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Hole in throat due to infection during ventilator for paralysis stroke, unable to speak, on liquid diet. Time to recover?
Hello Sir, My 48 year father got paralysis stroke 4 months back. He got hole in his throght due to infection during ventilator. He is recovering now but he still cant able to speak. He is having only liquid foods through pipes now. How much more time will take to full recovery? Can you please brief me as we are clueless about this? | Hi,Thank you for posting your query.The hole you are referring to in the throat is called tracheostomy, which is made to give ventilator an opening into trachea- the wind pipe. This is necessary in patients who require long term ventilator.The recovery depends on the location of stroke as well as the size of brain infarct (blood clot). If you let me know the MRI brain findings, I can help you more.The tracheostomy hole would close on its own, when the tube is removed. It takes about 7 days.I hope it helps.Best wishes,Dr Sudhir Kumar MD DM (Neurology)Senior Consultant Neurologist Apollo Hospitals, Hyderabad | |
Q. Kindly explain the ways to increase the body weight.
Hi doctor, My problem is I am not able to get fat. Doctor please help me to get fat. | Hi. With the details you gave I understand that you are an 18-year-old girl who is slim and unable to increase weight. Also, I see that your Body Mass Index is 15.43. Where as the weight that is desirable to you would be about 50 to 53 kg (attachment removed to protect patient identity). You are in your puberty and hence there will be growth spurt because of which the body energy would be used fast to put height and other bodily developments. Also, this is the time your body sexually matures. These might be the reasons why you are unable to put weight. However, I give you the following suggestions to help increase weight and bring it in normal range: 1. Eat plenty of proteins : soyabeans, fish, chicken. 2. Take ghee in appropriate amounts: You may use ghee as a cooking medium if you are not susceptible to pimples and acne, ghee has great deal of energy in it and helps put weight. 3. Eat adequate green leafy vegetables and minerals: take spinach, gooseberry, fenugreek leaves, palak leaves. 4. Drink 3 to 4 litres of water daily. 5. Drink 500 mL of milk daily: make sure the milk is not condensed (skimmed). Skimmed milk is devoid of the fat. You require the fat. 6. Increase the amount of food you eat, if you are eating 3 meals make it 4 spread out through the day. 7. Keep your body in shape by exercising so that weight gain is healthy and not in appropriate places. 8. Practice yoga and a daily workout regime concentrating more on weight gain exercises than cardio. Cardio exercises help lose weight than gain. 9. If still not satisfied, take protein powders, soy or milk protein powders with good energy content. Search for protein powders for ladies for putting weight. Next, do not worry unnecessarily about your weight. This age one grows tremendously and so it might be difficult to put weight. However, within a few years your growth spurt will stop and you body metabolism will stabilize. Take the above measures and follow my advice. It is important to keep oneself healthy and appreciate ones own body. | |
What causes stomach bloating and lower abdominal pain before cycles?
What could be going on when my stomach gets very bloated before my cycles.I don't have any idea when my cycles will come.I usually start these symptoms about 2 weeks after I have a cycle.It can lastanywhere from 2-4 weeks until I have my next cycle.I also experience sharp pains in my lower abdomen during that time. | Hi.Thanks for your query and an elucidate history. The sharp pains along with bloating in the lower abdomen during the time you have mentioned, can be due to severe PID- Pelvic Inflammatory Disease or Endometriosis as this is related to the hormonal cycle. I would advise you the following-Get examined by a Gynecologist during an attack of pain.-Get blood, urine and stool tests during painful period.-Ultrasonography abdomen and pelvis and trans-vaginal USG too. Proper diagnosis will lead to a proper treatment. If required, a Diagnostic Laparoscopy and SOS Procedure can help you the maximum. | |
How can a buttock pimple which is painful and itchy be treated?
Hi, i have a polical cousin that just came from El Salvador and we noticed that she cant sit for a long time. we asked her and she said she has this type of mold(pimple) between her butt chicks. we got really worried , because she is 12 years old. the mold is hard and about 2 inches wide she said its painful and itchy.. we ll like to know what is it? and what is the treatment?? please | Hi It could be an abscess deeply seated. Please consult a general surgeon where incision and drainage can be done. If pus is there, culture will be sent from the wound and be treated accordingly with appropriate antibiotics. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prasanna Lakshmi, Pediatrician | |
Suggest suitable treatment for periodontal disease
Due periodontal disease have 2brokenteeth that need to be removed, 2bottom front loose, several caps upper front that look bad, a sore that comes and goes where the teeth are loose. I have had the scaling done, got a little better, cost me out of pocket $1600.00. Dentist is waiting on insurance to pay to have scaling done again. Dentist has given me too many Proposed Treatments, all going in a different direction. He will not tell me what is best for me and my BUDGET. He just keeps doing things that cost me money with no results. I want to EAT, SMILE & be able to pay for the work. HELP what should I do? | Hi,Thanks for asking the query, A thorough scaling, polishing and curettage is required in every six months.At home brush your teeth twice daily in small circular motions.Take lukewarm saline and antiseptic mouthwash rinses.Take complete balanced diet and drink plenty of water to keep yourself hydrated.Avoid smoking and alcohol consumption.Take multivitamin suplements.Take care! | |
Can epidural cause vibration like sensation in the neck and jaw?
I had an epidural for my back (I have 2 collapsed disc) on July 7. immediately after the injection I started having a vibration on the right side of my neck, from in my collar bone to my jaw. This happens several times a day. Is it caused by the injection or could something else be wrong? | Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion such symptoms are rare from epidural injection. you should not relate the two, there are chances that something else concurrent would be happening.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.Special note- Any medication prescribed needs to be taken after consultation with your personal doctor only. | |
Is ventolin safe to give frequently for asthma?
I am pretty sure you can not overdose on ventolin. a 13 year old has not had asthma for about a year and moved to different family without a ventolin puffer. Was given one at school to take home until gp app. can be made to assess asthma management. Is that ok to give as often as required unless no relief is achieved with ventolin.? | Hi Welcome to Healthcare Magic forum Yes, it is safer to use on a long term basis. The usual dose for long-term treatment of asthma is 1 to 2 puffs (or 1 puff in children 4 years and older) 4 times per day. I would recommend to use a steroid inhaler rather than the ventolin. Steroid inhaler is highly effective in relieving the asthmatic attacks and better than ventolin. Regards | |
Suggest remedy for depression, mood swings with severe panic attacks
hello, my name is jeremy and i am in need of medical assistance/ advice My wife and i believe i may be suffering from one or more of the following: actively attacks/ disorder Severe depression bipolar disorder *i have horrible mood swings Frequent panic attacks (and or) panic disorder to try and sum up my prolbems *its to the point were i feel that im always on the edge of my seat.... (or) i feel like im sitting in my living room and there are cops knocking on my door *(24/7) Furthermore my doctor has put me on 20mg of Celexa *1 pill a day which has caused several side effects ranging from suicidal thoughts, to penal dis-function *(and/or) lack of desire which is destroying my marrage... so due to the side effects i went and tried for a second option which the nurse put me on blood pressure medisine because my bp was 187/99 im at wits end and am running out of cash to pay doctors to prescribe me something that isnt helping me? my aunt cindy which is a nurse suggested me ask about Xanax because she said it seems like the panic attacks are running my life. however i have never herd of xanax before or what it is used for? CAN YOU HELP ME? | HiI had gone through your query.Xanax is clonazepam and it is anxiolytic means it reduce anxiety.It is used to treat anxiety disorder like panic attack. But alone xanax is not useful to control and prevent panic attack.Celexa is SSRI and it is antidepressant. It is used to control depression and prevent panic attack.It has side effect like suicidal thought but it is for only few days. After 2 week of therapy you wont have such side effect.sexual dysfunction can be treated with add on medicines like sildenafil etc.Medicines like agolmelatine, mirtazapine , bupropion has minimal sexual side effect which is useful to treat depression.Discuss with your treating psychiatrist and get further help.Still have query then feel free to ask.Thank you. | |
What causes severe swelling in the left leg, ankle and foot after a hip replacement?
My sister has severe swelling in her left leg, knee, ankle and foot after a left hip replacement surgery She is home and was told not to elevate or use the stockings that others have used!! What can we do to get the swelling to go down?? Very concerned!!! | Hello,I have studied your case. I think you need to again check with your doctor as there is no harm in wear stocking. I think she might be having DVT. I would suggest you to get a Doppler examination and check if there is any clot in the veins. Also you need to check about het blood clotting factors. She should also do exercises.thanks | |
What causes disorientation feeling while lifting head?
When I got a a mall after about 30 minutes I feel disoriented,and terrible especially while I lift my head and keep looking at the stalls, is it vertigo. My doctors has given me vertin 8 mg and as soon as I take it ,my discomfort does reduce. What exactly is my problem. | Hi,Thanks for writing in.Our brain has an inbuilt balance mechanism by which we adjust our balance with change in posture. This is done by the cerebellum and the inner ear mechanism. The cerebellum is the small brain and controls the balance and gait centers. The inner ear has the vestibular system that gathers the information regarding change in posture and relays it to the brain. The information in the inner ear is transmitted by the hair cells and endolymph in the inner ear. There are conditions when these hair cells do not function properly with change in position and are unable to send the right information to the brain. This leads to a confusion of the brain in processing the change in position and adapting to it. The result is dizziness and vertigo. It might help to get detailed investigation done under guidance of your doctor. Vertin is a medication that helps send the correct information to the brain and prevent dizziness. Please do not worry. | |
Is the discoloration and stabbing pain around the fracture area normal?
I fractured my fibula in May. I was in a cast for 6 weeks and compression boot for for more weeks. No surgery was required. I still have skin discoloring around the area and a sharp bee sting feeling. Is this just normal healing or is this something I be concerned about? | Hello,I read carefully your query and understand your concern. The symptoms seem to be related to normal healing. You should not be worried. I suggest using an anti inflammatory medications such as Acetaminophen to relieve the pain. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
What is the treatment of nasal congestion,breathing problem and extreme fatigue?
