patient_message
stringlengths
22
2.5k
doctor_response
stringlengths
41
2.5k
dialogue_context
stringclasses
1 value
Need treatment for pain when the penis are erect & blood noticed in urine I am 28 yrs Male, I have undergone till date 2 scrotal exploration surgeries due to some tumar inside the scrotal sac and after one month urine pus with blood from stiches started like sinus which did not healed with multiple medications and later urine started leaking from stiches simultaneously while passing urine, after that I have undergone BMG Urethroplasty surgery, now I am on self catherization due to narrowed urethra and low/weak urine stream every 2 to 3 days, Now the problem it that acompaning with blood in the starting of urine and pain in the start of the penis from body while penis is erect/erection....and have undergone three times cystoscopy after urethroplasty surgery, could you please advise why am getting pain while my penis is erect especially during sleep and blood while starting urinating.. Please advise...
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Sorry to hear about your health condition you may be suffering from urinary Infection/ prostatitis or cystitis . Until examination is done it is difficult to say what it is. you may need urine microscopy and culture sensitivity. You can try urine alkalizing agent like syrp.Citralka 2tsp thrice a day for five days.tablet Noftas twice a day for five days. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further.
What causes hard lump under the skin of pelvic area? I have a hard lump under the skin on my pelvic area on the right-hand side. It is swollen and it hurts when I push on it. I have not had any foreign objects near or inside that area.... I didn t notice The pain until I actually touched on it. It reminds me of maybe an abscess but again I m not sure how it could informed there. Next to it is a sort of cyst feeling thing, both move around when I press on them. I use a clean sharp needle and poked into the large one so that any fluid could drain if it needed to be drained. It has now been hours since then and nothing has changed in the area. Should I be concerned and is there anything that I can do you?
Hi, the lump you mention could be an abscess or a hernia or a Lipoma. It is very difficult to tell what it is without knowing your age and sex and without examining you. However, I suggest you see a Surgeon who can examine you and advice you accordingly. Most likely, you might require an Ultrasound to be sure what the swelling is. But, don't worry it would be treatable and can be better managed with the earliest examination and investigation.So, please see your Surgeon and follow his advice.Take care,Dr Rishi, New Delhi, India.
What causes muscle, neck and joint pains and should i check thyroid level? Hello sir! im not sure that i have thyroid problem or not! i'm 29 years of age. im having muscel , neck and joint pains. i'm trying to get pregnant. can i go for it without knowing that i have thyroid problem or not? how long it takes to cure thyroid problem? Thank u !
Hello,It is better to rule out Hypothyroidism, so get Thyroid profile done and review with a Physician or Gynae/Obstetrics. For muscle pain, you can take a Good Analgesics after Consulting a General Physician.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Rehana Fatima
Suggest diet for gestational diabetes I am currently 33 weeks pregnant and have been diagnosed with gestational diabetes, while my post meal levels are fin (generally below 7.0) I am finding that my fasting level in the morning is generally about 5.4 to 6.4 which is too high, are you able to advise what snack to have before bed?
HI, Thank you for the query. You should eat ,well before you go to bed.( 2-3 hours before) Try to have snack with low glycaemic index (pasta made of wheat flour/ beans, lentils/ sweet corns/ green vegetables, salads/ Porridge/ FRuits-oranage, apple,pear, pitches). Have walk for half an hour after food. & have a glass of strained milk ( fat free ) half hour before you go to bed. Thanks.
Suggest treatment for pain in thumb joint age:44,height:5 11 ,weight:90.he is been having gout problem since 3 years,in case of pain he used to take zyloric or recently prescribed febutaz,he also has cholestrol.since last 2 weeks he got pain around the ankel for a week then same leg near the thum joint,by the time this pain subside,the next leg thum joint started paining and swell.we dont know whom to consult ,so please kindly guide us.
Hello, Gout is one of the major reason of such joint pain. If even after having febuxostat you are having such problem then I shall advise you to consult to your doctor specially a rheumatologist. You should also have routine blood examination to assess your serum uric acid levels. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon
Q. Which ayurvedic medicine can be used to treat frequent urination? Hello doctor, I am having frequent urination problem (urine every 30 to 40 minutes and not satisfied post-void) since a month. My Kidney function tests, blood sugar level, prostrate size everything is normal. My pelvic ultrasound showed mild urine post-void retention of 25 ml and muscosal prominence was noted measuring 3 to 4 mm in thickness. Kindly advice me an ayurvedic medicine. I read about Chandraprabha vati and Bangshil. Let me know what is to be recommended. And Gogshuradi Guggulu is a diuretic so I will not prefer that.
Hi. I have read your case history. You have mentioned kidney function test, blood sugar level and prostrate size is normal (attachment removed to protect patient identity), even then you get frequent urination. See, only above mentioned causes are not responsible for frequent urination. Incomplete void due to any reasons like thickness of bladder sphincters or nerve conduction defects, infection, inflammation in urinary tract are also responsible for such conditions. Excess consumption of alcohol, using air-condition are also causes of frequent urination. As you mentioned some Ayurvedic medicines name like Chandraprabha Vati, Bangshil and Gokshuradi guggulu are very potent and effective medicines in urinary system disorders. Gokshuradi guggulu works as diuretic but it also helps to remove the cause of retention of urine. So as per your present case history and investigation reports you should go through following medications. 1. Chandraprabha Vati 1 tablet + Shweta Parpati 500 mg + Kanchanara guggulu 1 tablet thrice a day with honey after meals. 2. Varunadi Kasayam 20 ml twice a day with equal amount of water after meals. 3. Neeri syrup 10 ml twice a day before food. Avoid spicy and fried junk foods. Quit smoking and drinking if you have these habits. Avoid cold drinks, soft drinks, ice-cream, etc. Avoid to use air conditioner. Do these things and provide your valuable feedback after fifteen days.
What causes painful lump on the side of the spine? I have a painful lump on the left side of my spine near the T12 L1. It feels like the size of a dime. It is sensitive to touch, and hurts most when I turn my body to the right, or when I bend over. I also have pain radiating down my left side, and on my left shoulder.
Hi, dearI have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma, schwanoma or dermatofibroma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
Does the red scar need looking? i had an open wound on my hand and i got into the er and they put only one stitch inside , it wasnt big or something like that but it still needed that one it was more than 3 weeks ago and the first night after stitching my fingers were swelling and i couldnt write but after few days it got much better i took out the stitch by myself 9 days after and since than scar is redish pinkish color and my thumb is quite numb and it kinda feels like stretcing when i put my hand in a particular way im just wondering if this is ok :)
Hello,During healing in such area like the palm, there is contraction of soft tissues. This may lead to such a feeling. The numb sensation is although not a normal part but it signifies that there can be either mild compression or injury to a nerve supplying to the thumb.But as all this is improving, there is no need to worry. You may wait for more 8-10 days. Meanwhile do not put excessive stress over your hand, start doing light work. You may do warm water fomentation to increase flexibility of your hand.Hope I have answered your question. Let me know if I can assist you further.Regards,Dr. Mukesh Tiwari, Orthopedic Surgeon
Q. Every time I eat spicy food, I poop blood. Why? Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
Suggest medication for hair loss I have been losing hair on and off for 5 years. The condition was more severe 5 years ago where I lost about 60% of my hair. It did grow back back not as full and thick as before and ever since, I've been finding I lose twice as much hair than expected when I wash my hair. Prior to this - I would say about 6 years ago I lost my father to cancer. I wash my hair every other day. I am 40 years of age. Do you have any idea what my condition could be?
My DearWelcome to Healthcaremagic!I have noted your concerns and find that your history and details closely match that of Telogen Effluvium, a diffuse condition of scalp hair loss in which multiple factors might be playing an important part and where the symptoms may come and go just as in your case.The condition can follow stressful factors like it started with the tragic loss of your father.my patients recover from TE with following measures.1 Use of comb or brush frequently but without vigorous force being applied2 balanced diet rich in fresh fruits and vegetables3 Biotin tablets4 Stimulants for hair roots like Folica solution or cantharidine oil5 Treating the hairs gently and avoiding use of chemicals on the scalp6 Stress relief by meditation and engaging in hobbiesI am sure that with some of these measures suitable to your temperament, you will be benefited to a good measure.Best wishes!
Suggest treatment for alcohol allergy Hi, I think I may be allergic to some of the ingredients in alcohol. Every time I drink alcohol I sneeze and there have been occasions where I have had an asthma attack when drinking too. Is there anything I can do besides giving up alcohol? Thank you
Hi and thanks for the query,It is good you have identified the substance that causes allergic reactions in your case, which is usually difficult under most circumstances. The best of things shall be to do everything possible, though difficult, to stay off alcohol. Kind regards
What causes swelling of jaw? sometime at night I would wake up and see my left jaw swollen and painful. then in the morning about noon swelling is gone but sometime it is still painful. My dentist thought it's from my grinding my teeth, but I am wearing splint or night guard to present the grinding. I still have the swelling even if I am wearing my night guard. Nobody can tell me what is causing it. the dentist nor my primary doctor can't tell me.I need help to find out once and for all. Thank you.
Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain it seems that if the swelling in jaw can be possibly due to grinding of teeth but some other causes can be a :1. A dental abscess in which there is pus formation below the root tips of a deeply infected tooth leading to pain and swelling as well as pain and swelling can increase on lying down due to increase in blood flow on upper body and face which can increase the hydrostatic pressure..2. Other reason can be some pathology related to the Submandibular Salivary Gland on that side which is one of the major salivary gland..I would advise you to get a full mouth x ray that is an Orthopantomogram [OPG] done.Also MRI of the salivary gland has to be done..Complete blood count [CBC]..All this has to be done under advise of an ORAL PATHOLOGIST and proper treatment can be planned according to the diagnosis..As of now you can take anti inflammatory painkiller like Ibuprofen to relieve pain.Do cool compresses over the swelling..Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora..
Suggest treatment for fever, rashes on limbs and chest pain Hi- 28 y/o female here. Im currently on vacation, about 5 days into it i gota highfever (103°). The fever lasted 4 days with body aghches and night sweats throughout. Now the fever has subsided bit the achines in my joint and nightsweats have not. In addition to tjis ot seems i have developed a rash over my limbs and pain in my chest. I dont know if this is related bit i also have a stye.
Hello. welcome to HCM.I am Dr Jigar.-infectious disease specialist.It appears that you gave got infection due to some bite of insect. Few details would have been very helpful like your current location, travel history, similar complain in your family etc.To confirm this you require thorough examination by expert doctor. Also routine blood and urine tests need to be done. This will guide for further tests and treatment that you require. Till that time you can definitely take paracetamol for fever and pain.I hope this will help you. Wish you rapid recovery.Regards.
