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Q. Why are there inflamed nasal swellings and ear plugs?
Hello doctor, I apologize for the long message, but I am a concerned mom. I have two sons (ages 3 and 5) and both of them and I have been experiencing chronic sinus or ear issues for the past several months. Their pediatrician has referred us to ENT since she does not know what it is. Both boys (and myself) have inflamed nasal swellings that block the nasal passages. We all have deviated septums. My 3-year-old has dog and cat allergy and is prescribed Nasocort and Zyrtec daily which are ineffective. The 5-year-old tested negative for all allergies. We use top line air purifiers throughout the house but are still experiencing severe symptoms. The boys had tonsillectomies, adenoidectomies tubes last year due to scale 4 with obstructive tonsils or adenoids. Nightly I have extracted sticky, firm clumps from behind the nasal swellings that only appear after massaging sinuses. They do not drain out on their own. Both boys ears are totally blocked. And my 5-year-old had dark brown fluid with strong foul odor leak out of one ear the other night. Both have recently been on Azithromycin (3 day doses of 5 ml per day) but symptoms have not improved. Not sure if any of the following are related, but all occured around the time symptoms began. My dad was at our house with a severe bronchial and sinus related illness and and also diagnosed with candida. We had also just been swimming in a lake. We live directly across from a large scale construction project that produces lots of dust that began around same time. My youngest had a recent staphylococcal infection on his arm treated topically with muciprocin. Any clues about what this could be and if it requires more immediate action vs. wait for ENT appointment? | Hi. Do not stop Zyrtec (Cetirizine) and nasal corticosteroid spray. The polluted environment around you can harm your children badly. I think that the black plug inside your son's ear is a fungal infection. You need a topical antifungal drop for five days, then the ENT specialist will wash it off, vacuum it. There is a great possibility that all of you have caught an infection from the old grandfather. I recommend immunotherapy for your children if the medical treatment does not help. I also advise you to send nasal smears for laboratory investigation (culture and sensitivity). | |
What causes recurring neck and back pain?
I had an epidural On January 5th before delivering my child. This epidural didn t take and the anesthesiologist had lost of difficulties with me. I ve had 2 prior 4 years ago, the 1st one didn t take so the anesthesiologist at that time removed it and replaced it, and it took the 2nd time. I m concerned that all the difficulties this doc had this time affected my epidural and caused it not to take. My problem now is recurring neck and back pain from nape of neck, down to my tailbone. Could this be from the multiple epidurals? | Hello, As per your history, it may be due to nerve compression. For that, you can take tablet motrin. Apply diclofenac gel or ointment. Heating pads will also help. You may require MRI neck and back region, nerve conduction studies after consultation. Keep your self hydrated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician | |
Tube removed after having ectopic pregnancy. TB PCR test advised. Is this test necessary?
My wife has undergone ectopic pregnecy surgery three years ago and her left tube has been removed. Now after that she never conceived and now her doctor has asked to undergo TB PCR test to check for the fertility problem. So my question is does this test is necessary and is it possible to have result of test is positive after going through ectopic pregnancy surgery? Regards | Hello. Thanks for writing to us. The TB_PCR test is done to detect any genital tuberculosis. It is not related to the surgery for ectopic pregnancy that she had earlier. In case of such genital infections, blocked tubes are likely cause of infertility. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
What could sharp chest pain with dizziness & vomiting suggest?
what could be the reason my heart hurts and feels like needle poking it for 5 hours now, why do i have HORRIBLE right chest pain at night usually staring at 1 AM with dizziness, fainting, vomiting and feeling like dying.it happens so often now since 2012. is it something wrong with my liver or heartburn. i think i have silence heartburn. thank you so much for help, Joanna. used to have pylori bacteria twice before. | Thanks for your question on HCM.In my opinion you are having mostly GERD (Gastroesophageal reflux disease).But better to get done ECG to rule out cardiac cause first.If ECG is normal than no need to worry much for cardiac cause.You mostly have GERD only. For GERD ,along with drugs, following lifestyle modifications are needed. 1. Avoid stress and anxiety.2. Avoid large meals, instead take frequent small meals 3. Avoid hot and spicy food.4. Go for walk after meals.5. Keep 2-3 pillows under head in bed to avoid reflux.6. Loose weight if you are obese.7. Avoid smoking and alcohol if you have these habits. | |
What is the reason for the pain in the knee and muscles around the knee?
I have been doing physiotherapy on my left ankle x momths for an old ligament injury,therapy included laser for pain management.However about two months ago I began having intense pains in both knees and th muscles around the knees on attempting to stand or sometimes doing nothing at all what do you think could be the cause I m in my 50s | please don't worry ,everything will be fine with your physiotherapy and take good ointment for pain removal,holter compress will also be helpful | |
Could consuming marijuana effect heart defects?
24 Yr. old male: I have a bicuspid aortic valve and a coarctation of the aorta. I am also being treated for high blood pressure (my BP prior to medication was usually around 145/90). My resting hear rate is usually around 55-65. My question is: I use marijuana fairly regularly (once every other day or so). Are the negative side-effects of marijuana more troublesome given my heart defects? | Hello!Thank you for asking on HCM!Regarding your concern, I would explain that in a normal person, marijuana can lead to 5times increased risk of heart attack during the first hour after smoking it. From the other hand, when taken regularly for a long time, it can lead to chronic changes in the blood vessels wall, causing progressive atherosclerosis. Now, considering the fact that you have coarctation of the aorta, I would strongly encourage you to stop taking it, as you are at a very increased risk of a heart attack or further aortic stenosis. Hope to have been helpful!Kind regards, Dr. Iliri | |
Will x-ray done during early pregnancy cause any harm to fetus?
Hi .. Plz help me out, I am very worried and confused also. As we don't know about the pregnancy I had chest X-ray during very early stage of pregnancy. Let me share the sequences wise details with you which were happened with me. 1. My period date is 4th March 2. Me & my husband stopped planning from 12th March because we need baby 3. From 18th march I had fever & go to hospital for treatment. Doctor suggest for blood test , so we go for it and its detected typhoid. Doctor has given some anti-typhoid medicine. After 2 day again I had fever, so doctor suggested that I should be admit in hospital for 2-3 day for monitoring the fever. 4. I was admitted on 1st of april, since last 15-20 day I had chest pain and told to doctor about the pain, he suggested we should go for chest X-ray for further medicine treatment. We told doctor about our planning so he said before X-ray we go for UPT. So we did it, but its negative. So on 2nd april in morning I had chest x-Ray. 5. I discharged from hospital from 3rd of april,but from 4th of april I had strong stomach pain due to medicine, as I don't suit the allopathic medicine. I had problem during latrine even I couldn't sit properly. 6. I was waiting for my period, So on 6th april morning, we fixed the appointment with gynecologist. Again we go for UPT but its negative. 7. After 2-3 day I feel relax but worried about the period, so we go for UPT at home on 12th april evening and this time we get the positive result. 8. So early in the morning we fixed the appointment with the gynecologist. Share each and everything with her. Had sonography. She said nothing to worry everything will be fine because x-ray was done in very early stage of pregnancy i.e. at the time of fertilization. Doctor has stated the treatment. 9. I was discussed the matter with 2-3 doctor and pathologist, they also said nothing to worry. But I want to know your expert opinion in this regards. Is there any problem of my unborn baby, on its health etc plz help me out | Thank you for trusting us with your query.I'll try to explain with numbers so that you can understand about the various magnitudes.Strength of radiation of Imaging studies like X- Ray, CTS are measure in RADS.usually an exposure of 10 rads will cause harm.1 RAD= 1000 milli radsChest X-Ray is approximately 60 milli rads.As you see, It is highly unlikely that your baby will be affected. What's more is that having a. X-ray even before you know you are pregnant has lesser risk.Relax and be assured that your baby is fine. In the future, X-rays should be avoided but if your doctor d coded you absolutely need them, it is better to get it done with adequate precautions no to minimise the risk to your baby.Hope I've reassured you and if you further queries let us know.Congratulations.wish you both the best of health. | |
What does a lump behind the achilles tendon indicate?
Hi, I have a bulge at the back of my achilles tendon just above my heel. It is very sore and sensitive when my shoe rubs against it. I had the same thing happen several years ago and it was a tear in my Achilles tendon. Do I need to see a doctor for this? Can anything be done for this? | Hello dear , hiWarm welcome to Healthcaremagic.comI have gone through your concern in depth .* There are different conditions which can be possible for this presentation as - tendon cyst ( bursa cyst ) - sebaceous cyst - hematoma or abscess in case of injury - others .* Needs ultrasound examination of the local part for the perfect diagnosis and further management in accordance to that .Hope this will help you for sure .Welcome for any further guidance .Regards dear take care . | |
Suggest treatment for the pain the jaw line
Hi doctors, Good day. My wife s suffering from severe pain below ears which Is exactly the continuation of jaw from ear and there seems to swollen as well. While investigating her ear found that her ear drum has a hole and kind of ruptured. We consulted couple of doctors iin which both doctors giving different reason for the root cause ear drum damage. One is saying its because of bone bent inside her nose and the other one s saying its because of tooth. What should I do..??.. Am in Chennai and new to this place and not sure about the doctors over here.. Pls suggest | hi,thank you for providing the brief history of you.A thorough vestibular assessment is advised.As the doctors have mentioned issues taking to drum issues which has one or the two reasons there needs a thorough assessment.There is someone called Dr. Arun in Clumax , Bangalore with whom I have a good experience for my patients with such issues. You may also get better helped.RegardsJay Indravadan Patel | |
14 year old suffering from proteinuria. Is it possible to cure ?
hi doctor my son age 14 yrs is suffering from proteinuria n his creatinine count is gone 2.49 can u help | Hello. Thanks for choosing HealthcareMagic forum. Your son is having a kidney problem. The type of problem he is having and the treatment can be told only after doing further blood investigations.In most of the cases it is a reversible disorder.Dont worry and follow your doctor's advise. Dr. Rakhi Tayal | |
Suggest treatment for cough and heaviness in chest
I work in a nursing home. After housekeeking cleaned a bathroom and used disenfectant spray I went in. I could not breath without my throat burning. After leaving the bathroom I kept coughing & felt a heaviness in my chest. It has been 3 days & my Dr. Put me on prednisone. It is not helping the pain & coughing is not getting better. What can I do for my symptoms? | Hello,By your history and description, possibility of acute bronchitis due to disinfectant spray and cleaning is more likely. Best treatment for bronchitis is inhaled treatment.Since, you are not taking inhaled treatment, your cough is not improving. So, it is better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only.You will improve with inhaled bronchodilators (Formoterol or Salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar | |
What to do for rashes like ringworm all over body?
have rash that started on torso. first began as a bump but developed into what looked like a ring worm. however i was told my a doc that it wasnt. after a week the rash spread and has spread throughout half of my body. bumps that develop a dark brown center that is flat it itches and is continuing to spread with anitbiotics and anti fungal cream | hi there.1. your concern may be tinea corporis.2. its a contagious fungal infection.3. you can try terbicip spray twice daily on affected areas.4. avoid wet clothes and avoid sharing.5. consult a dermatologist near by you for starting oral antifungal medication this may help you. | |
Can HBP and hardening of the heart cause change in the arm?
