patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1 value |
|---|---|---|
Dizziness when head turned right, scalp tightness. Solution?
Hi doctor.. Me and my family is going through a terrible phase for the past 5 months. I want to ask about my brother s health who is 22 years old (Height 6 Ft; Weight 75 Kg). It all started 23rd May, 2012. After coming back from college he was complaining a bad day. he felt dizziness .. all of a sudden at night after having dinner he became so dizzy that he was unable to stand up himself. He started vomiting too.. We took him to nearest hospital where after injections and initial treatment vomiting stopped but he was still feeling very severe dizziness which doctors named vertigo . antibiotic were given to him and he was discharged after 4-5 days. He used to feel better when their was some support at the back of the head and when the head was elevated. His neuro tests (MRI Brain, CTA Brain, CT Scan Brain) all came normal. Doctors thought its an ear infection and it will go itself with time. Though dizziness is reduced now but he feels as the improvement has stopped. He doesn t feel dizzy when his head is turned toss right side but he feels dizzy when head is turned right, upwards or downwards. The thing which makes us more tensed is that he complains of constant tightness pressure in the left side of the head. When he raises his Eyebrows he feels the scalp tight. He feels like there is some glue above. Right side of the head is normal. He sometimes feel that some fluid drops moving inside the scalp. This moving sensation goes away when he itches the head or when he starts walking. Please doctor help us and give us a solution to the problem. Thanks & Regards Nimra | Hi Nirma,Thanks for your query.More information is required for a definitive diagnosis.However, from the brief information available, the possibilities are :-* High cervical spondylosis with possible compression on spinal cord.* Intermittent Vertebro-basilar insufficiency. This usually occurs due to cervical spondylosis.* Basilar migraine, due to verterbro-basilar artery involvement.Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised.In case of any further queries, revert back to me THROUGH DIRECT PREMIUM QUERY (Paid), addressed to me personally. You will receive- almost immediately- my response in great details.If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE all doctors- engaged in social service- to render sound advice to the FREE queries. Fond regards and have a nice dayDr. Rakesh Karanwal | |
What causes chronic severe cough?
i m 5o yrs male. it started with sore throat 10 days back. i was given aziwok fr 3 dayss but no effect.infact i started coughing alsso....dry cough.i had fever fr one day thats all. tthen i was given augmentin fr 3daays.....agin no effecct i was still coughiing and had sore throat. chest xray was normaal initial blood report were aalsso normal then i was given livosulph,and tantum gaargle.....tantum gargle miraculoussly cured my sore throat in 10 minutess.....but coughing continued....5 ays of livossuph was over so i want ffr another blood test.....tiss ttime it showed typhoid.....H titre was 1:160......mark u i had no fever at all my sstools bit hard but waas otherwwise normal and i was eating ok too.....i shall go fr another widdaal agaain after ffew days but my ccoughing ...its sstill persistent why? and whats the cure?coughing so mucch has aggraveted my sciatica problem. | Hi,Since you have mentioned that you have cold and cough since 10 days, it is a matter that has to be looked into with attention. You most probably have developed pharyngitis.1) You need to do salt water gargling at least twice a day. 2) Use betadine mouthwash for good results. 3) Avoid cold food items, drink plenty of warm water.4) Do steam inhalation twice a day.5) You can use anti histaminics like Levocetrizene once a day to get relieved from cough but get it prescribed. Avoid driving while on medication.6) If symptoms like fever, chest pain arise then it is better you get thoroughly evaluated for further treatment. 7) Investigations like x ray chest, CBP, sputum culture would be good to evaluate you better. Since you have a normal x-ray, there is also a possibility that the cough may be due to upper respiratory tract infection and will certainly get relieved in few days.Please make sure that you are a non smoker as well as non hypertensive using drugs like Lisinopril, Captopril which are having side effects like cough. if you have cough its better you maintain a distance from kids and elderly as they are prone to infections. Use a handkerchief always. Do not worry, go and see your doctor if possible, no symptom is less to be afraid, the doctor shall always be there only to allay your concerns.Hope I have answered your query. Let me know if I can assist you further. Thanks for referral.Best regards,Dr. Suhas Chauhan | |
What are the treatments available for asthma?
Im a 17 yr old girl and i have asthama since i was 4 yrs old. I use forocort rotocaps 200 everyday since 8 months. And i have problem in breathing mostly everyday and after using this medicine i feel better. But again the next day i have problem in breathing. So what should i do? Im really very disturbed due to my health. Is their any other treatment except using the inhalers? | Hello.Thank you for asking at HCM.I went through your history.For detailed assessment, I would like to ask a few more questions like - Do you have any nose symptoms (nasal congestion, sneezing, running nose, etc)? If yes, then how frequent? Do you have regurgitation/vomiting, especially after eating hot, spicy foods? Do you have any other medical problems?However, from your history, I would like to make following suggestions for you:1. If you are having daily breathing problems despite using Foracort 200 rotacaps daily, were I treating you, I would prescribe you daily montelukast in addition to rotacaps.2. I would highly recommend you to get your technique of using rotacaps reviewed by an experienced physician. If all the necessary steps are not followed, you might not be getting adequate amount of drug into your lungs.3. Personally I would suggest you to use metered does inhaler with spacer device, which causes more deposition of drug into lungs as compared to other devices. However, it is not so portable as Rotahaler.4. If you have nose symptoms as described above, I would also add cetirizine or levocetirizine.5. I would suggest you to get allergy testing done which might help you to identify substances that may be causing troubles to you and also to know measures to avoid them. If allergy testing is positive, I would suggest you to consult an Allergist-Immunologist who may advise you allergen specific immunotherapy which changes your immune reactions to improve your allergy symptoms for long-term. 6. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible. Regular breathing exercises and a healthy diet rich in vitamins and minerals (e.g., adequate amounts of green leafy vegetables, fruits, sprouts, etc) will also help you in a long run.7. Mental stress also has an important role in worsening asthma. If you are having any kind of mental/emotional stress, please seek professional help.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards. | |
What causes itching in hands/legs while taking lysatone and Rifa I6 Kid?
my daughter was underweight by 6 kgs at 4 yrs old.x ray chest shows minor fissures but montex test negative.Still Dr.Nammalvar chennai suggested RIFA I6 Kidtab one and half tablet and lysatone syrupdaily for 6 months.after a month my daughter develops itching in both hands and legs.is it because of above tablets and syrup | Thanks for contacting HCM. your daughter is on correct treatment. Some times antitubercular medications do cause such itching especially in initial months of treatment. Usually it settles by itself but sometimes it needs treatment. You can apply a steroid ointment locally and if necessary give her anti allergic medication.Regards | |
Taken oral contraceptive. Have noticeably less bleeding. Are they related?
Hi Doc! i got married last year nd had oral contraceptives for 2 months ,then discontinued it coz my husband went to abroad.Now im united with my husband again after ten months nd taking contraceptives again.The problem is dat im noticing less bleeding nd almost no pain during periods.Before my weddind i used to have lots of pain nd bleeding, nd after my separation(with husband) also lots of bleeding nd pain was there.I guess its related with sexual activity nd contraception... dont kno what exactly????Now im worried is it normal or having any significance ... coz we both r thinking to plan a baby now... | Hi.Thanks for asking in Healthcare Magic.You have a very good observation indeed. Generally, menstrual cycles are painful as they are ovulatory cycles. Ovulation is the rupture of ovum and release of egg, necessary for fertilization. The oral contraceptives inhibit ovulation and makes the cycles anovulatory. This is one of the main action of OCP in preventing conception. The pain and bleeding during menstruation are due to increased uterine contraction needed to expel the unfertilized egg products in the form of clots. You have no pain and less bleeding with OCP not only because the cycles are anovulatory but also because the bleeding is withdrawal bleeding. Also, with OCP, your periods will be on a regular cyclical pattern.I hope this is useful to you. | |
Suggest treatment for pain in the head and eye twitching
Hi, I ve been diagnosed with migraines in the past but the recent events have been very strange. The pain starts at the base of my skull in my spine, feels like knives and a lot of pressure then moves to the rest of my head. During these headaches, my eyes twitch with my heart beat and there s nothing I can do to stop it. I m going for an MRI soon and have an appointment with an optometrist coming up. Any help would be greatly appreciated | your description of pain again appears like migraine with aura but anyway u go f0r MRI and opthal check up....but if all these negative then do Routine blood check up with ESR, CRP, Sugar check up , ECG.Treatment for these type of headache is Tab Amitryptiline 10 mg HSTab Naproxen 500 mg BD x 3 days Zolmist nasal spray if headache is severe | |
What causes sharp pain during ejaculation?
I am a 20 years old and male. I have never really masturbated in my years growing up, but since recently becoming involved in a serious relationship, every time I ejaculate, I have a sharp pain in my rectum right as everything comes out . I run and exersize heavily and my eating habits are fairly light. What could this be and is there anything I could do to fix it? Thanks! | Thanks for asking in healthcaremagic forumIn short: Its orgasm which is causing this.Explanation: As you are not into the habit of masturbation, you are experiencing orgasms strongly which is causing you the feeling of pain in rectum and feeling to pee after ejaculation. So no need to worry it takes time to adjust. Hope this helps you. Please let me know. | |
Suggest treatment for recurrent flu
I was diagnosed with the flu last Thursday, was outbid on tamiflu and felt better and returned to my normal activities on Monday. However yesterday evening I started running a fever again and it has continued into today. Should I go to see my doctor again or is this still the flu just running its course? | Hello,Some advice that I can give to you is:- Take Ibuprofen drug for the fever three times a day- Drink liquid- Drink fruit juicesThe symptoms should continue for two to three days.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Dorina Gurabardhi | |
What is given to an elderly person for relief from back pain?
RECENTLY MY NAN WAS TAKEN BY ABULANCE AT AGE 93 FOR SERVERE BACK PAIN THEY GAVE HER A SHOT OF SOMETHING THAT BASICALLY KNCKED HER RIGHT OUT BUT WE WHERE TOLD IT WASNT MORPHINE OR ANYTHING TO THAT EFFECT, SO WHAT WAS IT THEY GAVE HER . iAM WELL VERSED IN PAIN MEDICATIONS AS I SUFFER FROM CHRONIC PAIN , BUT THIS WAS UNUSALLY QUICK. | Dear- thanks for using our service. First of all, we need to be very careful with pain medication,specially in older patients, like 93 y/o. Most likely it was an opiod or opioid like medication that has a longer clearance from the body . That is why knocked her out.I hope that my advise has been helpfulDr.Sara | |
What is the cause for the drop in blood pressure when on maxzide?
I am taking half of maxzide 25 mg daily. I take it in the morning. around noon until 2:00 pm I feel like I could possibly pass out and my blood pressure drops to about 100/60. I also take bystolic 25 mg, benacar 40mg and multaq 400 mg 2x daily. what should I do? | Hi, From your prescription, i believe you suffer from some cardiac arrythmia. You are on 3 different drugs for BP. (benacar,bystolic and maxzide). you are probably sensitive to maxtide as a result your blood pressure is showing evidence of excess fall. You clearly need a ratification of prescription, for which you should consult your doctor who would possibly reduce the doses. Do not attempt to self modify them as the consequences can be bad.All the best. | |
Should I start torleva for suffering from seizures?