Suffer hyopkelemic periodic paralysis. Is surgery life threatening ? I recently had a glucose intolerance test at my neurologist , who claims to know little about hyopkelemic perodic paralysis . After the 3 hour test, I went into a full episode of paralysis lasting 5 hours in his office. I did have a low potassium level the last time they cheched my blood (4), although he says it is not low enought to diagnose me. I am now 53, and have with years of frustration thinking I was not able to walk because I had fibromyalgia for 25 year. My family can trace back episode from when I was a young child. My brother has symptoms and also my son. I simple do not know where to look for help in the Memphis, TN area. I have been working to find answers for 4 years as I get shuffled around so that the Drs may make their 20 patient a day goal. I have had some results with a caring ENT that will not perform sinus surgery on me until I am under a Dr s care. He said surgery for me could be life threading at this point. Any guidance in the mid south or mid west for an appropriate Dr would be appreciated
Hi,Based on details you have hypokalemic periodic paralysis with positive family history .This indicates primary hypokalemic periodic paralysis ( gene defect for channels located at skeltal muscle) rather than secondary causes .Still you need detail evaluation like calcium, magnesium levels in blood,thyroid profile and Arterial blood gases and assessment of kidney function in addition to serum potassium.You require specific tests like CPK and EMG alsoHypokalemc paralysis worsens with high carbohydrate diet and heavy exercises.Yes you can go ahead for surgery after correction of potassium and you may require acetazolamide also. Discuss with treating neurologist regarding aforementioned pal.I hope this will help youRegardsDr Sandhya ManorenjNeurologist Hyderabad , India
How to get rid of depression? I have had folliculitis directly after I was assaulted and now I am suffering from PTSD and Depression my Dr says that it can be caused by stress and anxiety it seems to flare up when I am more so and I cant get rid of it I am seeking I have tried antibiotics , I have no fungus or infection tested 3 times I am getting desperate of a solution to get rid of it please. I AM GETTING STRESSED AS I CANT GET RID OF IT AND ITS GETTING VERY PAINFUL ... HELP THANKS JULIE
HelloThanks for using Health Care Magic for posting your query.I have gone through your question in detail and I can understand what you are going through.You need to keep seeking dermatological help. Meanwhile you may spend some time in creative activities such as drawing to keep you out of this stress. Hope this helps,If you have any further query, I would like to help you on the link:bit.ly/dr-srikanth-reddyWish you good health,Kind regardsDr. Srikanth Reddy
What causes anal cyst with a root that extends out to the colon? My sister - in - law has previously had brain cancer. She beat the cancer and has been cancer free for 10 years.She has since developed an anal cyste with a root that extends out to the colon.My question is what caused this and could it be the cancer may have returnred?
I don't think any primary brain cancer will spread to other parts of the body like this. it is better to get consultation with surgeon to solve this local problem and is not related to brain cancer
What causes vibrating sensation in coccyx area? I have a strange vibrating sensation in my coccyx area, it feels like a vibrating cell phone, it repeats every 10 seconds or so, and has been happening the past 3 days. I do a lot of lifting at work, helping to transfer residents, but i have never had any surgery or trauma to this area. Can you tell me what might be causing this?
due to heavy lifting work there may be sacral disc herniation which causes numbness and abnormal sensation in sacral area. but you have no severe root pain , motor deficit or difficulty on urination. so you can go for conservative treatment with drug like amitryptyline 10 mg after consult your doctor. if symptom not relieved than go for spinal MRI LUMBOSACRAL SPINE
What are the side effects of Renova? hi..i was having hairfall from a long time so went to a dermatologist in bangalore,she recommended me to use renovia.i have been using it for around 2 months now.just wanted to know that should i continue using it or it has any side effects if i use it forever?
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.I think you mean to say Renocia hair serum. Renocia is a solution consisting of hair peptides which are believed to promote hair growth. It usually does not produce any side effects. You can use it continuously without any worry.Hope I have answered your query. Let me know if I can assist you further.
What does a lump behind the right leg indicate? Hello my husband is a big runner But has a gotten a big lump on the backside of his right leg it is good size it’s over 2 inches and I’m wondering if there’s a reason maybe do the running he got it or if it’s something else that he could be happening?
Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* Different possibilities as - lipoma - sebaceous cyst - Baker`s cyst - neurofibroma - others .* Needs an evaluation with MRI for further management guidelines .Hope this will help you for sure .Wishing you fine recovery .Welcome for any further guidance .Regards .Dr. Bhagyesh ( MS , FMAS - consultant surgeon )
How to get pregnant while suffering from irregular periods? hai madami am 25 years old and married 1year ago now we are planning to conceive and to mention that i have irregular periods so what should i do in order to conceive and i consume more of panner in diet and lot of carbohydrates and i am not obese so what should i do pls help me madam
Hello,Do serum TSH and serum prolactin and follicular study after taking Clomiphene from day 2 with gonadotropins after visiting a gynecologist. Till follicle size increase 18 mm then ruptures then IUI for early results.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal
What could cause high Gamma GT despite no alcohol intake, earlier had fatigue, nausea and sore abdomen? I don't drink any alcohol but my Gamma GT cam back high. It came in at 52 and is suppose to be under 31. My Cholesterol is also 6.08, LDL 4.06, HDL is 4.40. Everything I read about Gamma GT has to do with people drinking alcohol but I don't drink any. The reason why my doctor sent me in for testing is I am tired, nauseous and through up multiple times per week over the last few weeks, and my abdomen has always been sore when examined most drs would just say it's IBS or admit they don't know why. I will mention I have no problems with going to the washroom or having any camps.
Hi,Your GGT level is not too high. In fact, your GGT level would be considered within normal range as per usually accepted standards. Even if it is high, alcohol is not the sole reason. Liver damage by any means can cause a raised GGT level. Even smoking causes the GGT level to rise. Many commonly used medicines can also be responsible. You can go through the US National Institutes of Health's web site for patients and their families, produced by the US National Library of Medicine, for more information ( wishes.
Suggest treatment for forgetfulness with throat cancer just wondering what t oexspect next he is loosing the use of his body functions and very week he is forgetting who we are and has gone down hill rapidly in the last week he is 56 and has been fighting throat cancer for 2yrs he weighs maybe 100 and is 5'10
Thanks for your question on HCM. I can understand his condition and problem. His symptoms like forgetfulness, weakness, loosing body functions etc suggest possibility of brain metastasis. Throat cancer is mostly squamous cell carcinoma. And it can spread to brain in some cases. So we need to rule out brain metastasis in his case. Get done MRI brain first to rule out brain metastasis. If MRI is normal then following are the possible causes. 1. Electrolyte disturbance 2. Acute psychosis etc. So first get done MRI brain to rule out brain metastasis and then consult psychiatrist.
What is the treatment for chest pain,tightness and left arm numbness? I have been having daily almost all day chest pain, tightness, inside of left arm numbness since Saturday. I went to the er and they said ekg ok as well as blood test checking for heart attack. I have been suffering from low back pain from a work injury back in august dr thinks it is sciatica and I have a referral to a neurosurgeon for it. I m 37 and female. I take citalopram daily for over2 years. Pain medicine, muscle relaxers, inhaler no help.
Hello dear, thanks for your question on HCM. I can understand your situation and problem. Your all symptoms are suggestive of cardiac disease more.So,In my opinion you should consult cardiologist and get done1. 2d echo2. Stress test. Because ecg can be normal even if you are having cardiac disease.So we need to rule out cardiac cause by putting your heart in stress.If both are normal then no need to worry much for cardiac cause. Stress and anxiety can be the cause. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright.
Suggest treatment for anemia My Mother aged 48+ has suffered in anemia, and he take iron capsules but still she did not any recovery. Doctor prescribed for exam of the details and found normal but, the problem is same and hemoglobin is apprx. 9.2 .. and her symptoms are - she feels tension, two legs are soaling, brain tension, and very important thing is blood pressure is 90/60 every time. and please help me .... and another thing is he operation of Gall Bladder stone before 1 year.
Hi, dearI have gone through your question. I can understand your concern. Your mother is suffering from anemia. But its not due to iron deficiency. She should go for peripheral smear examination and anemia profile. Find out the cause first and then 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 should i do as i am having abdominal pain and brown discharge? I have a nexplanon implant and have had it for a little less than a year. I have normal periods but this month I have had brown discharge for almost 2 weeks. It is really bad today and I m supposed to get my period tomorrow but this morning it was brown and bloody looking. I m also having very bad abdominal pain and pain in my shoulders. Is this something to worry about? What should I do?
Hi ! Good morning. I am Dr Shareef answering your query.Yes ! You should get yourself reviewed by your treating gynaecologist soon. If I were your doctor, after a clinical examination, I would send the specimen of the discharge for culture and sensitivity test, routine CBC, a serum HCG test, and an ultrasound abdomen if need be. If comes out to be a pelvic infection, the nexplanon might have to be removed for the time being till the infection is cured. Further management would depend on the reports of the investigation. Till then you can go for some kind of anti inflammatory drug for pain and inflammation.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.
Suggest treatment for dark red bumps on butt cheek I had a group of small red bumps on my left butt cheek about an inch or two to the left of the rectal are and I had a small patch in between my left thumb and finger. They did not itch and did not hurt except after a few days rubbing on my jeans. I noticed the one on my thumb area had a few little spots that looked like some fluid might be in it but it did not drain or anything. I did not feel drainage on the butt area. I put antibiotic ointment on them and the one on my hand is almost gone and the one on the butt cheek is almost gone but I was worried because it looks dark red, almost purple. What could it be?tay
Hi.As per your case history you are having furuncles.My treatment advice is – 1. Don’t squeeze the lesions as it may worsen the condition.2. Apply a mild antibiotic cream like fusiderm cream twice daily on it.3. Take a NSAID like ibuprofen for 5-7 days.4. Other treatment options are oral levofloxacin, cefadroxil and azithromycin given only after consulting a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS, DDVL.