We noticed last night the my husbands right arm is significantly smaller than it use to be and and a lot smaller than left arm and he is right handed. For the past year he has been treated for high blood pressure and hardening of the heart. What would cause this change in the arm ? | No blood pressure will not cause change in arm.blood pressure has no relation to arm span or diameter | |
What does exercise induced asthma, cold and blurry vision on waking up mean?
a 21 year old daughter at college. seems to have exercise induced asthma with cold trigger (just recently.) more concerning is two episodes of blurry vision in her right eye, after waking from a nap. Duration less than 5 minutes. One episode had a headache. the Md up at school placed her on prednisone for her lungs, albuterol inhaler, Advair and zyrtec. Could these systems be related to the meds? | Hello.Thank you for asking at HCM.I went through your daughter's history and would like to make suggestions for her as follows:1. I would mostly agree with her current treatment, but were I treating her, I would add montelukast in her treatment.2. Blurring of vision is not a common side effects of these medicines, so personally I would suggest to report the symptom to her treating doctor who may decide further actions.3. I would suggest her to take plenty of fluids during day as well as to have adequate rest, which will be helpful for recovery.Hope above suggestions will be helpful to her.Should you have any further query, please feel free to ask at HCM.Wish your daughter a very good recovery and health.Thank you & Regards. | |
What causes lump on the buttocks?
i have a lump type thing on my left butt cheek , it is sore when i sit down and very tender but a lil hard when i touch it, it has a light/dark blood colour on it and does leak yuck yellow/light brown stuff sometimes. What is it?? i need an answer asap please | Hi,This is likely to be a small abscess. It appears to be infected so I suggest you need antibiotics. Regards,Dr K A Pottinger | |
Suggest dosage of 'fertomid-50' for getting pregnant
my age is 49 i'm 5ft 4in 16 stone, i have inactive thyroid, i have misscarried 3 time, that why i went online for drugs to help me try again, but all of a sudden my period stop at the end of october, i have thease tablets called fertomid-50, i have no clue on how to take them, also there was no do's or dont that came with them, just the tablet on its own. what are my chances and how would i take them, cos i have now stop bleeding. | Hi there,Welcome to HCM,To stop having regular periods at 49 years would mean that your ovaries are not producing eggs and it is very unlikely that you will conceive.Fertomid is given to women with PCOS, but they are unlikely to work if you don't have any period. Moreover they have to be started from the second day of period and continued for 5 days, but since you are not getting your periods, you will not be able to use them. You need to get your AMH levels done which will tell about your ovarian function.The most likely way for you to conceive now, is by considering IVF (test tube baby). The result of AMH will determine if you can use your eggs or donor eggs may have to used.Please consult a fertility specialist to decide the next steps.Hope this helps.Regards. | |
Q. What is the reason for low sex drive in men?
Hello doctor,From the last two months, I am not interested in sex. I do not know why. | Hello. Please check your thyroid hormone profile, testosterone, and FSH (follicle-stimulating hormone). For more information consult an internal medicine physician online --> | |
Can a viral infection cause itchy rashes?
I had a terrible cough, sore throat, and runny nose with a high fever for about 5 days. I was even coughing up yellow phlegm and when I blew/blow my nose it yellow or bloody.woke up Monday morning feeling great but noticed a faint rash on the tops of my hands, elbows, ankles, and knees. and it itches terribly! What on earth could it be? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Considering the symptoms, in my opinion you have been going through a bacterial infection which started as an upper respiratory infection and progressed in acute bronchitis(probably from streptococus). This infection usually mimics a viral syndrome and it's difficult to diagnose only by the history.The rash may be related to strep infection but it also occurs in viral infections, they are both commonly followed by body rash.You can consult your doctor for a physical examination of the rash and he will probably order a rapid antigen test or a throat culture which uses a swab sample from your throat to detect potential streptococus.It's important to make the right diagnosis, because if you have strep bacteria, you need antibiotics treatment.Menawhile if you still have cough, you can use guaifenesin to thin your mucus.You can also use ibuprofen 400 mg if you have any headache.Hope I have answered your query.Let me know if I can assist you further | |
How do I know if I have a strained, pulled or torn hamstring? I have pain in my hamstring that goes up into my groin area and also my lower glut on outer side. Sometimes outside of knee hurts. I ice but it doesn t numb my leg enough to not feel the pain. It takes 800mg ibuprofen to relieve pain. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It will cause pain and swelling on walking. You will not be able to do stressful activities like jumping. Hope I have answered your query. Let me know if I can assist you further. | |
Q. Are sweating, dilated pupil and muscle stiffness side effects of Venlafaxine?
Hello doctor, Today my sister, who is 22 years old, started taking Venlafaxine 75 mg, but after a couple of hours she felt nauseated and started sweating and got red cheeks as well. Now I notice that her pupils are dilated, and she has severe muscle stiffness. She has cerebral palsy, sitting in a wheelchair, but now, suddenly, her left leg appears extremely stiff, she almost cannot bend it. Are these symptoms considered normal side effects? I am worried about isolated Venlafaxine-induced serotonin syndrome. She does not take any other medicine. Please guide me. | Hello. Sorry to know about your sister's symptoms. The symptoms you mentioned is for Serotonin syndrome which causes palpitations, muscle stiffness, hyperthermia, sweating, hyperactivity, and confusion. The mechanism is serotonin excess in the brain. It is one of the possible adverse effects of Venlafaxine (develop within hours). My advice is as follows: The symptoms will disappear within one day maximum. Does she take any other medications like anti-psychotics like Haloperidol? For more information consult an internal medicine physician online --> | |
Could hard, painful and bleeding with bowel movements with history of having piles be due to intake of mirtazapine?
I have been put on mirtazapine in the last 3 weeks. Last week I ve experienced hard ,painful and bleeding stool movements. I had been treated for piles over 5 years ago..is the recurrence likely to be due to mirtazapine ..? Seen doc last week prescribed lactose. Soreness is at extreme sometimes after b.motion. | Hello, The symptoms seem to be related to hemorrhoids. There is a possibility that Mirtazapine can have triggered the symptoms. I suggest using an anti hemorrhoid cream for local application such as Preparation H. I also suggest soaking in warm water for relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
What causes abdominal cramps and vomiting after stopping birth control pills?
Alright so I been on birth control but stopped on the green pills and after those were finished didn't take any for three days. Me and my boyfriend had sex and he finished in me on accident this was three or four days after my period. A couple days later I started getting cramps at work and they haven't gone away. I usually don't get cramps on my period but I won't start that for a while and it's to early yo take a test... I had sex on the eleventh this month but ended my period couple days before and I am throwing up but I feel fine | Hello,An unprotected intercourse 3-4 days after the onset of the period in a regular 28-30 day cycle cannot cause conception as this has happened during the non-ovulatory or safe period. Sometimes, cramps can occur around ovulation and if severe, may also result in vomiting and distress. Since you stopped taking the pills, it is likely that ovulation could be returning. Please follow up with your consultant and exclude pregnancy through a blood test ten days after the intercourse. This is the earliest way now. You can ask for a sonogram later. Hope this helps. | |
Q. Why is my period delayed after having protected sex on 14th day of cycle?
Hi doctor, I have an average cycle length of 29 days with the longest being 31 days. I have never missed a period before and always got a brown discharge before my periods. I last had my periods 31 days back, then had protected sex once (with my partner wearing a condom) on the 14th day of the cycle. Today is my cycle and expected to have my periods but all I saw yesterday was a slight brown discharge on toilet paper in the morning and evening time with mild cramps (slight consistent backache from cycle day 30) with tender breasts, feeling a bit dizzy, bloated stomach, (pregnancy-related symptoms). I am on cycle day 31 and no periods yet. Could it be that I conceived after protected sex since it was my ovulation period or 14th day of the cycle? Can I go ahead and test for pregnancy? Kindly help me. I am currently 33 years old. | Hello. As you said that the sex was protected and that there was no condom misadventure, so chances of pregnancy are minimal and the symptoms are more of premenstrual rather than pregnancy. However, considering that both symptoms overlap, the best way to rule out any pregnancy would be to get a serum beta hCG test done as on date where if the hCG levels are less than 3mIU, then you are surely not pregnant and the symptoms are premenstrual. | |
How to get a pimple less and fair skin ?
i want pimples onmy face 2 be reduced and i wana have fairness in my face hai . . . .gud evng i'm gupta from kanchipuram can u please tell me how can i get fairness in my face and can u plz. . . . .tel me how pimples2 be reduced? | Hi Welcome to HCM. balance of your hormons have disturbed.It is better to consult a dermatalogist or visit a homeopathic specialist.In acne there are so many good remedies available in homeopathy and i successfully treated many cases of acne and pimples. Regards, Dr.Khalid Minhas if any querry contact at drkhalidminhas@gmail.com | |
Is it to be concern about body aches and pain in the mac tuck?
