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Q. My eosinophil values are high. Does this indicate cancer?
Hello doctor, I am a 58-year-old male. I got blood from my nose for two to three hours last month. Packing was done in my nose, which was removed after four days. I got all the test done at that time. I have enclosed my report. The ENT specialist told me that due to cold infection and high BP, your sinus was busted. After removal of packing, I am normal. Today, I got my blood tested as a routine check. I found that my eosinophils are quite high whereas, in last month report, it was ok. Today report is also attached. Please compare both reports and analyze the reasons. Is high eosinophils a start of cancer? Please advice, I am quite worried. | Hello. Increase in eosinophil is mostly allergic, try oral steroids (attachment removed to protect patient identity). In cases of cancer, they usually increase from 100 to 1000 times, so nothing to worry about cancer. Consult a good physician for complete physical examination. | |
Potential kidney donor, had low blood sugar after fasting, good A1C. Will this hamper my chances to donate?
Had a low blood sugar after fasting ...around 50. I had not had anything to eat from 8:00PM the night before and the baseline draw was at 9:00AM the next day. I exercise regularly and am not used to NOT eating, especially breakfast. I am healthy and am a potential living kidney donor. My A1C was good as were all of my other tests. I am worried that this could impact my ability to donate. I have not heard from the doctor yet about the results of subsequent draws and it was a 3hour tolerance test. Any feedback? | hi, low blood sugers are not going to make you unfit for donation. it is only that that any significant organ dysfuntion in the form of liver dysfunction or high insulin levels should be ruled out. Best of luck to you, kidney donation is a noble humanitarian act. thanks | |
What causes itching rashes all over the body?
Hi Doctor; I have a itching rash all over my body even on scalf I went to my M.D. and all she told me was I had come in contact with something that didn t agree with me. She gave me shot and pills called hydrOXYzine HCI 25mg that I took before I went to bed. The itching hasn t improved at all. I have been putting cortizone cream and that helps about 30 minutes then it starts all over. I am miserable and I don t have a clue as to why I have it. My friend said to take a baking soda bath. Can u help me with this itching problem that won t stop. | hi there.your concern may be milliria rubra.avoid hot and humid conditions and prefer cool environment.prefer vit c rich diet.start linical lotion as on required and teczine 10mg tab once daily bed time for 20 daysthis may help you | |
Suggest remedy for pain in legs and hands
I have a regular pain in my legs and hands, which aggravates with any physical and mental exertion.....I got all my check ups (sugar, blood, urine etc) done and everything is fine. I am unable to understand the resaon for the same. can you please help me? | hi do exercises daily that will help you to relief pain and do strengthening and stretching that will be helpful to you you can take physiotherapy they will also help to reduce pain as test are normal than may be possibility of nerve root pain so physiotherapy will be helpful to you . wish you good health | |
Can i continue with DHEA supplement while going through IVF?
Sir, Next month I am going to do my ivf through donor egg as my amh is very low and partner semen count and motality is low. I just want to ask whether to continue with DHEA supplement Ovares or I mean is it beneficiary while using DONOR EGG. i AM 39. | Hello, yes keep taking DHEAS as before which will be then stopped after start of induction.In case you have any questions in future you can contact me directly on | |
What causes lower heart beat?
My daughter s heart rate after childbirth was 32 and the doctors did not know why. She underwent a lot of tests and they told her she had a health heart and that this would go away by itself. It has been two weeks and it is only 40 and she sometimes feels light headed. Have you ever heard of such a case? | Hi.... I see that your daughter might be having congenital heart block. If the mother is having SLE, then this becomes all the most important. I think that your daughter should be worked up for conduction defect in the heart like heart block.Regards - Dr. Sumanth | |
Having noticed veins on the forehead
My 2 y/o daughter has veins on her forehead both sides, just wondering if needs to be seen or check by a doctor, because whenever she is hyper active or crying...this veins becomes more prominent, it looks like its getting bigger, just scared for it to pop out whenever she is mad, or crying... | Hello!Welcome on HCM!You should know that these veins are quite normal. They are present in every normal persons, but they are more prominent in children. The fact that they are very visible could be related to her skin characteristics. But there is no reason to think that they are going to pop out. In fact it is quite normal for them to be more visible during physical activity or laughing and crying, because of the changes in the pressure in the head sinuses, where they drain. But this is not indicative of any serious medical disorder. There is no need to bring her to the doctor as she has a normal physical and mental activity. Hope to have been helpful!Kind regards, Dr. Aida | |
Suggest remedy for liver problems
hi dear doctor.i m from bangladesh.my age 27.my problem is liver.before i drink aclool .n now i stop drink.but i feel pain in liver this is long time problem.i already test blood n doctor say is liver problem.n now i feel weeknes n pain .please help me doctor long time i sufer this problem. my name is jaman. | Hi dear thanks for contacting HCM.First you have to do your USG and liver enzymes study...Here I want to rule out alcohol induce fatty liver or hepatitis....Now following measures has to be taken.Fruits eaten more.Soft andbkand diet preffereable with low fat.Use very much less oil in diet...Avoid alcohol.Take one tsp cumin seed with water daily early in morning...Avoid refine food.Within few days you will be better.Then regular follow up done.Dr.Parth | |
What causes tingling in both hands and hurting in lower back?
my husband has been in bed most of the day cause he said he dont feel good he took his temp it was 96.8 he said his fingers are tingling in both hands lower back hurting and he looks white from shoulders down and right thru the chest area looks like a light blue color thru it | Hi, Please get his blood sugar, thyroid level, vitamin B12 and D checked, as these are the most common causes of these symptoms. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon | |
Blood test results low protein levels. Does this mean something is wrong?
Hi, I have been doing donations for Plasma for the last 5 months and every 4 months they recheck you blood and they say that I have low protein levels they have rechecked my blood 3 time now in the last 3 week Does this mean something is wrong? Becky | Dear sirProteins are synthesized in the liver, if there is deficiency of protiens it might be due to fault in the liver functions. So it is advised to undergo liver function tests once..Secondly deficiency of proteins might be associated with low blood pressure.,Thanks | |
What does the semen analysis test indicate?
hi, i'm looking at some results and i want to get some answers. its a semen analysis test. what is that kinetic motilit characterized as fair ? also, appearence opaque? turbidity 2? seminal epithel as none? ph-8? is anything of this good or bad? | HelloLimited information with your query regarding semen analysis appears normal.pH of semen is normal.Motility of sperms are reported as fair,it means it is normal.Other findings like sperm count,morphology etc are not known.These are important parameters for semen analysis.So,findings are good.Get well soon.Take CareDr.Indu Bhushan | |
Suggest treatment for itchy rashes
I have a rash that started as itchy bumps.. now the area around the rash that keeps spreading down my back, on my leg behind the knee, feels hard. rash is like clusters and is very itchy. it is now on the bottom of my forearms. what can I do to make it go away. I have used fluocinonide cream usp,0.05% but it isn t working. | Hello,It may be prurigo simplex. Kindly consult the dermatologist for the perfect diagnosis and proper treatment. Oral steroid in tapering dose, antihistaminics, and local steroid cream might improve the condition.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ilyas Patel | |
Can i get pregnant with a prolactin level of 28.99?
Fsh 8.78 mlu/ml Lh 38.89 mlu/ml s.Estradiol 32.78 pg/ml T4 6.88 ng/dl TSH 2.78 Mlu/ml S.Prolactin 28.99ng/ml this is my hormone report on second day of cycle i am trying to conceive since 15 months can u please explain if there is some problem or what should i do my gynecologist didnt explained whats the problem please help can i conceive naturally my husbands sperm count says normozospermia | hello...thanks for trusting the healthcare magic doctors for ur health related queries.I guess ur concern is about..with ur hormonal reports whether u can get pregnant..right.I have gone through ur hormonal reports as u send me. ur FSH,LH,ESTRADIOL are within normal range. but ur prolactin is slightly high. this high prolactin effects the menses, n menses are usually irregular. once menses are irregular, there is chances of getting pregnancy is decreases. but u didn't give info about your menses. so it is difficult for me to comment on this.second thing..u told me that ur husband having normospermia, that's a good thing. if u r having regular menses with ur husband having normospermia..chances will be DOUBLE.with the above discussion u can try out my suggestions-1. if u have regular menses with this high prolactin level,then nothing to worry. if having irregular menses then visit to nearby endocrinologist. he/she can help u.2. if u had gone through all the investigations related to getting pregnancy n all r normal, then u have HIGHEST CHANCES OF GETTING PREGNANCY.if not the feel free to ask ur treating doctor for doing all investigations.2. if u r in hurry then visit nearby infertility specialist.he/she can help u.I hope the above information is useful, informative and helpful for u.regards-Dr sudha rani panagar( i can understand ur tense-full situation, DON'T WORRY..U HAVE CHANCES OF GETTING PREGNANT. I pray the God that u will be blessed with a cute n healthy baby...hopefully TWINS) | |
What are the chances of getting pregnant after having sex on 21 st day of cycle?