What causes acute confusional state while on Keppra post a lung transplant surgery? My husband is a lung transplant patient 1 1/2 years ago. He was just hospitalized for 10 days with confusion. He was confused for 2 months after his surgery. Whenever he is sick or tired he has confusion , he also fell and hit his head, they then gave him keppra but took it away this January. Tonite I noticed he jerked once in awhile. What could this be
Hello thanks for asking from HCM for your health related doubtsI can understand your concern. Sudden onset confusion, history of fall followed by injury could occur due to seizures, syncope or in severe dizziness. Keppra is Levatiracetam and the drug is an anti-epileptic drug. The drug is commonly used in seizures. There is history of sudden jerking also which also strengthens the diagnosis. Please visit a doctor for re-evaluation. EEG and MRI brain should help to find out the exact cause of seizures. Till then continue to give him Keppra as per his prescription. Thanks, Hope this helps you.Take care
Suggest tests to diagnose the status of the pregnancy I did not conceive till three years after marriage. So my Gynaecologist had given me some tablets ( don't remember the name exactly ). She said that it can produce better and stronger eggs. With those tablets I conceived and came to know that there were two sacs during my first scan. Later one of the sacs got dissolved and there was only one baby and the baby was normal. Now after 4 years I conceived again without any tablets i.e. naturally. I am about 40 days pregnant now. Will the same thing happen again, i.e the problem of two sacs or since this is a normal pregnancy everything will be normal?
Hallow Dear, Your first pregnancy was a result of induction of ovulation by some tablets (mostly clomiphene citrate). With these medicines, multiple eggs release is known. That could have lead to two sacs (Multiple pregnancy). One embryo would not have been healthy and hence got dissolved. This time, it is your natural ovulation, so the chances of multiple egg release are less, still you have to get confirmed. Particularly if there is family history of twins, it can repeat. The best option for you is to get ultrasonography done 10 days after missed period which will show you visual evidence of the status of your pregnancy. I hope this helps you. Dr. Nishikant Shrotri
What causes hives and welts after getting anxious? hello, Doctor I have been breaking out in welts and hive for the last three years. I break out with these welts when I get upset or anxious. I have been to an dermatologist and he recommended an antihistamine (Zyrtec) which I have been taking for the last three years. I'm worried it's something more serious should I be worried.Nicole
Hello Nicole,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. If all the times cause of your hives and welts is getting upset/anxious, it is possible they are stress-related.2. I would agree with your doctor that such hives are self-limiting and antihistamine such as levocetirizine/cetirizine etc help them to improve early.3. If you have symptoms such as frequent diarrhea, palpitations, weight loss, excess sweating, increased appetite, etc also, I would suggest you testing for thyroid disorder (hyperthyroidism), which may be causing repeated periods of anxiousness also. Some hives are related to thyroid abnormalities as well.4. If you have not such physical symptoms, seeking a professional help from psychologist/psychiatrist may also help you.5. Regular relaxation practices ay help you in a long run.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards.
Suggest treatment for pancreatitis Hi, I have already been to my gyno who found my right falopian tube to be blocked and full of fluid. I was suppose to have surgery to have it removed but in the mean time I developed pancreatitis and had a stay in the hospital and my regular doctor put off the surgery to remove the falopian tube until he gets all my blood work back to clear me for surgery. Tonight I lifted something heavy and I am having some intense pain where I think the falopian tube is. My question is......Could I have burst the tube? Should I be concerned or do I take some tylonal and rest. It feels like a ruptured cyst ( I have had those before)
Hi there,Thanks for posting in HCM.The two most common cause for pancreatitis are alcohol intake and gallstones.So if you have have the habit of drinking alcohol, you need to stop it. Get a abdominal scan done to look for gallstones and if present the gallbladder has to be removed.The sudden intense pain after lifting weight may be due cramps and not due to bursting of the fallopian tube.You can take bentyl for relief.Regards.
What causes air bubble under the rib along with increased heart rate? Feels like an air bubble under my rib located a few inches below nipple. When I start to feel this happening my heart rate increases until I manage to burp it out. Been to hospital and heart is fine, I believe it is also. Stomach feels alittle upset. Sometimes I get a fever right before heart rate increases. When i burp it's always coming from the right side of my throat, same side pressure comers from. After burping air builds right back up in same spot.
Hello, It appears to a acidity and gastritis. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated. You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You should get prescribed tab Pan DSR 40 mg or esomiprazole domperidone combination beforebreakfast once a day for 2 weeks.
Trying to conceive. History of miscarriage, failed IUI. No other problems. Explain about duphaston tablet Hi,We are trying for a baby for the past 6 yrs.We have tested in GY myself have regular periods & normal.My hubby side also normal.But 2 yrs back i had a miscarriage.after that we tried iui but failed.can i take duphaston tablet to get pregnant?Is it safe to take while having regular periods?what purpose is for duphaston?when i should take without dr,prescribed?
Dear user, welcome to healthcare magic.The drug you mentioned should be only used under medical supervision. I prescribe to my patients in some conditions such as:- Cases of threatened abortion (bleeding in early pregnancy).- Cases of recurrent pregnancy loss.- After assisted reproduction techniques to support pregnancy.- Cases of preterm labor.I advise you to search for the cause of delay. In order to help you I need more information about you. You age, BMI (body mass index), day two hormonal profile (FSH, LH, TSH, E2 and prolactin), your husband's semen analysis and your hysterosalpingiography. If you suffer any medical disorder or had previous surgeries. As a start I advise you to have sexual intercourse at the time of ovulation (days 11, 13 and 15 of your cycle. First day of menstrual flow is day 1). If three cycles pass without pregnancy I advise my patients to have this work up. Please let me know so that I can help you.I hope these words were helpful to you and I wish you get pregnant soon.Dr. Ahmed Bahaa.
What does a lump in the brain indicate? I have found A LUMP IN MY BRAIN WITH ABNORMAL SYMPTOMS. i AM 56 YEARS OLD ANS AM EXPERIENCING UNUSUAL SYMPTOMS i HAVE NEVER HAD BEFORE. mY QUESTIONS ARE: WHAT KIND OF SYMPTOMS COME WITH SUCH A DIAGNOSIS? cAN YOU GIVE ME SOME GENERAL IDEAS? THANK YOU RICK THURSTON YYYY iDAHO
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * There can be various types of lump in the brain as benign, malignant tumor or else. * I would like to further assist with all details of symptoms and reports of MRI or else as an attachment in follow up conversation. Hope I have answered your query. Let me know if I can assist you further.
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 -->
Bubble in mouth popped with oozing smelly pus. Any thoughts? 3-4 months now iv had a bubble under my skin......when id push it i would feel it in my broken tooth.....but no pain....one day 4days ago i pushed it and i hear...pop n my tooth just pussed and pussed n stinkssss...still pussing....what do i do and my tummy hurts bad now
Hello, thank you for consulting with healthcaremagic. The bubble which you are mentioning which is arising inside your mouth according to your description it looks as it is an abscess means a collection of pus and it looks that it has arised from the infection of the broken tooth in which you feel the pressure. In that case you should visit your dentist get an x-ray done of the tooth and if it actually infected you should go for a root canal treatment as without the treatment the problem will not be solved.
Q. Is it advisable to give Ofloxacin and Flagyl to a newborn for loose motion? Hello doctor, Five months old baby suffered from loose motion and fewer doctors gave Ofloxacin 50 mg and Flagyl 200 mg syrup. They told to give 3 ml three times a day, each syrup for 5 months old. Is this dosage correct?
Hi. The dose specified above is too much and unnecessary for a child so small as 6.8 kg. It is advisable instead to just give the child Enterogermina 1 capsule twice a day for five days along with ORS with the passage of each loose stool. As for the fever, you can give syrup Crocin (125 mg/5 ml) 3.5 ml (six hourly) if temperature is above 100 F. Also, give ORS 70 ml with passage of each loose stool. Watch for dehydration. If worsening, please show to a pediatrician.
Suggest treatment for excessive sweating , chest congestion and sore throat Woke up in the middle of the night ill. I had sweated thru the sheets & pillow case. No fever but chest congestion & sore throat. 3 hours later I was awakened with a very bad headache & 103 degree fever added to my symptoms. I was fine when I went to bed.
Thanks for your question on Health Care Magic. I can understand your concern. Your all symptoms are of sudden origin and at middle of night. So we should first rule out heart diseases like heart failure or angina first. So get done ecg and 2d echo. If both are normal then no need to worry much for heart diseases. Lung infection like pneumonia can also cause sweating, chest congestion etc. So also get done chest x ray to rule out pneumonia. So better to first diagnose yourself and then start appropriate treatment. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
Suggest treatment to improve sperm count Hi, may I answer your health queries right now ? Please type your query here...hi dr am 30yr of age am married four yrs i was tested ad told i ave low semen below 30percent can i realy get a child or what kind of medication can i get .my email YYYY@YYYY
Hi, There are many reason for low sperm count • Varicocele - swelling of veins in testicle / scrotum • Infection - Sexually Transmitted Diseases or Non Sexually Transmitted Diseases causing epididymitis, orchitis • Anti-sperm antibodies • Hormone imbalances • Alcohol & Smoking • Food habits like increased soy food, junk food Share more details regarding the above cause. I hope I have answered your query. If you have further doubts, I would be happy to help you. Regards, Dr. S. R. Raveendran, Sexologist
What are the symptoms of fibromyalgia? I have benign cyst then I was told I have fibromyalgia but now I am feeling the sacs all over my body moving and sometimes popping. I have many around my chest are some are hurting and make it difficult to breath.Causing shortness of breath. You should know I have been suffering from Migraines for the passed 9 months making it impossible to go anywhere except doctors offices, Hospitals, the Rochester and Jacksonville Mayo clinic. I have many different problems vertigo, migraine syncope spells( pass out) about 10 to 15 a day that is if a stay home. I am totally flared up I can not go to Mayo 5 hours away not well enough was in hospital yesterday to not have dermatologist or rheumatologist on staff and will not come. When I was at Mayo in Jacksonville Dermatologist did see sign but nothing was active now there are crazy. I think it could be LUPUS is it a possibility?
Hi, Mainly, fibromyalgia is defined by pain all over without a clear reason. It is generally misused to include obvious causes of pain or pain in one spot that has a clear pattern for a clear cause (sciatica is the most common). But, it has to have pain. Unexplained nervous system causes have lots of definable and treatable causes potentially including Lyme, syphilis, diabetes, heavy metals, multiple sclerosis, irritation of vessels in the nervous system (vasculitis which itself can be caused by a lot of things). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist
Q. Echo shows 60% ejection fraction and Holter shows 190 heart rate. Should I worry? Hello doctor, I am 25 years old. I have palpitations for the past three months. No anemia, TFT is normal, MRI abdomen and chest are normal. Echo shows atherosclerotic aortic valve with ejection fraction 60%. Holter shows minimum HR-120 and maximum HR-190. I have associated fatigue at times, tremor and difficulty in breathing. Chest pain is aching sometimes and pins and needles more often. I have seronegative arthritis. Previously I had dengue, cerebral malaria and typhoid. I am currently taking Betacap TR 40 mg bd for one month then stopped. Clonazepam 0.5 mg bd for two months but no help.
