull razor but im freaked out i have found it could be a ingrown hair, maybe follicultis but idk please help i cant sleep been so stressed it dont seem like and std but u never know im just lookong for answers before i waste money going to see the doctor i have used hot compressors starting yesterday but idk it just seems to take forever to go away razor bumps but these two scared me because of location the one on my lower shaft and gooch area | HelloThanks for query .Based on the facts that you have posted you seem to have multiple Sebaceous Cysts over genital area (Penis ,scrotum etc).The skin in genital area is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. You need to take broad spectrum antibiotic like Doxicycline along with anti inflammatory drug like Diclofenac twice daily .Consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac)Dr.Patil. | |
What are the early signs and symptoms of pregnancy?
iam a 20 year old girl i have boyfriend even if we have limits towards our sexual affiars i have mild doubts about my health whether iam pregnant or what? already for past 5 years i have irregular mensuration what will the symptoms please help me iam studying in foreign | Dear baby,If you are having irregular menses, by and large the chances of conception get minimized to considerable extent. Delay in or missing a period cannot be relied upon to suspect pregnancy. Urine pregnancy test and/or ultrasonography may help to confirm the status of pregnancy. If there is no pregnancy, I would advise you to get your hormonal work up (FSH, LH, Prolactine, T3, T4, TSH) done to evaluate the cause of irregular menses. Ultrasonography also would be a good tool to look for Polycystic Ovarian Syndrome. Do not just ignore your irregular menses. Dr. Nishikant Shrotri | |
Can Plavix cause fluctuating blood pressure levels?
My husband is experiencing a great fluctuation in his blood pressure. If he moves from a relaxed position in his chair or lays down, his head starts to pound and his blood pressure shoots up. The last reading was 209/84 and then when he leaned back in the chair, we took it again and it was 158/78. He has had the headache on and off all day. He had heart stints put in in March of this year. He also had to be off his Plavix for 5 days in preparation of getting an Epideral injection, which got canceled. Could being off the Plavix for those 5 days be causing this issue? | Hello,I read carefully your query and understand your concern. Your husband symptoms seem to be related to high blood pressure. I suggest using Nifedipine 10 mg to lower the blood pressure.High blood pressureis not a known side effect of Plavix.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
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 --> | |
DO I HAVE CANCER\TUMOR ?
In my testis bag there are two testis and a circular body. This body is about 3 cm in size. It is soft and when pressed it disappear cusing irritation in my stomach. Wat is it? And why is it? | hello it is not necessarily cancer. there are many non cancerous tumours in testis.you should do some tests like ultrasound of both testis,urine analysis, blood tests like -cbc,esr. then you will get basic idea. further test or treatment will depend on these reports.bye | |
How can I conceive in one month?
Hi my age is 28. am trying to conceive for a few months but i can't. last month then i started clomid. but still can't.i judt started duromine today, cz i giving up. will it effect anything? cz my hubby really want a baby. am planing to conceive dis month. but am still have 29days to complete duromine. | Hi,Welcome to Health Care Magic.I am Dr Ramadevi Wani. I will be answering your concerns.It would have been nice if you had provided me some more information like your BMI, duration of marriage, regularity of menstrual cycles, results of hormone tests, ultrasound, semen analysis report etc.Dear, among couples trying for pregnancy, 80% of them conceive in the first year and 90% by the end of second year. So don't be worried. You will conceive. Among couples trying for pregnancy 25% conceive in one menstrual cycle.Since you already started Clomid last month, I presume that your baseline hormone tests and HSG for tubal patency and semen analysis for your husband are normal. If these tests are not done, please do them first, so that you receive the right treatment.Clomid is a medicine used to induce ovulation. When used for 3-6 months, it induces ovulation in 80% of users and half of them conceive.Why did you start Duromine? Duromine should not be used by women trying to conceive. It can harm your baby if you conceive. So please discontinue the medicine now. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week.Take a tablet of folic acid daily.I hope this is helpful.If you have any further concerns do contact me through Healthcare Magic.Best wishes,Dr Rama | |
How to build immunity in kids?
my son does nt eat properly. he does nt feel hungry in time. if we do not ask him for food for 4-5 hours, he still keeps on either playing or watching tv. but does nt ask for food. when he takes food, he normally says that it s very spicy. But in actual the food is not spicy. his age is 10 years, weight around 22 kg. can you help me. | Hello I have gone through your question and your concern. This all happens because fussy eating is part of children’s development. It’s a way of exploring their environment and asserting their independence. And it’s also because their appetites go up and down depending on how much they’re growing and how active they are.The good news is that children are likely to get less fussy as they get older. One day your child will probably eat and enjoy a whole range of different foods.Try inloving your child in helping you out with cooking, so that the child participates in actuvity involved with food, give a fresh fruit or a glass of homemade fresh juice daily, a boiled egg daily. Try making food more vibrant and fun to eat. Life is too exciting for children sometimes, and they’re too busy exploring the world around them to spend time eating.Children learn by testing the boundaries of acceptable behaviour. They can be very strong willed when it comes to making decisions about food (to eat or not to eat, and what to eat). It’s all part of their social, intellectual and emotional development. | |
What does a lump in the groin area indicate?
I have a lump under the skin between my vagina and thigh. It is basically on my groin muscle. It appeared about two months ago and was really small (I thought it was a zit at first). When I first got it it stung to the touch. It was also discolored, purplish. Now, it has grown and is roughly the size of my thumb nail. The color has gone down a little and it no long stings to the touch but sometimes my underwear will pinch it and that hurts. Should I go see a dermatologist, a gynocologist, or someone else? | Hello,This lump indicates possible soft tissue lesion as a sebaceous cyst, boil or else. Though a photo picture can be of immense help to guide, I recommend consulting a general surgeon for this issue.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel | |
What causes severe tail bone pain?
I have severe tail bone pain and over the last few days, I have had copious amounts of bright red blood in my ejackulate... I had the blood issue several years ago (12) and it was determined to be prostatitis (sorry spelling) worried this could be more... the pain in my tail bone and lower back and hips over the past several months... | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein and I will try to help you as much as I can.This may be arthritis of tail bone,however, I suggest to do colonoscopy and abdominal CT scan to rule out some more serious diagnoses such as tumors of colon or sacral teratoma.I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health. | |
How can I know if i have gotten cancer from teflon?
I'm 12 right now and my mother has been making me pancakes in a teflon pan for some years now. and they taste horrible. iv been geting stomach pains every morning at school from eating them. i'v been hearing that teflon gives you cancer recently. even my science teacher said that teflon coated pans are terrible for people if they start chipping. How can I know if i'v gotten cancer from teflon? | Hi,Thanks for writing in.The material used in teflon coating is not carcinogenic. It is safe to cook using FDA certified teflon coated utensils and cookware. The teflon cookware requires to be handled with care and should not have any scratches when cleaning so that the coating is ingested. If the teflon coating is breaking in places and coming out then please discard the cookware and use a new one.Slight taste differences might be there in teflon coated cooking. When you purchase new cookware please take note that it has passed quality check and FDA standards. Please use wooden ladel and avoid scratching the teflon coating. Please do not worry. | |
Suggest treatment for fever and altered sensorium due to dengue
Hi, My patient had an acute dengue fever with encephalopathy and in MRI it was found 2mm bleeding and no compression in brain. On 12.8.14 platelets conts incresed to 0.198 millions Inspite of this the patient is having return of fever and in alterd sensorium and extremely weak. The consulting MD suggested psychiatric consultation pl advise. | Hi,As you have mentioned your patient has dengue fever with thrombocytopenia (low platelets).Due to low platelets there are possibility of bleeding as in your patient mild bleeding in brain.Dengue fever is usually associated with high grade fever which may last for a week in some case.There might be following causes for altered sensorium -1) Though there is minor bleed in brain there might be associated minor swelling adolescent to bleed.2) Persistent high grade fever may.3) Electrolytes imbalance associated dengue fever.4) Psychiatry causes.Other complications that may occur in dengue fever:Low Blood pressure.Liver and Kidney function deterioration.Bleeding from other sites. So depending upon his clinical examination and his blood and other reports your doctor is in better position to take appropriate decision. | |