Hi, I have severe problems related to Allergy and the symptoms are..nasal congestion,breathing problem,extreme fatigue,senseless like symptoms(black out) sometimes. I have consulted one doctor and he suggested RID AR tablet regularly and Fluticone FT nasal spray..The problems have been mitigated a little but the problems are still persisting. He also suggested to quit smoking and I have also tried but when ever I stop smoking for 2-3 days the problems suddenly becomes bigger and if I smoke it becomes less severe..Any suggestions will be of great help... | Thanks for your question on Healthcare Magic. I can understand your concern. Your nasal symptoms are more suggestive of allergic rhinitis. Your breathing difficulty is mostly due to smoking induced bronchitis. Sudden stoppage of smoking can cause withdrawal symptoms. So you are should takes medical assistance forcing smoking cessation. Counseling, nicotine replacement therapy etc will smoothen your smoking cessation process. Consult pulmonologist and get done PFT. PFT will not only diagnose bronchitis but it will also tell you about severity of the disease. And treatment is based on severity only. You may need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Continue same treatment (RID AR and fluticon FT nasal spray) for allergic rhinitis for 5-6 months. 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. | |
Suggest treatment for sore throat and depression
Sore throat on and off over last 4 months, feeling can t take a full breath, voice sounds different, tiredness , lethargy, depression run down. Had two blood tests, anti bionics after first test and confirmed not glandular fever, second test clear now due to see doctor again. Concerned about throat ? | Hi dearI understand your concern. Sore throat indicate infection. It can be treated with antibiotic and decongestants. Azithromycine/levofloxacine/cefadroxil will be useful.But consult ENT specialist for further assistance. Depression require psychological evaluation. It can bbe treated with medicine like combination of the SSRI and benzodiazapine. Consult psychiatrist and get help. .Happy to help you further. Get well soon. Take care. | |
Suggest treatment for tingling and numbness in hands and feet after a fall on the hip
i fell on my hip after kicking a ball first i flew in the air then landed on my felt hip...that was 2 days ago i have pain in the area no brusing i aso feel very little pain in the groin area..but my most concern is the tingling and numbnes i feel on my hands and feet and also how i been getting like dizzie n light headed | Hi, thanks for using HCM.Pain in hip region could be due to trauma from fall. lightheadedness and tingling sensation need to be concerned. One possible cause would be small amount of bleed in head out side brain. Better to consult your doctor and get examined as early as possibleRegards | |
Chronic abdominal pain, headache, nausea, chestpain, jaw pain, black specs in stool. Suggestions?
I have been suffering from chronic abdominal pain for two years. These past three weeks it has gotten alot worse. The pain is increasing, and have been to the ER. They said I need to see a GI specialist but unless im throwing up blood, they can t do anything about out I just have to wait. I m pretty sure I have an ulcer . At first it was just abdominal pain, headaches and nausea . I am now have chest pain and jaw pain. I find it difficult to eat, and have found dark black specks of stuff in my stool. I have pain killers and stuff but I am really worried what should i do? The pain gets so bad that i get severe anxitey!! Help!! | Hello lild , welcome to healthcaremagic Your symptoms are may be due to an upper gastrointestinal tract lesion and i would surely ask you to get a upper GI-endoscopy done along with a ultrasonography of your abdomen. Are you a heavy smoker ? or do you take " pain killers " on a regular basis for other complaint ? Are you hypertensive ? please get your blood pressure checked at the earliest . A gastroenterologist can help you out with this problem of yours and I strongly recommend an appointment with a gastroenterologist of your choice. Meanwhile got to a lab and get these following test done for you, stool for OBT( occult blood test ) and complete blood picture. hope i have been able to help you. Take care. | |
Suffering from sever back pain. What is the cure for disc degeneration and bulging?
Hi,I am suffering from severe back pain. I did MRI two year back, which revealed that there is something called disc degeneration and bulging. Due to this i am unable to pun my leg while walking. I have taken all varieties of medchine i.e. Allopathic, Homeopathic and Ayurveda but my pain is not reduced. I have this problem since 5-6 year. Please suggest what to do further.Thanks in advance,Deepak | IN MY ADVISE YOU FIRST NEED TO FIND THE CAUSE OF DEGENERATION CAN BE CHRONIC TUBERCULOSIS DEGICIENCY OF MICRONUTRIENTS A CONSULTATION WITH ORTHO DOCTOR WILL BE ABLE TO FIND THE CAUSE AND TREAT ACCORDINGLYMUSCLE RELEXTANTS ANTI INFLAMATORY MED LOCAL OINTMENTS AND PHYSIOTHERAPY CAN HELP IF NOTHING HAPPENS MAY NEED SURGERY | |
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 painless bleeding after taking Ipill the regular expected periods or vaginal bleeding ?
I had un protected sex with my girlfriend, i didnt ejacuate She took an ipill within 24hrs to be safeHer periods are due on 20th She got painless bleeding on the 22ndWanted to know weather tht is her period? Or just viginal bleeding? Is she pregnant?? | Hello,Thanks for trusting us with your health concern. Here is some information I would like to offer: 1. Ovulation occurs two weeks prior to the onset of the next period. This is the fertile period where an unprotected intercourse can cause pregnancy. Since you did not have intercourse during this period, she cannot conceive even without using any pill. 2. She consumed the emergency pill within the stipulated time interval, which offers around 90 percent protection. 3. The pill contains high doses of hormone and thus creates hormone disturbances. This can cause withdrawal bleeding and delay the next natural period. She should be experiencing the usual period. Vaginal bleeding cannot happen on its own without any cause. Please see a specialist for a proper clinical appraisal and further help. Take care. | |
How can intense bunion pain in the right foot be treated?
about a month ago i had stressed my bunion right foot with walking long distance with not supportive shoes. I am paying the price. ball of foot in pain. went to podiatrist gave me shot of cortison I screamed from pain never going back. giving my foot lots of hydro therapy and foot cream. seen some difference but pain is still there. what to do | Hello,Supportive shoes are important. In addition, warm soaks can be helpful. Using protective pads over the bunion and between the toes can also be useful to relieve pressure on the area. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kathy Robinson | |
How to reduce the sensitivity in penis after Phimosis operation?
Hello, I am Kunal from India. My Phimosis operation has done last friday. evrythng is ok but my penis top is hyper sensitive and i cant even touch it. Can you please tell me how can the sensitivity of my dick can be reduced as i am unable to wear pents and jeans due to its sensitivity. | Hi, .Within a weeks time after surgery the sensitivity will get reduced. As you had the surgery recently sexual relationship is usually advised after 3 weeks, by which the sensitivity will get settled to an extent. If it is extremely difficult for you to wear pants, you can have the dressing covering the glans penis for some more days. It will help you to avoid the friction of the skin of your penis. After sometime you can apply some local anesthetic creams on the advice of your surgeon. With these measures you can reduce the sensitivity.Wish you speedy recovery. Dr S.Murugan | |
Does a green color discharge warrant concern?
I have a dressing that I removed from a drain tube in my hip that is soaked with a discharge that is the green color of oxidized copper. I don t have a fever, and don t see excessive redness or streaking at the insertion site. Should I be concerned. | Hello, It can be a sign it pseudomonas(a bacteria) infection. Proper antibiotics has to be started at the earliest. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain | |
I am having cysts. can u prescribe something better to know wen i would be ovulating ?
hi doc, myself aged 23 years old height 5 3 and my weight is 69kg. I recently had an natural miscarriage at 9 weeks. It was my first baby. I got this after 2 years of trying with pills. My menstrual cycle also used to be normal.But now after the miscarriage my cycles are all up and down. my first cycle came after 28days which began in spotting for 2 days and then normal flow for seven days. Den the second cycle i.e my last period came early which also began in spotting but not for two days continuous 15 days or so which was not stopping. So i went to the doc who took for me pregnancy test plus vaginal ultrasound . Everything seemed to be ok. my pregnancy test turned out negative and vag ultd showed that i had little cysts and i need to loose weight.yeah, and the doctor prescribed me dicynone to stop the bleeding. I had the tablet for 5 days but still it dint stop. Alternatively as i was having this tablet i was having very bad unbearable shooting pains inside my vagina. In my next appointment the doc then prescribed me primolut nor 10mg for 21 days two times a day. And a pain killer ponstan forte to stop the pain in the vagina as the doctor told the pain was due to bleeding for long days .Now the bleeding have stopped after 3 days taking the tablets but still i am continuing it for 21 days.And the pain had dissappeared after 2days.What i want to know is this pain only becoz of bleeding or will der be some other problems associated with it?? after taking this tablet i am having currently withdrawal bleeding on the 3rd day.but my withdrawal bleeds are in clots.a huge clot had come.is this normal period or just withdrawal bleeding???do i have to take concern in this matter?doc have said me to take hormonal tests on 2nd day of periods.since now i am having heavy withdrawal bleed should i take the tests now or should i wait till my regular menstural flows come later????can i concieve after this withdrawal bleed by checking when i will be ovulating by doing a scan with the doc or should i again wait till my regualar menstural flow.. i am very stressed becoz i badly want a baby soon.i want to know when can i conceive???can i at this stage?will my periods me normal in the next cycle?will there be chances of an empty sac again as it was the case before.and also it was lying in the corner of the uterus.will such things happen again?my hubby was also taking ubiphene eariler but no | hello welcome to health care magic thanks for your brief medical history,,,yes you can concieve surely try to visit best gynaecologist near you,,contraceptive you used for 21 days are gud as a line of treatment .follow advice of your doctor,,yes of course ovulation kit vill surely help you ,,as you need baby madly so you cant wait your menstural to be regular.dont worry there is nothing serious,,have healthy diet .. take care payal | |
What causes lung pain?
my daughter (14) keeps having pain in her *lungs* . Tonight she is in tears and says it is on both sides. Inhaler not working. Ped gave her inhaler over a year ago but also said she didn t think it is asthma and really didn t know what it is? What should we do? | Thanks for your question on HCM. In my opinion you should first consult pulmonologist and get done1. PFT ( PULMONARY FUNCTION TEST )2. Chest X ray.Bilateral lung pain can be seen in bronchitis and infection. So PFT is needed to rule out bronchitis and asthma. Chest x ray is needed to rule out lung infection. And don't give inhalers. For symptomatic relief you can give painkiller and muscle relaxant. | |
My daughter wants lip piercing
my 13 year old girl wants her lips pierced | Hi, Lip piercing is more of a harm than aesthetic benefit. It can cause infection of the lip, swelling, abrasion of front teeth, sensitivity, Nerve damage atc. Kindly avoid lip piercing. You can go in for tooth jewellery instead which will give a aesthetic appearance. | |
What causes ribcage area pain radiating to the back and shoulder?