Hello doctor, I have thoroughly gone through your case and can well understand your genuine concerns. First of all, you have a high BMI (body mass index). Try to reduce the weight as you know it is high for this age and height. Ejection fraction of 60% shows you have aortic stenosis due to sclerosed aortic valve. In this regard, we have to keep in mind that this much back pressure on the left ventricle with every heartbeat is making the ventricular walls and interventricular septum more thickened and dilated. Improper output is making your heart beat faster and it also reduces the cardiac output. Stenosed aortic valve. Hindrance to outflow of blood. Cardiac angiography. Beta-adrenergic blocking agents are the mainstay of treatment to reduce heart rate and control palpitation and to reduce cardiac oxygen demand that has increased due to increased heart rate. Maybe we need cardiac ablation and also there may be a need for valvular replacement sometime later in life. Avoid strenuous physical activity. No junk foods, caffeine, tea, coffee, chocolates, and energy drinks.
Q. For how long should I take Kalachikai powder to overcome PCOD problem? Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
Suggest treatment to control blood pressure and rapid heart rate Recently my blood pressure is high and normally isn t. My heart rate has also been going from high to low with a few hours with just sitting here. For example it was 108 BMP then about 2 hours later it was 58 BMP. What should I do? Should I go to the doctor?
DearWelcome to HCMWe understand your concernsI went through your details. I can understand you. You should ask yourself. Am I stressed? Am I overly health conscious? Am I anxious about my health? These questions coupled with your age could have anxiety and obsession. Such an anxiety and obsession could lead to fluctuating heart rate and blood pressure reading. That is normal and there is nothing to worry. You may consult a physician and get your EKG done to ensure you are trouble free.If you still need my assistance in this regard, please use this link. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck.
What causes fever, no appetite with body shaking in 9 year old? Second day with fever (102.5 yesterday, 99.5 today). 9 year old child has no appetite, very lethargic, just wants to lay in bed. Stomach pain, no nausea, no vomiting. Has just started shaking like body tremors and temp is 99.2. Have been giving childrens motrin rotated with acetaminophen...suggestions?
Good evening..!!Your nine year old child most probably has a viral infection or malaria or a urinary tract infection.Continue paracetamol for fever control. ORS solution frequently as accepted, since your child has low appetite and may not accept solids.If the problem is persisting, can get checked with CBP, CUE and Peripheral smear for malarial parasite.Thank you, have a nice day..!!!
Suggest treatment for bicuspid aorta with moderate stenosis Hi, may I answer your health queries right now ? Please type your query here...I had a cardiac cath today. I have a bicuspid aorta, with moderate stenosis- so no replacement valve for a few more years. 14 hours later (middle of the night) my rt. big toe really hurts. Should I do something about this?
Hello,I would like to tell you that stenosis is a gradually increasing disorder for which you need regular cardiac checkups.For pain in your big toe, kindly, check if it is hurt or consult a physician for physical evaluation.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhanu Partap
Have abdominal pain. Pain exists with progressive course. Required treatment? Hello Dr. , i have abdominal pain since one month ago that start as sudden and progressive course was more in rt hypoch. And epigastric area but now its diffuse and mimic as i will go to pertonitis . U/s done and ct with contrast found that there is mild ascitis and rt sude plural effusion , perehepatic L.N 12 mm and perecaval 10 mm , i dont have fever or any symptom just mild change in bowel hapit , i had hx of rt testicular abscess and mass , now my diagnosis was ?? Testicular tumer and operation done for me and rt oreichectomy done and histopath. Report that no malignant cell and there is non speceific chronic inflamatin could be TB but AFB not seen also all my lab result was normal so still i have abdominal pain with progressive course also and no acurrate diagnosis untill now i need your help . Thanks i am Dr. Khaled GP
Hi, Dr. Khaled, thanks at the platform of H. C. M. Form. Since you are a doctor and you will understand many things very easily. Pulmonary and Extra-pulmonary tuberculosis are equally common in masses. Testicular mass was there and you operated for that also. Now pain is in right hypochondrium and epigastrium region. These both areas are different from each from each other but very close to each other and there is pleural effusion on right side You know that in pleural effusion patient feels pain & threshold of pain is different in different persons. Aspiration of fluid from pleura will suggest the cause of disease, whether it contains pus or blood. Send this aspirated fluid to lab for its culture both for bacteria and also for drug sensitivity. Here following points are to be noted. ==== In the beginning it was in testicles for which you operated. ==== Pleaural effusion ==== Pain in liver i. e . might be an involvement of liver as cirrhosis of the liver are prone to tubercular peritonitis. Alcoholic liver disease are at an increased risk of tuberculosis ( sorry, but if you are chronic alcoholic please consider this point also). Involvement of liver is very common in both pulmonary and extra-pulmonary tuberculosis. Usually hepatic tuberculosis is clinically silent.In liver tuberculosis we have keep vigilance over formation of granuloma because these granulomas coalesce to form a large tumour called as tuberculoma. Tuberculomas which has undergone extensive caseating and liquefaction necrosis forms a tubercular abscess,we can call it HEPATIC TUBERCULOSIS. So dr. don't take unnecessary burden and take complete course of tuberculosis . This is my opinion and I hope you will recover very very soon . Good luck. Dr. Het
What causes back muscle spasms with stomach pain? Hi I'm 14 years old im about 103 and I'm about 5'0 Ive been having back problems for over a year now and I've been to doctors and they said it muscle spasms. So ive been going to physical therapy for it. But when I have these muscle spasms my stomach starts to hurt and it get bloating. Can you please help me with some answers?
HelloWelcome here.Bloating can be due to drugs if you are taking them for back pain.If no drugs, then i think you should go for ultrasound abdomen.Also avoid fatty and spicy foods. Drink lots of water. Take tablet pantop-D empty stomach daily for 10days.Hope this helps.Thanks
Have sinusitis, blocked nose, painful throat, green phlegm. Should I take crestor? I am a 63 year old male.I ve been using CRESTOR for many years. Been truly suffering of sinusitus in a bad way. Two courses of antibiotics plus four cortizone tablets for four days, made NO difference. I still have a waterfall at back of throat during the day and a blocked nose at night with green phlegm when I try to blow my nose. I am pretty desperate to know the cause of my allergy . Awaits tests on dairy and gluten products, but what about CRESTOR?
THINK TO BE MILK ALLERGY AFTER TESTS YOU WILL FIND THE LINE TO FOLLOW GO FOR ELIMINATION BUT BEFORE TEST REPORT TAKE METROGYL 200 MG BD TAB FEXOFENADINE 120 MG BD SYP TOSSEX 1 TSF BD APPLY NEOSPORIN H EYE OINTMENT IN NOSE BD PUT SEA WATER 2 DROPS AT NIGHT EACH NOSTERL YOU CAN CNTINUE CRESTOR IF YOU FEEL RELIEF
What do fluctuating BP levels with tremors indicate? im 50 YEAR OLD WHITE MALE. IAM CURRENTLY TAKEING AMOXICILLIN 250MG 3 TIMES A DAY FOR 10 DAYS AND THATS THE ONLY MEDS I TAKE NO ALCOHOL OR DRUGS FOR THE PAST 27 YEARS I DO SMOKE CIGGARETTES. JUST WAS IN HOSPITAL AND HAD A STRESS TEST AND TONS OF BLOOD WORK AND CARDIAC ENZMES EVERY 3 HOURS THYROID TEST CBC CHEM TEST CHEST XRAY CHOLESTROL AND EVERY TEST WAS NORMAL . I HAVE NORMAL BLOOD PRESSURE BETWEEN 110 AND 130 OVER 70 AND 88 FOR LONG PERIODS OF TIME SOMETIMES DAYS THEN ALL OF A SUDDEN IT SPIKES TO BETWEEN 150 AND 170 OVER BETWEEN 90 AND 105 HEART RATE IS USUALLY BETWEE 65 AND 90 MY RIGHT EAR GETS HOT ON THE OUTSIDE AND THROBBING IN BACK ONMY NECK AND SIDE BY CORORID ARTTERY WHATS IS WORNG WITH ME 8 DOCTORS TELL ME IM FINE BUT I GET NERVOUS AND TAKE MY BP SOMETIMES 10 TIMES IN A HOUR WHEN IT GOES UP AND I SHAKE FROM HEAD TO FOOT ANY IDEAS WHY I GET THESE EPISODES
Did you consult a psychiatrist for this issue? As being treated by 8 different doctors and still unsatisfied is something more to think about something psychological, moreover measuring bp too frequently is another indication that you have symptoms of OCD but that needs to be evaluated first before labelling you this way if i were your treating doctor i would have arranged for you an appointment with a psychiatrist
Can ovamid/ clomid be taken to conceive with no side effects? Hi !!! I am a young married... since six months I'm trying to get pregnant I do not know what happens I have a 28-31 day cycle AC still does not work let me know if I can consume ovamid or clomid without prescription? there is no side effects that can harm.
Hi,Thanks for the query.I suggest that you stop worrying regarding pregnancy as you seem to have fairly regular cycles. Also you are married since six months, so there is no need to worry regarding conception. Clomid or ovamid induces formation of ova and ovulation. However it will help only in those women who are unable to conceive due to problems with ovulation. Also when they are taken for a long period, they themselves hamper conception as they cause other changes that do not allow pregnancy to occur. In your case, you have not been investigated for this, meaning we do not know if you actually have ovulation issues. So I would not recommend you to take these drugs without proper investigation. Remember that maximum chances of conception occur in the ovulatory period which is around day 12-18. I recommend that you have sexual contact every alternate day during this part of your cycle for best chances of getting pregnant. Also start taking prenatal vitamins like folic acid for a month as this helps to prevent birth defects in the baby.Hope I was able to help you.Thanks for using HCMHave a good day. Dr Madhuri Bagde
What does a knot on the palm below the thumb indicate? I have a knot on the palm side of my left hand (which i use to write with) that is right below my thumb. I have read the symptoms of carpal tunnel but i didnt see anything about it including knots. Is this something that should be seen by a doctor? My hand throbs in my thumb and wrist.
Hello,You may have a condition called TRIGGER FINGER which is a small nodule below your thumb. It's commonly seen in people with overuse of hand and fingers. It's nothing to worry about. I would suggest you to visit your orthopedic doctor or hand specialist to have it evaluated.Wish you a speedy recovery. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Santosh S. Jeevannavar, Orthopedic Surgeon
How can pain under the rib cage be managed? Last weekend we had a get together and i consumed about 20 beers on monday i developed a pain on my right side under rib cage . its now been a week and it still hurts. I'm 46kinda feels like someone give me a kidney punch and it hurts to lay on side or lift anything. will this go away?