Dear sir,I suffered meningitis at the age of 5. After few years I became epileptic. Presently I am taking Oleptaal 600 OD twice a day. I have suffered two seizures since August,2012. Now, my doctor has prescribed Tolreva XR 500 twice a day in addition to Oleptal 600 OD. Please comment should I start Torleva? Please comment. | Hello!Thank you for asking on HCM!Regarding your concern, I would explain that the frequency of seizures is really low. This means that the treatment with Oleptaal 600mg twice daily seems to be effective in the management of the seizures. If your blood lab tests are normal and no complications related to Oleptaal intake have occurred, I would not recommend starting Tolreva XR, because it is not necessary. Polytherapy (the concomitant use of tow or more antiepileptic drugs) should be made only if the seizures are not under control, which does not seem to be your case. It can lead to increased adverse effects. You should discuss with your doctor on the above issues. Hope to have been helpful!Kind regards, Dr. Aida | |
Is it safe to give high doses of Zatofen syrup for GERD?
aoa i m mrs khawar from islamabad my child has been suffering frm problem in feeding from the birth which i was thinking he have GERD Gastroesophageal Reflux Disease but when i take him to doctor he diagnose him as allergic patient because of which he produce collic and frequent burping and wind blockage ( according to doctor) from which i m not satisfied, cz my child has 99% symptoms of GERD as my old three kids already diagnosed with same when infants now doctor advise me to gave him zatofen syp a half teasapoon for six weeks after 4 weeks of no chang i stop using the medicine and my child behave worse. when i ask doctor again he said double the daily dose ( one full tea sapoon in eve daily . now i want to ask is it safe to give? he is now 4 months old i m not using medicine but my child is really annoying cant take feed cant sleep nd much much more like gerd, plz guide me as soon as possible. thanks regards | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Zatofen (kitotefen) is usually not advised below 6 months of age according to the studies. If you are having symptoms of GERD -- vomit of feeds, which is resulting in breathing difficulty, any arching of neck, then you have to show to a child specialist and get evaluated for GERD by radionuclide scan (milk scan) and can be started on domstal drops and antacids to decrease the problem along with keeping him in propped up position while feeding and proper burping.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Nagasudheerkumar Mekala | |
Q. My mom has discomfort and tightness in the upper abdomen. Could it be a stomach infection?
Hello doctor, My 66 year old mother has a discomfort in the upper abdomen since five days. She is experiencing gas trouble and tightness in the upper abdomen. Her stools are a little constipated but, she is passing every day. Now, she has a fever between 99 to 100 degree from five days in the evening. She feels uncomfortable, especially after eating. Please advise. She is diabetic and hypertensive. Her doctor advised she take Medomol 500 and Rabez DSR both twice a day for five days. She also feels very weak. The doctor did a blood test, and a urine test and her WBC was quite high. Now, he has started her on Oflox OZ twice a day for five days along with Rabez DSR and Zantac. Please advise if the high WBCs are because of a stomach infection and if the medicines will help. I hope there is no cause of worry. Her current medications are Glycomet-GP 3/850, Voglibose 0.3, Telmisat AM 5 mg, Alzolam 0.5, Nexito 10 mg and Fibator 5 mg. | Hello. I have read your query and gone through the reports (attachment removed to protect patient identity). Regards. For more information consult a hematologist online --> | |
What will be the side effects of amlodipine and telma after a prolonged use?
i am 68 years old since last 20 years having b p and after taking t amlopress at 1 tab daily more than 10 year ddoctor adviced me to take amlodipine 5mg plus telma 40 i am taking these medicine more than 4year now please advice for any site affect to continue these treatment | Hello, Medicines have side effects. The most common side effects of amlodipine are swelling of the ankles. Both of them may cause headaches or lightheadedness, stomach upset. I suggest you keep under control of your blood pressure and make consult with your Cardiologist according to your condition. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Blerina Pasho, General & Family Physician | |
What does LV Diastolic dysfunction mean?
sir my name is manuraj, male 30, had rhd at 6yrs , took pencillin la12 for 10 yrs and kaypen for 5 years .aftr check up stopped the medication since i was fully cured.due to some chest pain i took 2decho.doctr said every things is normal and i am healthy.but a smaal doubt i got since the result is showing:mild tricuspid regurgitation ,grade 1/111 .LV Diastolic dysfunction.may i know i need to hav further investigated...? | Hi,LV diastolic dysfunction means the relaxation abnormality of heart. As age increase diastolic dysfunction occurs. So it is not abnormal to have grade I diastolic dysfunction. Also mild Tricuspid Regurgitation is also normal.You don't need to worry about any of them & it does not need further evaluation.Thanks | |
Suggest treatment for acid reflux with lump in the throat
Late last year, I began having symptoms of dysphagia with my reflux, which over the months escalated to a lump in my throat and slow-moving food. I went to a GI in early March and he performed an esophagoscopy. Results showed a small hiatal hernia and small Schatzki's ring. He dilated the ring and said most of my symptoms were probably due to anxiety and stress. I was taking 15mg Prevacid once a day and that seemed to help, but after a while I started to feel a pressure in my head and throat and intense anxiety. I stopped taking Prevacid a few weeks ago and the pressure went away and anxiety subsided. I now take Pepcid once a day, which helps the reflux. However, over the passed few weeks I have felt a soreness in my chest cavity after I eat. It almost feels like a pulled muscle and sometimes a slight burning. Upon physical examination, I discovered the soreness is around the chest cavity and also just below under the ribs. I think the discomfort is in my esophagus. I also notice that when I eat a lot of simple carbs and starch or greasy foods, the food seems to move slower down my esophagus. My diet has been altered to eat better foods such as whole grains and complex carbs, lots of veggies and foods with fiber and protein. I'm also trying to eat slower and take smaller bites. However, I'm still having discomfort after having a day of heavy foods, like an Easter meal. Could I possibly having muscle spasms in my esophagus? Could it be the Schatzki's ring constricting? Or is there something more serious? Should I be concerned? I can't keep going back to the doctor for more tests or to have him tell me its just anxiety. | Hi,I can understand your problem.To me it is due to severe GERD. Schatzki ring can cause difficulty swallowing and some time require repeat dilatation.You have to take antacids like PPIs regularly for long duration.You can also start taking antacids like H-2 blockers at bed time. Please avoid heavy meal,alcohol,smoking and fatty foods.Thanks | |
What could cause pain and swelling in lower skull and ears, lumps in neck and shoulders?
aBOUT 4-5 DAYS AGO I DEVELOPEDPAIN IN THE LOWER SKULL ON THE RIGHT SIDE, AS THE DAYS PROGRESSES I HAVE SWELLING AND A LUMP BEHIND AND NOW IN FRONT OF MY EAR AND LUMPS IN MY NECK AND SHOULDER ALL OF WHICH ARE VERY PAINFUL, I FEEL VERY TIRED AND UNWELL. wHAT SHOULD I DO? | Hello. The lumps may represent inflamed or infected lymph notes (glands). It is concerning that you also feel tired and unwell. You should see a physician as soon as possible, so that an accurate diagnosis can be made, and appropriate treatment begun. | |
Q. I have pain in my fingers, palm, and wrist after working on the laptop from home. Please help.
Hi doctor, I am an IT professional, presently working from home for 8-10 hours a day. Six days back my laptop keyboard got packed up. Next three days, I worked with an external keyboard and mouse while sitting on the bed instead of a table and chair. Though I felt strain and discomfort, I somehow continued with it. I felt sharp and dull pains all over the fingers, finger joints, wrist, etc., on the third night. I somehow slept after hot and cold fomentation and had an oral painkiller. From the next day, I am taking complete rest, doing nothing with right-hand fingers. It is almost three days, and still, there is a dull and sharp pain here and there over my right hand. There is no numbness or tingling sensation ever. Also, there is a feeling of discomfort and a sort of weakness in the right hand. Please advise medicine or ointment or exercise. Thank you. | Hello. Where is the exact location of pain? Is it at wrist or elbow? Is it at shoulder joint too? Are you suffering from hypothyroidism or diabetes? The possible causes are like, 1. Neuropraxia. 2. Carpal tunnel syndrome. 3. Hypocalcemia. 4. Hypokalemia. 5. Viral fever with myalgia. 6. Spondylosis with radiculopathy. 7. Pressure-induced numbness. Use tablet Pregabalin 75 mg once a day for five days and tablet Zerodol MR (Aceclofenac 100 mg + Tizanidine 2 mg) twice a day for three days. Kindly get serum calcium, blood sugar, thyroid profile, and nerve conduction study. If symptoms not improved, then please consult with your physician. He will examine and treat you accordingly. Take care. | |
Ultrasound showed thickening of gallbladder with multiple stones. Healthy food habits. Possible lead to cancer?
Hi recently I had an ultrasound scan of my gallbladder which showed thickening of gallbladder and multiple stones. I am Having very mild symptoms as in left side where pancreas is. I am watching my diet and cutting down on fatty foods. I am thin and eat quite healthily. I am concerned that thickening of gallbladder may lead to cancer. Can u advise me please. My GP said to do nothing if not having severe symptoms | Hi and welcome to HCM.Thanks for the query.Thickening is in most cases sign of chronic cholecystitis and extremely rarely it can lead to cancer. since today cholecystectomy is routine procedure i suggest to do it since it will relieve your symptoms and inable possiblity of cancer development. unfortunately diet isnt enough sometimes. Wish you good health. Regards | |
What causes pain inside knee with swelling and red color?
I have been getting treatment for Achilles tenditis and now my right leg on the inside around the knee is very painful running up the muscle area, red in colour and swollen - I have just looked up DVT - not sure if that s the problem but would you recommend I go to the doctors? | Hi there , thanks for posting your query on HCM. Any new onset swelling and change in colour around a joint is a matter of concern. It can be due to injury, infection, inflammation, dvt. etc.Since it is very painful, if I was your treating doctor, I would like to personally see you and run some tests after that to be sure. Hope this helps.All the best. regards.Dr.SBK | |
Intercourse during and after period, cramping, pregnant
Hi, okay so my name is AAAAAAA and my boyfriend is a US Marine and he got home for a ten day leave on the 24th of February. We had sex almost everyday (but I was on my period ) and then one time when i had just ended my period. We didn t use a condom but he didn t finish in me. I was wondering because we had only had sex a few times before that if a lot of sex can throw off your period because I am two days late? Also I had bad cranpoing about two weeks later where my ovary was And I assumed it was ovulation but I have never had that before. Thanks. | Hello,Unprotected sex during and after period is quite safe and here chance of being pregnant is almost nil.Lot of sex may cause hormonal imbalance and alter normal period date.Though period may be delayed up to 7 days. It is considered as normal thing.Psychological factors, mental stress, irregular diet pattern, wt gain or loss are associated reasons for gaining late period. In case of late period more than 7 days, you need to undergo one home pregnancy test to be sure.Take healthy diet, avoid stress, drink more fluid, keep bowel habit regular, maintain genital hygiene and take sound sleep. This will help to get period timely.All the best. | |
How to treat recurring allergic reactions, medicines offering temporary relief?
