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Suggest remedy for chest pain in asthmatic patients
hi this is wendy here, age 32, female, height 1.62m, weight 56kg. i'm an asthmaic since i was a child. 2 days ago, i feel my left side chest pain and abit swell. Today, i start to feel pain when i breathe and i have shortness of breath.. pls advise me about my condition thanks | Thanks for your question on Healthcare Magic. I can understand your concern. Chest pain and shortness of breath in asthmatic patient is mostly due to acute exacerbation of asthma. So we should definitely rule out acute exacerbation of asthma in your case. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x ray 3. PFT (pulmonary function test). Chest x ray is needed to rule rule out lung infection because lung infection is the most common cause for worsening of asthma. PFT will tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilator (formoterol or salmeterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What are the treatment of L5 spinal stenosis and spondylolisthesis ?
I had an MRI done, a week ago that showed L5 spinal stenosis, spondylolisthesis. I am beginning spinal decompression sessions, several times per week and am wondering if this is an effective therapy and if there is anything additional, you can recommend. | Hi Greetings from HealthcareMagic! My name is Dr. Aida and I am glad to attend you on Healthcaremagic! I read carefully your question and understand your concern. Another treatment option would be surgery with decompression. But, you should discuss with a spinal surgeon on this possibility. Hope you will find this answer helpful! Take care! Best regards! Dr. Aida Quka, Neurologist | |
What is the home remedy for skin burn after applying bleach?
my skin got burnt using face bleach.This happend in the afternoon.red spots were on my face.I washed my face with cold water for about 10 min at 11 pm. as it was burning & paining.Please suggest any home remedy or any treatment to cure this.I have a very important meeting in the morning.Please help. | Make a paste of turmeric powder with milk , , if available add some drops of rose water .apply this paste on the affected area .Drink milk after adding a spoon of turmeric powder in it . Wash ur face in morning .Continue this for a week. Avoid spicy food . During daytime use sunscreen lotion . Containing SPF 20 level .Protect ur face from dust. Drink plenty of water and start Reconia G capsules 1 cap daily for 15 days after brkfast. | |
Stomach ulcer. Bloating, hyperacidity, belching, abdominal pain, heart burn. High anxiety. Can lead to cancer?
Hi. I am 30 years old, female, has very high level of anxiety , I m a type A that s why been suffering from stomach ulcer since ca 11 years old :( (duodenal ulcer, perhaps, since eating calms my stomach pain/hunger pangs). I always experience pain in the upper abdomen, bloating , hyperacidity , belching with sour taste in the mouth, feels regurgitation of food from stomach up to my throat, indigestion, feeling of lump in my throat at times, and my whole stomach is always big like I am pregnant. The pain usually subsides when I take antacids. If I do not do anything to relieve the pain or to do something to help in passing gas out, pain becomes more intense and lasts for days. Sometimes, antacids do not help anymore. I still feel bloated and gas won t come out, which makes the pain become more intense. I tried to research on the internet about my case, and then I found this GERD/GER/ Heartburn . I ve been comparing their signs and symptoms with what I always experience, and more or less they are the same. And then it says there chronic GER/GERD can lead to BARRETT S esophagus , which leads to cancer of the throat later on in life! I also have recurrent tonsilitis. My tonsilitis are always inflamed, they grow big and red, which makes me hard to swallow. I am very afraid, since the sister of my grandfather on the father side died long ago with throat cancer (I am not sure, though, whether it s laryngeal /throat/esophageal cancer---I am confused with their differences). I do not know exactly the cause of her cancer, but she used to be a singer during her younger days, also worked as a broadcaster/announcer, and as a saleswoman, using much her voice all the time. In my case, do you think I have high risk of having throat/esophageal cancer later in my life? Or Barrett s esophagus, at least? What shall I do? What do you recommend? Thank you so much, will appreciate all your help. -Jay | hello, welcome to hcm thanks for the query esophageal cancer, laryngeal cancer are different smoking is the most common risk factor for throat cancer or alcohol, certain virus,genetic,tobacco.but gerd is risk factor for esophageal cancer but still research going on the possibility of its association with laryngeal cancer yes you are on exposure to risk of barett's advice is first ti cut down your weight if you are obese. have small frequent foods instead heavy ones.this is the key. take more fruits and green leafy veg do regular exercise with more intake of water get a habit of drinking 1 lit of water in waking up in the morning. if you are getting pain then have antacids like pantoprazole daily now. simultaneously modify your life style it may take sometime but if you stick to the routine what advices above wish you good health.take care | |
Having itchiness and swelling on cheeks ad near eyes, red bumps over eyelids. Using hydrocortisone cream, calmoseptine ointment ,diaper rash cream. Should I keep using the cream?
I used a paint spray for the first time and i started to have quite bad swelling and itchness around my eyes and cheek. My doctor prescribed to use hydrocortizon cream one or two times and then use a cortiseptine ointment ,diaper rash cream. I thinly applied hydrocortizon cream once and cortiseptine ointment twice around itchy red bumpy swelling eyes at bed time. It has been almost a week but its very itchy and still swollen.It has been a week since i had these symptoms. I had red bumps on my upper eyelids on the first day and the next day i had a really bad swelling that i couldnt even open my eyes well. For about two days eyes were very swollen and puffy but got little bit better than the first day. And then i used crems for a couple days. Should I keep using the cream? How long would it take to get healed completely | Hi Morgan, I can understand that the spray has caused an allergic reaction in and around your eyes. Since it has not come down with the creams for a week ,I think you are still in contact with the irritant. 1. Change all your pillow covers and the bedding sheets. 2. Try cold water compresses for about 5-7 mins twice a day. 3.Continue your topical creams as suggested and a dose of oral antihistamines [for 2-3 days] should help you relieve itching. 4. Review with your ophthalmologist who can wash your eyes thoroughly by syringing and remove any remnants deep inside your eyes. He can also guide you whether your swelling is due to allergy or any other cause. I hope this helps and have a speedy recovery :). With appropriate treatment, [if it was due to allergy] you should be fine in 2-3 days. | |
Can the bumps and rashes on the genitals be due to virus?
Hi I have genital herpes, caught it quite recently, so far only red rash in genital area. I also have small red bumps on some parts of my body. Are they a sympton of the virus as well ? I also have muscle aichs especially in my arm is this part of the virus as well.rgds M | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Herpes is characterised by burning pain with vesicles on the geneital area. If you do not have same symptoms on the genitalia. I don't think that as per your description its not herpes.There are many reason for the bumps on the skin. Virus infection is one of the reason. But in skin conditions we can't identify based on the descriptions only. Visual examination is utmost important in the diagnosis part.I advice you to visit the skin specialist to diagnose yourself and treatment according to that.You can take acyclovir once your herpes is confirm. Other drugs you should take it is cetrizine, gabapentin, vitamin B complex. Please take the above medication under your doctors guidance.Please maintain good skin hygiene over the infection area this will equally helpful in the treatment.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM | |
What causes pain and cramps in a person having paragard?
Hi, I have a paragard which was put in place in october of last year. I love it throughout the month butfor have terrible terrible pain and cramping at the beginning of my period each month. I have tried EVERYTHING(ibuprofen, yoga, heating padsetc.) have had several checks, an ultrasound and all is normal. Is there anything more i could be doing? | Hello, As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
My scrotum leaks some sort of fluid and there is a slight inflammation on the right scrotum
Hello, i currently have an issue where my scrotum leaks some sort of fluid and theres a slight inflammation or swelling on the right scotum. My scrotum is painless and so far ive had it for 2 weeks. im current 17 and too embrassed to tell my parents, any help will be appreciated. | Hi, It sounds like some sort of scrotal skin infection - Maybe bacterial or fungal.You should keep the area clean by washing with soap and water two to three times a day and dab it dry immediately. Also, apply ointment which would have both anti fungal and anti bacterial action like Tripoderm or Quadriderm,Take care,Dr Rishi, New Delhi, India. | |
Q. Why am I having toothache while chewing with filled teeth?
Hello doctor, I got 6 fillings done a while back that were causing me no pain whatsoever or sensitivity, so I found a new dentist got the filling done and by week 3 the fillings on the left top were causing me more severe pain than week 1 and my bite was off no matter how many times she adjusted it there was only 1 tooth touching and being damaged, dentist is denying she did anything, says there is no infection. I finally went to the ER and dentist visits later and I had an abcsess lanced on the roof of my mouth and need a root canal on a tooth that had a short cavity in the first place by the dentist, the pain goes away with antibiotics and I have been doing alright for the past 2 months except pain when eating on the effected side, now all of sudden the top 2 molars on the left where the infection was there are red around them and pain when pressure is applied. Mind that when I bite down on top left second to the back molar is the only tooth touching anything all the others are not touching each other no mattter how hard I try since my dental work and I am scared I am getting an infection again. | Hello. The problem with cavities are either you will find out about it when you start getting severe pain or if some dentists points it out. in your case, occlusal corrections could have been done more accurately to find out which tooth is having the high point and reduce it appropriately. If there is an abscess get root canal treatment done. I need to see X-rays and pictures to give you any definitive diagnosis and treatment plan. | |
High SGPT level. Serious problem?
Hi Doc, I am 30 years old and recently I had a general checkup and was alarmed when I found that my SPGT level is 47 mg/dl.. My blood sugar level is around 235. My hepatitis test were all negative.. Do I have serious problem with the level of my SPGT? The doctor didn t give me any medicine for the SPGT. I dont know why. She just told me that I should only have a regular excercise because I am a bit obese.. Do I need to be alrarmed with this SPGT level doc? Thanks for the advise.. | Hello, You have not mentioned whether the sugar level is Fasting(empty stomach) or after meals. Your SGPT level is not much raised. It is at borderline level. Your sugar level is raised. Fasting referance range is 70-110 mg/dl. You should more be concerned about your sugar level. Follow diet which is less in sugar and carbohydrate. Have following investigation done:- 1. Blood sugar level (Fasting and PP) 2. HbA1C 3. Kidney Function Test 4. Lipid Profile 5. Thyroid Profile 6. Urine(Routine/Microscopic) Thanks. | |
How to confirm pregnancy while on Loette pills?