Hello,This is something which may be related to your liver or lungs. To be sure of the ailment and treat it we need XRay chest and an ultrasound abdomen. Only after these two tests we can make a correct proceedings.till then please avoid spicy , fatty food and alcohol/smoking. Please get the tests as the symptoms have already been there for a week now.you may take a pain killer for - e.g., aceclofenac.Good luck.Dr. Manisha Gopal
What causes pain in kidney after an open partial nephrectomy? I recently had an open partial nephrectomy of my right kidney. It has been almost 3 months now and i am still having alot of pain in that area. My urologist said the pain should not be there now and won't believe me. What should i do and how else other than ibuprofin and tylenol can i help the pain?
With an open partial there could have been entrapment of your intercostal nerve causing that pain. Usually it can take up to 6 months for it to go away. Lyrica is a medicine that works well for nerve pain. You may also have a bulge in your side where the incision is. Please rate 5 Stars! I strive to provide you the best answer to your questions.
Is swimming advisable before the surgery in the groin for hernia? My hubby (who is quite medically fit, 5'11", and weighs 11 and a half stone) is due for groin hernia op 3 weeks before going on hols in the Gran Canaria. will he be able to swim IN THE SEA AND IN THE POOL? He actually feel it's not worth going away if he can't, but we do need to be certain he'll be okay to do so. Thanks!
Hi thnak you for querry.in case of inguinal hernia it depends either it is direct or inderect and if indirect complete or incomplete.The only compication occur if he do exercise,strenous work or swimming the hernia may strangulate its most common in indierect and complete hernia.if hernia goes back easily when he lies down than no need to worry for swimming.hope the answer will help you for making decision.
What causes pain in feet & hands ? Hi doctor my sister in law is having very bad pain in her feet and hands especially her left one a year ago she couldn t walk because it hurt so bad her doctor had to amputate her little toe because it was turning black. I don t think she has diabetes she is going to duke university medical dept for some help. Do you know of any reason this might be happening to her thanks Lynn
Hello I have studied your case,These symptoms could be due to vascular occlusion around your foot.Colour Doppler may help in diagnosis.Vascular occlusion may be common in smokers.Another possibility of raynaud's phenomenon leading to blackening.You need to immediately consult your treating doctor and do required investigations.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care.
How does one get rid of persistent headache and dizziness after a vasectomy? 40yrs old white male. Have been having headaches constantly for 4 weeks. My PC thought that it may be due to anxiety so recently started taking fluoxiten. I also just has a vasectomy 4 days ago. I have been feeling dizzy, weak, tightness in my shoulders, and foggy. Scared that it could be something serious.
Hi, Vasectomy doesn't have any such side effects. Do you have any infection near the operation site? Get your BP and sugar tested. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. B. Radhakrishnan. Nair, OBGYN
Suggest medicines for burning sensation on the hip, stomach toes and ankles with spinal stenosis Hello my name is Fran, I have had spinal stenosis and no cartelege in both knees and am in a wheelchair for over a year now. I have stopped taking Hydrocodon for six weeks now and take Gabapentin along with Tramodol. This is the fourth day I have not taken Tizandine at night for spasams. My doctor prescribed Baclofen instead because my insurance no longer covers Tiz. I looked up the side effects and refuse to take it. I get a burning sensation in my left hip, stomach, and ankles to toes. I have also been numb from the waist down since last April, My question is...what can I take aside from these meds to help relieve this burining tingling pain....also my first three fingers on both hands get so numb it is hard for me to sleep and function during the day. What I m looking for is a natural way to relieve some of this pain. I have been exercising since I got out of rehab due to falling getting out of my walk in tub....my knees buckled under me. They have gotten stronger and in just the last three weeks I have been using my walker with a seat instead of my wheelchair to go to my pain mgmt Dr. and places where I don t have to walk a lot. I am still unable to get into my walking tub and can only wash up with a basin and wash cloth or some how get driven to the gym. I don t want to be on pain meds the rest of my life. I m 70yrs. young. What do you recommend?
hi,as you mentioned a detailed history of you I will recommend only an exercise under the guidance of a physical therapist. your rehabilitation should contain a short term and long term plan.the pain you are facing like, tigling, burning, radiating are a cause of spinal nerve getting trapped. until the compression is relieved it is tough to over come the symptoms.use of a therapeutic ultrasound and TENS will do symptomatic relief for time being. performing the short term goals like upper limb strengthening and lower limb strengthening will give an add on to the long term.in the long term program your core needs attention. for which a core stability exercises will do wonders. Addition to this the overall body conditioning will be of great benefit.as I have seen a doctor itself suffering the same . He had the same symptoms or may be worded. Where the medicines he didn't wanted to take we met and took an alternative step for the rehabilitation.He is fine and now moving around. Also I expect the same with you. I Agree that exercise is a slow and painful pathway for the success but it's the only way to help you out and make you back on shoes.I hope you will surely recover and will be back on. Create a fighting attitude in your mind and you can overcome all the pain and aches. a disable life will be able again. all you need is to give your 100%.with the grace of God I Wish you a speedy recovery.regards
What causes head pain after an accident? hi sirs,my father had met with an accident 1 month ago. the head was hurt. we got treatment from deep hosp. ludh. but no improvement at all. he is speakin but mund is upset. memory is half lost. we hv referred to come to ur hosp. plz advise us.thanksmanjit, distt-moga
welcome to hcm, after a head injury treatment will start from first maintaining his airway, breathing and circulation. the head ache after injury is duue to the increase in csf pressure so the next step will focus on maintaining the cerebrospinal fluid (csf) pressure. so we use mannitol, and hypertonic saline is used. these reduce the csf pressure. while doing these things your father might have been investigated with ct brain which will tell you whether he has intracranial hemorrhages. in your follow up please tell us and upload his ct results which will be of more use in treatment plan.
What causes vomiting if suffering from typhoid? Good morning Doctors, my daughter daignosed Typhoid, conducted widal test, salm. typhi "H" is 1:160 dil, doctor admitted her, and gave the following medicines:-IV fluid DNS 100 ccInj. Monocef 1 gminj combither 120 g ivasinj. pcninalinj. pantop 40 ovodwhile giving above, she is vomitting, what could be reason. Kindly advise
Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.The prescribed drugs are right and you should continue with the The vomiting occurs because of the acidity occurring because of the strong antibiotics given intravenously. To combat you need to have strong antiacidity drugs along with antiemetics. I advice you to take rabeprazole and domperidone combination. You should take the above medication under your doctors guidance.Please take small and frequent diet instead of taking a one bulky diet. In typhoid patients intestinal ulcer can occur because of the typhoid which can perforate. This perforation can be prevented by the diet I have mentioned you previously.Please eat high protein and high carbohydrate diet. Please avoid spicy and high fat diet.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
Asthmatic, heart rates goes up rapidly and takes long to settle down. What is the cause Why does my heart rate go up so fast and take so long to go down? I have asthma and a veryyy healthy heart, but even when I go up a few stairs my heart rate skyrockets and makes it hard to catch my breath. I just ended my cross country season and I only had to have medical assistance twice. By the way I m only a freshman in high school and I m not over or under weight.
AS YOUR HISTORY IS NOT PROPER I DONT KNOW IF YOU ARE GETTING TREATMENTS IF YOU TAKE WROMNG TREATMENT OR DONOT TAKE TREATMENT OF ALLERGIES THE SYMPTOMPS ARE SAME AS DESCRIBED BY YOU THESE ALL HAPPENS IN ALLERGIES EVEN IF HEART IS HEALTHY YOU GET BACK TO ALLERGEOLOGIST TO GET RIGHT TREATMENT OF ALLERGIES THEN THESE SYMPTOMPS WILL BE CURED AUTOMATICALLY
Are swollen gums, a side effect of cold infection? I've had a head cold for over a week. The past 4 days or so my upper, left gums have been swollen and itchy and there has been tooth/teeth pain. No bleeding when brushing. Yes to facial pain by the cheek bone. Please say the gums/teeth are a side effect of this cold!
Hi Dear,Welcome to HCM.Understanding your concern. As per your query you had cold infectiona nd after that you had gum infection which is due to infection that travel from sinuses to the surrounding area of root of the tooth or directly to gums. I would suggest you to consult dentist for proper oral prophylaxis like scaling and curettage along with antibiotics. You should do warm saline rinses several times a day. Do betadine rinses twice a day. Doctor may perform root canal if the pulp of the tooth get infected. Avoid hot and spicy food. You should take ibuprofen and acetaminophen for pain and swelling.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
What are the chances of pregnancy after intercourse using withdrawal method? my boyfriend and i had sex using withdrawal method. i'm not on birth control and we didn't use a condom. after finishing he wiped off the sperm with a towel, i used that same towel to wipe my vagina. after wiping off he went back inside me and we had sex yet again. it was on my day of ovulation. what are my chances of pregnancy?
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. According to your query, there is some possibility of pregnancy because of below reasons:. -As there is chance of presence of spermatozoa even after wiping. -As you didn't use any contraceptive method. -As you were in ovulatory period. So, if you miss your expected date of periods, then better to go for urine pregnancy test once. Hope I have answered your query. Let me know if I can assist you further.
Suggest remedy for accidental consumption of kerosene MY FRIEND ACCIDENTALLY TOOK TWO BIG SWALLOWS OF KEROSENE THINKING IT WAS WATER. hER SON HAD FILLED HER WATER BOTTLE WITH THE STUFF. WHAT IS THE ANTIDOTE? WOULD OFFERING HER A GLASS OF MILK HELP PREVENT STOMACH ULCERS? SHE IS ON THE WAY TO MY HOUSE. EVERONE IN THE E.R. WAS TOO SLOW TO RESPOND ACCORDING TO HER, THEYDID NOT HAVE AN IMMEDIATE ANSWER. SHE WAS AFRAID TO DIE THERE. ERIKA
The poison is corossive in nature so gastric lavage is not done. U can try charcoal which is an universal antidote. But its done at ER or ICU only
Deep tissue damage and kidney infection with symptoms of urinating frequently and burning sensation. Is this normal? hi, i yshad a fall from my horse while hunting and hit a tree with my lower back and was in hospital for 3 days they said i took a knock to my kidney as well as a large hametoma and deep tissue damage...my white blood cells where up but had went down before i was discharged...its been just over two weeks and i feel like a have a kodney infection...it comes and goes but is quite bad at times,frequent urinating and burning sensation after...is this normal or do i possibly have an infection,if normal how long should this last for...thanks
Hello dear,The symptoms mentioned by you such as burning sensation during urination suggest that you might be having Urinary tract infection.Investigations like urine examination and Ultrasound scan of abdomen & pelvis will be helpful in clinching the diagnosis.The treatment involves: 1. Drinking lots of water (it dilutes the urine & reduces the burning sensation) 2. Antibiotics based on culture & sensitivity reports. 3. If there is associated fever, then paracetamol 500 mg three times in a day can be added. One more thing...avoid acidic foods, carbonated drinks and alcohol...& maintain good hygiene.There is no need to worry...you will be fine.Wishing you a speedy recovery. Take care.