Q. I have shoulder pain radiating to arms and hands. Kindly advise.
Hello doctor, There is shoulder pain going into arm and hands. It intensifies with moving the neck. | Hello. I have read your concern and below is my opinion for your case. It can be nerve compression pain due to a bulging disc in the cervical spine area. I suggest you get your detailed neurological evaluation. You should get investigated with cervical spine digital X-ray to check whether any bulging disc or spondylosis is present. According to the cause, specific treatment is given. You can consult a nearby orthopedic surgeon for detailed evaluation. | |
Suggest treatment for arthritis
Dealing with arthritis in some joints but especially my hands. Have a slac wrist in my dominant hand and I know I have limited options there. My right hand is starting to hurt more in the finger joints. I m a professional cabinetmaker and have a granite and marble business. | Hello, I have studied your case with diligence.If not relieved then possibility of polyarthritis needs to be consideredRheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain?Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, ACCP, ESR, complete blood count, HLA B27Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care | |
Suffering from lower back pain, unable to sit long hours. What does MRI report mean?
Hello Sir I have low back pain and an MRI was taken, the results are as below There is centro - right paracentral protrusion of the L5-S1 disc intending the right Traversing S1 nerve root There is mild postero central protrusion of the L4-5 disc indenting the thecal sac How do I go about this, the pain is terrible and cannot sit for more than 25 min, please help | Hello, Thanks for writing to us. I understand you have back pain . You are suffering from Prolapsed intervertebral disc ( PIVD) where the nerves get compressed by the protruded disc. There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks. If you dont get better with these treatment , surgery is the option, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms. So I suggest discuss these with your orthopaedician. Wishing you good health... Regards. Dr Saurabh Gupta. | |
What causes sense of leaking heart after implantation of stent?
My dad had a stint put in in October. He's felt chest compressions and tightness in his chest the last few days. Last night he said it felt like his heart was leaking.... Does this make sense? He won't go to the dr. because he went Monday and the dr set up a stress test, but it isn't until March. | Hello,Brief answer: This is a false sensation but anginal pain should be checked.Explanation: My opinion is that shortly after percutaneous coronary intervention many people experience some chest discomfort or a sensation of leaking heart but these all are false senses. If your dad is experiencing some chest pain like the ones he experienced before that would be an issue. I suggest my patients the following: to be adherent to the anti-ischemic medications like Aspirin, Plavix, etc., and avoid any stress or over exertion.Conclusion: I suggest you not to be alarmed by such simple complaint. Stick to medications. Only chest pain, sweating, and nausea are the red alarm complaint that you should go the ER.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mahmmad Gamal | |
Does imitinef mercilet cure blood cancer?
Hi I just received a forwarded mail from one of my friends saying "'Imitinef Mercilet' is a medicine which cures blood cancer. Its available free of cost at "Adyar Cancer Institute in Chennai". Please advice, is this a true information or just a false one. Thanks Sibi | Thanks for your question on Health Care Magic. I can understand your concern. Cancer is not curable. It can not be removed for the body. It can be controlled through surgery, chemotherapy and radiotherapy. For blood cancer, remission is the word used for controlled stage. So to keep blood cancer in remission, imitinib is used. It is newer monoclonal antibody, helps in many blood cancers like AML and CML. It does not help in all blood cancer. It also does not cure blood cancer. It just keep blood cancer in remission. So don't believe blindly in such messages. Hope I have solved your query. Wish you good health. Thanks. | |
What causes back pain and stomach cramps after chemotherapy?
My dad had a total gastrectomy in oct 2011 and had follow up chemo due to having eosphogal cancer. In the last few weeks he has developed severe back pain and stomach cramps along with being sick after some foods - however soups he can tolerate. Any advice would be great! | Chemotherapy causes nausea and vomiting as a side effect by destroying the lining of the digestive system. This lining regenerates after the chemotherapy is stopped but during it , these side effects are common. You need to do 2 things. First take anti-vomiting drug (Tab Ondansitron 8mg thrice daily or SOS) and maintain a sufficient diet to allow regeneration of the lining. Since his appetite will be down, try finding foods that he tolerates or likes and increase their amount and supplement them with vitamins and protein powders. He will like sour foods better than sweet or salty. As to the back pain, it can only be decreased by taking pain kilers. Tab Paracetamol 1g thrice daily should suffice. | |
How to ascertain whether my daughter had hepatitis?
Hi....My daughter, who is 23yrs old now, is traveling to India in November. She s asking me if she ever had a hepatitis A and typhoid shot as part of her shot series growing up....Would these two things have been part of her series as I cannot remember that far back! | Hello,Welcome to Healthcare Magic.Typhoid vaccine is given orally with 3 doses.hepatitis vaccine is there but not for A type, given 3 injections.Hepatitis B and typhoid were not given before,Now both are given in India.In foreign countries, both shots are given so don't worry.But please consult your doctor and do blood test for vaccine level in the body means proper immunity is there or not.Hope these all will help you a lot.Thanks for contacting us.take care.... | |
Is there any method to get pregnant ?
which is best position to conceive and wat we have to do to conceive is there any method to take rest like tat pls tell me | hello, to conceive you have to maintain the sexual relationship during the fertile period.that period generally starts 14 days prior to 1st day of your normal regular cycle.so try for 2 to 3 days sexual relationship during that period. | |
What causes a 'shadow on liver' on MRI scan?
my father has had colon cancer twice and has had all of his colon removed. On his mri scan they have now found a shadow on his liver, he is due to see his surgeon in a months time to discuss this, this seems strange to me that they are leaving it so long, he also has Addison's disease which has given him many complications. | Difficult to say without seeing the images. But one thing must be ruled out. If your father had colon cancer (even twice) there is the risk of developing liver metastases. This means that there lesions due to colon cancer in his liver.So that's the question to ask whether this "shadow" is a liver lesion or not. As soon as possible. | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Q. I am in braces for bimaxillary protrusion but the space is not getting closed. Why?
Hello doctor, It has been seven months since I got my braces on. I got then to treat bimaxillary protrusion. My dentist has placed thin wires and elastics and also extracted four teeth to make space. The space has not yet completely closed and he has never changed the wires. When I asked him when he would change the wires, he replied that he would not be removing the wires. For the monthly appointments, only repairments of broken braces were done. For a few appointments, he did not even change the elastics. Should I continue with the same treatment or should I change to another orthodontist? Please reply as I am extremely worried about the situation. | Hello. As per your description, you are having bimaxillary protrusion. Case told by you needs extraction. In the initial phase, alignment of the teeth occurs. Wire will proceed only when correction happen with previous wire till then the only religation has to be done. When there is bracket debonding or bracket broken in that case treatment gets delayed, so for that purpose you have to take care not to break or debond the bracket. To avoid bracket debonding you have to follow certain precautions in oral hygiene measure and while taking food, i.e. avoid sticky, hard food, etc. Space closure occurs on SS (stainless steel) wire that is a stiff wire. Again, I would like to see the images of your concerned area of the upper and lower arch for a detailed discussion of your problem. | |
Could the problem in kidney be due to the removal of stones in the past?