I have had right side pain for quite some time. I went to the OBGYN and she did an exam and found nothing wrong. I went to another doctor and he told me I had to get more fiber. I have been eating 20 grams daily and drinking a lot of water. I had pain since then. I had two ultrasounds and the first ruled out appendicitis and found my gallbladder wall was thickening. The second found I have fibroid tumors/ovarian cysts. I have had pain since then. This pain is on my right side but higher than my pelvic pain. This pain is in my right rib area and it radiates to my lower and middle back and under my shoulder blade. I am not sure what this is. Should I go to a doctor about this? | Hello,Welcome, and thanks for sharing your concern I went through your query, and I feel, you need to understand that the character of pain you describe could arise only by internal abdominal viscera pathology.I would recommend you to get your CT abdomen with pelvis with contrast done and that is a very sensitive investigation to rule out any anatomic abnormality. moreover getting some enzyme tests can also help delineate the problem. See a gastroenterologist for this purpose.I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks. | |
Can i go for scuba diving if taking limictal and vyvanse?
I am 5 foot 9 1/2 in. and weigh 190. i have been taking limictol for several years and vyvance for the last year. i'm feeling great and concentrating well. i recently signed up for a scuba class. Is there any problems with taking these meds while diving? | Hi, thanks for the query. Brief answer NO. Both these medications Lamotrigine & lisdexamphetamine combination prescribed for you for whatever set of medications are not known to cause any significant side effect of such an extent to prevent you from doing scuba diving. But to be on safer side; get a general health check up done to evaluate whether you do not suffer from any middle ear condition or breathing problem which may act as potential contraindication for this adventure sport! Wish you well & All the best! Good Luck | |
What causes fever, cold, diarrhoea and night sweats?
My husband has been sick with either the flu (had the flu vaccine in October) or a severe case of food poisoning. One week ago, he dined at a restaurant, that night he wasn't feeling well. He had fevers, chill and the next day he woke up with severe, horrible diarrhea that smelled terrible which has lasted for 5 days. His temperature ranged from 104 to 101 for 3 days. HIs fever has ranged from 101-98 for the past few days. Last night, he woke up with the worst night sweats and his current temperature is 96. We see a GI specialist this afternoon. In the meantime, we are concerned about the night sweats and lowered temperature. | Hi welcome to HCMi read your history and can understand your concerni think your husband must be suffering from amoebic diarrhea as it is smeeling bad,with high feverEmpirically for both bacterial and parasitic diarrhea infection Tab Ciplox Tz works good.i hope i have cleared your queryThank youTake care | |
Suggest diet to control SGPT levels
Hello, 15 days back I was detected by Jaundice of 4.3 level and my SGPT was 485. After a lot of diet control and heavy Glucose intake (500 gms daily) now my Jaundice is at 2.0 but SGPT is still at 321. What type of diet plan I should follow specially to control SGPT. I am non alcoholic. I am already on boiled food diet largely involving rice, vegetables, dahi. and fruit juices. Will a lot of walking help or make it worse. Kindly advise me in detail. I NEED IT. | Hello As your SGPT was so high then it can be possibly because of Acute viral hepatitis.As SGPT is a liver enzyme and it was increased in your body so it will come back normal slowly only.For nowDrink plenty of fluids and juices Do exercise as you used to do | |
Suggest treatment for severe hair loss and thinning
hi i have a hairfall problem which now has turned into a severe hair thinning problem. My hair roots are weak and density has reached 3rd stage of male alopecia. I have been using minoxidil 5% for the last one year along with finax but there are no results. If u could help me with my treatement and the shampoo which i should use. | hi there.1. your concern is androgenic alopecia.2. you can shift to minoxidil 10% , apply 20 drops all over the scalp bed time.3. you can continue finax tab, once daily bed time.4. you can try sebamed anti hairloss shampoo weekly twice.5. wash your scalp only with drinking water.6. this will slow down the process of balding and will help in making the remaining hair thick.have reviews about Platelet rich plasma for hair growth and plan for few sessions accordingly.this will help you. | |
Suggest treatment for a lump on the mons pubis area
Hello, just a few days ago I started to notice that I have a lump on my mons pubis. I first noticed it because it was a bit painful, though its not visible at all, but I can feel it. Now I almost don t feel anything anymore, but when I press around that area, it feels like theres a big something underneath my mons pubis. If it helps, I m a virgin, so I m not sexually active or anything like that. | Thanks for your question on HCM. I can understand your situation and problem. Mons pubis area is having a lot of hair. So possibility of skin infection is more in your case. You are also having pain, this also suggest skin infection. Possibility of infected sebaceous cyst or boil is more. So better to consult dermatologist and get done clinical examination and ultrasound examination of local part. You may need antibiotics. Better to avoid moisture and keep proper hygiene of private parts. Don't worry, you will be alright. | |
High bilirubin, headache, eyes turning yellow. Have Hashimoto's disease
Hello, I have high bilirubin , all other levels are fine. No history of Gilberts Syndrome in my family. I have had headaches everyday for the past couple weeks. I noticed my eyes turning yellow about 3 months ago. I do have hashimoto s disease/ underactive thyroid . Some discomfort (not a lot) under my sternum, and feels like pressure against my diaphram, where i have to take deep breaths at times when breathing . On my lab results, everything else but my bilirubin was normal, accept I noticed that ABS. Neutrophils went from 9.5 to 2.8 in a couple months, and my % neutrophils went down as well. My % Lymphosites went from 16.6 to 42. | Hello and wecome to HCM The high levels of bilirubin and yellowish discoloration of eyes suggest jaundice. However, the type of bilirubin which is raised whether direct or indirect is important to know the the cause of rise in bilirubin. Direct bilirubin (Normal levels: 1. Obstruction to the biliary tract by a stone, growth in the biliary tree or outside the biliary tree, groth in the head of pancreas 2. Injury to the hepatocytes Indirect bilirubin (Nornal levels: 0.3-1.0 mg%) is raised in: 1. Injury to hepatocytes 2. Haemolytic anemia Along with blood bilirubin, urine bilirubin also needs to be done. Presence of bilirubin in urine indicates rise in direct bilirubin. For hypothyroidism, hormone replacement needs to be taken in the form of eltroxin or any other preparation. Your blood parameters suggest an increase in lymphocytes and decrease in neutrophils. This indicates a chronic infection. Get an ESR done and complete check up to rule out any chronic disease. Thanks and take care Dr Shailja P Wahal | |
What causes pain above abdomen and ribs?
hi, im female, 25 years old, 5ft 4 and a smoker. i have 2 children 1 of which is 3 months old and i have been having pains in my left and right rib area or top of belly cant really tell for over 1 year now as docs tried saying i had gallstones, stomach ulcer then found out i was pregnant and blamed the pregnancy. my son is 3 months now and iv still got the pain. been back to docs asked 4 mri scan they refused and took blood kidneys have came back to retest in 4 weeks which will be 16th may iv had 2 xrays on chest area and an ultrasound all clear in 2010 now i am taking 15mg codeine 4 times a day at min 2 help with pain which isnt working but am no further forward in knowing what it is really need 2 find out as it hurts when i hold my son for feeding and also when i bend even sometimes when im sat still i can feel twinging in pained area. have been coughing up phlegm occasionally is uncomfortable to sleep and feels like my side is just going to collapse inwards. havent yet noticed any possible triggers of it either. just want my pain 2 end as i want to be able to take kids out places but am always in 2 much pain. ??? | Hi.Thanks for your your query.Read the history in detail and understood your problems.Pains in the right and left rib area, top of belly for one year, Doctors trying to tell this as gall stones, stomach ulcers, blamed pregnancy, X-rays and blood tests and ultrasonography all normal, MRI refused. The probable cause of such a pain with negative ultrasonography can be"Prolapsed discs in the thoracic region. You need an MRI of the spine . Another reason can be costochondritis. MRI helps here too. You are taking so much of codeine in spite you have a small baby. Be careful before taking any medicines as you may be breast feeding. | |
Sudden eye irritation, chest tightness, congestion, sneezing, continued shortness of breath. Relieves with ventrolin. What could the issue be?
I sometimes suffer with sudden irritation in eyes with sneezing , tightness in chest, nasal discharge decongestion etc. I have to sneeze and cough severely to get the sputum cleared and then only i can breathe freely. But shortness in breath and short of breath continues for some time. Some time ago one doctor prescribed me ventorlin when I am sufferiing with severe cold. I have stopped using that after I am cured. But these days I am frequently suffering with the above symptoms and inhaling ventorlin has a very rapid effect. what may be my problem | Your symptoms suggest that you have allergy involving your eyes, nose and lungs. You should take a montair lc, cromal eye drops and flixonase nasal spray. For breathing difficulty you should take inhalers like ventorlin which will give you temporary relief or aerocort/seroflo for long lasting relief. | |
What causes red rashes on the stomach after giving liquid Tylenol in a throat cancer patient?
my husband has cancer of the hypophagnx and is the 3rd week of chemo and radiation. Tonight he started having chills and shaking and said he was cold. I took his temperature and it was 103. he had a feeding tube put in last week and is not able to swallow food or pills , only a little water because of all the phlgm that he coughs up coming from the tumor. I finally got him to sit up so that I could give him some liquid tylenol thru his feeding tube when I noticed a moddled looking red rash all over his stomach and back. I took his tempature again and it was 104. after about a half an hour it has come back down to 102.9. What does a fever and a rash mean in his situation? | HiAfter hearing your history i think the rashes on stomach are due to side effects of giving liquid tylenolI would advise your husband to take levocetrizine tablet twice daily after food for 5 days.RegardsDR De | |
How can recurrent asthmatic attacks be prevented?
Hi Dr, Thanks for your time. My son is 10 years old and has asthma. In last one year he has been having more attacks of Asthma than before and we are concerned about it. His Dr has asked us to give him Flohale 50 mcg two puffs twice and also Levoline 50 mcg 3-4 times. Every time he starts to have cough, we give these two for 5-6 days and he gets back to normal but in less than a couple of weeks it comes back. We are worried now that we are giving him these inhalers too often. So any way to prevent the attack with such high frequency and second is it safe to take these inhalers so often?? Thanks again for you time and we look forward to your reply. | Hi, I had gone through your question and understand your concerns.Based on your child's history and treatment received most likely reason for his illness seems to be allergic (reactive airway disease) , chances of which are more if there is family history of allergic also . If your child responds immediately to nebulisation , chances of allergy are very much. Inhalation therapy is the best recommended treatment for such type of illness , also you need to check immunization of your son , apart form routine vaccines he needs yearly flu vaccination.What seems to be lacking is that you are giving only as and when required treatment , you need to give prophylactic drugs ( Flohale in your case) regularly to control asthma. Decision to give any kind of medicines is made on risk/benefit analysis , if asthma is hampering child's daily activities it is reasonably safe to take regular prophylactic inhalation steroids to decrease disease burden.Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.Take care.• DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that online users seek the advice of a physician who can perform an in-person physical examination | |
What causes cold fingers/toes and piercing pains in joints?