Dr., My son have 8 years old. He suffering allergic complaints. & dr. prescribed to take Montek Lc tab for 2 months. He OK for the 2 months. But when stop that tab he fully in allergic again. Is there any problem to continue that tab? any side effects? | HI, long term continuous use of montelukast can lead to several side effect including gastrointestinal disturbances, dizziness, fever, rash, sleeplessness, weakness cough, nasal congestion, angioedema, arthralgia, cholestasis and other liver problems, bleeding tendencies and few others also. he should go for allergen test to get the list of them and then try to avoid the exposure to them , if respiratory tract is also involved then special precaution should be taken and steroids can be added when required and regular follow up is also required.other drugs can be used depending on the condition and for this you should consult a physician. wish you all the best. | |
Diagnosed with COPD, had Chronic Bronchitis, using inhalers. How to minimize the usage?
I was diagnosed with COPD and hospitalized and checked over for 7 days. They said I had Chronic Broncitis and o0rdered enhalers and oxygen . I sleep with an oxygen nose piece and have since April. But this past monthI haven t been using the oxygen very much and actually feel much better if I don t use it or my nebulizer . I would like to talk to my pulmonalist but he just has interns return my calls. Since ragweed season is almost over my coughing has almost stopped. I need an exam by an allergist and a pulmonalogist. I truly don t know which way to jump. Help. | copd is not good condition if you would have bronchitis allergist can help but in copd it is problembut still an allergy consultant can tell you trigers which can be avoided to keep bronchitis in low profilefor copd you need pulmonary rehabilitation exercises which a pulmonary physiotherapist can teach you to get disease under control | |
Getting angry, forgetting earlier things, difficulty in sleeping. What could be this?
I believe I am suffering with depression as well as difficulty sleeping. I have had 3 episodes over a 6 month period - I can feel them coming on, it just feels like darkness is settling around me. Apparently I become very angry and will not settle down - I say apparently because I have no memory of it the next day. I also wake with nausea and a headache. | Hi.I have gone through your account, and i empathize with you on this.When you say you have had 3 episodes in last 6 months, it must have been really bad for you. The way you describe the onset of the depressive symptoms is really articulate and gives me an impression you are really gifted in this regard. Sleep disturbances, memory problems, irritability, headache are all understandable consequences of the depression that you describe. Sometimes, dissociative experiences and feeling of unreality might accompany depression, in which case you might not remember your behavior at a later time. I feel your condition needs proper psychiatric care and evaluation. there are various treatment modalities currently available to help you with the problems, both medicines and psychotherapy. They will surely benefit you.Also, nausea and headache might be having some other cause and needs to be looked into.Keeping in mind all these, please visit a psychiatrist and get yourself evaluated.Hope this helps.Dr A Rao Kavoor | |
Excessive mucus production, foul taste in mouth, thrush diagnosed. On liquid oral medicine. Previous bronchitis, acute sinusitis. Suggestions?
Hello. I have recovered from bronchitis and acute sinusitis. I continue to have excessive mucus production in my sinuses but my nose doesn't run. I am not sneezing as one would with allergies. I feel as though there is a big ball of phlegm or mucus posterior and superior to my uvula, and I feel as though I am constantly swallowing mucus. I can taste food but as soon as I am finished eating the foul taste in my mouth returns. My tongue has a coating on it that my doctor diagnosed as thrush and put me on a liquid oral medicine. The thrush is better but not all the mucus. I also seem to have heartburn when I lay down to sleep at night. Your thoughts? | the acute attack turns to chronic in allergyyou have to treat sinuses after getting xeay doneat moment take metrogyl 200 mg bdtab allegra 120 mg bdsyp gelusil 2 tsf tdsneomycin h eue ointment in nose bdsea water 2 drops at ight each nosethis can clear this episode take for 2 wkthe water can clear back of throat | |
How can severe depression and anxiety be treated?
- I haven t left my room for two weeks. Scared, worried, angey, from everyone and everything, full of hate and fear. - before i end my univ, i was forced to go out for lessons, and even then i didn t like it, i even get scared buying something from a shop. - i get mental break downs sometimes, and i find myself walking back and forth in the room talking to myself and slaping my head like a crazy person, and deep inside i feel me, and i say that is not me! . - i hated noise, parents..so i stay up all night and sleep all day. - i used to hv a girl i like to make all this go away, and i was planning to asl her hand after univ, but sadly there are no jobs, not even simple jobs that can just make me pay a rent and put food on the table, so i m sure her parents will find her a good man soon, and if i lose her, i ll lose the only hope. - im a novelist, a writer..and between the crying and the hate, i started to write suicidal letters..and m scared that one day i ll do it, or the person in me that shows up.. - this effected my neveres, heart, kneez, back..all organs.. - i hated all ppl, my parents, eating...u name it! ..i don t know if this is all, but ..i just hope i ll find guidness. | Dear.hearing yours symptoms my clinical experience says that u need urgent psychiatric intervention.U r suffering from depression which is reaching psychotic levelPlz seek help of psychiatrist urgently Regards | |
Suggest treatment for tail bone injury
A few weeks ago I injured my tailbone, the pain was manageable up to today. Today I was sitting with my legs crossed and I bent forward and when I bent forward It felt like a ripping in my tail bone and now no matter what I do I get a severe pain in my tailbone | hi,thank-you for providing the brief history of you.A thorough musculoskeletal assessment is advised.As the injury was directly on the tail bone there are two major possibilities which can occur here. Due to the impact of the injury - there might be a spondylolisthesis of the lower vertebrae or may be a lower level disc injuries.This are the commonest form of injuries which happens and gets unnoticed. which later on give symptoms of constant pain and mobility induced pain.Taking an MRI of the lumbar spine along with the tail bone will help understand. As x-ray fails to show the soft tissues and sometimes the fracture as well, so MRI will be of choice.Post which with rest, medication and physical therapy all will workout well. In my clinical experience I have come across tail bone injury complaints but MRI confirmed it to be spondylolisthesis or a disc injury. Treated with physical therapy , have helped majority of cases.RegardsJay Indravadan Patel | |
What causes penile discharge?
HI, i am facing a problem with penile discharge since long time. I didn't had any sexual contacts, but i had used antibiotics ... that might be the reason according to me. If i clean with water everyday while bathing then no problem, if i stop cleaning then the discharge is happening with some rashes and itching. Please help me out.. how to get out of this problem. I had consulted doctors and they gave me some creams... i have used those... but no proper result. Please reply for the same. | hellothank you for trusting HCMDear since when you're suffering from penile discharge??what is the colour and odor of discharge. it may be caused by infection like balanitis, gonorrhea or prostatitis etc.. please collect discharge and sent for microscopy and culture. please consult your doctor he will examine and treat you accordingly. I think I answered to your question if you have more questions feel free to ask.take care | |
High BP, nosebleed, vomiting, high body temperature. Cause?
I just had a strange health episode that no one understands.I was jtreated in ER for hypothermia intravenously. I also had high blood pressure (200/175)with a little bleeding from the nose while mine is usually 120/60. The episode started quickly with vomiting, high body temperature but within 1/2 hour temperature down to 33.4.C. Tests at ER showed higher than normal lactate levels and low insulin which stablized later, and the blood pressure went down quite a bit. They gave up trying to figure out the cause but one suspect is an idiosyncratic allergic reaction between apo-amoxi clavulin and nabilone. An exposure to yeast ( I used it for the first time to make bread).I'd like to prevent reoccurances so any ideas? | I POINT TOWARDS ALLERGY TO WHEAT AND I AHVE MANY PATIENTS LIKE THIS YOU GET BLOOD SERUM TESTS FOR WHEAT MILK RICE NUTS CHANA EGG SPECIFIC ANTIBODIES ELIMINATION DIET WILL MAKE YOU FIT AND ALL YOUR FATIGUE ANDOTHER DISEASES WILL SUBSIDE IN 3 MONTHS AFTER ELIMINATION DIET ACCORDING TO RESULTS | |
How long will a person suffering from pancreatic cancer stage four survive ?
hi, what is the life expectancy of a male whose age is 73years, just been diagnosed of pancreatic cancer stage four | Hi Welcome to HCM Read your prob, pancreatic carcinoma has vary prognosis, it causes jaundise, diabetes, liver failuer, it can be spread to other part of body. if symptoms r mild n if it is not spread to other patr survival years are 1 yr to 5 yrs. n if it is in later stage then it is 6month to 1yr. Dr aseem aseemadhuri@gmail.com | |
Suggest treatment for reduced blood flow to brain
I have reduced blood flow to brain since 5yrs now my age is 23 from 5yrs my mental condition is becoming weak unable to concentrate on my studies and my daily activities im using medicines but no result and continuously doing exercise but no result more mentally weak before menses tym pls help me | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have problem of reduced blood flow to brain also known as vertebrobasilar circulatory disorders. Well there can be many reasons for symptoms you mention in query like smoking, high blood pressure, diabetes, and a high cholesterol level. I would suggest you to consult neurologist for proper examination . Doctor may order CT scan , MRI , blood tests and ECG . Doctor may prescribe blood thinning drugs, such as aspirin, warfarin lower the risk of stroke, ask you to change your diet and medication to lower cholesterol and better control blood pressure like betablockers . For now do light exercises , try to loose weight and quit habits like smoking . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Suggest treatment for fatty infiltration of liver
I have just been diagnosed by grade 3 fatty infiltration of liver. How serious is the matter?and what kind of treatment is required? I am also suffering from thickend bowel paraumblical region and left renal cyst. I am non alcoholic. Please advise as soon as possible as my family and myself are quite worried. | Hi.Thanks for posting query at HCM.Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further.Alcohol ingestion and obesity are common causes of fatty liver disease.Fatty Liver disease is reversible.advice for fatty liver:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound.any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik | |
Q. What could be the reason for pulmonary fibrosis in an elderly?
Hello doctor, I am a 74-year-old male with a weight of 142 pounds and a height of 5 feet 10 inches. I take no medications except Ativan. I take vitamins. I am a non-smoker, worked in the auto body shop for two years painting cars, quit grain farming at the age of 44, minimal exposure to asbestos. I have been suffering from panic disorder for 56 years. Last winter I got a whiff of hot coals while cleaning my fireplace. Radiation exposure includes two thallium test, two barium enemas, one angiogram. Normal chest X-rays until last spring. Last spring X-ray showed scattered fibrosis. Normal pulmonary function test - FVC liters - Ref 4.11, Pre meas 4.18, Pre % Ref 102 ; FEV1 liters- Ref 2.70 , Pre meas 3.10, Pre % Ref 115; FEV1/FVC % Ref 68, Pre meas 74; FEF 25-75% L/sec Ref 2.40, Pre meas 2.35 , Pre % Ref 98 ; FEV3 Liters Pre meas 3.67; PEF L/sec Ref 7.87, Pre meas 10.63, Pre % Ref 135 . What could be causing the fibrosis? | Hello. Single chest X-ray cannot diagnose lung fibrosis and further tests are required to rule out other causes. As you said, the chest X-ray was normal before a few months and now showing scattered fibrosis. It is advised to repeat the X-ray after few days. Once the X-ray is reported as fibrosis, there is suspicion of a chronic irreversible disease known as IPF that is idiopathic pulmonary fibrosis. After this, I would like to clarify that having no significant past medical history of any risk factors, it is advisable to rule out common reversible infective causes like TB (tuberculosis) or pneumonia. Radiation exposure, you listed above, is not significant to cause fibrosis of lungs. But it can be a contributing factor. Chest X-ray is not much sensitive to rule out lung fibrosis and the next important investigation advised is HRCT (high-resolution computed tomography) scan to rule out IPF or other ILD (immature lung disease). In your case, the advancing age of the patient is the most important risk factor to be the cause of scattered lung fibrosis. Looking at the spirometry, it is absolutely normal which cannot rule out IPF and further tests like DLCO (diffusing capacity of the lung for carbon monoxide) with body plethysmography are advised. So in summary, as I said, single chest X-ray cannot diagnose lung fibrosis. Further investigations like HRCT scan, DLCO with body plethysmography and in some cases lung biopsy are must find out the exact cause of lung fibrosis. For more information consult an allergy specialist online --> | |
What is the remedy for cough?