Within the past 4-5 months I have had bowl accidents without feeling them come on. I have had problems with my kidneys and the right kidney is good and the left works approx. 14%. Within the last 4 years I have had 2 surgeries for very large stones. Do you feel this has anything to do with my kidney s and should I make an apt w/ my kidney specialist? Both time the kidney stones were discovered by accident. There was no pain involved. | HelloThanks for query .You had undergone surgeries for removal of stones in left kidney twice in last four years .Function of the left kidney is detected to be only 14 % .This suggest damage of the kidney due to long standing presence of stones in kidney what is called as calculus kidney failure Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) DMSA scan to assess kidney function 4) Renal function tests.Further treatment will depend upon result of these tests and final diagnosis.Dr.Patil. | |
Q. How can I cure dry skin around my lips that is peeling off?
Hello doctor, My skin around the lip is always dry and peeling off. I tried applying all natural moisturizers like ghee, olive oil, etc. My doctor has asked me to take Neurobion for vitamin deficiency. Still, no improvement related to dryness. Kindly suggest a remedy for this. | Hi. I suggest you apply Flutivate (Fluticasone propionate) cream, twice daily for a week. Thereafter, I suggest you apply NMF-e lip balm, 2 to 3 times in a day. For more information consult a dermatologist online --> | |
What causes cough along with fatigue and nausea?
I had a low grade fever for over a week with cough, fatigue, nausea, shortness of breath, chills and sweating. At day 9, I was diagnosed with pneumonia. I was given Levaquin 750 mg 1 time daily for 5 days. It is now 3 days after my last antibiotic and my temp is back to normal, breathing is better, fatigue comes and goes, no more chills but I still have nausea and I break out in sweats whenever I do anything (like sometimes just walking to the bathroom and back). Is it normal or expected that I will still have sweating (including night sweats) and nausea for a time after the fever is resolved? How long should I expect these symptoms to continue? | You should again consult your chest physician & get a chest xray done, to see whether your pneumonia has been resolved or not...because some atypical infection may not respond or partially respond to an antibiotic. So consult your chest physician | |
Is it normal to have pain after knee pops out and then went back to its place?
hey so last night I was dancing and my knee pops out of place and goes pack to place this is the 2nd time it happened the first time it happened was 2 years ago. last night after my knee went back to place I had pain yet today when I woke up it kind of hurt when I walked. now im scare it can pop again . is it normal to have a little pain yet the next day ? | Hi your knee pops out when you dance and goes back and has residual pain after that. My diagnosis would be a recurrent dislocation of patella or it could be discoid meniscus. Discoid meniscus is generally harmless but repeated pain may invite operation. Recurrent dislocation will require quadriceps strengthening exercises and if recurrence persists then operation. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Suggest treatment for phimosis
Can I lead a normal healthy life&have a good sex life after marriage with tight foreskin problem(Phimosis)? I am 28 years old and I have a tight foreskin problem (Phimosis) of the penis. I cannot pull back my foreskin totally to reveal the head of the penis even during complete erection. I have seen the foreskin roll down completely in **** movies, but its just not possible for me to do the same even during complete erection. Moreover, the head of my penis (under the foreskin) is very very sensitive, so I am scared to pull it back completely. I am planning to get married soon, so I am even more worried now that it will affect my sex life after marriage. Is this normal for guys my age? Will I be able to lead a normal and healthy life without any complications with this problem? | Hi,From history it seems that you have tight foreskin.After marriage it can give rise some problem like para-phimosis.So it is advisable to go for Circumcision procedure before marriage.Afterwards you will have good marital life with full enjoyment.Ok and take care. | |
Back pain, MRI shows injury in L2,3,4. Second MRI shows enlarged fibroid uterus. Advise?
Sure,i was injury I have problem in my L2,3,4, according the MRI,It s about 10 months ago ,my doctor asked me for another now because I have pain in my low back and numbness in my legs, in the impression they mention" incidentally identified is an enlarged fibroid uterus. What do you think about that, it was not there in the 1st MRI? | HI, thanks for using healthcare magicWhen imaging investigations are requested, a specific area is scanned.If at the time of your previous MRI, there was no imaging directed in the region of the pelvis (where the uterus is found), then the fibroids would not be seen.In addition, imaging is user dependent. One technologist may miss what another is able to see on scanning.I hope this helps | |
What causes sore throat and swollen lymph nodes?
hi,My Dr, took a culture from throat. i have swollen nodes and some sore throat that comes and goes.the culture results shows ihave citrobacter koseri,the Dr prescribed me with Antibiotic for 10 days. the symptoms i have are related to citrobacter koseri? i couldnt find much information about it.Thank you! | Hello,"As" per your clinical history is concerned Citrobacter koseri is a gram-negative, non-spore-forming bacillus. A complete course of antibiotics and do warm saline gargle three times a day. For pain and fever, you can take Paracetamol and take soft foods. Do follow preventive steps like this-1)Try to clean your hands using soap and water or an alcohol-based hand sanitizer.2)Try to cover your mouth when you cough or sneeze.3)Don't share your personal items like drinking glasses or eating utensils. Wash those items carefully in hot, soapy water or in a dishwasher.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Uday Nath Sahoo | |
Unable to lift arm above head after rotator cuff repair. Should I be concerned?
Hi, I ll be 10 weeks post op rotator cuff repair surgery. I had a complete tear of the rotator cuff tendon from the bone due to an acute traumatic injury. I also had a biceps tenodesis done too. I did not have any problems with my shoulder before my injury. I m just concerned that I have not gotten full range of motion yet. I m able to lift my arm up in front about 110 degrees but not over my head yet. I have been to physical therapy sessions for 5 weeks now with 9 pt sessions so far and I have been doing my pt exercises as prescribed by my physical therapist. Should I be alarmed that I am not able to lift my arm over my head at 10 weeks post op? When do you actually attain full range of motion after the kind of surgery I had? | Hi You had rotator cuff tear and biceps tendinosis. You underwent surgery for repair of rotator duff and biceps tendon, After rotator cuff repair , the recovery takes long time sometimes more than 3 months. In my opinion you continue with physiotherapy for 4-6 weeks and then if you feel, can go for consultation again with your surgeon. | |
Diagonised with Schizophrenic and Chrons disease
I have a brother who is a diagnosed Schizophrenic and is now an anorexic he is 64 years old and also has Chrons disease, I am not sure how to help him as he is becoming increasingly bad tempered and difficult even though I try hard to help him in all ways,Regards from His Big sister | Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.You have not mentioned which medicines he is on. There are many good antipsychotics available and he should improve with good medicines such as olanzapine or risperidone or aripiprazole etc. If he is a resistant schizophrenia then clozapine can benefit him a lot. Further his appetite can be improved with cyproheptadine. Do discuss these issues with his psychiatrist. Also if he is so emaciated then consider get him admitted in a psychiatry unit until his physical status improves. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | |
What causes itchy burning sensation of penis during intercourse?