I have been having issues with body aches and pains as if a Mac tuck has run me over. Face and neck swelling (currently on the right side of face). Lymph nodes in neck are enlarged. Lymph nodes under arms and between legs hurt. Tingling and numbness in a variety place on my body, especially hands and feet. Every time I eat my bones hurt worse. Headaches, chest pains on occasion. I went to my GP he ran blood work and said I had elevated test on the Epstein Barr Virus, which I now know I have. But I m concerned what else might be wrong with me. GP has asked that I do a Ultrasound of Abdomen due to the strange issue of me eating and being in extreme pain. When I do eat, my belly swells and it tender on both the left and right side. I have constant constipation. He is also sending me to a GI doctor to check into this more. The other biggest issue is the newest revelation, huge bruises on the back of my legs / calves. This is more concerning to me. Shall I go to the ER?? Or wait this out and see what results come back. | Hi, The EBV test is lame. Inflammation causes antibody to be elevated. If you are sick there is a high possibility the EBV test will be positive. A blood count showing an overabundance of NORMAL LOOKING LYMPHOCYTES that have ONE central dot (one nucleus) will show you have MONONUCLEOSIS. This is often EBV. You need the blood count before you can interpret the EBV test. If it is the many dotted white blood cells not the mono ones, you have an infection somewhere. Or if the cells are a bit lower and you have a cough, it is often the flu. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | |
Suggest treatment for throat pain and persistent cough
Hello..i m having cough for last 1.5 month...now i m having pain in my throat as well...i m not able to sleep...some times i puked as well...My condition is very bad...please help me and suggest me if there is any doctor to whom i can consult...Thanks...Ishan Tripathi | kindly go for xray chest PA and evaluate your tonsil meanwhile tab aziwok 600 od tab zerodol spbdmouth gargle with warm saline | |
Suggest treatment for bronchitis with persistent cough
yes please. My 22 year-old daughter got a bronchitis and was treated with Augmentin for 6 days. she is almost ok but cough from timt to time. chest appears clear but at night she does have a little crepitations. Does she need steroid (prednisone) for few days. she used to suffer frequently from bronchiolitis as a child. now rarely suffer as much from chest infection | Hello UIt would be better for her to do a Spirometry test and after to decide about steroids use.Regards Dr.Jolanda | |
Suggest suitable medication for high BP and cardiac problems
I was Rxd trika0.25 8 yrs ago. but after 5yrs I had to increase the dose to half of 0.50 tab but it is always disturbed sleep or very less sleep sayless than 2 hrs in a night. is it okay I increase the tab dose?? I am63yrs old woman and have high BP and cardiac problems and now Iam DM since 5yrs pls help | Good Evening,Thanks for given information,According to your history disease and age FACTOR,suggest you to maintain blood pressure might be helpful for both cardiac and bp Caridilol 12.5mg Thanks for consult Regards, Dr,Naeem. MD | |
Pimples on legs with white tips that itch, hurt while bending. Diagnosis ?
Hello. I have a question regarding pimples on legs. I have had about 15-20 pimples ranging in size on specifically my left leg, though it is on both. Some have white tips, some itch, some are very tender. I have them on the back of my left knee as well, hurting when I bend. They are very red, and don't go away easily. Could you please help me diagnose this? Thank you. | Hello,Thanks for the query,you might be suffering from recurrent folliculitis.It is a superficial bacterial infection.Take a course of antibiotics.Apply an antibacterial cream like mupirocine.Hot fomentation is also good,If you dont get any relief get a culture and sensitivity test done.This will tell you exactly what is the causative agent.Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link. you a good health.Thank you | |
Q. My wife underwent ICSI. Please go through the reports and provide your opinion.
Hello doctor, My wife has undergone ICSI three-day embryo transfer. One cell is compact grade and others are grade-B. She got pregnant successfully and the values were at DPT 14, HCG 577 and progesterone level 23 and DPT 16, HCG 1577 and progesterone level 23. Also, she had undergone TVS, and spotted sac at five weeks. Then, after two days she started to experience light bleeding for one day and stopped afterward. Again as per the doctor's advise, we have done beta hCG on DPT 20 and It came 3200. The doctor said that since three embryos have been transferred, there might be bleeding and slow rise in BHCG. On DPT 24, there was a transvaginal scan. The result was 'tiny fetal pole 2.8 mm with yolk sac and gestation sac. But, without the evidence of a heartbeat. It measures 5 weeks and 6 days pregnant. I have attached the scan report here. Please provide your valuable opinion. | Hello. I have gone through your history and reports (attachment removed to protect patient identity) and understand your concerns. For more information consult an obstetrician and gynaecologist online --> | |
What causes rapid heart rate?
I experienced today while running at approximately 10mph a sudden jump in my heart rate. It happened at approximately 3/4 of a mile. It went from a steady 155bpm at this pace to over 200bpm. It peaked out at 228bpm when I got light headed and had to slow down. I had to drop to a walk to get my heart rate to begin to come back down. It felt very uncomfortable and the rhythm felt wrong and erratic. After my heart rate reached the low 190bpm range it suddenly dropped back down to 160 and it felt like it had resumed a normal rhythm and then very quickly leveled off to 115bpm before I resumed running at a slow pace. I have a tested max heart rate of 192bpm and a resting heart rate of 44bpm. I'm 25 years old. I was wearing a heart rate monitor when this happened. Should I be concerned that this could kill me? | Hello dear ... Very good observation...I will personally advice your to go for TMT test which will show while exercise what kind of rhythm you have... This will help whether need to be more concern or.. We can neglect... definitely you have symptoms while doing exercise then should be evaluated... Take care... will be interested to know your tmt report | |
How does cancer along with lupus affect the quality of life?
On July 21st 1995, at age 41, I had a right radical mastectomy that was a stage 3+. I had the aggressive breast cancer. December 8,1997 my breast cancer returned in lymph nodes in my right under arm area that was a stage 4. January 1998 the Bone Marrow Team in Indianapolis, IN I started an experimental autologous stem cell transplant. A group of nine Indianapolis doctors, the Mayo Clinic and John Hopkins all agreed my cancer would probably make a 3rd appearance. Since I found both of my original cancers, I was advised to be vigilant. Five weeks after the transplant and 6 weeks of radiation we were transferred to High Point, NC. I had double pneumonia in December of 2000. It scarred my lungs. January 2017 we retired and moved to Florida to be near our only child and her two sons. The master bathroom was full of Black Mold and the Kitchen had a couple of areas too. My new Hematologist/Oncologist told me I tested positive for Lupus. If my cancer returns and I have Lupus too, how could that impact my quality of life? | Hello,Having a positive antinuclear antibody does not conclude that you have lupus. Do you have the following symptoms? -Patchy hair loss , oral ulcers, and nasal ulcers. -History of seizures or strokes, blood clots, active joint pain, and stiffness. -Color changes with cold exposure and pain in the digits, skin rash and photosensitivity. Lupus diagnosis can be made only by putting together many of these criteria. I doubt you have lupus. You can see a rheumatologist to run the other tests for lupus too.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Priya Sadanandan | |
Nausea, vomiting, diarrhea, stomach and abdominal pain. Flu symptoms?
I have been having nasua and some abdominal pain . I got sick and was out a few days then went back to work. the Diarehha and the vomitting stop but the stomach ache, nasua and abdominal pain have not. My doctor said it was just the stomach flu and would be back to normal. it has been over two weeks and im still getting the same pain. Any suggestions? | hi, looks like gastroenteritis , as your doctor ve told in simple words, don't worry , u ll b alright. thanks | |
What causes frequent urination after an increase in Metapropol dosage?
Recently my cardiologist increased my metapropol succtrate dosage to 100mg twice. A day to lower myheartrate it was I the 90 s and he wanted below 85 because I. Had a past history of Avib. It has. Increased. My. Urine output. I know it s not supposed to be a diuretic, but it has. Had that effect on me, | Hi ThereAfter going through your query I understand your concern.I would like to tell you that metoprolol has a rare side effect of increased urine frequency as they help in relaxing muscles in bladder neck.It's advisable to consult your doctor and ask him to either decrease the dose or start an alternative.Hopefully this will answer your query.Kind Regards Dr Navneet Mahajan | |
Can taking Sinpine help treat mood swings due to disturbed mind?
My daughter has been self harming herself and has recently been given sinpine 25 mg to help. lately i have seen her mood can change quickly and she talks so fast that i cant understand what she's saying, her conversation can change from one to another. she doesn't bother to wash her hair change her clothes or even get out of bed. She has false beliefs and is seeing and hearing things what aren't real. | Hello,The symptoms of your daughter are suggestive of psychotic disorder- may be schizophrenia. The point that she has increased speech output can be a part of schizophrenia or may be mania together with it.This can only be diagnosed correctly by interviewing her. However, both can be treated with adequatley with meds. Drugs like olanzapine or resperidone are very good in handling such symptoms. If you are able to give her meds orally ask her doctor to change the drugs becuase the present ones seem to do no good.dont worry, it is treatable and with proper meds she will start showing improvement in few days only.Good luck.Dr. Manisha GopalMD Neuropsychiatry | |
Suffering from skin allergy, irritation. Taking odoxil, vizylac. Treatment?
sir i have a some type of skin allergic.when i take the medicine at that time every thing is ok, means no irritation etc. i do a course of one weak, and i am feel quit good. But after some days the same thing is repeating. what should i do, sir plz help. I have some medicine which directed by doctor.the medicine name are-- Tab-Odoxil-500,Tab-Levocetirizin and cap.-vizylac. | dont use levocetrizine antibiotic and vitamins no almonds coconut walnut groundnut mustard soya oils use mik and nut free soap shampoo ointments creams no milk and diary products take cleritin once a day apply mometasone on affected skin get bloodserum tested for milk wheat potato rice chana egg blood seru antibodiesfor these food items get results absd cure by slit therapy | |
Is histal effective for allergy?
Good night I gave my 3 yr old Ventolin for his cough & Aerius 0.5mg but he is really itchy. I dont know if has picked up an allergy that is causing him to itch. I dont think it is the medicine as it did not have this effect on him before.<Can i give him Histal to cool the allergy? | HI, thanks for using healthcare magicThe appropriate dose of aerius would be 2.5mg, if you gave the 0.5mg as written above then it would not have any effect on him and you could consider either completing the dose or giving the histal.If you gave 2.5mg of aerius earlier, then you would have to be careful about giving him another dose of an anti histamine.Only if the itching continues despite the correct aerius dose should this be considered.I hope this helps | |
Suggest remedy for allergic bronchitis
i have allergic bronchitis (cough) and before 2 years i was suffering with a little problem in breathing but then i got well but now again from one month i'm having a lot of problem in breathing.... and from days i feel too much sleepy whole day and i feel that it is because my lungs are not getting proper oxygen..... is it so....???? | Thanks for your question on Healthcare Magic.I can understand your concern.Bronchitis can recur so we can should definitely rule out bronchitis in your case.So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only.You will need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).If allergic component is there then oral combination of antihistamine (levocetrizine or fexofenadine) and anti allergic (montelukast) once a day at night is also helpful.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
How to cure a mass (4x2) on the upper lobe of left lung?