Hello, I have had a cough for a few months now and over the past month I am coughing up greenish mucus that is followed by the taste of blood. I have been a smoker for several years but have never had a cough that last throughout the day and doesn't not clear up. | Hello! you seem to have caught a respiratory tract infection . I would suggest you take a course of Tab. Amoxyclav for 10 - 14 days along with cap . omeprazole. It is preferable to get a Chest X ray , have your sputum tested for gram stain and culture sensitivity and Acid Fast Bacilli , the test which gives us an idea as to what organism has caused your Infection and what antibiotic will work against that particular infection. Do quit smoking . Hope my reply is of help. Do drop in your valuable feedback . | |
How can a hard lump on the neck be treated?
My 17-year-old son has a hard lump under the skin at the back of his neck just above his hairline. The lump is now about the size of a peanut and has grown over the last week, though I am not sure when it formed. It is not attached to the skin, but is hard and stationary on the tissue under the skin. He reports that it is slightly painful when it is touched. He has an appointment with his primary care physician next week, in the meantime, I am a bit concerned. | Hi, I had gone through your question and understand your concerns.There is no need to be concerned since considering your description this may be benign subcutaneous lesion such as lipoma, fibroma or atheroma and if there are no skin changes such as redness, pus discharge or pain and fever then you should not be worried since it can be easily surgically removed under local anesthesia. Then if there are doubts it can be sent to the patohistologic analysis to rule out some more serious issues. But as I said, anything serious is rare in his age and he would have some other signs.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | |
Q. What could the speckled cloudy areas on each side of my skull X-ray be?
Hello doctor, I have attached an AP view of X-ray of my skull. On each side of my skull from the rear canals down are speckled cloudy areas. Do you know what can cause this? | Hello. I have seen your report (attachment removed to protect patient identity). The speckled cloudy areas on each side are your mastoid air cells that are filled with air and hence give such an appearance which is normal. However, I observe haziness involving your frontal sinuses and subtle involvement of sphenoid sinuses also which can cause a headache and cold on and off. Other features appear within normal limits. This professional advice provided by me stands subject to the actual examination of the report and image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult a radiologist online --> | |
Suggest treatment to conceive after abortion
Hi I last year in agust i had done abortion with tablets but it was not completely cleared after scanning we got to know that then complete abortion was done with the doctor,then doctor sugested to take ths tablet ovulov- ld i had taken for 17 days 17 tablets between i stopped i got bleeding for 4 days then i dnt tuk tht tablets but now we are planing for baby from 3 months we are not able to succced please help | Hi, I think if your periods are regular, you can try for 6 months to one year naturally. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. If you want to increase the chance of pregnancy, you can take some medicines for growth of your follicles and track your follicles growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Also do a thyroid profile and prolactin levels for yourself. Hope I have answered your question. Regards Dr khushboo | |
What causes pain and pressure in head along with numbness on left side of face?
Let me start by saying I'm a mess! First off, I am a 32 yo black female and I have been having head pressure/ headaches/ numbness on left side of face/ ear pressure/ dizziness for about a year. Went to ER and they did a MRI, but to no avail, it didnt show anything! They wrote it off as migraines and they prescribed Tramadol. Recently, I've been experiencing tingling mostly in my legs, but occasionally in arms as well. I've been fatigued, anxious, moody, and depressed. My body is generally achy and stiff especially when standing up from a seated position. I really need to get bloodwork asap because I think that whatever is going on is probably pretty serious. So, from my list of annoying ailments, do you have any earthly idea of what could be going on with me? | Hello ! I understand your conern. In my opinion there is nothing to worry about. Dizziness, headaches, ear pressure , tinglings may be caused by an orthostatic hypotension. I would recommend a full blood count to rule out anemia . A measurement of blood pressure in sitting position and after 5minutes in standing up position would be necessary to rule out orthostatic hypotension. If there is a decrease of more than 20mmHg to your systolic blood pressure when standing up it may be an orthostatic hypotension. All these symptoms can also be caused by depression . If all examinations are all right , I would recommend an Antidepressant like Paroxetine, Doluxetine or Escitalopram for some months. It will help with headaches and yuor humor too. Hope to have been helpful!Thank you for using HCM!Best wishes, Dr. Abaz Quka | |
Suggest treatment for tibia fracture
I broke my right tibia on Halloween in a car accident. I have a cast on now and I wondering if I can get it off when I go back to the hospital in 8 days. I started walking on it 3 days ago and it s getting easier everyday even though I still have a limp. I m nervous and want to know the honest truth. | Hello,I have studied your case and I think that it is good sign that you are walking on leg. It shows that fracture is healed now. I would recommend you to continue walking. Just make sure that you do not fall on slip as bone strengthening take some time. You should use some support in walking like a brace or splint. If you want than send x ray of the tibia to me. I can offer better advise after seeing your current x rays.I hope this answer will be useful for you. Let me know if there is any other followup questions.thanks | |
Q. I have diabetes with vertigo, RBBB, and constipation. Please help.
Hello doctor, Taking CTD-L 6.25/25 for hypertension and Amaryl MV-1 for diabetes for more than five years. My fasting sugar level is always above 200 on average. Besides this, I have vertigo syndrome, RBBB, severe constipation, and for the last three years itching in lower legs (right leg in winter and left leg in summer). Most of the time I am sitting for my job. My height is 181 cm and weight 110 kg (no change for the last five years). | Hello. After going through short the medical history I want to address some points for you. First important aspect of management of diabetes is diet. That will remain the primary objective for the management of type 2 diabetes across the globe. Please elaborate a little about your basic diet pattern. Second important aspect of management of diabetes is exercise. As you have mentioned your are an accountant and that will make you a less active person during a major time of the day. While on the job and presently in lockdown at home, take small 5-10 minutes of time and walk across the corridor. Start with little things. Then on the third part comes the medicines. You have not mentioned how many times a day you are taking Amaryl MV 1. Please do mention that. Your weight is also more compared to your height, Amaryl can cause a little weight gain also. You should opt for tablets that will not gain weight. There are certain medicines available now which controls blood sugars and also help in weight loss. Apart from this, I would like to know about your family history of diabetes and the stress levels you are facing on the scale of 1-10. Are you getting enough sleep? How many times you have to go for urine at night? Any pain, or burning sensation in legs? Obesity. Uncontrolled sugar levels. FBS (fasting blood sugar). PPBS (post prandial blood sugar). HbA1c (glycated hemoglobin). Lipid profile. Serum creatinine. Type 2 DM. Continue the same medicines until we work on detailed diabetic history. Take six to seven small frequent meals a day. More leafy vegetables, fruits, pulses. Take less grains, maida, and processed food. Once detailed history available and reports done. | |
Swollen and blackened gums
my gums are swelling at different areas and i m very much in pain. the lwer side of my gums have also blackened. kindly suggest remedy for immediate pain relief | go to a dentist have scaling and polishing done he/she would prescribe some topical and systemic antibiotics and that would help | |
Q. I have a rash on my penis which comes and goes and is sensitive. Please help.
Hello doctor, I have a rash on my penis head, it does not hurt much and it does not look severe, but it is uncomfortable and I feel very sensitive now and also it stings when I urinate but not always. Beacuse of Covid-19 I do not want to visit a doctor, so I browsed the internet and I am afraid it is not getting better as it is. It has been a month now and it comes and goes. I took Zithromax for three days and Locoid lipocream but nothing happened. After one week, I am taking Zithromax and I took Augmentin 1 g every 12 hours for one week and Fucicort cream, it got better but the skin felt very sensitive and stinginess inside shaft started. I stopped Fucicort now and using Elica-M at night and just vaseline in the morning for three days now as I am afraid to get worse. It does not hurt much but I still have slight redness and stinginess on the outside. | Hi. You have used steroid creams and a lot of antibiotics. But I do not know how it started at all? Was it itchy to start? Urine burning or after you urinate, because steroids change every morphology and just cover symptoms and signs. I want to know if there was any discharge from the urethra to start with? Any history of unprotected high risk sex? Fever, or itchy red rash in partner? If none of the above then follow this. Take tablet Fluconazole 150 mg of for seven days, Sertaconazole cream twice daily for seven days and coconut oil. Review after seven days. Single dose Fluconazole for your partner. If you are diabetic control it and keep dry. | |
What causes abdominal pain after alcohol consumption?
hi ... My name is saurabh. I am 25 years old . i am not a heavy drinker and smoker. But these days i am suffering from left abdominal pain after drinking and even smoking. I drink on weekends and smoke 1 -2 ciggrates each day. Sometime i am confused whether it is liver pain or abdominal pain. No other symptoms noticed | Hi Saurabh, Your symptoms are indicative for dyspepsia most probably caused by alcohol and smoking. I advise to avoid taking them, together with: - eating often and in small portions- drink more water - avoid fried, citrus, fatty foods- take antacids- do not lay down immediately after eatingIf symptoms won't improve, I suggest to run further examinations :- upper endoscopy- abdominal ultrasound- urine analysisWish fast recovery!Dr.Albana | |
Does allergy to latex cause vaginal swelling?
I think i have a latex allergy. when my bf and i finished having sex earlier my vagina looked like it was turned inside out. My bf said it was "pink sock" but when we tried to push it in nothing went. He thinks its severly swollen and that im allergic to condoms. | Hello.Thank you for asking at HCM.Yes, if you have latex allergy and you use latex condom, you can have such allergic reaction. You may have itching as well.Thank you & Regards. | |
Child with history of seizures, is non-verbal, has increased sleepiness, seizures, constant bump on the head post a bang, on ketogenic diet. Cause?
