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Suggest treatment for high blood pressure
Please help. Ct MRI EEG EKG mra artery scan on dad all normal for my 81 yr old dad. Tilt test normal. Blood pressure is slightly high... 178/94 but during episodes of black outs it dropped to 80/40 ish. No recollection of episodes. 24 hour and 30 day monitors normal. Redoing both. Stent in place 3 yrs ago. 2 pills... Cholesterol and new for blood pressure. I m so afraid to send him home... Any thoughts please. | Hello, Regarding your concern, I would explain that his symptoms could be related to orthostatic intolerance, although his Tilt test is normal. Coming to this point, considering his performed tests, I would recommend implanting a loop recorder, in order to be able to catch those episodes and totally exclude a possible cardiac arrhythmia. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
Diagnosed with typhoid, platelets are falling. What could be the reason?
Hi my husband has been diagnosed with typhoid .. He is in hospital .. After 5 days of high fever , his fever has come down on the 6th day .. But even after that his platlets are falling .. Wht could be the reason for the same .. When will it get cured ? | Hi,If platelets are falling the most probable cause could either be dengue or marrow suppression caused by antibiotics provided all other cell lines are also reduced.Regards | |
What causes small lump on forearm?
I have a small lump on my forearm that i can only see when i tense my muscle. It feels soft and is a slightly lighter color than my skin. I can't however move it around, as if it is attached to the bone or my muscle. I'm an 18 year old male with no serious medical history. | Hi,Dear,Thanks for the query to my HCM clinic.I studied your query indepth.In my opinion-you have a fibrolipoma-mostly.You need not worry about it as its a harmless lump.I would advise you to keep watch and report to surgeon if-it starts increasing in size.Otherwise-Forget it.Hope you have cleared your worry.Would wellcome you you to HCM for any more queries on it or on other health-problem. | |
Ectopic left kidney, bilateral medical renal parenchymal disease. Ultrasound done. Treatment?
Dear Sir, Today I did Sonagraphy & Impression on report as per under: Ectopic Left Kidney & Bilateral Medical Renal Parenchymal disease. I would like to ask what is the meaning that & what kind of problem to be face in future, & also suggest the sutiable treatment & docator names, I am from XXXXX | Ectopic left kidney means that your kidney developed in an abnormal location. It could be slightly lower than the normal location or much lower in the abdomen. It could cause a problem if the your kidney is obstructed because of the abnormal location. Obstruction would be determined if there is a mention of hydronephrosis in your ultrasound. Medical renal parenchymal disease means that your kidney showed abnormal color (echogenicity) on ultrasound. You may want to check your serum creatinine and a urinalysis to determine if you really have kidney disease. You may need to see a Urologist or a Nephrologist. Thank You. | |
Abdominal pain. Negative for hernia and appendix infection. Help
Hi, over the past four weeks I have been suffering right abdomen pain. It started off on the lower part of the right abdomen. Have been tested for hernia and also a infection in the appendix , they both came back negative. I was then requested to take time off from physical activities - as I am a very active person. This was for a strained or tear muscle. I took nearly three weeks off. Over the past three weeks I have been suffering upper right abdomen pain as also as the lower right abdomen pain. I feel that the upper right abdomen pain gets worst immediately after eating food. | Welcome to HCM.You have to go for to rule out any stone in urinary system,inflammation in testis and urinary tract infection by proper USG study.Otherwise it might be due to indigestion pattern to some food,disturbances in diet habit,stress.There might be possibility of irritable bowel syndrome.Avoid stress,take simple diet,drink more water and buttermilk,fruit juices,vegetable soups.Consult your physician for better guidance and proper medical management. | |
Q. Kindly tell me the cure for pimple with white patches on the nose.
Hello doctor, I have skin problems on my nose, there is a big pimple which is red and swollen. Also, on my hand, there are some round white patches. I also get a lot of heat boils (yellow in color) on my body. I have shared the pictures. Kindly refer me ointments and tablets for the cure. | Hi. I have seen your pictures (attachment removed to protect patient identity). We will use one thing at a time to minimize complication. Acne on your nose is termed as acne rosacea. Start Minoz (Minocycline) OD 65 mg once daily bedtime for 30 days and La Sheild sunscreen all over face after 10 AM and Minoz BPO gel once daily bedtime for 30 minutes of short contact period on acne then rinse off with cool water. Avoid direct sunlight between 10 to 3, colored food like sausage, alcohol, too spicy and hot food. Avoid getting anger frequently and dairy products after 8 PM. Prefer carrots, millet powder, fish, dry fruits regularly. Report to me after 30 days and try to avoid any other medication during the course of treatment and by chance, if you notice any sort of side-effects, stop using medication and report to a dermatologist nearby you. Otherwise, it is a very safe medication. | |
Suggest remedy for disc bulge
I was having pain in my lower back and subsequently hip are in the right side, As per my physiotherapist s suggestion I had went to MRI and the impression as follows..Disffuse disc bulge with ventral thecal sac indetation at L4-5 intervertebral disc causing secondary canal stenosis.Bilateral L4 neural foraminal compromise secondary to diffuse disc bulge at L4-5 disc with mild impingement of the right L4 nerve root.Diffuse disc bulge with ventral thecal sac indentation noted at C3-4 and C5-C6 intervertable disc levels.Kindly suggest how severe it is and can it be cured with out any surgery. | hi,I feel you need to focus on a non invasive method of getting rid of pain issues and come back to normalcy of activities of daily living.you need to strengthen your back and do some core strengthening exercises. also not to ignore you need to strengthen your lower limbs as well. it might take a little time of 12+/- but you can be get helped with exercises and even may not need surgery if your body performs well and accepts the exercises. you can surely use the physical therapist service for any physical modalities as well and a guided exercise under supervision.I wish you a speedy recovery and a bright future.thank you | |
Can I get pregnant after having medicines for secondary amenorrhoea ?
am a secondary amenorrhoea & prescribed microgynon 30 the active tablets for 3 months get l get pregnancy after this?coz l want also ababy | Hello There are various causes of secondary amenorrhoea You should get your hormonal tests like thyroid function tests , FSH , LH , Prolactin , testosterone etc Get an ultrasound done to exclude PCOD Yes you can take progesterone and can become pregnant if diagnosed and treated properly Best wishes | |
What is lump in the tailbone that causes pain while sitting?
I am 40 years old and have recently dscovered a lump at the bottom of my tailbone. The pain is greater when I sit or ride for long periods of time. Do you know what this could be or why all of a suddn I am having so much pain. Thank You, Penny Jackson | Hi,The bone at the base of your spine is the coccyx and is quite sensitive if damaged. You may have inadvertently bruised your coccyx. Paracetamol and ibuprofen will help the pain. With rest the pain should subside.Alternatively, you may have a pilonidal cyst which has become inflamed or infected. This is a small cyst commonly found at the base of the spine which can cause pain when inflamed. I suggest you see your doctor who will be able to examine you and confirm the cause of your pain.Regards,Dr K A Pottinger | |
What causes ear ache and fever in a child?
My 8 year old daughter has been experiencing pain in her ear as well as in front of the ear and behind the jaw bone x 3 days. If I press on her ear or touch it by accident it hurts her. She had 99.6 degree fever the other day but not now. She had been swimming, but has no other symptoms except her neck on that side is tender if she tries to bend it to her shoulder and her neck popped a few times while checking ROM. I don t feel any swollen lymph nodes. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. By what you say I feel that it could be an otitis media or middle ear effusion. I suggest you take her to the pediatrician or ENT surgeon - otoscopy will be done and then appropriate antibiotics or pain medications will be prescribed. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest therapy for asthma
hi doc i am suffering from cough from last 20 days seems to be is not getting better . I work in saudi yesterday i did check up with egyptain doctor he said i am having a mild asthma. previousi use to smoke 15 cigrattes per day. Now i had reduced now. Please advice me what shall i do . | Hello.Thank you for asking at HCM.I went through your history and would like to make suggestions to you as follows:1. First of all, I would suggest you to stop smoking completely, you can please seek a professional help to quit smoking. Smoking is very dangerous for lungs, can worsen asthma as well as can reduce beneficial effects of some asthma medications.2. Were I treating you, I would suggest you to use inhaled corticosteroids (Budesonide or Fluticasone) for at least 3 months.3. I would also suggest you montelukast for at least 3 months.4. I would suggest you allergy testing which may help identify the substances causing allergy to you and to know the measures to avoid them.5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.6. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate green leafy vegetables, fruits, sprouts, etc) will also help you in a long run by improving your lung capacity and immunity respectively.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards. | |
What causes lump on the tip of the clavicle?
I have a hard lump at the tip of my right clavicle. It showed up about a week ago. The tip I mean close to the sternum. When I push on it I get some pain. My shoulder also has been hurting. It has a certain position when I raise my arm when it really hurts. | Hi, this is possibly a keloid or neurofibroma like condition and not to worry much about this!Not and try not to get infected there!I suggest you to go for an FNAC test of the lump for confirmation and to relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | |
Is wheezing normal after double bypass surgery?