Hi I am a college student, currently on holiday.... Lately I have been sleeping very irregularly. For instance if I wake up in the morning within the space of 4-5 hours I will feel drowsy and fall asleep... I also have cold fingers and toes and piercing pains in joints... I was told my vitamin d levels are critically low. | Hello, You should sleep 8 hours during night and take vitamin d supplements to reach the normal level. Also walk in fresh air and eat healthy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Blerina Pasho, General & Family Physician | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Suggest remedy for repeated acts of misconduct by 13 year old boy
A 13-year-old boy has been forced to come see you by his school's principal for repeated acts of misconduct, including a recent episode in which the patient pulled a knife on one of his teachers. The patient's mother says she has "given up hope" and thinks their coming to see you is a "waste of time," as he has been a difficult child since early he was small. She says the boy takes after his father, an abusive alcoholic who left shortly after the patient was born. She reports that the boy frequently skips school and has been arrested three times on charges of stealing, vandalism, and setting fire to a neighbor's dog. The patient smiles and even giggles a few times during your conversation with his mother. The patient seems fairly intelligent and even charming at times, and is alert and oriented. When asked about the knife-pulling incident at school, he becomes sullen and refuses to talk about it, mentioning only that his teacher is "lucky" she didn't get stabbed. The boy then refuses to talk any further and simply stares at the wall and fidgets during the rest of the interview, ignoring all remaining questions. | DearWelcome to HMWe understand your concernsI went through your details. I suggest you not to worry much. I sincerely opine that the child definitely is a victim of lack of care and security during developmental periods. Criminal mentality is clearly visible and he could be troubled with borderline personality disorder. You should assess himm with the help of a clinical psychological using psychometric testing methods for BPD. He may also need psychiatric intervention.If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to over come your problems.Hope this answers your query. Available for further clarifications.Good luck. | |
Took postinor after unprotected sex. Took second pill late. Can I get pregnant?
Hello,Just to be sure...last week Monday I had unprotected sex and I took Postinor 2 tablets. However, instead of taking the second pill 12 hours after, i took it 16 hours after. Will this cause me to be pregnant. I could wait for my monthly period which should be next week...but I just want to have an idea of the possible results. | Hello,Thanks for posting your query on health care magic.Postinor is 99% effective if taken within 24 hrs. Since you have received second dose after 16hrs, there is nothing to worry.Chances of you being pregnant is very minimum.i.e less than 1 %.So you need not worry. I suggest you to practice safe sex to prevent STD.Hope this helps.regards,Dr Nilofer | |
Suggest treatment for swollen and painful leg and ankle
I have been experiencing swelling in my right leg, especially around my ankle, the back of my leg is sore. How do blood clots feel and look if this is problem with the soreness on back of leg? I am on meds for hypertension, have a pacemaker defifib, and told recently have kidney damage. I am waiting on doc apt for results from an Ultra sound for kidneys, in mean time my cardio took me off my water pill, and Lisinopril 40mg because of finding the kidney damage. | Hello, I have studied your case.Your symptoms suggest possibility of Deep vein thrombosis.Ultrasonography/colour Doppler leg will help to rule pathology leading to pain and swelling like deep vein thrombosis. I will advise you to do repeat MRI spine to see for any nerve compression.Consulting your doctor infection can be ruled out; antibiotic can be started according to examination.If required you may need to do blood investigation for prognosis and recovery.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
What causes a hard lump on the back of the head?
I have a hard lump on left back side of my head close to base of skull. It hurts to touch or bend my head forward. Also have a burning sensation with pain starting also on right side. Headache starting to develop. Please inform me to what this might be. Feel like the back of my head is going to blow. | Hello!Thank you for the query.Most likely you have a sebaceous cyst which has gotten infected. This causes pain, swelling and redness in the lump area. Sebaceus cyst is a benign skin lesion filled with whitish masses. It does not turn into a cancer however may be a source of infection.Please do not wait with it as head infections can spread to the brain. You should consult general surgeon. An incision should be done and pus drained.Hope this will help.Regards | |
Q. Apart from UTI, what would be the reason for lower abdominal pain?
Hi doctor, My husband is 28 years old. He has had lower abdominal pain since two months. I have marked the paining area in the attached picture. He has pain in the area just behind this in the back also. The pain is mild about 0.5 in 10 scale and sometimes 2 or 3 out of 10. There is a mild burning sensation while urinating. Previous medical history includes that he had diarrhea for about 25 days, out of which about one week was severe. He had about 85 times in a week and hospitalized. While in hospital, he had increased potassium (4.7) and was given a nebulizer for two days. On the discharge, potassium was 4.4 and they said it was normal. This happened two months ago and from the day of discharge, he has been normal. Last week, visited a urologist for UTI like symptoms. They checked urine sample and also took a blood sample. All other parameters were normal, except potassium which was 6.2. Later, it was 4.4 and doctor said some sampling error. I have attached his urine test report. Our doctor said there is no urinary tract infection. What is causing this pain, if not UTI? We had US abdomen two months back during the diarrhea issue and it was normal. I have attached that reports too. This pain has been irritating though not disturbing his sleep. He sits for a long time in front of the computer for work and does no exercise or other physical activity. Would that be a reason? He travels a lot and has erratic sleep patterns. Though he has adequate sleep, he sleeps very late at night. Please share your opinion. | Hi. Revert back after a week to a urologist online --> | |
Could the echogenic lesion in retro glandular tissue be malignant?
hi I am 56 years old woman . I had my mammography recently. In mammography there was a partly well defines density seen in right retro areolar region measuring 23*10 mm with speck of calcification within , M3 . There was no significant axillary lymphadenopathy - BIRAD -3. Ultrasound correlation was suggested. In Ultrasound, in the area of mammographic abnormality at supra areolar edge there is 15*8 mm lobulated low echogenic lesion seen posteriorly in retro glandular tissue (U3 ) . No other focal abnormality is seen in the right breast. BIRAD3 Pls advise whether the lesion can be malignant | HiI would advise you to do a biopsy test to rule out malignancy. Chances of it being malignant is only 30%.RegardsDr de | |
Suggest treatment for Alzheimer s disease last stage
My mom, an 85 year old end stage Alzheimers patient has a really red eye, with swollen tear duct and bruising on the bridge of her nose. She has an ocular implant in that eye, too. I just learned of the results of a urine culture indicating a uti with E. coli. Her doc is calling an Rx in for that, today, which I will be able to pick up tomorrow, when a caregiver comes here. My question is should I take her to an ER or urgent care to have her eye looked at, or should I see if the antibiotics to treat UTI clear it up. I can t transport her by myself, so whatever I do will have to wait until tomorrow. | Ur mother have two different issues...For UTI u can take tab Levofloxacin and syp alkacitral.For Ocular problem....u should consult local ophthalmologist.For alzhimers start tab Donepezil and Tab Memantine....Apart from this, she needs good nursing care.keep her as active as possible.regards. | |
Suffering from constant Diarrhoea, taking medication for breast cancer, beta blockers for heart palpitation. Suggestion?
Im 50year old female i am 5ft 8in tall and weigh 11and a half stone , the medication i am on are tamoxifen due to breast cancer 3years ago and beta blockers due to palpitations. I been having constant diarrhea for two months using the toilet up to 6 times a day, also have constant grumbling/growling sounds down my left side and a slight discomfort also.plus i have What feels like palpitations/mis heart beat please help as this is driving me crazy | Hi friend, Welcome to Health Care Magic Symptoms lasting more than 2 months dictates the need to see your doctor and undergo investigations. For palpitation – HOLTER (24 to 48 hour ambulatory monitoring) / ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – and so on will all be necessary for further assessment and assistance. You may even need Electro Physiological Studies (EPS), if there is no improvement. In the mean time, you should see your Internist for possible stepping up the dose of your beta-blocker. For diarrhoea – start with stool examination. Abdominal CT and/ot Colonoscopy may be necessary. Take care Wishing speedy recovery God bless Good luck | |
What causes pain around the diaphram?
In the past week I have twice had pain around my diaphram. It is like I am being squeezed tight and it is really sore. Currently under investigation for a long term cough, shortness of breath. The cough is more like a permanent tickle in the throat and I have to keep coughing to get rid of it. | Dear patient here is a list of conditions that can cause pain around the diaphragmFracture of lower ribsCostochondritisShortness of breathPleurisyChronic Obstructive Pulmonary disease (COPD, Emphysema)Pneumonia or BronchitisAsthmaSprain/Strain or Tear of the Rectus abdominis, Internal or External Obliques, or IntercostalsGallbladder DiseaseSplenic DiseasePancreatitis.In your case since there is associated laboured breathing I suggest it could be asthma, cold,pneumonia/bronchitis or pleurisy.Asthma: An allergic reaction which can lead to bouts of breathlessness and hyperventilationCopd: Similar to asthma in its presentation except it occurs throughout the day. Severe wheezing and a long history of smoking AI almost pathognomonicPneumonia/ bronchitis: Cough with sputum,fever,chest pain, increased rate of breathing are the symptoms to look out for.Hope this answers your question | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
What causes the intermittent tremor on the left side of the groin?
I have an intermittent tremor on the left side of my groin for 2 months. I have been seen by a GI for my history of Crohns Disease and a Urologist. Both Mds cannot find a cause MRI is negative for fistula and prostate is normal. I also have a familial tremor. I am very concerned. Suggestions? | Hello,Your symptoms are not suggestive of familiar tremor. I recommend consulting with a neurologist for a physical exam. Performing nerve conduction studies may be needed.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Suggest treatment for heart palpitation
im 24 my carotid pulse is so prominante when i am laying in bed . i can palpate the heart sound also . my pulse rate is 78 may be some times 84 to 92 .. i am also goig to gym every day . some times my carotid pulsation is more prominate .what can i do for to reduce this pulsation | Hello,This is probably all normal and heightened awareness of yours. Normally carotid pulse and heart pulsation are very well palpable. So I think your should not worry if you don't have any symptoms. Still one hemoglobin test should be done.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode | |
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 --> | |
Could heartburn and reflux be a result of vomiting?