My son is nine yrs old he has neuro issues and he is non verbal , he hit his head more than a week ago and its still the size of a golf ball there is no other signs of head injury other than he is sleepy but he seems to have energy and he eats well he is on the ketogenic diet for seizures and they have increased since he did hit his head? | Hello Thanks for using Healthcaremagic.com From the details provided it looks like he has only scalp injury (hematoma) and nothing to suggest an internal brain injury. Seizures are likely to increase after injuries for various reasons. If you feel that he is getting new types of seizures after head injury then he needs evaluation to rule out the possibility of internal injury. If the injury was due to drop attack (sudden flexion of the head and abrupt falls) then we need to consider using protective head gear for preventing further falls and head injuries. For more information contact your epilepsy specialist. Sincerely, Dr Shiva Kumar R Consultant Neurologist & Epileptologist | |
How can one recognize the symptoms of autism and carry out the procedure thereafter ?
hi my son who was extremely premature and all his milestones were delayed.he was hyper kinetic initially and had a very sharp memory.his gait was slightly awkward and the TA in his left leg were tight.his attention span was also low.he is 18 now and has apparently mild autism .how to confirm this and how to go about it. | Check for his age appropriate socialization, his language development and any atypical/odd intrest in activity or objet. | |
Pain in knot which was stitched for removing wisdom teeth, feels like cyst. Normal?
Hi there, how are you? I am 3 weeks post op from having my lower impacted wisdom teeth removed. Now that the pain from my dry socket thankfully gone, I've noticed a knot in my cheek where the doc stitched my cheek together to cover the flap of the extraction site. This "knot" is very painful and it almost feels like a cyst. Is this normal and part of the recovery process? | THANKS FOR THE QUERY. AFTER THREE WEEKS OF YOUR TOOTH EXTRACTION IF THE REMAINING SUTURE KNOT IS STILL PRESENT, THERE IS ALWAYS CHANCE OF GETTING INFECTION FROM THAT SUTURE KNOT. WHAT YOU FEELS LIKE CYST THAT CANNOT BE DIAGNOSED WITHOUT SEEING IT, BUT A CYST CANNOT FORM SO EARLY. IT IS A PROBABLY SOME GRANULATION TISSUE, MAY BE COVERED BY EPITHELIUM. YOU SHOULD VISIT YOUR DENTIST AS SOON AS POSSIBLE TO REMOVE THE 'KNOT' AS YOU DESCRIBED. | |
What causes sore on anus?
I periodically get a single sore on my anus. Doesn't really seem pus-filled, just like half the diameter of a pencil eraser and really sore when I wipe. Lasts about 5 days then disappears. May not come back for 6mos to a year. I was checked for all STDs and the only one they said I had was HPV because they found cervical dysplasia (low-grade, squamous cell, intra-epithelial lesion.) any ideas? | HelloAs you stated that that there is a sore on your anus . Diagnosed as HPV , because of cervical dysplasia .However it is very difficult to establish any diagnosis mere history of sore .May be:1 Hemorrhoids .2 Fistula in anus .3 Cyst .So in my opinion consult a surgeon and get his opinion because physical examination is important.Good luck. | |
Suggest treatment for asthmatic bronchitis
2 years ago I started to become more sensitive to cats dander and would start asthmatic bronchitis which would not go away so I had to take ketotifen for 2 months. I decided to start immunotherapy with cat and dog dander. Everytime after shot I had a reaction. On the 7th month of the theraphy I developed shortness of breath, tightness in chest, I started to react to everything (cooking fumes, people s odor and etc.). So I started to take Montelucast along with Ketotifen 2mg twice a day and stopped vaccination. 5 months later symptoms got even worse (still taking medication). Now I feel like very second I have to take a deep breath, feeling like there is no room to breath in. I had blood test done ( Vitamin D came out very low and IgA very high), also I had a chest X-ray done (Hyperinflation of the lungs). Now waiting for PFT to be done and referral to a pulmonologist ( which I cant see sooner than in 2 months, they are all booked. I wonder, what is going on with me? Is it empyzema, COPD or just asthma? Allergist prescribed Pulmicort (should I start taking it?) Allergist is not aware of x-ray results. thank you. | Thanks for your question on Health Care Magic. I can understand your situation and problem. Yes, possibility of COPD (chronic obstructive Pulmonary disease) is high in your case. Long standing asthmatic bronchitis can cause COPD. And your all symptoms with chest x ray are suggestive of COPD more. So you need to consult pulmonologist and get done PFT (Pulmonary Function Test). PFT is needed for the diagnosis of COPD. It will also tell you about severity of the disease. And treatment of COPD is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Pulmicort is inhaled corticosteroid. But better to first consult pulmonologist and diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes pain and red areas in armpits?
I have constant pain under my arms -- mainly in armpit area. Also, my upper back is sore, the pain moves around. I did visit my doctor as I thought it was swollen lymph glands but he did not find any. Waiting back for results on some blood tests. Concerned it could be lymphoma or something worse. Also, some red areas under my armpits. | Hi, I am sorry for the health situation you are going through. The pain you are feeling under your armpits associated with some red areas might be related to infected hair root especially if you use shaving as depilatory methods to remove the local hairs. If no sign for infection, then, arthritis of the shoulder joint should be ruled out by X-ray. For the moment, I advise to take anti-inflammatory medications and keep a good local hygiene until the tests results are in. All the best!Dr.Albana | |
Can pregnancy happen after contact with semen?
Name:AnnAge:23Gender:Femaleif a woman did not make love and another woman made love and some of the sperm leaks out from the woman,s virginal after sex and it is deposited on a chair and the woman that did not make love seat on the chair can she get pregnant or conceive from it. | Hi,Sperm survives in liquid media. When she sits, semen should go inside through cervix vagina and up to date tubes. In your case it's unlikely.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal | |
What causes shivering of legs?
My left leg shivers (trembles) uncontrollably when applied pressure like when I am holding the clutch/brake of my car or while I am attaching fan to the ceiling and standing on a table. These are not frequent though, I have noticed this a couple of times. Is there anything I have to be worried about? | Hi, This is a normal phenomenon and occurs because of the inadequacy of the required muscle to maintain that posture for long time. Sometimes, stress is also responsible for the same. All you need to do is to practice that movement again and again to increase the strength of the muscle and to negate the stress factor responsible. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon | |
Suggest treatment for restricted movement in the fingers
Hi I m 41 years old I fell asleep in one position in a chair and I think I fell asleep on my arm it s my right arm and when I woke up I cannot move my fingers I cannot type or write or move my wrist up could you please get back to me 000000 thank you | Hello, I have studied your case. Due to compression of this nerve root there can be tingling numbness in your arm and pain. This can be transient for some time and you may recover early.I will advise you to MRI cervical spine if symptoms persist.You can take trinerve consulting your doctor then it will be more helpful.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
Suggest treatment for renal cell carcinoma
yes I hope so my husband has renal CELL CARCINOMA 4TH STAGE AND WE ARE STRUGGLING TO GET his albumin, creatinine, and protein in check, His albumin needs to be elevated, what can I do dietarily to help or otherwise. He is presently drinking pure whey protein smoothies . Please advise worried wife. | Hi,Surgical surgical removal followed by radiotherapy and chemotherapy is the treatment of choice in a stage four renal cell carcinoma. Hope it helps. If you have any other question please do not hesitate to contact us.Regards,Dr Atishay Bukharia | |
Taking funil. Forgetfulness, repetitive actions. Am I okay?
I USE TO WASH MY HANDS TWICE AND TOUCH WALLS ,CORRECTION IN WRITING AND READING TWICE SOME TIMES ,KICKING MY BIKE TWICE OR THRICE ,GEAR CHANGE IN MY BIKE SO MANY TIMES I ADVISED TO TAKE FUNIL 40.WILL I COME INTO NORMAL.I HAVE TWO KIDS ,I WANT TO MAKE MYSELF AS SELF MOTIVATION,I USE TO FORGET ALL THE TIMES I AM INTO SALES FIELD,PLEASE ADVISE | hi..this is called obsessive compulsive disorder..Flunil works for this, but still you need to visit a clinical psychologist for some behaviour therapy and counseling as combined psychotherapy and pharmacotherapy work well rather than pharmacotherapy alone..so don't get disheartened and hold on..have a good health.. | |
What causes increase in BP during workouts and a mark on the peripheral vision of the eye?
I m 58, 162cm, 70kg, fit and active. Have hypertension, diagnosed 10 years ago but blood pressure usually very well controlled. About two weeks ago, following a brief period of unexplained elevated blood pressure, and during a workout session, I noticed a mark appearing in my peripheral vision in my right eye. I thought I had perspiration in my eye but it hasn t gone away. My blood pressure is back to normal and there has been no answer to the cause of the spike. However, this strange mark, like a hair in your eye remains. Hasn t gotten any worse in fact, think it may have diminished slightly. Are you able to provide and clues as to what this may be? | Hello!Thank you for asking on HCM!I read your question carefully and understand your concern. I would like to explain that your symptoms seem to be related to an eye disorder. You should know that chronic uncontrolled high blood pressure can cause chronic changes to the blood vessels supplying the eye and the retina ( known as hypertension retinopathy). This disorder can lead to small hemorrhages in the eye, which can cause this symptomatology. Other eye disorders (like a corpus vitreous detachment) could mimic this clinical scenario. I recommend consulting with the ophtalmologist and performing a fundus oculi (which is part of the ophtalmological physical examination), to establish the diagnosis. Hope to have been of help!Best regards, Dr. Iliri | |
What causes chronic cough and soreness in the rib cage?
I HAVE HAD A COUGH FOR A WEEK. THERE IS MUCUS THAT COMES UP. HAVE BEEN TAKING ROBITUSSIN DECONGESTANT FOR COUGH AND MUCUS. THIS HAS GONE THROUGH 4 OF US IN THE HOUSE MY HUSBAND FEELS VERY TIRED FROM IT AND HIS RIBS ARE SORE FROM COUGHING. WE LIVE IN RI. | Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of viral Upper respiratory tract infection is more. And history of similar complaints into family members suggest viral infection and spread. So avoid robitussin syrup. I can having expectorant. So it will cause more coughing. Your rib pain is due to excessive coughing. So better to start antihistamines and anti inflammatory drugs. Do warm water gargles 5-6 times a day. Avoid oily and spicy food. Drink plenty of fluids orally and keep yourself hydrated. Same instructions for your husband also as he I having similar symptoms. Don't worry, you all well be alright in 1 week. Hope I have solved your query. Wishing good health to you and your husband. Thanks. | |
Is fertyl effective in improving sperm count?
I am 38 Yr Old man. I am having a female child of 5 years old. I am suffering from varicocele problem fully on left side and mild on right side. on having none sperm count i undergo homeopathic treatment for 6 months and my sperm count increases to 25 millions / cumm. and motility 23 % active., volume 3.0 ml ph - 8.2 70% of morphology is normal. whether fertyl 25 helps me to improve my counts . i need your suggestion to get second child. my wife is normal. | hihaving varicocele is the most common cause of male infertility, i would like to know the complete semen analysis report for better advise.if you are having varicocele then you should be more worried about the decreased motility of sperms rather than the sperm count as varicocele leads to qualitative defect rather than quantitative defect, moreover you have sperm count of 25 million which is good enough for fertilization.i would recommend you to start cap.evion and tab.lycopene which are natural antioxidants and they will improve the health of sperms, secondly i would advise you to get operated for your varicocele as varicocele cause statis of blood in testis and it increases the temperature within the testes which causes the sperms to die or deform ultimately causing reduced sperms motility. | |
What causes shortness of breath while suffering from congestive heart failure?
my husband has congestive heart problems.. his heart dr. says he is doing good. but he is having problems with breathing. His stomach seems to swell at times. the breathing is what worries me. he s not sleeping at night because his lungs seem to be swollen and he can t take a normal breath of air. we have talked with his regular physican can find no reason for his shortage of breath. help | Welcome to Ask a Doctor service. I have reviewed your query and here is my advice. Breathing difficulty is the prime symptom of congestive heart disease but it get well soon as soon as the medicine started and it is very less likely that patient continue to have breathing difficulty even after taking proper medicine for heart disease of congestion and if this is so then there must be something else beside congestive heart disease and that need to be found out, you can have the second clinical opinion, condition can be functional too. Hope I have answered your query, Let me know for further assistance. | |
Can a brain operation patient take 2 crocin at a time for pain?