My 76 y/o husband is post-op day 8 double bypass surgery (at home now). He continues to wheeze, especially at night when it keeps him awake and he has to sleep in a recliner chair. Is this typical for OH surgery recovery? He has no visible signs of fluid retention--no swelling, etc. Meds. are lisinopril, amiodarone, zocor, toprol, aspirin. Thank you. | Hi,The wheezing does not occur normally after a bypass operation & if present denotes possible underlying lung infection.Get a Chest X Ray done & show it to your surgeon for change in medications.Thanks | |
Q. 2. 5 year old suffering from stomach ache. Which medicine has to be given?
Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. | Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness. | |
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 --> | |
Does tendonitis cause pain when lifting leg?
hello i have tedonitis and when i lift my leg up a step then the right side of my vagina start to hurt and contracts and the hospital told me to check orthepedic is this common please help i have no insurance and have been feeling this pain for six weeks my name is ve ve | Hi,Thanks for your query.Tendonitis can cause pain when lifting leg.I suggest you to get it checked out by your orthopaedician.Meanwhile give rest to your leg.Use heat and cold to manage pain. Both heat and cold can relieve pain in your joint. Heat also relieves stiffness and cold can relieve muscle spasms.Apply over-the-counter pain creams. Creams and gels available at the drugstore may provide temporary relief from pain.Take diet rich in calcium, vitamin d3 and minerals.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Q. Will taking Effexor increase my anxiety level?
Hello doctor, I am currently on 37.5 mg of Effexor and 7.5 of Mirtazapine. I started Effexor about 10 days ago, my anxiety has increased since starting, and I am taking Klonopin to help with that. Is increased anxiety a normal side effect when starting Effexor? I am also having nausea, dry mouth, and grinding my teeth at night. I do not want to switch to another medication if this is something that could subside in time. Please help. | Hello. Some people can experience worsening of anxiety when starting Effexor (Venlafaxine) also nausea, and dry mouth can happen as well. They usually settle by two to three weeks. You are only on a low starting dose so hopefully should settle in due course. Discuss with your prescribing doctor during the next review so that dose titration can be done very slowly as needed. If the side effects do not settle, then, other options need to be considered. You can use Klonopin (Clonazepam) as needed up to four weeks to manage excess anxiety during this period. Do not continue Klonopin beyond four weeks. Keep using CBT(cognitive behavioral therapy) or psychological therapy strategies to manage anxiety and OCD (obsessive-compulsive disorder). Also, try deep breathing techniques and progressive muscle relaxation exercises to manage stress and anxiety. | |
How to treat knee pain?
Over the last few days I have been having a lot of pain down the back of my right leg, mostly behind the knee area. After sitting it hurts to get up and walk. Seems better as I am walking or standing. My leg sometimes feels numb and the top of my big toes feels tingly. | to evaluate d situation I need ur age weight and ur lifestyle. as of now u get pain killers /analgesics and knee xray. .and consult orthopedic surgeon. thank u | |
Should I be worried about raised, white, painless pimple on back of tongue?
Hi, I have a raised white pimple like sore that doesn't hurt on the back left side of my tongue near the molars. I also had a canker sore on the back of my soft palette. My dentist said a week ago that it was an inflamed papillae, but it still hasn't gone away. Should I be worried? | HI,thanx for your query.Nothing to worry, this white pimple like sore may be because of any sharp tooth structure hurting your tongue or check for stress or if you have taken any citrus fruits resulting in slight abrasion of tongue. check for your diet ,take nutritional diet rich in iron, folic acid ,vit b12,zinc. hope this is helpful. | |
Suggest treatment for knee pain that radiates to the thigh
Hi. I have a pain that I think starts in my knee and goes up my thigh. It is a dull, gradual ache that I cannot pinpoint. I was taking statins a few months ago and stopped because I thought it was affecting my muscles. I notice it most sitting, driving or going to sleep. There is no comfortable position. I felt the statins affected my thigh muscles, but this feels a little different, almost like bone aches. | Hello!Welcome on Healthcaremagic!Your symptoms could be related to a pinched nerve or a bulging disk in the lumbar region (compressing the sciatic nerve). Coming to this point, I would recommend consulting with a neurologist for a physical exam and some tests: -a nerve conduction study to exclude a pinched nerve or neuropathy- a lumbar spine X ray study ( a lumbar spine CT scan may be needed). Some blood lab tests (complete blood count, PCR, Sedimentation rate, blood electrolytes, vitamin D levels ) are necessary too. You should discuss with your doctor on the above tests. Hope you will find this answer helpful!Best wishes, Dr. Aida | |
How can wheezing be treated?
Hello Sir,I am a 24 years old. I am having wheezing problem since 1 year old. We have consulted almost many doctors in many hospitals in Chennai. However, still I am having this problem. At six years back, I started using L Montus and Omnacartil tablets. I have used these tablets almost five years regularly. Recently, when i consulted in a clinic for cold and fever, the doctor said that you do not supposed to use these tablets. It has more steroid. Its not good for girls. That day only, I came to know these are dangerous. Now, what are the ways I can come out from the consequences of steroid and what is the best medicine for wheezing. Thanks in advance and I would be grateful to you always. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The wheeze problem may be due to various reasons. Initial symptomatic treatment will hold good but it should not be used for longer period. Need to get evaluated to know the cause, environmental / immune mediated/allergic/genetic. Meet a pulmonologist, best in Bangalore city as I know. Check whether it is seasonal or throughout the yearmany times immune related issues which can be dealt with pulmonologist and immunologist combinedsteroids can be tapered gradually once the diagnoses is confirmedplease do message if any further concerns, will be happy to answer. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for enlarged prostrate
i am 58 years old 3 months ago i had prostate 30.1gm after 5days took aurovedic medicine himplasia instate of tomsoline 4month back again checked and found my prostate increased 39.6gm and taking dutalfa and contuinig himplasia from yesterday having savior gastric pain pls help me | Thanks for asking in healthcaremagic forum Treatment for prostage enlargement include both medical and surgical lines. Surgery is advices based on the the residual volume of urine in bladder after voiding with associated symptoms/signs. So, I would like to suggest you to visit an urologist and follow his advice for proper cure. Mean while for gastritis you can take antacids. All the best. | |
Q. I have a feeling that there is something in brain and abdomen. Are medicines necessary?
Hello doctor,My problem is having a feeling all the time that there is something in my right side of the brain and in the abdomen. I also take medicines for the past two years but the problem did not go away. At present, I am taking Clonil 25 and ND Amisulpride. I also have taken Lamotrigine, Fluvoxamine, Risperidone, Olanzapine, and Sulprax OD but the problem does not go away. In the beginning, I had pain in the abdomen. I took medicine for stone then USG came normal. Then for an intestinal infection, the doctor said I have a psychiatric problem. No tests needed. Then I took too much stress that from where I will buy food or get water fee and electric fee. Then after abdomen, I felt the problem with my one side of the brain. I feel in my brain two wires are connecting, just like covers in my one side of the brain just like rounding something. Then I went to the psychiatrist. I took medicine for two years, rounding like covers like go away but today I feel something in my one side of the brain and in abdomen 24 hours though.Please give me suggestion if medicines are right for me and how long I have to take it. My father also took medicine for psychiatric issues, but his problem was different and he died 6 years ago. He used to talk lonely and also loudly and sometimes in anger. Aunt also takes medicines. She goes away from home, talks more and different. Grandmother also takes but for short time. | Hello. As you have described, no doubt your problem is psychiatric and family history related to psychiatric illness are also there. So, there is a possibility of that. Your mind is continuously sending a message to your body that you have a problem in the brain or in the abdomen. These continuous thought is causing troubles in your daily life. This is the body-mind relationship that helps us to understand our body. If you willtry to stop the wrong message sending by your mind, it will be helpful. You are young and if you do not take measure for it now, it will create a problem for you life-long. It is simple but takes time but it is good that you understand the problem so that you can easily handle the situation. To stop these thoughts, you have to try stop technique in which if your mind continuously sending these wrong messages, you have to stop them by telling that no, these are wrong. I do not have any problems and my brain and body are healthy. Continue Clomipramine as Clonil 50 and follow as advised. You will feel better. Preoccupied with the body. Somatoform disorder. It is useful to make urself busy and increase recreational activities. Start regular exercises. | |
What causes red bumps on penis with layer of skin after intercourse?
Sometimes after I have sex or masturbate and don't wash my penis I will end up with a red bump on the head of my penis. It doesn't hurt or sting or burn it's about 4mm round, and forms a head or flakes off a layer of skin. I've been to the STD clinic they say it's nothing. Any thoughts? | Thank you for query.It may be due to fungal infection.Please take following precautions.Use loose cotton clothes.Keep area dry.Apply antifungals like clotirimazole.clean the area twice daily with warm water.oral antifungals like flucanazole 150 mg weekly once can be taken.Treat your partner also to prevent recurrence.Good control of diabetes is most important to prevent recurrence.consult doctor if does not subside.You can get back to me for any clarifications with the photos.Dr Bharatesh D Basti Dermatologist. | |
Suggest treatment for runny nose with headache
My 3 year old son has had a cold and cough that has recently gotten better, still a runny nose from time to time, but he has been complaining of a headache in the front mid section of his forehead. Can he still be congested from the cold or is it something else? and what should I do? He has complained about the headache for the past 5 days now off and on. | Hello, This seems to be due to a simple common cold or viral cold.Nothing to worry about headache unless there is consistent vomiting or altered sensorium.Please give paracetamol which can tackle both headache and fever. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
Q. How will a doctor suggest treatment from the output of Holter heart monitor?
Hi doctor, My mother has been on Holter heart monitor for the last 24 hours. If any abnormalities found on this, then what treatment can be suggested by doctors? | Hi. Thanks for the query. Holter monitoring is done to identify rhythm problems, to diagnose the type of arrhythmia, and its relation to daily activities, to detect heart blocks and to monitor treatment. Now depending upon sign and symptoms and rhythm identified, the treatment plan may be devised by a cardiologist. In general, for fast rhythms, medicines are given to slow down the heart rate and also reversion of rhythm to normal can be attempted via medicines or invasive intervention. For slower heart rates such as heart block and its symptoms such as loss of consciousness or dizziness, pacemaker (which is an electronic device than generates a pulse for the heart) may be implanted. Depending upon rhythm detected, further tests may be advised such as cardiac electrophysiology study. So, possibilities are many; if you provide some history of the patient, I can guide you properly. Just tell symptoms of the patient, any current illness and medicines she is taking, any previous ECG, echocardiography or other tests performed. If you can provide the above details, it will narrow down my answer and easy to understand for you. I am praying for your mother. Regards. | |
I am having problems with my underarms and pubic area
hi im an indian , im having problems with my underarms and pubic area, its really dark over there, very itchy and swelling kind like pimples . im very embarrassed to tell anyone. and i do use razors to remove hair and when i recently used it, it started getting worse and very dark and itchy.if you can tell me which medicine or ointment should i use, it would be a really big help. please help! | well said anonymous, im an american , we should all realise the truth, and shouldnt misbehave to anyone. | |
What causes itchy red bumps on the stomach?