I just found out I have a mass in the upper lobe of my left lung. I have to wait till monday to hear about my next appt. I am so hoping it isn't a high stage of cancer. My dr. said the mass is 4 x 2 (just found in ct scan)I am so scared! Is this what is condisered a large mass? | Hi Dear !! Thanks for your query to HCM.Read and reviewed your query and health concerns. You seem to suffer from -it could be NSCLC(Non-Small/ or Large Cell Lung Cancer)-mostly, as notified by your doctor.This being most common lung cancer affecting 82% of all lung cancer afflictions.Or it could also belong to SCLC(Small Cell- lung cancer) or Carcinoid Lung Mass or could be metastatic from Colon / kidneys.Treatment-For -NSCLC/and Carcinoids/ Metastatic -Single tumour- its mostly Surgical ExcisionSCLC-/ -Its mostly Chemo/Radiotherapy.Thorasic Surgeon / and Chemo-therapist would decide plan of treatment depending on spread stage / histologic grades.Hope this reply would help you to resolve the health issues with help of doctors attending on you.If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.If you want to update more details and ask more update queries ,You are most Welcome herewith !!Good Day!!Wishing Good Healthy Life in time to come!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS | |
Q. Is hepatitis B curable?
Hello doctor, I am hepatitis B patient. My current status is as follows. HBeAg - negative (0.010), HBV E antibody or Ag - positive (0.031) and HBV DNA quantitative (PCR) less than 17.1 IU/mL. Please advise whether this can be cured to become negative as it is affecting my career. | Hello. Anti-HBc (both IgM and IgG), Liver panel, ultrasound of the liver INR/PT and serum albumin if not part of the liver profile. 1. Chronic hepatitis B. 2. Chronic carrier state. 3. Acute infection in window phase (with less infectivity). Yes, it is treatable, but I would be able to give you a better answer once I have the complete set of blood work and ultrasound results. Revert back with the investigation reports to an internal medicine physician online.---> | |
What causes shoulder pain radiating from blade to elbow?
I have significant shoulder pain radiating from blade to elbow with some tingling. It especially hurts when I try to lay down at night. My wife noticed that this shoulder is lower that the other when i stand up and the blade sticks out a little. i have no insurance. What might this be and what can i do to alleviate the pain and reduce further injury. | Hello,I read carefully your query and understand your concern. The symptoms seem to be related to a pinched nerve in the shoulder. I suggest using anti inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest to maintain the area immobilized to prevent further damage. If the symptoms continue, I suggest to see a neurologist.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
What can cause black stools with cough,cold and fever in kids?
my 15 month old has had a persistant cough/cold/fever for a week which is a reoccurance from last month, what s different this time is his poo is black, we however have been giving him the minute maid pomegranate blueberry enhanced juice. Could that be the reason for the color change in his stool? | Hi...yes this could be the reason for the black colored stool. Nothing to worry about it. Sometimes the natural color of the foods can reflect in stools and urine.This can happen if the kid is n iron supplements also.Regards - Dr. Sumanth | |
Suffering from irritable bowel syndrome, occurs on eating Indian food. Cure for food allergy?
i have irritable bowel syndrome for many years. If I am in a place like XXXXX and eat beef, ham, burgers, sausages, cheese etc. my stool formation is solid and I have no irritable bowel syndrome. The moment I come agack to XXXX and start having XXXXX food I get irritable bowel syndrome again. Pls give me the address and contact number of a food allergy test center in XXXX | Hi Thanks for your query First of all you must know that irritable bowel syndrome is not an allergic disorder. Life style modification is the main treatment of it. Certain foods, such as cruciferous vegetables (cauliflower, broccoli, cabbage, brussels sprouts) and legumes (beans) may worsen bloating and gassiness. Dietary fiber may lessen symptoms. Individuals with IBS should drink plenty of water, and avoid soda, which may cause gas and abdominal discomfort. Eating smaller meals may lessen the incidence of cramping and diarrhea. Low fat and high carbohydrate meals such as pasta, rice, and whole grain breads may help IBS symptoms (unless the affected individual has celiac disease). Stress may cause IBS "flares." Doctors may offer specific advice on reducing stress. Regularly eating balanced meals and exercising may help reduce stress and problems associated with irritable bowel syndrome. Smoking may worsen symptoms of IBS, which gives smokers another good reason to quit. Among medicines you may take colospa retard tablet 200 mg twice daily. Even then if you need food allergy test then i will suggest u to go to rittwik allergy centre near moulali charch in central calcutta for allergy testing. Thank you. | |
Suggest treatment for osteo chondromalacia
i have patello femoral osteophyte formation is present with minimal changes at the posterior aspects of the patellae which may represent osteo chondromalacia, I have lot of pain on top of my patella, I can t go up stairs and up to a chair, I am 51 years old, should I do for a surgery to it fixed? | Hello, As this indicated that there us maltracking of the patella. This means that when there is an extension of the knee the patella moves upwards to lock the knee joint. You can take help of the physiotherapists who can teach you the VMO exercises. It's very important to do the VMO exercise to correct the maltracking of the patella. You can even try in later stages balance board training will also help to improve the muscle imbalances. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
How to improve concentration power in kids?
I am a mother of 7 year old boy kid. He is a very active child and fairly doing well in school. but this year a lot of complaints come from his teacher on his inattetiveness and i work for a bank. my working hours are weared and hardly spend time with him, except for weekends, is this disorder curable. Pls assist me in my understanding | DearWe understand your concernsI went through your details. I suggest you not to worry much. Low attention in children aged 6 to 10 is normal. This can be attributable to their attention span which is very much limited and is around 2 to 3 minutes. If they are not entertained properly, their attention wanders. Curriculum experts know this and design the method of teaching interesting to the children. Therefore, making the child attentive, is the duty of the teacher.Secondly, the problem may be really due to ADD. For which you should consult a psychologist to assess your son's condition. There are psychometric tests to know whether your son is ADD. If he has ADD, extreme care should be taken from your side as well as from school side. There are laid down methods to handle a child with ADD. There are lot of websites which teaches you these. Look into them. 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. | |
Suggest treatment for pain and blood seeping out of penis
i got hit in the scrotum about an hour ago. i am having a constant throbbing pain with blood seeping out of my penis and at the beginning of urination. i dont feel any abnormal formations in and around my left testicle where most of the pain originates and the left testicle seems like it is the corect shape. i have urinated multiple times, but the last time i urinated i had a burning sensation at the tip of my penis. it is not painful to pee but i do have a weird feeling while i urinate. what are the appropriate steps to take for this? should i go to the emergency room right away or ice for now? | Hello, Yes, you need to go to the ER, since we don't know the internal structure injury. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | |
Cyst on kidney, back pain. Should i get it removed? What more can i do?
I just had an MRI for my lower back and the report said there was a 2.7 x 2.4 cortical cyst on my left kidney . I have made an appointment to see my primary care doctor tomorrow but am unsure of what questions I should ask. Needless to say I was not expecting this and from what I have read there is no need to be alarmed. I don t believe I am having any symptoms as my back pain I thought was due to the horrible condition of my lower back. What would be some appropriate questions to ask? Should I get further testing? Should I have the cyst removed so I don t experience any type of kidney damage? Any questions you can as wear would be greatly appreciated. | Hi Cortical cyst of 2.7 x 2.4 does not cause any problem.It is an incidental finding.I have seen these type of cysts in very large number of patients without any problem. Your back ache may be due to musculo skeletal pain. Please take skeletal muscle relaxant and B complex with antioxidant tablet. Everything will be alright. No further tests are needed Nothing to worry Wish you good health Regards | |
Is recurring cough concerning?
I got a normal cold on Halloween Day. It went though the normal channels and the cough was pretty bad for about 3 weeks. The week before Thanksgiving I still had a cough but not that bad. Two days before Thanksgiving we got a new Heating and Air Conditioning System. I have not gotten over this cough. I do not cough all day long but a few times during the day and sometimes at night. Could this be related to my new air system, weather, etc? I feel perfectly normal otherwise, no fever, great appetite, no weight loss and not out of breath. Should I be concerned? I smoke about 5 cigarettees a day? | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with different possibilities as - bronchospasm secondary to smoking , exposure to pollen , dust or compressed air particles .* Need specific precautions for the same- Avoid smoking .- Avoid air conditioner air till recovery .- Avoid exposure to excess cold , dusty weather .- Deep breathing exercises , YOGA , regular walking in fresh air .Hope this will help you for sure .Regards . | |
What causes breathlessness with blockage in the nose?
sir i m very depressed pleasse help me.i m 27 years old.i m suffering with breathing problem.after every 4 or 5 days i feel breathless.i have consulted many doctors n also i have undergone many tests,everything is fine but after every 4 or 5 dayy i feel breathless all of a sudden and i feel also that one of my 2 opening of my nose is closed,what should i do | Thanks for your question on Healthcare Magic.I can understand your concern. Breathing difficulty with nose blockage are seen with allergic rhinitis and asthma.So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Intranasal spray containing steroid (fluticasone) is helpful in nose blockage. Oral combination of antihistamine and anti allergic (montelukast) once a day at night is also beneficial.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes several lumps on the head of a child?
I noticed several lumps on my 4 year old son s head today. They are all over his head. 3 are on the crown of his head and 2 at the bottom right of his head. 3 are hard and 2 are softer. They don t itch or hurt. 4 of them are dime to nickel size and one on his bottom right is pea size. Can you tell me what this could be? | Hi...by what you quote I feel that they could be lymph nodes which are increasing in size. But as they are not bothering them in any way it is not an emergency.But as they are multiple in numbers and increasing I suggest you get in touch with your pediatrician regarding this.Regards - Dr. Sumanth | |
Does water retention cause swelling in the legs?