My Dad has undergone Brain operation by Neurosurgeon. He was told to eat ceftum 500 (2 times a day), Levipil 500 (2 times a day), Eptoin (3 times a day) and Pan 40 once a day. Doctor told he can eat Crocin if it pain and he can eat at a gap of 6 hours. My Dad feel pain then he ask me can he eat 2 crocin together. Please reply | Hello, It depends on the dose of each tablet, however, since it is an acetaminophen-based drug for pain, 2 tablets at a time may be used. I suggest you to reserve this modality of use only in severe pain. It is advisable to use the minimal dose first, if no sufficient improvement then another tablet may be added. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical | |
What could cause pain below the right breast & that goes to the back?
Hi, my problem is, I have pain below my right breast that goes to my back, I had bronchitis last winter with 2 anti-biotic prescriptions. The pain is still there. When I sneeze I have to hold my side because the pain is bad. I had a scan test done and today my doctor gave me an appointment to see a specialist and needs to have another test done, they will insert a tube that will go down to my lungs with a light and camera. Doctor, what is wrong with me ? | hi thanks for your query.the doctors want to know if the bronchitis infection of yours has gone lower into the lungs forming an abcess.this condition can cause painful cough.this investigation is called as bronchoscopy.it can reliably diagnose chest and lung infections.the pain isnt related to your breast.consult your doctor in case of further queries.thank you | |
Suggest remedy for yeast infection
I have a yeast infection that does not go away, I keep bleeding little everyday and have discomfort NO odor. I had cramping about five day ago and I released a very large blood clot the size of a of a grapefruit and the bleeding is everyday when I wipe. My period was completed about two weeks ago. It is almost a month with the infection it does not go away. I have a very small discomfort and small pain on the left side of my lower abdomen. I do not have my period the bleeding is small but it seems to be as if something inside of me is irritated and causes the small blood that comes down. | Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I think you are talking about vaginal candidiasis. I suspect a resistant yeast, which is not responding to routinely prescribed antifungal medications. Please take a antifungal susceptibility done so that optimum drug response can be achieved. After the test take the complete treatment so that infection won't recurr.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic. | |
Hard bumps under breast. Can mammogram be wrong? Am I misdiagnosed?
Hi, I m a 49 yr old female. I found a small lumps on my right breast. There was in particular that was hard. I ve seen my Dr and was sent for a mammogram . The report came back no changes since my last mammogram 3yrs ago. My question is how do I know that everything that was felt actually showed on the mammogram. In the past I have had to go for a follow up ultra sound . I have had 2 friends misdiagnosed (from breast cancer ) and one is now deceased. I just want to make sure that everything was seen.. And if these are cysts I would like them drained (and hope that they don t return) That breast has grown bigger of the last year. Thank you | Hellowelcome to health care magicThanks for your query,Mammogram can't give exact results always,.When you palpate your breast you are feeling small lumps in the breast..Are they increasing in size?experiencing any pain?Any structural changes in the breast?If the lumps are large enough then go for FNAC (fine needle aspiration cytology) by a pathologist..If they are small enough go for ultrasound,,it also differentiates a lump and a cyst..Consult general surgeon and he will guide youHope you understand my suggestionThank youDr.siddartha | |
Suggest treatment for a sore on the heel
I am a 22 year old male in the military getting ready to deploy. 156lbs 5'11" lean build. I have only had blister problems once and that was with cheap boots. I now own a set of Nike combat boots and have been very comfortable until yesterday when I got a red sore spot on the right side of my right heal feels like a blister coming on but when I put moleskin over it, it doesn't help. What could this be and how can I help it? | Hi there and thanks for sharing your question with us at HCM.It seems as though the red spot you have described is a developing blister. Sadly, heel blisters can occur even with the highest quality footwear. As you are about to be deployed, I think understanding the mechanics behind the development of a heel blister can help, given that you have experienced them once before. As we walk or run, the heel bone normally gets pulled up by the Achilles tendon. However, once the calf tendons get tight with prolonged usage (with prolonged running / walking), the heel bone is lifted even sooner and with more force. All you need is extra friction (which is provided by socks and the shoe lining) to cause shearing of the soft tissue and skin overlying the heel bone. This repetitive shearing results in micro-tears beneath the skin, eventually resulting in a painful, fluid-filled cavity (blister). Some individuals are still blister-prone despite providing themselves with the most comfortable and finest footwear. Here are a few strategies used by my blister-prone patients:1. Minimise friction by keeping your foot firmly in your shoe (do not allow your heel free movement as you walk or run) - lace up fully. Of course, ensure that your socks and shoes fit you well. 2. Stretch the calves properly (30 seconds) before and after exertion3. I understand that you have tried moleskin - consider trying a patch that sticks to the inside of the shoe like an ENGO patch - it will save you time (considering you are in the military). With regard to the current blister, do not remove the roof - this leaves the blister sterile and allows it to heal properly. If it has burst, remove the dead skin with a sterile pair of scissors, clean the wound and have it dressed properly. Check it daily to pick up any infection early.Hope this helps. Good luck on your deployment.Dr Shabnam | |
Suggest treatment for weakness of calf and foot muscles
iI am taking Stockton 80 for the last 3months after went through angioplasty. Now I experience weakness of calf and foot muscles frozen shoulder and sometime feverish and yellow urin and also muscle tenderness and pain.Should I reduce the dose to overcome this? | Hello, Consult a neurologist and get evaluated. We have to rule out possible neurological causes like peripheral neuropathy: Detailed evaluation including nerve conduction study and MRI is required. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
What causes pain in knees?
sometimes when walking i have a very sharp pain behind my knee or knees. my leg shoots forward as if someone came up behind me and hit me there. the pain last for a few seconds or a minute or two. this has happened four or five times with the same knee during my walk. i was told that it could be a torn meniscus. | Investigation-MRI ,gold standardDiagnosis-Most probably Meniscus problem (Discoid etc or tear) +_ ACL tear.Treatment-Arthroscopic surgery | |
Had 3 laminectomies. Been recommended for surgery. What are the findings in the report?
I have had 3 laminectomies on my lumbar spine and L4-5L5-S1 are fused also C 3-4 C4-5 C5-6 had been and hardware has been removed now C6-7 are fuse with little discomfort However a recent Mri is suggesting that L2-3 L3-4 should be fused and translatteral at level 4 I guess its slipping? Ive been recommended for surgery again should I go to a nuerologist or the Back center with orthopedic spinal specialist that has lesser experience in nuerology but seem to no more about the spine? my previous out of state doc recommends surgery asap but not in Florida can I have your advise please? | hallo dear friend i hv studied your case what is your age see this is side effect of previous surgery -once you fuse one level more strenious forces are transmitted to one level above and belowyou need some neurotropics like methylcobalamine take rest , take some analgesic , avoid lifting weights sit with taking support to your back continue spine extension exersizes if there is any neurological weakness in your lower limb then you should operate againfor further query contact drvaibhavg@yahoo.com | |
What causes red and warm knees after having shower with warm water?
When I shower with warm water and I step out my knees are red and warm and they stay like that for more than 10 minutes. It happened to me also when I was cooking and stading in front of the stove and when I finished and sat down noticed my knees red and warm. Why is this happening? | Hello, Having warmth in the knee can be soft tissue inflammation. But we need to consider some of the criteria here, like knee pain, your age, any knee injury, twisting, etc. Without having a detailed history we cannot tell if it's OA or Ligament injury. Having a detailed history along with an x-ray should allow us to help you serve better. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
How to treat OCD?
I am consulted with my psychiatrist dr.I have repetitive unwanted thoughts in my mind and also poor memory,not decision making and thinking ability(mind blank). My dr is saying,this is OCD(Obsessive–compulsive disorder) type disorder. what are the symptoms for OCD? what is the best treatment and therapy for OCD?which one is good medicine? | HiI understand your concern.OCD has two component.1. obsession means repeated thought idea and images.2. compulsion means you have to do physical or mental act to reduce anxiety arise from obsession.Treatment of OCD consist of drug therapy and psychotherapy.In drug SSRI can be useful but choice of drug depends upon symptoms and its severity.In psychotherapy exposure and response prevention therapy is useful now a days cognitive behavior therapy is used widely.Thank you. | |
What causes a lump on the back of the neck?
Hi, I have this lump on the back of my neck (right in the middle of the back0 for about 5 years. It seems to get bigger every year. It is about 2 inc. length wise. It is not visible unless I lean my head backward then I can feel it in between my middle and index fingers if I press them on the area.. It feels hard but it does not seem to stay at the same place like if I bend my head forward then it disappear and I won't feel the lump. I've seen by my primary doctor and even a neck specialist and they sent me for a neck x-ray, an ultrasound, and a cat scan but all came back negative. The docs think that maybe I have a "thickened' muscle or tendon ....What else should I do ??? This lump does not cause pain or hurt when touched but it is so annoying whenever I remember it. I'm afraid I might have cancer. Pls advise. thank you. | HI,Dear,Welcome to HCM.Based on the facts and data of your query,you DON'T have CANCER.and Seem to have a NECK FATTY HUMP,which you may be feeling in 2 inch lump on the neck, with your fingers.As all the CT/X-ray and specialist doctors have negated the CANCER possibility and LUMPS existence you should just NEGLECT the NECK LUMP IN QUESTION.So unless Surgeon gives his final opinion,DON'T worry at all.So RELAX and consult your Physician to check for Diabetes/ or other medical causes with the fatty neck hump.Hope this reply would help you to resolve your sever anxiety.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!! Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS | |
Can double vision be caused by a persistent sinus infection?
I was diagnosed with a sinus infection 2.5 weeks ago and after going through treatment with 2 different antibiotics, I still am having the pressure and pain. My immediate concern is that 2 days ago, I began experiencing double vision (it is worse when looking at images farther away). I have an appointment with my ophthalmologist in 2 days and an ear, nose, & throat specialist in a week. Should I seek immediate attention or is the double vision a result of the infection? | Hello! In generaly sinus infection does not cause double vision. There are a number of potencial causes for double vision. This happen when you have eye's problems {for exemple the eyes are not be properly aligned ( strabism) or if you have a condition where the eyes do not work together correctly (convergence insufficiency),cataract,astigmatism, macular degeneration etc}. myastenia gravis (if you have weaknes in the body's muscles) You have to check for diabet, thyroid desease, and i recommend to do a brain CT examination imediatly. | |
What is the treatment for pericarditis?