I was violently ill on a flight coming home from the States and vomited quite badly. A couple of days later, I experienced a lump feeling at the back of my throat which to date has not gone away. I have tried several OTC remedies for heartburn, reflux etc... but all to no avail. Is this a result of vomiting as it seems too coincidental to only have had these symptoms after I vomited. What can I do to get rid of this feeling?? Any advice would be gratefully appreciated. Regards, Janet. | Hello. Thank you for your question. Welcome to HCM.Well, it could result on these symptoms, but only if you previously had, even mild, gastritis or gastro-oesophageal reflux. After vomiting and in inflammatory states that include the oesophagus and/or the stomach, there is a drop of pressure in the lower oesophageal sphincter (a "lock" that normally does not allow the acid content of the stomach to go "backwards" to oesophagus). I recommend you to have a trial with anti-histamine H2 receptor drugs (ranitidine 150 mg x 2 tb/d for a month) or with a protein pomp inhibitor drug (PPI: omeprazole 20 mg x 2 tb/d for two weeks and x1 tb/d for two more weeks). Also, you should refrain from using certain food and beveragea: coffee, chocolate, alcohol, tobacco, spicy and grilled food, pickles. You should stand or sit up, not lie down, for at least 90 minutes after you have had your last meal.I hope I was helpful. Best regards. | |
Can intercourse between follicle study ?
Hello Sir, My name is nikita. Since long we are try to conceive baby. I had one miscarriage . and since long we r trying but we didnt get result. Now my doctor recommend to do follicle study. i have done on 8th day of my period cycle. again i have to go on 11th day of period cycle. i want to know can i do intercourse between follicle study. Means before next follicle study. Please help me. Waiting for prompt reply. | Welcome to Healthcare Magic Now that follicle study will be done indicates the ultrasound will find out the size of the dominant follicle. As soon as dominant follicle is 20mm or more there is good chance that hormones are normal and ovulation will take place.. As soon as ovulation takes place you can have sex to increase fertilization of that ovum by your husband's sperm. This ovulation can be soon on ultrasound. You can have sex for 2-3 days during that time. Ovulation usually occurs on 14th day prior to next menstrual cycle. GOOD LUCK !!!! | |
What is the ideal diet for a child suffering from fever and loose stools?
MY SON IS 2 YRS AND 3 MONTHS OLD AND HAS GOT HIGH FEVER AROUND 103 AND LOOSE STOOLS TOO. DR SUGESSTED TO TAKE MEFTAL P FOR FEVER AND OFM SUSPENSION ND DURALAC FOR LOOSE STOOLS. HE IS STILL NOT ALRIGHT AND IS THIS DOSAGE SUFFICIENT? HIS WT : 15KGS . WATS THE IDEAL DIET FOR HIM? HE REFUSES TO TAKE ANY FOOD. | Most often such episodes are caused due to certain viral infections. Irrespective of treatment it might take 3-7 days to recover. Meftal P contains mefenamic acid and is effective in bringing down the temperature. 60 mg of Meftal P is ideal for your child of 15 kgs. OFM contains an antibiotic. Since you have started it you should complete the course. It might be hard to make a child eat when ill or when on such medicines like OFM (it contains metronidazole which affects taste). Giving a regular rice based diet high on green leafy vegetables, free for wheat and milk (for a week) is ideal for the child. A low fat and spice content is preferable. Oral rehydration solution (ORS) needs to be given to make up for the lost salts and water. Plenty of fluids need to be given. | |
Can taking Duphalac be safe for indigestion?
Hi...my one month 2 days baby boy is not passing moton since 5 days. One of my Pediatrician adviced me to give DUPHALAC syrup 200ml. Is it advicable or should I give SPORLAC powder? Which one is correct for his problem. He is passing urine for 6-8 times a day. He is taking mother feeding only. Please suggest me. | Brief answer:Give duphalac. Detailed answer:Hi, welcome to HCM. The main problem in your child is that he has not passed stools for 5 days, that's a long time. Duphalac syrup has lactulose which is used in children with constipation. Sporolac contains lactic acid bacillus and it's a prebiotic. Duphalac will be helpful to your child in this condition. I hope this will help you. Wishing your child good health. Take care. Regards:Dr Deepak Patel, MD Pediatrics | |
Need insight on abnormal signal involving the distal supraspinatus tendon like representing atleast a partial tear
what does it mean when the doctor tells me there is a marked abnormal signal involving the distal supraspinatus tendon like representing atleast a partial tear. and he said that my subacromial space does appear to be narrowed to approximately 5mm. and visual portions of the glenoid appear to be unremarkable and the bone marrow signal appears unremarkable. this is an mri of my left shoulder. | Hi, This all means that your shoulder is not normal. The treatment will depend on your condition. Consult orthopaedic surgeon for management. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Gopal Goel, Orthopaedic Surgeon | |
How to treat pain around kidney area?
For months now i have been having a full pain in the left side of my back around the kidney area, the only thing that relieves this pain is when i drink water. i have been on antibiotic 2 different times to treat kidney infection and still not working? | Hi, welcome to HCM.Looking to ur history,It is necessary to identify the source of back pain. Don't be panic.CT scan would be ideal to rule out kidney stone and sometime associated vartebral problem.Kidney infection requires appropriate antibiotic according to urine culture report for specified duration and search for the cause for the kidney infection.Maintain adequate hydration.Consult nephrologist for further treatment and evaluation.I think this would be helpful to u.Thanking u. | |
How to treat kidney infection?
my brother spend 3 days in intensive care with an infection which brought his b/p dangerously low. He had kidney stones which they pushed back into kidney. He had had the pain which has been different from the pain of stones which he has continuously had all of his life. They are now telling him he has an enlarged spleen and kidney. He is scheduled Tuesday to have a stint removed and another one inserted. Could this be cancer? He had just had stones blasted from the other kidney two weeks before the infection which put him in intensive care. | Hi,Thanks for writing in.Infection is always caused by a pathogenic organism like a bacteria. Stones in kidney causes stasis of urine and this leads to urinary obstruction. The urinary blockage acts as a favorable medium for the bacteria to multiply. Some times infection might also ascend from the urinary bladder and enter the kidneys. In severe cases the bacteria release air in the collecting system of the kidneys and cause a condition called emphysematous pyelonephritis.Doing a blood culture and sensitivity is important to know any blood borne septicemia. Similarly a urine culture and sensitivity will also help. A broad range antibiotic should be given through intravenous route. This ensures better drug delivery and at higher concentration to kill the disease causing bacteria. Most people recover in a week after starting treatment. Cancer is less likely however detailed imaging is suggested. Please do not worry. | |
What causes frequent green stools in a child?
Hello My 4 year old son has recently had a lot of green poops. He has usually one poop every day sometimes every other day. Lately he is very tired all the time. He sleeps all night and the next day he looks exhausted. He normally is a high energy child. It seems to be the last couple of weeks. He is about 36lbs and sorry not currently sure of height. he has not really had any medical issues. He has some seasonal allergies. He sleeps about 10 hours a night. He takes a multi vitamin. Let me know if you need more info. | Greenish stool is normal in childrenLook for any signs of systemic illness like fever, bloody stool, loss of weight, feeding pattern, any sign of dehydrationGive plenty of ORS if loose stool occurs | |
Does CKD cause chest pain and discomfort?
I have Stage CKD. Been having painin myleft chest. The Physician did a ecocardio exam and the heart seem to b enormal. Last year a stress test and it was ok. Curren tly a x-ray showed a nodule on my lung. A second exray said that it was a shadow or a blood vessel, I do have chest disconfort and it feels like a puncture in the back of the lungs and the chest feel somewhat like a weight has been placed on it. This pain and disconfort comes and goes. Does CKD cause these type problems, and if not any ideas. Thank-You Fred | Hello For detecting better the lungs tissue it be better to do a chest CT. Discuss with your doctor Regards Dr.Jolanda | |
Treated for depression and panic attacks but hearing voices in head. Why is it recurring?
I have a recurring issue. I am hearing voices in my head.. I have been treated for depression and mild panic attacks in the past. Also brought this is up to my doctor when this first started. she said it was a phychotic episode.. why is it reacurring. if it was just an episode? I feel better now then 10 years ago when this started. it mostly happens when im alone or relaxed. and it turns into me trying to ignore the voices.. These voices sound more like an auction or a card game in the back of my head.. they don't tell me thinks or to do anything.. I just hear them and its annoying.. please help | Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you are going through a difficult time due to your problems. Hearing voices is called auditory hallucinations and like your doctor has told you, it is a symptom of psychosis. Unfortunately, psychotic disorders have a high chance of reccurence or relapse and it is likely that you are having a relapse of your symptoms. In such cases, long term medication may be required to control these symptoms and also to prevent future relapses. So, I would advise you to discuss with your psychiatrist regarding further treatment options.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist | |
Suggest an effective alternative for Beconase inhalers
Years ago I took Beconase and Vansonase for allergies. They were inhalers and worked great. Then everything shifted to aqueous which have always been useless to me. Do they still make Beconase and Vansonase or anything else as an inhaler vs a spray? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Many inhalers are available for the treatment of asthma and they area all quite effective also. You can try bronchodialators or steroids or combination of both. Tiotropium (tiova) and Budesonide (pulmicort) are commonly prescribed drugs. Consult a pulmonologist for expert opinion. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest cause for irregular abdominal pulsations
I m feeling and irregular pulsing, heartbeat like feeling in my left side abdomen, right side for someone looking at me. I am at a healthy weight, 15 1/2 years old, bulimic and anorexic eating habits. Nobody knows of my eating disorder so I m scared to go to the doctor an have questions asked about my eating. It s pulsing when I sit, stand, and lie of my back and sides. | hi this is Dr. Subhadeep.thanks for providing opportunity to help you.from your description it looks to me like an abdominal aorta pulsation which is prominent in thin individuals.it will be an immense help if you can tell me your weight and height.though you have told me that you are healthy but you have also mentioned of your anorexia and bulimia status.if anorexic habit is more dominant you might be having low body weight and hence your abdominal aorta pulsation scan be more prominent.however kindly get an ct angiogram done to rule out a rare chance of abdominal aortic aneurysm.if it happens to occur in your case then depending on the size the treatment will proceed.1) if it is less than 5cm and growth rate less than 0.5cm/year and physically active young person like you nothing other than observation is required.if blood pressure is there control blood pressure with anti hypertensive drugs.stop smoking if u r a smoker.check ur cholesterol and if it is take antihyperlipidemic drugs.taking a drug should be under advise of authorized physician.if more than 5.5 cm painful tender aneurysm consult a vascular surgeon and according to his advise endo-aneurysmorrhaphy with intraluminal graft placement or endovascular aneurysm repair EVAR to be done as per vascular surgeon advise.needless to say though that chances of these conditions are very rare in your case regardsDr.Subhadeep Tripathy | |
Suggest treatment for accidental consumption of Clorox cleaner by infant
My 18 month drank Clorox cleaner I don t know how much but he vomited white and was having a hard time breathing .. He looks okay now . I m still concerned I called the poison control and they said if he not vomiting blood its okay .. Should I still take him to the ER?? | Hi...I understand your concern and I suggest you take him to the nearest emergency room and get him checked by a doctor and then if nothing serious is found on clinical examinations and vital parameters, then you can be rest assured.Regards - Dr. Sumanth | |
What causes random bleeding from arm?