i'v been using loette for about six months now and an constantly worried about getting pregnant despite this fact. To what level will these pills prevent pregnancy and how will i know if i am pregnant? Will a home pregnancy test be affected by these pills? | HiWelcome to healthcare magic. I am Dr Ramadevi Wani. I will be answering your concerns today. The combined oral contraceptive pills are if taken as per instructions are very effective ( >99%) in preventing pregnancy. So if you are taking the pills correctly, you should not worry about pregnancy. As you know no method of contraception is 100 % effective. If at all there is method failure and pregnancy occurs, then you usually miss your periods after the pill packet. Don't worry. Home pregnancy test is not affected by the pills. I hope this is helpful. If you have further concerns, I will be happy to answer. Best wishes,Dr Rama | |
Hello Doctor, Age: 24yrs Gender: Female I am suffering from Vitiligo since 8 years. i have it on left eye lash & eyebrow as well had lightly on right hand but it is completely cured on hand . planning to undergo a plastic surgery want to know the details & cost of the surgery. I have taken treatement for the same from Unani medical research centre Hyderabad and it got cured on the hand and the spreading was stopped but it is still on the eyelash very brightly visible hence suggest me some treatment or surgery. | Hi. I have done 3 years of research in vitiligo. By the description it seems to be a case of segmental vitiligo which amenable to surgical treat,ment. Now the surgical treatment of vitiligo has gone beyond just plastic surgery. Tell me since how long has the lesion been stable?? I need to talk to you personally before I can suggest whether surgery is agood option for you or not as it is ahighly individualised treatment. you can have a consultation with me regarding the same. Also if you can send your pictures on gaurangkrishna3@gmail.com, it will be helpful in maiing the final decision. For your information, the available surgical options for eylids are SBG, melanocyte transplant and eye lash transplant. | |
Q. I am suffering from nausea inspite of having medications. Could it be hiatal hernia?
Hello doctor, Before two years I was in a lot of pressure and anxiety, while I was eating shawarma. After that, I felt that I need to vomit (nausea). Then I went to the bathroom, and I vomited, I felt relief. I thought nausea would go away. After that, this nausea stayed with me like four-month, I started to hear voices like (gurgles, rumbling) in my throat. Sometimes my throat makes like a small bubble very small bubble that I can feel is going big like then it explodes with these sounds, but that feeling is like 1 %, not that big feeling. It is like a sting, and I do not know what is that? I went to the doctors, and they did everything they can. And in the end, I did Endoscopy (I have hiatal hernia). He gave me anti-reflux, and to be honest, and I tried them all Pantoprazole, Esomeprazole, Omeprazole, Zantac, Rantac, Disflatyl. Nothing works, I am still nauseating. And I was so unhappy, after four months from using these medications I went to a good doctor he said maybe your problem is psychological, I went to the psychological doctor, and she gave me (Cipralex). And to be honest, after a month, I felt here I am, back again. And nausea disappeared. I was on Cipralex for like nine months, and no nausea feeling. Now the doctor said, lets lower the dose and stop it. I said, I feel fine. It is four-month now since I stopped the Cipralex. And the nausea feeling came back. And I am really scared about that. So I need an answer, I need to explain what is going on inside me. I do not have H. pylori. Everything is fine, and it could be from hiatal hernia? | Hello. Darwesh you are suffering from functional dyspepsia, and a significant cause of it is anxiety and depression. That is the reason why you felt better with depression medications. It is a relapse and remitting disease means it will be fine for some time and may occur again for a few days. You need to retake your depression medication, or you can use the following drugs and follow-up after four weeks. 1. Tablet. Escitalopram 10 mg once daily after breakfast for two months. 2. Capsule. Dexlansoprazole 60 mg once daily before breakfast for two months. 3. Tablet. Domperidone 10 mg twice a day before meals for four weeks. | |
Q. Can balanitis cause tearing of foreskin and pain while masturbation?
Hello doctor, I am perhaps suffering from balanitis. The foreskin is torn at some places and it hurts too much to pull the skin back. Some white substance is accumulating every day under the head of the penis. What to do? To be honest, it hurts while masturbation. So, I have stopped masturbating. But the skin tear does not heal. I am afraid very much. | Hi. I have seen your query. With your descriptions, it seems you have developed balanitis xerotica obliterans. You must clean the prepuce area with water and apply Clotrimazole plus Fusidic acid cream local application twice daily and take tablet Fluconazole 150 mg once a week for four weeks after consulting your GP or nearby dermatologist. | |
What causes high fever with headache and muscle pain?
Hi,I am suffering from fever since yesterday and had headache and legs muscle pain also, I suspect that this is a viral fever since i had blood test and got negative report for malaria.Can you please let me know what is the cure for viral fever and how many days it will take to get well.I had 102 degree fever today morning and i am feeling ok now.Thanks | Hello, As first-line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What causes pain in the middle of the spine after having c-section?
I have a sharp pain in the middle of the spine. I had a c section 2 years ago and have gained 25 kgs during my pregnancy at it was high risk and I was n bed rest. Though I have lost 20 kgs after that but the back pain lower and recently in the middle of the spine is unbearable. I also haVe neck ans shoulder pain for quite sometime now. I am a working women and most of my work involve working on the computer.i have the pain the middle of the spine at around the spot where I was give an injection for my c section. Pls advise | Hi, I believe that a good physical workup should be performed to discover the most likely cause of the localized back pain. It seems that you've lost nearly all of the weight you gained during the pregnancy so mechanical causes of back pain are probably less likely. Still a good examination to distinguish different types of back pain including the possibility of chronic pain following the c-section is worthwhile and can help identify even other causes of chronic low back. Psychological stressors causing back, shoulder, and neck pain are very common and even physical stressors such as working on computers without proper back/neck support or not taking frequent enough breaks, or being tensed in the shoulders and arms while typing constantly can play into the picture. In short, a number of potential causes can be in play. A good physical examination by a good physician with proper imaging studies and other workup will do a lot of elucidate the root of your problem. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist | |
What is the remedy for depression and anxiety?
Hi, i have been diagnosed with depression and anxiety, i am just wondering, i have been feeling well not 100% but well, why do i keep waking up with anxiety aches and pains, mainly in my arms and shoulders the doctor said this is normal, but how long will it last?? | DearWe understand your concernsI went through your details. I suggest you not to worry much. Anxiety disorder. Mind you, it is a disorder and not a disease. Diseases can be treated with the help of medications and disorders are treated with life style changes. You must understand that you have disorder and nothing to worry. Anxiety aches and pains are normal. Very much normal. You should believe your doctor and learn to ignore and relax.I can treat you and cure anxiety disorder and depression with psychotherapy. Please post a direct question to me with all your details past and present and I shall prescribe effective psychotherapy techniques to overcome your problems.Hope this answers your query. Available for further clarifications.Good luck. | |
Does severe foot pain is related to liver damage?
Hello, i have for the past 8 weeks been experiencing severe foot pain in both feet. My left foot hurts all along the outer edge and is most painfull around the little toe joint. My right foot is painfull gight in the middle on the underside. I am a reagular drinker and am concerned that i have liver damage. | Hi thanks for asking question.By alcoholic drinking you could have fatty liver or any other hepatitis or chronic liver disease.So rule out it...As secondary vitamin d deficiency can occur.If present treated accordingly.Do you have diabetes ? Smoking history ?As diabetic by neuropathy and smoking by vasculitis like condition can lead pain...So rule it out.Osteoarthritis , muscle strain, tendon injury has to be ruled out by local part x ray...Take care.Dr.Parth | |
What causes swelling on the left side of the face?
I’ve been struggling with semi high blood pressure for a year, Dr has been changing bp meds, taking water pill. No change in bp. Also seeing a neurologist as I passed out in Aug. don’t that was a “real” seizure. Tests show demyelination in brain. Running urine & blood tests to see why. My question is, my left side of face is swollen/ bigger than right side. Could this mean something? | Hello,You neither tell me your age, nor what is your blood pressure reading. Semi high blood pressure means nothing in medical history. Swelling of the face can be due to high blood pressure, or side effects of some drugs. What is neuro treating you for? Give some more details, I could cure your problem.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. RS Gulati | |
Could sudden uncontrollable spasms in legs and body be connected to low functioning gallbladder?
I had an episode last night of uncontrollable spasms mostly in both legs but extending over my body. I could not hold still. My husband thought I was going into shock. I will be meeting with a surgeon tomorrow to schedule gall bladder surgery after a couple months of continuous nausea. Could there be any connection to my very low functioning gall bladder? my body feels strange tonight and I m nervous about another scary episode. Any info or ideas? thank you. | HIThank for asking to HCMI really appreciate your concern, you do have a history of gall bladder pathology, and the symptoms that you have stated here must be due to the impression of gall bladder disease and not actually due to pathological process of gallbladder, you are going to see the surgeon soon, and probably going to have surgical procedure so this thinking might caused such muscular spasm, and nothing else, keep your moral high, every thing will be fine, take care and have nice day. | |
What is causing numbness and pain feels like to the bone?
I have a deep ache kinda pain almost feels like to the bone,also on this left same side is my foot feeling numbness,but I check my sugars and it always at about 98 even after 2 hours after a meal or first thing in the morning,I have arthritus in the knee on the same side, | Hello, Pain along with numbness is a sign of nerve involvement. Firstly I will advise for the uric acid check. If that turns normal than we need to look out for the nerve involvement. Usually, when there is arthritis of the knee there will be a change in the gait and that may lead to change in the muscle physiology in the lumbar spine leading to spasm and deviation of the knee and can lead to nerve impingement. I will advise to try this out if it helps you. Hot water fermentation for the lumbar spine, core stability exercise, hip muscle strengthening exercises, static hamstring, static Quadriceps, straight leg raise and ankle toe movements. Wait and see if this exercise prescription is helping you for reducing the symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Why do I have a dislocated knee cap that keeps recurring ?
Hi Im Marcy and I have a dislocated knee cap that keeps reoccurring. I was reffere to Dr.Collerin at Orthapedic proffesionals and thet cancelled due to a referral issues....They scheduled it for today but cancelled refusing to see me due a disagreement between the nurse and I. | Hi.You are suffering from recurrent dislocation of the patella. It happens due to malalignment of the patella. The treatment is surgical correction. | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
Are persistent bruised feeling in the chest and blood in the phlegm signs of cancer?
The right side of my chest always feels bruised and I have been coughing up mucous with bright red streaks.I have had a hard time finishing a sentence without taking a breath for about a year, I cant cry anymore cause it hurts to breath when crying. I have been addicted to cigs since I was 13 years old and am 48 now.I really want to quit but it is soooo hard. I feel like im dying. Are these signs of cancer ? | Hi,Thanks for writing in.Your symptoms require you to be investigated in detail for respiratory conditions. With a strong history of cigarettes you require a chest X ray and CT scan immediately supported by blood and sputum tests.There are many other conditions including cancer which might cause these symptoms. It might be an acute infection like pneumonia or a chronic disease like tuberculosis. It might also be a slow infection like fungal pneumonia. Cancer is also among the causes and COPD must also be thought of with findings of clinical examination. Please consult a pulmonologist. Please try to quit smoking. Please do not worry. | |
Greetings to all doctors. My name is James I have 19 years, I started at 16 to masturbate, I know it is normal that a young perform this practice. The point is that now, I do not want to masturbate, because I do not feel good practicing, because I m already entering young adulthood and I talked to my best friend who is my age and he says he stopped masturbate and how to know that makes me feel bad. The truth is that sometimes I m reading a book, listening to music or doing other activities and how my body is calling me to masturbate. Honestly before I masturbated about 7 to 8 times a month and this year are rare times I ve done as 2 to 3 times per month. The question is: How can I stop masturbation completely? Talk to a sexologist told me to stop eating lots of meat and I started eating more fruits and vegetables, Since the meat produce more male hormones, And it s those hormones which are gathered in my penis is the reason for having the desire to masturbate. I think it really worked because that was when I masturbated 7 or 8 times a month. and now down to 2 or 3 times. But I want to help me, I need something that makes me completely stop masturbation. Thank you for your help. P.S. I have girlfriend | . at this age desire of masterbation is absolutely normal.excessive desire is harmful. 2 to 3 times a month is no harm but helpful to bulit your satisfaction,self confidence and development of your body according to hormonal changes. Otherwise concentrate your mind in other activity and take good balanced diet that you know better. | |
Can gall stones cause hematuria?
