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How to get rid of anxiety and depression?
Hello, I'm a 25 year old male with anxiety and depression issues that are under control with the aid of prozac and abilify. I'm nervous about a presentation tomorrow as well as an upcoming trip, and as a result cannot sleep. I also can't stop thinking about it. Will advil help me sleep or help calm my anxiety? | Hello,Looks like a temporary stressor. I think a sedative will help you enough for short term.Zolpidem 12.5mg should be enough. It usually gives 6-7 hours of undisturbed and dreamless sleep and the mind is fresh after waking up.You may try this after discussing it with your doctor.Take it for the stressful time and then stop.Wish you good luckDr. Manisha GopalMD neuropsychiatry | |
Suggest remedy to relieve back pain due to multiple injuries
Hi .. I've had back pain for a number of years.. But more so the last 2yrs I've had chiropractic , accupuntre , and phisio !! I take diclofenac and paracetamol .. For the last 4 weeks I've had lower back pain again I had a fall and then a week later I missed my footing and jarred my back I'm ok to get around but 3 times I went to drive the car it's pulled my back causing me to have pain , weakness in my legs and it affects my neck ! I'm booked in for phisio tomorrow !! | Longduration of back ache aggravated by injury with weakness in limb and you have tried many things.still you are not having relief.You should go see a spine specialist or atleast an orthopedic surgeon.They might give you medication, rest /exercise, and most important THE DIAGNOSIS.Further definitive treatment is only possible if there is confirmed diagnosis till then supportive treatment is the answer. | |
What are the side effects and treatment for abortion pill?
I took the abortion pill today and i was bleeding pretty normal till i sat on the couch for about an hour and then i had to use the restroom and i got up and my whole pad, underwear and some of my pants were soaked in blood. I dont know what to do. Or if its to much bleeding. | Hi,You have not mentioned the drug name and the weeks of pregnancy. Nausea, vomiting, diarrhea, bleeding and abdominal cramps are the side effects of the drug. Excess bleeding should be immediately treated to avoid hypotension and collapse. Kindly visit your gynaecologist as soon as possible.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician | |
Suggest treatment for upper right quadrant pain
Hi, I am 42 yr old female with history of R renal stenosis(12yrs ago)(renal balloon angioplasty, stent placed yr and half later. I am on lasix 40mg 3x daily, plus bp med and gabipentin for repeat shingle x8 and small nerve neuropothy. Recent presentation of gall stones and R ovarian cyst. Recent test showing I m beginning chf with readings of 190 and 102. Right now I m having upper right quadrant pain that includes right flank into back. Dull and nagging. I also just broke out in shingles again, when I move Im winded and get a clammy sweat. No fever but tired and feel like crap! | Hi,Thanks for writing in to us.It is possible that your immunity might be low and that is the reason why you are frequently getting shingles. Stress and anxiety are known causes of shingles. Gabapentin given pain relief and improves the quality of life.The gall stones and ovary cyst need to be assessed clinically and if they require any surgical treatment. Your CHF is starting and if any surgery is to be done then with precautions it can be done better now than later should you havepreogressive CHF. The pain in right upper quadrant appears to be due to gall stones and requires surgical treatment if they are multiple with toe possibility of biliary obstruction. Please do not worry. | |
Suggest treatment for anemia, loss of appetite and severe hair loss
my daugther has the following symptoms Anemia Loss of appetite Gluten intolerant Soy intolerant dairy intolerant Gastro paresis Acid Reflux Migraines Nausea Vomiting Hair shedding excessively when combing or even just washing Abdominal pain Joint pain Shortness of breath Pelvic pain Back pain Upper abdominal pain Chest Pain Fatigue Weakness Can t sleep, If I do sleep I don t sleep well Lightheaded Dizziness Usually cold especially in fingertips Sudden sleepiness Neck Stiffness Back stiffness Brown urine or dark urine What should we considering | HiAfter hearing your history i would advise you to treat anaemia with iron supplements and making changes to your diet.If the underlying cause of iron deficiency is loss of blood — other than from menstruation — the source of the bleeding must be located and stopped. This may involve surgery. Treatment for folic acid and B-12 deficiency involves dietary supplements and increasing these nutrients in your diet.If your digestive system has trouble absorbing vitamin B-12 from the food you eat, you may need vitamin B-12 shots. At first, you may receive the shots every other day. Eventually, you'll need shots just once a month, which may continue for life, depending on your situation.For loss of appetite:you have to dothe following testan ultrasound of your abdomena complete blood counttests of your liver, thyroid, and kidney function (these usually require only a blood sample)an upper GI series, which includes X-rays that examine your esophagus, stomach, and small intestinea CT scan of your head, chest, abdomen, or pelvisIn some cases, you will be tested for pregnancy and HIV. Your urine may be tested for traces of drugs.If your decreased appetite has resulted in malnutrition, you may be given nutrients through an intravenous line.Your doctor may also prescribe oral medication to stimulate your appetite.Your doctor may refer to you to a mental health specialist or counselor if your loss of appetite is a result of depression, an eating disorder, or drug misuse.Loss of appetite caused by medications may be treated by changing your dosage or switching your prescription. Never change your medications without first consulting your doctor.If your decreased appetite is caused by a short-term condition, you’re likely to recover naturally without any long-term effects.However, if your decreased appetite is caused by a medical condition, the condition could worsen without treatment.If left untreated, your decreased appetite can also be accompanied with more severe symptoms, such as:extreme fatigueweight lossa rapid heart ratefeverirritabilitya general ill feeling, or malaiseIf your decreased appetite persists and you develop malnutrition or vitamin and electrolyte deficiencies, you can have life-threatening complications. Therefore, it’s important to seek medical attention if you have anorexia that does not resolve after an acute illness or that lasts longer than a few weeks.For your severe hair loss you ca treat it with Minoxidil (Rogaine) 5% is the only topical medi | |
Could the size of the penis be increased?
sir i am doing masturbating from the age of 12 years and i am going to marry some one. so iwant to know can i satisfy to my partner in bedroom. i want to inform you that my penis is very small. my age is 30 years,height -5.4 inches, weight- 77 kgs | Hello. I have reviewed your query and here is my advice. Please let us know what is your penis length in erect condition. If it is very less, there are procedures to lengthen it upto an extent.Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further. Regards, Dr. K. V. Anand | |
Q. My mother has a lump in her breast. Kindly guide.
Hello doctor, My mother found a lump in her breast, which is movable and mildly painful. Then she was suggested for a mammogram, and it resulted as a mass lesion with an irregular margin of 8*10 cm birads v category. We are waiting for the biopsy result. She does not have any symptoms other than a lump, and she is very worried about the issue. Please help. | Hello. Mass of 8*10 cm will most likely be cancerous. If I were your treating doctor, I would first evaluate in detail the extent of the disease, with the help of examination, chest X-ray, ultrasound of the abdomen. Once confirmed that the condition is limited to the breast, her treatment options will involve surgery, chemotherapy, and radiation. These days with advanced techniques, we have high cure rates for breast cancer with minimum side effects. | |
Is the pregnancy viable as per the following ultrasound report?
Had an ultrasound on 11 may 2018. Accoring to sonograph i am approx 6 week pregnant with empty gestational sac of 1.22cm. According to Lmp i shud be 7.4 weeks. My gestational sac was intrauterine.. i hav a retroverted uterus. I very worried. Is my pregnancy viable?? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.I can understand your concern.Usually by 6 weeks of gestational age, gestational sac can be seen in trans abdominal ultrasound and fetal heart can be seen by around 7 weeks.As your ultrasound showing 6 weeks only, there is possibility of wrong dates sometimes.In that case, you better to wait for one week to ten days and repeat the ultrasound. In case of wrong dates, by that time at least fetal pole can be seen.If fetal pole is also absent by that time, there is possibility of of blighted ovum, means development of empty gestational sac without fetus.So, please go for repeat ultrasound examination as explained with your doctor's advice and proceed accordingly. Hope I have answered your question and I will be happy to answer any further follow up questions. Take care. | |
What causes pain outside right knee?
I have pain on the outside of my right knee when I am running especially. Sometimes while I am walking it feels fine but then the pain starts flaring up again. I know it's internal but if the area is touched it feels like there is a bruise there, though no bruise is visible. What could this be and should I get an MRI | Hello,I think the origin of the pain might be the lateral meniscus tear which is on the outside part of the knee and it may give you locking clicking of the knee. Usually, once the meniscus is torn it does not heal as it is a tissue without many blood vessels. If it has been for a long time and is bothering your daily activities then I would suggest you to get a knee MRI and see an orthopedic surgeon.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Edvin Selmani | |
Suggest remedy for pain and lump in belly button
Hi, I went to the doctors as I had pain in my belly button and I thought deeper, plus have a pea size lump inside my belly button on the right hand side deep inside it. My doctor recommended I have and ultrasound and the results are only showing soft tissue, they say not a hernia. I have been lifting weights at the gym and doing abdominal exercises. They haven't helped me with an outcome and I experience a burning sensation and pain still in belly button area throughout the day. Any suggestions as to what it is or what I can do to get better? | Welcome to Health care magic.1. Your history and symptoms suggest like hernia - and ultrasound was the investigation of choice.2.There might be very small defect which could not be detected on the ultrasound.3.CT -computer tomography might be helpful to detect the anterior abdominal wall defect. 4.And try avoiding the weight lifting and abdominal exercises for some time and see - if relieved then possible cause could be hernia.5.Onter possible cause could be musculoskeletal pain. Some times back spinal problems also can radiates the pain anteriorly.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. | |
What to do for the pain above my right hip bone?
Hello. I am experiencing a dull pain above my right hip bone - in the fleshy part of abdomen area - feels like bruise, but nothing is there - when I press it, it is hard to the touch - when I lay on my right side, hurts quite a bit. I am a hashimoto s disease/hypothyroid patient - what is causing this? | Hello,Thank you for asking your query at healthcare magic.In order to give a definite and focused answer I want to know more about the pain-exact location of pain-radiation of pain to other parts of body-when did the symptoms start-any fever-any mass noted in the area of pain-vomiting-constipation/diarrhea-urinary symptoms like burning during peeing/increased frequency of urination-difficulty walking-history of traumaA detailed physical examination is also required before I can comment on further managementI can give you a few possibilities here, since I do not have detailed history.Assuming the location of pain you are describing is on right lower abdomen it can beInguinal hernia(strangulated inguinal hernia cause pain and require immediate treatment)AppendicitisUreteric stoneUrinary tract infectionAll these conditions require medical attention, and I suggest you visit the Emergency Room at the earliestHope I was able to answer your questionRegards,Dr.Lekshmi | |
Not getting conceived. What treatment should be done for infertility?
hi doctor , age : 25 Married : yes, around 2 years problem : am not getting conceived | Hi Seema Welcome to HealthcareMagic If you are not conceiving even after regular unprotected intercourse then you should consult a gynecologist. You and your husband both need to undergo thorough evaluation to know the cause of infertility and if found it needs to be corrected..Wish you all the best for the treatment. Take care. | |
How to stabilize Norepinephrine of about 698?