Hi within the last four days there are itchy red bumbs that have appeared on my stomach, they go all the way around it but mostly the middle and sides, at first they were small and itchy but now i see that they are more visible. I am afraid that this may be herpes, but recently i did change my detergent to gain could that be it. I took two benadryl last night hoping that would help. I had the herpes scare but my doctor said all test came back negative, but still a bit weary what could this be and what can i use to make it go away. Thanks in advance. | Hello,Thank you for posting on HCM.I can understand your concern regarding the skin lesions.It could be urticaria or scabies but its difficult to point specific diagnosis in absence of clinical examination.Therefore, I insist you to post good clinical pictures to me so that I can help you in a better way.You can reach me directly through the below mentioned link. Hardik Pitroda | |
What causes burning sensation in the feet while suffering from diabetes?
I have diabetes i have a place on my foot that busted open about a week ago now it burns an is very sore i notice a small red line coming up from the side of my foot 2 days ago today it is going across the top of my foot an almost up to my ankle area should i go to the emergency room right now or is it fine???? | This is definitely a sign of infection. get it treated on emergency basis. Because with time it may get uncontrollable and severe complications.Blood sugar level must be brought under control , and foot should be examined for patency of blood vessels and nerve conduction. | |
Suggest mild antibiotic to 2 year old with fever and sore throat.
antibiotic generationwhich generation antibiotic to be used in 2 years old for fever due to throat infection. please dont give hard antibiotics. also please explain the generation of antibiotics, what is it all about? why and how is it used? does generation of antibiotic has to do some thing with its intensity? which antibiotic is mild, I can use for my baby as I don't want to give him hard medicine and weak his body resistance.please explain in detail and help. | HiWelcome to the HCM I understand your concerns. Most of the throat infections with fever are caused by viruses which actually do not need any antibiotics at all. These are mostly self limiting illnesses in children and get improved with just symptomatic treatment over a period of 1 week.Sometimes, if they are associated with congestion of throat, enlarged lymph nodes, high grade fever, enlarged and inflamed tonsils, the bacterial infections are the cause. Streptococcus is the most common reason. It needs to be confirmed by a pediatrician, throat swab culture and a complete course of penicillins or other sensitive antibiotics. I usually recommend single injection of Benzathine penicillin, or 10 days penicillin v oral or 5 day course of Azithromycin. Hopefully this will be helpful. For any further questions, you may contact us.Take care | |
What happens if Loestrine intake is stopped?
I currently have taken 2 weeks of Lo Loestrin Fe to help with PMDD but since taking it I have not been feeling well...tired, feeling more blue than usual, and headaches. I would like to stop taking the pill. Could it be not a good fit for me and what would happen if I stopped in the middle of the month? | Hello,I think you can stop loestrin if it is not suitable for you. You have to use other contraceptive methods such condoms in order to prevent pregnancy.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Olgeta Xhufka, General & Family Physician | |
Is masturbation good for health?
masturbation and its bad effects on body and mind. Because i really feel and saw the difference when i masturbate or stop. like when i stop i see and feel that i am stronger i have experienced this and learned from my friends that it is the same with everybody Please tell me if all this right or wrong and a clear explanation. | Thank you for query.Masturbation reduces the desire to have sex.If followed in a hygienic manner it will not transmit STDs or HIV.There will not be any lack of strength or cause weakness. There would be no problem of having children in the future or cause voice cracks height damage etc etc.these are myths.Follow hygienic measures. Get back directly to me if any queries.Dr Bharatesh D Basti Dermatologist and Venereologist. | |
What are the two small lumps in my neck below my chin?
Lymph nodes I have two small lumps in my neck below my chin . they have just recently come up . I have heard these could be lymph nodes which can be linked to HIV / aids. I have been paranoid about being pin pricked in the back of my arm when I have out in the clubs (does this happen) . I have also gone quite skinny in my arms and stomach. I am really upset and scared about this and need too know what it is . something is not right . | Hi.The simplest way is to go for a blood test.Why do you want to wait.Blood tests will give you the correct diagnosis. Mere suspicion does not help. The lymph nodes at the chin are a common problem and you can go for an FNAC if the course of an antibiotic and anti-inflammatory medicines for 7 days do not help to resolve them. | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
What causes pain under breast line?
I am having some pain just under my breast line on right side. I noticed it about three years ago when I would sit and play dominoes for a long while it would hurt. I used a heating pad which is what I am currently doing. If I take a fiorinal and lay with a heating pad it goes away and o am fine. I ve had gallbladder removed and a clear mammogram just this week. Just wonder if it s a muscle or what exactly. Some time it stings but feels like a bruise. | Hi. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x ray done to rule out any lung infection or it could be just a muscle pull. Do not lift heavy weightsPossibility of musculoskeletal pain is more. Ibuprofen is anti inflammatory. You will definitely improve with combination of painkiller and muscle relaxant drugs. Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. But better to first rule out lung infection.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
Suggest remedy for headache,body ache and shortness of breath
Hi, ive got a headache, aching body, chest pain, shortness of breath, and when i eat something or have a sip of drink my stomach makes a lot of noise and causes me to burp a lot. It started a couple of days ago with difficulty breathing and ulcers on my tongue and just got worse | your symptoms suggest you are under lot of stress.better to apply for leave for 5days and start with Bcomplex tablets like supradyn one tablet daily morning after breakfast.try to eat easily digestible food like curd rice,idly or bread with milk in small amounts but more frequency.start some form of exercise like yoga or walking atleast 30min a day.along with some antiacid medication like sucralfate you can take mild pain killer like paracetamol when aches are more severe.if these measures are not helpful you need to consult qualified physician. | |
Is diluted and transparent semen normal for getting pregnant?
hi ... hubby and me are trying for baby . Whenever we have sex, I find that after he ejaculate and pull out, most of the sperm flows out from my vagina and even after i woke up in the morning the sperm still flows out .. 1 more question , his sperm is quite diluted and slightly transparent. is it normal ? | Hi, the flow of semen is normal from the vaginal after the intercourse. If you have any suspicion regarding the semen, get a semen analysis done for your husband. It will clear all the doubts. Hope I have answered your question. Regards Dr khushboo | |
Are red rashes on the face due to Oxycontin?
I had surgery on my hand yesterday. Today I have red rash on my face and throat and tingling in my lips. I have taken 3 OxyContin since yesterday at 1 pm. Do you think this is a reaction to the anesthesia or the oxy? The same thing happened to me 2 months ago after I had a breast biopsy (that was negative thankfully) | Flushing and rashes can happen after the use of opiate medications. The medications given to you for anaesthesia may have included an opiate as well so it is difficult to determine what would be to blame for your symptoms. I would recommend stopping the oxycontin and see if tylenol and ibuprofen alone would keep your pain under good enough control. For future procedures, you could consider asking for a different pain medication for your recovery period that could include a different opiate to see if you can tolerate it without developing a rash. | |
What causes pain and tightness in the heart?
My 6 year old daughter complains that her heart hurts like someone is sticking with something sharp... and she says she feels like someone is sittin on her chest. This happens every once in a while and lasts about a week. Should I go see her pediatrician or a pulmonologist? My other 2 daughers have mild asthma. ALSO, thinking it could be asthma related I gave her xoepenx in the nebulizer yesterday and she said it didn t help. | Hello, I suggest you to see her pediatrician and he will recommend you what to do. I think you should do your daughter a chest x-ray, cardiac sonography and to see also if possible gastroesophageal reflux is possible. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anila Skenderi, General & Family Physician | |
Is progynova necessary to ensure conception by IUI?
Hello Dr I did my IUI yesterday, and iam intaking the progynova tablets during last 4 days, they suggest me to take this tablets after i did the scanning, they found that my endometrial thickness is not sufficient. But i want to Know is it necessary to take those tablets after did the IUI? | HIThanks for writing.. I understand your concern.. Since your endometrial thickness is not good it would be better to take progynova to build up the endometrium.. The chance of conception increases if the endometrium is good.. Hope I have answered your query. Good day. | |
What causes reduced social interaction in child?
Hi I have a 2 1/2 year old child that doesn t say much. He can say no, stop, and juice but if he wants something he will just point say ehhh But he can recite a whole movie and remember everything that they say and do. When he was about 1 1/2 he could count Cleary and perfect, say his ABC s and talk good for his age, now he doesn t say anything and even if he really wants something he still won t say it. For example he would say his age and put up the correct number on his hands but now he doesn t. What do you think the issue is? | DearWelcome to HCMWe understand your concernsI went through your details. I can understand your emotions. I sincerely do not see any developmental problem in your son. some months before, your child do whatever his caregiver says over playful and entertaining episodes and imitate everything. He was not learning, but imitating because his mother was playful and he liked playful. Now, he has matured and he likes more of playing his own than imitating. His thinking pattern has changed. He will start doing things when you compel, when you provide rewards and when you appreciate each of his good deeds. A child psychologist should be able to help you.I can help you in this aspect. If you require more of my help, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
How to remove red rash from genital area?