Hi,A couple of nights ago around 3 in the morning my niece was not sleepy so she was on bed using her computer when she noticed she was bleeding from her arm. She had too small punctures on the side of her right arm around the elbow area. She said the blood was actually coming straight out and not just like a normal bleeding. Well, last night around 10 pm the exact same thing happened on the same place but just like 1/2 inch away from the other two punctures. now she has 4 little red mark (small like a pin head). We took her to the Dr and he only gave her a shot to prevent a hemorrhage and tomorrow we are taking her with a different doctor for more test. Wondering what's causing this to happen. She is 16 years old, like 5'4, and weights around 140 lbs. Appreciate your advise. | Hi,Thanks for asking.Looking at the clinical history and signs and symptoms, it appears to be a insect bite.However, i would like to ask a few more queries,1. Did the bleeding stop or was it continuous until the injection was given2. Was it painful?3. Does she have any bleeding disorders.If you can answer me these queries, i can help you better.Any further queries, happy to help you again. | |
What does disc desiccation at C3-C7 level on MRI suggest?
what this MRI report suggest? is it curable with medicines or operation required!! please guide for the right treatment..... MRI OF CERVICO DORSAL SPINE Protocol: Fast spin echo T1 and T2 axial and sagittal sequences with gradient axial, inversion recovery STIR coronal, highly T2 weighted SSFSE sagittal and coronal MR myelogram in the cervico dorsal region and whole length spine mid sagittal T2. There is reversal of cervical lordosis with marked levo scoliosis. Disc desiccation at C3-C7. Large postero central and para central disc extrusion at C4/C5 with cranio caudal migration (sequestrated disc measures 17 x 4 mm) causes mild to moderate compression of thecal sac, cord and right lateral recess. There is also subtle T1 iso intense and T2 hyper intense signal changes within the cord at C4/5. Small posterior marginal disc complex at C5-C7 with PLL ossification at C5 down to C7 causing effacement of thecal sac and mild compression of bilateral neural foramina/underlying nerve roots at C5/6. Pre and para vertebral soft tissues are normal. The CV junction and atlanto axial articulation are normal. The whole length spinal cord is of normal signal intensity and thickness. The mid sagittal diameter of the bony cervical canal is within normal limits measuring 15.4, 11.9 and 11.4 mm respectively at C2, C4 and C6-level. Remarks: Disc desiccation at C3-C7. Large postero central and para central and para central disc extrusion at C4/5 with cranio caudal migration (sequestrated disc measures 17 x 4 mm) causes mild to moderate compression of thecal sac, cord and right lateral recess. Subtle T1 iso intense and T2 hyper intense signal changes within the cord at C4/5. Small posterior marginal disc complex at C5-C7 with PLL ossification at C5 down to C7 causing effacement of thecal sac and mild compression of bilateral neural foramina/underlying nerve roots at C5/6. | Hello, it's simply suggest that there is the disc displacement at various levels and there is a compression of nerve roots. Treatment is totally depend on clinical symptoms if he is too much symptomatic then surgery is required as physiotherapy and medicine are enough. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Jaideep Gaver | |
Q. What can be done for bad breath?
Hello doctor, I have bad breath. I use mint and mouth freshener but they only last for an hour or two. I brushes a couple of times a day, nothing seems to be working. I have sinus and acidity problem too. | Hi. Bad breath is a common and a very irritating symptom of patients seeking dentist's help. Mint and mouth freshener are only short-term solutions. The long-term and permanent solution is to fight the reason that causes halitosis (the scientific term for bad breath). Bad breath can be caused by dental caries, oral infections or excessive tartar and plaque accumulation. Have you had your mouth checked by a dentist lately? Sinus problems such as chronic sinusitis is also a suitable reason for bad breath. In that case, sinus secretion stagnates, bacterias grow and as it flows on the back of your throat it causes a bad breath. Fixing this problem only can solve the bad breath problem. High stomach acidity and gastroesophageal reflux of stomach liquids can also cause a bad breath (although this is less likely to happen at your age and BMI). So what you need to do is to check your mouth for caries and oral plaque and tartar and have your sinus problem treated efficiently by an otorhinolaryngologist. Also, maintain your thorough brushing twice a day and do not forget to brush your tongue too because it is a place where bacteria grow. Use mint and mouth freshener too when it is needed as a short-term solution till the problem is solved. | |
Suggest treatment for rashes and burning sensation in arms
Hi... I have a food allergy to strawberries..... I have not had any in years.... But today, I have broken out in a rash over my arms and its burning and stinging... I have taken a dose of Benadryl, taken a cool shower and not sure what else to do... | Hi.. Well if you are allergic to Strawberries then you should avoid eating them in any form to avoid reaction.. If you have an allergic outbreak then you should consult an Allergist and get a steroid shot.. If the symptoms are mild then you should take anti allergic medicine and along with it keep a watch over the symptoms. Also you can apply calamine lotion. If there is any worsening of the symptoms then you should immediately consult an Emergency room. Hope I have answered your query Please let me know if I can assist you further. Regards. Dr. Honey Arora, Dentist. | |
Could constant abdominal pain and hot flashes be due to molds in the toilet?
I am a 28 year old male, 220 lbs. I have constant abdominal pain, diarrea, dry cough, low grade fever, hot flashes, cold chills. I see tracers when something moves. There has been evidence of a lot of mold under my bathroom sink and in my ceiling. Is this mold poisoning or is there another explanation? I have been seen by multiple doctors and PAs. | hi sir, welcome to HCG, i understand ur problem, its a viral fever with food poisoning, dont take food from outside or junk food, plz follow the treatment, dolo650 tab thrice a day, after breakfast, after lunch, after dinner, o cibran oz or oflac oz tab twice a day after breakfast, after dinner, benedryl dr syrup 10ml thrice a day, sestil ad or lopermide tab thrice a day after food, follow this treatment for 5 days, hope u satisfy with answer, thank u | |
What causes pins and needles on body with burning eyes?
hi dr. for the past 1 year i have been having some health problem , but still now they don`t know what`s wrong with me. burning feet, pins an needle all over my body, pain on finger nails, burning eyes,tingling on my face, bum. burning tongue an me head. i have done all test but all negative. | Hi,From history it seems that this can be due to neuritis or long term diabetes.There is another possibility of having Vitamin B12 deficiency.Go for B12 estimation and blood sugar estimation.Take vitamin B12, B6 and other multivitamin supplements.Ok and take care. | |
Can mirena causes pain in back and abdomen with dizziness?
The past two weeks I have had terrible cramming in both my lower abdominal area and my back, off and on headaches, dizziness, i'm nauseous through out the day. frequent urination, accompanied with no blood in urine. I'm currently on the iud (mirena) and haven't had this before and I can't feel my iud string can you please help. | Hi dear AND THANKS FOR YOUR QUERY.All the signs and symptoms may be related with mirena insertion but you should exclude any urinary infection while you refer for frequent urination associated with back and abdominal pain.Hence get a urinalysis done .If the urine is infected contact with your doctor to take treatment.If it is negative than these symptoms can be from the insertion of mirena .All the best | |
What causes a rash on the stomach?
I Have this rash on my stomach its mostly righ above and around my belly button. I thought I mite have got scabies because my boyfriend caught it from work And I know it every contagious but I went into walkin clinic and the doctor there told me it wasnt it was just some bacterial affection and that scabies wont be on the stomach and just gave me hidiclens but it keeps spreading up and around my stomach so my question is do you think I should have another doctor look at it and can scabies be on the stomach? | Hi, I too think that it is not scabies. Perhaps it is a fungal infection. A fungal infection extends outwards and is dry, scaly as well itchy with a red patch. Body folds like axilla, groin, umbilicus are common sites for a fungal infection as moisture, occlusion and warmth favor growth of the fungus. I suggest you try an OTC topical antifungal e.g Clotrimazole 1% cream or Ketoconazole 2% cream or Miconazole Nitrate 2% cream, twice daily for a few days. In addition, I suggest you take an oral antihistamine e.g Tab Cetirizine once a day for symptomatic relief from itching. Hope I have answered your query. Let me know if you need any more assistance. | |
What cause pain in upper back?
I HAVE A DEEP ACHE OR PAIN IN MY UPPER RIGHT SIDE OF BACK IT FEELS DEEP,ABOUT 6 WEEKS AGO I USED THE WEED EATER FOR A FEW MINUTES AND IT DIED ON ME SO I TRIED TO PULL THE CORD I COULD NT BUT 2 DAYS LATER I STARTE GETTING DEEP PAIN IN MY UPPER BACK RIGHT UNDER MY SHOULDER BLADE COULD THIS BE A MUSCLE IT HAS BEENTWO MONTHS | Hello, I have studied your case with diligence.As per your symptom and history there is possibility of muscle spasm in shoulder or there can be cervical disc compression. Due to compression of this nerve root there is pain associated with it.For these symptoms muscle relaxant with analgesic and neurotropic medication can be started consulting your treating doctor.Till time take rest and continue analgesic available over the counter take rest, and hot fomentation. Physiotherapy like ultrasound and interferential therapy will give quick relief.You may need to do MRI cervical spine if symptoms persist.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
Recommend diet to increase stamina post jaundice fever
i ve been recovered from jaundice...its been a month and half...i was 68 kg & i ws regular at gym bt since jaundice there has been a gap of 2 months and i want to start gym again so can u please suggest me some measures to increase my stamina and gaining muscle quickly which i lost during jaundice | Hello, You can do some mild to moderate muscle-building exercise according to your physiotherapist advise. I suggest you take a more protein diet. Take fruits, green leafy vegetables, coconut water, apple juice, etc more for a speedy recovery. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician | |
What causes bad odor in mouth?