I have a high release of norepinephrine. It should be no more than 500 and my level is 698. I have fibromyalgia and my doctor says I have lupus and have to see a specialist. I am high anxiety, cry all the time, sleep deprived yet weak and exhausted. What is the usual treatment for this condition and does it have a name? ANA positive, CRP high, Sed Rate High | Hi,norephinephrine level indicate stress levels your features suggestive of fibromyalgia, but this is also common in lupus.I want to know the titre to confirm it.high CRP is indicating inflammation, your features are not very helpful to make a diagnosis, you need to see a rheumatologist to make a clear cut diagnosistake careDr Alok | |
Suggest treatment for a wound on the finger caused by hitting
I fell a week ago and hit my hand it got blue from my ring finger to my wraist bu t about halfway from my wraist to my pinkie finger i had a knot come upand cover about 1 1/2 inch by 1 1/2 inch but now went to about 1/.2 inch by 1/2 inch and feels funny and like it has blood in it what could it be | Hello and thank you for your question.It sounds like you had a hematoma or large bruise that is now resolving. It is good that it is getting smaller. You can use some warm compresses on it and eventually it should go away completely.Regards,Dr. Robinson | |
Q. What do shaky hands and numb toes while walking point to?
Hi doctor, I had my first appointment with a neurologist this week. I am a 21 year old student. The past several years I have been dealing with shaky hands, worse on my left side, that has continuously gotten worse. I also have hypothyroidism and had hoped that as my thyroid balanced out, the shaking would decrease, but it has only gotten worse and now the shaking often moves up my arms and makes it very difficult to write or work. Within the past year, I have noticed that some of my toes go numb while walking and can stay numb for several days. Recently I have noticed numbness in my right arm at times. My neurologist first thought it could be from stress, but then proceeded to run through a series of tests where he mentioned that the reflexes in my feet were very uncommon and that my pupils also were not working the way it should. He asked about any back pain, I told him I struggle with that as well. He then did a test where I would touch my nose then his finger, I could do it on my right side, but missed every time on the left. He ended up taking quite a bit of blood and asked to get MRI of head and cervical spine this week. He did mention that this could be serious and heavy, but not much else. Currently I am on Levothyroxine. I am starting to get nervous and wanted to see if anyone had any input or ideas about possibilities or conditions that could be wrong with me? Thank you so much. | Hello. Your history is suggestive of neurological issues with very less possibility of anxiety. Following are the possibilities that I can think of : Now to help you better, I need following answers from you. Please think in detail and answer : Have you ever been admitted in hospital for vomiting? Or ever received any injections for vomiting for long? Do you notice any visual issues? Is there any tingling or numbness in legs? Do you have any difficulty in holding objects? Do you experience any cervical pains? Are you suffering from weight loss or memory loss? Have you noticed any other neurological issues in life? Please check with your family for answers that you are not sure about. I mean that any previous significant history of such episodes in childhood. | |
Q. What is the advisable frequency for taking Ipill after unprotected sex?
Hello doctor, I had unprotected sex a week back and took an I-pill within 24 hours. He did not cum inside me but still, for protection, I took the pill. Five days later, the condom broke, although he did not cum inside me, I am not sure of how safe it is. Is there any chance of being pregnant? Should I take an Ipill again? Will my periods be early or delayed due to the pill? Please advise if I need to take an Ipill again and if it is safe. | Hello. If you have taken Ipill after first intercourse activity and it was taken properly, in proper dose and timings without vomiting, then actually ovulation or fertilization would have stopped already for this cycle. By rule, no need to take another pill if still, no bleeding is there after the previous pill. But if you are not satisfied with the above points then you can take another pill but it will further disturb cycle and will have a withdrawal bleed in coming 1 to 2 weeks. After withdrawal bleed, you will have next period, not as previously scheduled as the body gets accommodated with externally induced hormones. | |
Can diagnosis of MS and corticobasal ganglion degeneration be actually stroke?
My son was hit in the head three years ago with a tree limb causing his first seizure. Now at age 38 he doesn t use but can his right hand. He just recently went to the doctor an they diagnosed him with having MS. However then sent him to a neurologist an he diagnosed him with Corticobasal ganglion degeneration I feel like he had a stroke an it went undiagnosed. | I read your question and I understand your concern.To be honest I am very puzzled by your story, especially the corticobasal ganglion degeneration (CBG) part. CBG typically presents around the age of 60. The youngest ever documented case has manifested at the age of 34 (I rechecked before answering just to be sure). So if your son had that disease at 38 with manifestations starting at 35, he would be an almost unique case in the history of the disease, I would be really careful in taking that diagnosis.As for the distinction between MS and stroke related to the head trauma it should generally be easy with an MRI if history and examination do not already make that distinction. Without knowing more about the signs and MRI report it's hard for me to say something more because these diseases can have many different presentations. The seizure would direct more towards the head trauma rather than MS, as would the fact that the deficit has remained constant in time since the hit, without new signs, as you seem to suggest, but as I said MRI and more details are needed.I hope things work out for the best. | |
Suggest remedy for severe pain in palate and right front tooth
I am experiencing fairly severe pain in my palate, right front tooth and up in to the septum. I had an xray done last week and the dentist did not express concern of any infection, but I am beginning to doubt that. I originally, about 3 weeks ago, thought it was a sinus infection and did 5 days of an antibiotic, but the pain is still present. Any other thoughts? | Thanks for your query, I have gone through your query.The pain in the palate, front tooth can be because of the tooth infection. Consult a good oral physician and get a radiograph done to confirm the diagnosis. Once the diagnosis is confirmed, the tooth can be treated with root canal treatment. If i am your treating doctor, i would have prescribed a course of antibiotics like amoxicillin and metronidazole9if you are not allergic).I hope my answer will help you, take care. | |
Why my SGOT level is high?
Good morning Dr. I am 37, nearly 38 years old. 5'3 tall and 142 lbs. I have no problem with health except for my moorens ulcer which was dignose 5 years ago. I have been with 8 Doctors here in the Philippines but they said there is no cure for this. Just two weeks ago I had my medical check up, my normal SGOT went high. From 36/ now it is 50/. Is it because of the steroid drops that I have been using for quite sometime. Or simply because of my ageing process? What to do Dr.? | Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Age cause only a mild increase in SGOT levels.2. Diet containing hepatotoxins like alcohol etc and medications can cause increased SGOT levels.3. Followup after a month. If SGOT levels are within this range not to worry. It it crosses more than 100, will require further evaluation.Hope it helps.Any further queries, happy to help again. | |
What factors cause left ventricular thickening?
What are some other possible factors that cause left ventricular thickening other than hypertension? I am in good health (other than some ankle ortho problems) and was recently told this by my cardiologist's nurse. Trying to do some homework before I meet with my cardiologist again in a few weeks. I do have high high BP family history, but mine is excellent. Also have family history of diabetes. | HelloWelcome to Healthcare Magic.I can certainly understand your concerns and have worked through your query in detail.Left ventricular hypertrophy is primarily due to elevated blood pressure over a long period of time.This will mainly cause increased external workload on the heart against which it has to pump blood to meet the body demands.This over a period of time will cause the heart muscle to increase in muscle thickness leading to ventricular hypertrophy.This can serve as a risk factor for heart disease particularly ischemic heart disease like Myocardial infarction.Hence, it is important to keep the blood pressure under control to prevent such events.I advise you to take anti hypertension medication that can reverse this ventricular hypertrophy and eliminate the risk for heart disease.Drugs like Ace inhibitors ( Losartan) will be helpful in this regard.A periodic echo and ecg of the heart will also be helpful in monitoring the reversibility of ventricular hypertrophy.Diet low in sodium content is equally important.Please check with your Cardiologist if he shares my view and if can prescribe these pills and investigations to you.Post your further queries if any.Thank you. | |
What causes nausea ans faint feeling all over body?
This morning, I woke up and felt fine. After a cup of coffee, I felt some nausea but it passed. Shortly after, I felt very faint and had lost all color, my eye was twitching but causing me to physically jerk my right side of body. I didn t feel totally present in my body. I went to bathroom and color came back. 10 minutes later, went through the same experience with feeling faint and eye/body twitch. I ate eating soup and drank water but I don t feel much better. In last 24 hrs, I have eaten my lunches and a small supper. Do I need to see my doctor? Thanks for your help! | Hello,Yes, you should see your Doctor for these symptoms since these persist. Food poisoning, stomach flu, etc. may cause such issues.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical | |
Does Budecort help with asthma in a child?
my daughter is having allergic asthma the dr. said tht she should be given budecort for 6 months even than u can not say whether it will effect or not what shuld i do ? she is taking budecort right now twice a day | Hello.Thank you for asking at HCM.I went through your daughter's history.I would like to ask you a few more questions - What is her age? Since how long she has been having asthma? What are her symptoms? Does she have any other allergies/nose symptoms? etc.I would like to make following suggestions for you:1. Budecort is a "controller" type of asthma medication (it is an inhaled corticosteroids). It is considered the best inhaled drug to control asthma.If you give it regularly, it definitely improves asthma control. I would like to tell you that it take 1-2 weeks to get maximum effects of budecort. So please continue it regularly even if initially you may not see its effects.2. It is also important to understand that it only controls asthma, does not "cure" it. As most of the asthma in young children (less than 5 years of age) improve with age, we can hope for improvement. 3. If low dose budecort does not help, its dose can be increased.4. Another most important thing is type of inhaler device and technique of using inhaler. If it is improper, chances are that a patient may not get adequate amounts of drug in lungs and therefore it may not be that effective. So please make sure that your daughter is using her device in perfect manner.5. I would also suggest your daughter avoid exposure to dusts, smokes and air pollution as much as possible.6. I would also suggest her allergy testing which will help you to know what substances she is allergic to and also how to avoid them.Hope above suggestions will help you and solves your query.Should you have any further query, please feel free to ask at HCM.Wish your daughter the best of the health.Thank you & Regards. | |
Is it normal for fever to return when diagnosed with coxsackie in infant?