I have swelling in both legs, the right much worse than the left. I have taken a water pill and have had no relief. my legs, knees, and hips ache horribly daily. My doctor just tells me it s water retention and there s nothing I can do about it. Is this true? | Hello,Yes, you are right. Water retention causes swelling in legs.The common causes of swelling in legs are:1) Sedentary lifestyle2) Diseases related to heart, kidney, and liver3) Lymphedema4) Chronic venous insufficiency5) Thrombophlebitis and many moreSo, I will suggest you review here with detailed history or consult with physician regarding medications dosage adjustment to get relief.I will also suggest you to do color Doppler of legs after consultation. Along with that, do regular exercises, walking, and keep legs at higher level while sleeping.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shyam B. Kale | |
What causes stomach pain , itchy rectum , headache and back pain?
I have stomach pain and itchy rectum for the past few days. I have been taking Metronidazol 500mg for a week but it was giving me dizziness, vertigo. I have also headaches, muscles twitches in eye lid, temporal, neck, back pain. I have to go back and see my doctor, I really don't know what I have. Blood work OK, CT scan did not reveale Crohn's disease (and another one is negative for brain tumor or bleeding). Could you help oriente me? Thank you very much | Hi. Thanks for your query. After reading your history carefully I can suggest the following:Since you have already taken a full course of metronidazole, please stop it. Your symptoms are more suggestive of a bacterial entero-colitis with its complications of the symptoms you have noted. You need a good antibiotic active against intestinal bacterial infection, supportive treatment in the form of pre and probiotic, electrolyte powder, multivitamins.Since you have undergone CT scans , Colonoscopy and biopsy may help you as CT scan is not a good investigations showing the interior of the intestines , particularly colon. | |
Could the lump in the auxiliary area be removed surgically?
Hi, I'm a 27 year old female. I'm experiencing pain and burning in the left auxiliary area. 4 years ago I had a mammogram and ultra sound to check for cancer.. They didn't find anything.. The lump is still there and it is getting very painful. I do have a family history of breast cancer.. What should I do? If it's not cancer can I have the lump removed surgically? Thanks.. | hi.it is best if you consult with a doctor, preferably a general surgeon to do medical and physical examination. it might just be an axillary lymphadenopathy secondary to a recent infection, like an upper respiratory tract infection. it could also be other benign lesions such as hidradenitis suppurativa which needs, medical and surgical management. to rule out if it is related to a breast condition, it is best to initially have a breast ultrasound as a diagnostic evaluation. a tissue diagnosis or a biopsy will be done accordingly. hope this helps.good day!!~dr.kaye | |
What home remedy can I take to prevent heaviness in the stomach due to ciprofloxacin and paracetamol ?
i`m taking ciproflaxacin with paracetamol, my tummy feels heavy(i need home remedis to stop this), and can you tell me how the combination helps with PID(ultrasound-related) | Hi tricia; Thanks for choosing HealthcareMagic Ciprofloxacin is a broad spectrum antibiotic & paracetamol is a analgesic .These medicines have been prescribed by your doctor for PID (pelvic inflammatory disease).The name itself suggests that there is inflammation in pelvis which comes because of infection so it is necessary to take antibiotic to cure the disease.If you have heaviness in stomach after taking these medicines it could be because of hyperacidity so either you can take a antacid or home remedy will be to take these medicines with a glass of milk to avoid acidity. Take care Thanks | |
Suggest treatment for mottled skin and pain on legs
Hi I am very worried I am 42 years of age always had slighty mottled skin on legs but not that noticable over the past 6 months also my left lower leg aches is has become worse and I now have this on my arms do you know what could be causing this ? I am 5 ft 2 inches and weigh 8.5 stone | Hello, As a first line management, you can apply low potency steroid creams like betamethasone for symptomatic relief. If the lesion persists, it is better to consult a dermatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Suggest treatment for a sore under the tongue
recently my brother has sore type under his tongue after preliminary investigation doctor's conclusion was that is due to bacterial infection and he started antibiotics for weeks it totally disappeared .After fortnight it again appeared what might be the reason and what is the treatment to be taken . | Hello and Welcome to 'Ask A Doctor' service. I have reviewed your query and here is my advice. A sore under tongue can be a canker sore or yes, it can be bacterial infection as it went away completely after treatment with antibiotics..There is a possibility that the infection was not completely resolved and it is the cause of the recurrence.So it is better to take another course of antibiotics.Along with it do warm saline gargles, antiseptic mouthwash gargles and take Vitamin B complex for a week.Hope I have answered your query. Let me know if I can assist you further. | |
Can I have sex if I have lymphnode tb and hepatitis?
if had detected with lymphnode tb.on my right neck.its a small swelling.i has been detected last month.im under the treatment off rimactazid 450 and streptomycin injections as AKT-4 IS CAUSING HEPATITIS.im married just 2 months before.can i hv sex with my husband. | Hi, dear. I have gone through your question. I can understand your concern.Being a patient of tubercular lymphadenitis you need to undergo for least 6 to 8 months. it includes 2 months of intensive phase.after intensive phase is over you can go for sex with your partner without any trouble.thanks | |
Q. What is the best treatment option for baldness?
Hello doctor,I would like to go for hair transplantation. So, kindly advice me about which is the best option. | Hello. From your photos (attachment removed to protect patient identity), I can see that you have grade 7 baldness with limited donor hair. But, you have also got small, thinned-out hair in the hair loss area. So my suggestion is as follows. You should understand that the result you can expect is not a head full of hair, but enough hair to cover your baldness. It is a one-day procedure. You can get a 2000-grafts transplant in one session followed by the second session six months later if you want. You will require a review on the third day after the transplant and it can then be followed up online. For more information consult a plastic surgeon online --> | |
Suggest treatment for infected wisdom tooth
HELLO i AM 33 YRS OF AGE, IM 5'10 AND WEIGH 225 POUNDS. I HAVE AN INFECTED WISDOM TOOTH AND IM CURRENTLY IN THE ER AWAITING TO SEE THE DOC. I AM ALLERGIC TO PENICILLIN, WHAT OTHER MEDS ARE OUT THERE THAT WILL WORK JUST AS GOOD AS PENICILLIN FOR MY SITUATION. | Hello,Thanks for consulting HCMRead your query as you have infected wisdom tooth infection in tooth can be due to some reason like if tooth is carious or decayed tooth with Periapical pathology may be Periapical Abscess or due to Impacted or Partially erupted tooth with Pericoronal abscess . If you have infected tooth I will suggest you to consult dentist and go for its treatment Root canal treatment or Extraction of tooth. Inmeantime you can do warm saline rinses , you can take Antibiotic like Ofloxacine by consulting with your doctor and Analgesic like Paracetamol or Diclomol if you are not allergic with vitamin B supplement .Hope this will help you. Wishing you good health Regards , Dr. Priyanka tiwari | |
Suggest remedy for restless legs,tiredness and discharge
Hi I am 4 1/2 weeks post Lavh, removing everything, and have been doing well. I now seem to have hit a wall with tiredness and feel I may have an infection as am getting quite a bit if discharge. I also have restless legs which are stopping me from sleeping very well. Is all of this normal.? | Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that if you have discharge that smells bad and suggestive of infection you have to treat them. Do culture and sensitivity testing and take treatment accordingly. Do yoga and mild exercise that help in rapid healing. Take good antioxidant food.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic. | |
Can Oxycodone be prescribed so as to be free of bone pain?
Hi...I m Debbie and was diagnosed with Anal cancer in Dec 27 2005. Started radiation Jan 2006...went through chemo and had part of my liver respected since it had metastisized . For 7 years I Watson Fenytynal and oxycodone. In IN laws have changed and I am on 50mg Fentynal but am still having Chronic pain that I as told I would always have...but was given 5 yrs tops. The doctors are all surprises that I m alive but I have no life due to bone pain, and Fecal Incontenance. I would rather not live if I spend my life inside my home. The oncologist said 3 more years alive would be rare. Why will my PM doctor put me Back on the Oxicodone so I would at least live without the bone pain while I alive? Thank you.. I am 53 as of June 26. PS. We have tried spinal injection which was to help with my spine and legs...lasted a few days with small amount of improvement . | hi Debbie. your doctor is giving you drugs for pain relief. its really great that you have got such a survival with this disease. depending on the extent of disease we decide about the treatment. radiation to spine is an alternate for spinal metastasis. | |
Suggest medication to control chronic abscess formation
I have suffered from chronic abcesses for 19 years now. I am growing weary and tired from this. I have been on every antibiotic known to man and still no progress. What else can I do about this to at least have them under some kind of control..... ???? | Hello there i am dr.milan infecrious disease specialist answering your query.You need to go for certain investigation of abscess.Like culture for pyogenic organism and culture for tuberculous and non-tuberculus organism.While going for culture take specimen when you are not on antibiotic atleast for 3-5 days. And if you are taking antibiotic countinious than you have to repeat the culture examination if it comes negative.So first thing is to go for culture examination and plz tell us the site from where is coming. And is it off and on type, do you have any operative procedure before this, is it associated with any other symptoms? You need to see an infectious disease specialist along with this history and investigation.Feel free to ask more about your problem. Hope i have guided you towards best.Give us star rating according to your satisfactory level.Thanking you. | |
What causes severe pain below the rib cage?
Left sided lower rib cage anterior pain. No known injury other than possibly brought on by raking the yard. Pain is sudden and sharp with a stabbing sensation. Pain is intermittent. Pain scale = 4/10 to 5/10. Increased pain with coughing or sneezing. No history of cardiac and no other related cardiac symptoms. Wife a nurse at JHH and thinks possible costochondritis or possibly related to my Rheumatoid arthritis. No fever. No nausea or vomiting. No diarrhea. Feels better after taking Motrin. What do you think this may be? | Hello Thanks for writing to us, I have studied your case with diligence.As per your history there is possibility of rib contusion or costochondritis.Rib contusion is visible on X ray . I will advise to consult to orthopaedic surgeon.Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt.You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion.Wishing you good health.Take care | |
Diagnosed with cervical spondylosis and wedge fracture. What are the causes and treatment?
Sir i had appeared in medicals for joining indian air force as fighter pilot.Ic was declared unfit by them on basis that i am having 1. Cervical Spondylosis 2.Wedge Fracture CV5-CV6 though i never had any injury in my neck and never any pain.And Civil Doctors are saying that my X-Rays are also fine. Will you please explain what these disease are and also how can they be cured. | Hi You hav put a great variation in opinion. Any how if no h/o injury, it can be metabolic, congenital,problem .Go for MRI, a definite correct opinion can easily be made best of luck | |
Will the intake of medicines for bi polar disorder affect any of my vital organs?