I had intercourse with a women who was red all over her vigiana, looked more like a red sun burn on her. I was also using this new brand of condom and at that same Instance I felt this burning sensation on my penis so we stoped for the night and every time we had sex again it would itch more and burn more. My penis kept burning the groin area and itching ans sometimes feel a tingle feeling in the legs and butt. I Stayed that way for months straight ever since that one night it started. I felt weak in my legs , lazy, and had pimples on my face. It stopped after and comes back after months or a year and it just burns and turns my groin red and my penis shaft red again. Please help or guide me on what it might be? | Hello,Welcome to healthcaremagic.com,From your complains- burning sensation on penis, itching over penis and groin region which started after having an unprotected sexual intercourse is suggestive of a sexually transmitted genital infection. To be more specific, if you have reddish coloured lesions, erosions/vesicles over genitals, painful to touch, mucoid discharge along with above mentioned complaints, than mostly likely you have contracted genital herpes.Genital herpes is caused by a virus named herpes simplex , contracted by having an unprotected vaginal/ anal/ oral sex. Usually first infection is severe as compared to recurrent infection. Frequency of recurrent infection is high. Diagnosis can be confirmed by ELISA detecting viral antigens. Treatment involves :- 1. Acyclovir an antiviral agents is used for suppressing the infection for 5-7 days is required. If number of recurrences is more than 9 times in a year than, treatment needs to be continued for about a year.2. Maintain genital hygiene, wash genitals with luke warm normal saline solution, dry with soft cloth, don't apply any ointment, antiseptic agent to lesions, wear clean loose undergarments.3. Avoid sexual intercourse for at least 2 weeks. Check whether your partner do have the similar lesions, if so than treatment is must for partner as well.4. Precautions involves avoidance of unprotected sexual practices. Maintain healthy diet and drink plenty of fluids as well during treatment.I would suggest you to consult a venereologist as well, before starting treatment, get a screen done for other sexually transmitted diseases as well.Thank you. | |
Painful stomach, numbness, tingling sensation, heartburn. Do I need to worry about it?
I started having pain at top of stomach about 3 weeks ago. Some days worse some days better. Last night I woke up to numbness and tingling in left arm. It got a little better this morning. This afternoon after lunch - arm went dead and "heartburn" worsened. I started back on the treadmill yesterday after being off of it for 2 weeks. Is this something to worry about? | Hello there! i read your query and i feel like you need to visit ER as these heart burns associated with limb numbness may present the basal aspects of cardiac MI. Once that is ruled out all you would need will be some good care of your heart burn and reflux. Which a good lifestyle and diet modifications would be enough to provide relief.But before that you need to rule out cardiac involvement. EKG would be a good start.After clearing that doubt follow below mentioned tips to help your disturbed tummy1.lose weight ( if overweight) divide your weight to the height in meters twice and if the result is more than 25 reduce the weight. 2.Avoid alcohol, chocolate, citrus based fruits,tomato based products3.avoid pepper mint coffe and possibly the onion family4.eat small freequent meals rather than large meals.5.wait at least 3 hours after the meal to lie down or sleep.6.refrain from ingesting food (except liquids) with in 3 hours of bed time.7.eleate te head of your bed at least 8 inches8.avoid bending or stooping positions9.dont use nsaids10.dont smoke11. have a proper sleep routine12. use cold milk as drink avoid all hot beverages and carbonated onesi hope i was of help. take careregardsDr S Khan | |
What causes sharp left-sided lower abdominal pain?
Hi I am a 61 yr. old male I have been experiencing a sharp shooting pain in my lower left abdomin,also quiet abit of rumbling, also I have been hurting so bad on a daily basis on my lower left stratle -- private area-- I have no idea whats going on I know it hurts. thank you. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your pain is classic loin to groin pain which starts from lower back and shoots towards the groin which is suggestive to kidney involvement, in most of the cases the cause is kidney stone or renal infection. I would recommend you to get ultrasound kidney ureter and bladder done along with complete urine examination to rule out the cause of pain. To control the pain I would recommend you to use Diclofenac once or twice a day as required. Hope I have answered your query. Let me know if I can assist you further. | |
What causes breathlessness, heart palpitations and fatigue?
I m a 43 year old woman, 5 7 , 217 lbs. For the last few months, I ve had on and off shortness of breath, racing or palpitating heart, fatique and periodic indigestion. I m overweight, so assuming something to do with that... However, for the last couple weeks, It s been getting worse and now when I feel the heart palpitations, it s like something pressuring my throat or something - makes me almost want to cough? I also have tingling in the backs of my legs. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would like to tell you that palpitation with shortness of breath can be indicative of underlying heart disease which may require proper evaluation for the right treatment. It's recommended for you to get an basic cardiac evaluation which include: 1. ECG 2. Echocardiography 3. Treadmill Test 4. Lipid Profile Hope I have answered your query. Let me know if I can assist you further. Kind Regards Dr. Bhanu Partap | |
Dark brownish pigmentation on lower breast fold. Not acanthosis nigricans, PCOS related. What is it?
Hi I have a slightly dark brownish pigmentation of only one of my breast. It is around the lower fold, hasn't changed color or consistency, seems like lines and dots, doesn't itch or pain. I m 25, Indian subcontinent region, healthy, no previous health histories other than appendectomy. It is not acanthosis nigricans or PCOS related. Doesn't seem like a fungal or any infection. It as been there for about a month now. No trauma to the region as well. | Hi,Thanks for writing to us.Certain areas over body like groins, underarms, infra mammary areas( areas beneath breast) are prone to pigmentation due to friction, trapped sweat and thriving of fungus bacteria etc. So chances are the pigmentation in your case is due to friction. abut definitely other conditions like acanthosis, fungal infection should be ruled out. If it's just pigmentation, application of hydroquinone cream once daily would help resolve it.Hope this helped.Take care. | |
Q. What causes continuous dry cough for a month?
Hi doctor, I am having continuous dry cough for a month. I took antibiotics and cough syrup, still no improvement. What should I do next? Need to undergo TB test or X-ray. Please advice. | Hi. I have read through your query in detail. Please find my observations below. In the pictures sent, there is no obvious large abnormality seen (attachment removed to protect patient identity). However the X-ray image quality is not very clear and if you are having dry cough not responding to antibiotics therefore more detailed investigation is required. TB usually causes chronic cough with fever and weight loss and should be confirmed clinically. Right now I suggest you get a CT scan of chest done to investigate for causes leading to cough for more than a month. Complete blood count is also important to know if you are having any infection or allergy. | |
What causes body aches, fever and heat rash on chest and arms?
My son is 14 he started with body aches and fever 2 days ago then some small red bumps on the roof of his mouth and sore throat and like a heat rash across his chest and arms now he has a rash on his feet also one larger bump on his left ear. Any idea what this is? | Hello,Thankyou for your question.Brief answer..It could be measlesDetailed answer..Since from the history of rashes distribution ,like first in mouth,then chest then arms is typical of measles rashes distribution.And in mouth typical koplick spots can be seen.And also all other symptoms occur in measles.As measles is very much virulent disease ,and my opinion would be promptly get checked by your doctor for confirmation ,as he may needs isolation for some days to prevent other children and family members.Regards,Dr.Maheshwari | |
Taking Defcort and HCQS for SLE. Tests normal. Reason for infected teeth?
hi doctor,i am sle patient. using hcqs and defcort 6 from 2009. now i am not able to take both and i dropped defcort 6 and hardly once in 2 days iam taking hcqs every 6 months i am taking all test including c3 level everything is normal. i want to know is it i am indanger for my health nowadays my teethare get infected and i am under going treatment for my teeth is it because of these defcort6 and hcqs i am confussed | hellosystemic lupus erythematosis involves almost all organs of the body.. skin, muscles, blood heart, brain, nerves, kidney, lungs, reproductive organs and even oral cavity is affected... patients having this disease often complain of white patches in oral mucosa which sometimes bleed and sometimes get infected by fungus ..maintaining oral hygiene in this disease becomes difficult...so people develop dental problems like infected teeth and i think the same is happening with you.. now about the drugs ... see the drugs you were taking generally do no harm to the teeth but since you took them for a long time they may cause dental problems like discolouration of teeth and also inflammation of gingival tissues.. friend as now you have stopped taking medicines and you say you normal and have no signs of SLE , now it is correct time to take dental treatment under a good dentall surgeon and please do tell him about your SLE and drugs which you were taking . this will help him to plan the treatment accordingly....hope it helps thank you... follow up is invited | |
Can continuous usage of aspirins cause hemorrhage?