I am female, 20 years old, single and never had any sexual contact with anyone. But I feel worried because my genital area is now reddish. It started when I had my menstruation last week. I thought it was just a rash caused by my sanitary pads (because I had them before and it went away after my period) but now it didn t. I noticed that my butt cheeks also have this redness and scaly-like skin texture. I also had this thick and white discharge. I m afraid to go to a gynecologist and very much afraid to know that I have a disease. Please help me to treat this because sooner or later I m going to have a medical/laboratory examination for a job. Thank you very much. | Hi, You seem to have a fungal infection. Moisture from occlusion, warmth and humid weather favor the growth of the fungus. In addition, you seem to have a candida vaginitis which is responsible for the thick vaginal discharge. I suggest you take an oral antifungal e.g tablet Fluconazole or Itraconazole for 2- 4 week. This would take care of both cutaneous as well as vaginal fungal infection. In addition, I suggest you apply an OTC topical antifungal e.g Clotrimazole 1% cream or Ketoconazole 2% cream, for the skin involvement. twice daily for 2-4 weeks. You may as well keep a Clotrimazole pessary in the vaginal canal every night for a few days. Since fungal infection and candida vaginitis are usually itchy therefore I suggest you to also take an OTC antihistamine e.g Tab Cetirizine for relief from itching. Hope I have answered your query. Let me know if you need any more assistance. | |
Does masturbation cause back pain & urine leakage ?
Hi , I am 13 years old i have been masturbating for about a year .... now i feel lower back pain and i think my hair is a little bit following leackaga in urine feel sadness most of the time and lazy ..I stopped it about a weak can i recover from that without medicine ??? may i be normal again WITHOUT MEDICINE ??Thank you .... | Masturbation is never a cause of low back pain. If you will not masturbate your semen will leak(night fall). At least weekly masturbation you will have to do to prevent night fall. You must consult a psychiatrist for counselling. You are going through a transition phase. You do not require medication. Just need counselling, good healthy diet and exercise for you weakness and laziness. | |
What causes a lipoma in an ankle ?
I have always had a puffy area around both ankles. I always thought it was fluid even though I was thin. Now I am obese at 5 3 and 185lbs. The fat around my left ankle is large and is growing. The right ankle remains the same. I was told it was a fatty tumor as it was unable to drain. How common is this? I am scheduled to have it removed as it putting pressure on my ankle and I also have torn a tendon. Is this common? | I have a torn tendon (diagnosed by ultrasound) and a large lipoma pressing on it (outside ankle area too). In addition to that, I have a strain (which keep swelling) of the ligament on the front of same ankle bone. Cannot wrap the ankle for the strain because of that lipoma on the underside of the same ankle bone. I cannot wear a closed shoe or socks; fortunately it's summer now. I'll do everything I can to avoid surgery. | |
Should i meet doctor for severe hair loss?
hello doctor.... i am suffering from hair loss... i think it is hereditary... since my full family is suffering from it... i am just 19 yrs old.... i stay at loutolim salcete goa and need to consult a doctor regarding my situation can you please help me out...??? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.You might be suffering from Androgenetic alopecia. You can use Minoxidil solution and finasteride tablets. But consult your dermatologist before initiating Finasteride.Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for high blood pressure
i am having high bp problem for 2 years.i used amlodipine for those 2 years.now i am taking an ayurvedic medicine which is execellent in curing the bp.i want to know whether i should masterbate or not...?as the ayurvedic medicine is curing my bp very well. | Hello, I understand your concern and would explain that if your blood pressure values are within the normal ranges (125/85 mm Hg), you should continue taking your actual medicine. It is safe to masturbate as long as your blood pressure values are under control. 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 short term memory loss
Hello, I'm 23 years old and I feel like my short term memory loss is failing me. When I plan things i seem to forget about the day / time it was planned and seem to be forgetting a lot of things that get people frustrated and end up frustrating me too. I've looked up some info online and noticed most responses were sleep related but I can assure you I do not lack sleep, for that matter I sleep well over 10 hours a night without waking up. | Hello thanks for asking from HCM for your health related queriesI can understand your concern. It is usually not common to see memory loss or cognitive decline at your age so there is no need to worry for that. Most of individuals of your age with memory problems have anxiety or mild depression. Some times low Vitamin B12 levels also results in such symptoms of forgetfulness. I would advise you to get your B12 levels checked to find out the exact cause of your symptoms. If B12 levels come low then start taking Multivitamin supplements and this would help in improvement of your symptoms.If everything come normal then visit a psychiatrist for evaluation of your symptoms. Forgetfulness in day to day task could occur due to anxiety or mild depression. Your sleep is normal but such symptoms could be stress related. Low doses of anti anxiety drugs like SSRIs would help in improvement of these symptoms.Thanks, hope this helps you. Take care | |
Suggest treatment for severe knee pain
Im looking for orthopedic surgeon and pain management dr. who can help me going forward,with surgeries to my knees and lumbar, Ive qualified for disability,waiting for final approval paperwork. until it goes thru would be a self pay. I have rhuemetoid arthritisis,my hands (especially thumbs and joints) are in terrible pain, I have a fusion at C5C6C7, herniation at C4,C3. The lumbar is seperated at lumbar and sacrum and herniated at L5L4L3, my knees healed wrong, and my right groin was torn and have terrible pain with my right hip, all due to a fall down a L shaped staircase, landing upside down. the Cervical spine, due to a construction truck running a stop light and stopping once he hit me. The pain I deal with on a daily basis as at a 8, that is just dressing, trying to do at least 4 meals a week, Im in the Baltimore area. Ive been through so many different regiments of medicines, therapy is impossible until my knees, hip and lumbar are addressed hopefully with the least amount of surgery possible, I found after my fusion, the scar tissue and the healing years later has its own set of problems. My goal right now is to maintain the ability to be a home maker with the least amount of pain until surgeries can be done, and even then those aren t guaranteed to take away a lot of the pain, as I learned with my cervical surgery. Fentanal patches, gave me my life back, my break through medicine was reduced to 15mg.1 to 3 a day max.My goal is to have the least amount of medicine with the most amount of quality of life, ive been dealing with this pain for over 10 years now, my last doctor whom I loved and was an amazing gift, finally was able to go into the field he longed to do, which was childrens cancer, leaving me searching for a dr. but not finding one that could address my pain and have a plan long and short term plan for surgery and pain. My pain management plan re: surgery was interuppted with a bacterial infection from an infected kidney stone, which became sepsis, and I nearly died, I had a nephrostomy tube and 3 stents until the surgery was finally performed to remove my the infected stone and it took months to get my health back. Trust is critical and Im looking for that trust and care close to my home if possible. Thank you Sandie | you have made an excellent PMHOI. it gives lots of inputs. you need to focus on your diet, sleep, exercise plans. this works in most of the RA cases. pain and aches are disabling which is acceptable. keep a positive attitude. do regular yoga breathing exercise like pranayama, eat healthy food, sleep properly and do regular ROM and strengthening exercises. improve your endurance levels as the metabolism should function good and support the immune system . as you must have Google by now what ur condition is all about. so kindly focus on all proper guidelines. surgery might give a temporary relief but nothing more accurate than the self induced efforts to fight back. all the best. I can prescribe some exercise if we get some close communication. thank you | |
What causes chest pain, suffocation, dizziness and stress?
Hello doctor since one week it happens three times that I m feeling diziness, chest pain, safocated etc. it goes serious when I'm in stress or thinking something negative..initially I thought it was a BP or heart problems but I check my blood, urine, X-ray and electrocardio gram as well the doctor said there is nothing wrong with your system and it could be a somekind of reaction from body, if you could advice me on it what is it. today I was in office Normally I don't do breakfast and my office cabin doesn't have air vantilation, got AC but feel cold..morning time it happens frequently and when I keep walking or come in fresh air it seems OK. I'm afraid doctor please advice | Thanks for your question on Healthcare Magic.I can understand your concern. Your symptoms are associated with stress. So possibility of anxiety and panic disorder are more likely in your case. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Don't worry, you will be alright with all these. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
X-ray shows loss of lordosis with history of pinched nerve S1 disc bulge L4 L5 anular tear to L4. Any thoughts?
hi have suffered pinched nerve s1 disc bulge L4 L5 anular tear to L4 still have root nerve tension after 1 year now I am getting really bad neck and shoulder problems have recently had xray it says loss of lordosis visible could my intial lumbar injury be causing this ? | Hi,Thank you for posting your query.I have noted your complaints and the past history.I agree that the cause of loss of lordosis in the current X-rays could be due to past injury.In any case, there is no need to worry about this.The usual treatment consists of physiotherapy and medications.Common medications required are pregabalin or gabapentin capsules for nerve pain relief.Physiotherapy sessions would include neck or back extension exercises. IFT/ultrasound may be helpful in relieving back and neck pain too.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Suggest treatment for painful lump above kneecap
I went to sit down and I felt a sharp pain above my kneecap on the outside of my leg. It felt like a muscle cramp and it was painful to straighten my leg. There is a lump the size of a lime in that spot. After 10 minutes of ice on it the pain is calming down. Anything you can suggest would be helpful. Thanks. | Hi,Dear,Good Evening from INDIA.Thanks for the query to HCM.I went through all the details of your query. on the details given by your query,In my opinion you suffer mostly from-Acute Synovitis with arthritis-Treatment suggested would be-a-Tab NSAIDs x 5 days b-Infrared light theraphy for 1 wk.c-Xry-knee and d-orthopedic doctor consultation ASAP.Hope this would resolve your query.Welcome for any more query to HCM and ME,in this regard.Wishing you fast recovery.Write review with strong recommendations for HCM and for ME,for the benefit of other new and old patients.Have A Good Day.With Regards,Dr.Savaskar M.N. | |
I am having mild pain all around my belly button area
hi doctor i am 33 yr. male from last 5 months i am having mild pain all around my belly button area this pain is very mild and does not interrupt my eating, bowel movement nor effect my daily routine.either than this pain i have no problem .i have been to gastroenterlogist he had done endoscopy which was normal even stool and blood test were normal. ultrasonography again normal. what shlaa i do pls. advice. | hi,thanks for query,please look for some local scratch or infection in the belly button itself.If there is nothing there then there is possibility of intestinal colic which means intestine contracts stongly in normal case and give rise to pain.Also look in your stool for worms . wishing you good health. | |
What causes Fits in children?