I had sex on the 21st day on my cycle. The condom broke but I took an emergency contraceptive within 6 hours. I was supposed to get my periods yesterday. Today I'm having very light spotting since morning. Is it my regular period? What are the chances that i might be pregnant? | Hi, Thanks for writing to us. The chances of pregnancy are rare in your case because you had I-Pill with in time. You can get your urine pregnancy test but in my opinion spotting is your impending period. Good luck. Regards Dr.Richa | |
How to treat dry cough in a 4 years old child?
Hello Doctor, My son is 4 year and 3 months old. This winters he has developed dry cough which aggrevates at night (speically before going to sleep). We have been advised "Sancos syrup", "Ventolin (sugar free) syrup". We are also giving him honey (with pepper). It has been 7 days and situation is constant. Should I remove carpets from his room or Can I start Myteka sache ? Last year (in winters) too he had this long lasting cough (almost 1-2 months in regular intervals). Otherwise my son is agile, very restless, no signs of any infections (we confirmed from his doctor too), no tonsils. I will appreciate your advice. | Hi...Thank you for consulting in Health Care magic. Greetings from Chennai.By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever?If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing and I suggest you meet a paediatric pulmonologist who is near your place. No point in using antibiotics every time. It will do more harm than good by increasing bacterial resistance.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
Can subractnal hemorage affect size of penis?
I had a subractnal hemorage a year ago, along with 18- blood clots to the lungs, had a filter installed, since then my penis has taken on a different shape mostly smaller at the base next to the body and larger at the top of the penis, is this a physical problem | Hi, No, it does not affect the penis size. It is normal to constrict. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist | |
What does an extra tissue at base of my baby s tongue indicate?
I ve noticed extra tissue at the lateral base of my baby s tongue? (almost looks like there are two tongues attached on top of each other especially on one side).I noticed it when she tilted and lateralized her tongue while eating a cheerio.Functionally she is showing good tongue movements. | Hi,Thank you for asking question on health care magic.Most probably it is a developmental anomoly.I can not give a clearcut opinion on this without seeing it.Better consult ENT surgeon or general surgeon.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics | |
Suggest treatment for Chronic Myelogenous leukemia.
Hi I have a friend with CML and I was wondering if eating marijuana would be helpful for her? I get that smoking it could cause a problem with the fungus that grows on it an causing infection due to her low immunity. what other remedies do you have that can help her counts ( blood counts platelets ect) | Hiwelcome to HCMCML can be controlled with newer drugs like imatinib or nilotinibI would advise to have good balanced food with multivitamin supplements to boost health and vitalitytake a course of antibiotics after consulting your doctor for infectionHope i have answered your querythanks for using HCM good luck | |
Q. What are the ways to reduce uric acid level?
Hello doctor, I am suffering from gout. My uric acid level is 6.9. I am suffering from back rim pain, leg pain. How can I reduce my uric acid and what kind of food diet I should follow and which food will reduce my uric acid? | Hi. Well, to be honest, uric acid of 6.9 is not very high and moreover in females it very rarely causes arthritis unless it is post-menopause. Secondly, the pain due to uric acid are different and very unbearable. It usually causes swelling of one joint, associated redness and warmth and the pain is such noone ever forgets. So we need to look into other causes of your pain. As for the uric acid of 6.9, best you can do is diet control and adequate water intake. Amongst the diet, avoid red meat sea food, soft drinks and liquor. Increase the dairy products intake, more of water, brocolli, ginger. At this stage, I do not feel you need medicines for uric acid as we normally do not treat it till 9. And we need to investigate you for the reason for back pain and leg pain. | |
Suggest remedy for semen leakage
hi im 16 years old , my weight is 54kgs. i have been having a problem of semen leakage which i think is because of masturbation. my semen sometimes leaks when i urinate and also when i wake up in the morning. it also leaks as soon as i get a sexual thought. i have stopped masturbation for a week now and i am planning to abstain from masturbation totally. i would like to know if this problem will go away by itself. if it wont, then please advise me what steps i could take to cure myself without taking any medications.please advise me how i should change my diet to fight semen leakage and any other things (maybe exercises) i could do to stop this problem. | HelloThanks for your query,based on the facts that you have posted it appears that you have problem leakage of secretion of urethral glands while you are sexually aroused.(Please note that it is not a semen ) This is common at the age of adolescence and nothing abnormal in it and that can not be due to excessive masturbation Following measure will help you to boost up your confidence and improve your health .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..The problem of emission will get resolved of its own over a period of time.Dr,Patil. | |
Pain from left arm to foot after having food.
i have been having pains from my left arm to my foot. it seems when i eat certain food it will tingle. i had an ekg , blood and cardio test everything came out great. do you think that it can possible be gas? | Hi, Get an orthopedic consultation done for examination of spine. Spinal cord lesions can cause similar type of problems. Regards Dr. Naveen Kumar | |
How to treat a dent around the shin area?
Hi, so as i was walking, i accidentally fell anfd my shin came into contact with a ledge. Immediately i felt pain around the area of impact. It has been almost an hour, and the pain has subsided. But when i run my fingers along my shin, i discovered a dent. It hurts when i apply some pressure. Can you please tell me what i have and advice me on my current problem, thanks | Hello there,The dent you are worried is nothing but compressed soft tissue but not a dent over bone.Dont worry about it .It will disaapears after some days.Dont do vigorous massage over that region.If painfull simply apply warm pack.Thank you. | |
What causes a lump above the collar bone?
I've got a lump in my neck just above my collar bone which is painful. My throat is sore on the same side as the lump and my neck is stiff and achey. I had an eye infection last week which was cleared up by antibiotics which I finished taking on Saturday. | HI,Dear,Thanks for the inquisitive query to HCM.1-I studied your query in depth.2-In my opinion , this lump above the collar bone with soared throat-after the antibiotics finished for your eye infection just yesterday, would indicate-2-a-a infective throat causing lump -with lymphnode adenitis above the collar bone, / or 2-b- it could be-Cold abscess above the collar bone-with soar throat ,which is also a possibility-as it occured ,despite you were on antibiotics for your eyes.,2-c- or it could be due to the lymph-adenitis of collar nodes,by the resistant bacterial strain and would need changed antibiotics with NSAIDs.3-I would advise you to show it to Ent-Surgeon / or general surgeon , who would treat it as needed.3-a-I would advise you to check with Ent/ or General Surgeon,who would treat it under antibiotic cover with NSAIDs ,if not responding would plan Incision and drainage if need be.4-Hope this would solve your query .5-Wellcome for more queries to me On HCM.6-Thnks once again for your inquisitive query.Have a Good Day..!! | |
Suggest treatment for ejaculation problem
I masturbated roughly anally and now I have a problem ejaculating during normal intercourse. I havent masturbated anally for years now and I still have the same problem? I really would like to have normal intercourse again. I just dont know what I can do to fix this. | DearWe understand your concernsI went through your details. There is nothing to worry. Anal intercourse or any other ways of intercourse or masturbation do not interfere with your penis's sexual ability. However hard it may be. After some days, everything comes back to normal. But if you are anxious or apprehensive or has negative knowledge about all these sexual procedures, you may have performance anxiety. I think you are currently suffering from performance anxiety. I suggest you to consult a psychologist for counselling. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
What is the lump on top of the navel surrounded by red ring?
I have pain at the top of my navel. There is a hard lump that seems to be getting bigger slowly. It is very painful when pushed I. Also I now have a red ring all the way around the belly button. I thought it was just irritated from touching it but it is still there and getting a little worse. | Hi,These symptoms may be due to a para umbilical hernia. The pain and redness is due to a small amount of tissue getting trapped in the hernia and becoming inflamed. I suggest you see your doctor as examination will help with the diagnosis. Treatment may involve a small operation. Regards,Dr K A Pottinger | |
Suggest remedy for pigmentation on face
Hi my name is Elena.. i have a problem of pigmentation on my face and getting more and more i sed cream lightenning but this there i used few but just not going away ... i did used laser but not happenning,,, could u pls help me coz both of my face are nearly covered.... thank u so much | Hello,Melasma is a kind of hyperpigmentation seen mostly in females of middle age and is dictated by hormones and sunlight.It treatment is challenging but with proper regimen good results can be achieved.Usually the treatment is divided into clinic based treatment and home based.At clinic, I suggest series of chemical peels like glycolic, Jessner, TCA with or without microdermabrasion.At home you can apply cream containing kojic acid, arbutin, etc and vitamin C serum for maintenance.Use high SPF sunscreen on regular basis.Use glycolic acid based facewash.Hope this will take care of your issue.Dr Hardik Pitroda | |
What causes cough with yellow sputum and congestion?
i'"m suffuring from cinstipacy as a chronic,especially feel uneasy on my right abdomin,now it is spreading upper side and rightside,and siffuring from cough in dark yellow color,suffuring congestion on right nose, righthead,right ear also and local doctor has sugggest me as a patient of asthma, may i expect suggestion from you? i'wd be grattitude to your kind response , my age is 42, a vegiterian, from Nepal chiranjiby koirala, YYYY@YYYY | HelloYou may need an albuterol inhaler and a course of prednisone for your asthma, but with the symptoms you mention you have a sinus infection with postnasal drip and you need a course of antibiotics like Cipro or Septra DS | |
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 --> | |
What does timely difficulty in breathing indicate?