Hi. I have been suffering with pericarditis for 5 months now. My cardiologist has advised me to take Aspirin, initially 3x day. And currently when needed. He did say i could try a short course of prednisone for 5 days, but everything i have found on pericarditis & people suffering from it says that it dosnt really help, and the side effects are worse. I find the more i do, the worse i get. Is there anything else i could try? Im getting desperate...i would like my life back :( | your doctor is right..first of all aspirin is given and if there is no effect prednisolone is to be given ..donot worry prednisolone will not be given for a long time .it is standard practice ...u should decrease salt intake as an addition ...and mind u please steroid for short duration does not cause much problem ... | |
What causes body weakness and leg pains after marriage?
hello doctor, my age is 28 height 5 fit 10 inch and weight 85.6 kg, fifteen days before i am got married, me and my wife live together about 9 days, after marriage from second day i fell weakness in my body, always want to sleep, pain in legs,and internal willpower is zero all the problem is continue in present time also so please help me | Hi, There can be 2 issues: 1. Improper diet, vitamin deficiency. Meet a professional nutritional specialist and get a food schedule. 2. First-time sex, busy marriage work can cause this issue. Taking proper rest and waiting will help you. If your issue persists we can work on the investigation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist | |
Smoking weed, have thyroid disease, on inderal for rapid heart rate. Now?
hi i have a question i know its bad but i smoke weed a lot it calms me down...and i am now recently diagnosed again with a thyroid disease its overactive..ive had it since i was 8..they said it was gone 6yrs later then i started smoking pot and it helped alot for me..now i cant see my dr till a few weeks from now for my meds for it..i went to the er and they gave me inderal 60mg for my heart rate cuz its too fast...i am in need of help please weed is the only thing that works for my anxiety and depression.. sincerely phil | Hello and welcome to Healthcare Magic. Thanks for your query. Inderal (Propranolol) is a medication which is prescribed for an increased heart rate as well as to reduce the physical symptoms of anxiety like palpitations, tremors, etc. Both thyroid disorders as well as smoking weed (cannabis) are known to trigger or worsen anxiety problems. You should not depend on smoking weed for tacking your anxiety and depression, as it can have long-term harmful health consequences. There are effective treatment options available - in the form of medication or counselling / psychotherapy which will help him overcome your problems. I would advise you to see a psychiatrist for a detailed psychological assessment and further treatment. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist | |
Can being brain dead for few minutes cause loss of memory and thoughts?
Hi, When I was 13 I had died from asthma related problems and I was pronouced dead. After 10 minutes of being dead, I was brought back. That was 6 years ago. Im starting to have mental issues for example memory loss, losing train of thought, and not being able to say what I want to in my head. I was wondering if I should get a brain scan and figure out if I have some sort of brain damage. Do you think I have brain damage from being brain dead for 10 minutes? | There is the potential for some mild brain damage from the lack of oxygen for a few minutes.MRI imaging can help to look for large areas of stroke, but may not see microscopic issues. | |
What causes discharge from nipples?
age 19height 173cmweight 135 lbsmalenipples both have a scab that wouldnt heal. i nvr pick it. after shower the scab is ruined and there is clear moisture and i let that to dry up by not wearing t shirt. if too much liquid i use a tissue to soak it up. i'd say it been like this for more than 1 year, maybe 2,3. i remember it might be caused by some1 twisted both of my nipples 4yrs | helloThanks for query .Clear watery discharge from the nipple in males is mostly due to infection and needs to be treated with appropriate antibiotic .Get culture and sensitivity test of the discharge done .This will help to detect the organisms and their sensitivity pattern.You can satrt taking Doxicycline and anti inflammatory medicine like Diclofenac twice daily and later on switch on to appropriate antibiotic as per culture report .This should resolve the problem .Dr.Patil. | |
Are there pregnancy chances after using expired date condom?
I am a 42 year old woman and had intercourse with my husband 24 hours ago. We realized there was a old expired condom in the drawer from 2007 and we used it is this ok? We did not know it was expired until after the fact, now what? Can I get pregnant even if it didnt break? | Hi, thanks for writing..There is less chance of pregnancy with intact condom though expired. The failure rate with condom is 13%.So the chance of pregnancy is the same with expired condom also.. Only problem assosiated with it vaginal infection which can be due to the expired lubricant over the condom which can irritate the vagina. Hope I have answered your query.. Good day.. | |
How to overcome the burning on the tip of my penis during urination?
When I pee the tip of my penis burns when it first comes out but kinda stops while I'm peeing. It also hurts in the same spot when I grab it sometimes... The pain is just in the tip of my penis on the back side of it. There is also clear stop coming out of it after I pee but I l dont know if its just pee or puss because its clear... Need answers... Plz keep my email a secret | HelloThanks for writing to HCMYou may be suffering from Urinary tract infection.You need clinical examination and investigations.Investigations include routine hemogram,RBS,urine RE/ME,urine culture and sensitivity,Ultrasound of abdomen.You can take proper antibiotics after culture and sensitivity reports.Take CareDr.Indu Bhushan | |
Suggest treatment for joint stiffness in shoulder and elbows
Im 57 yrs old and suffering from joints stiffness in my shoulders and elbows. Have lab tests which resulted in negative for RA but a small osteo in my 5 and 6 cervical spine which my doc told me is not the cause for the stiffness. Right now i have difficulty in my range of motion and strength in my elbows. What could this be and what is best treatment or supplement for me? Thanks. Lolan Novero, Philippines. YYYY@YYYY | hi,Thank you for providing the brief history of you.A thorough neuromuscular assessment is advised.By your symptoms and other complaints, i will recommend you to undergo physical therapy. The joint stiffness in the shoulder and muscles can be due to various musculoskeletal factors, systemic illness like diabetes, etc.Undergoing physical therapy like - hold relax, contract relax techniques should help you. Also for getting the ROM of the shoulder and elbow you need an assessment and post which the physical therapy. Most cases respond well to physical therapy.Also, for you cervical spine issues, taking physical therapy will of choice, as due to any nerve pinching symptoms things can trouble later stages, like pain, numbness, weakness etc.Most patients respond well to physical therapy in my clinical practiceRegardsJay Indravadan Patel | |
Q. I always stammer while speaking. Please guide me.
Hello doctor, I always stutter or stammer while speaking. Please guide me. | Hello. Stammering or stuttering is either because of structural or functional aspects. A structural defect is most commonly tongue-tie if you had at birth during your speech development. Functional aspects are almost always due to stress and decreased self-confidence levels. (unless you got any neurological problem, which is usually not). To check for tongue-tie, try to touch your chin with tongue. If you can reach the beginning of chin, then there is no structural problem. | |
How to get pregnant with the help of embryo transfer?
Hi, may I answer your health queries right now ? Please type your query here... Currently I am going through fertility treatment. Before embryo transfer my doctor recommended to do Hysteroscopy test to check the uterus. They find out I have synechiae in my uterus. I've never had any abortion or infections. Please, would you tell me if that scars possible after egg retrieval. That is the only medical procedure I've had. | Hello dear, thanks for trusting health care magic.There are no intrauterine scars after egg retreival.The most plausable reason for these scars is previous history of tuberculosis.So ATT if taken prophylactically can give promising results.In case you have any questions in future you can contact me directly on | |
What causes faster heartbeat?
I had a rapid heart rate that went from 76beats to 132 beat in forty minutes then started to come down but it took two hours to return to 84 beats per minute this happened about six months ago als then it went to 160 beats at rest what could be causing this Iam a 53 year women | Hello, This can be a cardiac arrhythmia like psvt or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. ECG should be done but Usually ecg is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holter monitoring. So visit nearby cardiologist for these investigation.ln order to abort such episodes you should try to cough hard. Also, hemoglobin and thyroid test should be done. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab ciplar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiological studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. | |
Can anxiety cause sudden vomiting, blurred vision and dizziness?
College age daughter who strives for perfection has entered her college class 2x in 2 weeks (meets weekly). Both times broke out in a sweat, vision blurred, felt like she may pass out, vomited 1x. Has no symptoms prior to this nor in the weeks time in between. Very rigorous class which she is worried about. Could this be anxiety? | In my opinion anxiety can present with all these symptoms but make sure she is not having sugar level variations. Also, check whether menstrual cycles are regular. In case of thyroid dysfunctions these symptoms can be present. If everything is normal, she would require medications like Escitalopram and low dose of Benzodiazepines. | |
How to treat elevated BP level and left ventricular wall thickness of 10.4mm?
i m 20 year old..and i have hypertension my blood pressure remains 150/100.. my current medicines are atenolol 50mg ( 2 times a day amlodipine 5mg ( 2 times a day turosamide 5mg ( 1 times a day all blood test ,renal test are done and are normal ECG shows LVH ECHO SHOWS LEFT VENTRICULAR WALL THICKNESS IS 10.4MM my blood pressure is not coming down ...answer me what to do | helloYou being an young hypertensive you ll first evaluation for cause of blood pressure. You should undergo test like renal artery Doppler, Sr cortisol and 24 hr Urinary metanephrines. Also get lipid profile and sugars tested. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week and bp should not be persistently more than 140/90 mmhg. I think you should continue the same and I would like to add Tab Telmisartan chlorthalidone combination(40/12.5) once a day in the morning. Once bp is controlled LVH will gradually decrease and no need to worry about it. Regular exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Hope this helps you and get back if you have any doubts. | |
How to get rid of masturbating habit?
i am 21 year old.i started masturbating at the age of 16 year.i did it twice or thrice in a week since then.now i want to stop doing it anymore but the thing is that now i m worried that is masturbating leads to impotency.my ejaculation reduces to 1-2 min and even not sure about the semen count..plz help as i m young enough to recover if i have any problem | Hi welcome to health care magic....I can understand your concern...It is good now you are masturbating only 2 to 3 times per week which is normal...If frequency more than that then there is worry...Still to avoid overmasturbation watch less porn if habit....Yoga , meditation and regular exercise done.Healthy and balanced diet taken.Fruits more....Avoid bad habit like smoking and alcohol.For your sperm count you can investigate with semen analysis ...Collect semen in clean container by masturbation...Take care.Hope your concern solved. | |
Suggest remedy for infected midget bite under eyebrow
Hi,h miay I, answer your health queries right now ? Please type your query here...I got a midget bite just like under the hair in my eyebrow and I think it's infected or something because it's been there for over a month and it's hard, I squeezed it a few weeks ago and oily stuff came out but the next day I woke up and it was still there. | Thanks for posting your query to HCM .As I understand It could be a infection of eyelid .I suggest you to dont press it to squeez as it would further increases the chances of infection .I advice You to conact ophthalmic surgeon for complete curetage and dressing of that swelling . It is very small procedure and help in getting cure .take care . | |
Q. Please explain the time taken by a fertilized egg to implant.
Hello doctor, I have a few questions regarding ectopic pregnancy. 1) How long does a fertilized egg stuck and implant itself in a tube? 2) I ovulated on day 15 and felt a sharp pain in the right side (for a moment) on day 24 (8 days post ovulation), is it an ectopic symptom? | Hello. It depends on your period length and regularity that when and how the system will work. If you have regular periods then 14 days before menses you have ovulation, and if fertilization occurs on the ninth day, then you can have implantation at right or wrong place. If one-sided lower abdominal pain occurs after unprotected sex at the end of third or fourth weeks post period with or without bleeding, then it should be reported that you need urgent beta hCG. If positive, then should repeat beta hCG after 48 hours to check its progression to finalize the diagnosis if the pain is not severe. If after a positive pregnancy test for the pain have a transvaginal scan by expertise hands, immediate intervention. Have complete treatment of any health issue you have. Practice daily walk, yoga, and exercise. Have recreational activities and quit recreational drugs. You need to consult for detailed evaluation. Beta hCG twice and transvaginal ultrasound. Mediate detailed evaluation in case of one-sided lower abdominal pain along with positive pregnancy test. | |
How to reduce vomiting tendency and increase appetite levels?