61yo male with gallstone per ultrasound. Recently had my first attack resulting in rt groin pain radiating up to entire rt. torso. Also discovered 2+ blood in urine though urine is clear and not red tinted. Can gallstones cause hemolyzed blood in urine? | Hi there,Thanks for posting in HCM.No gall stones does not cause hematuria.The source of bleeding could be from the kidneys or the prostate.Consult an urologist for further evulation.I hope that answers your query.Regards. | |
What causes cold/flu symptoms and ear ache?
Good AfternoonI woke up Saturday with a sore throat, down the neck more than tonsil area, and by the evening I could speak (and still can barely speak - when I do I sound like Micky Mouse.) Its rather sore and I have cold/flu symptons as well as an earache/stinging in both ears.What could this be?Thank youAbbie | Hi,welcome to health care magic,All this symptoms of sore throat,cold or flu could be because of upper respiratory infection (pharyngitis, laryngitis, epiglotitis) or bronchitis or allergic rhinitis or sinusitis.It is mostly due to viral infection like EB virus,adenovirus but some time could be bacterial or parasitic.You may have some routine blood investigation with sputum tests and Chest X- ray to get diagnosed first.You may require higher antibiotics (quinolones or macrolides) to prevent super infection with anti-inflammatory and other supportive treatment like bronchodilators if there is any breathing problem.It would be advisable to see pulmonologist and start treatment after that.Regards, | |
Tight lower abdomen, light pink and brown water discharge. Early predictor pregnancy test is negative. Pregnant?
I am due my period either Friday or sat this week, I began with light pink water discharged when wiped yesterday morning, and had intermittent brown watery discharge since, I ve done a early predictor pregnancy test this morning and it s negative? My lower abdo feels tight. Could I still be pregnant? We are trying to conceive | Hi,If you wish to confirm/exclude pregnancy now, the urine test is not ideal; you should get the serum beta-hCG levels measured as this is more sensitive and specific. If you do not see your normal period as you should, please go ahead with a trans-vaginal sonogram 3-4 days after the missed period. If pregnancy test is positive, the discharge could be due to implantation. Hope your query has been clarified. Wish you good health. | |
Suggest treatment for patchy lesion on chest
Dear doctor, I have been diagnosed with patchy lesion in my chest xray & hence my doctor has said that i am suffering from pulmonary t.b. She has prescribed me AKT4 tablet along with dolo 650 and mahacef plus as iam also suffering from typhoid. She has advised me the dosage as follows :Before breakfast : ethambutol tablet After breakfast : dolo 650 & mahacef plusAfter lunch : pyrazinamide 2 tabletsAfter dinner : rifampicin capsule + dolo 650 & mahacefDolo 650 & mahacef i have been adviced to continue for 5 days.Kindly advice me on the same.Thank you | Hi Welcome to hcmPatchy lesion may suggest Pulmonary tuberculosis but not a confirmatory diagnosis. For every pulmonary tuberculosis need1 Chest Xray PA view2. Sputum Examination of 2 consecutive days at least. ( very important test)3 Mountux Test 4 CBC with ESRSputum examination is very important and essential test because every Positive test report indicate with grading. and required repeat test atleast on 2 , 4, and6 th months. If it comes positive in duration of Tuberculosis then need work up on MDR tb.IF no expectoration or sputum is negative and Xray is suggestive for tuberculosis then no need to start Anti Tuberculosis Treatment ( ATT).Then need High dose of antibiotic for 14 days and repeat xray and sputum. IF symptom like cough still persistent and patchy lesion still persistant then start ATT. But in my opinion Do CECT CHEST andsputum examination . if patchy lesion is suggestive for active tb then start same AKT4The way which she prescribed is wrong . Try all Capsule in Kit within 30 minutes and Rifampicin in empty stomach. Don't start ATT only on chest xray.If you resident of Delhi please visit LRS hospital in Mehrauli or any Chest Physician in Private Hospital. Because the way of taking ATT is wrong so she may be over diagnose . | |
Does the iud pill affect the periods?
Hi. I've been on a low dose bc pill for a few months now after switching from the IUD. All periods have been normal until this month. No period. It's several days late now, I start my active pills again today. I've had lots of cramping for the last two weeks and nausea off and on for the last 2-3 days. Home pregnancy test was negative...? I know there were a few days I took my pill later than usual by a few hours. Not sure what to think. | Hi,Thanks for sharing your health concern with us. Since you have switched over to oral contraception, you have to use additional protection during the initial couple of months to avoid failure due to breakthrough ovulation. Since you are a few months into the pill, your hormone milieu should have settled by now. A few hours delay in the pill intake should not affect much. This delayed period is hence, of significance. Your symptoms are also suggestive of a possible pregnancy. Home pregnancy tests read well when performed 3-7 days after the missed period with a fresh early morning sample of urine. Since you have to start the active pills now, it is better to exclude/confirm pregnancy through the blood test and plan further management. Hope this helps. | |
Suggest treatment for turner s and post polio syndrome
hi i am both turner s and post polio syndromes. i have sleep apnea and use bi pap with o2 at night. hopeing i can find information on anyone who has both and what symptoms they have. i also have scoliosis now as adult which i did not notice when i was younger. my age 66 and had polio age 5. in iron lung short time and right arm affected by polio. | hiat 66 years age only supportive treatment for turners like calcium and vitamin D supplements to prevent or control osteoporosis and vertebral collapse.Since scoliosis has developed there should be x rays of spine to determne cause, whether osteoporosis has developed toaccount for loss in height and compression of vertebrae.Visit an orthopeic spine surgeon.Have a good protein intake.Your doctor will advise for osteoporosis with medicines and measures for scoliosis like brace etc.Sometimes androgens may also be prescribed. For poliio affected arm, onlyphysical therapy and orthotics are required depending on deformity.The orthopedic doctor shall take care of itIt is not common to have both turners and polio as etiology is different for both, polio is viral infection, and turners is abnormal chromosome etiology with lack of estrogens ,hormonesdo not worry, at this stage only orthopedic consultation will take carebest wishes | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
Why am i getting bad breadth even after brushing twice everyday ?
i brush twice daily but foul smell from my mouth | Hello, I am Dr.Neha Gupta (dentist) and am glad to address to your query here. You need to run the floss between ALL your teeth. Meds can sometimes create bad smells on your body, especially your mouth. Try to drink lots of water to keep your mouth moist. Mouthwash contains alcohol which can be drying. When the tongue & mouth dry, the bacteria there, emit smells. visit the dentist and get full mouth scaling done. Take care and please keep me informed of your progress at healthcaremagic through my profile directly. Regards | |
Q. I have hair fall of 10 to 20 strands a day. Is there anything to worry?
Hello doctor, I am 14 years old. My problem is that when I brush my hair, I found my hair on it. My hair fall is 10 to 20 hairs a day. Is there anything to worry? | Hi. Hair is one the fastest growing cells in the body. Hair has different growth cycles like anagen (growing phase), telogen (resting phase), and catagen. Losing 50 to 100 hairs per day is considered normal. Old hairs are replaced by new hairs. If you are losing hairs on the front of the scalp and sides, leading to the receding of the hairline, then it is worrisome. It is called androgenetic alopecia. If it is so, please attach your clinical picture along with your query so that it is convenient for me to comment on your condition and give you appropriate suggestions. For more information consult a dermatologist online --> | |
Suggest an effective alternative for Amitriptyline
I am researching prescription medication options for nerve pain from a herniated disc. I have used gabapentin in the past, which was effective, but I had horrible time with withdrawal and would like to avoid using again at all cost! My doctor has prescribed amitriptoline (spelling?). Wondering what other options there are that won t be horrible to come off of once I have surgery? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I understand your concern and would explain that Amitriptyline as well as Gabapentine may lead to withdrawal syndrome. But, if you gradually taper the dose, you can avoid withdrawal syndrome. Other possible treatment options would be Duloxetine and Pregabaline, which have less adverse effects compared to Amitriptyline. You should discuss with your doctor on the above treatment options. Hope to have been helpful! Kind regards, Dr. Iliri | |
Suggest treatment for chest pain
Hi, my daughter who has just turned 16 has complained about having chest pain while playing soccer today and asked us to take her to the Doctors - like her heart is really straining and about to explode. Also feeling nauseous. Symptoms did improve when she stopped playing. However she now says this has been happening for a couple of months now. She is also having trouble regulating her body temperature and seems to be too hot or too cold - sleeps with nine blankets on her bed and always has cold hands and feet. I am going to make an appoitnment with our GP but would appreciate your thoughts. In December she did get horribly drunk on her Father s Rakia - very high alcohol content. We came home to find her barely/not breathing, her Father had to do CPR while we waited for an ambulance. When they arrived one of the ambulance drivers also rubbed her chest to stimulate her heart. She was given an all clear from the hosipital later that night but I am worried that this may have caused some damage. Thanks | Hello, It could be a musculoskeletal pain as in conditions like costochondritis. As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Taking Carbin and Secozam. Done MRI and CT scan. Cause?