I am diagnosed with bi polar disorder. I am currently ingesting clonazapam0.5mg twice daily. zopiclone7.5mgat bedtime mylan metoprolol(l)50 mgtwice daily divalproex125mg twice daily lithium carbonate150mg0000mg at bedtime along with4 300 mg capsules at bedtimerosuvastatin10mg twice dailyasprin low dose 81 mg1 tablet once a day co- ranittidine150mg1 tablet twice daily.I ve been taking these for a number of years now and am wondering if yhey could have a profound effect on any of my vital organs with continual use. rsvp steven | 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.The two mood stabilizers you are on i.e lithium and divalproex are bothin sub optimal doses and there is no reason why you should be exposed to the risk of both mood stabilizers when you can stay symptom free with even a single moos stabilizer in optimal dosages. Similarly you are on two hypnotics when only one should be sufficient. More the drugs more the side-effects. You should get a regular CBC done, with a kidney function test.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 | |
How to heal injured and swollen head?
I got jumped the other day, the night of the 14th, and apparently a friend told me I hit my head on the concrete right above the right side hairline. They helped stop them but now I have a soft spot on my head, it hurts mostly all the time. I take aspirin to take swelling down but it comes back overtime.. It's sensitive to where I barely touch it, I feel tingles up to the center of my head. I can't sleep as much and it hurts when I get a good yawn, even laugh which is a bother. I laugh a lot. I'm trying to stay positive but it just hurts to much to enjoy the days. Should I get it check out or am I fine? | Hi and welcome ot HCM. cetain degree an duration of such smptoms is expected even up to 1month after injury but if this persist or worsens you should visit neruologist. WIsh you good health. Regards | |
Suggest treatment for yellow discoloration of teeth
Hi Doctor, I have a yellow tooth from my childhood or from the time I got my 1st tooth. I consulted a doctor once and he mentioned it should be flurosis. Please suggest me with a treatment to get rid of the yellow color and would also like to know if there is a age constrain for this treatment. | Thanks for your query, I have gone through your query.The yellowish discoloration could be because of the fluorosis or secondary to deposits.Consult a oral physician and endodontist to rule out these two conditions.If it is fluorosis, then you can get the tooth treated with veneers or tooth color crown. If it is because of the deposits, the get the teeth cleaned once and maintain the oral hygiene after that.i hope my answer will help you, take care. | |
Is it safe to take tamoxofin for mucinous cancer?
Hello: A 30 year old female has mucinous carcinoma estrogen and progesterone positive. Successful lumpedtomy and completion of radiation therapy - now she must decide yes or no to take tamoxofin. Are there any significant differences between mucinous and ductile cancers in the efffectiveness of tamoxofin. Her oncologist doesn't seem to differentiate between the two and she has read some studies that are making her consider refusing to take it. | ER positivity is what decides usage of harmones but not histology. Since you said she is ER positive she needs to be on harmones. If she is premenopausal lady tamoxifen is the only option | |
Suggest remedy for persistent chest pain with intense muscle spasms
I have chest tighness, when I burp, it gets worse. The pain is in the middle of my chest and it is only pressure, not intense. I am not hungry and have to eat whether I want to or not. I recently completed treatment for what was diagnosed as Chron s with Remicade, but this pain just started recently. My dr ordered gallbladder ultrasound, chest x-ray and did an ekg (it was ok). THe pain is worse when I stand and lessens slightly when I am laying down. Could I have developed an ulcer? | Thanks for your question on Health Care Magic. I can understand your concern. Possibility of GERD (gastroesophageal reflux disease) is more in your case. This can be due to gastric ulcer also. It is mostly due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of Central chest pain, burping etc. So avoid stress and tension. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Avoid junk food. Take proton pump inhibitors and prokinetic drugs. Keep 2 - 3 pillows under head in the bed to prevent reflux. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks | |
How to deal with painful arm and shoulder post injury?
Hi, may I ansI was in a car accident on Friday 4-9-10. I accelerated from a complete stop and when I accelerated, a bug flew into my window and I turned my head and ended up slamming into the truck in front of me at a very close range. The seat belt slammed into my collarbone where it meets the shoulder. I am in a lot of pain. I am able to move my arm, rotate, lift it above shoulder, basically I have total motion. I do notice though that when i extend my air fully up, hand in the air, there is some popping. It hurts some when I am moving it. I do not see brusing, cuts, or swelling, but it hurts like crazy. I am ok if I don t use it, luckily it is my left shoulder, but after working as a receptionist and doing everyday things, it throbs. Unfortunately, I have to use my arm! If i keep my arm in a position like it would be in a sling, or i support it with my right arm, it doesn t hurt so much. I don t want anyone to touch it. When i was helping my son who is 5 get dressed, he put pressure on my shoulder to keep his balance and that hurt a lot! It gets very warm, not to the touch, I just feel a lot of heat radiating from it. The pain spreads through my shoulder and sometimes reaches my elbow. I have not put ice on it, but i have used the heating pad which helps a little bit. I am not expecting a severe injury because it doesn t look injured, but it really really hurts! What should i do? My neck is not sore at all, so i don t think i have whiplash. | HelloThank You for contacting HCM.There could be hair line fracture or sprain. I would recommend you to visit hospital for Xray to rule out any such cause. In the meanwhile i would suggest you following things:> Take naproxen twice a day for 5 days> Apply ibuprofen cream over the shoulder and massage.> Take boiling water in a rubber bottle and put over your shoulder. It will give soothing effect.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health. | |
How to check that the chemo is killing the cancer cells and the disease is not progressing?
My Father,67 years, was diagnosed with NHL diffuse large B cell type lymphoma , about 2 months ago. Staged as 1. He was recommended 6 cycles of R-CHOP. He has completed 2. since the last 7-8 days he has been complaining of fever, initially low grade but over the last 3-4 days reaching to 99.5 and 100. fever subsides readily with paracetamol and he feels absolutely fit, but reoccurs after 5-6 hrs. He has no other complaint, no clear signs of infection. WBC count was 5000 about 5 days ago now it is 9000. Chest X ray is normal. Preliminary urine analysis is normal. Good appetite, no gastric complaints. He has been started on antibiotics (ceftum) 5 days ago but no relief. - could it be that the lymphoma is progressing and not being controlled by chemo?? - how to check that the chemo is really killing the cancer cells? that the disease is not progressing? | Hi! welcome to HCM! In most cases, the treatment for diffuse large B-cell lymphoma (DLBCL) is chemotherapy, usually with a regimen of 4 drugs cyclophosphamide, doxorubicin, vincristine, and prednisone, plus the monoclonal antibody rituximab . This regimen, known as R-CHOP, is usually given for about 6 months. Rituximab is a type of biological therapy . Rituximab targets a protein known as CD20. CD20 is found on white blood cells called B cells. It is the B cells that are cancerous in the most common type of non Hodgkin lymphoma. Rituximab attaches itself to the B cells and marks them. The cells of the immune system recognise the marked cells and kill them. An increased risk of getting an infection from a drop in white blood cells – it is harder to fight infections and patient can become very ill. DLBCL can be cured in about half of all patients, but the stage of the disease and the IPI score can have a large effect on this. Patients with lower disease stages have better survival rates, as do patients with lower IPI scores. hope this helps!take care! | |
Why is the Fertisure M tablet used for?
HELLO SIR.... I AM RAJESH AM 31 YRS OLD.... MY QUESTION IS WHAT IS THE USE OF FERTISURE M TABLET.... MY SEMEN ANALYSIS REPORT IS TAKEN..... MY TOTAL SPERM COUNT IS 110 MILLIONS/ML, MY ACTIVE MOYILE 65% AND MORPHOLOGY NIRMAL FORMS 65% AMD ABNORMAL FORMS 35% AND MY SPERM QUATITY IS 5 ML AND MY MY SPERM LIQQUEFACTION TIME IS 2 HR.... THE REPORT SHOWING THAT I AM NORMAL FROM WHAT PROPOSE SHOULD I TAKE THAT TABLET..... PLS ANSWER ME | Dear Rajesh, fertisure M contains co enzyme Q and other antioxidants that help improve the sperm motility by decreasing the damage.as you got normal Semen report no need for this tablet.kindly have healthy diet pattern.thank youhope i answered your query | |
What is the treatment for a bruise in the cervical spine?
My brother had cervical spine surgery 4 y ago ~ then, lumbar surgery 8 months ago. Lumbar area is doing well, but MRI of cervical spine shows a bruise & surgeon recommends "complete disability" d/t cervical bruise ~ he had been asymptomatic prior to that surgery. Please offer insight! Thank you. | Hello!Thank you for asking on HCM!Regarding your concern, I would explain that his symptoms could be related to cervical myelopathy. I would like to directly review his cervical MRI results in order to be able to give a more professional opinion. Meanwhile, I would recommend holding a cervical collar in order to help maintain the cervical column stability and reduce further damage to the spinal cord. Hope to have been helpful!Best wishes, Dr. Aida | |
Tingling numbness and burning sensation in hands and feet, difficulty in focusing left eye, difficulty to concentrate. History of several mini strokes and balance issues. Suggested MS test. Advice
I have tingling numbness and burning sensations in my fingers hands and sometimes the bottoms of my feet, and sometimes I have problems focusing my left eye and have difficulty concentrating, it has been suggested that I get tested for MS. I have had several mini strokes in the past several years and have just recently recovered from having terrible balance issues where I had to use a walker and or a cane for six months. Any ideas? | Hello,Thanks for the query,Please note that there are several neurological problems can present in this way. Though it can be MS in your case, other conditions need exclusion. Other conditions that need exclusion are vitamin B12 deficiency, systemic vasculitis, and chronic neuroinfections and so on. Tests which can differentiate between these conditions are mainly MRI Scan of the brain and spine followed later by blood tests for vasculitis, vitamin B12 level and lumbar puncture.You need to consult a local neurologist and get evaluated. Your management will depend upon the cause.Hope this clarifies your queryBest regardsDr Gopal Krishna Dash., MD(Medicine)., DM (Neurology).,Post-doctoral fellowship (Epilepsy)Consultant Neurologist & EpileptologistNarayana Hrudayalaya Multispeciality HospitalBangaloreMy blog: | |
What causes infertility after having the medical termination of pregnancy?
we had a medical termination of pregnancy carried out about 1 year ago in the 7th month of pregnancy due to dandy walker variant present in the baby. We have since then tried for a baby with no results (trying for 7 months). Do we need to see a infertility specialist? | HI, I understand your concern. Termination at 7 months is just like a miniature delivery. So resuming normal ovulatory cycles may take few months. In addition your physical & psychological well being plays essential part in conception. I feel not the fertility specialists, but you can consult a gynecologist for your general check up/ your ovulation study. You should ascertain all the factors to be normal/ have a perfect health with good Hb% & no illness ( both of you )-- have medication for getting good ovulating cycles ( if needed).. & the plan for a baby. Please don't be scared,normal conception & child birth follows & the syndrome need not repeat( it can occur 1 in 3000 pregnancies ) Thanks. | |
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 --> | |
How to get rid of fluid like growth on the back near spine?