My son has been suffring in FIts since lst two years. He is about 4.6 yrs. Fits moment is just abt 2-3 minutes. we have under gone MRI scan in Kalinga hospital . But cound not able to detect the exact cause. is there any way out to have the remedy....... | Dear friend,the reason behind this recurrent fits attack can be many including epilepsy or plain seizures.See MRI in some cases can detect the cause if particularly there is any structural deformity is there.as MRI could not clinch the diagnosis i would say u should go for EEG study on him.an EEG can diagnose the electrical activity of various part of the brain.so,if there is any defect in the activity of any part in the brain causing fits ,an EEG can throw some light on that.so under any paediatricians prescription you should go for a n EEG for your child.thank you. | |
Should I get an x-ray for numbness and bruise after hitting shin?
Hi, I impacted a soccer goalpost with my shin yesterday. there is a very dark bruise at the impact zone and the whole surrounding area is completely numb. if i do not limp i get excruciating pain radiating throughout my leg from the impact area. Should i get an X-ray or is it likely to be soft tissue damage? | Hello. While it may just be a contusion, the numbness is not a common symptom with just a contusion so you need to get x-rays to look for a fracture here | |
Is Hydrocortisone an effective cure for itchy bumps?
I have a hard very small bump on the inside towards the bottom of my big toe that makes the entire tip my my toe severely itchy if I press on the bump it makes the entire tip of the toe painful. Pulled what we though was a splinter from it 4 days ago and have soaked it in peroxide for the last several days with no change. I can reduce the itching by using hydrocortisone It will stop the itch for about 4 hours. any Ideas? | Hi, It could be an infected cyst. Consult a general surgeon and get evaluated. If there is pus collection, it has to be removed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What causes blood clots and pain in the left leg and lung despite taking Innohep?
Hi, I suffer from blood clots in the left leg and lung. I am on Innohep blodthinners but have had clots while on the bloodthinners. I keep having horrific pain in either one side or the other side of my chest. It is so bad that I cannot breathe from the pain and I have to go to Emergency to get checked. The last 3 times, it has not been blood clots, but I have to go in anyway because of my history. Now the pain is beyond belief, what could be causing it. I am not puling muscles from exercise, and it does not feel muscular. | Hello,Thanks for using Heathcaremagic.I read your query and understand your concerns.The presence of recurrent leg pain and chest pain clearly indicates that the deep vein thrombosis is still going on despite the use of medications.Although there are multiple causes for it but blood disorders and interrupted flow of blood in venous system is most important.In addition it is possible that prescribed dose of innohep is inadequate.I will request you to get PT and INR from nearby laboratory to know the coagulability of blood.This will help you in deciding the optimum dose of Innohep.I hope this answers you.Thanks again. | |
Have rashes on body, allergy. Done Inguinal Hernia surgery. What is the connection?
I have just gone through Inguinal Hernia surgery in Mumbai, India on 12 August 2013.I have implanted with Bard Mesh, Ref 0000, Lot HUWC0912.After two days of suregery, i have found rashes all over my body with uncontrollable itching.When i done counselling with Surgeon, he told me its some allergy and prescribed me one tablet for same but rashes are growing day by day.Now when i search internet for same, i found bad news for this, many people have same problem unless and until this Mash is not remove from body.Please visit following site WWW.WWWW.WW Please let me know, best possible solution for this!! | HI Thank for choosing HCMEven without the mesh Inguinal hernia repairs gives good result, if you do not have any history of urticarial rash, or any other fix drug sensitivity then the this could be incompatibility with mesh, discus it with your surgeon ( Human body is very sensitive to foreign body if ever entered in it) Good day | |
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 --> | |
Is the aneurysm in the main arroda inoperable and does it grow in size?
someone i know has an annursym in his main arroda, he was told it was inn-operable every 3 to 4 months he visits his doctor in the last 4 months they said it grew 2 senimeters. is there a number that you go by to see how it is growing, I really do not no how critical it is, he was told it can burst at any given time and die...Please help me to understand this a little better..Thank You | if I am not wrong...then u mean Aorta. Aneurysm if of large size can be lifethreatening if ruptured.So if this is aortic aneurysm....and growing in size then must be treated. ...options are....open surgery whicheck is riskyEndovascular placement of graft.regards | |
Why is biopsy of the liver done?
I have been diagnosed with an enlarged spleen. A Biopsy was recently done and now a biopsy of the liver is planned. I have also been diagnosed with a gallbladder problem which is going to be removed at the same time the biopsy of the liver is done. What are they looking for and what might they find? | hi.you might want to ask those questions to your doctor, preferably a general surgeon, personally as you have the right to know the findings of your examinations/tests. majority of gallbladder removal is secondary to gallstone problems, but there are also other causes for it. incidentally, they might have seen a lesion (probably a cyst or a nodule) in your liver, hence, the need for biopsy. it is for you and them to know the definitive diagnosis for that liver lesion. other diagnostics and management (such as proper antibiotic course) will be directed accordingly.hope this helps.good day!!~dr.kaye | |
Can Bifilac be given for diarrhea in infants?
Hello Doctor, I deliver twin babies (baby girl and baby boy) in USA 3 months back we came to India last month. My son got 4-5 times stool a day my friend recommended me to take Bifilac 5ml in the morning and night is it advisable to take this medicine for my son? His stool would be little watttery not to much and he is in formula feed. Plz advise me | Hello,No need to give Bifilac, though it is safe. Four to five bowel movements are considered normal in infants. Also, you have mentioned these are not watery. Probiotics need to add in diarrhea patients. Keep a watch if frequently of stools increased, if consistency changes, if urine output decreases if noticed dullness or irritability occurs then consider it diarrhea, start treatment after consulting doctor. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sachin Kumar Agarwal | |
How to treat eczema during pregnancy?
Hi ....I am 18 weeks pregnant and i had eczema which was suppressed all these years ..but now suddenly it is aggravating also there are small eruption like a bug bite , which are really itchy and cause much irritation , please advice whether it would effect baby some how and how can it be treated . | Hi, It is very common to have aggravation of eczema during pregnancy. I would recommend you to take tablet Chlorpheniramine Maleate once daily at bedtime and apply a moisturizing lotion on the entire body 3-4 times in a day. Don’t worry it won’t affect your baby. Hope I have answered your query. Let me know if I can assist you further. | |
Can the medicine, Prednisone, cause fever during the night?
The last 2 days I have been running a fever at around 3 till night time - around 100 to 100.6. Other than the fever I feel fine. I am on prednisone for a minor car accident I was in for muscle issues and soma that I only take before bed. Can it be the prednisone? I also noticed some small bruising on my legs. | Hello,Usually steroids may suppress the fever or any inflammation. But in case of any other infection in the body may cause fever which not controlled by steroids. You also mentioned that bruising in the legs may be rash. Use tablet paracetamol thrice a day for five days. Use tepid sponging. Please consult with your physician he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | |
What is the suggestion for cough and thick nasal discharge?
my son is 3 years and 8 month old ,he is having bad cough and running nose from 3 weeks ,nasal discharge is thick white some time it turns yellowish green.Even completing the coures of antibiotics still same thing is going on and coughing is also followed by voimt ,pl.suggest what to do now | hi. i understand your concern.you can give your son steam inhalation twice a day. this will help with nasal dicharge.i would suggest you to give him nebulation after consulting your docter it will be very effective.give him warm water to drink. use nasal saline drops.. all this will helo you. and dont give him milk at night.hope i helped you. please do rate my answer. thank you. | |
Suggest treatment for high blood pressure
My Daughter 0f 50 years while at my home asked me to check her blood pressure. It was 210 over 102. She would not go to the ER and said she would call the Cardiologist in the morning. I gave her one of my wife s Metoprolol 25 MG. tabs to try and bring the blood pressure down. Did I do wrong? I didn t know what else to do. | Hello, I would agree with you on giving her Metoprolol, as this will help lower her blood pressure values, although I don't think this will be enough considering her blood pressure values. Having some rest and a cup of lemon juice or garlic can help too. But, if such high blood pressure values persist, going to the ER will be necessary. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | |
What causes red bruise on the spine, fainting spells and burning in the lower left?