My10 month old son was diagnosed with coxsackie on Monday. He had a low grade fever Friday through Sunday and on Sunday came down with a rash all over his body, except for his hands and feet! He had no fever Monday or Tuesday. Today (Wed) he is running a fever of 100.7 and is hardly drinking anything. Is it normal for the fever to come back like this? | Coxsackie viruses are RNA viruses that may cause hand, foot, and mouth disease (HFMD). HFMD usually occurs in children but can occur in adults. The majority of HFMD infections are self-limited, so no treatment is required.Clinically, blisters that are painful usually on the hands, feet, and mouth in a child with fever are considered diagnostic of coxsackie virus infection. However, in rare instances, viral tests can be done to identify the virus, but the tests are expensive, usually need to be sent to a specialized viral diagnostic laboratory. He is refusing to drink because of ulcers in the mouth,and I usually give a mouth application to relieve pain. There is also the possibility of a super added bacterial infection for the recurrence of fever.Or he could have been infected by another virus.He needs to reviewed by his doctor. | |
What does my CT scan suggest and its treatment?
my son 13 years old was complaining often for vomitting and stomach pain, so i consult a local doctor who advised me to carry CT scan of abdomen, the result of CT scan is:- "CT scan findings are sugegstive of hypodense lymphnodes in mesentery in the right iliac fossa."what is the desease to my son and what treatment should he take, also suggest doctor specialisation to whome i may consult ? | Hi....please do not worry. What the CT scan suggests and what your kid is having is mesenteric lymphadenitis.This is not a disease by itself. Any minor stomach infection can cause this enlargement of lymph nodes.I suggest you see your pediatrician or pediatric gastroenterologist for this.Treatment includes only pain killers at the most. The nodes will regress by themselves.Regards - Dr. Sumanth | |
Suggest treatment for lump in the testicle area
Ive had a lump in my testical area for almost 4 years now. Ive seen about 4 different doctors and had ultra sounds and cat scans but know one can seem to see it. Its very visible after a hot shower but im hard to examine in the dr. office. It seems to me that its in my sperm tube and getting bigger. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It looks really shocking .4 doctors and CT scan couldn't diagnose it? Why can't you take few pictures and show your urologist when you feel the same. Very difficult to comment without seeing. Hope I have answered your query. Let me know if I can assist you further. | |
What causes tiredness and lack of concentration?
hello dr. i am SOIKAT age 18 years and i am feeling and i am unfit becoz of following points i observed:- 1.i get tired quickly during physical work like playing cricket. 2.while making sex with my partner i cannot satisfy her and get over within 1 min. 3.i cannot concentrate in my work. 4. my weight is 70 kg for last 1 month. | hi dear,what ever you describes may be due to you have depression. but for depression to diagnose detail history and mental status examination is necessary.is there any other symptoms like sleep disturbance, appetite disturbance, easy irritability, negative thoughts, low mood, loss of interest in work etc.....for satisfaction of female you have to do foreplay to excite her first than do sex and after play for better satisfaction.for detail counselling and treatment consult psychiatrist.not to worry.there are many medication and psychotherapy which help you.Thank you | |
Could the wheezing and breathlessness be due to the lump under the nipple?
About 6 months ago I developed fatigue and wheezing. I am 67 with a history of cardiac problems. I was born with Fallot s Tetralogy which was corrected in 1964 in Bristol. It was very successful and I have had nearly 50 years of almost complete health, firstly as a teacher, and then as a vicar. I retired 2 years ago sadly because I had devloped an alcohol problem so I now live in care and haven t drunk since last August. When the wheezing began I automatically assumed it was due to a worsening of the residual faults from my Fallot s correction. I have lived with a small VSD, pulmonary stenosis and some atrial regurge. But having spent a week in hospital having echo tests , e.c.g, x-ray etc. the team failed to find any deterioration that would cause the things I am experiencing. A few weeks ago , however, I became aware of a hard lump under my right nipple. Not really painful but a bit sore. So I wonder if it s possible that I might have Male Breast cancer (however rare) and whether the wheeze, tightness of chest and breathlessness might be due to that. I don t want to bother my GP unnecessarily but on the other hand if it is a carcinogenic lump I would like to seek any treatment that might be available to me. Thank you. Rev. Robert Pitcher. | HiI would advise you to do a PET scan.If any space occupying lesion is found then biopsy has to be done to rule out cancer. | |
Q. What is my doppler test taken for erectile dysfunction showing?
Hello doctor, I have ED and I have taken penile doppler test as per my urologist advice. But he did not confirm any physical problem with me but the doppler test result says there is artery insufficiency. Below is the impression from the doppler test. Hypoplastic right cavernosal artery with penile erectile dysfunction. Please help me understand this report. | Hi. Coming back to your query, I had seen your doppler report (attachment removed to protect patient identity). Your peak systolic velocity on right side is below normal. Have you tried any drugs / medicines before? For how long you are having ED? Diabetic or hypertensive? Morning or nocturnal erections? | |
Information on the fact that ammonia poisoning can cause liver damage, extreme hair loss, mental confusion
Today in St John s Newfoundland there is a bizzare criminal case where a petite young girl age 35 robbed ten stores in a row without violence or injury totally out of character for her usual, mother of one, kind and sweet personality. Later, after being released on bail she collapsed (exactly 30 days) of total hepatic failure. Her liver was damaged by acetaminophen ingestion over several years and extreme hair loss and mental confusion had been noted in the weeks prior. This poor young girl desperately needs intelligent educated people on her side who can prove beyond a doubt that ammonia poisoning is the most likely cause of her irrational behavioral changes. She has been treated...is recovering nicely (including re growth of hair) and awaits a trial facing life in prison. Any insight you can offer this poor victim of brain disease would be priceless. | Hello there! thank you for asking, Liver modifies ammonia to urea thus detoxifies it. Ammonia is lipid solube and it crossess brain, so yes this ammonia cause encephalopathy and alopecia. But if the stimulus is not persistent . liver caan compensate by regeneration, Rest i didnt get what to say about prison and robbery thing, More like a human resource thing. But as far as ammonia is concerned it caused those symptoms leading to encephalopathy but liver failure can let that happen only , healthy liver cantRegardsS khan | |
Suggest remedy for a blocked artery
my brother has a blocked artery that they cannot break through it or open it up with the balloon. The doctors stated that the calcium deposit was to hard and they mentioned they were going to try and treat him with medicene. What type of medicene would that be and would it disolve the deposit? | Hi,Welcome.This is Dr Sameer.Chronically blocked artery (CTO) is blockage which is present from a long time & calcium deposits on it making it very hard. This is very hard to open. Maximum times collateral small blood vessels develope near to bypass blood.When it is not penetrable, we put patient on medical therapy. This includes blood thinner and other medicine to prevent chest pain(anti anginal).These medicine won't dissolve the blockage already present.Thanks | |
Q. I can see new moles on my face, chest, back and neck. What to do?
Hi doctor, I am 30 years old. I can see a lot of new moles on my face, chest, back, and neck. Two to three of them are slightly asymmetrical too. All the moles are less than 5 mm. Please suggest. | Hi. I have read the query and seen the pictures attached (attachment removed to protect patient identity). These moles look normal. If there is any sudden change in size, shape, pigmentation, or any bleeding, then a dermoscopic examination or biopsy can be done by your local dermatologist. Avoid going out in sunlight, as it reduces the occurrence of moles over the covered areas. Apply sunscreen over the exposed areas twice daily and regularly. | |
What causes increased calcium level in blood?
My husband suffers (extremely) from pseudo gout. What caused too much calcium in the blood & is there anything other than prescription meds to help get rid of, or prevent this? It is getting to be almost a weekly occurrence. His joints are becoming permanently damaged. | Hi, dearI have gone through your question. I can understand your concern. In psedogout calcium pyrophosphate crystals are deposited in your joint space and causing pain and inflammation. He should take anti inflammatory plus analgesic drug. He should search for the cause of high calcium level loke hyper para thyroid function. Then he should take treatment according to cause. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What causes penetrating pain along right side of head after taking wisdom tooth?
i'hv got all the 4 ov my wisdom tooth pulled out 2 days ago...pain has lessened but my face has swelled up like a pumpkin and i do feel penetrating pain along the right side of my head moving upwards.and i am told not to eat hot and solid food.what should i do? | Thanks for using Health Care Magic.Read your query.The pain and the swelling will gradually subside .I would advice your to continue the medicine pain killers and antibiotic prescribed by the surgeon correctly.Do not apply hot bag externally , though you can apply cold compress intermittently.Do saline gargling ,but not vigourously .Keep good oral hygiene and stop smoking if you do by any chance.If the swelling increases or pain is out of control ,please report back to your dentist office so that he will have a look at it.Hope this was of help for you and wish you a speedy recovery.Thanks and regards. | |
What are chances of pregnancy after unprotected sex for very short time?
Hi, last week I had food poisoning, on the 19th and 20th of December I had mild diarrhea and then on the 21st I was vomiting. On the 22nd I was fine all day until later when I ate dairy and vomited. The day after that, I felt completely fine. I am taking Levlen ED at the moment and had been taking the pill every day as per usual. On the 23rd I had unprotected sex for a very short amount of time (10 seconds). I am wondering what the chances are of me being pregnant. | Hello dearI understand your concernDo not worryChance of the pregnancy is nil as you are on the regular use of Levlen EC it is low dose combined oral contraceptive pill and is used as an effective means of birth control to prevent unwanted pregnancy.It has just 0.5-1 % failure rate.Avoid stress, take healthy diet, drink plenty of water and do regular exerciseHope this may help youContact HCM for further health queryBest regardsDr. Sagar | |
Elevated SGPT. Means to lower it?
my sgpt is 158, can you please help me how to lower this, i m not alcholic so i m confused why it is elevated, and most of my lab results are normal and only the sgpt i m worried...and a few months ago my sgpt is only 47 and now it s 158, and i m also confused why my sgpt have different results than the other laboratory where i got 158. | Hello,davetest59, Causes of elevated SGPT enzyme are many. If all other liver tests are normal, including Alkaline Phosphatase, Bilirubin, LDH,SGOT, then we have to think about some medications or some supplements that you may be taking. Overweight people also tend to have elevated enzymes due to fatty changes in the liver. But we see elevation of all enzymes to a certain extent. I have seen elevated SGPT in some that use Protein powder for body building .I am also assuming that you have had a complete Hepatitis-B and Hepatitis-C tests to rule these out. Taking 800 units. of Vitamin-E once a day along with a 1000 mg. of Vitamin-C would be helpful. Also Brewer's yeast tablet 1-2 a day. Good luck. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Cancer patient with decreased level in cal125. Prescribed hycamtin.Any natural diet to decrease cal125 level?