Hi, I dont have a hunch back its more like fluid when i push on it. I also feel my bone kind of pocking out, its in the area behind my neck where my back starts. I have long hair and I do not wear my hair up because it looks like a hump. how can I get ride of it? | Hello, As mentioned about the fluid stored bump over the spinal column I would first recommend you on beforehand to get it examined by a neuro surgeon. If the bump found to be superficial it can be drained by a needle under a neuro surgeons guidance. But beforehand an MRI will be taken to rrule out any spinal cord involved. In case if spinal cord is involved than measured will be taken accordingly. Also, may the fluid will be sent for biopsy to rule out any other pathologies associated with it. Please visit a neuro surgeon to get it assessed, examined and later treated. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Suggest treatment for dull and lifeless hair along with hair loss while on Thyrox
Hi..myself female age 33.. haveing exccessive hairfall from last few months...hair become dull and lifeless.. recently i was detected thyroid problem due to that i was prescribed thyrox12.5 daily... plz suggest me some remedy to control my hairfall and regrowth of hair.....thank you | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Thyroid problem is one of the common causes of hair loss. I would advise you to consult your Internal Medicine Specialist/Endocrinologist to keep thyroid hormones in normal levels.You can use Minoxidil solution and biotin tablets for hair loss. But I would advise you to cure the thyroid problem first.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Siva Subramanian. | |
What causes left hip pain and tiredness?
I have left hip pain, It is painful to get up from a sitting position. I am also very tired. My heart rate is around a 100 per min. I have had an EKG and Echocardiogram done by a cardiologist, they found nothing. My hip pain causes me not to walk and I know not walking can cause tiredness. What to you think? My age is 70. Thanks Henda | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have left hip pain and tiredness. Well there can be many reasons for symptoms you mention in query like osteoarthritis , rheumatoid arthritis , bursitis , inguinal hernia , sprains and strains , tendinitis , herniated disk , sciatica , bone cancer or leukemia. I would suggest you to consult orthopedic surgeon for proper examination . Doctor may order blood test , CT scan , MRI or bone density checkup . Doctor may prescribe allopurinol ,methotrexate , anti inflammatory or radiation therapy . For now take proper rest , apply warm compresses and take ibuprofen or acetaminophen for pain . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Is lower back pain normal after menstruation?
Hi there,I have been on YAZ birth control for around 7 years and have had very mild PMS during my menstrual cycle but over the last few months, I ve noticed a large amount of bloating/distended tummy before and after my short period. This month I got my period 2 days earlier so I finished 3 days earlier but I still have lower back pain and abdominal cramps just 3 days after my period stopped as if I m still on my period.Is this normal to have pain 3 days after period ends? | Hi dear,I understand your concern at this point of time.your symptoms like abdominal bloating and bachache are suggestive of premenstrual syndrome .Some treatment options like lifestyle changes,medications like ibuprofen or aspirin and supplements like vitamins and minerals can be tried by you to ease the symptoms .please let me know if you found my suggestion helpful .best wishes for great health .RegardsDr.Harpreet kaur | |
How the hair transplantation is done and how much will it cost?
hi doc i am sajid i am 28 years n i am suffering from hair loss n i had consulted a hair transplant expert he told me that it will require at least 2000graphs to be inserted for hair transplant plz suggest me regarding it n what wil it cost plz help me | Hello,Hi SAJID A. there are two method of HT 1. FUE- more popular now . it is scarless, painless,stitches less surgery2. FUT- strip taken from the back of scalp , stitches, scars comesI usually do FUE untill unless somebody requests me to do FUT. In FUE grafts are taken from the back of scalp (occipital area) and implant over the bald area. It is very safe procedure and post op complications are not much. results are good. Well about requirement of graft its very difficult say any thing untill i see photos of bald area and scalp. front area takes 2500 graft usually with covering of good density. | |
Suggest treatment for left side rib pain
I m a 18 year old female and I have rib pain on my left side. It s been going on for 25hours now. It had spread to my shoulder and the whole left side of my neck also along with the rib pain. Laying and sitting down cause me to lose my breath and make me go into some kind of attack. I have to use my boyfriends inhaler to calm my breathing. I now walk at a slow pace because if I walk normal I lose my breath and get a feeling I m going to pass out. Not sure if this matters but women in my family and past generations has had tumors by their ribs, lungs, and breasts and also every woman in my family is big breasted. My mom recently got out of surgery because of the one by her ribs. I ve always had this pain since I was about 12 years of age but only lasted about 20 minutes tops. Thanks for your time. | Hello, There are many possible conditions that can cause rib pain. I suggest to do an X-ray to confirm the diagnosis. Meanwhile, I suggest using anti inflammatory medications such as Acetaminophen to relieve the symptoms. I also recommend using cold compresses for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Regards, Dr. Dorina Gurabardhi General & Family Physician | |
What causes freezing and boiling temperatures during a pregnancy?
At 4 weeks pregnant, I have been ill and have been in bed. I was absolutely freezing as our heating has broken so I put my dressing gown on in bed. I fell asleep and when I woke up, I was boiling. I took my temp (although I used the child ear bit instead of the adults) and it was about 39.3. I tried a few more times and kept making a mess of it and then realised I had the wrong end on. After I sorted it out it was 36.7 but my dressing gown was off by then and I had cooled down. Now I am really worried as I remember reading somewhere the last time I was pregnant that this was why you couldn t have baths. Have I hurt my baby. | No you haven't hurt your baby at all.It happens sometimes due to hormonal changes in the body.you may also get investigated to rule out other causes of fever | |
Taken Z pack for cough, swollen glands, fever. Now abdominal pain, green stool. Any ideas?
Hi i had an ear infection and sinus infection last week. I was taking predinome and sulfemothaxozole or something like that. I was getting better but then I had a bad cough one day and swollen glands etc. then I got a 102 fever in the middle of the night . I went to the dr. And it is not strep but she switched my medication to z-pack. I now have abdominal pain and green stool.. Any ideas ? | Hello,The most common cause of green stools in adults is due to eating greeny vegetables or due to food dyes.But as you are having abdominal pain too you need to be evaluated.The medications you are taking may also lead to green stools and if that is the cause your doctor will change the drug.Thank you. | |
How long after miscarriage is conceiving safe?
Hi, My name is Shilpa.My age is 24 years. I have done pregnancy test on 31stDec2010 and it was positive. I have confirmed the same with Doctor also. It was positive. Now after 4days slight bleeding was there. I went to hospital and seen the doctor. She said it is weak pregnancy. Now from that day bleeding is there. Doctor said that its an miscarriage. My question is that which is the best time to get pregnant after the miscarriage. kindly advice. | Hi, Cause of abortion to be confirmed by a gynecologist's consultation... ffolloedby any needful treatment.Then pregbancy can be tried after you get 3 months of regular monthly menses &improving health deficit by ironvitamines protein suppluments &calcium as per need. Thanks. | |
How to increase sperm motility and quantity?
Hi, I am Raj 35 yrs old , my problem in my semen analysis reports.My count is normal but motility is very low. Report given below:- total volume- 1.0ml, ph- alkaline, Total sperm count-60 million/ml, Active-5%, Slug-60%, Dead sperms-35%, Abnormal sperms-60%, Pus cell-2-4/hpf. Please suggest me how I increase my sperm motility & quantity. | Hi,there are no known medications, but having a good and healthy life style, not wearing tight underwears, regular exercises, and good food helps, some ayurvedic medicine are available and you can try, but no scientific data to support that. if you have infertility problem consult a specialist. | |
Q. How to prevent seizure attack?
Hi doctor,I am a seizure patient. Please give me some suggestion to recover from this seizure. Also, how to stop further seizure attacks? | Hi. I have gone through all your reports (attachment removed to protect patient identity) and your current prescription. For further information consult a neurologist online --> | |
What causes upper stomach pain, nausea and vomiting?
I m having upper belly pain directly under breast are and sever nausea vomiting change in bowel movements. Pain is every day and sever episodes about every 3 weeks where can t keep even water down. So far only thing found is celiac artery is 90% compressed and smu artery 20% compressed cannot have stent due to muscle laying on top--I have unspecified connective tissue-auto immune, IBS, Fibro and gerd --Doctor ruled out gall bladder however when they did test to mimic eating the pain and gas were horrible even though I wasn t actually eating --Dana | hi.noted history of abdominal pain associated with nausea and vomiting, noted to be increasing in frequency. i agree with your doctor in ruling out any gallbladder pathology. an abdominal ultrasound will be of great help in ruling in/out this disease. if in case positive for gallstone disease, cholecystectomy (surgical removal of the gallbladder with stones) will be advised. this can be done laparoscopically (goldstandard) or thru open technique. other diagnostics and management will be directed accordingly.hope this helps.good day!! | |
What causes prolonged coughing fits after meals and in cold weather?
For the past few years I have had a problem with prolonged coughing fits, particularly after meals, in cold weather and when I m out walking. My doctor sent me to a specialist who said it was just an allergy. Then I had a follow up visit with another specialist and he said it was dry skin due to old age (I m 62). My doctor tried me on anti-histimines, steroids and asthma inhalers but nothing worked. Then I read online about GERD and she gave me a losec type drug which which while not curing the problem, gave me relief when nothing else did. After a while, they didn t work any more and I tried cider vinegar, which worked for an ever shorter time. I read about an operation to repair the oesophageal syphincter. I don t know if that would help me. I get no heart burn, just the coughing. | Thanks for your question on HCM. In my opinion you should first try life style modification and drugs simultaneously to achieve control for GERD. Surgery is the last option.Lifestyle modification needs following things to be done.1. Avoid oily, spicy and hot food.2. Avoid large meals. Instead take frequent small meals.3. Avoid stress and anxiety. 4. Go fir walk after meals.5. Keep 2-3 pillows under your head in bed.Along with all these, you should take proton pump inhibitors and prokinetic drug. | |
Is class iv deep tissue laser therapy effective in relieving knee pain?