I need answers. Over a yet I ve lost 40 pounds. All test seem to come back fine. Starting to think it s in my head. For past week I ve had a brownish red bruise half moon shaped around my spine. I have fainting spells, my Bp is normal for a normal person but mine ha always been low, it s been 120/75 or something close. Horrible burning pain in lower left side, no recent trauma. Major head aches | Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that your symptoms seem to be related to Herpes Zoster infection. I recommend performing serology for Herpes Zoster infection. An electroneurography coupled with a spine MRI study would be necessary to exclude nerve and medullary affection. You may need to start gabapentine or pregabaline for the pain. Based on the physical exam and serology you may need to start antiviral therapy. Hope to have been helpful!Kind regards, Dr. Aida | |
Q. Is it advisable to do capsule endoscopy in a polycythemia vera patient?
Hello doctor, My uncle is suffering from bleeding through stool and has undergone colonoscopy and endoscopy. But the bleeding location has not been detected. We have been asked for doing capsule endoscopy. Should we go for CT abdomen with CT angio first for diagnosis? The patient has polycythemia vera. Also if at all the capsule endoscopy is required, where we can get it at a cheaper rate? | Hi. I have read through your query in detail. Please find my observations below. Bleeding through stool is a serious concern and must be evaluated in detail and treated early. Endoscopy reports (upper and lower GI) show no significant active bleeding in the areas visualized (attachment removed to protect patient identity). Keeping the above in mind, I would recommend an abdomen and pelvis plain and contrast CT scan with CT angiography study. The endoscopy done shows us that there is no bleeding point in the visualized portion of the esophagus, stomach, duodenum, and colon. We are unable to evaluate the extra luminal portion of the bowel and if there is any abnormality. The capsule endoscopy can be done later depending on the findings of CT angiography and CT scan contrast of the abdomen. | |
Suggest medications for pinkish lumps in clitoris
Hello, I am 15 years old and I have slept with 4 people and I very worried, I have two small pink-ish lumps just next to my clitoris, they are not sore but they can often be very uncomfortable and itchy, I have not recently had sex because I'm scared in might be an STI, please help!:S | Hi! Good morning. I am Dr Shareef answering your query. Based on your history I would advise you to visit a gynecologist for a clinical examination of the lesion, as it might not be possible to opine on it just over the net.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. I wish you an early recovery. Dr Shareef. | |
Urine analysis shows positive for hemoglobin, nitrites, leukocyte esterase. Had kidney stone, broken it. Underlying cause?
I just got the results of a urine analysis, and they are positive for hemoglobin, nitrites, and leukocyte esterase, which, I suppose, should all be negative. Should I be concerned? What could cause this? I had a large kidney stone (13mm diameter) broken up via lithotripsy about 8 years ago. Could the return of kidney stones cause this? | Hello and welcome to HCM,The urine analysis report reveals presence of hemoglogin, nitritis and leukocyte esterase.Hemoglobin appears in urine due to break down of red blood cells and release of hemoglobin in urine.Hemoglobin appears in urine due to kidney diseases. The most common being nephriti syndrome.Nephritic syndrome is a group of clinical findings caused by a number of kidney problems.You need to consult a nephrologist for further investigations.Kidney biopsy may be required to know the pathological changes in the kidney tissue.Nitritis and leukocyte esterase is present in the urine in cases of infections.A urine culture may be required to isolate the causative micro-organism causing the infection.Thereafter a drug sensitivity test will identify the drug most effective against the micro-organism.Thanks and take careDr Shailja P Wahal | |
Gave birth to child, US detected trace of fluid in endometrial cavity. Should i be worried?
Hi, I am 34 years old. I gave birth to my son 6 months back. i had my first period at 6th month. during that time, i had an ultrasound of pelvic area for gallbladder stones. during ultra sound , they detected trace of fluid in endometrial cavity. i was on my 6th day of period. should I be worried about the trace of the fluid? i am concerned about this. Please help. | hi.....there is nothing to be worried about.....as you told that your periods stop in last week,so traces of reactionary fluid if detected on ultra sound in the absence of any gynaecological symptoms should be ignored.... | |
Suggest medications for avascular necrosis
Respected Sir, I am Suffering pain from AVN (Avascular Nacrosis) From last 1& Half Year. I had an Operation of Decompression of my Left Leg But there is no any effect. Please tell me which medicines of Ayurveda can I Use . Thanking You. I Can Walk but not Properly. And Pain is decreased little bit. So Some times when I walk There is no feeling of pain. But Some times there is Pian When I walk or Wake up. Please Please Tell me which Medicines and Oil Can Completely Cure this Pain and Problem. I am 36 Year Old. | Dear patient Once you have got avascular necrosis of hip it will progress. Decompression surgery is done to delay progress and to buy time for surgery. So definitive treatment is hip replacement surgery. I don't know of any drug in ayurveda which are helpful is this condition. So do not ask for these drugs as they are not helpful. You need to consult expert arthroplasty surgeon and ask for total hip replacement. This is very effective procedure for pain relief and also improved mobility. It also improves quality of living. All the best. | |
Can birth control pills avoid pregnancy for years?
Hello Sir I have a query. Can these birth control pills or pregnancy control pills (like MALA-D) hold pregnancy for 1 or 2 years? means if any lady being pregnant can avoid pregnancy for how much time through these pills. Can it be more than1 year???? | Dear member,Thanks for using healthcare magic. Birth control pills also known as contraceptive pills if used regularly are very effective in preventing pregnancy. If the lady who is consuming the pills is a young lady (To answer your second query regarding lady being pregnant and wants to avoid further pregnancies I assume your query is regarding the use of birth control pill after the lady has delivered her child and dosen't want another baby now. MALA d cannot be used in lactating or mothers who are breast feeding. In such a scenario I would usually recommend other methods.Kindly get back if you have more doubts on this issue.Thanks.Dr Bhagyashree. | |
What causes mouth ulcers along with throat ache?
Hey Doctor, Please Help I am Unable to Sleep and I am totally in fear. 7 Days Back I was smoking Cigrate I am not heavily smoker. I just smoke 5-10 Cigrates a month occasionally. While I was smoking I felt something in my month. It Havnt gone even after drinking water I came home and Opened my mouth infornt of the mirror and saw White Ulcer in mouth bleeding white liquid from it. I have washed it with cotten. It havnt bleeded again but next day I have 2 ulcers in my mouth. On 4th Day they Became 3 so I have consulted ENT doctor he check it and said it's acte tonsils. He gave me some antibiotics it's 8th day and no improvement in my tonsil.From 6th day my throat started paining and when I searched my symptoms it's showing that Throat cancer or Tonsils Cancer.I am really in fear new I am unable to eat food subconscious my mind is saying that you will die soon. I am getting my family in mind that I havnt done anything good to my parents and society Dying early.Some doctor please suggest me what happened with me is it cancer I am unable to sleep because of Fear. | Hello,Well, first of all do not worry as it is not Cancer. A white ulcer with white discharge that is probably pus is due to infection only and you are been diagnosed correctly.The white ulcer is a pus pocket secondary to infection. As you have started taking the medication since 4 days you need not to worry as it will get better soon.You should continue the antibiotics for a week and along with it do warm saline gargles and antiseptic mouthwash gargles.Take soft meals and drink plenty of fluids. Do not worry as it is nothing serious and you will get better soon.You can also get a throat swab culture done to confirm about infection as it will further relieve your anxiety.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora | |
Why do I have pain in the upper right epigastrict ?
i have the pain in the party of upper right epigastict at the last bone rib of near the when i lie down for prolonged time | hi welcome, your specified area for liver right lobe it may be due to some reasons 1-distention of abdomen pushes diaphragm pain may radiate 2-liver enlargement may cause 3-rib may get some trauma or muscle inflammation consult doctor | |
Bad cough and stuffy nose in child after taking amoxicillin for sinus infection
My son has been sick for 2 weeks now, started amoxicillin about 4 days ago for what the doc thought was a cold turned into sinus infection. ( strep and flu were neg). Now here we are 4 days later, bad cough has developed with more stuffy nose. He is 4 yrs old. | your four child has upper respiratory infection and is on antibiotics and has developed cough meaning that infection might be already in the lower respiratory and that coughing needs only cough syrup for the same and i think he will be allright | |
How long the fever took time to go down in typhoid?
my daughter (8 yrs. old) is suffering from typhoid and it diagnose on 27.10.2010 Dr. gave her Texim-o and AZEE 200 from that day but no improvement in fever, every evening and night the fever goes to 100-102. I want to know how much time to become normal and fever goes down | Hi, After starting the correct dose and drug the duration can be anywhere between 7 to 14 days please. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
Suggest treatment for bursitis of the heel
I have been diagnosed with bursitis in my heel. I have done oral steroids and 10 days later I had a steroid shot in the heel. Now it is 2 weeks later and I still feel like there is a rock in my heel when I put weight on it. What more can I do to get rid of this? Thank you. | Sir, If I was your treating doctor I would advice contrast baths and Achilles strengthening exercises. Inflammation settles with them. I would not suggest steroid injection early in treatment course, Since you have already taken steroid injection it is the physiotherapy that helps rather the steroid which brought down your pain immediately | |
Irregular, light periods with brownish spots and dark colored clots. Pregnancy test negative. Suggest to conceive
Hi. I have been married since 6 months. My menses cycle is normally 30 days or so but since last 2 months.. I am not having proper periods, and not even pain for that, just few brownish spots and some dark colors clots. I feel deficiency of Blood too.. I have had negative pregnant test. What should I do to conceive??????? | Hi,Thanks for the query.There could be some hormonal deficiency.So you once consult gynecologist, get examined and go for investigations like hemoglobin levels, hormonal profile, ultrasound etc.By these the possible cause of your problem can be identified and treated.And then with doctor's advice you can take tablets for withdrawal bleeding.After that you track the ovulation and take plan unprotected intercourse around that period which will increase the possibility of pregnancy.For more details you can ask me through: care. | |
What causes flushing in face and lips?