I want to ask that my grandmother is suffering from cancer and has completed one cycle of chemotherapy. Her ca125 level decreased to 38. But now doctor advised her to eat medicine hycamtin. But there are no good results.today also the ca125 results are 1038. now i want to ask that is there any natural diet to decrease ca125 level | Hi, Hycamtin is topotecan , a chemotherapy. Probably your grandmother has ovarian cancer. Treatment history in detail should have been mentioned. In treatment of ovarian cancer first line treatment is generally platin based chemotherapy after surgical removal of tumor. CA-125 is a marker to detect the cancer and it is raised in many non-cancerous disease also. That is not related to diet. Anyway, consult your oncologist for further treatment guidance. | |
Does surgery on shoulder and lower back cause fatigue?
I was in an ATV accident about 3.5 weeks ago, I had surgery on my elbow, road rash ony shoulder and lower back, a hematoma on my left buttock and a dislocated clavicle, is it normal for me to be fatigued most of the time, I m experiencing several periods during the day when all I can do is lay in bed because I am so tired. | Hi, In my opinion, it is not normal to be fatigued most of the time following this kind of injury. I suggest you join an aggressive rehabilitation programme to take care of your fatigue. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Gopal Goel, Orthopaedic Surgeon | |
Can i take carofit plus for hyperpigmentation inspite of my allergy to Vit A?
Hi doc I m 29 years old lady. I have took a treatment 4 years back for hyperpigmentation at that time I got allergic to vit a supplements than I stopped the treatment but my problem of hyperpigmentation remain the same.can I now take carofit plus of the same or not.it may contain vit a so is it again give me allergy or not.please help | If you have once allergy to a particular substance, chances are that you may still be allergic to it now. It`s better you avoid it or use it under supervision of your doctor. | |
Can teeth problem lead to headache?
Hi My name is Kaelah. I never brushed my teeth that well when I was a child. Sad thing is that now I have 3 broke teeth, and the dentist told me that I had to surgery. When i went to the doctor they told me to see a dentist, and now i had formed headaches as well as pain and a lump on the lower part of my left jaw were 2 of the broken teeth are located. Not sure if the lump is from the teeth of me applying pressure to help with the pain. | Hi,Thanks for posting the query, Yes this could be related, sometimes the pain in the tooth can spread to the surrounding areas.I would suggest you to get a checkup done for the broken tooth take an OPG radiograph, and plan for the treatment.Take tab augmentin TDS and tab aceclofenac TDS for 5 days.At home take antiseptic mouthwash rinses.Maintain a good oral hygiene.Take complete sleef, avoid anxiety and stress.Take care!Dr Ammara. | |
Suggest remedies for hysteric behavior of my mother in law
my mother-in-law always tries to blackmail that she will commit suicide if we not agree to what she says.she acts like hystrica if we do something wwhich she does not agree.i and my husband always lead as she wants because of fear that she do something to herself .so please help us | Your mother in law is having border line personality. She needs some behavioral therapy and counselling sessions. Some drugs like olanzapine will help a lot to overcome this problem. Visit a psychiatrist for these drugs. Hope my answer helped you. Take care | |
What is the treatment to increase the penis size?
hi am not gonna say my name but i am 16 years old i had sex allredy i am 255 pounds i am 5feet 10 nd my pennis is really small i sayabout 3 inches when itz hard does being fat have anything to do cuz i have fat around my pennis is like where ur pubik gairs are its all fat and when it is normall i cant even see it the fat cover it is it the fat that is not letting it grow cuz i mean is small nd thin its been the same wayy all my life i have not seen any changes please haelp me on what to fo so it can grow because i dnt feel good being with girls wit my pennis that size please doctor tell me what to do or do i just be patiant nd wait nd ill proboly grow by when am 18 | Hello,It may be due to performance anxiety. For that you may require testosterone level, lipid profile, electrocardiogram after physician consultation. Till then you can take tablet sildenafil one hour before sexual act. Along with that avoid stress. Take proper rest and balanced diet Hope I have answered your query.. Let me know if I can assist you further. Regards, Dr Shyam Kale Family and general physician | |
Will light spotting after being 3 hrs late on a pill one time count as period?
My girlfriend has been on the pill for a few months now, she was about 3 hours late on a pill ONE TIME and had light spotting the next day. Will this count as her period? She is worried that she is going to miss her period due to pregnancy (even though we used extreme amounts of protection). Will she miss her period because the spotting i mentioned above counts as a period? I m not the worried one, but i would love to help her calm her mind! | Hi,Welcome to Health care magic forum. There is no problem of of having a pill late by 3 hours. If at all taken 24 hours also can have protection. The reason for the spotting in the middle may be due to the anemia, and infection. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have enough blood, and to have protection against infections. Wishing for a quick and complete recovery.Thank you. | |
Suggest possible tests to confirm pregnancy
Hi, I just had my period from the 10th to the 15th. I had sex with my boyfriend protectively on 16th and unprotected on the 18th. On the 20th I went to get the morning after pill and the nurse told me I was pregnant. I told a ultrasounds today and nothing is there. Am I pregrant? I need help!!!! | Hallow Dear,There is a lot of misconception.Firstly, if you had menses from 10th to 15th, 18th is the day 8 of your cycle. The fertile window usually lies between day 10 to day 20 of the cycle (see below). So the chances of becoming pregnant are very remote. Moreover, it is impossible for the nurse to diagnose a pregnancy on day 10 of the cycle after menses. The egg is yet to be released. The egg is released (ovulation) 14 days before the next expected menses. Egg lives for 24 hours and sperms are active for 72 hours. Hence a period of about 8 to 10 days around this day of ovulation is considered as Fertile window. So on 20th your ovulation also had not taken place. How can you become pregnant? No test for pregnancy will reveal pregnancy as it is not there. Please wait for the menses. If you have few more intercourse in the fertile window, you will have chances to conceive and then 8-10 days after the missed period, your urine test for pregnancy will detect it. Of course, Beta hCG tests can give reliable results within 2-3 days of missed period. Best Wishes,Dr. Nishikant Shrotri | |
Suggest medication to boost the healing process of a foot surgery
I had foot surgery at the first of the month . I was wanting to know if there was any way to speed the healing process . I had a plate put in with 8 screws and what is called a syndesmosis screw I believe . Which has to be removed in another surgery . I am now in a cast which comes off at the first of July an will be put in a boot . Any help would be great thanks . Brenton D | HiWelcome to healthcaremagicI have gone through your query and understand your concern. You will be helped by vitamin B complex, vitamin c, calcium and vitamin D Supplements . Nutritional and balanced diet is also helpful. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care. | |
What causes tremors despite a normal metabolic panel?
My daughter takes lamictal and haldal for 1.5 years. Within past year, She trembled, fell down and can not get up twice and has to go to emergency room. The last emergency room visit was on Sept 24, this year. She also had neurologist follow up. Her metabolic panel, Vit 12, and vit D lab results were all within normal ranges. She continued to have trembles and could not get up from the chair due to no support from muscle, knee ankles etc. etc. Are these toxic side effects due to Lamictal and/or Haldo? | Hello,Yes, it could be from the Haldol. It has movement disorder side effects. Please tell her Haldol prescriber about these issues.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kathy Robinson | |
What causes severe swelling and pain on one side of face post double jaw surgery?
I have recently had double jaw surgery and was discharged home with paracetamol, ibuprofen and cholotexidene. I was re-admitted with severe swelling and pain on one side. I found out that I should have been given diflophenic to take at home on discharge. A scan has now shown a haematomor and while in hospital I have been given antibiotics, diflophenic and strong pain killers intravenously. Would the diflophenic have prevented this? | Thanks for your query, I have gone through your query.The swelling and pain can be because of the hematoma or infected hematoma. Nothing to be panic, consult a oral and maxillofacial surgeon and get it evaluated. Mean while you can give alternative cold and hot fomentation over the swelling. You can take antiinflammatory drugs like serratiopeptidase which reduces the swelling. Diclofenac has nothing to do with hematoma. It can reduce the pain. I hope my answer will help you, take care. | |
Will thyroid medicines cause dry skin?
I have very dry skin on my legs and have recently noticed freckle like skin on my thighs. I also have these weird skin growths on my legs and feet. They are slightly raised and sometimes I can peel them off. What is this? I have slow thyroid and take medication, so my thoughts are that I have very dry skin which has something to do with that. Can you tell me what this might be? | Hello,I read carefully your query and understand your concern. The dry skin can be related to hypothyroidism. The dryness of hypothyroid skin results from decreased eccrine gland secretion. I suggest to check the thyroid hormone levels for further evaluation. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
What causes swelling of lymph node in neck and lump under chin?
Hi, i just had a severe lung infection and got over it a few days ago. I also have asthma. Today I found a swollen lymph node on the right side of my neck, and a massive lump under my chin just above the hyoid bone. It is painful to tilt my head back. My throat isn't sore, I just have a slight cough. Please help in anyway possible. Thank you | welcome to Health care magic.1.Lymph nodal enlargement is seen in case of infection / inflammatory causes / underlying systemic diseases / malignancies.2.Before treating the lymph nodal mass, one will always look in to the cause and try to treat it.3.Howevere if the lump is painful and causing discomfort / cosmetic problem.4.Get an ultrasound scan done and see the extensions of the lump before one can plan anything.5.First see your doctor get your sore throat get treated with a course of antibiotics and follow the doctors needful advise.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. | |
Fell, upper back hurt, pain in chest too. What could be wrong?
i fell the the stairs like 3 months ago and my upper back hurts really bad whenever i try to tilt my neck to see somethin behing me and it hurts alot when i laydown.... im scared that with time i can end up paralized. The upper back pain gets bad when my boyfriend squeezes me whenever he tries hugging me hard, the pain is soo much that it makes me cry. Also when i feel the upper back pain i feel it in my chest too. I cant wear tight bras anymore. please tell me what could possibly be wrong with me. im only 22 | Hello. Thanks for writing to us. From your description it seems to be a muscular spasm. Sometimes such spasms do take time to heal. You can take mild pain killers in combination with a muscle relaxant for relief. Dong a hot fomentation regularly will also help. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com | |
Could sinus problems and weight gain be due loette pill and venifaxine?