Sir I dont know what happen in my mind for 10 - 15 sec when i thinked much i go to the psychiatrist did MRI , CT scan but in last he said i have no problem that doctor was not able to find out my cause, so how can i contact to you so can explain about you and from 3 year i am taking carbin sr 200 mg and secozam 10mg both , so tell me what cause it is. | Hello and welcome to Healthcare Magic. Thanks for your query. Carbin (Carbamazepine) is an anti-epileptic / mood-stabilizing medication and Secozam (Clobazam) is an anti-epileptic medication. You have not given a clear description of your symptoms, but from your statement that "I don't know what is happening in my mind for 10-15 seconds", it is possible that you could be having a seizure disorder, which could be the reason for the psychiatrist starting you on anti-epileptic medication. I would suggest that you have a detailed discussion with your psychiatrist about your diagnosis and the the reason for the current medication. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist | |
Diagnosed with asthma
Hi,I have been diagnosed with Asthma and I use an inhaler daily, but lately I have been experiencing uncontrollable exhaling. At this time, my sinuses are not stuffed up or clogged in any way, but I have continuous mucus running down the back of my throat. It collects in my lung and affects my breathing and have to cough it up. The exhaling issue happens when I feel a little itch/tickle in my throat which starts a low volumn cough 8 to 10 in a row rapidly in which I have no control. It empties ever bit of air in my lungs and I have to force myself to gasp for air. | Hi,With your history, you may be suffering from sinusitis where in the secretion runs down back to throat causing little itch/tickle feeling and leads to cough to remove the secretion. If you have inflammatory signs then a course of NSAID with antihistamine (to reduce/dry secretion). If infection you may need antibiotic. Also do regular steam inhalation and salt water gargle.Regards | |
Sharp pains in arms, back, chest. Running nose, cough. Reasons for above symptoms?
Hi my name is Shaylor Wells and for the past two months three months i ve been getting sharp pains in my arms, back and chest. The chest pain is like 2 inches below my collar bone, and it feels like the back pain is around the same spot as the chest pain. Last month my nose started running out of nowhere and i developed a cough. My nose is still running and i still have a cough. I have been smoking for ten years and its never slowed me down, but when i run now or even run up a new stairs it gets me very winded. As far as the pain i have anxiety , but with me being.a smoker i fear it might be lung cancer | Get X ray chest done and see a chest specialist. stop smoking.Do steam inhalations | |
Suggest treatment for raised creatinine level in a diabetic patient
Hello doctor my father is type 2 diabetic is under insulin his blood sugar is under control . he had his all the investigations from delhi gangaram hospital around 1 years back he had this diabetic nephropathy but his creatinine at that time was 1.9 recently i asked for hid blood checked and his recent reports shows GLucose F 97mg/dl pp 156mg/dl UREA: 169 mg/dl Creatinine 6.62mg/dl Na:132 potassium: 4.5 uric acid 4.0mg/dl cholesterol 100mg/dl calcium 7.8mg/dl phosphorus inorganic 5.9mg/dl tsh 28.88uIU/ml hemoglobin 8.2gm% Total count 8400/cmm Urine R/E Ph acidic Albumin +++ sugar trace M/E RBC 0-2 pus cells 1-3 epithelial cells 0-2 IRON PROFILE Iron 91microgm/dl TIBC 311 microgm/dl Ferritin 362 nanogm/ml IMMUNOLOGY PTH 100.5pg/ml We have planned for the ultrasound and 24hr protein and Creatinine Clearance He is completely asymptomatic no nausea vomiting his urine input output charting is normal we are still under investigation wat do you think do we need to investigate more ? Do prostate also have any role in the above mentioned values? please tell me the best possible investigations that could be done i am from nepal but recently i am in japan so please tell me the best possible management for him as i would like to do every possible thing available . thank you | Hello and welcome to HCM.Kasthu cha..Ramro ?..As an Urologist, let me advise you, that your fathers' Diabetic Nephropathy has increased from 1.9 creatinine, to 6.62.He has anemia,Hb of 8.2gm/ml, with albuminuria (urine-alb:3+).Now,his HbA1C, is not done. But other reports are as expected.But treatment taken at present isn't mentioned to give you a proper advice.You can reply to me with the reports of US scan, and 24 hours protein and Cr.clearance. It should show proteinuria as expected. Dietary advice is important. You may contact me with all reports, as a direct question.Dr.Matthew J.Mangat. | |
What causes hole formation on the inside of cheek?
age - 25height - 5ft 5weight - 10 stonemedical history - asthma, eczema.I've had this pain in my mouth for about 4 days, each day getting worse. its where my wisdom tooth would be, so i though it would be my wisdom tooth growing. i finally had a good look inside my mouth and notice a small hole forming on the inside of my cheek. i am a smoker, between 15 to 20 a day. i fear it could be something to do with that. any advice will be great. | Thanks for your query, i have gone through your query.The hole what you are describing on the cheek can be a pus discharging sinus tract secondary to wisdom tooth infection.or it can be a traumatic ulcer. If it is near thesecond molar then it can be a inflamed salivary gland duct opening.Nothing to be panic, consult a oral physician and get it evaluated.If it is a wisdom tooth infection or inflamed salivary gland duct opening, take a course of antibiotics like, amoxicillin 500mg TID and metronidazole 400mg BID for 5 days And get the tooth removed aftrr that. If it is a traumatic ulcer you can use topical anesthetic like 2%lignocaine gel and choline salicylate apply 3-4times daily for 5 days. | |
Is herpes infection related with yellow discharge and sensitive clitoris?
I was recently treated for a genital herpes outbreak. It was over a week ago that I finished the medication. Now I am having a yellow discharge and my clitoris is extremely sensitive when I wipe. Is this normal after just having that or can it be another problem? | It could be a secondary problem related to the first problem or that the infection is not completely cleared up yet. I would not call it normal. The herpes sores could have become secondarily infected with bacteria. You could have another sexually transmitted disease- often when you get one you are at high risk for getting another or they could have been transmitted at the same time. In any case, it would be best to have this evaluated as a different treatment may be needed. Hope this helps. | |
Does end stage of renal failure means no long to live?
my mum has end stage renal failure i dont have her exact test results but she has been in hospital 3 times this years with severe confusion and now she is going into a resthome, she is under conservitive care .....want to know does this mean she does not have long to live? | Hello and welcome to HCM.As an Urologist, i must advise you , not to despair.Her future lifespan depends on her general condition and kidney function status, with other medical conditions being treated.If you mention her age,and send her last reports of urine, blood and scan, to me,i can give you an expert advise, regarding your question.Wishing her good health.Dr.Matthew J. Mangat. | |
What causes lower back pain radiating to the hips and lower abdomen?
i am having lower back pains which goes into my hips to my lower stomach. mainly my left side, i feel movement also i feel really bloated all the time. i took a pregnancy test and it was negative. i cnt lay on my stomach sometimes i wake up in my sleep from the pain. what could this be? | Hiit could be a case of renal stone or renal colicBack pain radiating to lower abdomen is consistent with renal stoneget an ultrasound abdomen to rule out renal stonehave plenty of fluidsantispasmodic medicines for pain reliefHope this helps youWish you good healthtake care | |
What causes constant headache, swollen and tender neck while on augmentin?
i am taking augmentin for sinusitis (3rd lot of antibiotics) I have constant headache, pain around eye and temples (mainly left side) and left ear pain which radiates down to jaw glands in my neck feel swollen from inside and tender to the touch 2 more days left of augmentin of a 7 day course what could this be??? Martha | Hello ,Thanks for consulting HCM Read your query as you have constant headache , swollen and tender glands this can be due to sinusitis and as you are taking augmentin combination of amoxicillin CV for this Iwill suggest you to complete your course of medication and consult ENT surgeon for examination of sinus and go through investigation . Inmeantime do warm saline gargle two -three times a day and you can take medication like Azithromycin by consulting with local doctor .Hope this will help you . | |
Suggest treatment for COPD
My mom is 88 years old and has copd and emphysema and is on o2 3 liters. She has had a nose bleed twice in the last few days. Stopped bleeding quickly with pressue applied. She just felt like she needed to clear her throat (not cough) and when she did she put a tissue to her mouth and it was bloody with what looked like a clot. Earlier she had felt a little woozy. She takes 2.5 to 5mg of predisone daily and therefore takes januvia for blood sugars.she has felt woozy in the past inthe mornings and we attributed it to hi sugars.he glucose this am was 229 before eating and meds. I am concerned about the clot/blood...she feels fine now and doesn t want to go to er. Wants to wait and see how she feels later. | helloYes i recommend you to wait a little for monitoring the situation.If it repeats than go to ER.RegardsDr.Jolanda | |
Suggest treatment for varicocele
Hello Doc. I am Shy and my parents want me to get married. Through research i got to this conclusion that having varicocele one cannot have children. Bcoz i am from PAKISTAN so i just can t face this infection. I m 28 years of age and done so much masturbation in my life. Doc please tell me what should i do? | Thanks for asking in healthcaremagic forumIn short: Varicocele is a treatable conditionExplanation: Mild varicocele will not cause any problem nor infertility. So, do not be shy, please visit a doctor and ask for semen analysis. If it is normal then you may not have any problem in begetting children. | |
Does persistent back pain need medical attention?
Hi, I injured my back bad on Thursday from getting up abruptly and twisting wrong from a lower couch. On thursday when it happened I felt like I was going to faint almost getting hot and slightly sweaty. The pain is hard to distinguish where it’s coming from but it’s mostly around where I bend at the waist (lower lower back) and more painful toward the left side of my body. That day I couldn’t sit up straight in a chair without crying. Now it is Sunday and I’m still in lots of pain especially when I extend my an arm and lean over and go to lay down/sit up. Do you think it sounds serious to go see a doctor? | Hello,Yes, I think a visit to the doctor is appropriate. You have not specified your age, but a pain persisting which is severe in intensity has to be properly investigated.Hope I have answered your query. Let me know if I can assist you further.Regard,Dr. Fahim Sheik | |
Suggest weaning food for an infant
hi there my baby made six months today please tell me when can i give him nan no 2 can i start now with it our must a wait, can you also tell me my grandson has a pimple on his penis that was getting better but now the pimple is oozing out dirt what must i do please help | You can begin with Nan 2; as far as the "pimple" is concerned, you can apply an antibacterial cream on it 2-3 times a day if you are sure it is a pimple - i.e. a boil. If you are not sure, please show a doctor before self-medicating. | |
Suggest treatment for elevated liver enzymes
Hi, I did a liver function test and found out that the values for SGOT/AST=126 on a scale of up to 40U/L.37c, SGPT/GPT=143 and GGT =129 I had a negative hepatitis B and C result respectively and was placed on livolin for 60 days.Can You please advice me when to go for another Liver function test to see if there is any improvement. I stopped drinking for about six years ago .I equally did a scan and was told by the doctor its a fatty liver condition. | Hello and welcome to ask a doctor service. I reviewed your query and here is my answer.As your doctor said you have a fatty liver disease, so treating that will bring your tests back to normal. for that you have to avoid fried, roasted and fatty meals. Have a daily exercise for at least 15 minutes. You can repeat your these test after a month to see for a change.hope i answered your question. Feel free to ask if you need further assistance. Thanks. | |
What causes tender indentation on penis and scrotum?
i was inspecting my penis and scrotum the other day and noticed when I stretched my scrotum and testicles to the side, that where the side of my scrotum ended and the beginning of the side of my thigh started, the skin between felt weird. it was as if there were tiny potholes. they didn t hurt, look different, feel tender or smell or leak anything. the only thing that was worrying was the shape since it looked like there were small wells in the skin. any thoughts? | Hi, I understand your concerns but this could be due to a number of causes including lipomas or ingrown hair so please send a photo of the lesion to be able to help you further. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Lumpy itching patch inside leg indicate psoriasis?
i have a had a small spot on y lower leg about 6 weeks ago , it has now grown fast into a white dry lump patch and is itching all the time , it fells now that it is really deep inside of my leg , when i scratch it it flakes ...could this be cancer or psorisis | Be assured it is not skin cancer . it is likely to be psoriasis or dermatitis. you can apply topical steroid like Mometasone cream ( Momate)locally twice daily along with oral antihistaminic like levocetrizine 5 mg daily for 2 weeks and see the response | |
Q. Can I use Kojivit gel to get fair skin?
Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. | Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> | |
Is LDN effective for pain,depression and anxiety remedy?