Hi, I m a fourteen year old girl, and I m really scared. Last night I had troubles breathing and other problems I don t know how to explain, and got all most no sleep all because if it. I woke up in the morning and I was fine. Now, it s about 10 o clock and I m having problems again. I m so tired but I m afraid to sleep. Im really scared and don t know what to do. | Thanks for your question on HCM.I can understand your situation.Recurrent breathing difficulty in young patient is seen either due to asthma or anxiety.So we need to first rule out asthma.So get done chest x ray and PFT (pulmonary function test) to rule out asthma.If both are normal then no need to worry for asthma, you are having mostly anxiety related symptoms.So avoid stress and tension.Be relax and calm.Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution.Don't worry, you will be alright. | |
Suggest treatment for infertility to get pregnant
iam rani 23 yrs old my marage is completed 1.3yrs but iam not conceive till now so iam using conseva tablets, and onshe tablets, siphene,premarin tabelets and i did scan alaso the report is positve my husband sperm count also 70mill/ml so what i do for get pregnancy please help me | Hello, you are taking right set of medicines and keep taking them as advised.It takes more than one cycle at times to acheive successIn case you have any questions in future you can contact me directly on | |
Are vitamin dangerous for paitentis with hemochromotosis?
Hi there! I am a 49 year old female with hemochromotosis. I know I cannot consume Vitamin C with meals and must wait for 4 hours to consume it but I am now hearing that you should not take Vitamin A as it can damage your liver. Is this the case? | Hi thank you for posting your query in HMC. haemochromatosis is a condition where there is excess load of iron in the blood. Vitamin c helps in absorption of iron , causing more over load in the blood. But vitamin A has no such effect on it. You can take vitamin A . Hope i have answered your question. If you have any further questions i will be happy to help. | |
What does recurring fever at night with headache mean?
Hi I have been experiencing weird fevers lately. I started to notice them last week and have since noticed that they are only coming on at night. Usually around the same time of night. Everything feels like it is burning and sometimes I have a headache. What could be going on? | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have recurring fever at night with headache which seems to be due to bacterial or viral infection. It could be due to upper respiratory tract infection as well. I would suggest you to visit general physician once and go for thorough examination of blood count along with throat swab test and get it diagnosed and start treatment accordingly. You should get sinus x ray and a sinus discharge culture done to exclude possible sinus infection. Take steam inhalation. Avoid cold liquids. You should do tepid sponging.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
What causes stomach pain, nausea and no hunger?
I have been sick for about 3 weeks with these s headache dizzy left lower stomach pain nausea not hungry tired no energy my doctor ran labs urine test and a xray of my stomach and said it was a kidney infection i took the medicine and im not feeling better but worse what could it be | Hai. Ur Iin long term infection. Take care . already ur in treatment with kidney specialist, he should do the best for u.take care to bring down the infection not allowing to spread higher up, , have patience. Pis continue with the medicines | |
What causes gum bleeding after brushing teeth in toddler?
Hi! My daughter is 16 month old and when i brush her teeth after her guns are bleeding, also last days i hae noticed a bit of bad breath from her mouth. Her teetho on ack came out two days ago and she had a temparature and was very grumpy and had sleeping prolems. Is this is normal? | Hi..Thanks for the query..As per your complain it seems that your daughter is in the Teething age and gum pain and bleeding can be due to swollen and inflamed gums that are common during teething..However bleeding gums and bad breath can also be due to infection in gums in case if you are not maintaining a proper oral hygiene..I would suggest you to consult a Pedodontist and get evaluated and in case if it is due to teething then you can simply do cool compresses over the gums and apply numbing gel containing Lignocaine to relieve pain..Maintain a good oral hygiene and brush her teeth regularly..In case if it is due to gum infection then cleaning of teeth will help..Give her tylenol to reduce fever..Hope this helps..Regards. | |
Suggest treatment for chronic rhinitis and sinus pressure
My husband has been dealing with chronic rhinnitis, sinus pressure, and now nausea/vomiting-mostly mucous, and to the point that when he goes outside into a colder temperature he vomits. He is taking Loratidine and guaifenesin; is there anything better? | Hello.Thank you or asking at HCM.I think the symptoms may be due to chronic sinusitis. I would suggest your husband to consult an ENT surgeon, he may ask symptoms in detail, may advise X-ray of paranasal sinuses and decide further treatment. Loratidine & guaifenesin will not help him a lot if he is having sinusitis. Chronic sinusitis requires treatment with antibiotics & sometimes corticosteroids. This can be decided only after detailed examination and investigations.As general measures, daily steam inhalation & nasal saline irrigation may be helpful. I would also suggest to avoid exposure to dust, pollution & smoke as much as possible.Hope this is helpful to you.Wish your husband a fast recovery & best of the health.Regards. | |
Will BP increase after drinking iced fruit drink?
Hi Dr. Grief, Today I got my blood pressure tested after drinking a cup of icy fruit drink. I found the results were like high blood pressure: 148/87. I was wondering if blood pressure will go up after you eat/drink something iced or just eat some food in a hot summer? Is there a certain relationship? Thanks. | Generally, there is nothing about eating or drinking that would raise a person's blood pressure. If the icy fruity drink was a margarita, then the salt could raise your blood pressure. Salty foods or drinks will raise your BP; conversely, cutting down or eliminating these will lower BP. Also, caffeine, such as that contained in coffee, iced coffee, iced teas, most teas, or "energy drinks" will certainly raise BP. Caffeine and other stimulants, such as those contained in some decongestants or some medications used to treat ADHD can raise BP. | |
Skin rash for 6 months. Taking prednisone, no improvement. Recommendations?
I have had a skin rash for 6 months. I have seen a dermatologist for the past 5 months. I've been on steroid creams , prednisone, everything. nothing is getting rid of what the doctor called hives gone wild. then today she said maybe its scabies. that sounds disgusting. if my husband and kids have not gotten this rash then it couldn't be scabies right? | Hello, Thanks for the query to H.C.M. FORUM.Skin rash may be due to , 1 allergic reaction as you stated that you are the only sufferers in the house , so chance of allergic reaction are more . Diagnosis can be confirmed by biopsy of effected parts and consultation with another dermatologist will help. 2 urticaria , however it is very difficult to evaluate diagnosis without exact physical examination of patient, hence for this rash physical examination is important . 3 Dermatitis is one more reason and dermatologist will find out the cause and reason , so get his opinion. 4 If dry itching is there think about pediculosis( louse born infection) You are right that scabies is a contagious disease.Good luck. DR. HET | |
Q. Why do I have foul smelling yellow discharge from site of tooth removal?
Hello doctor, I had all four wisdom teeth pulled nine days ago. Only the one on the bottom right tooth is very painful and when I push near it all this foul smelling yellow stuff comes out. What is wrong? Also, having headaches. | Hello. You may have dry socket condition on that side. It occurs due to loss of blood clot in the early days since extraction. Use warm salt water gargle twice a day for a week or two to get some relief. You may need antibiotics and painkillers for a week or two. So, go back to your dentist for a thorough clean up of the infected site. For more information consult a dentist online --> | |
Feeling dizzy, heavy head after removing wisdom teeth. Taking pain medications. Any ideas?
Three days ago I had 3 wisdom teeth removed at the same time because i already had 1 removed a long time ago. I have since then being feeling dizzy and like my head is heavy. I still have not obtained my antibiotics. I took pain medication yesterday morning but never again because i thought it was due to the pain medication but i am still feeling dizzy. Can you tell me what is going on and what i need to do? Thank you. | Hi there, Thanks for asking your query,It is because of idiosyncratic reactions to medications.not all extracted wisdom tooth requires antibiotic coverage.visit your dentist and explain the symptoms ,he might change the medications and dose.meanwhile follow the post extraction instructions that was recommended.maintain a good oral hygiene with adequate rest.hope this helps you,regards,Dr.naveen | |
Suggest remedy for high SGOT and SGPT levels
Recently I have done few tests ............... bilirubin is within normal range .8 but SGOT and SGPT are 72 and 84 My eyes are normal and so is my bowel and urine.Is there a cause to worry?What are the suggested medication and measures that needs to be taken to bring the levels SGPT/SGOT to normal?2 years back the SGOT/SGPT were 98/106 but was back to normalancy within 2 months?Pls advice as my doc is out of town..............All other test pertaining to Blood Sugar/Hb/Counts/Urea/Creatinine/Occult Blood are within normal limits...... | HelloIncreased SGPT indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes etc.SGOT is non specific and it increases in many conditions.You may need few more investigations like lipid profile,viral markers and ultrasound of abdomen.I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It helps in regeneration of liver cells.Get well soon.Take CareDr.Indu Bhushan | |
Suggest medication for bad breath
I am facing problem with bad breadth for past 5 years. How to get it resolved 100% Age : 32 , Weight : 68 Dental check up done,There was no problem. Checked with Gastrologist,There was no proble. Still am facing same problem. Is there any treatment to get resolved 100%. | Hello,The other common concerns would be your diet, dry mouth and tongue coating. Other systemic concerns are possible. An example would be ketones expelled from the lungs. This could be a symptom of diabetes. Make sure you have an up to date blood test to look for any irregularity.Closely evaluate your diet. Rule out deficiencies or excesses. Balanced vitamins are a necessity. Keep well hydrated. Eliminate foods known to be associated with strong odors such as garlic and other spices. Avoid irritants such as smoking. You can use a process of elimination and look for results on your own concerning your diet.Make sure you are practicing excellent daily oral hygiene. If you have a dry mouth, plaque may be more difficult to remove. You should include brushing your tongue in your daily routine. You can use a toothbrush or a scraper designed for the tongue. Flossing removes the debris from inbetween your teeth. Your techniques must be effective. Ask your dentist if there are any other tools or rinses you can use for improvement. Sometimes a prescription rinse such as Chlorhexidine gluconate may be suggested.Thank you for your inquiry. I hope my suggestions are helpful and result in some improvement. I am available for any additional questions. | |
What causes heaviness in chest after a short walk post angioplasty?