I have a bad odor in my mouth. I have been to a dentist nothing is wrong with my teeth are gums. I am not diabetic. I use all kinds Of expensive mouth wash. Nothing is working! The upper part of my stomach hurts when I cough. I can not get rid of this bad breath . What could be causing this? | Hello, Thanks for consulting HCM, Read your query, as you have bad breath this can be due to deposition of food debris , plaque , calculus in subgingival area of gums , dental caries , yeast infection in mouth , dry mouth , decreased salivation, habit of chewing tobacco , drug induced or upper respiratory infection like pneumonia , bronchitis , liver or kidney related disorder . For this you should consult dentist and go for oral prophylaxis , Regular use of mouthwash , warm saline rinses , use of waxed dental floss to clen interdendal areas of teeth , if your bad breath continues then consult physician and go for examination and treatment. Hope it will help you. Wishing you good health.Regards , Dr. Priyanka tiwari | |
Suggest treatment for fall in blood pressure and dizziness
Hi, may I answer your health queries right now ? Please type your query here... I am a 47 and on blood presure med and last night it read 108/80 is that a good reading coming from 160/95 my dosage is 160 with water tab am i on the right track but some time i feel light headed | because u r feeling lightheaded sometimes and ur BP has also fallen to 108 so u can decrease ur dose to 80 mg.BP should be maintained above 120 but less than 140 ideally. | |
Should i use 'finex' and 'folli hair' for controlling hair fall?
I was taking the isotretnoin tablets when I was 18 for Acne, after that I have been losing hair and even the hair texture has changed. No one in my family has hair loss problems (both mom and dad side).I went to a doc and he says it is MPT and had given minoxidil 5%, i have been using that for the last 7 months, hair still continues to fall , but I think the no of thin hairs falling now is less but when I shower I loose about 30-50 strands, is that normal? But i have lost hair in the temple for sure. Today I went to another doctor and he has given me finex( am very scared to use this after reading about the side effects on the net), folli hair, shampoo and a lotion. Please advice. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of hairfall, my treatment advice is - 1. Use a good herbal hair oil and shampoo for routine use. 2. Apply a mild topical steroid lotion like Beclomethasone lotion once at night. 3. Take an iron supplement and vitamin b12 supplement once daily for 3 months. Thanks. Dr. Harshit bhachech. MBBS, DDVL. | |
Q. Is it fine to undergo root canal treatment to remove a cyst in the root?
Hello doctor, I have a cyst on the root of a upper incisor. My dentist has sent me to the dental hospital, but they have said that they would not do anything, and to either have the tooth removed or see a specialist. Can my dentist do a normal root canal to remove the cyst, and why has he sent me to dental hospital in the first place? Incisor teeth are not that difficult to do root canal treatment, and so why would I need to see a specialist to do the root canal work? | Hello. A cyst on your tooth means it is a chronic infection. You may be asymptomatic. In severe cases, a tooth may need to removed along with the cyst. However, it is possible (depending on the size, location, etc. of the cyst as seen on x-ray) to do a root canal along with cyst enucleation with endodontic root-end filling. After successful endodontic treatment, the tooth needs to be given a crown as well. These are complex procedures that require the care of a specialist, endodontist. You must consult a specialist. A general dentist might not be trained for this complicated procedure. You can get a follow-up consultation for the same by sending in your pictures and x-ray. IOPA | |
What causes purple flecks discharge while vomiting in a baby?
Hi, have a baby 5 mo s old with severe reflux on nexium for it. has been sick for aprox 5 days with temp (temp now gone) -still unable to tolerate milk and back on pedialyte, now vomit has purple flecks in it and poo was loose, green with cottage cheese like flecks in it, but it also sometimes just brown and loose any ideas if this is viral or might it be something else | If he has both vomiting and loose motions, the possibility of it being due to a fresh viral infection is high. | |
Multiple sclerosis, painful, spasms in legs. Taking carbomezaphine. Sufficient?
My husband has multiple sclerosis and has pain and some spasms in his legs. He is taking carbomezaphine and was taking gabaphenten while he was in the hospital for a broken ankle. The left leg is bad and the right foot is not too bad. What should he be taking for the pain? He sees his specialist in 3 weeks and con not wait.. Rose anne | spasticity is very common in multiple sclerosis............you are having progressive disease....his pain is both beacuse of spasticity and neuropathic pain so u have following option 1....start muscle relaxant like tizanidine , baclofen 2.....start cannadis......spray or as available 3.....increase the dose of carbamazepine but not the gabapenten coz then you will hace dizziness 4.....add tricyclic antidepressant medicine for pain take care | |
What could lumps in head suggest ?
Hi there, my son had a bang on his forehead one month ago which came up in a huge egg immediately. He had no other symptoms, no nausea, dizziness etc - we kept a close eye on him. After a couple of weeks the majority of the bump had gone along with the bruising. Now one month later however he still has a small lump on his forehead which is not resolving - is this something i should be concerned about? | Hi,Dear,Thanks for the query to my HCM clinic.I studied your query indepth.The small- lump under query,is a-"fibrosed resolving hematoma".As it has regressed from huge egg size in last few wks, I advise you to wait for 4-8 wks more by which the lump would resolve and regress normally.You need not worry about this small lump,as it would reduce to normal in next 2 mths time.If you still worry,or its still remains after 2 mths and worries you,I would then advise to consult a Surgeons and go for its Excision.Hope you have cleared your worry.Would wellcome you you to HCM for any more queries on it or on other health-problem. | |
On prednisolone for asthma and amoxycillin for the bronchitis. What could be the possible reasons of recurring asthma?
A few weeks ago, I had a cold or similar virus which triggered my asthma. I was given a 5 day course or prednisolone which killed it, along with a 7 day course of amoxycillin for the bronchitis that followed. i had to return to my GP for more antibiotics after a week as the infection did not fully clear up, and was given a week s course of co-amoxyclav. I was fine until last week, when my asthma symptoms started to appear again. It is very mild, usually one puff of the inhaler kills it, but it is even happening at night now, waking me up. I am not ill again, do not feel ill again, so would like to know what could be the possible reasons for this happening, please? | Hi, Whether the diagnosis of asthma is self diagnosed or diagnosed by a physician.Are you a smoker? Infection may be a precipitating factor for precipitation of asthma or chronic bronchitis. Prednisolone may help during acute exacerbation of asthma.Oral antibiotics also help to control infection during a period of exacerbation. They have no role in controlling inflammation in asthma. Short acting bronchodilators will also give you temporary releif. You have to use MDI formoterol-budesonide BD through spacer or salmeterol-fluticasone BD. Inhaled corticosteroids are cornerstone of management in asthma without having much side effects. You should also use a diary to record the symptoms or peak flow meter for objective monitoring. Frequent nocturnal awakening means your asthma is uncontrolled. I can not give you a definite management without physical examination and laboratory tests. You should consult a pulmonologist.Hope,I answered your queries. | |
Is abdominal pain a side effect of Ipill?
My boyfriend and i had foreplay but we didnt have intercourse and neither did he ejaculate.it was on the 6th of feb and my periods ended a day before that. I took an ipill after 2 days and ever since i took the pills, i have abdominal pain and its been 2 days already but the pain is still there. I've started feeling weak too. Is this one of the side effects of ipill? Is it something very severe? Im worried. I would be very grateful if you reply to my post. Thanks! | Hi. Yes Ipill can cause this type of pain. But there is nothing to worry about this as it will settle with time, provided you do not have other symptoms like fever, loose motions or so indicating intestinal infection . | |
Rashes on top of leg to neck, itchy, bleeding, suggested its a virus. Cure for symptoms?
Hi,I had a severe rash break out from my top of legs to my neck, it travelled around, so itchy that I was bleeding, then got really sick. they said a virus, I am finally feeling better after 7 month but have itchy and tingling in my knees and elbows. I also have been fighting a rash on head for 2 years and no medication takes it away. | Hi,After reading your history it appears that you urticaria or hives. This is common problem and we see so many of cases in normal population. So do not worry about it. There are so many of the aggravating factor and in yourself including day to day factors of environment. You can take loratadine or levocetrizine or fexofenadine daily. You can apply calamine lotion over the affected area. Stay away from hot and humid climate and wear cotton clothes. | |
Q. How can a fungal infection be cured?
Hello doctor, I am suffering from fungal infection from the last two years, continuously used many ointments but no benefit observed such as Ketoform, Dermiform, Sertaconazole, Luliconazole, Ring ring , Btex, Ring Guard and currently using Dermex cream. Please give me appropriate medicine name or advice. | Hello. You have tinea corporis. The creams that you have used are steroids that are not to be given for fungal infection. Application of these creams has aggravated your situation. Topical treatment can be used for relief but you need to be started on oral medicines for complete relief. To start you on oral medicines, you first have to get LFT test done and then follow up with the report. Meanwhile, you can use the creams mentioned below for now. Tinea corporis. LFT. 1. Lulifin cream twice a day, Amlorofine cream twice a day. tablet Levocetirizine 5 mg twice a day for itching. | |
Suggest treatment for abdominal pain between belly button and ribs
I'm 19 and female. I'm usually in pretty good health I rarely get sick except the occasional cold. Lately I've been having some pain in my abdomen. It's not continual and most of the time it feels like it's between my belly button and ribs. However, sometimes it feels closer to my ribs. What could this be? | HiIt could be gastritis. Please avoid spicy food and carbonated drinks.I prescribe Proton pump inhibitor like Rabeprazole to my patients with similar complaints. Nothing to worry. It will come down. Wish you good health. Regards | |
What causes soreness in gums and teeth?
Hi my sister was at the dentist recently who noticed a spot near an area where she has lost some bridge work. She is on medication and her teeth are in poor condition. The dentist said the spot could be caused by a number of factors - there is a white substance under the spot | Hi Dear,Understanding your concern about your sister.Gum soreness could be because of number of reasons like gingivitis means gums inflamation , periodontitis , autoimmune diseases , vitamin deficieny , menstrual factors or because of mouth injury. Appliances like bridges could cause irritation to that area and constant irritation can cause ulceration will lead to spot and white patchy area.Treatment for this is saline rinses, gargles with mouth wash.Dologel or pain relieving mouth paints best treatment options.Mix equal parts of water and hydrogenperoxide and apply it with cotton swab. Repeat it 3 times a day.Milk of magnesia application is anothee treatment option.Get well soon.Best wishes,Dr. Harry Maheshwari | |
What causes difficulty in breathing, skipping heart beat when having asthma?