Hello. I wonder if you could tell me about a symptom I've been having with increasing frequency over the last month or so, now almost constant over the last 2 or 3 days. I'm a 45 yr old male and my lips often get flushed, sometimes bright red, and today my face feels flush as well. More symptoms/suspicions if you need them. Thanks. | Hello.Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. I would suggest you to take an antihistamine like hydroxyzine for 2-3 days. It will help.2. I would also suggest you to avoid hot/spicy foods for a week if it is possible.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards. | |
What does CA125 of 127 after surgery for cancer suggest?
Thank you. My wife has Stage 3C, had successful debulking and a post op CA 125 of 64. She was hesitant about chemo. Went to health clinic to change diet to vegan. 2nd week @ clinic she felt the cancer growing again. Now approx 8 weeks post surgery & CA125 is at 127, CT without enhancement shows more growth. PET scheduled for tomorrow. Chemo to begin July 1. What should we expect? | Thanks for your question on HCM. Postoperative chemotherapy is adviced to prevent local as well as distal spread.During surgery, due to handling of tumour mass, possibility of spillage is high. And this is the reason for local recurrence. So post operatively chemotherapy is given.Since your wife has not taken post operative chemotherapy with increasing CA 125, growth on plain CT, all these suggest local recurrence. So get done PET SCAN to rule out local as well as distal spread. And chemotherapy is the only option now. | |
How in can withdraw from addition to spasma proxyvon?
hi doctor i am a 32yrs old man. problem ihav is i m not able to quit spasma proxyvon in which i hav been takin for almost 8yrs moreover ever night i take beer wit dis capsule. i m havin tough time wit tat n its a kind of torturing myself. please help me wit dat | Hello, So you need psychological counseling followed by drug therapy to get rid of Spasmo Proxivon. This drug is harmful and cause liver and kidney damage. Please visit a deaddiction psychiatry center. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Loveleen Sharma, General & Family Physician | |
Had quad by-pass surgery, ultrasound showed blockage, no stent in non functioning kidney. Should i be concerned?
My husband has had quad by-pass surgery and has had stent put into 1 of his kidneys, which now not functioning at all! They haven't removed the kidney and said they wouldn't unless it became a problem. My question is - he just went in day surgery to have a stent put into the good kidney. Ultrasound showed blockage, but when the Dr went to put cath in they said it wasn't has bad as they originally thought - so they didn't insert the stent. Should we be concerned - maybe get a 2nd opinion?? | hi Treatment options for the control of hypertension in patients of RENAL ARTERY STENOSIS(RAS) with atherosclerotic bilateral renal artery includes both medical and interventional therapy. Interventions aimed at preserving renal function in patients with bilateral renal artery stenosis Antihypertensive drugs — For hypertension control, we recommend an ACE inhibitor or angiotensin II receptor blocker , often in combination with diuretic . Chlorthalidone is the preferred thiazide diuretic, but a loop diuretic (eg, furosemide or torsemide), may be required in patients who have chronic kidney disease with a significantly reduced glomerular filtration rate. Long-acting calcium channel blockers and beta blockers are also effective . Interventional therapy — Percutaneous transluminal angioplasty with stenting is the preferred nonsurgical intervention. Three randomized trials, all with serious flaws, found no improvement in blood pressure, renal, or cardiovascular outcomes in patients with atherosclerotic renal artery stenosis who were treated with percutaneous transluminal angioplasty and stent placement. We agree with the 2005 ACC/AHA guidelines on the management of peripheral artery disease, which recommended percutaneous transluminal angioplasty with stenting for ostial atherosclerotic lesions in patients who have clinical clues suggesting that the renovascular disease is likely to be responsible for hypertension that is not well controlled with optimal medical therapy Based upon the available data, we recommend not performing percutaneous transluminal angioplasty in patients who do not meet these criteria because the likelihood of benefit is small and the risk of procedural complications is relatively high. We agree with the 2005 ACC/AHA guidelines, which recommended surgery in patients with atherosclerotic renal artery stenosis who have clinical indications for revascularization, particularly if they have multiple small renal arteries, early primary branching of the main renal artery, or require aortic reconstruction near the renal arteries for other indications (eg, aneurysm repair or severe aortoiliac occlusive disease) take care | |
Is Asthalin inhaler the right medicine for wheezing?
Hi Dr. I am 32 years male , I am using asthalin inhaler for last 10 to 15 yrs( not often) but nowadays i feel that frequency of wheezing and taking inhaler is multiples . And some known Doctors advised me to take some other inhalers. is there any age limit to consume asthalin inhaler whether i need to switch over to other . | thanks for your question I completely understand your question complete and certain corner stone of treatment of bronchial asthma is inhaled corticosteroids .asthalin inhaler is just a symptomatic management you need to consult a pulmonologist whi can request for a spirometry and history and examination to accurately diagnose the disease and symptomsaccordingly asthma will be categorised and treatment ll be started as per stagehe may prescribe you inhaler of long acting beta 2 agonist and inhaled corticosteroids lkke combination of fluticasone and formoterol which is the main treatment and inhaled drugs have no sideeffects or minimal side effectsso consult a pulmonologist who can guide you furtherthanks feel free to ask more questions may god bless you with good health | |
Is it possible to get an infection in our belly button?
Hi, I am having pretty bad pain inside my belly button after having used my pinky to scratch an itch a couple days ago. I have an innie and cannot see inside my bellybutton at all. I know I didn t scratch it with my nail. It just hurts to the touch, feels as though it s bruised around the belly button area. Is it possible to get an infection in your belly button? Or to tear the belly button skin inside or behind it? | Hi, Thanks for posting in HCM. It is possible to get belly button infected. Kindly take the following measures to overcome the problem: 1. Clean the area twice daily with mild antiseptic like Savlon and warm water. 2. Dry it and apply Neomycin ointment twice daily. 3. Take Tablet.Ibuprofen 400mg twice a day after food for 3 days. Keep the area clean and hygienic. It should heal by 3 to 5 days. Hope the information provided would be helpful. All the best. | |
Is shingles, related with itchy arms and chest?
Have had shingles for past three weeks on left back/side, abdomen. Now both arms, both leg, chest are itchy/tingly. Took bath in oatmeal scrub, but hasn t helped. Took two Benadryl. Do you think this is related to shingles, or possibly something else altogether? | Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that it seems to be related with herpes simplex. I suggest you to continue the medication provided to you with shingles. If it won't respond to you, please change it to with other anti viral drugs like valacyclovir. Take vitamin B12 and B complex, cetrizine, and paracetamol as and when required. Apply calamine lotion as and when required.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic. | |
Acne, black spots. Using clindamycin gel, panderm. Acne treatment?
helo sir i am i m suffering from acnes and black marks . 3 months back i used erytop clindamycin gel that time my face was clear normaly. And my friend told that use panderm+ cream for rid acnes, black marks and to britness. So i using panderm+ since 25 days but this period more acnes pimples ocurd. . Plz help me how to get my original skin back . . | Hi Rajesh, Self medication at times can be harmful! Using panderm plus cream for acne and marks was a big mistake on your part. It has aggravated your acne problem. So kindly stop using it. Now as your acne has flared, you might need a course of oral as well as topical anti acne medicines. Once your acne subsides with therapy, you can apply topical medicines specifically meant to reduce pigmentation. You can also take Glycolic or salicylic acid peels to reduce acne flares as well pigmentation spots. You need to consult a dermatologist to get your skin analysed for starting a proper treatment schedule. Take care | |
Bipolar disorder, OCD, anxiety, raised itchy bumps on taking 5-HTP, rash spreading from arm to thumbs<br><br><br>
Hi, I am am taking risperdal , xanax , and wellbutrin for bipolar disorder , OCD , and anxiety . I decided to try taking 5-HTP supplements with it in the morning to see if it would help me out more. The next day I did not take it but I noticed a strange rash that looks almost like poison ivy, but, I have had to contact with poison ivy. They are raised bumps that itch sometimes, but, not THAT bad. They started on my right arm and I noticed them today on my left thumb . What could this be and what should I do? | Hi Nikole, Welcome to Healthcare Magic and thanks for your question... Firstly, I hope that you are taking the mentioned psychiatric medication only on advice of a psychiatrist. I'm also not sure whether the psychiatric diagnoses which you have mentioned are self-made or made after a proper assessment by a psychiatrist. The reason is because there seems to be a discrepancy between you diagnosis and the type of medication you are on. You have mentioned that you have a bipolar disorder, but you are not on a mood stabilizer. Also, you have mentioned that you have OCD, but again you don't seem to be on the appropriate medication. Risperidal is an anti-psychotic medication and Wellbutrin is an anti-depressant medication. So, please clarify and discuss about your medication with a psychiatrist. 5-HTP supplements are non-prescription, off-label medication which may be useful in depression and anxiety, but there is no clear and scientifically proven data or evidence for it. Moreover, they are NOT advised for people who are already taking anti-depressant or other psychiatric medication because that can result in side effects (sometimes a dangerous adverse effect called "serotonin syndrome") If your rash has developed following the starting of these supplements, then there is a strong likelihood that it may be related. Itching and rashes can sometimes be part of a serotonin syndrome also. My advise would be to STOP the 5-HT supplements and consult your doctor for further evaluation and advice. All the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist | |
What could cause severe abdominal, groin and back itch after Hernia surgery?