Hello my name is jodie . I have been suffering from constant sinus issues for the last 3 months i have also noticed a noticeable wight gain. I have been taking loette pill now for 7 months and also venifaxine for 3 month . could this be side effects from taking these togther . Thanks | Hi,Weight gain is a common side effect of Loette pills and venlafaxine. Use of both Venlafaxine (anti-depressant) and Loette pill (combined oral contraceptive pill) has been associated with weight gain which appears to be due to fluid retention, lack of exercise, increased appetite, or other factors. These two drugs are not known to cause symptoms suggestive of sinus infection.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Q. Please suggest tablet for better and longer intercourse.
Hello doctor, I am married and I am 33 years old. I have erection problem. Sometimes, I get good erection, but it lasts only for two minutes. I did consult a sexologist. He told I am normal and I also checked my sperm count, which is normal too. My work life is stressful. Sometimes, I take Lvate capsule, but it does not work as I expected. But, later I took Caverta 25 mg it works fine. Shall I continue to take the same? Please suggest me a suitable tablet for better and longer intercourse. Nowadays a lot of medications are available and I do not know which one to take. Please suggest. | Hi. I can understand your situation. Revert back with the asked details to a sexologist online --> | |
Suggest treatment for knee swelling
I have injured the same knee 2 times in the past couple of months both because I fell in my living room on my right knee. It was getting better but then I bumped into a living room table and fell on the right knee again and it is still hurting and is swollen on the lower right knee cap in a small area. | Hello,Thanks for the query.Consult an orthopaedician and plan for an MRI scan.Wishing all the best.Thanks | |
Is mastrubation safe with pre-puberty penis?
Is it okay to masturbate with a pre-puberty penis?not gotten deeper, and my penis has not grown and i have masturbated before, with little amount of ejaculation and i wanted to know if its okay to masturbate with a pre-puberty penis (2 and a half inches when ... | DearWe understand your concernsI went through your details. I suggest you not to worry much. There is no problem in masturbating. But, in layman knowledge, if you are able to masturbate and ejaculate, even though very little, you have already achieved puberty! Who says no. Puberty means sexual maturity. Your body is able to respond to sexual triggers and to produce semen. That is puberty. You have achieved it. be happy. Concentrate on your education and career.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | |
Suggest treatment for severe back pain
my L4 vertebrae is missing and I in bad pain i have been having back pain for at least 5 yeas and now its at the point that i am in pain all the time the only thing that even seems to help is laying flat on my back with me knees up other then that position i am in horrible pain my doctor that i went to said she does not think its my missing vertebrae that is causing the pain i lost my insurance and my parents do not want to help because she asked two nurses that are in our family. can the missing vertebrae be the cause of the pain? | Hi,From history it seems that due to severe degenerative changes in lumbar spines particularly L4 might be giving this pinched nerve pressure problem.There might be having acute PID ( prolapse inter vertebral disc ) giving Sciatica pain.Go for x-ray lower spines.Consult orthopedic urgeon and get examined.After proper diagnosis plan of treatment can be decided.Ok and take care. | |
What causes red blemishes on legs, stomach and feet and sneezing?
My 2 yr old daughter has red blemishes on her legs stomachs feet and arms the blemishes have bumpy white spots in them formed in groups . She s been quite snotty sneezing and coughing this past week also been sick sleeping a lot aswell what do you think is the cause if this? | Thank you for posting your question.Rashes over body along with other symptoms like sneezing, running nose, cough etc. most probably indicate a viral infection. Most of the viral infections can present with mild rashes similar to the description that you have given. In such cases, nothing needs to be done except application of calamine lotion over the rashes and any antihistaminic drug (for itchy rashes) if required.It may also be due to other relatively rare causes. In any case, I would advise you to keep a watch on the progression of the rash. Any increase in size or area of distribution, swelling, discharge or any new or associated symptoms like high grade fever , toxic look, behavioral changes, decreased urine output, swelling in any part of the body should be reported and dealt with immediately. If you have any more doubts, do write back. | |
Suggest treatment for hypochromic microcytic anemia with anisopoikilocytosis
i have 50 years old menopause with no history of any bleeding my Hb is 10 gm and i have hypochromic microcytic anemia with anisopoikilocytosis . What is the possible cause and what is the best treatment.?N.B :I eat everything and I am not a vegeterenian YYYY@YYYY | Hi,Microcytic hypochromic anemia is common in females due to iron deficiency. Looking at your history, if menstrual loss is ruled out, I can think of three other causes.1. Bleeding from other places like gut - stomach or intestinal bleeding. - look for dark color of stools or is it blood tinged2.parasitic infections of gut - you need to get a stool examination for ova, cyst and blood3. Inadequate iron intake.- can be ruled out based on your diet.Based on further tests, cause can be identified. Now, you need to start on iron tablets therapy to improve iron levels.Response to therapy can be checked by doing reticulocyte count after 15 days.Any further queries, happy to answer again. | |
Q. LMP was noted mistakenly 10 days later than the actual LMP. Will it affect NT test result?
Hello doctor, My menstrual date was on the 4th of the previous month, and I got married in the same month. This my pregnancy test becomes positive and during my abdominal scan doctor said that my baby's NT rate is 3.17 and the nasal bone is short. Five days later again I have done a scan in that my NT rate came as 2.1 mm and nasal bone is ossified, the result was satisfactory. But mistakenly the ultrasound technician put my LMP date 10 days after my actual date. Without noticing it, we have done a double screening and the result came as low risk. Today I went to the hospital to give a blood sample for triple screening, then only we noticed the mistake on the LMP date of ultrasound. Will it affect my triple screening result? Does it mean my double screening test was wrong? | Hello. I have seen your reports. (attachment removed to protect patient identity). During the first scan, your baby was 11 weeks and the NT (nuchal translucency) was 3.17. That was a high value but it has been seen in nine out of ten babies with thickness 2.5-3.5 mm at 11 weeks will be normal. The next scan shows your NT was 2.1 mm and your period of gestation 12 weeks. As per your truly calculated fetal age, this was low risk. At 12-13 weeks, the normal value is 7mm (50th percentile thickness), 2.8mm (95th percentile thickness). So considering these two values only, you are not at high risk. But I must tell you that the measurement of nuchal translucency alone is less effective for first trimester screening than the combined test (nuchal translucency measurement and biochemical markers). But definitely for this, there is a need to mention the true LMP (last menstrual period). Otherwise, there will be again a mistake and just like the previous one you have to recalculate the whole. | |
How to get cured from tibia fracture with food nutrients?
my wife is gone for tibia bone fracture on left leg on 25.04.2012 & got surgery on 30.04.2012. now she started walking with walker but due to poor bone density & feeling pain while walking she is very much depressed. so how long she will take to recover. what nutrient or food help us in recovering from the injury | Hello, As it looks that the mineralisation of the bone is too weak. Having good milk and milk products in a day and taking sunbath will be useful. As both calcium and vitamin D is needed for bones to become stronger post-surgery. Also, I think that the surgeon who operated must have provided some Vitamin D3 supplement along with the calcium supplement to help boost the healing. I will even advice to start doing some simple exercise for the upper limbs, core and sound limb. So once she starts going to walk, it should be comfortable and confident. Also, exercise will help her not put on too much weight post surgery. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
What causes burning sensation during ejaculation?
Hi Doctor, I have under gone surgery for removal of stones in my Kidney on 29th Mar 2012. Stents were removed on 17th April 2012. Since then I had sex with my wife three times. While ejecting, I am feel burning sensation & somewhat flow is not proper. Now my erection can holds good for 3 or 4 strokes only. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You might have developed chronic urethritis. Consult the dermatologist for the perfect diagnosis and proper treatment. You may take s course of antibiotic like Ofloxacin and Alkaliser syrup. Take plenty of water. Stop anxiety. Hope I have answered your query. Let me know if I can assist you further. | |
On and off cramps like that of menstrual, no periods, fluttering in lower abdomen. What is going on ?
I am a 44 year old female. My last period was May16, 2013. I have been experiencing what seems like menstral cramps on and off for the last 2 months but no period. During this same time, almost everything I eat makes me feel bloated. Over the last month I've started feeling a fluttering feeling in my lower abdomen. All pregnancy tests have come back negative. Any idea what's going on? Just a little background....in October 2012 I had sepsis which stemed from a urinary tract infection.....in April 2013 I had my gallbladder removed. | hi...you have irregular menstruation and pain abdomen with bloated sensation..you are nearing to menaupause, that could be the reason for irregular menstruation..pain abdomen and bloated sensation is due to the cholecystectomy, that will lead to fat intolerance, so you need to restrict fat intake and increase protein and carbohydrate intake, see your dietician for diet chart..all the very best.. | |
Abdominal bloating, cramping, migraine, tiredness. Taken Plan B after having unprotected sex. Help
Hi i have been having abdominal bloating and cramping some what on and off but mostly on the past week im tired and irritable all the time and yesterday i got a migrane. I have been getting a slight sore throat that only last like an hour the past two days. Me and my bf did have unprotected sex and he did go inside me on may 23 but about four days later i took the plan b pill also i was on my period from may 18 till the 21 then i bleed for two days two weeks after that period was over..i have tooken a pregnancy test and it came back negative..im just really wondering what is going on bc the stomach cramping and back cramping is dull but uncomfortable along with the bloating. If you could please tell me any possiblities that could be wrong i would really appricate it..it almost feels like gas but i really dont know also last night my colon was like throbbing in pain for like thirty mins i tired to take a bowl movement but nothing came out. | Hi there,Ideally Plan B should be taken within 72 hours after unprotected intercourse. In your case you took it 4 days later; which means plan B could be ineffective.However, if your menstrual cycles are usually regular, the chances of pregnancy is less if you had your periods from may 18-may 21 and intercourse on may 23.I am unable to understand what you meant by ' i bleed for 2 days 2 weeks after that period was over'.It is quite possible that your periods must be nearing which might explain the headache and cramping, bloating sensation.I would advise you to drink warm water at regular intervals. It will help with the digestion.A drug combination of mefenamic acid- dicyclomine be helpful in relieving in the cramps/colicky pain.The bloating sensation etc might be relieved with Gelusil MPS.Regular exercise for 30 minutes a day 5 days a week.If the symptoms get worse please visit your doctor. Most likely the symptoms you have might be due to the periods going to arrive shortly !Hope this helps.Regards,Dr. Divya Kuttikrishnan | |
Will the limp node near the neck be cured by medicine or by surgery?
sir, I have limp node on the left side of neck, after test it comes that it is a node of tb. Doctor has advice me to take "forecox tablet two daily for two month. Should I continue with it or someone told me that It has to be operate. Please suggest me. | Hello,If you get the TB treated then the nodes should resolve. Make sure that you are seeing a doctor that specializes in treatment of tuberculosis so that you get the best treatment possible.Regards | |
Have had diarrhea. Loose and mucus filled. Type 2 diabetic. Related?