I am 6 month status post angioplasty I had LCX at present I am taking delisprin 150, pasugrel 10 mg& Rosovas 20 mg. I am vegetarian and non alcholic i am feeling heavyness in chest after a short walk but at times I can do medium load physical work but no such symptoms.Can u suggest me the cause of such symptoms at times.? | Welcome and thank you for asking on HCM!I have gone through your question. As you are having chest pain onexertion post angioplasty an angiogram (repeat ) is recommended.Hope to have been helpful!Wishing good health, Dr D Sunil Reddy | |
Trying to conceive. Heavy bleeding after unprotected sex. Had painful breast. How to treat it?
Hi, I have been on the contraceptive pill for 10 years now and last three on Noriday mini pill as I get migraines. I stopped this on 12th April as am trying to conceive and had monthly periods since although my cycle seems to be 6 weeks rather than 4. My last period stopped 1st July, had unprotected sex 2nd, 3rd, and 4th July then started spotting the 5th then really heavy bleeding since. I ve had very painfull breasts since 2 weeks prior to stopping the pill. noy sure what I should do? I had just put it down to hormones? | hi, after stopping pills it may took some weeks to months for regularization of periods, and also if you had any menstrual problems before starting pills that may recur now, so as you are having heavy bleeding better to go to doctor once and get physical examination, ultrasound to rule out the possible cause. take care. | |
What is the treatment procedure for JRA?
My grandson just got diagnosed with JRA and we got all kinds of answer regarding treatment, what do you suggest, is there a hot line that I can call to get more information, what kind of research are being done to treat this, I have lots of questions. Thank you for your time. Gabriella | Juvenile rheumatoid arthritis (JRA) or Juvenile idiopathic arthritis (JIA) also known as juvenile chronic arthritis (JCA), is an autoimmune condition that affects children and adolescents and could lead to serious complications like eye inflammation which could even lead to blindness. Treatment is usually done with non-steroidal anti-inflammatory drugs and intra-articular corticosteroid injections. Sometimes methotrexate or TNF alpha blockers like etanercept, are used as disease modifying anti-rheumatic drug (DMARD) to suppress joint inflammation. There is no hotline available to help you procure information on the condition but a simple google search with the terms that I have mentioned, would give you enough information that would be both relevant and reasonable to satisfy the answers to your questions. You can also remain under the follow up of a rheumatologist who will be able to give you appropriate information and also would be able to treat the condition. | |
What causes lump on forearm?
Hi there,I have a larger lump on my forearm - just noticed it - feels like I hit my arm really hard, which I didnt, and it shows no bruising - but it is an area of what feels like swollen tissue. It is like a golfball is sticking out of my arm, not sore to touch and slightly pink in colour, minor itchiness? It is not a solid mass either. | Hi, dearI have gone through your question. I can understand your concern. You may have some ganglion cyst or other benign cyst like sebaceous cyst. You should go for examination. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly.surgical excision is the treatment of choice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Gas Problem and pain in stomach
Dear Doctor, when ever i am eat some thing. it create gas in my stomach. and whe gas is formed .pain in my stomach. plz suggest me | Hi, if your gas pains are caused by another health problem, treating the underlying condition may offer relief. Otherwise, bothersome gas is generally treated with dietary measures, lifestyle modifications or over-the-counter medications. Although the solution isn't the same for everyone, with a little trial and error, most people are able to find some relief. Diet The following dietary changes may help reduce the amount of gas your body produces or help gas move more quickly through your system: * Try to identify and avoid the foods that affect you the most. Some of the worst offenders for many people include beans, onions, broccoli, brussels sprouts, cauliflower, artichokes, asparagus, pears, apples, peaches, prunes, sugar-free candies and chewing gum, whole-wheat bread, bran cereals or muffins, beer, sodas and other carbonated beverages, milk, cream, ice cream and ice milk. * Try cutting back on fried and fatty foods. Often, bloating results from eating fatty foods. Fat delays stomach empty | |
How can a thumb lump be treated?
Hi I have a small little red bump that recently appeared on my thumb. I assumed it was just a wart and have been putting rubbing alcohol on it to keep it clean. However, after doing more research it doesn t seem to be a wart and I can t figure out what it is. | Hello and welcome to HCM,The nature of small bump on the thumb can be determined after clinical assessment only.There are number of lesions which can present as lump on the thumb.Common lesions are warts, soft tissue swelling, etc.In case the swelling is due to soft tissue swelling, excision and histopathological examination will be required.Thanks and take careDr Shailja P Wahal | |
Q. I have noted a lump at the top of my uvula. What could it be?
Hi doctor, I have a small, flesh-colored and raised lump at the top of my uvula. There is another smaller one next to it. It is 2 to 3 mm in size. I look as if it is soft and there is no issue with swallowing. It is not painful and I have been aware of it for more than a month. I am a 19 year old male. | Hi. I have read through your complaint and the relevant details. Fine needle aspiration or incisional biopsy. For further information consult a dentist online.---> | |
What is the treatment for gynaecomastia?
hello doctor,i am suffering from GYNAECOMASTIA for the past few years........i want to get it treated as soon as possible as i am approaching my college days soon. can you suggest me the treatments for it, can it be cured naturally or only through surgical means, will it have a later impact in my future life? | Hi, You need to meet a endocrinologist and check weather your issue is related to hormonal. If not, you need to meet a plastic surgeon for final treatment. Natural way is exercise - don't expect 100% result. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist | |
What causes pain on the tongue?
hi I whit like vines that weave in and out of tounge painful like slinters but with spiter vains and white thick patches on p tounge and if you try to pull out one of these vine my face and body begin to itch is it possible to merca in mouth or gain green | Hello,Thick white patches over the tongue can be due to yeast infection of tongue leading to oral thrush. So my suggestion is to consult an oral physician and get evaluated. A clinical examination and microscopy of the scraping from the tongue can help in confirmation of the cause. If it is a fungal infection, you can be advised a course of antifungal medication like Fluconazole for fifteen days. Along with it gargle with a specialized mouthwash like Nystatin and suck Clotrimazole lozenges. Drink plenty of water.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Honey Arora | |
Developed red patch on hard palate and aphthous ulcer on mucosa after viral symptoms
My grandson has a bright red patch on his hard palate and aphthous ulcers on the mucosa. Both are very painful and occurred after a brief period of viral symptoms--headache, general aching, but overall symptoms have improved while oral symptoms have persisted. | Hello there,Welcome to HCM,Appearance of recurrent ulcers on the oral mucosa like palatal mucosa indicates inflammation . It may be caused due to several reasons like deficiency or certain vitamins especially vitamin B12 and vitamin C. start with multivitamin supplements for 7 to 10 days and vitamin C lozenges will help in resolving the problem. avoid alcohol , carbonated drinks , tobacco chewing and smoking as these may worsen the area affected. Apply oral antiseptic ,analgesic ointments like dentogel or mucogel topically over the affected area.Maintain good oral hygiene and drink lots of water and keep yourself hydrated.i hope this helps,take care. | |
What causes elevated WBC counts?