My daughter is 2.10 yrs old. She has got a very bad habit of vomiting since her birth. Often she vomits after feeding. She doesn t love to eat. She is not at-all fond of any food, except chocolate. How to reduce her vomiting tendency and how to increase her interest in food. | Hi...Thank you for consulting in Health Care magic.I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents we need to be more patient and feed than less quantity but more aliquots per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause drowsiness.Regards - Dr. Sumanth | |
Suggest treatment for depression, feeling of self-destruction and sedentary lifestyle
Hi, I ve been feeling really down lately. I can barely get through a days work. I m self destructive and am ruining my relationships. I think I ve always had mental health issues but everything has escalated lately and I feel terrible. I haven t told anyone because I think I feel ashamed. | Hello thanks for askingThe symptoms like low mood, self destructive behaviour, sedentary lifestyle, impairment in social relationships and functioning etc could be occurring due to depressive disorder and should be diagnosed properly.Please don't feel ashamed for the symptoms. Depression is a mental disorder like any other medical disorder and with medicines this can be treated properly. Drugs like SSRIs like Fluoxetine, Paroxetine, Sertraline etc are used commonly for treatment. The drugs are safe to use and have no serious side effects.Please visit a psychiatrist for evaluation and take proper treatment.Thanks and Take care | |
Can mice droppings cause allergic reactions?
Hi My son is18 month's old, 6 months ago he start having red rings (raced) (4-5) spread around his skin the the rings get bigger and bigger in same day then it disappears in 2-3 days then one or two appears now and then. 2 moths ago it got worse rings start appearing all over his body and start getting bigger in 24 hr a spot became 2"diameter ,and a mild diarrhea was associated with it then we realize motion was loose every time the rash appears .the doctors could not find anything wrong from the tests and assumed its an allergic reaction to something, then it went away on its on, now again he start having 3-4 rashes and mild loose motion, we recently noticed few mice droppings where he plays during the the day could it be the reason?,is there any dangerous infections with the same symptoms due to mice, please advice he is fussy eater but healthy otherwise | Hello.Thank you for asking at HCM.I went through your son's history.In his case, I would first think of food allergy causing diarrhea and atopic dermatitis. As he does not have any respiratory complaints like frequent cough & colds, I would not suspect he is reacting to mice droppings as they are usually inhaled as particles and affect respiratory system more.I do not know diet of your son but the most common foods causing food allergy are - milk, peanut, tree nuts (cashew nut, almonds, pistachio, etc), soy, eggs, fish, shell fish & wheat. So please try to correlate his diet with his symptoms.If you are not getting clues from above, I would suggest you to consult an Allergist who will ask the history in detail and suggest him allergy testing that might reveal the substance causing allergy.As his symptoms started 6 months back, I would not suspect any serious infection. However, I would suggest a stool examination for worm infestation, which also can cause such symptoms.Hope this will be helpful to you.Wish your son the best of the health.Regards. | |
How to treat premature ejaculation?
doctor my dick is not stading properly i did sex 2 months befor till then mine dick is working great but now its not working what should i do premature ejucalation takes place in 3 min my sperm came out what should i do pleace reply me fast as possible | HelloI appreciate your concernI will definitely help you in best possible way if you can answer my these questionspresence of any medical or metabolic disease Do you smoke or consume liquor first of all it needs to rule out any organic cause for low sperm count and non motile sperms, by treating the underlying cause , healthy sperms can be improvedIf it fails to increase, than artificial insemination and other artificial reproductive techniques can be used.I would advise you following guidelinesWatch your frequency of sex and look for any injuryMake your bedroom your guest room.more conducive and appealing for sex.Spend more time in foreplay and take your time You can ask your wife to press at the base of the glans when you feel to ejaculateAvoid smoking and alcohol consumptionAvoid stress and anxiety , just relax and enjoy your dayThere are medicines available for erectile dysfunction as well as premature ejaculation, please let me know if you have need any more assistance, I will gladly answer youHope this answers your questionBest wishes | |
Does endocrine problems and hormonal issues cause memory loss?
Yes, I have a brother who is 37 years old he is having short term memory loss it comes and goes it has beenslowly progressing in the past 3 years his standard physical say's that he is in perfect health but his cognitive skills are suffering, certain food like brown rice makes him shiver and go into slight and shake and that in turnbrings on the memory loss and disorientation. He is not a diabetic. Does he have problems with his endocrinesystem. does he have some sort chemical/ hormonal issues in major gland in his body? | Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Its unlikely that any hormonal issues can lead to this kind of problem. He should better get an MRI scan of the brain. If there is any damage to the temporal lobe of the brain, mostly vascular, then it can happen. If the MRI is normal then there is a chance that it could be a psychogenic amnesia. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | |
Is surgery recommended from this spinal MRI test result?
Lumbar spondylosis resulting in diffuse spinal stenosis and neural foraminal narrowing. worse at L3-L4 also : L1- L2 ; L2-L3 ; L4-L5 and L5-S1 . 70 year old male : former athlete and golfer. Is surgery my only and best solution. La Jolla Va primary care. Andy | Hello,Since you have diffuse spinal stenosis that is a sign you should have a surgery even sort of emergent as it may cause you paralysis. If you have uncontrolled urination, which is even a worse sign for which you should go right away in the operating room. I think it is question of time rather will you do or not the surgery.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Valbona Selmani | |
What are effects of inhaling harpic?
Hi, I was cleaning my toilet with bleach then used harpic.They was an immediate vile strong smell and I inhaled it, what will happen to me now, has it afected me however when I inhaled it I quickly ran out of the room.So if there is ahy problems can you tell me because I m worried for my health and the aftermath of it please inform me if I need to seek help. | Hi, thanks for using healthcare magicPoisoning from this agents can occur from ingestion of the chemical, inhalation of fumes or contact with the eyes or other surfaces.In many persons, who inhale the fumes as you did, no significant complications occur. It is quite possible that you would have no effect what so ever.In some case if a lot of fumes are inhaled , coughing and shortness of breath can occur. If severe may need to visit a doctor for assessment and treatment.If this occurs then you can visit your doctor, if no symptoms occur then you should be fine.I hope this helps | |
Q. Can I use Kojivit gel to get fair skin?
Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. | Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> | |
What causes heart palpitation with hydrocephalus?
I am 16 years old girl and already a few days my heart palpitations. Do not get stressed, do not drink any alcohol, not smoke. This may indicate a heart pounding heart disease? In the four years I was sent to theÿ echocardiography without cardiac problems only preventive pediatrician that due to my hydrocephalus exclude hypoplastic heart syndrome. This syndrome was excluded by echocardiography. If these my current heart problems (palpitations at rest) meant something more serious, followed by heart surgery? So what would it be? Heart disease? If it was this, what is the treatment? | Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that it is important exclude possible cardiac arrhythmia, which can be the cause of your palpitations. Other possible causes to consider would be: chronic anemia, thyroid dysfunction or anxiety. For this reason, I recommend consulting with your doctor for a physical exam and some tests: - an ambulatory 24-48 hours ECG monitoring to investigate for cardiac arrhythmia - complete blood count for anemia- thyroid hormone levels for thyroid dysfunction- blood electrolytes for possible imbalance. But, there is no reason to worry about surgery, because all the above mentioned causes, usually are treated with medication. You should discuss with your doctor on the above issues. Hope you will find this answer helpful!Kind regards, Dr. Iliri | |
Q. What is the cause for senile purpura?
Hi doctor, I have a painless red spot which is about 4 mm in diameter on the top of the foot for about two months. I used various salves, which did not help me. I am taking tablet Warfarin and tablet Metoprolol. | Hi. From your description, it can be a purpuric patch. Your attachment is not clear (attachment removed to protect patient identity). Get your blood tested for platelet count, APTT (activated partial thromboplastin time), PT (prothrombin time) tests as you are taking tablet Warfarin which is a blood thinner. If they are abnormal, report to a physician nearby you. If they are normal, start using Cetaphil dam moisturizer along with a vitamin C rich diet like citrus fruits. For more information consult a dermatologist online --> | |
How long do liver problems usually take to heal with Ursocol?
Hi, I had recently been diagnosed of a lever problem. My SGOt is 85 and SGPT is 133. I used to take alcohol and I have completed stopped now. My Doctor has prescribed me Ursocol 300 for 1 month. I would like to understand how long it would take for the disease to cure? Thanks. | ursocol is not for every liver problem, it has definite role in only very few liver problems mainly cholestatic liver disease. you will need ursocol only after you have a confirm diagnosis of cholestatic hepatitis. in rest of liver diseases it is not more than a placebo currently. | |
Gums affected, having headaches due to bad tooth. How can I get relief?
yes i have a bad tooth its all gone up to the gum it started out hurting i keep oragel on it but now ive gotten where im having headaches and im soar around my eye and the top of my nose im coughing up alot of flem which i think is infection not sure though it just about makes me gag it taste and smells so bad havent benn to a dentist yet cant afford one .{My question is could this be infection and can it kill me?} i cant afford a dentist and yall want me to pay yall what is wrong with america today every thing has got to be about money but it aint. thanks anyway ill try to get help or answers elsewhere | Youhave a sinus infection from your symptoms of headache and coughing up phlegm.For the time being you can overcome it with some treatment for the infection.You can use Otrivin nasal drops 2-3 drops put in the nose tilted well back,twice daily to be followed by steam inhalation..for 5 days.Also an antibiotic like Moxclav 625 twice daily for 7 days,a cetrizine tab nightly for 10 days and Tab. Zerodol for 3 days twice daily should surely give u much relief till you can see a dentist later.Avoid head bath for a couple of days.Also cold foods for some time. | |
Suggest treatment for misaligned teeth
hello,doctor. i m from gujarat, my problem is that my upper teeths are ahed so its looks like ugly, i want to make them level to below teeth. i think i have to put braces on teeth but i want put braces inside the teeth. can u help me. give me the contact number of best dentist. thanks | thanks for your query, i have gone through your query. the mal aligned teeth can be corrected with braces. you can go for lingual orthodontics where the braces will be placed on the inner aspect of the teeth or else you can get the ceramic braces where the braces appear like tooth color. but its expensive than the normal treatment. i hope my answer will help you. take care. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.