I have had diarrhea now for 8 weeks. I go between 5-8 times per day and its very loose and mucusy. I have been on codeine to help the diarrhea which helps and the mucus stops but recently i have been on antibiotics for 10 days for cystitis , my diarrhea worsened during this time. I finished the antibiotics yesterday and am waiting for my diarrhea to settle down again. I have had a colonoscopy , my colon is totally normal and there is nothing to worry about. I am a type two diabetic and have been for 4 years now. Can you shed any light on this and tell me if taking antibiotics would stop my codeine from being as effective? | Since you had antibiotics for 10 days your bacterial flora in the intestine may be affected which helps in the re absorption of water from the stools. So what you can try is stop codeine and take some probiotics available in your home or you can get it from your family doctor. Since you dont have fever or abdominal pain or vomiting this is usually non infective diarrhoea induced by the antibiotics. Hence, whenever you take antibiotics for any reason next time take some probiotics containing lactobacillus spores alongwith the antibiotics. | |
Suggest treatment for severe lower back pain
Hi doc. I have a severe lower back pain. I have difficulty in seating long hours, standing up and even when lying down, it s very painful. Putting pillow against my back would comfort for sometime but when i move pain is there. It also hurts when i bend my knees. I took mefenamic tabs and apply mentholated ointment but those won t help either to ease the pain. It only started yesterday when i went to office. When i woke pain was still tolerable. Should I go to a hospital? | HiThank you for asking HCM.I have gone through your query. Your problem can be most likely Lumbago. This usually comes due to overstraining of back muscles. Wrong positions while you are working or due to overloading of spine. For such condition in my patients I would suggest taking muscle relaxants like thiocolchicoside, NSAIDs like Nimusulide and anti inflammatory gels containing ketoprofen, methylsalicylate and capsaicin for local application. You can also give hot fomentation on back. Rest should be given for 3 days also. If there is no improvement then a consultation with orthopedian should be carried out to rule out any injury to intervertebral disc or spine.Hope this may help you. Let me know if any thing not clear.Thanks. | |
Suggest treatment for recurring chest pain
Dear Doctor, I am male, having age of 52 years, non smoker and non diabetic. My family history is positive for I.H.D. according to coronary angio 2006 only ramous is 80% blockage. I am using Tenormin 100 OD, Clipdogral 75 mg daily, sustac 6.4 twice, disprin cv OD, Tablet Lipix(Simvestatin) 20 mg daily. Offenly I am facing recurrence of chest pain. what is my treatment at this stage | Thanks for your question on Healthcare Magic.I can understand your concern.Since you are already taking cardiac drugs, we should first rule out coronary artery disease (CAD) for your chest pain. So consult cardiologist and get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test).If all these are normal then no need to worry for coronary artery blockage.So take simple painkiller like paracetamol or ibuprofen for chest pain. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain.Don't worry, you will be alright but first rule out heart diseases.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest treatment for lump in the bridge of nose
I have a lump about 2 cm long and 2mm wide from the bridge of my nose to beginning of my eyebrow. At first I thought it was one of those annoying under the skin spots but I tried popping it and nothing comes out. It s sort of solid but i can move it around a little: touching it is painful though. Could you give me some idea of what it could be? | Hi,From history it seems that you might be having sebaceous cyst.Consult surgeon and get it excised with sac.Ok and take care. | |
What causes tender lump above tooth?
I have a very tender lump above my front right tooth inside the bottom of my nostril. It's become larger and more painful over the last few days and when I push on it I can feel pressure. Any idea what this might be? I have an appointment at the endo on Tuesday but its really worrying me. | Hi Dear,Welcome to HCM.Understanding your concern.Thanks for your concern . The lump Above the tooth is periapical abscess . This occur when infection travel through the tooth and form beside the gum and reach the root of the tooth . This infection form pus there and sometimes make opening through the gum for drainage ,which is known as sinus.I would suggest you to consult dentist or endodontist (as you mention) for proper evaluation. Doctor will order x-ray to look for extent of infection, bone support and root of the tooth .There are few treatment options :-- If the infection is mild and didn't affect the root of tooth the doctor will prescribe along with painkillers .- If the infection is sever and root of the tooth is also get involved the doctor may perform root canal and left open for few days for drainage of pus. In some cases apicoectomy will be performed.- If there is bone loss and infection is severe the extraction of tooth should be done along with prescription of antibiotics.Do warm saline rinses several times a day and take ibuprofen (if not allergic ) or acetaminophen for pin and swelling.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari | |
Suggest medication for cough which is choking the throat
Sir, I m facing an acute problem relating of formation of cough due to which throat seems to be chocked nd repeatedly have an urge to clear the throat. while sleeping at night the nostrils get blocked nd thus results in breating problem nd lots of snoring occurs. pl. advice good medicine | Hello,You have mucus hypersecretion. It is mostly seen with bronchitis. And for this, N acetylcysteine (NAC) should be started. NAC is a pulmonary mucolytic, expectorant and anti-inflammatory drug. So it will dilute the secretions and make them easy to cough out. Quit smoking if you are a smoker. Do warm water gargles and steam inhalation four to five times a day. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kaushal Bhavsar | |
Suggest treatment for frequent bowel movement in a 5 months old
I moved to Australia 2 weeks back. My 5 month old who s on formula since birth has more bowel movements since we v arrived.He is not dehydrated but doing it 8-10 times a day. I m giving boiled tap water and also changed his formula . Is it normal and for how long can this condition be? | Hi Dear,Welcome to HCM.Understanding your concern. As per your query your child have symptoms of frequent bowel movement. Well there can be many reasons for symptoms you mention in query like irritable bowel syndrome , lactose intolerance , constipation , gastroenteritis , giardiasis , muscle strain or food poisoning. Need not to worry. I would suggest you to give child over the counter anti histamine twice a day like benadryl, give small and frequent meal to child. Give child mashed banana. If condition doesn't get well then consult gastroenterologist for proper examination . Doctor may prescribe omeprazole ,ornidazole or albendazole along with laxative . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
What causes burning pain in the legs?
I wasn t getting out of the car today and when I put my foot down my foot and ankle mainly too portion had a burst of pain and it was a burning pain it s not swollen but still hurts and I am starting to feel it shoot up to my knee.. have a sprained it? | Dear patient ankle sprain is the first possible cause of your pain. Was any twisting of ankle at the time of landing of foot? if yes ankle sprain is possibility. Treatment is rest to ankle by wearing ankle binder and avoiding weight on involved ankle. Start tab zerodol sp twice a day for 5 days. keep ankle elevated at bedtime on two pillows. | |
What causes unstability while walking and body jerks while sleeping?
i feel unstability on my head and body during walking and sometimes during sitting on chair and working on laptop and sometimes during movement of head is xet cr 12.5 is ok for me i feel jerk in ,my body while sleeping | Hello!Welcome on HCM!I carefully read your question and would like to exaplain that your symptoms could be related to an inner ear disorer. Xet cr 12.5 can be helpful in such cases. But, if you do not feel relieved after a month on this medication, I would recommend consulting with an ENT specialist for a physical exam and labyrinthine tests, to exclude an inner ear disorder. Dimenhydrinate can also help in such cases. Hope to have been helpful!Wishing all the best, Dr. Aida | |
What causes dark stinky stool?
My daughter, now over 3 1/2 years old, has always had light yellow brown stool that is very stinky and on the loose side. It smells a bit like bleach at times. She has tested negative for dairy, corn and wheat allergies. She likes to put everything in her mouth and licks and chews things all the time. She is impulsive and hyperactive often. She eats probiotic yogurt, still nurses at night, and was delivered via cessarian section. I know that fecal implants have been helping people restore their intestinal flora and regain health these days. Intestinal health being do tied to mental health, I am wondering if this could be an imbalance in her gut. What could we test for? | HI...if she is growing well and achieving all her developmental milestones normally you need not worry. If her birth weight and her current weight are normal, you need not worry. So you need not test for anything.Regards - Dr. Sumanth | |
What causes chest pain and nausea after stopping sensipar for hemodialysis?
I am an 11 year hemodialysis patient treated with Sensipar and Hectorol, My doctor took me off of long term, 7 years, 90 mg. Sensipar, b/c my iPTH was 142. This is the second time he has done this for low PTH and I am really feeling horrid with chest and join pain, inability to breath and sore mouth and gums, nausea, constipation, and much brain fog. My lungs also feel like they are on fire, and I m virtually sleeping 18 hours a day. I can barely stay awake, even to the point of I feel like I m passing out. All these symptoms came about after the discontinuance of Sensipar. Are all these symptoms related to Sensipar discontinuance? I get my lab work tomorrow, but highly suspect extremely elevated phosphorous and calcium. I have with few exceptions maintained these at normal levels. Did abrupt cessation of the Sensipar cause this? Should I just lower the dose? I have no doctor or dietician available for a week. | Hello and welcome to HCM.As an Urologist, i can understand your concern.You should know that,both Sensipar and Hectorol,are being given, to control the hyperparathyroidism,usually seen in people on dialysis.You should be considering a kidney transplant,which is the best option. Check Hb,creatinine,sodium,potassium,calcium phosphorus and uric acid.Your symptoms are likely, due to high creatinine, with elevated calcium.Ensure your salt,protein and fluids are strictly as advised. Don't change any medication on your own. You can contact me, with a direct question.Dr.Matthew J. Mangat. | |
Tell me the progression from a simple throat infection to renal desease
she was diagnosed w/ group A beta hemolytic streptococcal infection that led to the development of acute glomerulo nephritis How did this progress from throat infection to renal desease I have an 11 year old girl who is in end-stage renal disease . I am very confused and frightened. My husband asks the staff how this could have happened his little girl. The events leading to this situation began, and desires to learn more about how his daughter has diminished to the point of needing a kidney transplant. We we ask them how this all began, we were informed our daughter had a group A beta hemolytic streptococcal infection that led to the development of acute glomerulo-nephritis. We just would like for someone to explain/describe to us the progression from a simple throat infection to renal desease? PLease help us | IT IS BECAUSEW OF THE AUTOIMMNUNE PROCEESS. BETA STREPTOCOCCI CAUSES ANTIBODIES AND THE BACTERIA CAN DAMAGE THE KIDNEY MEMBRANE CALLED BASEMENT MEMBRANE AND THEN ONGOING DAMGE BC OF THE SELF DEFENSE MECHANISM TURNED ON BY THE BACTERIA ,MORE YOU CAN READ AT THE ET BY ANTI GBM DISEASE WISH HER HEALTH TC | |
Stomach ache, nausea, vomiting and swelling in the abdomen. Liver function test showing high ALT levels. Why?