I just had lab tests this past Friday. The dr. called and said she needs more blood and urine for further tests. Since 2002 everytime I have tests I have an elevated white blood cell count. My temp runs around 97.4 F. What could be causing this since its been the same everytime I have lab tests? | Hi, I M Dr.KumarbhargavConsultant PathologistI understood your query,White blood cells (WBCs) fight against the infectious organisms and defend the body. It also produce, transports and distributes antibodies to various foreign antigens.Its estimation serves as usefull guide to severity to disease process. Specific pattern of increase or decrease in types of WBCs help recognize various disease.Looking to your problem, slight fever. Just wanted to know whether you have any complaints like cough, sore throat, burning micturition or any other significant complaints.Your doctor wanted to look for how much exactly the count and pattern of your complete blood count.If i would have been your doctor i would have your Complete blood count with peripheral smear examination, urine examination to look for infection by pus cells and red blood cells in urine. Would have considered the most according to your complaints and your investigative profile first.So have your tests done. follow with reports and complaints.Thanks for asking health care magic.Take care. Ask freely to clear your doubt. | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Is stress a factor in psoriasis outbreaks? Have asthma, ADHD and psoriasis
My son, 23 years old is a suspected drug user. Marijuana and Methanphetimine. He also suffers from asthma and allergies and chronic psoriasis and ADHD . He can never sit still or stop fidgeting and he itches all of the time to the extent that it is hard for him to get a job because of these symptoms. He also has a hard time expressing himself verbally. He is high strung and very aggitated all of the time. We have Kaiser insurance but his Dr. says there is nothing he can do about the psoriasis, there is no cure. He is a very stressful individual and is having relationship problems. It s hard to talk to him without getting him all defensive. I ve read somewhere that stress can be a factor in psoriasis outbreaks. Is this true? YYYY@YYYY | Hi , Thanks for writing in. Psoriasis is caused by genetic and autoimmune factors. Stress can aggravate psoriasis.Keeping the stress levels low is key to treatment of psoriasis. Effective oral and topical medications are now available for Psoriasis. Psoriasis can be kept under control and patient can have long standing remissions free of psoriatic skin lesions. My advise to you would be to use topical steroid with good moisturizer. Few treatments like PUVA therapy and phototherapy can help to treat psoriasis effectively. Consult a good dermatologist who can provide you with these options along with effective oral prescription medicines. Remember psoriasis can be controlled very effectively but cannot be completely cured. Hope this helps. Regards DrSudarshan Dermatologist | |
What causes dizziness while on Clindamycin?
Hi I finished a course of antibiotics about 2weeks ago They were Clindamycin 150mg three capsules four times a day. In total i took 108 capsules Now im experiencing dizziness,Nauseous and im sweating and feel weak Is this a reaction to these antibiotics Please help | Hello Thank you for trusting HCM Dear clindamycine can cause dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position. If your symptoms severe please stop meditation and consult your doctor he will examine and advice alternative medicine. I think I answered to your question if you have more questions please feel free to ask me. Take care. | |
Suggest treatment for enlarged liver in child
My grandson is 10 years old, weighs about 185, is about 5 4 tall. He was recently told by a doctor that he has an enlarged liver. He was referred to a specialist, but hasn t been to the appointment yet. Can you tell me what causes this and what will it do to him? Also, can it be cured? | Hi...there could be many reasons for enlarged liver. The diagnosis doesn't depend on only enlarged liver, but on many other associated symptoms like - developmental delay/ seizures/ blood picture/ head size/ jaundice/ bleeding manifestations etc. So I suggest you get the evaluation done and then proceed further with questions with the background of the information you have in hand then.Regards - Dr. Sumanth | |
What causes chest pains after myocarditis treatment?
I was diagnosed with myocardidis about two years ago and after being put on medications my injection fraction and everything went back to normal almost immediately. Yet i still have chest pains all the time and they can not tell me what it is but they tell me my heart is fine. Could this be stress related because i am some what of a worry wart. | Hi, Chest pain is non-cardiac and is anxiety related. Your persistent, excessive & unrealistic worry is causing probably chest muscle tension. Anxiolytic drugs will help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist | |
Hello. What does a CPK level of 175 mean? I have seen a geneticist who ordered this test and it came back high. I have a mitochondrial disease, hypothyroidism, fibromyalgia, tachycardia, restless leg syndrome, asthma, pulmonary hypertension. I am a 44 year old female. I don't know if that matters. | Hi, thank for posting.Phospho-creatine kinase is an enzyme that takes part in tissue energy production. CPK is found in tissues that consume high energy. It is found in high amounts on skeletal muscle, brain, photoreceptor cells of the retina, hair cells, inner ear, spermatozoa, smooth muscle and on myocard.CPK level of 175 is in its maximal limit.High level of CPK shows tissue damage of the above organs.To determine the organ that is damaged, you need a CPK isoenzymes test.So you should consult your geneticist.Regards.Dr. Behar. | |
How long should medicine for migraine prevention and bipolar be taken?
the drug is stopped? How quickly? I am 59 years old and have taken 400 mg/day lamotrigine for 5 years for migraine prevention and bipolar. the drug is stopped? How quickly? I am 59 years old and have taken 400 mg/day lamotrigine for 5 years for migraine prevention and bipolar | Hello,It is not good to stop lamotrigin suddenly or cold -turkey. Stop it gradually reducing the dosage by 25% and take it for two weeks. After two weeks reduce it again by 25% for two other weeks and so on.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Olgeta Xhufka, General & Family Physician | |
What is the cause for tingling and numbness in the right arm and the right side of the face?
I am experiencing tingling in both of my legs and arms. I have tingling and slight numbness in my right arm and the right side of my face that sometimes radiate down my whole right side. But lately, as of a day or two ago i began to also experience tingling now in my left arm and now lightly on both legs. can you tell what cause it and i should do?? | Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.Tingling sensations are caused by sort of hormonal,calcium or vitamin deficiency. Another possibility is neuropathy,that can be cured by pregabalin tablets.You can get an Xray and Nerve Conduction studies to find out whats wrong.Nothing to worry about.I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless. | |
How long can a child have fever medicine?
My son is 30 months old and weighs 13.3 kgs. Having fever for the last 3 days which keeps on coming every 4 hours. Doctor prescribed Crocin Suspension DS every 4 hours. The doctor is against giving any antibiotic. How long can we continue giving him this medication every 4 hours and what can be the side effect. | Hi...your doctor is 100% right. It is rare now a days to find such people to have a restraint on using antibiotics unnecessarily. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.IF USED IN THE PROPER DOSE AND ONLY IF TEMPERATURE IS MORE THAN 100F, PARACETAMOL IS A SAFE MEDICATION. BUT DO NOT USE PARACETAMOL COMBINATIONS.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
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 --> | |
Is tetanus shot required for cuts from a rusty nail?
I got pricked by a slightly rusty nail, and no blood came out. I don't recall the last time I got a tetanus shot, but my mom told me it's fine since it's not really swelling. It happened during the night, so it was about 4 hours ago. What do I need to do? | Hi ThereAfter going through your query I understand your concern.I would like to tell you that rusty nail can be very dangerous as it is the perfect environment for clostridium tetani ( Tetanus causing bacteria ). If left untreated it can cause you Tetanus symptoms like, muscle pains, muscle stiffness, facial muscle spasm , fever or nervous system dysfunction.It's recommended for you to seek immediate medical attention . Treatment includes wound care, course of antibiotics and tetanus antitoxin injection.Hope this will helpKind Regards | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Q. What is the difference between sedation and general anesthesia?
Hello doctor, I am having a revision rhinoplasty and it is going to be under sedation and local anestheia but I am very scared. I asked the doctor about it since I read that during sedation you are awake but he said under sedation, patients are asleep and they feel nothing. However I never tried it and I am really scared, I want to know what i.v sedation is exactly and is the patient put to sleep if the patient is actually asleep then what is the difference between sedation and general anestheia? | Hello. During general, anesthesia patients put in a deep sleep like state. Even respiration of the patient also under control of the machine. The patient cannot remember about surgery during the procedure. It may associate with little complications. Local anesthesia is blocking the area the part undergoing surgery. The patient may be awake. He may feel the movement of the body procedure. But if they use intravenous sedative or ketamine patient may go for a short sleep during the procedure. I think I answered your question if you have more questions feel free to ask. | |
What causes calf pain and swollen vein under inner thigh?
I went to the doctor six months ago with calf pain that comes and goes. Had an ultrasounf that came back negative. It still hurts from time to time. Now I just noticed a swollen vein umder my skin in inner thigh. It is flesh colored and dosnt hurt. Is this anything to worry about? | Hello, It could be cellulitis or phlebitis. As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Suggest treatment for weakness and disinterest in sex
hi my name is smitesh patkar & i m working on a ship. usually my contract is for 7 months. due to stress at work & no sex 4 all these months. lately i m feeling weak to keep a relation with my wife diring vacation . so kindly advice me some solution. my email _ YYYY@YYYY | HelloThanks for query.You are anticipating your sexual performance to be weak in near future .This is mostly due to anxiety.Following measure will help you to boost up your confidence and improve your health and vigor. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday.. 4) Avoid alcohol and smoking.. Taking Sildenafil Sidenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex. Dr.Patil.. | |
Suggest treatment for erection problems
i m 28 year old.i masturbate since last 12 years.my penice is 2.5 inch wen normal & wen errect it become 4.5 inch.and when i sleep i errect in opposite direction stomach side,not in upword direction.i am very worried about this.plz suggest me wat can i do | HelloThanks for query .The length of your penis in both flaccid state and on erection is within normal range of an adult and nothing to be worried about it ..It is the hardness of penis on erection that is important for sexual satisfaction of both the partners ..As regards the direction of penis after erection during sleep it has no significance at all as it naturally becomes straight during penetration of vagina during sexual intercourse with female partner .There is nothing to be done and worried about too.Dr.Patil. | |
High creatinine levels. Dialysis suggested. Taking renolog and Cudo forte. Right medication?