Iam afraid i might have cancer. I havent consulted with a doctor yet but iam pretty sure. And I read aspirins might help fight cancer so I toke one daily for 3 days now. But then i read they might cause haemhorrage. Do you think I may get an heamhorrage? Iam 17. | Hello, Aspirin is a blood thinner and there is always chance for spontaneous bleeding and the chances of bleeding is high after a minor trauma. However, there is no need to take aspirin unnecessarily. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain | |
Is masturbation healthy ? Does it have any harmful effects on general health and face ?
hello doctor I am 22 year old i am doing masturbating at the age of 18 every second day. please help me how I leave it i think it effect my health and also on my face . please giva me a right solution. | 1.**MASTURBATION is always a bad activity because it is a sign of mental disfaction and cause depression problems if continue in future. ..MASTURBATION is harmful with patient's of depression and stress because MASTURBATION always load your body of mental intoxications.It is always mentioned that MASTURBATION is a healthy sexual behavior.Like other behaviors,when over practiced or addicted it can lead to really serious psychological and physiological imbalances overall in body. ..MASTURBATION and ejaculation seriously activate nervous functions excessively just due to which excessive sex hormones are produced so there is a big change of body chemistry all due to very frequent MASTURBATION. ..One should eat products like Soyabean/ Spirulina and try to avoid excessively consumption of coffee. It is always recommended to intake more sea foods and seaweed,vegetables. avoid and then minimize red meat and dairy product intake;use orange juice;One should also raise the intake of pure drinking water in daily routine | |
Q. Master health check up found some abnormality in liver function. Please advise.
Dear doctor, I am 47, 5 feet 6 inch, 78 kg. I had gone through master health check up on the 29th. Found some abnormality in liver function. A:G ratio 1.83, SGPT/ALT 121, SGOT/AST 62, triglyceride 336, total cholesterol 195, TC/HDL 5.42. Please advise me suitable medicine/treatment. | Hi. The attached reports (attachment removed to protect patient identity) show mild variation in liver enzymes. This looks like a fatty liver disease. To complete the evaluation, you need to get an ultrasound scan of the abdomen to assess the liver. Regarding approach, it includes diet modification, regular physical activity, and medicines. Do you have any other illness? Any other treatments previously? For more information consult a medical gastroenterologist online --> | |
Is 2 1/2 year old not speaking in full sentences normal?
My son is 2years 6 months old.He cant speak full sentence but he can tell few word like mummy, papa.He is going to kidzee school for the last 1 yr and from there teacher is saying that to go to speech therapist, as he is not speaking. Will we take take or its normal as this age. Please help | Yes you need to get him evaluated. Look for other social milestones like eye contact, whether he likes to be alone or play with other kids. Get his hearing test done and accordingly therapy should be started. You should not delay his evaluation as this is time when child develop majority of speech. | |
Will not taking Cymbalta for 5 days cause any side effects?
I have been taking Cymbalta for about 4 years now, but I was unable to get my prescription for 5 days. Is 5 days (cold-turkey) soon enough to start feeling the effects of not taking my medicine? I ve been completely anxious and upset the last two days... | HiI admire you for positive outlook.If your illness and depression has not properly recover and you stopped to take medicines then it may result in worsening in illness.Cymbalta contain duloxetin and and it may cause re emergence of symptoms within 1 week of discontinuation.So if you feel then consult psychiatrist and get prescription as early as possible.Need to maintain proper compliance and continuity un medicine for better and faster control in illness.Thank you.Get well soon. | |
What are the side effects of thyroid medicines?
i HAVE BEEEN SUFFERING FROM A ALLERGIC RASH FOR TWO YEARS ALSO CAME DOWN WITH AN AUTOIMMUNE DISORDER CALLED STILLS DISEASE LAST YEAR. SINCE BEING ON PREDNISONE THE RASH WS GONE. NOW iM TRYING TO GET OFF THE PREDNISONE AND THE RAS IS BACK WITHA VENGENCE! i THINK ITS MY THYROID MEDICINE? i RECENTLY CHANGED THE MED TO A WHITE FORM TO SEE IF IT WAS THE DYE ........ TOOK MY FIRST DOSE THIS MORNING AND 1 HOUR LATER iM ITICHING AGAIN LIKE CRAZY. i CAN T GO TO LONG WITHOUT THYROID MEDICINE I GET SO TIRED. wHAT OTHER INGREDIENTS IN THE MEDICINE COULD BE CAUSING AN ALLERGIC REACTION? IS THERE A NATURAL ALTERNATIVE? | Hi, Headache, insomnia, giddiness, nervousness, irritability, fever, hot flashes and flushes, perspiration, sweating, palpitation (pounding heartbeats or fluttering in chest), changes in menstrual cycles and appetite or weight changes are some common side effects of thyroid medicines. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ajeet Singh, General & Family Physician | |
Is kidney transplantation advisable for the damage of both the kidneys?
Hello DrMy name is Rabbi. I am from London. My Dad both kidey damedgee and Dr saying he needs kidney transplant. Unfortunatly i am in doubt . I am looking for good Dr in India who can do some test for my Dad and see exactly what is the problem he has in his kidney. Could you pleas tell me how can i find good hospital in India? Thank you. | helloThanks for query .Your father has been diagnosed to have Chronic renal Paranchymal Disease and advised renal transplant .Please consult qualified Nephrologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Renal function tests 4) Renal biopsy to confirm stage of his kidney disease .5) Serum lipid profile .There are many centers and Hospitals in India(Bangalore ,Chennai.Mumbai ,Nadiad in Gujrath and Delhi )doing renal transplants routinely and it is economically much cheaper than U.K . Further treatment whether he need renal transplant will depend upon result of these tests and final diagnosis.Dr.Patil. | |
What is the treatment for epilepsy?
Dear Sir I need your help. My niece age 13 years. when she was very young just at the age of 2 years . She get suffering from epilepsy. The locals doctors advised epival syrup. We regularly use it for the period of 7 years. Then doctor advise to stop it .After a span of 5 or 6 years she got again epilepsy . Now you are requested to please guide us what should we do . We are very upset . Is it curable or not ? Kind Regards Ayaz Pakistan | Hello dear friend,I understand your concerns.Epilepsy,in more than 90 percent of the cases can be controlled well with medicines and a few percentage of epilepsy cases which are not controlled well with medicines need epilepsy surgery,which again has promising results.Complete cure of the disease,may not be achievable in all cases but good control definitely is.Proper treatment is possible only with proper diagnosis.What type of seizure and what is the cause of seizure?These guide the choice of treatment.Go to a neurologist,he will evaluate for the causes and type of epilepsy.He will probably get a MRI(magnetic resonance imaging)brain done and other relevant investigations.Still need help,please respond.Sir isaac newton,Abraham lincoln had epilepsy with great control.And they were great people,is it? | |
Will additional bone on the rib cage cause any problem?
hi, my daughter has had something like an additional bone on her rib cage/ breast bone ?? since she was a baby, when ı first realized it i showed the pediatrician who said that its nothing to worry about.. now she is 16 and the bone is now under her breast, would this mean any problems for the future ? | thanks for your question I completely understand your question as long as it is stable and does not grow , or compress any of the vital organs , no need to worry .if it grows and compresses any vital organs or gives pain or any other symptoms due to compression then you need to take action otherwise no problemthanksdont worryfeel free to ask more questions may god bless your family with good health | |
What causes tingling of lips and eyes and disorientation?