I ve experienced trigeminal neuralgia for some 12 yrs or so. Taking carbamazepine for pain and recently have been trying low dose naltrexone (LDN), hoping to get off the carbama because of unwanted effects. What do you know about LDL as a pain/depression/ anxiety remedy? Thanks! | Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Some reports have stated so, but it is not a popular option. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy Wish you good health,Kind regardsDr. Srikanth Reddy M.D | |
What causes dry cough in baby?
Hi, My son is 21 months old and has had a dry hacking cough for several weeks - months... however, whenever we go to the doctor, she says his lungs sound fine. He always seems congested, so I m always asking the doctor at his checkups... Usually the coughing is worse at night, but it strikes in the day, too. I m just trying to figure out at what point do I push this with the doctor or do I ride it out? If it s something like allergies, is there really anything we can do about it? | Thanks for putting up your query on HealthCareMagic. I am sorry that your 21 month old son is suffering from cough. Cough or coryza in medical terms is basically an allergic reaction that is triggered by agents like dust or viruses like respiratory syncytial virus (RSV) or certain other viruses that are always around us. Our respiratory secretions have something called sol-gel ratio and normally get mobilised upward on its own but when this ratio gets distubed and more gel-like, we call is cough and it is no longer able to be moved up spontaneously and needs to be coughed out. When it is even drier, we refer to it as dry cough. The solution would be in making it more liquid and less gel like. This can be easily done by two things. One is to avoid anything that you might feel him to be allergic to. Secondly, make the child drink more water. Thirdly, give him steam inhalation which is basically water in the vapour form that can go deep inside the lungs and liquify the gel-like cough. Doing this on regular basis two or three times a day is supposed to give him relief. In a process called nebulisation done in a hospital to relieve such patients, a similar thing is done with saline water with some medicines called bronchodilators. I cannot evaluate the requirement of bronchodilators without actually listening to his chest where I would have also been able to look for stridor or wheezing. Your paediatrician may be able to do that. Since you say that the chest seems clear to the doctor whom you have consulted, I assume it not to be some bacterial infection, croup, tuberculosis or whooping cough but lets not make things seem more complicated for you. | |
Suggest treatment for Bipolar disorder and anger disorder
Hi. My mom is bipolar, and she doesn t take any medication. So when she gets angry she takes it out on me. Because of this I ve become very sad and almost like emotionally unstable. I ve had trouble sleeping and staying awake. During school its like everything comes back to me of what happens at home and I start crying uncontrollably. She has made it really hard to stay focused and its affecting my grades, social life, happiness, and etc. I don t know what I should do or what s wrong with me. | DearWe understand your concernsI went through your details. Your mom is bipolar, she vents her emotions at you often. Fine. I am not going to sympathize on you because sympathy usually makes people more weak. I can understand your emotions. I suggest you to consult a psychiatrist for your mother and get her treated for bipolar disorder. I also suggest you to shift to a hostel (as an interim measure) only if your mother will be able to manage alone or with others at your home. For the time being I am concerned about your education. Finish your education and after getting a job, you can look after your mother well.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
What can cause red spot on hip with fever?
Hi there. I have a history of mycobacterium marinum in the soft tissue of my right hip. I had to have 3 surgeries to remove the infection and IV abx therapy. Three days ago I noticed a rep spot on my hip above my scar from the surgeries. The spot has gotten bigger and a darker red. I had a temp of 99.9 last night, and today I am getting sharp pains in the area of the red spot. Aslo the spot is hot and tender to touch. | Hello,I read your message and understood your problem.I think that the infection with Mycobacterium marinum has re-occurred. If you are exposed to the bacteria you tend to get re-infected time after time especially now after 3 surgeries and antibiotic therapy that have weakened your immune system.You must stay way from nonchlorinated water, from pools and swimming. If you have an aquarium at home get rid of it. Exposure to seafood markets or aqueous environments predisposes for the infection. It is very important to eliminate the chances of reinfection because a long lasting infection may damage the soft tissues and cause complications.My advice is to see an infectious disease specialist and do some tests. We need to be sure if it is a reinfection with Mycobacterium marinum or a co-infection with some other organism.The antibiotic therapy is a little bit long lasting. Usually, patients need to take antibiotics for 4-6 weeks but sometimes they need a very long treatment 25 months or more. See your doctor again for a proper physical examination and test. If you are still on antibiotics continue them as long as the infection will vanished.Hope this will be helpful for you.Dr.Albana | |
What are the possibilities of heart attack inspite of having chest pain and GERD?
Male 27 y/r 5 6 217lbs pain in left & right side chest that comes and goes also suffer from panic and gerd and costochondritis blood pressure readings have been systolic 110-128 -- diastolic 68-82 for the last week.. is there a concern for a heart attack | Hello and thank you for using HCM.I carefully read your question and I understand your concern.You shoud not worry. I will try to explain you something and give you my opinion. A typical heart pain has some characteristics. They are retro-sternal pains like squizzing ,tightness or heaviness. They may irradiate to both arms, jaw and last from 5 to 20 minutes. A typical heart pain and heart attack usauly affect older ages and persons whith different risk factors like hypertension, diabetes, smokers and with hereditary of ischemic heart disease. As you are very young and you have not a typical pain the risk of heart attach is low (rare).In my opinion you have nothing to worry about becouse this pains are probably related to Gerd or your costochondritis.GERD is quite known to give such pains like heart burning sensations.Anyway if this symtoms persist after treating GERD I will recomend to do some simple examinations like an electrocardiogram, a cardiac echo and a strees test. Hope I was helpful.Wish you good health. Best regards. | |
Pain in the lower back area, feeling stabbing pain and spasms while standing up. Cause?
I was feeling fine yesterday, when all of a sudden I felt a sharp pain in my lower back/rib area. I didn t lift anything, fall, hit the area or anything. It doesn t hurt to bend over, but when I try to stand up straight, it brings tears to my eyes. It also feels like spasms and stabbing just to the right of the center of my back. | Hi, Welcome to HCm, It seems that you have got spasm of your back muscles might be due to some unusual movement at back during sleep. This gives problems aggravates while stand up due to movement muscles go in to spasm. Apply some muscle relaxant cream like Relaxyl. Take some analgesic with muscle relaxant medicine will give relief within a day or two after spasm will be released. ok and bye. | |
What causes whit spot at the head of the penis with pain?
it's embarassing, but I have had this pain on my penis for mabey a couple days, and it hurts to touch but when it's not touched it feels fine. I just looked at it, and in that exact same place where the pain was, i saw a single white spot on the head of my penis. WHAT IS IT?? D= | helloThanks for query .You have mentioned about your age and sexual history. A single painful white spot on glans penis could be due to infection of glans penis (Ballanitis).You need to take broad spectrum antibiotic like Cefotaxime along with anti inflammatory drug like Diclofenac twice daily along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil. | |
My father get blood in stools everyday
my dad has blood in hes stool evertime he goes to the toilet,its quite alot of light red blood,he has no other pain with it and in general good health.please advise me. | Hi Vicky Welcome to HealthcareMagic. Your dad might be having a simple problem like piles or the blood could be from inside intestine.It is very necessary and important for him to visit a General surgeon / Gastroenterologist and get examined properly .Your doctor may do a colonoscopy if needed. take care. | |
Is dry mouth and jaw pain a serious problem?
hi sir Im 44 years old,weight 80+ and 5 feet.Im having a problem on my tongue.SINCE 2 YEARS.MY MOUTHS SALIVARY GLAND IS BLOCKED SO IT IS ALWAYS DRY.SOMETIMES I GET JAW PAINS ALSO DUE TO THIS.I CONSULTED SO MANY ENT DOCTORS ,BUT I DIDNT GET ANY SOLUTIONS FOR THIS.ISO IM EAGERLY WAITING TO UR ANSWERS.THANK U | Less salivary flow can lead to lot of problems like decayed teeth due to insufficient flushing of teeth. You need to undergo thorough diagnosis of your salivary glands. Salivary ducts can be made patent surgically. Saliva inducing mastication is also available. | |
Any cream that gives speedy recovery for tender glans of penis due to scratching ?
Hi Doc,I accidentally scratched my penis, and just below the glans of my penis was very tender, and there is a small (maybe 4mm area) which has puffed up a little and there is a small white-ish cut, and I used forederma cream since 2 weeks, but still I feel it not healed fully. Can you advice any good cream for speedy healing. | HelloThanks for query .You have suatained injury to your glans penis due to scratching and has wound over the coronal sulcus which got infected .You need to take broad spectrum antibiotic like Cefixime along with anti inflammatory drug like Diclofenac twice daily .along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice daily.Ensure to avoid sexual encounters till it heals up completely.Dr.Patil. | |
Suggest remedy for elevated D-dimer and white blood cell count
Hello, I have been really sick for about two months now. I have a elivated D-dimer and my white cell count is also elivated. The doctors can't figure out why. but just this weekend I passed out at work and since then I have been dizzy and just over all tired and not eating alot. I have lost alot of weight without trying in the last two months too. What could all this mean? | Hi, dear. I have gone through your question. I can understand your concern. Your d dimer is elevated. You may have some disseminated intravascular coagulation. You should go for complete coagulation profile once. Your high wbc may be due to some infection. You should consult your physician and go for coagulation profile andtthen take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Q. Kindly explain the TRUS guided prostate biopsy report and further treatment.