Hi ... My mom has been diagnosed with high cretinine levels. Since last 3 months she is on medicines. She has no problem in passing urine and feels hungry too but even with medicines the creatinine level is shooting up. She started with 4.5 level and now it is around 7. The doc says with med it increases but should come down then. In between it came down too a couple of times. But since last 2-3 days it has shoopted up to 6-7 levels. Earlier it was between 5 and 5.5 10 days back. Now doc has suggested renolog med for 3 weeks and see if it comes down else suggested dialysis . Please help as if the med is ok or not. Before renolog he even gave Cudo Forte for 10 days which helped in geeting the levels down from 5.8 to 5.1 | Hello saurabh, greetings from healthcaremagic.com I am Dr Sourav Chakraborty and i have seen the case scenario of your mother and will help you out with your query. Your mother hasbeen diagnosed with high creatinine levels recently less than a year , you have not mentioned her blood urea and uric acid levels which is very important in your mother's case. Also i would like to enquire about her co morbid conditions like diabetes , because we have to rule out any medicinal cause of increase in creatinine. You have not mentioned the age of your mother but if she is less than 50 years then please get ultrasonography of whole abdomen with renal doppler study , which will rule out any structural abnormality. We have to be sure it is primarily a kidney disease and not secondary to other cause, as if your other have kidney disease then she has to lead very disciplined life also need a lot of support from family members. If she is an established case of chronic kidney disease i ask you to restrict protein in her as it may lead to increase in creatinine. The medicines you mentioned about are new supportive medicine which is used to renal health . Although no substantial trials have been publishes , small trials with some patients have revealed it to be beneficial in preserving kidney function and prevent further damage. There is lot to discuss about kidney disease and i have tried to give some idea relevant to your mom. For more information discuss with her doctor. Hope io have been lucid in her approach. Take care | |
Suggest treatment to increase the penis size
Hello sir my penis size is 5 inches and I suffer pain after masturbation.I used to masterbate daily from 14 th age,now I am 23 years old and also my penis grith is so small.Does the length and grith increase if I stop masturbating and any mention any natural ways to increase penis size? | HelloAs you mentioned in the query , you are doing masturbation daily , since 14 years, this is not a bad habit ,but excess of everything is bad and that too from 14 years, so quit this thing as early as possible . As far as about the size and about the girth at this age (after 23 years 0 ,you can't increase the size and girth with natural way . In sexual life only performance play important role not size and girth . So premature ejaculation is not good , if have , take treatment , otherwise live a normal life . Don't trust over false misleading ads about the size of penis.Good luck. | |
What is the remedy for depression?
well i am in menopause, having a big problem with depression constant mood swings, cried everyday for over a month now, on wellbuterin but as far as i feel it has done nothing, very concerned bipolar runs in family, looking for help in my area east islip,ny | HiThanks for using healthcare magicIn think, you are towards bipolar depression. In your case, due to positive bipolar history in family, you should try mood stabilizer along with antidepressant. That would give you more benefit than antidepressant alone. It would also protect you from manic switch. Better to discuss this with your psychiatrist.Thanks | |
What causes high levels of troponin?
Im 26 and recently got diagnosed with post partum thyroiditis and while i was in hospital with this they checked my bloods cause i was having chest pain and breathing difficulties, they came back and told me i had a very high level of triponin leaking from my heart. was wondering how serious a triponin leak is? | troponon is cardiac enzyme ..it may be raised in angina and heart attack or cardiomyopathy...your doctor should go for ecg .. echocardiography or TMT ...angiography.... | |
What causes tingling in left cheek, below eye and nose?
FOr the last two weeks I ve had tingling in my left cheek below my eye and my nose. I have been experiencing some anxiety for the first time in my life and actually think I had a full blown attack a few weeks ago. Do you believe this tiningling is associated with my stress/ anxiety or should I be more concerned? | Hello, It is possible that anxiety is playing a role in your symptoms. It is also possible that dental problems or maxillary sinusitis may cause these symptoms. Get evaluated by your primary care DOctor in order to understand better your condition. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical | |
what causes difficulty in walking?
my baby was 4days old he had jondis it was 711 now my baby is 1yr2mth he cannot sit orstand his head is sitt not stable . he had a mri scarn don it showed all clear . at night when baby sleep he makes hime stiff and get sudden jerks please help me with my baby. will my baby walk because he is turning and holding thing now | Good afternoon..!!Very sorry to see your child in such situation.Looks like your child's brain got affected by high level of jaundice during newborn period.Please consult pediatric neurologist / physiotherapist for further evaluation and management.Thank you, have a nice day..!!! | |
What causes bump on inner thighs?
Hi i have 2 bumps on my inner thigh that look like pimples, they are really tiny and i picked at one (bad i know) and it made it bleed. Could this be an std? My room mate had a staph infection and i also had boils on my face and body that looked like hers. Is there a chance it could be that? | Hello,Welcome to HCM,I have gone through your history and symptoms it suggests me that you may be a furuncle or Boil.This is an bacterial infection of the skin and soft tissue. The best way to approach is to start on an empirical oral antibiotic for a week OR 10 days either with Amoxycillin 500mg in combination with clavulanic acid 125 mg, thrice daily OR Cephalexin 500ng thrice daily. This would take care of the infection.An antibacterial cream/ointment e.g 2% mupirocin can be applied twice daily. Pain killer e.g ibuprofen once or twice daily would help you deal with the pain.Thank you. | |
What are the side effects of Neurontin?
WWW.WWWW.WW side effect of neurontin WWW.WWWW.WW gabapentin nursing considerations WWW.WWWW.WW gabapentin for pain management | Hi,Neurontin (gabapentin) is commonly prescribed to treat painful nerve conditions like diabetic neuropathy post-herpetic neuralgia and fibromyalgia. Its common side effects include drowsiness, dizziness, loss of coordination, fatigue, blurred vision, unusual eye movements, tremors, vomiting and diarrhea.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Q. One side of my hip joint is higher than the other. What can I do?
Hi doctor, I have pain in my lower back and around the top of my hips. My aunt, a massage therapist, checked me out and told me that one of my hips is higher than the other. The pain began around eight months ago and I just cannot keep spending money to the chiropractor. But, the pain has been getting much worse lately. What can I do? | Hi. Limb length discrepancy. X-ray to be done immediately. Revert back with the reports to a physiotherapist online.---> | |
Lower stomach pain, sonography shows stone in ureter. How long will it take to naturally remove it?
HI I had stabbing pain in lower left stomach & same place behind.. I was asked by my doctor to do a urine test, x-ray and sonography. My sonography shows stone in lower ureter of 4mm. This is the first time I have got something like this.. 1. How long will it take to get that stuff out.. generally ? 2. It has not pained since yesterday morning.. Does this mean the stone has dissolved / moved out OR does it mean that it is not moving ? 3. I really wonder how can a 4mm be passed from penis.. the Penis hole is very small to pass 4mm generally ? I also have rectal bleeding without any pain.. the blood is original red bright. I dont think there is any connection between ureter and anus ? Any clue ? | Hello, 1. Stones might take variable time to come out, but generally 4 mm stone is out by two days. 2. Probably it means the stone is out. A follow up sonography can confirm this. 3.Though the penial urethra is small in size still stone can pass off by stretching it. 4.Rectal bleed is completely separate issue.This surely needs clinical evaluation. Regards. | |
How soon does it take for diarrhea to stop after taking Zifi?
Hi, My 6 month old baby is suddenly having motions for 4-5 times a day and green in colour. Earlier doctor prescribed Enterogermina twice a day for 5 days which didn’t help. We did the stool test and the pus cells came out to be 15-20 hpf and RBC 1-3 hpf. Now the doctor prescribed Zifi 50 4 ml for 5 days. We started it from yesterday evening. The stool is still green in colour which is more mucousy and the frequency today was 4 times. When will the new medicine show it’s effect and when will the stool return to its normal yellow color and frequency? Baby is on breastfeed and having mashed pulses once a day and vitamin D3 drops 0.5 ml | Hi, It seems like your kid has viral diarrhea. Once it starts, it will take 5-7 days to completely get better. Unless the kid's having low urine output or is very dull or excessively sleepy or has blood in motion or green bilious vomiting. You need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen it if unnecessarily used causing an antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D drops once daily for 14 days) and ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and a crucial part of the treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your pediatrician). Regarding the diet - you can use Cerelac of any flavor. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements and ORS apart from normal vegetarian porridges and soups. Hope I have answered your query. Let me know if I can assist you further. | |
Is extreme weak legs normal after hysterectomy, nephrectomy and apicoectomy?