Can alcohol and Neocitran together cause liver failure here? For the last 2 nights in a row, I consumed 3-4 glasses of wine and then took NeoCitron 1-2 hours later. I did not realize how serious a mix that is (alcohol and acetaminophen) until this morning when I read the box. I then googled this combination and discovered that it can cause acute liver failure. Can this acute liver failure happen after just doing this two times? Or is it more something that happens to people who do this again and again over a period of time?
Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.Usually,much higher dosage of acetaminofen is required for liver failure so this should not happen in your case. However, this was not good idea and you should not repeate it and you should reduce alcohol intake or take other painkillers if required.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.DR. Ivan Rommstein
Is lack of concentration a sign of ADHD? I think I have ADHD but I'm not sure. I'm 13 years old and I'm making pretty good grades in school (B+'s, A-'s) but whenever I'm doing my homework I always get distracted and walk around, email my friends, play with my dogs, etc. etc. And my mom always tells me when I bring up the subject that I'm just overreacting and I'm just stressed but I don't know if it's just that. The only thing that makes me doubt that I have ADHD or something like that is I've never really been like this before- I've always been talkative in classes but I've never had real difficulty getting my homework done.
Hi. Usually children have ADHD when they are really small. like when they are between the ages of 4 to 7-8. Ask your family if you had ADHD or any such attention disorder when you were little. if you did, ask them to take you to a therapist or a psychiatrist. If, however, you do not have a history related with ADHD, but you still feel uneasy with yourself while working, try segregating your time frame. work on your paper for twenty minutes and then take a five minute break and do what you wish. then come back and repeat this 20 - 5 minute frame again. hope this helps you. if it doesn't, visit your family doctor and await suggestions.
Suggest treatment to stop masturbating Hi sir i am 23 years old male,i am in serious problem on last year april 4th i have started hand job before dis i never done hand job,but unfortune i cont able to control it i am doing daily,i am became so weak and stressed pls help me to stop dis habit ,is der any problem for me in my sexual life after marriage bcoz of doing like dis
welcome to Health care magic.1.Only thing will help to stop is your self control, your mental strength.2.Other case you have to visit psychiatry for a counselling, i don't thing you need it, you should try hard to control or minimise at least the frequency. 3.Try to get engaged in different things to give less time to think of it.4.If you are so frequent, generalised weakness is seen and its common.5. No, it not effect in future, almost every individual go through this phase.6.But Try to control - any thing excess is not good for health.Anything to ask ? do not hesitate. Thank you.
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 -->
Slurred speech, weakness, pain in hip and thigh. X-ray normal. Taking aspirin. Any idea? Hello, I just turned 50 last August. I was told by a neurologist that sometime in my life I ve had two mini strokes. That was 2 years ago. Just today I ve noticed my speech is slightly slurred and for over a month I ve had weakness and pain in my left hip and thigh . I thought the pain was maybe arthritis . I ve had an X-ray and was seen by an orthopedic doctor and my hip bones are fine yet I still have the pain and weakness. I am an avid bike rider and also walk allot. I walk or ride to work (6 miles a day total) 5 days a week. I can deal with the hip/thigh issue, my concern now is the slurred speech. I don t drink alcohol and I sound (to me only so far) as though I ve been drinking. I take one baby aspirin a day and cholesterol medication at bedtime. My cholesterol is at a normal level. Can you give me an idea of what could be going on? Thank you
Hi,Thank you for posting your query.Based on your symptoms we need to exclude a brain stroke. If possible, consult a neurologist and get a brain MRI done.Since you are already taking aspirin and statins, the risk of you getting a bigger stroke is minimal, so, there is no need to worry.Also, you can get yourself evaluated for risk factors such as diabetes, high BP, homocysteine, etc. I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My email: drsudhirkumar@yahoo.comMy blog:
Yellowness and soreness near teeth. Had a surgery. On amoxicillin. Will I be okay? I had surgery 3 weeks ago and now have a cut from when the tube went in my mouth. It has gone yellow and is very sore and is making my teeth above it on the bottom right hand side very sensitive and painful also. The sore is under where my tongue lays. I have had 2 courses of amoxicillin and they did not help. My go has now given me doxycycline . Will this help ?? And is there anything else I could do to help myself ?? Thanks
Dear friend. Thanks for sharing your concern. your history suggests that you have soreness and yellowness under tongue,which may be due to infection and pus accumulated at the site after surgery. It could also be due to poor oral hygiene and food lodgement there resulting in soreness and infection. I would suggest you to take your physicians opinion too in this case of developing infection and its origin. so that the cause can be determined and hence treated. meanwhile try and maintain as much hygiene as possible in your oral cavity. Hope it helps. Take care. Thanks.
What causes a red raised patch on the back? I had Lyme disease last summer and I suspect i have it again. For the last 3 days I ve had a large red raised patch of skin on my back side that gets larger every day. It doesn t have the bullseye, it s just redish. I m thinking of heading to the Drs today. Any advice? WC in CT
Hello, my name is Dr.Dorina Gurabardhi. I understand your concern. Treatment consist of antibiotics. Antibiotics commonly used for oral treatment include doxycycline, amoxicillin, or cefuroxime.Doxycycline (100 mg twice per day), amoxicillin (500 mg 3 times per day), or cefuroxime axetil (500 mg twice per day) for 14 days (range, 10–21 days for doxycycline and 14–21 days for amoxicillin or cefuroxime axetil) is recommended for the treatment.Hope my answer was helpful, if you have any other questions I'll be glad to help, thanks!
Have Osteoporosis. Constant back pain. X-ray, MRI, CT scan done. How to get relief of backache? Hello Sir, I am Abdul Gafur. Since long time I facing problem with Back Pain . I have Osteoporsis. I am taking medicine to improve the Osteoporosis . It is improving now. But my back pain is not reducing. Once I sit on a Chair or if there is any media or support in my backside, then there is little pain. But once I walk or there is no support in backside, then the pain increase. I have consulted with Orthopedic . They have done X-ray , MRI , CT-Scan but no abnormality found. Please advice me what should I do to reduce my back pain. Everyday I used to walk 00:30 minutes. No improve.
Please upload MRI, X-Ray and CT for free review. Without scans we can't give reliable advice. Regards!
Q. I get severe pain in the ongoing root canal treated tooth. Does it imply non removal of nerves? Hello doctor, I have been going to a dentist about a tooth that is sore. They started a root canal but then did not finish. I have gone back several times and every time they open up the tooth and insert medicine. My tooth is in agony right now. I am just wondering if this is a standard procedure during a root canal? Should not the dentist remove the nerves so I am not in so much pain? Or is it the standard procedure to fight the infection first and then remove the nerves?
Hello. I understand your concern. The number of sittings in the root canal procedure depends on the amount and extent of infection. If the infection is more, the tooth is opened up and medicated dressing is given to reduce the infection and to kill the nerves. Antibiotics and painkillers will be prescribed for the next three days to control the pain and infection. After three days, the root canal treatment can be done painlessly, once the nerve had died. From your query and the details provided, it seems like you are having a challenging tooth (quite a lot of infection, curved roots, pulp stones, etc.). A clear picture of your tooth x-ray will help to identify the problem. Talk to your dentist and get to know, what is causing this pain and delay in treatment. I hope this helps.
Suggest remedy for whiplash and C5 and C6 bulging I was in a fatal mva in April 2011. I still suffer with whiplash and c5 and c6 are bulging. Will this ever settle down? I have been to the melbourne whiplash centre and still going to the gym. I have been doing weights and told to bwck off. It gets very tight and I hace alot of headaxhes. Is there anything more I csn do to try and relieve the pain?
Dear Patient,if seems in your case the whiplash is taking too long to heal, moreover do you have radiating pain in your arm, which could be due to the disc bulge you have. Regular physio as advised will certainly make your headache better, just be sure to see your neuro doctor just to be safe and see if its the whiplash only that is causing the problem and not anything else.Take care and get will soon, Thanks for contacting
How to treat pneumonia in elders? hello My father is eighty three years old suffering from pneumonia presently and undergoing antibiotic treatment at home since last 5/6 days. initially he was having high fever and heavy cough. but last 3/4 days no fever althouh cough still persists but dry not like initial cough. no chest pain at any point of time. Is he needed to be hospitalised or continued antibiotic treatment at home will do?
Hi,Although he feels better, he should complete the antibiotics for minimum period of five days. If he has dry cough now you can change the cough syrup from expectorent to cough suppressant (if the cough is more). If he is generally doing well hospitalization is not required. If he feels sick, seek the medical attention.Take careRajesh
What to do if having eye problems after taking meth for chronic pain? My 83 yr old mother whom has been on meth for chronic pain, has started to have eye problems. She has always suffered from dry eyes and light intolerance. She started seeing double but only up close. Now her eye lids are closing. They took her off meth and replaced it with Gabapentin 300 and still has her Fentanyl patch. She was an avid reader but can t read any longer. This has been occurring for a couple of months now. Any advice???
Hello, One really really hopes this is METHADONE and not METHAMPHETAMINE for pain. Eye problems need a specialist to have a look at the eyes. CATARACTS cause a particular way of seeing double (you see double with ONE EYE CLOSED... heh, sometimes triple. Often the double images are on top of each other not side by side) and this is entirely treatable. But there's lots of other causes glaucoma, retinal problems, myasthenia gravis, stroke, etc. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Matt Wachsman
Missed birth control pills. Had unprotected sex. Have nausea, spotting. Pregnancy chances? I have missed 2 pills this month not in a row one last week (in the first week of a new pack) and one this week the day before yesterday (in the second week of the pack) have had unprotected sex a few times with my husband and am feeling really nauseaus today and have had a little spotting and am just wondering what the percentage is of getting pregnant when you miss 2 pills like that? I know i have to wait until my regular period to be sure so i can test. Also i took 2 pills yesterday when i remember could that be why i am nauseaus? thanks
Hi,Thanks for the query.If you took the pill within 24 hours after missing the pill that can give protection towards the pregnancy.But if you missed the pill totally, complete protection may not be expected.The nausea can be due to high dose of pills as you said.And spotting could be withdrawal bleeding due to missing the schedule.Continue the remaining pills and if you miss the expected date of bleeding, for pregnancy test once.For more details you can ask me through: care.