My husband had a ventral hernia surgery with scar tissue removal 3.5 weeks ago. He is feeling fine but has excruciating itch still all over his abdomen, groin and lower back. Benedryl works but not good for the daytime b/c it makes him sleepy. He finished a prednisone pack 1.5 weeks ago. | Hi,Dear,Thanks for your query to HCM.Dear I read facts of your query and reviewed it in context to your health issues submitted in your query.I understood your health concerns and feel Concerned about them.Based on the facts of your query the reply of your query is-Your current health issues seem to be due to -Adhesive dressing allergy if its still there or the after effect of allergy from adhesive dressings.Excruciating itch over abdomen / groin / lower back also could be aggravation of the jock's itch / tinea cruris fungal infection/ or bacterial subacute infection and needs to be ruled out.This is therefore more alarming condition and situation needs to be dealt by urgent Consultation with attending Surgeon and dermatologist doctor .Therefore Cause of these complaints -like above needs to be ruled out.Other causes-like discussed above , need to be verified.For this you need to consult attending Surgeon and Dermatologist.Thus You should consult attending Surgeon and Dermatologist.This would resolve the complaints of your's.Constant follow-up with local family or specialistattending Surgeon and Dermatologist for long term would give you long remissions of such complaints in time to come,which would depend on meticulous follow-up treatment of your health concerns.Just don't worry and be patient and co-operate with your doctors,till you verify with your attending doctors.For early recovery-please follow above do's which would resolve your complex health issues.Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- Good Healthy Life!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS | |
Taking trisprintec birth control pills. Taken dosage irregularly. Increased chances of pregnancy?
hello ive been taking the trisprintec birth control pills since i turned 18, and on Thursday i accidentally took thursdays pill & fridays pill in one day. i only have saturday left, on sunday i start my white pills, ive had unprotected sex this week, since im not taking a pill today since i took it last night does that make my chances of getting pregnant higher? do i just take the saturday pill for saturday? what do i do ? im really confused! | Hello thanks for your query. Since you accidentally took 2 pills, do not worry, if you have been taking the pack regularly , then it protects against pregnancy anyhow. Take the pill meant for saturday on saturday, and the remainder of the pack too as per schedule Take care. | |
Suggest treatment for medullary carcinoma of thyroid
last one year my son diginose as medullary corcinoma he is 31 year old weight about 127kgs in 2001 he had operated gientcell tumour in his left hand in bombay he have throid problam taking 2 tablet of eltrocin his calcitonin is 14000 and cea is 800 please advice what to do thanks | Hi,Thanks for writing in.Medullary cancer thyroid should be treated with a total thyroidectomy, unless there is distant metastasis at the time of diagnosis. Complete evaluation must be done to rule out spread of disease to other areas. Neck lymph nodes also need to be evaluated and operated during surgery. When cancer is limited to the thyroid gland, the prognosis is excellent.External beam radiotherapy and palliative chemotherapy are recommended in advanced disease. External radiation therapy has been used for palliation of locally recurrent tumors. Chemotherapy involves giving more than one medicine and this can help is stabilizing the tumor and preventing it from spreading fast. Please do not worry. | |
Could the pain near the heart be due to discontinuation of TB treatment?
Hi,a may I answer your health queries right now ? Please type your query here... am a tb patient. had medicines only for 5 days that to interrupted noe its been 2 months not taking any medicines so is my tb has evolved to " MDR or XDR " FORMS . and heard that this also effects heart and brain cause am having massive pain near my heart area but it feels like you have the pain during heart attack. so whats wrong? | Hello,Yes, you are right. If you don't take proper treatment for tuberculosis, it can lead to drug resistance (MDR - Multidrug resistance or XDR - Total drug resistance). So you should definitely restart your anti-tuberculosis drugs, and take them for at least six to eight months.For your chest pain, it is better to first rule out heart diseases by doing ECG and 2d echo. If both these are normal, then no need to worry about heart diseases. You just finish your tuberculosis treatment, and your chest pain will also subside.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kaushal Bhavsar | |
What causes pressure headaches, heart palpitations, chest pain and syncope?
Ive had pressure headaches and heart palpitations for a few months now..ive had two episodes of feeling faint during this time...my chest hurts off and on everyday and flutters all the time...i get sharp pains in my head now and then and have colds sensations in my chest from time to time...i haven't felt right since this all started..i was put on zoloft, my doctor thought it was anxiety. Ive been to the ER 3 times. Ive had an ultrasound, chest xray, ct scan w/ contrast (head) | Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that your symptoms could be related to a cardiac arrhythmia. This would not explain the sharp headaches, which could be just ice pick headache, which is a benign type of headache. Anxiety could also play an important role in all this clinical scenario. In such case, you should know that it may take up to two weeks for the effects of Zoloft to be seen. Anyway, I would recommend peforming some further tests to exclude a possible cardiac arrhythmia: - an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends for a prolonged time- thyroid hormone levels to exclude a possible thyroid dysfunction. Hope to have been helpful!Wishing all the best, Dr. Iliri | |
Temporary loss of hearing, increased heartbeat, body numbness. What happened?
hellow what happens when you are just sitting there like watching tv or something and everything kind of goes bler and cant hear and your heart starts beating and you body gose numb ???? I don't no what it is and I need to no how to make it stop because it has happened to me for like 5 weeks now and everyone just keeps telling me that I am just thinking to much | Hi,Your history is consistent with seizure (type of fit) versus syncope.You need to be evaluated for same . ( EEG , imaging brain and ECG will help to know the cause of your symptoms)Consult your neurologist for further plan and treatmentRegardsDr Sandhya Manorenj | |
What could be the black, flat spots on tip of penis that appeared after sexual contact?
Hi, im a teen and ive recently had sexual contact. Soon after I have noticed little black and dim flat spots that become more noticable when I have an erection, these spots are located all around the tip of my penis mainly near the hole and on the top. I am almost certain my partner is free of STDs. Is this something I have to be worried about and if so what must I do. | Hi,Welcome to Health care magic forum. It appears that you must be having these spots, even before the intercourse.They would have been unnoticed, so for. The spots may be due to the fungal infection. I advise you to consult a dermatologist for diagnosis and treatment. I usually prescribe to my patient with such symptoms grisofulvin, and mixed steroid ointment for local application. Wishing for a quick and complete recovery. Thank you. | |
Can I get pregnant with pcos and over weight?
Hi Im 26,female,5ft 3" and shamefully 16stone the past few days I've been physically sick and had burps that taste like fried eggs. I have pcos me and my partner have been trying for a baby. I took a test 1 and a half weeks ago which came back negative... Is it possible i am pregnant even though the test said no? I am trying to lose weight i have tried a variety of different diets for at least 2 months but nothing seems to help me lose weight. | HAI WELCOME TO HCM IF YOUR pregnancy test is negative you can take primoult tab to get your periods.PCOS produces anovulatory cycle.you have to undergo hormone tests like FSH,LH,THYROID,PROLACTIN,serum fasting and postprandial insulin level.YPU SHOULD CHECK YOUR TUBAL patency with hysterosalpingogram,or by ultrasound.your husband semen analysis should be normal.you have to ovulate with drugs during follicular study.and get done with intrauterine insemination if every thing is nomal.weight reduction is possible with exercises.consult an infertility specialist.ALL THE BEST. | |
How to control hemoglobin levels?
i'm 21 years old and is worried whether i need to take iron supplement. i used to have blood donation every 4 months. There are times when my hemoglobin level are 10.5, sometimes even 9.8. However, there are times when the level is normal(dont know the value, check with chemical solution). i felt strange for my frustrating hemoglobin level and dont know how to maintain it to the normal range. | Hi, dearI have gone through your question. I can understand your concern.You should not donate the blood if your HB level is below 12.5 or fluctuating hemoglobin level. You should go for peripheral smear examination and anemia profile. If you have iron deficiency then you should take iron supplements.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
What causes swelling near the shin below knees?
I have a swollen area near my shin right below the knee! I have not injured my leg, but I do have OA in my hip and not sure if that might play a role! The swollen area is sore to the touch and also produces sharp pains after I have been on my legs for a while. What could it be? | Hello, Due to OA hip, there will be a change in the gait cycle and due to which there might be additional strain over the knee joint leading to joint stress. This should be a secondary complication to OA Hip. Using ice for reducing swelling and pain is adviced only if you do not have any other medical pathology like diabetes. If you have diabetes than avoid icing and use hot water fermentation. Also, check for may signs of vascular insufficiency like varicose veins. if absent than then soreness is just a muscle strain. Please meet up an orthopedist for a physical examination of the knee and hip. Maybe an X-ray will be asked to rule out if the damage to the knee. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Can an oral thrush affect an extracted tooth and cause fungal infection?
I have just had a wisdom tooth extracted. I suffer from oral thrush from my asthma inhaler and have had a flare up today. Can the thrush get into the open extraction wound and cause some sort of fungal infection? I have nystatin but it takes a while to clear the thrush up. Thank you. | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain yes, if you have an aggressive form of thrush and if you get a tooth extracted, the yeast will get favourable environment to grow and can infect the extraction area also leading to delayed healing..Also the antibiotics given post extraction can cause flaring up of thrush and increase the severity of infection..You should therefore consult your treating dentist and take a script of antifungal medications to be taken orally like Fluconazole along with Nystatin mouthwashes and clotrimazole lozenges..Take more of probiotics like Yoghurt in diet..Take antibiotics as less as possible as your dentist will advise you low doses to prevent flaring of thrushHope this helps..Regards. | |
Suggest treatment for lump below knee cap
i hav a lumpjust below knee cap , it feels hard and the size of a golf ball . a week ago i had celilitist below the lump in lower leg . went on antibiotics , seems ok , thou still hav this painless lump. will it ever go away.i can still walk and run on it no problem, | Hi! Good morning. I am Dr Shareef answering your query.Even though it needs a physical examination to arrive at a diagnosis, from the history it seems to be a benign lesion. However, you might go for a FNAC (fine needle aspiration cytology) for a cytological diagnosis after consulting a general surgeon for his opinion. 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. I wish you an early recovery. Dr Shareef. |
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