I had a total radical hysterectomy in February. I had a radical nephrectomy in July. I thought I was getting to normal but recently had an apicoectomy and removal of abscess in the jaw. Since then I feel totally whipped and get exhausted with a simple trip to the store. I take walks every day but my legs feel weak often. Is any of this normal? | hi,thank you for providing the brief history of youAs you have undergone radical nephrextomy and also apicoectomey along with removal of abscess in the jaw you have undergone a surgical procedure which will have its affect on overall health functionsAs post surgery there is always an advice on the ethical way to deal with weakness and other symptoms. Like undergoing physical therapy for the general body conditioning is a must since you had radical nephrectomy. As due to the surgical procedure there will be weakness in the abdominal muscles which are also the muscles of the respiration. As weakness comes the cardio respiratory endurance falls. Regaining the cardio respiratory endurance is a must to have a functionally active lifestyle.In my clinical practice, once the patient undergoes surgery, we advice them to undergo physical therapy doe general body conditioning and also cardio respiratory endurance training. Which had helped majority of them to be functionally active.RegardsJay Indravadan Patel | |
Why do I get abdominal pains after eating?
So I've been having problems for about 10 months now. I get these stomach aches whenever I eat food. It use to be just that but now it's stomach aches all the time, and today I just saw some mucus in my stool, I'm not certain what really is wrong with me | Hello!Thank you for the query.Its hard to give precise answer not knowing the pain location.If your pain is in the upper middle abdomen, does not radiate to the back, nausea is present, peptic ulcer is most probable.If you have upper right pain radiating to the back, nausea and vomiting, gallstones or pancreas issues are most possible.If your abdomen gets bloated, you get occasional gas and stool obstruction, there is a blood in the stool, partial bowels obstruction is most probable.Is suggest you to visit your doctor. Abdominal X-ray, abdominal ultrasound, blood work, liver tests, pancreas tests and urine analysis should be done at first. If peptic ulcer seems most probable, gastroscopy should be done.Hope this will help.Regards. | |
What could cause tingling and itching of hair follicles on scrotum?
The pores on the left side of my scrotum are enlarged. This is only where a hair is present. There is slight reddening. The scrotum is not tender to the touch, however, I do feel a tingling sensation intermittently throughout the day. I also feel the occasional itch in the region, most specifically in the crevice of my thigh and pubic region on the left side. What could this be? | i think you are suffering from fungal infection in that area.kindly apply clotrimazole ointment,calamine lotion in that area.avoid wearing tight innerwear. | |
Q. Will Ashwagandha or Shilajit boost sexual power?
Hello doctor, My age is 19 years old. Recently, I quit smoking and my sexual power is somewhat decreased. How can I boost again my power back? Use of Ashwagandha will help or Shilajit? Or any other advice? | Hello. You are having erectile dysfunction problem. Smoking, alcohol can lead to that problem. So it should be avoided. For erectile dysfunction rule out vascular narrowing and thrombosis like cause using penile doppler ultrasound. Total cholesterol, blood pressure also should be checked. Rule out prostatic enlargement by ultrasonography pelvis. Underlying cause should be treated. If needed, the doctor can prescribe you Sildenafil like drug to increase penile erection. Kindly provide any history of drug intake if present like a beta blocker, diuretic, etc., that affect erection. For more information consult a general practitioner online --> | |
What causes bruising around elbow and wrist?
The inside of my right elbow feels like it is bruised and so does the top side of my left wrist. I have not done anything to them that i am aware of. They have been hurting for two weeks bout. And the only physical activity i have been doing are relaxing bike rides. I cant even drive now without my arms being in pain. Any advise | Hello, I have studied your case,I would like to ask few questions for your elbow pain.Was there any history of injury to elbow?Pain increases in lifting weight/working?Pain in elbow could be due to tennis elbowStart elbow exercises consulting physiotherapist also Physiotherapy like TENS and ultrasound will help. Take calcium supplement with vit D.Avoid lifting weight and screwing movement.Waiting for your replyHope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
What causes swelling after having numbness shot?
hello . i went to the dentist last thursday and i got around 4 or 5 numbing shots. its now been 4 days and my mouth still hurts. my mom said my face is still swollen so ive been icing it. my question is , will the numbing medicine cause the dimple in my cheek go away? im afraid i wont ever get my dimple back | thanks for your query. i have gone through your query. the swelling could be because of the persisting infection or any hematoma. the pain could be at the site of injection. consult a dentist to rule out the above said conditions and take medicines like antibiotics. if it is hematoma give hot and cold fomentation. i hope my answer will help you. do not worry the dimple will come back. | |
Is psych treatment required for the medical history?
I am in a PTSD and DID crisis....I don't know what to do, I was sexually abused for 5 years by my pedophile grandfather, I am 44 now and but never received support after telling, and had traumatic events after, housefire and I was in coma and almost died due to an infection... I cannot think, I am in pain , emotionally and physically , I have ringing in my ears, and my muscles are spasming, I have history of seizures too and my mental health affects that, help.....should I go inpatient psych?? | Hi, Welcome to Health care magic forum. You have faced so many problems,and suffering with the P.T.S.D,and did crisis,and in pains like muscle pains,spasming,which is effecting,the mental health,ringing in the ears. First of all you should get the treatment for the physical problems,once these are controlled,the psychological problems may come down to a maximum extent. If you feel some thing is to be done then you can consult a psychologist. Take more of green leafy vegetables,pulses,sprouts,and protein rich foods to have blood,general health and resistance against infections. Wishing for a quick and complete recovery. Thank you. | |
What causes difficulty in walking and speaking in a 2 year old epilepsy child?
my son 1 and half year old. when he was 1 year he had epilepsy attack. i took him to neurologist and he did EEG and MRI. EEG shows abnormal.and MRI normal. Dr. gave sodium valproate syrup 5ml b.i.d(5ml contain 200mg) and levetracetum 1ml bid (1 ml contain 100mg). after that by Gods Grace there is no epileptic attack. my question is he finds difficulty in walking and speech. my question is he lives like normal child or not? | Development milestones will be delayedPhysiotherapy will be helpfulSometimes drugs like baclofen is helpful to reduce spasticity | |
What could be the stain on my penis glands?
What is that stain on my glans penis? It's been there for about 3-4 months now, it is no itching, but it bothers me. I haven't had sexual intercourse for over a year now, so I'd say sexual disease is out of the question. WWW.WWWW.WW | DearWe understand your concernsI went through your details. I suggest you not to worry much. The stain on your penis glans could just be a discoloration which usually happens when you get older. There is nothing to worry. Don't be anxious.Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition.Hope this answers your query. Available for further clarifications.Good luck. | |
Q. My daughter suffers a strange allergy. What is it?
Hi doctor,My daughter is 13 years old. She is suffering from strange allergy since two years. It became very bad and affects her psychologically. It started when we changed our location before two years. I have consulted three doctors and all of them said it as strange and did not show response to any medication. I even tried biopsy to find out the disease. Her doctor just advised to avoid potato chips, cream, etc. She become more frustrated and looks sad always. Please help us. | Hi. I have seen your concern and examined the given pictures (attachment removed to protect patient identity). Anxiety, depression and personality disorder. No specific laboratory blood tests are required to establish a diagnosis of dermatitis artefacta nor are any diagnostic imaging studies indicated. 1. Dermatitis artefacta. 2. Factitious disorder. 3. Striae distensae. Dermatitis artefacta. 1. General dermatologic care measures include baths and debridement (thorough cleaning). 2. I suggest you to apply emollients like Emoderm cream (White soft paraffin and liquid paraffin) twice daily along with topical antimicrobials like Fusidin cream (Fusidic acid) twice daily for five days. Consult her doctor, discuss with him or her and take the treatment with consent. 3. Consultation with a psychiatrist is recommended. She needs to be observed closely and she really requires psychological support. Revert back after a month to a dermatologist online.---> | |
Whats the medication for lump on the neck apart from surgery?