Is Tetanus injection required after injury with iron rod? hi.. my mother was walking in the backyard a couple of days back, and she kicked what she thot was a stick, but in reality was a small piece of an iron rod, which gave her a small little scratch near the toe.. she says she doesnt ned a tetanus injection, but i wanted to make sure if she's right in her decision of not getting it.. wat do u think?
Hi, Thanks for posting in HCM. Toxoid is indicated for booster injection only for persons 7 years of age or older against tetanus. Injury in any form which has an open wound or penetrative is an indication for taking injection as it carries a risk of contacting tetanus. Ideally it needs to be taken within 24 hours after an injury to be more effective. However, one injection would offer protection for a period of 6 months. Hence, if your mother has only an abrasion of the skin without any penetrative wound, then there is no absolute necessity to take the injection. It can be managed by cleaning the wound with antiseptic and applying antibacterial cream. Otherwise, with penetrative wound, it is a must, along with taking other measures. Hope the information provided would be helpful. All the best.
Suggest treatment for persistent fever and cough my 9 year old daughter has been sick for over a week. Sore throat, fever of 103, stomach ache, coughing. Was put on amoxicillin on Thursday for possible strep even though culture came back negative. Fever went away Thursday night and came back Saturday. She is very sick. What could it be?
Hello and welcome to healthcare magic.Negative culture suggest that it may be viral or allegic condition.Give antiallergic like cetrizine at bedtime.Give paracetamol for pain and fever.Add home remedies like gargles with warm saline (salty)water,honey and ginger tea.Keep your child hydrated with hot liquids and provide adequate rest.Hope this answer is helpful.Good luck.
Do pressure supports help in blood vessels healing? I am 81 and had a triple bypass about 7 years ago. My ankles and feet display tiny scattered blood vessels and recently, I developed itchy rash on both ankles. I was instructed to use pressure supports on both lower legs. Is this the right treatment?
Hi,Wearing a pressure support in legs is for preventing the clot formation in legs. This is important in older patients with a bypass who are prone to develope DVT.The small blood vessels which must be formed in legs are normal after a bypass because during bypass graft is taken from lower leg veins after which small vessels over front of leg dilate. These are normal. So don't worry and follow advice as per your doctor.ThanksDr Sameer Maheshwari
Back pain due to para spinal abcess. TB PCR detected. Criteria of starting AKT4 drugs, its dose? Hi sir one of my friend son 14 year 37 kg suffering severe back pain and fever for last 5 days. MRI done showing paraspinal abcess at L2 and L3 on rt side.incision and drainage of abcess with laminectomy done under GA and treated with antibiotics and analgesics then the abcess send for culture and TB PCR. TB PCR detected myobacterium tuberculosis .now i want to no about criteria of starting AKT4 drugs and dose of the medicine kindly answer for my query.............
In AKT 4 , rifampacin need to be taken before food, and rest tablets after food. You can divide the tabs after breakfast and lunch. You need to take vita b 12 cap copulsory for the side effect of drugs. Please take pantroprazole or rabeprazole 20 mg tab before breakfast everyday. It is advised to take more fruits.
How to treat knee pain without taking anti-inflammatories? my mom is taking mst 5mg twice a day along with 10ng crestor tablet , 75 mg asprinin ,a stemetil anti sickness tablet . she had major back surgery a year ago but the majority of the pain is an unexplained pain in her knees which starts at around 7 each nite and she needs the mst along with some parecetemol/ codine for breakthrough pain during the nite. the reason I am writing this e mail is because she has severe sickness and her pain specialist said it couldn t be the mst cause its such a low dose she cannot take anti immflamortories because of her kidneys and she has had patches they didn t work can u help me im at my wits end thankyou
Hi,Thanks for writing in.Knee pain can be treated in following ways without taking oral antiinflammatories.1. Doing physiotherapy exercises under supervision at forst and then on her own.2. Applying ointments containing combination of muscle relaxants and pain killers gently over painful areas twice a day.3. Sprays are also available and give intermittent relief to knee pain.4. Applying a heat pack over the knee might give relief for a while.5. Using a knee cover can make her comfortably move around.6. Opioid pain reliever and steroid injection might help control pain.
Stomach ache,pain above the testicles during bowel movements. Advice? Hi, I woke up this morning with a bad stomach ache (never get them). Felt the need for a number 2 many times today but when I do I get a big pain in my testicular area. It seems to not the be testicles themselves but above them in the sack, mainly on the right hand side I found. I have been sick twice today without actually feeling ill (other than the stomach pains). Still the same 12 hours later. Please advise, thanks.
Hi, Looks like you are suffering from acute intestinal infection with pain you are describing could possibly an fissure which can develop in presence of diarrhoea. can take a mild antispasmodic and a probiotic available otc to relieve the symptoms if not better worthwhile seeing a physician. wish you a speedy recovery.
What causes severe muscle weakness and cramps? I have always been an active person. But for the last 4 to 6 months I have been increasingly slowing down because my muscles seem to be getting weaker and I have been having a lot of muscle cramps along with muscle pain. The biggest pain has been in the inner thigh or groin area. I have also had cramps in that area. I am constantly tired regardless of the amount of sleep I get. Do you have any suggestions?
Hello, I have studied your case. Muscle cramps can be reduced byMassaging the cramped muscle with your hands or oilDrinking plenty of fluids to avoid dehydrationStretching your leg muscles or riding a stationary cycle.Taking diet rich in calcium and potassium or oral supplements of the sameCheck your vit B12 and Vit D 3 levels.you many to rule out Parkinsonism consulting your doctor.Till time, avoid lifting weights, You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care
Could the large lump on my jawbone indicate a symptom of jaw cancer? i have a large lump on my jawbone. I can only feel it inside of my mouth and it does not hurt. I just recently had a root canal done on other side and had complications and had to be on three different antibiotics to clear up infection. Three weeks ago i had the side where the lump is x rayd and nothing showed at that time. Can this be jaw cancer?
Hello and welcome.Thanks for sharing your concern.please do not get worried.Based upon the symptoms you have mentioned it cannot be diagnosed as a cancer.It could be mere infection of the teeth which has appeared as a hard swelling.Please provide all details like site,size,extent of spread.you can also attach an image here for view.Hope it helps.Thanks.Take care.
How to relieve breathing and throat problem in vegetarian? I've been a Vegetarian for over 5 months now, and lately I've been having poor breathing and throat problems for the main problems. I'm recently taking Iron Supplements, but not much change has occurred. What's going on? What can I do? Anything to help?
YOur symptoms may not be related to your conversion to vegetarian diet. YOu will need to consult your doctor for your symptoms. Also undergo a blood to make sure your health is fine.
What causes loss of weight when diagnosed with EDNOS and bulimia? I am diagnosed with EDNOS and Bulimia. In the past week I have lost 10% of my body weight by restricting and exercising. I have fainted once this week and I m only going to the toilet to urinate once a day. My BMI has gone from 24.8 to 22.7. I have a psychologist appointment next week and by then I will more than definitely have lost at least 15% of the starting body weight. My question Is, will I be sent to hospital to be re fed or put on the weight I lost??!.
dear,if your weight is critically low or if there are objective signs of malnutrition, in that case I would advice you an admission.as far as your concern for weight gain goes it appears to me as morbid.a course of fluoxetine may help you to deal with it.continue to visit psychology as regular sessions of psychology will benefit.thanks
What causes recurrent painful sores under the breast? Hi, ever since my daughter was born in 2014 every now and then i get a sore lump on the underside of my left breast. But this morning I woke up and noticed I have four to five very painful to touch sores. They are purple/red in the centre and a light brown on the skin around them. Just wondering if it is anything serious
Hello Dear Warm welcome to HealthcareMagic I have evaluated your query thoroughly 1) This may be possible from - chronic infection ( viral or bacterial ) - irritation from bra strap or other. 2) Needs clinical examination for confirmation and further management . Hope this clears your doubt Wishing you fine recovery Welcome for any further assistance Take Care Regards Dr. Bhagyesh V. Patel, General Surgeon
Skin allergy since childhood, itching transforming into wounds, spots all over body. Treatment? hello im a girl age 19 and have this problem of skin allergy since childhood mostly due to mosquitoes and environment and sometimes even when i eat more sugary foods which causes inflammation and itching and i have developed a very bad habit of itching over and over so they transform into wounds and while they are healing i peel the brown thing off and so i have millions of spots all over my hands,legs,back mostly but also on thigh and hip but less and my feet are very ugly due to the spots...besides ive noticed even if i dont scratch, lighter marks are always left behind...my spots are very large and very black...what options do i have do ranging from natural to surgical procedures?
since CHILDHOOD ALLERGY MEANS ALLERGY TO MILK THESE ARE FOOD ALLERGIES CHILD NEEDS MOTHER MILK TILL 2 YEARS AND NO MILK AFTER THAT IF WE ADD MILK AND DIARY MOST CHILDREN START GETTING ALLERGIES WHICH ARE NEVR CONTROLLED BY MEDICINES GET BLOOD SERUM TEST FOR FOOD SPECIFIC ANTIBODIES FOR MILK ALSO TEST FOR WHEAT POTATO CHANA RICE NUTS POTATO TO SEE THEIR ROLE ELIMINATE` PARTICULAR DIET YOU WILL BE RELIEVED AND GO FOR DESENSITISATION FOR THAT FOOD FOR CURE TILL THEN TRY WITH MILK AND DIARY PROTEINS ELIMINATION
What causes excessive thirst and fatigue? Hi, I m 15 years old and I m constantly feeling thirsty. It doesn t matter how much I drink, I still feel that thirst in my mouth. I am fatigue, tired and dizzy. My muscles ache as do my joints and bones. Also I feel either really hot or really cold and dry skin can be a problem. I don t know if all of that is down to one cause or a couple or none at all but I m hoping you can help me. I should mention that I have coeliac disease and lactose intollerant. I haven t been tested for lactose intollerace but I was having extremely bad stomach pains and I had loads of spots and as soon as I cut out milk my skin completely cleared up and my stomach aches went. I went to the doctors yesterday and asked for a blood test for diabetes but maybe it s something else?Please help
Dear sir, you did right by testing for diabetes as these symptoms may be due to abnormal blood sugar level . Also you should have a CBC as you might be having a low HB count that may be the cause of the muscle pain and fatigue. I advice that you eat healthy and increase your daily consumption of protein , vegetables and fruits .