I am having difficulty breathing; i am a 62 year old with asthma. I have given myself a treatment and have used my inhaler twice. I weigh 144 and am 5ft. 4i/2. no history of heart trouble, but yesterday my specialist told me my heart was skipping every other beat. | HI, thanks for using healthcare magicIf you have used your inhalors and additional treatment and still short of breath then it would be best to consider visiting your doctor for an assessment.You may need steroid therapy and also require additional nebulisations. This would be the best option.I hope this helps | |
Is persisting fever due to allergic infection?
Gud aftrnun sir, My husband is suffering with low grade fever from two months. He also has sore throat n swelling in the throat .doctor says Its because of infection n allergy. But the fever repeats after every week. Is there any fear of tumor doctor? Because of persistent fever. Or its just coz of sm allergic infection? Othr symptoms include swollen testis, weakness, cold, muscle fatigue. | HelloAs your husband is having fever ( low grade ) from last 2 months with sore throat . In my opinion however it is very difficult to establish any diagnosis with this short history but allergy is not responsible for such type of fever. Usually allergy is another sort of problem causes bronchoconstriction ,hence cough and cold may be due to allergy.If infection is there , this may cause fever . In your husband the duration of fever is very long . This is a cause of concern . As you husband is also having swollen testis , cold , weakness , fatigue . Weakness and fatigue may be due to fever . The possibilities of fever may be , these include .1 Orchitis inflammation ( infection )of testis sometimes develops such type of low grade fever . So consult a physician / surgeon and get his opinion because physical examination is important in this case. If there is fluid collection in sac of scrotum ( testis ) it don't produces fever.2 Tuberculosis , this is another most common cause of prolonged duration fever . Get in sputum examination for A F B , blood for E SR , X ray chest , montox test .3 Typhoid fever is one such cause of low grade fever . Get in Widal test as well serology test for confirmation. There are so many other causes of fever as anemia , tumor in lungs , abdomen .But deal as mentioned above.Good luck. | |
Can kidney stones cause lower back and leg pain?
sir, i am a 17 year old male and i recently experienced sudden pain in my stomach nad lower back. later it was found out that i was suffering from kidney stones of 4 mm in my left kidney but i experienced pain in right side. it has been about 20 days since that pain but now i am experiencing pain and stiffnes in my lower back and legs...... what could be the possible reason?????????? | if stones are in the kidney, it will not cause pain. but urethral stone will cause. stone in right kidney will not cause pain in the left.lower back pain with leg pain sounds like some problem in the spine. | |
Suggest treatment for kidney stones
Hai i am 32 yrs old i have been suffering from kidney stones for the last 12 yrs however they pass out . They couldn t go beyond 11mm they pass out i am having alkalizer regularly . I regularly go for kidney tests once every 6 months everything is under safe lavels Should i be worry | Hai,certain food by products like oxalates, urates,phosphates will combine with calcium will form kidney stones due to lack of water intake and excess intake food products like tomato and high protein food etc...When ever you pass out stone kindly store it and give it for analysis so that we can assess what type kidney stone forms frequently. so that we can avoid or less it depends on the source food.no need to worry about. keep drinking 3 to 4 liters of water daily.thank youstay healthy | |
Q. Please advise on my foot x-ray.
Hi doctor, I had a fall from a stool almost eight to nine days ago. Since then, I had a foot swelling on the right leg. As I could not get an x-ray at that point of time, it was not diagnosed. I considered it as a sprain and used some natural oil massages and scrape bandage for a while. So, the swelling has gone. I am walking with little limping. However, I have some pain while pressing hard or while doing oil massage and while walking. Today also, I had pain while walking. So, I decided to take an x-ray to check whether it is a fracture. Let me know how to manage. I am enclosing the x-ray for your reference. Please let me know your advice and help to deal with this. Thank you. | Hi. Trivial injury. Conservative management. Do not put weight over the right leg for six weeks. Revert back after three weeks to an orthopaedician and traumatologist online.---> | |
Suggest treatment for swollen lymph on base of head and groin area
Hi,I have what appears to be a swollen lymph node on the base of my head/top neck area in addition to another seemingly large node on my right bikini/pubic area, and similarly one under my chin/lower soft palate area. They seemed to have surfaced at the same time. I saw my ENT initially since the head and chin nodes were apparent first. She perscribed an antibotic regemine which I finished about a week ago and the swelling hasn't changed. Perhaps you can suggest next steps? | HI THANKS FOR POSTING YOUR QUERY ON HEALTHCARE MAGIC.YOUR CLINICAL HISTORY IS SUGGESTIVE OF "REACTIVE LYMPHADENOPATHY" SECONDARY TO SOME INFECTION YOU MIGHT HAVE ACQUIRED -POSSIBLY A URINARY TRACT INFECTION/SEXUALLY TRANSMITTED INFECTION AS EVIDENCED BY SWOLLEN PUBIC LYMPH NODE.I SUGGEST YOU GET TESTED FOR ROUTINE PANEL OF STI'S SCREEN -VDRL,HBSAG,HIV ELISA,HPV DNA.ONCE RESULTS ARE CONFIRMED APPROPRIATE ACTION CAN BE TAKEN.BIOPSY OF THE LYMPH NODES CAN BE HELPFUL.TREATMENT INCLUDES DRUGS LIKE PENICILLIN,ACYCLOVIR,CEFTRIAXONE,NORFLOXACIN.CONSULT AN EXPERT VENEROLOGIST FOR FURTHER QUERIES.THANK YOU.TAKE CARE. | |
What are the ill effects of an enlarged heart?
I went to the hospital last night with shortness of breath, chest pain on my left side, pain that came and went on my lower left part of my stomach. I could not feel my hands or my legs they were so numb. There is still a constant tightness in my left chest. I had a ekg that was normal all blood test were normal and mri on my chest was normal. The doctor did say that I had an enlarged heart. Should I be worried?? | Hello,I don't know exactly if the heart itself is enlarged that mean it's a serious problem (heart failure) or you may have a normal heart surrounded by liquid that is called pericarditis. Both are serious heart disease and require specific treatment. If I were you, I would go to a cardiologist and do an ECG, echocardiography , some blood tests including BNP and take the right treatment.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Anila Skenderi | |
What causes painful lumps on knees?
Hi ..I feel several weeks ago on my knee ...it is stillvery painful and the bruising goes half way down my leg. Also, I have a lump on the left side of my knee which hurts as well!! I get chills in the leg and some time it feels like burning pain all the way to my ankle!!! Is this a lons healing process ??? | HiWelcome to hcmThis is not a normal healing. This may be blood in joint which is getting infected. Also check if fracture is there. Show it to orthopedic surgeon.Regards | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
What causes chronic productive cough with phlem and chest pain?
male, age 47, height 5-8, weight 158. non smoker, non drinker - quit 20 years ago. On no medications. Take a one a day, fish oil, condroitin and D3 - daily. Active runner. Have chronic productive cough with white/yellowish phlem for one year. Pain in chest on upper left side - hurts when coughing, breathing deep, twisting, laying down(last 3 months). Went to doctor one month ago. Have had x rays, ct, also neuclear stress test and echo - all normal. go in for follow up with internist next week. Any ideas? | Thanks for your question on Healthcare Magic. I can understand your concern. No need to worry for major heart diseases as your stress test is normal. Sometimes, bronchitis (inflammation of airways) cancer also cause similar symptoms like cough, expectoration, chest pain etc. And bronchitis can not be diagnosed on chest x ray and CT scan. PFT (pulmonary function test) is needed for confirmation of bronchitis. So consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids (ICS) on the basis of PFT. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes palpitation and shortness of breath?
My daughter who is 18 and otherwise healthy has within the past week experienced heart skips, racing, shortness of breath, chest pain, fatigue, weakness and numbness and ache in the left arm. Took her to ER, had chest xray, ekg, bloodwork--all showing normal results. Echocardiogram was suggested by ER but primary dr felt it would show anything since other tests were normal. There has not been any unusual stress excecess caffeine or any other issues causing stress. I am very concerned. Could this be a blockage or infection of the heart or possibly a lung issue causing the heart problems? | hello thanks for posting here.going by what you described primarily looks like a panic attack. EKG is not required at this point of time. once an anxiety factor is ruled out, and if she has similar complaints again then an EKG would be advisable l. another possibility is that she has got arrhythmias which means irregular fast heart beats. these can lead to palpitations, shortness of breath, fatigue etc. A blockage in the heart arteries seem unlikely in view of her young age. this may be due to some electric impulse conduction problems in the heart which can lead to fast heart beats. . also get her thyroid function tests done because thyroid abnormalities can cause palpitations and shortness of breath. wishing you good health | |
Suggest treatment for dryness in the skin
I have long term problem with went to dermatologist who prescribe onabet b cream said its dry skin when irritation start after scratching skin becomes very red also feels thickened{inflamed} in that part plz recommend how should I use this meds before seeking 2nd opinion | Hi,As you said you suffer from dry skin..may be xerosis. Due to dryness,there may be itching. Scratching might lead to erosions and secondary bacterial infection. You consult dermatologist for firm diagnosis.Blood tests may be done to rule out anaemia,DM,HIV,thyroid dysfunction, renal and other internal diseases.There may be genetic tendency.Moisturing cream may be applied in the morning. Mild steroid cream may be used at night. Soap bath should be avoided. Antihistaminics like levocetirizine may be taken to relieve itch. If needed, steroids in tappering dose may be considered.You might feel better after few weeks treatment.I hope you got my answer.Thanks.Dr. Ilyas Patel MD | |
What does the X ray with punctate calcification in hemipelvis indicate?
Feel like i have kidney infection under my right rib in my back for 2 mnths now. Dr did xray..results say, multiple rounded calific densities with lucent centers in pelvis, a small punctate clification in hemipelvis. Have ct scans today, but what could this mean? | HelloThanks for query .You have done X-Ray of the abdomen for suspected kidney infection since 2 months which is reported to have multiple rounded calcific densities with radiolucent centers in pelvis, and a small punctate calcification in hemipelvis. The multiple calcified densities with radiolucent center are stones in the renal pelvis where as small punctate calcification represent small calcified particles less than 2 mm in diameter which usually pass out through urine spontaneously .Dr.Patil |
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