Hello Doc ! My mom is having knee pain (right leg) for a month. Every year, specially during winter time, she gets such joint pains for at least 10 days. After taking medications, she will get relieved of the pain. This year, it continues in spite of taking medications for more than 10 days An Ortho specialist prescribed medicines like Omez, Zerodol - P and some vitamin capsules. Her symptoms are swelling of joints, specially at her right knee and mild swelling in her toes and finger joints. She is finding so hard to climb staircase. After taking necessary lab tests for arthritis, it was all normal as told by the Ortho specialist. Recently through some of our friends, we heard of Class IV Deep Tissue Laser Therapy which is great for relieving pain at joints. Can you please let me know how the therapy is efficient in relieving joint pain? will it be beneficial to give it a try? Please suggest any herbal or drug therapy as mom is reluctant to go under the knife for a surgery. | Hello! Welcome to HealthcareMagic! Since you say all test came out normal. I think it's normal knee joint pain which occurs in elderly people. As one ages, a fluid called synovium around knee caps which protects from friction during motion is degenerated. And hence one experiences pain around the knee. I suggest you to get ayurvedic treatment called jaanu basti. In which we try to regenerate the fluid around knee and reducing pain. Laser therapy and any other surgery will not help you much. I won't recommend at least. Hope this clarifies your concerns. Thank you for contacting us. Take care Regards, Dr. Ganashree S, Ayurveda Specialist | |
Suggest treatment for viral infection and influenza
Hi going back about a month ago I had a bad virus and flu, and one day I snizzed rreally hard snizze and heard a crack even my wife heard the crack and she was 4/5yds away, found it very hardto talk wwith the pain, every time I cough it brings me to tears, even to this day, all the pain killers that I ve gone true, what could be the cause, is it possible that I could have cracked a rib, thank you Raymond. | Yes it is possible to cause a rib fracture from coughing or sneezing violently. To document if you have a fracture you will need to have a chest x-ray. The treatment is rest and pain control. It will take several weeks before the rib heals. | |
Q. Will cutting down of Xanax dose lead to additional psychological disturbance?
Hi doctor, I have been taking 4 mg of Xanax a day to treat severe panic attack syndrome and associated high levels of general anxiety for 15 years. My doctor arrived at the 4 mg per day amount gradually and it works very well along with CBT from a therapist. Before two months, when I received the medication from the pharmacy it was for 3 mg /day. I asked them to double check and that was the quantity that my doctor had written. I call his office and the office manager said that she would ask him about it. When I called the next day she said that he did not make a mistake and I asked for an explanation and was told that he did not give one. I started to feel sick a few days later and panic attacks actually started to increase the day that I talk to his office manager. I suffered minor but disruptive withdrawal symptoms physically and mentally for about two weeks and then they subsided but panic attacks continued to occur at random every day and my GAD symptoms increased to the point where CBT methods were not working. Then last month, the script was back to 4 mg per day normal dosage. I thought yes, back to normal. But again this month the script was back down to 3 mg per day which means I am going to experience a minor hell again. I am a defense and aerospace engineer who works on a contract basis through an agency and the client had noticed a drop in my performance before month but back to normal last month, now they are going to see it again and I will probably lose the contract job. I also started online system engineer classes and I am freaking out over being able to handle the exams and homework as I typically work on the class at night and am now without my evening dose. I again asked for an explanation and was not given any. My question is a 25% cut in dosage physically dangerous and I am well aware of the strong psychological addition issues, so will this settle down before my career and social life and general well being take a hit and I revert to hiding in my apartment with my dog and my employer and friends will give up on me. | Hello. There are a few clarifications and advice that I need to make. Reducing the dosage of Alprazolam results in Alprazolam withdrawal. A reduction by 25% is unlikely to be physically dangerous but the withdrawal symptoms are going to be highly unpleasant. The anxiety of withdrawal is quite similar to your panic and generalized anxiety and it is difficult to make a difference between the two. Withdrawal anxiety will reduce over time. I do not think that your disease will worsen because of this to the initial level but the withdrawal will cause distress for a few weeks. I recommend using more nonpharmacological therapies like relaxation training during this period. Ask your doctor to avoid making sharp changes in dose and consider adding drugs like SSRIs (selective serotonin reuptake inhibitors), etc. Breaking your tablets and taking the pieces in such a way so that you reduce the inter dose interval without changing the dose. I hope this helps. | |
What is the best treatment for travel sickness?
does it work.. i would like to join the navy but currently cant as travel sickness is my biggest enemy.. is it perminent and does it have side effects.. what sort of cost is it? how long does it take and what teh recovery time. please help?i have been approved but cant do naything till i get this issue sorted as tablets just dont cut it in the military. | Hello, Promethazine is a commonly used drug to prevent travel sickness. Few will have side effects such as headache, tiredness. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | |
What is causing pain in the bottom of the foot with bar and screws?
Yes . I had tibia damage to my right leg and had to wear screws and a bar to hold them in place for six months now it has been over 20 months and I have pain on the bottom of my right foot just below the toes when Iam standing on concrete . I was just wondering if i have tibia nerve damage . | Hello, As mentioned in the history of the pain, I do not think it is nerve damage. As if it was nerve damage, there might be symptoms related to motor control and sensory disturbances which aren't mentioned. So this is muscle weakness which I feel. Post Surgery we usually recommend people to undergo an exercise program. This has helped them in my practice of 12 years. As there will be an imbalance between the muscles to bear the weight and transform to the foot this needs only physical therapy intervention to help you get rid of the symptoms. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
How can multiple sclerosis be identified?
trying to help my 52 year old sister figure out horrible pain that comes and goes on the right side of her neck. Family history older sister passed away after 18 year struggle with MS. Has no insurance as is scared to death it is happening to her too. 3 years age had a eye infection that caused temporary vision loss, which was one of the 1st symptoms of our sister. | Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!Her symptoms could be related to a pinched nerve in the cervical column or a bulging disc in this level. For this reason, I would recommend performing a cervical spine MRI and a nerve conduction study. It is less likely to be MS, as her symptoms are very localized. Hope you will find this answer helpful!Best wishes! | |
How to conceive with secondary amenorrhea and PCOS?
hi i'm 29 and was diagnosed with secondary amenorrhea and PCOS in Oct 2010. I have been epileptic since 2006 (Levetiracetam twice daily). I have been menstruating normall since May 2011. I want to conceive but this is not happening. what can I do? I'm taking Pregnacare since 3 weeks. Please help me | Kindly see a gynaec.they will put u on some medication for pcos after examination.u r young so donot b disturbed .u have to take some treatment | |
Should I consult the doctor for swelling in ear and numbness after having the head hurt?
I got a blow to the left side of my head a few hours ago it was pretty bad my ear also and now my head around my ear is sore and my ear is blue and black very swollen im scared cause its a head injury shud i go to hoispital my jaw is small bit sore aswell more numb up by my ear help | Hello,I can understand your concern. From the description of blow and the symptoms you are suffering from, it seems that you might have fractured one of the facial bones, either temporal or zygomatic bone. When one of these bones are hurt, feelings related to nerve like numbness etc., difficulty in opening mouth and swelling in the ear area are usual symptoms.I would advise you to visit an oral and maxillofacial surgeon without any delay. You will have to go through x-ray and possibly CT Scan. Based on the test results, diagnosis of the fractured bone can be confirmed and treatment can be advised. If you are in too much pain, you can take Ibuprofen 400 mg or Ketorolac 10 mg up to thrice a day for relief in pain. Please do not massage the area or apply heat without consultation with the surgeon.I hope this information helps you. Thank you for choosing HCM. I wish you recover soon.Best,Dr. Viraj Shah | |
Can taking Bystolic 2 result in rapid heart rate?
tried bystolic 2.5mg for 3 days on the third day went to sleep and felt irregular nonperfusing heart beats. this same phenomenon happened on coreg 2.5mg. I was sleeping on my left side and it resolved on my right side or if I sat up. I was taking it for blood pressure control. I have tried multiple bp meds and experience severe abdominal pain that I have been tested at great length for. Arbs cause severe abdominal pain 14 hours after taking them and ace inhibitors caused and throat tightness after 10 days. The list goes on. I am a 40year term nurse and If someone told me all of these problems, I probably would think they were off. My doctor wants me to try Bystolic 5mg to see if that will work and was told I was difficult. | Hello thereI feel Bystolic 5 mg will work for you .However Metoprolol remains my favorite as I am able to titrate the dose to higher levels as well as lower levelsYou can discuss with your doctors for other options hope this helps | |
Suggest treatment for severe chest pain
Hi, I am experiencing pain to the touch almost dead center in my chest. This has been for a while. If I pulled a muscle in my chest, wouldnt it improve after a week or so? This has been going on for a couple of months with no relief in sight. Thanks. | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Most likely your pain is because of muscular spasm, as muscle is pulled up, try to take rest for few days, don't over do any exercise, use nonsteroidal anti inflammatory medicines, low dose steroid can also be taken. Taking an over-the-counter pain reliever, such as ibuprofen, applying ice to the affected area to help relieve pain and reduce inflammation.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Rishu Saxena | |
Suffering from hepatitis A & E, has liver swelling. Bleeding during pooping, water in stomach. Suggestive treatment?
My father from hepatitis A & E, has liver swelling as well, But today he complained of bleeding during pooping , Doctor told that he has water in stomach, what is that, What is the problem with him plus he complains of new things daily or on alternative days that have been already told by doctors to look for as signs PLEASE HELP ASAP AS WE WANT COMPLETE & PROPER CURE FOR HIM | Hi and welocme to HCM. Obviously your father has serious liver damage,but you shouldnt be worried because this is reversible and treatable. You must be sure that there is no hepatitis c and B. His liver function must be evaluated by ultrasound and liver enzymes every 2 weeks.There is no specific cure. He must rest strictly, follow hepatic dietetary and keep constant weight and hidration. Blood in stool is usually caused by fissurae and hemorrhoids, but considering that he has hepatitis and possible liver failure he should do examination at gastroenterologist. This can be sign of something serious. WIsh you good health. |
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