I had liver function tested as part of my yearly physical, my ALT ( SGPT )was 24. For no reason in one day I had extreme stomach ache, nausea , vomiting and swelling of my abdomen. Three weeks later I had blood tested again and my ALT was 36 out of range 0-32. All the other liver function tests are normal except ALT. Could something happened to my liver during this episode? | It was an episode of hepatitis. Not much is wrong with your liver at present. Liver heals very fast | |
What causes elevated PSA level post radiation treatment?
My father-in-law had prostate cancer 20 years ago and had radiation pellets which made him outlive everyone else in his study. We just learned his PSA is now at an 8 and we re heading to him, but can you tell me what exactly that high a number means? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Definitely first you should consult the doctor. If that result does not show progressive disease then, maybe the increased level is due to radiation. Hope I have answered your query. Let me know if I can assist you further. | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Is it normal to experience weakness after taking Rozavel for cholesterol?
Thanks Doctor. I am 71 yrs.old. I was prescribed Rozavel F. My cholesterol is 254 mg. After taking this tablet for 10 days I felt weakness in the body. Should I continue this tablet. I think it may be due to some side effects. Please advise me. | Hi,Suggestive of Rozavel-F induced side effects. Rozavel-F is a combination of rosuvastatin and fenofibrate commonly prescribed the treatment of combined hyperlipidemia (high blood cholesterol and triglycerides).Based on the history you seem to have developed symptoms suggestive of myopathy apparently caused by Rozavel-F. I advise you to stop taking this medication and ask your doctor for an alternate effective but a safer medication.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Suggest remedy for swelling in the face during mouth ulcer
My mother is 65 years old for last 3 months she was suffering from saviour mouth ulcer in her mouth. Now she is ok,But now only little white spot are left. The doctor suggested for below mention medicine:- ENDOXAN (50mg). WYSOLONE(10mg) ATARAX(10mg) DOMSTALMPS KENACORT ORAL PAST. But after one month of treatment, she is now suffering from swelling face. Is this is the side effect of the medicine taken by her. Secondly she is having high B.P the mendice taken by her is:- OLMESAR M-50 ROSUVAS-10 TIDE-10mg Lastly she is also suffering from thyroid, Medice taken by her is:- THYROX(50) Her haemoglobin is 10.3 gm/dl. And her WBS COUNT is 5600/cmm. PERIPHERAL SMEAR EXAMINATION Erythrocytes :- Mild microcytes, Mild hypocromia. E.S.R :- 25 mm/hr. Is the face is swelling due to the side effect of the above medicines. The existing doctor had suggest to continue the medicine at lest for six mouth. Please suggest which medicine is effecting her and Please suggest me the specialist doctor for mouth ulcer in pune. Regards, Gurpreet Singh ( YYYY@YYYY ) | Hi Gurpreet Singh, Please note face swelling is unrelated to mouth ulcer. Your mother is put on steroid therapy by the doctor. Changes in steroid hormones levels in the body leads to swelling of face. If you can send me your mother's clinical picture along with lab reports, I shall advise you exactly. Regarding mouth ulcer, there is no specialist to treat it. Consume multivitamin tablets 2, in the morning and in the evening. One week of multi Vitamin tablets shall do wonders. Do let me know for any additional information anytime. Best regards. Dr. T Shobha Deepak MBBS, MD | |
What could cause high BP?
56 Yrs,163 CM / 5' 3 " , 70 Kgs. Everything normal except By 130 / 90 now.During check up it was 150 /100 and doctor advised me to have Nebistar daily one for 30 days.If i take it , should I have continue life long or i can discontinue after a dose. | Hello and thank you for using HCM.I carefully read your question and I understand your concern. I will try to explain something and give you my opinion.We talk about hypertension if we have mean values that exceeds 140/90 mmHg.The hypertension is divided in two groups : the essential hypertension without an identifiable cause, usually in older ages and secondary hypertension meaning that is a secondary cause of it. This is diagnosed in young ages and the cause might be renal, endocrine ect.As you are 56 years old i think we are dealing with essential hypertension. This is a chronic disease, it has not a definite cure but it should be treated all life long. This means that you don't have to take the medicine just for one month, because if you stop it, the blood pressure will rise up again.The fact that the doctors prescribe it just for one month is that you have to monitor your values during this time and maybe after one month you can discus with the doctor about the dosage. If you have to continue with the same dosage, arise it or add another medicament or not, but not discontinue it.Along with your medical treatment, i advise you to have physical activity, walking 40 minutes a day and reduce your salt intake because it rises blood pressure.Hope I was helpful. Wish you good health.Best regards. | |
Is adderall medicine for a child with down s syndrome appropriate?
Just wondering your thoughts on prescribing adderall for a child with Down s syndrome. No hyperactivity present but she is severely impulsive with safety concerns such as bolting. She is almost 7 years old. Developmental pediatrician recommends trial of adderall. | DearWelcome to HCMWe understand your concernsI went through your details. Down syndrome is a set of physical and mental traits caused by a gene problem that happens before birth. Adderall is usually prescribed for ADHD related attention deficit problems. Your doctor could be suspecting the attention deficit part in your child. There is nothing wrong in doing so. But needs to be cautious. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care. | |
When should i take a pregnancy test?
i was on dupaston for 15 days since my ovulation till 27th oct. my periods were due on 26th oct. wen shud i take the pregnancy test?i m also having periods-like symptoms like pain in abdomen and vagina. i am desperate to get the pregnancy test done but fear disappointment.thnks | Hi,You are on Dupaston from ovulation to till 27th date. It contain progesterone and help in implantation and pregnancy. You have to go for urine pregnancy test when your period will delay by more than 7 days from expected period date. Pregnancy test will give false negative result in first 7 days of missed period. I would suggest to wait for period. If period will delay by more than 7 days then go for urine pregnancy test to confirm pregnancy.At this time, you can go for blood HCG test. It is more accurate and detect pregnancy even during first 7 days of delayed period. Meanwhile avoid stress, take healthy diet, drink plenty of water and maintain proper pelvic hygiene.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Suggest treatment for shivering and shaking after treated strep
Hi i'm 11. Last night I woke up FREEZING- shivering, too.2 weeks ago I had strep, it only sort of went away. So, I forced myself to go back to sleep. I woke up one hours later, shivering and shaking even more. I went to my mom. She hanged out with me for a while, but then THE feeling came. I REALLY did not want to puke. But I ran to the bathroom. I had a couple dry heaves, but then red liquid came out. I had been sucking on cherry throat losengers, but I was suprised to see so much. It didn't really taste like anything, thank God, but I was still cold and shaking, and my fever hadn't gone down. | Hello,Please tell your parents to take you to a doctor today. You should not be shivering and shaking like thisRegards | |
How to reduce the facial seizures in eyes that occur due to asphyxia at birth ?
My son has epilespy this was caused by asphyxia at birth I am told that he had an injury on the brain at birth. so he has facial seizures his eyes go on the left side for some seconds to 1 minute he is 9 years and this occurs about 3 times in a day about 6 times in a month what can i do to reduce or stop this | HIThank for asking to the HCMI really appreciate your concern, this may not be epilepsy but this could be nerve damaged, and this condition get alright with the time as the baby grow older, if this does not reverts then MRI or CT would be suggested, but chances of correction is fairly enough, hope this information helps you, have nice day. | |
What are the early signs of pregnancy?
I currently had intecourse about a week ago & there s a possibility that i could be pregnant. My cycle usually comes on around the 10th of each month. This morning there was a brown discharge & im sort of cramping. Does this mean im not pregnant and my cycle is coming on ? | Hello dear,I understand your concern.In my opinion the symptoms of pregnancy like nausea,vomitings,increased urination,sore breasts start 2 weeks after missed period.The first sign is missed period.Any brown discharge or spotting before the expected period date might be due to period.Anyway if the period is missed consider testing by a urine pregnancy test after a week of missed period for accurate results.However it is too early to feel any pregnancy symptoms and mostly it might be period.Best regards.... | |
Suggest treatment for enlarged pituitary gland
I have co start headaches and they keep getting worse and worse I was told I have an enlargement of the putuitary gland and I have been having these head aches for 3-4 yrs and just getting worse I do black out and feel like my vision is getting worse I have SLE and still lactating I have a 5 yr old daughter which I stop breast feeding since she was 2 1/2 so I have been lactating ever since and I have had 2 miscarage a I need help should ? Could I get my putuitary gland remove ? Would my head aches go away? Will I be able to carry a child again? | Hello. I have been through your question and understand your concern.It seems you have the signs of a Prolactin secreting pituitary gland adenoma.I recommend the following1. Serological test for hormones, especially prolactin2. visual field examination3. MRI for the sellar region4. Endocrinological consult5. Neurosurgical consultOnce you follow these steps, you will have all your questions answered.Hope this helps, please feel free using healthcaremagic for further questions. | |
Could the constipation and pain in the abdomen be due to kidney stones?
Hi. I have been experiencing some pretty severe intestinal (for lack of my knowledge on what exactly to call it) distress since October. I have only had ONE normal (for me) bowel movement since mid October. It feels like I have an obstruction. My clinic has me on Miralax and I am awaiting a call with an appointment date/time for a G.I. doctor referral. I had an abdominal xray almost 3 weeks ago. The tech who called with my results last week could only say there were signs of calcification, possible kidney stones. Now finally, my question: would kidney stones be causing so many pooping problems and so much CONSTANT pain in my middle left to lower left abdomen, especially right after eating? | Kidney stones generally will not cause any pain in relation to food. If you have pain right after eating you need to consider any alternative diagnoses also. consult a nearby surgeon for further evaluation. | |
Should navel piercing be removed if skin peels and yellow crust forms?