Hi doctor, The patient is a 59-year-old male with whose weight is 52.3 kg and height is 166 cm. His PSA was 247.5. He had a TRUS guided biopsy, and the report is as follows. 1. Moderately differentiated adenocarcinoma.2. Gleason grade 4+4.3. Perineural invasion present. What does the biopsy report say? What will be the next step? What medicine should the patient take at the initial stage before any surgery? The patient is on Tamdura for the prostate issue and Diamicron MR 30 for diabetes. | Hi. I am sorry to know about the problem. The biopsy report says that prostate has a cancer disease. Since PSA is very high, it means that there is a chance that it has spread outside the prostate. The next step will be PSMA PET scan to find out the areas in the body affected by prostate cancer. If this scan is not available, you can get an MRI scan of the abdomen to check local involvement or lymph node involvement along with bone scan to find out bone metastasis. The treatment depends on the stage of disease. If it has spread to bones, then bilateral orchidectomy (removal of testes) is the standard treatment. If the patient does not want orchidectomy, then can get regular injections (once in 3 months) to suppress the testicular function. The patient should also take injection Zoledronic acid once in every 3-4 weeks to control bone spread. Other than these, there is a need for calcium supplements and iron supplements. Please consult the Urologist for regular follow up, since the treatment needs to be modified according to the response of PSA and clinical factors. PSMA PET scan or MRI abdomen with bone scan. Metastatic carcinoma prostate. | |
What causes colourless vaginal discharge after taking morning after pills?
HI, I really need your help. My boyfriend and I had sex about 2 weeks ago and the condom broke. Immediately after we realized, we bought the morning after pill and I took it 45 minutes to an hour after we realized what had happened. I took the second pill 11 to 12 hours after the first. I'm not sure when my last period was, but I've been experiencing cramps as if I had my period and a lot of colorless vaginal discharge. Should I take a pregnancy test or are these just signs of my period? | Dear Ms, you did right by taking the morning after pill twice which increases the success rate of preventing pregnancy. there is no need to worry as success rate of morning after pill is more than 97% so its unlikely that you get pregnant | |
Are muscle cramps normal after an arm fracture?
HI. I SUFFERED A FRACTURE TO THE HUMERUS IN MY LEFT ARM AS A RESULT OF A FALL. THIS OCCURRED WEDNESDAY NIGHT. I AM WERAING A SLING AS PRESCRIBED BY MY MD. EARLIER THIS EVENING A HAD A VERY STRONG AND PAINFUL MUSCEL CRAMP IN THAT UPPER AREA OF MY ARM. IT HAS SINCE SUBSIDED, BUT THE MUSCEL IS STILL TIGHT AND FEELS AS IF IT WILL CRAMP UP AGAIN. IS THIS NORMAL ? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The muscle cramps can happen due to a decreased tone of the muscles. It is best to do a regular physiotherapy to help it. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for severe tightness and pain in the calf muscle
I have been experiencing tightness in my right calf almost everyday for the past few weeks. It s not the entire calf muscle, but in certain places I ve been experiencing tightness along with an aching pain. I drink plenty of water and I haven t exercised recently so it s not like my muscle is overworked. What are some reasons this could be happening? | Hi welcome to HCmI can understand your concern for severe tightness and pain in the calf muscle.Though , uncomfortable but they’re a surprisingly common problem. In fact, they’re one of the most frequent complaints .Your symptoms may be due to problems with the hamstring or calf muscles themselves, such as excessive tightness or fatigue. Muscle fatigue or tightness is usually due to overuse, either from - 1. Excessive activity , old age or 2. dehyderationor 3. poor choice of footwear . As per your info that you are taking enough of water and you have not exercised recently so that you can be over worked .So First 2 of the causes are ruled out . Either injury or chronic disease can cause inflammation to any of the tissues of the leg and lead to leg pain. For women, wearing excessively high-heeled shoes increases tension and stress in the calves and hamstrings. Your symptoms could also be due to pressure and irritation of the nerves in your leg. Dear ,Our over all health depends on the immunity of our system .You can prevent tight calves by doing regular exercise , Yoga - pranayam- Inhale - hold -Exhale - hold for 10 times . to boost your blood circulatin stretching exercises ,massage & rubbing with warm Til oil , giving pressure of and on , applying hot pack on pain fullpatch , is soothing . A balanced diet including all essential nutrients -protien , vitamins , minerals , nuts , Antioxidants - ginger, garlic , lemon juice ,Turmeric powder in a cup of hot milk in breakfast and at bed time helps alley pains and inflammation It is a natural antibiotic and helps in early recovery by boosting your immunity . +modifying your life style further strengthen your immune system paving way fou total health .Get checked your BP & Sugar level under controlDon't over exert .Avoid fried , fast foods , tea , cofee , alcohol , smoking , constipation ,dehyderationIf you face problem on a frequent basis ,rush to your Doctor .Ultimately a diagnosis by a medical professional is necessary so that the appropriate treatment can be commenced as soon as possible.Hope this helps solves your query .Take care , All the best .Don't hesitate to get back if have any further query | |
What causes weakness post treatment for cold?
Hello Doctor, After a small cold with just sniffles and stuffiness 3 days ago, I m now experiencing weakness and light-headedness with a loss of appetite. Also, a general sense of malaise. I m a bit puzzled and worried in light of the fact that I normally bounce back from my rare colds very quickly. Any help would be welcome. Thank you, JD Isaacs | hello,i can understand your concern. it appears like a case of flu. during recovery, feeling weak,malaise and light headed is normal after an episode of flu.flu is generally different from common cold in the sense that it takes longer time to recover.do not worry if you do not have high fever and breathing difficulty.drink lots of fluids at least 2 to 3 liters of water a day. drink hot beverages like soups. take ample rest. all these measures are usually sufficientif you have fever taking paracetamol would help.take a multivitamin like beplex forte once daily for fifteen days.hope i have answered your query. Have a nice day | |
Suggest medication for stomach pain and nausea
my 10 year old has had stomach pain on and off for the past week. she had a high fever a few days ago, but that passed. Are these signs that she is about to start her menstrual cycle, or could it be something else. The stomach flu is going around her school, but she is not vomiting and does not have diarrhea. | Hi.Thanks for your query and an elucidate history.Stomach pain with fever- may be flu as you have rightly mentioned that stomach flu is going on in the school. These may not be the signs of the expected period your daughter is about to start the menstrual periods.Pain off and on for the past week would make us to decide about the need of a treatment with antibiotic and metronidazole, probiotic , symptomatic and supportive. | |
What causes imbalance issues and difficulty standing up?
hi Two years ago I had a fall and needed a CT scan of the head. It showed enlarged ventricles and a silent stroke, It was decided that I was born with the low pressure hydrocephalus. I had am MRI last year, It showed no further changes. This September I started falling down on my left side with difficulty standing up without help. I was having to use a cane. I saw a neurologist and had another Ct scan today and will have an EMG in Dec. My falling has stopped and my walking has improved in the last couple of weeks and no longer have any symptoms. Your opinion please. Thanks. Marge | Hello!Thank you for your question on HCM!Regarding your concern I think that it may be caused by a second stroke, in the posterior part of the brain or a vertebral artery insufficiency. If the CT scan you did, resulted in no new strokes from the old CT scan, it means that the problem may be a vertebral artery insufficiency. It is caused by a narrowing of this artery causing low blood flow to the brain. Another cause of repeated falling may be the hydrocephalus, which can certainly cause gait problems. I would recommend you to have a Doppler ultrasound of the cervical arteries and to take aspirin for the prevention of a second stroke. I would encourage you to continue with the physiotherapy. Hope to have been helpful!Greetings!Dr. Aida | |
What causes rasp in chest while breathing?
2.5 year old on tail end of a nasty cold that had a raspy, persistent cough, fever, and made her lethargic. Now my 9 month old has just started showing a deep rasp in her chest when she breathes or babbles. I ve been draining her nose of fluid for three days. She has been in normal spirits with normal sleeping and feeding (mostly - a little less than usual today), but I m concerned about the rasp in her chest when she breathes. Is this need for concern? | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query for your daughter thoroughly .* The rasp in chest while breathing is in concern with respiratory tract infection causing constriction of the underlying bronchi .* Must get proper medications to control it and stop before worsening .Hope this clears your doubt .Wishing her fine recovery .Welcome for any further assistance .Regards take care . | |
Diagnosed episodic MS affecting thought process and memory. What kind of specialist has to be consulted for helping?
I have episodic MS. It is affecting my memory and how my thought processes work. My husband will ask me a question and instead of a yes or no answer, I tell a long story to get to the end answer. This has frustrated my husband to no end, but recently when I was in the hospital for back surgery, I had a session with a speeech therapist which seemed to recognize what is going on in my brain. What kind of specialist is best to see to help us both understand what is happening in my brain and is there any other help out there for me. I live in Boise, ID. | Hi, you might be having M.S, but the cause of the problem may not be that, it is not even the problem with the speech therapy, it is concerned with the way of speech. I advise you to consult a psychologist for diagnosis and treatment. Both of you should go and he should be taught hou to tackle you with out getting irritated. Thank you. | |
What causes back pain after insertion of stent after kidney stone surgery?
What can I do. I had a stent put in after kidney stone surgery. It hurts in my lower back very bad when I feel the fluids leave my kidney into to stent. But once it leaves my body the pressure subsides and not as painful . But my lower back is in so much discomfort afterwards. Only thing that helps with pain afterwards is a hot bath. Anything else I can do relieve the pain . | Hello,Welcome to HCMI am Dr Rakesh Sharma answering your query.I can understand your concern.The pain you are experiencing may be 1.post operative and 2.back muscle spasm pain.Hot water bag or heating pad will be very useful for constant use.If you are passing urine without any pain and obstruction, then it is all right,if not ,please see your doctor.Do mention your pain to the doctor during your follow up visit.Hope this suggestion will help you.Good Luck. | |
What is the reason for constant body ache in children?
My 9 year old daughter complains of neck sholder pain all te time she wants a massage. I assumed it was stress related, she seems to have a lot of anxiety for a child. However last night she also started complaining of dull pain in her arms and legs, also feels better with massage. It wasn t enough to keep her awake, but she said she was still sore this morning. | constant pain in back may b due to ill posture while daily activities. regular exercise is helpful in muscle building and pain management. massage is also better solution. | |
Does Regestrone affect platelet count?
age 40 yr 5"2 weight 62 kg I have iron deficiency due to heavy bleeding due to adenomyoma. dr. prescribed me tab registrone for six months. before treatment my platellet count is 160000. after treatment my platelet count is 100000. it decreased due to registrone ? | Welcome to H.C.M. I had gone through your question and understand your concerns.I see similar cases amongst people who visit my clinic.REGESTRONE (norethisterone) does not cause low platelet counts.Your low platelet count is due to other factor.Low platelet can be due to some infection also so I advise you to repeat complete blood count with peripheral blood film.This will be very helpful to rule out other cause and for further management.Thanx.Hope this answers your question.If you have any query then please do not hesitate . I will be happy to answer your questions. | |
What does cavitating nodular lesion in chest x-ray mean?