Yes, my daughter 29 yr/old has been sick head/chest cold for a week. went to campus doc. symptoms light headed out of it . as asked to breath hard her lips and eye balls started to tingle, heavy breathing disorientation. no psneumonia (camp doc). still feels disoriented can t think with tingly lips and eyes? help | I do not know whether she is really disoriented i e cut of from surrounding time ,space and person.Otherwise it may be simply case of over breathing causing transient alkalosis thereby reduced ionic calcium which may cause tingling,numbness and light headed sensation. | |
Can taking Clavam bid be safe for high fever?
Hello doctor, My son 3.5 yrs old, having fever from last sun 14th sep.it went high up to 105.whn ever gvn ibugesic plus it comes to normal n as the effect goes agn shoots up by 104.blood test done but all reports r normal. I m consulting a homeopathic doc.2day she asked for clavam bid 228.is it good to start antibiotic. Please suggest me some remedy. | Hi dear welcome to the HCM,High grade fever in this rainy season . chances are of viral origin.Syrup Paracetamol @ 15 mg per kg 4 to 6 hourly to be given.Plenty of water .Tap water sponging SOS.Take care of the nutrition,If fever do not subside in 3 to 4 days then one should be investigated in terms of CBC, ESR, TYPHI DOT TEST, MALATRIA ANTIGEN. DENGUE SEROLOGY etc. with the consultation of your pediatrician.Clavam is an antibitic to be advised by the pediatrician only with the conclusion of any bacterial infection after the proper investigation.A homeopathic using antibiotic is not justified. Thanks | |
Is pregnancy possible if semen is pushed out of vagina after sex?
Hi, may I answer your health queries right now ? Please type your query here... hi!i had unprotected sex with my boyfriend a day after my menstrual period and then after the sex,i pushed the semen out of my vagina,my question is will i get pregnant even though i pushed the semen out after sex? | Hi there, I have understood your concern. I will suggest you the best possible treatment options. First of all do not panic. As you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. If you happen to have unprotected sex act in the fertile period, then you stand chance to get pregnant . As you have mentioned that you had unprotected sex act a day after your menses, chances of getting pregnant are almost nil. Secondly, when you have unprotected sex act with penetrative sex and semen ejaculation inside the vagina, the actively motile sperms immediately enter inside the womb. So pushing out of semen will not help to prevent the pregnancy, when you are in the fertile period of cycle. So please use suitable contraceptive method like condom to prevent the unwanted pregnancy. Please get proper sex counselling done before hand.I hope this answer helps you . Thanks. Dr Purushottam Neurgaonkar | |
Q. Water comes out of nose while drinking after molar extraction. Kindly advise.
Hello doctor, I had a molar extraction and now water I drink comes out of my nose. I consulted an oral surgeon and he did a small surgery and gave stitches three times but no result. Is it very dangerous? Please advice further medication and treatment. | Hello. Usually, the area should be adequately closed by suture. This happens due to a hole in nasal sinus when the upper molar tooth is extracted. It is dangerous in long term if the hole does not close on its own. The hole should heal in a week or two when the wound caused by the tooth is healed fully. If it does not and you face the same problem, then you need to ask your surgeon to properly close it again. | |
Q. How to overcome my low confidence, and poor concentration?
Hello doctor, I am a 26-year-old male. I have shyness in public, low confidence, and poor concentration in studies with anxiety, escaping attitude. I am afraid of driving alone and have a fear of giving interviews. | Hello. The symptoms you have mentioned are low confidence, shyness in public, escaping attitude, fear of interviews. These symptoms point towards a diagnosis of social phobia. The most studied and most effective treatment for phobias is behavior therapy. A variety of behavioral treatment techniques have been used, the most common being systematic desensitization. In this method, the client is exposed serially to a predetermined list of anxiety-provoking stimuli graded in a hierarchy from the least to the most frightening. Through the use of anti-anxiety drugs and instruction in muscle relaxation, clients are taught how to induce in themselves both mental and physical relaxation. Once they have mastered the techniques, clients are taught to use them to induce relaxation in the face of each anxiety-provoking stimulus. As they become desensitized to each stimulus in the scale, the patients move up to the next stimulus until, ultimately, what previously produced the most anxiety no longer elicits the painful effect. Effective drugs for the treatment of social phobia include (1) Selective serotonin reuptake inhibitors (SSRIs) like Paroxetine or Escitalopram. (2) The Benzodiazepines like Ativan or Rivotril. Another option is to take tablet Beta cap 20 mg 30 minutes before you are going to face an anxiety-provoking situation. Please visit your nearest psychiatrist for proper evaluation and treatment. | |
Gradually reducing sperm count. Any ways to increase it ?
hello sir ..m AAAAA ..and m married 2 yrs past....i ve a broblem that low sperm count ...it was 14million..before met the doctor..and taken spemen tab...for 3 month....then the count was 56 million...but now its slowly reduce its self....4month before 38mil after 30mil.....but now only 5million....m still taking medical as for doctor addvice.....can u plz tell me any sollution....please | HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as Azoospermia.and your sperm count is fluctuating over a period of last four months.Truly speaking there are no medicines that can increase sperm count however Following measure will help you to increase sperm count .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Repeat semen analysis after three months under ideal circumstances (After abstinence for 3 days ).Dr.Patil. | |
Suggest treatment for lump in breast after accident
I was in a fatal car crash 2 weeks ago, my seatbelt left a large bruise almost completely covering my right breast. I wear a d cup and sometimes a dd so that s nothing small. The bruise is almost completely gone but there s now a lump- not a huge one but a lump I did not recognize prior to the accident. Could this be a hematoma? Should I be alarmed? | Hello and welcome to HCM,A breast lump formed after trauma is most probably due to organised hematoma.Traumatic fat necrosis is also one of the possibility.However, the history does not point towards any malignancy.A clinical assessment and imaging study of the lesion is required.Imaging will determine the site and probable nature of the lesion.An aspiration cytology will also help.In aspiration cytology, a needle is inserted into the lesion, cells are aspirated, spread on a slide and stained with appropriate stains and examined under microscope.On studying the cells, the probable nature of lesion is known and thus management can be planned.Thanks and take careDr Shailja P Wahal | |
Had a fall. Dizziness, vomiting. Done blood and urine work, normal. Worry?
Hi, I have gone to the ER twice now. Once the morning after I saved a duckling from a storm drain but fell on rocks I couldn't see and ingested the water and throwing up multiple times after. Both times my Blood and urine came back ok. Yesterday I became extremely dizzy, vomited multiple times and collapsed at work. I went back to the ER (this was the second time). Today I started with orange diarrhea (this is day 5 now with diarrhea). My shoes are stained orange from the drain I fell in. I am still extremely nauseous and get dizzy when I walk. Should I still be worried or should I find another doctor for more than urine and blood tests? | Hi there ~I am sorry that you had a fall and have been having dizziness and vomiting since then. I also believe that the blood and urine work were normal and it is the least of your concern. I also think that the symptoms you are having are a result of the concussion your brain suffered with the fall. If you did not have loss of consciousness, you probably do not need a CT scan to rule out bleeding inside your head. I hope you visit with a doctor however if there is any other history that you should let them know. I hope this helps.Take care and have a lovely day! | |
Suggest remedy for bruises/lumps in the back
I fell a few weeks ago and badly bruised my back.. It was navy blue from my shoulder blades to my coxix.. My Dr gave me anti inflammatory cream for a large hematoma at the base of my spine. This about 3 inches round and protrudes about a centimeter. The injury happened a week before easter and although the bruising had gone ..the lump is still there an hot and painful. | Dear friend, You having a post traumatic bruise and lump. Bruise go away but lump still persist. You having pain at locally and also it going hot. All the things you mentioned are going toward a diagnosis of developing abscess. Post traumatic hematoma and abscess is not so uncommon. You need a surgical opinion and should start antibiotics. If abscess develops, then you need surgical treatment as incision and drainage.Thanking you,Get Well Soon. | |
What causes lack of erection after having a baby at the age of 31?