Suggest medication for a sore in the nipple area Hi, I have a sore very lumpy area around +my right nipple area. It feels very hard + just under the skin. I am 46 and have small breasts. I have recently fin3 weeks of steroids for asthma - 4 week ago + have had hormone probs since. Please advise - thanks
Hello, Thanks for the concern. You have lump in the right breast near nipple beneath the skin. For lump in breast you have to watch it for few days give hot compresses twice daily. If still it persist than you have to do mammography, ultrasound and Fine needle aspiration. At present you can take pain killers for symptomatic relief. So immediately consult your treating surgeon, get investigated and start treatment accordingly. Hope this might help you. Take care.
How to treat dark spots on the skin which blisters? hi dis is mrs aradhana das. i m suffering from some skin disease on my fingers. it starts with dark dots inside the skin which converts in to blisters n then cracks on skin. whenever i use desonide cream i gets healed.. bt whn i stop using it , it starts agin. what should i do? please help me out.
Hi Dear,Understanding your concern. As per your query you have symptoms of dark spots on the skin with blisters which seems to be due to infection of hair follicles leading to folliculitis.Need not to worry. I would suggest you to apply little pressure on that area with cotton dipped in warm water to ooze out the pus properly. Use calamine lotion on that to resolve itchiness. Apply betadine over area and clean that area properly with antimicrobial agent. Use of corticosteroid ointment is helpful.Your symptoms will start resolving in 3-5 days. If it keeps on persisting visit dermatologist once to find out any hidden cause for your symptoms, and start treatment accordingly.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari
Can I continue doing masturbation while taking urimax for kidney stones? i am taking urimax 0.4 mg for kidney stones. i masturbated and the ejaculation wasn't proper. extremely small amount of ejaculate came out. after that urine flow and everything was normal and there was no pain. my question is, can i continue to masturbate? or should i wait till my dosage of medication is over?
HelloThanks for query .You have been taking Tomsulosin once daily for kidney stone and taking Tomsulosin once daily and noticed difficulty in ejaculation .Tomsulosin is smooth muscle relaxant and relaxes bladder neck keeping it wide open resulting in to semen moving backward in to bladder rather than moving forward in urethra This is called as Retrograde Ejaculation and is . known side effect of Tomsulosin .There is no harm in continuing masturbation .Normal Ejaculation will get resumed once you stop taking Tomsulosin. Dr.Patil.
Suggest treatment for vomiting and loose motion in kids Hi, my daughter is 3 and half month old. she is passing stool 5-6 times a day and mainly during day time. She also vomits 4 - 5 times a day......what should I give her. Bye the way she is very active and after passing stool or vomitting....she feels releived... Navin Mittal
helloi gone through your question she is having diarrhea and vomiting ,but she is active .commonest cause is viral ,that is self limiting . they take 3-5 days to recover.i just give Oral re-hydration solution and medicine for vominting ( like domperidome). There is no thing to worry. with medicine vomiting should stop immediately and give about 100 ml if ORS for each episode of diarrhea. make sure that she is active . have health life
What is the recovery time for gall bladder cancer? My husband of 64 yrs old has gallbladder cancer in its end stage and has spread to the liver, he has being doing very well since surgery on March 16, 2010. The surgery was and open and close situation, there was nothing the doctors could do. Its only now that his liver enzymes are significantly elevated, he has refused chemo treatment. This pass week end he has been stomach sick and very fatigued . At the time he was given 6 months without chemo. Despite of how well he has been doing. What how fast can this thing downgrade???
Hi,Thanks for writing in.Sorry to hear about your husband who is having advanced stage gall bladder cancer. This cancer is difficult to treat and doing surgery extends survival. Since there is spread to liver therefore he is having stage 4 cancer. Doctors might have suggested chemotherapy to stabilize the disease progress and control it. However, since he has refused chemotherapy, it is possible that his disease has progressed in uncontrolled way and spread to the liver.The expected survival in case of stage 4 gall bladder cancer is 2 years with good cae and recommended treatment. Since chemotherapy was not given therefore the survival in your husband might be reduced from 6 months to a year. He must be under a lot of physical pain and please dicuss with pain relief doctor and make him comnfortable. Please do not worry.
Q. Can ferritin levels increase from an injured elbow or osteoarthritis? Hello doctor, Last October, on a routine physical, I received a ferritin reading of 535 with all other CBC/ metabolic panel tests and Iron panel completely normal. A follow up six weeks later, still showed a raised ferritin of 448 and yet another showed two weeks after that at 575 (at time of the 575 value, my CRP was normal, less than .4, and my ESR was 2 mm/hr) I was referred to a hematologist who one week later did a ferritin test (different lab) and my result came back at 341 and one month later at 368. My TIBC averages around 269 and iron around 108. TS % usually 39 %. The hematologist also tested me for the HFE gene and this was negative. ANA negative, various viruses like hepatitis, and did another ESR which came back at 4 mm/hr. I had an abdominal u/s that was unremarkable with the exception of some renal cysts and repeated metabolic panels and CBCs with normal results. I am a 42 year old very fit male with a BMI of around 24. I am involved in boxing and other contact sports so not sure if this could be a factor. Can ferritin increase from an injured swollen elbow or osteoarthritis? Is there much variation amongst lab results measuring ferritin (575 down to 341 in six days seems like a lot? I am trying to get to the bottom of these results. I have no real symptoms of other diseases. I notice some labs quote a high of 300 as normal for a man, others 400 and a website indicates even a value of 500 is normal. Could this level just be normal for me? If not, what is the most likely underlying issue? I can provide more info as needed. Could my levels be a result of something serious considering the normal CRP, ESR, ANA and other blood work? Any other workup to be done other than follow up to check levels? One other thing, I do consume four to five meals per day and do eat iron-rich foods. Could this be a factor considering the data I presented? Any other info you need? Thank you.
Hello. Ferritin levels can vary from lab to lab. It also has a variation based on fasting status and time of the day when the sample is taken. Your ferritin levels are not alarmingly high. All the major workup are done and negative. Avoid alcohol intake if any. Your BMI is slightly above normal. Your USG does not suggest fatty liver, but I would suggest a fibroscan or USG elastography as it can pick up early fatty liver which can also cause a slight increase in ferritin. Red meat intake regularly can also cause a slight increase in ferritin. Osteoarthritis and old injury over elbow have no relation to high ferritin. Your condition is not serious, as a part of finishing your workup you can get a fibroscan of liver and follow up ferritin levels from the same lab every six months. Preferably give the samples at the same time of the day. For more information consult an internal medicine physician online -->
Could the wound with pus be due to dog's bite? I was bitten by my dog on Friday in the back. 2 punctures and some scratches. I cleaned the wound out well with lots of soap and water for 5 minutes and bandaged it. Did not get it treated-our local ER is questionable at best. Anyway, today the skin surrounding the punctures is red in about a 4 mm radius from the wound and there is some pus. It is still painful but I can't tell if its pain from the bruising (which is extensive) or the actual infection. It only really hurts if I lean against it. I cleaned it out again today and it is just sore, ibuprofen easily handles the discomfort. At any rate I have today gotten a prescription for Augmentin 500 mgs TID. Do you think that this will be sufficient to take care of this? ETA: I am 30 F, healthy BMI and no chronic health problems
HI, I have read your query & understand your question. * Actually dog bite wound is likely to be infected fast considering dog's habitat/ habit of eating any thing & every thing that is available & also lick all the objects on ground .So inspite of the good health, * Management of dog bite demands - immediate cleaning of wound with antiseptic liquid, spirit, cotton soaked (and squeezed )with warm water/ application of antibiotic ointment/ changing dressing daily in case it is bandaged( with autoclaved pad & bandage) - Injection of anti rabies vaccine( Rabipur)to be started immediately in case of stray dog bite/ In case of pet dog bite who is already vaccinated, Rabipur can be skipped. - Injection of Tetanus toxoid is given within 24 hours of dog bite - Treatment/ prevention of infection by antibiotics ( you are already taking Agumentin) addition of Anti inflammatory drugs is will facilitae healing. Thanks.
Suggest medication to improve chances of conceiving Hi Doctor, I got married 6 years back and now trying to conceive.I have already gone through 3 Miscarriages. My all reports are ok. No Problem is there. I Consulted the doctors to know the reason why miscarriages happened (in 6 to 8 weeks only). My dr advised to take CCQ100 (5 days, from the first of periods). Fertisure F and foligel plus. I want to conceive asap, please let me know on what days will i be most fertile.
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Be patient, if you rush it, the result might not be one you desire. Make sure we first concentrate on getting you a normal menstrual cycle, if your cycle is normal, your fertility will be normal.If all is well and controlled, then you can request your doctor to initiate folic acid supplements and clomiphene citrate. Usually within a few cycles of clomiphene citrate, conception is successful.I wish you loads of luck.Best wishes,Dr. Shoaib Khan
Suggest treatment for rapid heart rate the other night i was laying down, my heart started to beat extremely fast and hard. i could hear it as clear as day and i could feel it pounding out of my chest. i couldn t breathe and then caught my breath. it hurt and it was really scary. what could this be?
Hello, Your symptoms could be related to anxiety. Cardiac arrhythmia cannot be excluded either. For this reason, I would recommend performing an ambulatory 24-48 hours ECG monitoring in order to examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia. Some blood lab tests are needed too (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction and blood electrolytes for possible imbalance). If all the above tests result normal, you should consider anxiety as the main cause underlying your complaints. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist
Suggest treatment for severe pain in back and arm After working in my garden, I ve experienced severe pain in my back, right side, at my bra line, a constant pain that goes through my body into my right breast. My arms can move with no pain, but I cannot get into a comfortable position without pain. I vomited a yellow bile-like liquid with no food particles on first day, then had runs next day. I ve tried heat pad but no help. Some headache but not constant.
Hi,I understand your concern. from description it looks like thoracal radiculopathy from discal hernia after physical stres (may be heavy lifting? Or sudden body turning movement).There is need to have a consultation with your doctor may be some further radiological examination is needed to determine the cause.Actually only pain medication is advisable.Hope this would help, feel free for any other information.
What causes tightness in chest,heavy breathing and swelling of face? My grandfather just went through some sort of attack. Heavy breathing, swollen face, the left arm had constricted movement. He's complained of a tightness in his chest the last few days. the ambulance just took him to the hospital. Can you tell me what's going on?
hello thanks foe posting here.the symptoms you have mentioned may present in a variety of conditions. but going by your description it is likely that he may have had a heart attack leading to heart failure and fluid overload in the body. thats why the breathlessness, swelling over face, chest tightness etc.he will require a cardiac evaluation by EKG, 2 D ECHO, chest x ray and some blood tests and then treatment with blood thinners, anticoagulants and diuretics to remove excess water. another common cause can also be kidney related leading to similar symptoms. so kidney functions should also be evaluated.wishing him a good recoverythank you