I had my navel pierced a year ago and recently it has started to hurt and the skin is red and peeling at the top of the bottom ball. I've also noticed when cleaning that there is a light yellow crust around the bottom ball. Should i take it out and let it heal? | Hi,Nothing to worry,At present you need not remove navel ring.Clean the part properly including inside the navel and apply antibiotic cream for few days.If problem persisted then remove navel ring.Ok and take care. | |
Suggest remedy for gout
i am a 47 year old women with high blood pressure, diabetes, copd, overweight, 350 lbs. and 5 foot 3 i have been diagnosed with gout and i have some nuropathy in my hands and feet but the worst is the swollen and inflammed and itching joints very painful can not hardly tolerate it have actually stractched my joints on my fingers till i leave small hole like sores on them. | Hello,The symptoms seem to be related to gout. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. Cold compresses can also be helpful. To treat the gout I recommend specific treatment such as Allopurinol which is a prescription treatment.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
Is painful sore inside top lip above the gum with dark dot in the center canker sore?
I think I have a canker sore I get them with some frequency but this one is in an unusual spot for me on the top inside of my lip right above the gum near my iteeth and it is very painful and has a dark dot in the center this time is it a canker sore? | thanks for your query, the soreness could be because of aphthous ulcer secondary to stress or immunodeficiency or nutritional deficiencey..black spot could be foreig body or blood clot consult a oral physician for further..you can use topical anesthetics and analgesics.. i hope my answer will help you..take care.. | |
What causes repeated birth defects in fetus during pregnancy?
Hi My name is Manju living in Auckland, NZ. Its regarding my pregnancy. I conceived 3 times and ended up with 3 different types of anomalies. First one was Anencephaly, second one was single ventricle and in third heart beat stopped in 10th week.. I have undergone all related test including Karyotyping, HSG, Blood Tests, Laparoscopy, Hormone tests etc for finding out the reason. Everything resulted in Normal/positive. Now I am planning for a baby. Consulted with a GP here. He made me to do all blood tests and results are very normal. He referred me to Geneticist. Waiting for her appointment. What would you suggest me in this context? Help me if possible. | Hi, I think first of all do a semen analysis of your partner. Sometimes defective sperms are the reason for abnormalities. Also I think it would be a better option for you to undergo an IVF and then go for preimplantation genetic diagnosis for the embryos. The embryos which are healthy will be transferred to your uterus.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya | |
What causes sore on vaginal opening in a child?
My 10 year old had a bump on the outer part of her vagina, close to pubic bone. Had a fever for 3 days, went to ER and they prescribed her with medicine for an abscess. Now she broke out in a rash and complained of burning while urinating. Noticed now she has a sore on the lower part of vagina which is why she is burning. What could these sores be from? | Hi, Skin conditions are best diagnosed only after seeing directly. I suggest you upload photographs of the same on this website so that I can guide you scientifically. Please revert back to me with images so that I can guide you better. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology | |
I am asthmatic,If I have second child, will that also be asthmatic ?
Hi I am 31 years old now, I have a son who is 4 years and he is diagnosed to be asthmatic. I am asthmatic since 20 years. If I have second child, will that also be asthmatic ? | Dear Patient, I totally understand your concern. As far as Asthma is concerned, its mode of inheritance is polygenetic, that means, more than one gene is responsible for inheritance of asthma from parents to children. This certainly puts the child in a higher risk group for asthma. But this DOESNOT mean the child will be asthmatic for sure. The genes for asthma are mostly triggered by environmental factors , ( like smoke, dust, pollens, cold air, strenous exercise etc ) and protection of children from such factors will delay the onset and reduce severity of the diseases to a considerable extent. I hope this answer addresses your concern, take care of yourself and your son. Good day! | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Suggest treatment for severe hair loss
My age is 21and Am facing severe hair loss which is shocking by all for my age.I follow proper diet and no dandruff. I had earlier consulted with v care and other dermatologists still am having the same problem .They prescribed finasteride and minoxidil which I continued for the term they said .I never felt any improvement and my hair loss leads to depression and feeling low to face society. Please help me with proper guidance. Drugs used : finasteride,minoxidil, keraxyl serum,ervamatin Problem:hair thinning and missing in central part alone. | I welcome your here at HCM!I feel sorry that the treatment didn't work for you. I want to clarify that you need the treatment for years long. There is no defined period of time that you will take the medicine for and then stop and all is ok. You are suffering from Androgenetic alopecia and it needs proper and long term care. Minoxidil for example when used continuously, starts kicking in and showing results after a lag period of 6 months or so. And its effects revert once you stop the medication.In male hairfall has a strong genetic association. Females have their own different reasons of the issue. Dandruff is the most serious a reason of this problem and is common in both genders.You don't have dandruff issues, that is relaxing and makes the diagnosis of male pattern baldness more clear.Take a bath daily but use shampoo twice to thrice a week only.Remember!Don't use hot water for it. Normal water helps improve this condition by reducing dryness and dandruff.Keep your hair properly trimmed. It will help make the hair look even all around cosmetically and also it will help hairfall to decrease to a significant level.When young patients come to me I usually prescribe them to take Capsule Perfectil for hair nails and skin. It will catch up the deficiencies and your hair nails and skin will glow and grow optimally.Take plenty of fluids and fruits. Green leafy vegetables and salads are good for you. Exercises on regular basis will help you a lot.Minoxidil 5% spray is also beneficial when you will continue using it in the long run. But if it causes dandruff or allergy stop using Minoxidil. You used it already so I think you are not allergic to it.Males get benefit and a noticeable improvement by taking tablet Genesis (finasteride). Same as for Minoxidil, it is also to be taken for long time. What actually is the mechanism of action of finasteride; it stops the male hormone Testosterone conversion to its dangerous and hair enemy metabolite called DHT. This process is stopped at the cellular levels in the peripheral tissues.It's a time taking process to kick in properly and shows results after a lag period of 5-6 months or so. Male baldness is mostly due to peripheral Testosterone (named DHT) effects that destroy specific hair follicles on top (crown) and front of the scalp.This management will help you a lot. Have a nice time ahead. Don't forget to give your best positive feedback. If you need further assistance, feel free to contact me back anytime.Regards! D | |
Can I use polysporin and hydrocortisone for rashes and bumps on face?
I have had a "rash" on my face that starts out like a red cluster of pimples that ooze a clear substance and eventually crust over and flake off. By time it "heals" enough to flake off it starts back up again. I have the spots on the ridge of my nose, by my mouth, and at the left side of the bridge of my nose. There is a "ridge" or "bump" where it affects my nose ridge between my eyebrows towards my left eye under the skin that feels bony. This has been going on for months and months and hydrocortisone cremes do not work, nor do antifungals or polysporin. I often get headaches on my left side that radiate from that spot. I have had numbeness and dull ache down my arms and in my shoulder blades. I have a lump on the base of my neck as well. I have severe endometriosis and undiagnosed fibromyalgia. Any ideas as to what this could be? | Hi,Petechia like rash on trunk is not likely related to herpes progenitalis or its treatment, acyclovir.It may be something else. It may be relwted to blood diseases or other systemic diseases.So, consult the dermatologist for the perfect diagnosis and proper treatment. Also fonsult the physician to know any abnormal systemic condition. After thorough examination and investigations,your doctor might come to some conclusion.And accordingly you may be treated.Hope this helps.Dr.Ilyas Patel, Dermatologist | |
How to treat severe pain in arm and shoulder?
Hi, I have serve pain in my wing area of left arm and my left shoulder. I can't feel any pain if I touch my muscle. I have ulcer in my stomach and having nexium 30 mg for two months.spmetimes the pain is intolerable. I had ECG last week but it was normal too. I'm worried a bit. Any help please? | Dear patient. Pain in that area could be due to a number of reasons.1) Pleuritic pain: If the pain is sharp and increases on expiration it could be this. I suggest a chest x-ray2) Pancreatic: If the pain is radiating to the back and severe but decreases on crouching forward it could be this. A pancreatic profile is suggested3)Gallbladder: If along with the pain you have gas flatulance or right shoulder tip pain it could be this. An ultrasound is suggested4) Spinal: If pain is also felt in the arm along numbers or tingling or loss of sensation in the arm or even bowel or bladder loss of control it could be this. an MRI is suggested5) Others: If it is none of the above it could be the worsening of your ulcer leading to rupture and abdominal gas collection. Make sure there is no blood in your stool and either way get a chest x-ray done immediatelyAlso discuss the possibility of adding amikacin and ciprofloxacin to your current medication | |
Suggest remedy for pain due to kidney stones
hi , i am naushad... i had ultra sound test today because of suspecting stones in kidney but there is no stones kidney , lever , bladder. then again doctor said cum after 2 weeks for kidney observation because i have urine store in left side . they want to check my ureter. i am having pain in left side back . few months ago i had a kidney scan and urine test everything normal. pls advise me why | Hi,You might be having a stone in left ureter (the tube connecting kidney to bladder). This might have been the cause for your left sided back pain. Usually a stone in ureter is a little difficult to visualize in ultrasound, especially if it is in the middle part of ureter (since intestines block the view). However, there may be some swelling in the kidney (hydronephrosis), if there is a stone blocking the ureter. This can be picked up easily in ultrasound.The other tests for stone are urine analysis (to look for blood in urine), X-ray KUB (Kidney, Ureter and Bladder region) and if in doubt, a CT scan.Ureteric stones less than 10 mm size are treated with medical expulsive therapy, which include some drugs to dilate ureter and reduce local swelling so that stone can be passed.I would advise you to first confirm whether your pain is due to stone (based on the tests suggested) and then start appropriate treatment (medical expulsive therapy) under a Urologist. Pain relief can be achieved by routine pain killers, although it needs to be prescribed by a physician or Urologist.In the meanwhile, drink lot of fluids (3 to 4 liters per day) and take citrus fruits like lemon and orange.I am available to guide your further based on the above reports.Wish you a speedy recovery,Dr. Raguram G MS, MRCS, MCh (Urology), Fellow in Endourology |
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