Hi Doctor, I have a question , I am 31 age old working as software engineer . I am married and i have a baby he is 5 year old . Now we are trying for another baby , But now i have many problems during the sex with my wife. my penis not getting proper erection , even if i getting the erection after a long oral play , its going to normal position before inserting to vagina . I am so disappointing and my wife is not happy with me because of this. Earlier i had good sex life and we use to play 2 or 3 time in a day and she was happy even my penis is small. Please advise me .. regads | Thanks for asking in healthcaremagic forum It may be because of stress and performance anxiety. Night shifts and late night duties can cause stress and inturn affect you like this. So, take a break from work and roam around for few days to get postitive results. If it persists then visit a doctor. All the best. | |
What is the treatment for cortical cysts in kidney?
Hi, I am 45 yrs old male, have a medical history of Ca of Urinary bladder, operated in 2006 and implanted neobladder (prostrate removed). In a recent routine CT scan of whole abdomen, report states : The report states as under : " Both kidneys are normal in size and show good symmetrical cortical enhancement . Right kidney shows lobulated outline with few simple cortical cysts. "considering my medical history, pls advise me hat is this? is there any need to worry? what could be the treatment?best regardsPradeep Sharma YYYY@YYYY | Hello Thanks for writing to HCMYou shouldn't worry at all.Cortical cyst is a very common type of kidney cyst. As it is located at the renal cortex,it is called as cortical cyst. It is a fluid-filled sac growing in the outer area of the kidneys. Exact cause is not known.It might be caused by infections,injuries or genetic issues.Usually very small cysts don't cause any problem.If the cyst grows larger,patient might have pain or pressure in back or sides.You need dietary and lifestyle Changes.Take less sodium in your diet and avoid spicy,fried food.You need follow up scan and proper treatment depend upon size,symptoms etc.Hope I have answered your question.Take CareDr.Indu Bhushan | |
Suggest treatment for severe chest pain
I have had chest pain which was going with drinking water in 5 years but at the end of my pregnancy I started having problem with swallowing food my baby is 6 month old now and iam still suffering . I read in many pages that can be a cancer could please help me | Thanks for your question on HCM. I can understand your situation and problem. By your history and description in my opinion you are mostly having GERD (gastroesophageal reflux disease). Now you are also having difficulty in swallowing. So we need to rule out esophageal mass lesion. So consult gastroenterologist and get done upper GI scopy to rule out esophageal mass. This will also helpful in diagnosis of GERD. So first diagnose yourself and then start appropriate treatment. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Avoid stress and tension. Start proton pump inhibitors etc are needed for symptomatic relief. | |
Suggest treatment for mental retardation
hi, my sister is slightly MR. studied til tenth standard.Her acitivities were normal upto last year.But now she seems totally lost.talks to herself, forgets tasks told to her.cries all of a sudden and laughs thinking something.she is 23 now..please advise | HiI understand your concern and admire your positive outlook.If she studied up to 10th well then may be she is having borderline mental retardation.patient with MR is prone to have behavior disturbance like crying,laughing, throwing etc.They have lack of adaptive function of daily routine and easily forget task.Frankly speaking there is no treatment which enhance her brain power or memory from Mental retardation.Only thing help is behavior therapy and modification.Proper parental counseling and learn how to deal with patient with MR is essential.Behavior issues can be treated with medicines like carbamazapine or oxcarbamazapine.Need to rule out other psychopathology if she has so please do consultation and get exact IQ of her and other psychiatric evaluation.Psychiatrist will guide you how to deal and how to care such patients.Happy to help youHope for the best.Still have query then feel free to ask.Thank you. | |
No follicular growth seen during its study for IUI. Hemorrhagic cyst present. How to treat it?
i am planning for an iui this cycle and have started follicular study on my 10th day on that day i had one follicle on each size 10mm, and my endometrium was 8.4mm. a hemorrhagic cyst of 16x14 was also seen on my right side, i asked my doc abt it she said it is fine and will reduce on its own. i then went on the 12th day but my follicular size has not increased at all its the same 10mm on both side but endometrium is 9.3mm. i am worried if my follicles will grow further. what shud i do? presently my doc has prescribed me oosure twice a day and folic acid . | Hello. Thanks for writing to us. You will have to wait till the follicles grow to 18-20 mm size which is considered to be a mature size. After that only IUI can be tried. Without any follicular growth, there is no ovulation and IUI is futile. You need to wait and repeat scan on day 12 and 14. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
Suggest a remedy for back pain during pregnancy
hello sirI am pratima having 11 weeks of pregnancy. My back is aching like anything. I am unable to my regular activities ; i have consulted a doctor and she has prescribed suprox r tablets for 1 month. Couple of my frnds are telling that it may increase the pulse rate of baby and the mom.Please suggest me | Hi, thanks for posting your concern in the HCM.The medicine you mentioned is a uterine relaxant used to prevent uterine contraction and premature labour.It is safe in pregnancy. However,it can cause increased maternal heart rate.Back pain is quite common in pregnancy. You should avoid constipation and maintaining fixed posture or prolonged sitting to avoid worsening of back pain. Ispagulah husk 2 tsf in cup of water at bedtime and high fiber diet would help you avoid constipation. After the first trimester, you may also start pregnancy exercises after proper training from your Obstetrician, which would also help you.Thirdly, preferably you should lie down in left lateral position. This will help in blood circulation and also avoid stress to paraspinal muscles.Please avoid any analgesic. You should also have a routine urine examination, because UTI is very common in pregnancy and may cause back pain too.For any further questions, please write back.Regards,Dr. Kaushik | |
I have a stitch mark above my upper lip
i have a stitch mark above my upper lip on the moustache area. I want to get it removed using plastic surgery. can you please let me know how painful will it be and how much approx can it cost ? | Hi thanks for your query on healthcare forum.Any troublesome scar over the face can be revised and the procedure is known as scar revision .The treatment is done once the scar is mature ie. more than atleast 9 to 12 months old with no redness or blanching in the scar .The treatment depends upon the site , colour , texture , elevation or depression characterstics and the direction of the scar.Any treatment done has just one intention : to make the scar as inconspicuous as possible.The surgical treatment may be supplimented with Laser treatment or some ointments or injection therapy.If you are a male and keep your mustache we can just implant few hair follicles using FUE technique which camouflages the scar.What treatment is best for you can only be determined once the exact picture of the scar is seen. God Bless | |
What causes difficulty in getting pregnant?
doctor i m trying to conceive but failing month after month,,i m getting depressed as doctors had found nothing complicacy..i m 29 years old.Living in Bangladesh,regular reader of ur reproductive health article in Sanonda"..if i post my report to u could u help me??actually now for me its not possible to come calcutta..plz advice me | do serum tsh and serum prolactin den do hsg on day 8th den do follicular study after taking clomiphene from day two den follicle size increase to 18 mm den rupture den iui for early results. ..b4 dat check for husband semen analysis. ..Ya u can send us ur reports | |
How should diarrhea, vomiting with leg buckling be treated?