I have a lump on the back of my neck. I have no pain. It itches at times. This morning after showering I noticed it was oozing a clear liquid and a little puss. Besides calling a doctor, what should I do. I was scheduled to have it surgically removed 11/15. | HiThe symptoms as described are of an abscess of the skin,It is common to be in the back.It should be find when all the pus is discharged.Apply pressure to push all the pus out then apply antibiotic cream and disinfectant.you should then be examined by a doctor to see if you need a surgical procedure at all.if the puss is out then you need no surgery. | |
Q. I have heavy periods with painful acne and cramps. Is IBS the cause?
Hi doctor, I am 20 years old, female. Ever since I have been 14 years old, I have IBS, bad stomach pains and constipation, almost two years ago I stopped taking my BC pills (I was on birth control since I have been 16) and my period did not come forever after and my skin was at its best ever. Three months later my periods became heavy and about six months later I started having bad painful cystic acne all over my face and body, heavy periods and cramping (lots of blood clotting), bad IBS, alternating between D and C, bad bloating like I was pregnant and gas. On top of that since last six months, I have had a leaking bladder, unsure if that is from straining or food related. I tried BC again in the last three months but my skin looked worse again. I am on a paleo diet and noticed my skin is a bit better but I do believe my hormones are a big role in this and would truly appreciate an opinion. | Hello. I just read your query. You can try these simple home remedies as these are helpful for your problems. Chew half teaspoon of fennel seeds after every meal. It will help in better digestion of food and also useful in bloating. Take aloe vera juice 15 ml with an equal amount of water two times a day after food for ten days. If you notice an increase in stool frequency then you can reduce juice amount to 10 ml. It will help in normalizing your periods. Apply aloe vera gel two times a day over the face. It will help in reducing the acne problem. In case of excessive bloating, you can take half teaspoon of ginger juice with a pinch of rock salt. It will also help in decreasing the problem.Try all these things regularly and you can consult me after ten days or you can consult a nearby Ayurveda physician regarding improvement and for further management. I hope you understand my point. | |
What causes fainting spells in a child?
please help my daughter my daughter is 4 yrs old and has has fainting spells/ seizures for four yrs now and she looses consciousness. she also has a grade 4 reflex (vur) and a voiding dysfunction (urology). she has has tests done and they come back negative and she is seeing a neurologist but they all arent very good drs and this keeps happening the last time she was passed out for 30 min and turned blue and purple. i need a dr who can help a little and even just liste n and or help process of elimination to find out whats causing this. please could you call if you can for a few min to answer some questions. she has a nurology apt this thurs. but he doesnt want to answer many questions he says. thank you for your time i appreciate it. you can reach me at (949) 742-0453 and my name is lynnette l. thank you | Lynnette, your daughter has syncope like attacks and it has nothing to do with VUR unless if you say she gets these spells during passing urine (micturation syncope); nevertheless with 4 yrs of symptoms and loss of consc. she needs to undergo first EEG to say epilepsy or not and what type and then decide treatment and sitting there miles apart I can not help without this test which is a very simple one. | |
Suggest treatment for bruising in groin area
Hi, my 20 yr old son told me he has bruising in his groin area, both sides for a few weeks. Won t show it to me so that s all I know. He says no pain. His concept of time could be wrong so hard to say how long he has had it. He is Schitzo- affective so takes medication. But he is so inactive I can t see how he would have injured himself. And both sides..that bothers me. He hasn t been taking a new med in fact we have been weaning him of Seroquel for months which is causing all kinds of problems. Any ideas what could be happening with the groin bruising? | Hi I did review your concernSeroquel generally does not cause bleeding problems but it can cause other organ dysfunction which may lead to bleeding. I woud recommend you to get him tested for coagulation profile including platelet count, CBC, PT PTTk and liver function tests.I hope this helps.Wish you a very healthy life ahead. | |
Can you suggest a cream to make my face brighter so it can match to my body colour?
good afternoon sir my name is ABDULLAH AHMAD and i am a male student of age 21 ,sir my question is that my face colour is darker than my body colour due to which i feel shame so sir please suggest me any indian cream for to make the colour balance. good afternoon sir my name is ABDULLAH AHMAD and i am a male student of age 21 ,sir my question is that my face colour is darker than my body colour due to which i feel shame so sir please suggest me any indian cream for to make the colour balance. | HI!abdullahroxy, Welcome To HealthcareMagic forum, If the complexion is darker genetically then nothing mush can be done,but if you have developed tanning,then there are some possibilities.You should first start using a good spf sunscreen daily.Along with this you can use creams like kojic acid,glycolic acid,hydroquinone cream locally on face.Procedures like chemical peels and micro dermabrassion are also good for improving the complexion.So consult a dermatologist for the best possible treatment. regards, Dr.chawda | |
Is an itchy non-cancerous tumor on the shoulder blade a concern?
i had a small tumor on my shoulder blade,so i went to doctor he said it is non cancerous,i said it to remove he said if i remove it will increase it s size more,it happened nearly 5 years ago,now it became very large in size,itchying so much,tell me is it dangerous | HII would advise you to do a biopsy test of the small tumour in your shoulder to rule out malignancy. | |
What can cause high homcystine level?
I have been having a difficult time losing weight for the past 3 years. I have Hasimotos disease. I eat well and take many different supplements. In spite of that I havemild osteoporosis, a B12 deficiency and a vitamin D deficiency even though I take 4,000 units of late. I was recently diagnosed accidentally with a high homcystine level which make me concerned that all I do is not being absorbed. Could I have a digestice enzyme deficiency and a betaine deficiency. If so, what test should I have my doctor do. | Hi, One of the causes of a raised homocysteine level is Vitamin B12 deficiency . Raised homocysteine levels are also a risk factor for diseases such as heart attack ( medically called myocardial infarction) , stroke etc. In fact a rise in homocysteine levels detects even early phases of Vitamin B12 deficiency. As you have been diagnosed with Hashimoto's disease which is an immune mediated disease you may be prone to develop immune mediated diseases in other organs as well. An immune mediated disease is one where certain molecules called autoantibodies attacks its own cells and tissues . There is a possibility that you may have a condition called PERNICIOUS ANEMIA which is known to occur in some patients with Hashimotos. Pernicious anemia is a common cause of B12 deficiency. A protein called intrinsic factor, made by parietal cells that line the stomach, is needed for B12 absorption. In pernicious anemia, inflammation damages the parietal cells, leading to little or no intrinsic factor, thus preventing the intestines from absorbing B12.I would advise you to do the following tests Intrinsic factor antibody testParietal cell antibody testIf any of these tests are positive then there is the possibility that you also have PERNICIOUS ANEMIA. In addition to this please also do a Fasting blood sugar and Post prandial blood sugar test to detect Diabetes mellitus which may be associated with your condition. All of the above contribute to loss of weight and a feeling of exhaustion. You should also recheck your THYROID FUNCTION TESTS ( TSH, T3 and T4 ). I presume that you may be taking medication for Hashimotos.You should take life long Vitamin B12 if you have Pernicious anemia.To correct the Vitamin B12 deficiency due to Pernicious anemia one of the methods is to take 1000 mcg IM/SC injections once daily for 7 days, then weekly for 1 month, then monthly.There is also a nasal spray option:Nasal spray: 500 mcg (1 spray in 1 nostril) weekly. | |
Suggest remedy for fat
my 8 year old daughter just had a BM and she had alot of fat gobules in the water she had a calzone for lunch at school and the fat was the color of the fat that sometimes drips off pizza. Should I attribute the fat to that or shouls I be concerned about her absorption of fat? | Hello, One episode of oily stool should not be of concern. If your kid's weight and growth parameters are normal, you need not to worry about this. But if this oily stool is persistent then we need to consider malabsorption. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
Constant discharge of pus from gums of front tooth, bad odour. Had root canal treatment. Remedy?
I had a root canal treatment about 3 weeks ago after a discovered that pus was coming out right in front of my front tooth. I'm surprised that the pus is still coming out. i went back to the dentist who examined my tooth and the gum. she explained that pus will stop, and that my gum is fine. I'm worried because it's the front tooth that is affected and my mouth smells of bad odour with bad taste. I have just bought listerine for mouth wash in addition to the mouth brush. what is the way out? | hello and welcome to HCM forum,I would like to inform you that if the root canal treatment has been completed with a permanent filling on the tooth then pus discharge is not expected but if your dentist has placed a temporary medication in your tooth then it might take a few days for the pus discharge to stop and infection to resolve completely.I will advise you to take a second opinion and visit an endodontist.For now, you can use a mouth wash twice/day as well as perform warm saline rinses 3-4 times/day.The dentist might have to prescribe you antibiotics to resolve the infcetion which still persists.I hope this answer was useful,I wish you good health,take care. | |
Suggest ways to lighten complexion
hi, my daughter is 3 years old and her complesion is dark and it looks like bluish in color although me and my husband are very fair.someone told me that due to intake of hypothyroid medicine and iron suppliments her complexion is like this. Is it true? and is there any way i can lighten her complexion :( | thanks for asking via HCM, bluish color of skin is due to -The lungs are not getting enough oxygen. Since oxygen is what makes blood turn red, blood cells without oxygen remain blue ("cyanosis").The underlying blood is moving sluggishly, so the normal veins underneath that carry blue, oxygen-poor blood back to the heart are more noticeable.consult your pediatrician, get examined. if every thin is OK then do nothing at this age.regards | |
Spondylosis with disc protrusion, neural foraminal stenosis. What does this mean? Suffering from lower back pain, numbness in leg, foot and back
moderate L4 L5 spondylosis with broad-based disc protrusion resuls in moderate bilateral neural foraminal stenosis shows on a MRI among other things. What does this mean? I have low back pain years ( 20) that has always been relieved by Ibuprofen and exercise daily, but in the last couple years it has progressed to pain in the leg with numbess in my leg, foot, buttock, low back above buttocks and feels like my hips are in a vise. | DearI am sorry for the symptoms you are suffering You don't have to worry, It may bothers you but it isn't something risky Anyway to avoid complications you should put a lumbar fortress use pain killers if pain persist.The numbness on your feet is caused from compression that disc do a nerve roots, it can go way if you use lumbar fortress for a long timeRegardsDr Eris Ranxha |
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