Hi, My Mummy went for a chest xray and found there was a patch, she was recomended for a CT Scan and they found that there was a "Cavitating nodular lesion seen in the perihery of the left lower lobe. It displays irregular margins. It is approx 3.2 x 2.1 x 2.1 cm, Rest of the lung is clear". Now we had gone for a CT guided Biopsy, now it is 14 days and still the report is not clear. The doctor is telling us to wait for the report, does it take so long to detect Cancer :( | Thanks for your question on Healthcare Magic. I can understand your concern. Cavitory lung lesion with irregular margin is commonly seen with 1. Tuberculosis 2. Cavitory pneumonia 3. Lung abscess. 4. Cavitory carcinoma (lung cancer). So bronchoscopy with BAL (bronchoalveolar lavage) and lung Biopsy are needed for confirmation of the diagnosis. Usually 3-4 days are needed for Biopsy report. I don't know why they are taking so much time for report. In my opinion, you should consult different pulmonologist and recheck Biopsy report. 14 days time is too much for this. Hope I have solved your query. I will be happy to help you further. Wishing good health to your your mother. Thanks. | |
Does thirstiness occur with neck alignment issues?
I woke up with a headache. My scull was so tight. I was also very tired. I felt hung over and I should not have felt that way at all. I slept a lot on Sunday and felt somewhat better on Monday. Went to work around eleven. While there the pressure on my scull like someone was hanging off it made me feel like I was going to get sick to my stomach. Made it thru the day and just went to bed when I got home. Got up Tuesday. Felt more rested but still had tightness down the back of my scull, neck. Scull soar to the touch especially at the base. I m thirsty. Am taking Advil. One pill every 4 or 6 hours. 200 miligrams. Made it thru Tuesday but had diarreah. Wednedsay afternoon went to Physical therapy. Told me neck is out of alinement and have very tight derma. I m thirsty and feel like I m somewhat poisoned. that might sound crazy. I have a slight headache like I m still hung over. I m tired. Went to work Thursday. Very tired when I got home. Ate but don t have a big appetite. Saw PT today. Better movement in neck but thirsty and tire. It this just neck issue ( I do have a history of neck issues) or something else? I have not had this thirsty thing with any of the other neck flare up or diarreah. I have a doctor appointment but not til late next week. | Hi you have issues with your neck and have diarrhea and thirstiness ? Are you diabetic? In my opinion the symptoms you have mentioned can all be well explained by your neck issues ( including pain and alignment), however diarrhea and thirst cannot be explained. Diarrhea and thirst are generally not caused by advil also. I would strongly recommend that you should undergo medical checkup. | |
Is ovex safe for thread worm in stomach?
My 4 year old son woke on Thursday night with terrible itching in his bottom. He's had threadworm before and as the symptoms were the same I assumed it was threadworm again (despite not seeing any worms or eggs). He had a dose of Ovex on Thursday night but woke up again last night at the same time with itching again. How long does it take for the Ovex to work usually? Should I give him another dose? | HI, The Ovex has Mebendazol-which acts by disturbing glucose absorption by the worms-so their energy source is depleted ,they get weak & die within few days & excreted through stools. Thus complete action of drug takes 4-5 days & the drug need not be repeated for itching in between. Actually recurrence is common in thread worm infestation ,so the dose is repeated after 15 days gap twice-to have complete cure. Thanks. | |
Q. What causes fluid in abdomen with back pain and low BP in a hepatitis B patient?
Hi doctor, My father is suffering from hepatitis B and currently his medication is going on. Medicines are: Entaliv 0.5 mg, Reheptin, Pantodac L, Livoluk 15 a day, Ulyses 300, Norflox 400, Lasilactone once a day, Lket trice a day. Also, tapoing is doing. Condition- Fluid in abdomen, back pain, low BP (90/60). No improvement even after two months of treatment. | Hello. I can understand you must be very upset about your father's health. Form history and medication history, it seems he has liver cirrhosis. In other words it is called scarring of liver, shrunken liver, or chronic liver disease. Well the medications he is on, and recent history of tapping of abdominal water, suggest he has advanced disease which require a close follow up and listing such patient on liver transplantation. The liver transplantation is the only definite therapy for advanced liver scarring such as in your's father case. But it is required to assign liver transplantation not too early and neither too late. There are some scoring that should be performed before recommending liver transplant. The one such score require blood investigations, radiological test such as Contrast enhanced CT scan. The reason why you do not see any improvement even after 2 months of treatment is that all treatment is just supportive and does not correct underlying problem within liver, except Entaliv which is used for suppression of hepatitis B infection. To correct underlying liver, it is liver transplantation which could help. The survival are good after liver transplantation such as on average 70% individuals survive at 5 years after successful transplant. I want you to share me the complete blood investigations and tests that have been done, as I can be able to stage his disease, and give you reasonable approach to the problem. Chronic liver disease Hepatitis B related Follow up to provide more information and investigations | |
Suggest treatment for wound near rectum of a baby
My 4 month old son just got an abscess near his rectum. The Dr. squeezed the puss out and checking for MRSA. I m scared to death because I work in a hospital, and I have to sit in rooms with iso patients(mrsa in urine also). I don t want him to end up hospitalized, so what should I do with the wound near his rectum? | Hi... I suggest but you keep the area clean with antiseptic wipes and keep doing daily dressings in the area. If he turns out to be positive for MRSA, then he might require oral clindamycin. If negative then you need not worry about MRSA infection as the pus has already been evacuated out.Regards - Dr. Sumanth | |
Suggest treatment for persistent cough even after taking medication
Hi,i have been suffering from cough for the past two weeks. Doctors indicated it could be a allergic bronchitis owing to changing weather conditions here. Finaly yesterday i took a decadri.. & derephyllene injection. i felt relieved yesterday but in the mornings the coughs repeat. im also taking Tab Montech & sysnasane 400 & brozodex sryup. im 26 years old. | Hi thanks for asking question.Do your complete blood examination.If severe allergic condition present then your CBC will show eosinophilia.You are taking correct treatment regarding your allergic condition.If CBC show neutrophilia then antibiotic needed.As far as cough is concerned with control of allergy by antihistaminic and drugs you are taking , cough will subside within few days.If still want to suppress cough immediately dextromethorphan containing serum can be used.If you have fever then chest x ray done to rule out pneumonia like condition.If you have fever with weight los also rule out tuberculosis by sputum examination.I hope I have solve your query.Dr.Parth | |
Is OCD hereditary?
Hello, My boyfriend is 37 years old, he has OCD and stammers. He takes rivotril to reduce his anxiety as there is no medication that treats OCD directly. I'd like to know if you think his stammering is related to his condition (OCD) and if there is a medicine that can cure it. Also is this hereditery? | Hi,OCD (Obsessive compulsive Disorder) is a condition where a person has repeated thoughts regarding anything and does various acts trying to stop the thoughts, e.g, washing repeatedly in response to thoughts about contamination. OCD is a treatable condition and there are various medication available to treat OCD. In addition, stammering can be related to anxiety. With adequate management, your boyfriend can get rid of his symptoms.There is a amount of genetic component in OCD and anxiety. But that doesn't mean that if a person has OCD, his son/daughter will definitely have it too. It merely increases the chance to develop it. There is no way currently to predict who will develop it and who won't.I would suggest that your boy friend should seek a psychiatric consultation for initiating proper treatment. Medications like sertraline or fluvoxamine are highly effective. Rivotril (clonazepam) will only reduce the anxiety temporarily and long term intake may lead to development of dependence over it. In addition to medication, he can also opt for cognitive behavior therapy consisting of exposure and response prevention. This is another effective means of treating OCD.Hope this information was helpful. Best wishes. | |
Q. Is it fine to repeat I-pill within a short interval to avoid pregnancy?
Hi doctor, I had unprotected sex on day 13 of my cycle and had an I-pill a day later. Again, I had sex in a gap of three days after the intake of tablet. I am really worried if I should take the pill again. This was a terrible mistake. Please help. | Hi. I am assuming that you have regular monthly periods. In that case, it is the time where you are going to ovulate. So, it is an unsafe period to have sex. And, if you have once unprotected sex and have taken I-pill (emergency contraceptive pill) once, then why to make mistake for the second time. Because, I-pill in itself is not 100% effective even if taken once. There is no study about two times taken I-pill. It works with two mechanisms. First of all, it will delay ovulation and second, it brings bleeding. So, if pregnancy happens, it resists implantation. In your case, if I believe that ovulation is delayed while you have taken the tablet, then it is good. If you have taken the tablet for the second time, then the ovulation is more delayed and period will be somewhat late with more chance of avoiding pregnancy. The second thing is that with I-pill your period cycle can become irregular. The chance of that increases more if you have taken two times. Because, it is a chemical (hormone), which is produced in your body to maintain your regular cycle. And, when you take it from outside it can disturb your normal cycle. If you do not want pregnancy in the first place, then either use condom or other method as preferred by you both after discussing with your doctor. I-pill is an emergency contraceptive and not a regular contraceptive pill that you can take as and when required. It should be taken when fear of failure of normal contraception is more. So, make the thing clear about whether you want pregnancy or not and go for a solution which helps you in future. For further information consult an obstetrician and gynaecologist online --> | |
Skin burn on the left side of shaft after sex that has got bigger and not healed
After Sex the Other night, The Next Morning I noticed what appears to be like a Skin Burn on the Left side of the Shaft, It started or looked like a pimple and I had shaved a few days ago so i squeezed it, Now it has gotten a litte bigger and doesn't hurt, but has not healed in 2 days, Should I be overly concerned? | Welcome to healthcare magic. It may be infection of hair follicle. Apply local antiseptic cream 2 times a day. If it doesn't respond consult physician for course of antibiotics. | |
What does hard lump on top of head indicate?