my 2 year old son has had diarrohea somtimes vomiting over the last 3 days i thought it was gastro but this evening he has trouble walking his leg went from under him ,there are no sign of injuries it only seems to hurt when he stands not when pressed or moved around.he has had no temps | Hi,Diarrhea and vomiting indicates acute gastroenteritis, which is usually viral and need only supportive treatment with antiemetics and plenty of fluids like ORS solution to prevent dehydration.But presence of leg weakness need further evaluation. This may be from an electrolyte imbalance like hypokalemia or hypocalcemia. Although rare, GBS (guillain-barre syndrome) can also have a similar presentation. Kindly take him to your pediatrician, as this needs evaluation without delay. Meanwhile give him frequent sips of oral fluids to prevent dehydration.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician | |
What causes painless pressure in diaphragm area while breathing?
i have painless pressure in diaphragm area where my breathing is slightly strained. what gives? All this happened after i drunk alchohol months ago couldn t breathe and was rushed to the er. I had dyspnea then my stomache was always extended but that is getting better. YYYY@YYYY | Thanks for your question on Healthcare Magic.I can understand your concern. In my opinion, we should definitely rule out obstructive Airway disease (OAD) in your case for your symptoms.So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).If PFT is showing obstructive defect then you will mostly improve with inhaled bronchodilators (formoterol or salmeterol).Don't worry, you will be alright with all these. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
When will my birth control pill be effective?
i just started taking ortho try-cyclen, but two days before i started my pack i had taken one 250mg pill of tetracycline. i stopped taking it right after that because i realized that it might interact with my pill and i knew i'd be starting it soon. i have more been taking ortho tri-cyclen for 12 days. would taking the one tetracycline pill have made my pill ineffective and when will my birth control pill be effective? | Hello and welcome,I understand the concern. Even though the literature does suggest that a few antibiotics may interfere with the pills most of the time they are antibiotics that affect the liver function like anti tuberculosis drugs etc. A single dose of tetracyclin will not cause any effect. Also most liklely it was out of the system before you even started the pill. The pill will be most likely effective from day 1 itself [ if taken as prescribed] and if you still want to exercise more caution then 7 days after the first pill is the time when there should not be any worries. Already you have taken it for 12 days, so do not worry, you are safe now. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri BagdeConsultant Obstetrician and Gynecologist | |
What causes discomfort in ankles?
The inside of my left ankle constantly pops, it started about 2 months ago. It is sometimes painfull, it kinda locks up sometimes. i haven t rolled it or anything. i started running a few months back and i noticed it popping and locking up and uncomfortable pain. i stopped running to see it would stop but it hasn t. how can i fix it? | Hi, Please get your uric acid checked and get your X-ray and MRI of ankle done. Use ankle binder, apply diclofenac gel, give hot fomentation, take over the counter painkillers, and once the investigations are done, management will be done accordingly. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon | |
What causes stomach and chest pain?
Hi my situation is this : I have a 13 year old active, fit young girl who within the last year has been experiencing stomach & chest pains. It was really bad the other day & hurt her to breath in & out. Upper back pain as well. I took her to ER where they did several tests one being a blood test which came back as a high reading of 660 for her D-Dimer. Do I need top worry ? They would like to repeat this test. Is she at risk for a heart attack ? | Hello,High D dimer with chest pain and breathlessness is more suggestive of pulmonary embolism (PE). But PE is unlikely in a 13-year-old young girl. So better to get done repeat D dimer test. If it is normal then no need to worry about PE or other heart diseases. But if it is high, then she will need CT pulmonary angiography. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kaushal Bhavsar | |
What causes rapid heart beat and chest pain?
hi my friend`s heart is off beat and beating faster ten normal. its causing him chest pains, low blood pressure and his having troubles breathing the doctor he went to doesnt have an explanation for us gave him meds and said if they dont work they are going to have to do an exploratory surgery on him. I was wondering if you would happen to know what is wrong? | No i dont think so that there is an urgent need of exploration on the basis of just fast heart rate etc you need to undergo thorough work up for your heart before embarking upon anything like exploration | |
What causes smell inside penis?
I have a bad smell inside my penis. I got recently married in the month of october. I used to urinate more than 10 times a day, coz of drinking lots of water. I have been noticing this smell from last one month. What could be the reason for this. Please advise. | Hello, It can be a smegma which is nothin but an infective material collected over the head of penis. It has to be cleaned regularly otherwise it will get infected and lead to foul smelling discharge. As of now clean the affected area with soap and water and apply topical antibiotics like mupirocin. If symptoms persist better to consult a dermatologist and get evaluated. If symptoms persist circumcision may be required. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain, General & Family physician | |
What causes breathing trouble when on Lipozenes and high BP medication?
I started exercising last week because the doctor said that it would help my blood pressure which was running 244 over 142. I have been ill for the past 4 years and was put on a lot of medication including high doses of prednizone so my weight plummeted from 110 lbs. to 189 lbs. so I was wanting to lose weight and tone up along with reducing my blood pressure, so this morning I decided to hurry up the weight loss and before I started exercising I took 2 Lipozenes and 1 MetaboUp. I just got through doing my exercises about 30 minutes ago and for the first time after doing them I m having a lot of problems breathing, swalling, talking and my it hurts when I do try to take a breath along with my heart racing really fast. Could you please tell me what s going on with me? I m scared to death right now. | Hello!Welcome on HCM!I carefully passed through your question and would recommend going to the ER for a careful check up. The fact that you have difficulty breathing, chest pain, with tachycardia could be related to a cardiac arrhythmia or myocardial ischemia. I recommend going to the ER for the above tests: - a resting ECG and cardiac enzymes- a chest X ray study- some blood lab tests (complete blood count, blood electrolytes, fasting glucose). Hope you will find this answer helpful!Kind regards, Dr. Iliri | |
What does a lump on penis shaft indicate?
Hello i am concerned about my penis, 2 or 3 days ago i woke up to fine a lump on the shaft of my penis and over the last few days it has gotten bigger, it was like a spot with a little yellow dot in the middle and when poped it was like a spot and began to bleed and a clear liquid came out, i am to imbarrased to go to a doctor and dont know what to do. My sex life is also affected as i dont want my GF finding out about this untill i know what it is and how it can be treated. Thankyou | hii.welcome to our site.you are having furuncle,a bacterial infection.dont squeeze or scratch the lesion.maintain good hygiene in that area.apply antibiotics like fusiderm ointment twice daily on the area for 5 days.take tablet levocetrizine twice daily for 5 days for itching.take analgesics like ibuprofen twice daily for five days for pain.thank you.hope my answer would have helped you. | |
What could cause swelling in tongue while having dental implants?
What can be causing my tongue to swell? I have had recurring episodes over the past week. Went to the ER twice. I have cut out any foods that might cause issues and ate only jello for two days. I do have dental implants but have had them for 8 months. What could be causing this? | Hello and welcome.Tongue swelling could be due to tissue injury or trauma.it could also be due to mild to moderate infection especially fungal infection.therefore please see your dentist once for clinical evaluation.meanwhile do gargling with warm saline and avoid using tongue cleaner.hope it helps.thanks.take care. | |
Allergic to animal dander, have sneezing and runny nose after staying with a cat. No relief with anti-allergic. Help?
I need to figure out what it wrong with me. I am allergic to animal dander . I stayed at a friends house for 3 days, and she has a cat. There is cat hair all over their house. I started sneezing and getting a runny nose there. I came home, and still had a runny nose. I started being very hot, and the running nose wouldn t stop. Allergy medication did not help. I am now running a fever of 102, and I feel nauseous. I am still sneezing. I wonder if this is an illness , an infection, or allergies. | hi, you are mostly having an infection since you developed fever.. in allergy, fever is very rare and you will not be nauseating .it is hard to tell which infection you have without clinical examination and blood test..it can also be just viral fever..to be on safer side visit a general physician he would examine you and do the blood test required.. thank you dr.mukesh |
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