Last night I had a hard lump on top of my head near the swirl it was almost the length of my pinky finger and raised about 1/4 inch.....this morning it was gone .....now there is a small bump there and like a pinpointed pain too. Any idea what it could be or cause it? Please help.Tnk you | Hi,Dear,Welcome to HCM. Based on the facts of your query,You seem to suffer from-Lump due to perifolliculitis with cellulitis ,giving painful hard lump in formation,which overnight reduced down to bump with pin pointed pain too-suggesting the developing or maturing Furunculitis of the scalp hair.Second Opinion from Surgeon with Surgical Drainage would resolve the bump issue-forming abcess with boil.HOpe this reply would help you to plan further treatment with your doctors.Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Dr.Savaskar, Senior Surgical Specialist M.S.Genl-CVTS | |
Do I need to take vaccination if the dog dies after scratching me?
i was bitten by a dog around a year back. i took all the 5 doses of verorab. 20 days back a pet dog non vaccinated scratched me on my hand & blood came out. i again took2 doses of rabipur (0 & 3). but after 15 days the dog died. idont know the reasons of its death. Do i need to take more doses of the vaccination. | Hello,Welcome to HCM,As you was bit by a fully vaccinated dog one year back for which you have taken all the shots of antirabies vaccine and once again you were scratched by a stray dog on your hand which led to bleeding from the site.According to WHO you were categorized into Re-Exposures and you should receive only two doses of vaccine on days 0 and 3. Even it is a Cat III bite there is no need of passive immunization.You will be having protective antibody titres and the vaccine on day 0 and 3 will boost up the immune system by anamnestic response and protects you from getting rabies even if the dog dies of rabies.Thank you. | |
Treatment for pain and bruising in arm after fall?
hi I am 60 yrs old, and approx 10 days agao had a fall on my left arm. still very painful aand cannot lift upward mvements as brusing hair and stretching out, need assistance.. also black bruise on the uppr arm which is not painful at all.. still driving my auto car. and working at computor without any pain, only when lifting arm upwards.. went to family doctor and subscribe burofen tablets to heal inflamation, but nothing good hapened as yet for the past 6 days already..plse adv..thnx | Hi..You had shoulder contution after the fall...It needs sometime to heal and get the movement back...since you are having brufen tab it should help you to relieve pain due to inflammation..In addition to your medication..I would like you toDo icing frequently to reduce muscle guarding and promote healing...Don't move your shoulder forcefully in the painful range...move it in painless range..Don't lie on that shoulder...you can slowly perform pendulum exercises for improving range.. Hope this is helpful for you..kindly revert back in case you need any further help... | |
I have a past history of collagen vascular disease and leukopenia. Is swollen bulging eye and pain behind the ear a symptom of connective tissue disease and autoimmune thyroid ?
went to doctor with swollen eye and severe pain in March. Found I had an ear infectioni and strep (no symptoms with either)put on antibiotic. Went to eye doctor as pain became so severe...she found my eye bulging and a main nerve swollen behing the eye ball. Ordered MRI and blood work. I had a CT as couldn t afford MRI...and blood work done. Went back to doctor about not feeling better...given steroids, a shot for dangerous infection..another perscription for stronger antibiotic. CT scan showed some issues that pointed toward possible thyroid issue. Recommended thyroid workup and if not, more testing. Had thyroid test...normal. RA high. Went to another doctor...he said I was having a collegen attack...as I was having numbness around my mouth on same side as swollen puffy eye... sore inside mouth on that same side as the eye...etc. (Twenty years ago I was told I had collegen vascular disease and had steroid shots and prednisone. Have used Celebrex in the past but nothing for about ten years.)He gave me two steroid shots and prednisone. Sent me to RA doctor. RA doctor is flippent and said not a thyroid issue and says go to a ENT doctor said I didn t have lupus nor RA and basicly didn t think I needed to be treated by this field of medicine. I am running out of money and frustrated. Right not I have pain in the opposide side of the head about three inches behind the ear. Stabbing sort of pain... and pain under my right shoulder blade. Sometime it is in my forhead or right side of head where the eye issue is. Most of my head pain is when I get up at night or in the morning when I get up. RA doctor said that is probably from fluid build up in my head when lying down????? Is this all connected? What should I do ?? When I went to the doctor who said I was having a collegen attack my BP was 203/93. Put me on BP meds...they nearly put me under...so lethargic etc. that I couldn t hardly function. I quit after a week...and BP is averaging 129/77 for about the past three weeks....I am female, 64 and otherwise healthy. Most of my treatment has been for achy body.... hurts to be touched a lot of the time. My cat walking across my legs makes me hurt. When someone pats me etc. it hurts. My husband just can t believe it hurts that bad but it does! I have had elevated RA on most work ups for the pa | You should rule out: 1. An orbital pseudotumor which may be a part of Tolosa Hunt Syndrome. 2. Polyarteritis Nodosa. Some more details such as CT images, papilledema, visual disturbances, sudden weight loss will help. | |
Can a pneumonia shot raise your white blood cell count?
Last tuesday I had a flu shot and a neumonia shot. I am 68 and male. I had a very sore arm and felt bad the next day in which I had blood drawn for a test. The results showed a high white cell blood count as well as high ANC and AMC. Could these high readings be because of the shots the day before? | Hello, * The pneumonia shot per se is not responsible for high WBC count, but as you are telling there are soreness and bad feeling at the injection site over arm, there are all possibilities that you have cellulitis or possible abscess formation at the injection site; which will recruit neutrophils at the site and cause secondary rise in WBC count. * Primary relief with ice application and secondary management with systemic antibiotics and anti-inflammatory medicines with your doc. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon | |
How can abscessed teeth infection be treated?
I will end up dying from raging infection, stemming from abscessed teeth. Not to mention the unbearable pain and misery I've endured over the last 9 days. I have no insurance. No money. ( my husband is in stage 4 esaphageal cancer ) with 7 children, 3 at home. No car or options to have this taken care of. I have 12 teeth all front and mouth full of abscess nasty infection | Thanks for your query, I have gone through your query.The abscess could be because of the tooth or gum infection.If it is gum or tooth infection You can take a course of antibiotics and analgesics like amoxicillin 500mg and metronidazole 400mg tid for 5 days(if you are not allergic). After taking antibiotics you can get the tooth treated with RCT(if bone support is fine) for tooth infection or extraction of the tooth(if it is completely gone).if it is gum infection then get your teeth cleaned once and maintain the oral hygiene. If needed grafts can be placed to make the tooth firm. Do saline gargling. we have to treat the cause.i hope my answer will help you, take care. | |
Suggest treatment for high BP
I am on blood pressure meds for many years I am 66. Took my reading about an hour ago and it was 114/68/58I feel great just some pain on my left side back and arthritis that's what you get when your getting older and playedsports as a kid. YYYY@YYYY | hello,the blood pressure recordings are absolutely within the normal limits.i suggest you to get an xray done to see the stage of the arthritis.for pain relief tab voveron 50mg can be taken after food as and when you have unbearable pain.weight reduction and life style changes are advised.hot fomentation over the involved joints is advised. | |
What to use to sooth 3 and a half year old s chicken pox?
Can I use Vaseline or a product called double base gel that contains isoprophyl myristate to help sooth my 3 and half year old daughter s chickenpox? Or do you have any other tips? We are using calamine lotion and giving her an antihistamine medicine. | Greetings. Calamine lotion is good enough. It has both soothing effect as well as antiseptic properties. Apply it 4-5 times daily. Feed him normally. Keep him indoor. If u were my patient i would have added syr zovirax, an antiviral which decrease the severity of the disease. | |
What causes foul smelling belly button with white color discharge in infants?
my 9 mos old son woke up this morning & I noticed a foul smelling odor coming from belly button. I tried to clean it, It does appear a little red & may have a little white colored discharge. I checked again this evening before bed, it still smells very bad. I cleaned it again with peroxide. what should i do? does he have some type of infection? | At times, there can be discharge from the umbilicus though it is unusual. Foul smelling indicates infection which could be managed with topical antibiotic ointment or with systemic antibiotics given orally or intravenously. You have done a good thing by cleaning with peroxide. But I would insist visiting a surgeon to rule out conditions like patent urachus which could have similar manifestations. | |
Q. Please recommend a treatment to get rid of severe acne.
Hello doctor, For the last seven years, I have very hard round white balls type lesions on my skin. They spread and the area will not heal until the ball is extracted. It has ruined my face. I used to get regular acne whole of my life till about seven years ago. There used to be some cystic acne, but they were soft with pus. Initially, a white ball like cyst came out and after that, it has never been the same. Sometimes, a very thin hair will also come out of it. I have used every acne medication available, including Accutane. Currently, I am using Rituxan, Trazodone, Lexapro and Modafinil. | Hi. Revert back with the details to a dermatologist online --> | |
Is the threading for excess facial hair the reason for my acne problem which is causing discoloration in that area ?
I have mild acne breakouts on my face but they cause discolouration in that particular area after getting healed which takes ages to clear up! I have sensitive skin so I dont want to overload my skin with chemicals . Is there a natural way, convenient enough for a hostel dweller. Also, I have more than usual facial hair on my sideburns and some parts of cheeks so I get threading done on them. Could this be the reason for my problem? | hi, Acne when not treated and allowed to resolve on its own will lead to pigmentation . So get it treated when it arises. Use benzoyl peroxide at night time. just apply dont rub . use a mild face cleanser containing cetyl alcohol with stearyl alcohol for cleansing. No threading doesnot lead to acne. anyways i would advise laser hair removal to threading. wish u good health | |
Can MRI findings of microvascular ischemic disease cause dizziness and light headedness?
I had an MRI and along with other things they said I had Microvascular ischemic disease, and MS like symptoms and atrophy of the venticuler atrium hope this makes sense to you. I have been severely dizzy and light headed would this be caused by the above? YYYY@YYYY | Dear microvascular ischemic isn't a disease.It is a radiological finding which need to be correlated with clinical findings.Anyway there is nothing to be worry because those MRI findings probably might be related to brain hypoperfusion due to chronic illness such as arterial hypertension or diabetes.You need to consult your neurologist and start treatment with antiplateled (aspirin 100-300mg per day). You can use betahistine for dizzy sensation and light headed.Wish you all the best don't hesitate to contact for further inquiry | |
How will i conceive after stopping Depo shots?
Hi, I had the depo injection to prevent me from getting pregnant for around 1year. I stopped my depo when it ran out in Septemeber and i havnt had an injection since. I have no started regular periods and I am wanting a baby. after reading reviews online I know it can be difficult to get pregnant after the depo but I have now been off the depo for 7-8month. what is the best possible way to spead up me getting pregnant. me and my partner desperatley want a baby and it seems to be taking ages? any tips or suggestions on how to speed things up? | Hi, Thsnks for the query .I understand your concern. Depo contraceptive shots take 6-10 months to get regular menses. Please wait for 2 more months... you may resume normal periods automatically. Side by side you can get investigation like usg/ thyroid function test to exclude any other possible cause for menstrual problem (which may be coincidence) Thanks. | |
Is agalactiae streptococcus a contagious virus?
My doctor just called and said that the culture he took shows I have Agalactiae Streptoccus, where does this come from; He had given me a Z pack to treat my virus that has settled in my chest, will this Z pack clear my belly button also? Is this contagious to my family? I swam in the ocean in Mexico recently and also swimming pools in Hawaii-could that be where I picked this up? | Hi,Welcome to HCM,First of all, Streptococcus agalactiae is a bacteria not a virus. This bacteria usually does not cause serious infections and is sensitive to many common antibiotics. Your doctor has correctly prescribed appropriate antibiotics to deal with your respiratory infection. If you have any other infection, it may respond to this antibiotic. It is not a contagious infection but can spread through droplets while coughing and sneezing. I suggest you avoid close contact with family till you are better. Source of infection needs to be traced. For now complete the full course of antibiotics prescribed and you will get better soon.Thanks. |
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