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Is it safe to give Piriton along with Calpol for cold?
My daughter is nearly 6 months,has a nasty cold, I ve given her 2.5ml of calpol & 0.3ml of ranitidine for her reflex. Can I also give her some piriton as someone suggested it helps to dry up the snot? She s really struggling to sleep she s so bunged up. I have done all the usual, chest rub, plug in vapouriser, saline nose spray, raised the cot, which just doesn t help. | Hi...Piriton is not licensed to be used at this age group. Do not use Piriton.Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.Regards - Dr. Sumanth | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Treatment for internal bleeding in neck
Hey, I haven't been getting much exsersize lataly I've been sitting down to much in the same position watching tv and all the sudden my neck started to hurt and I put it off, but now it feels like its internaly bleeding and there's this weird fume like sensation in my lungs. Is there a cure? | Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of Upper respiratory tract infection (URTI) is more. URTI causes sore throat which is giving pain in the neck. It also causes cough and expectoration, this gives feeling of burning in the lungs. So follow these steps for better symptomatic relief. 1. Drink plenty of fluids orally. 2. Avoid oily and spicy food. Avoid hard to chew food. 3. Avoid stress and tension. 4. Do warm water gargles 5-6 times a day. 5. Start broad spectrum antibiotic like levofloxacin or azithromycin, antihistamines and anti inflammatory drugs. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
Could the pain in throat with irritation be due to cancer?
Good day Dr, Ive had pain for a week in my throat, no whiteness (infection) just a lump thats very irritating and painful. Cannot swallow, sleep nor breathe well. Also facing a lot of uncontrollable anger at the moment. I am a smoker. Could this be cancer? I freaked out because google pictures match. | Smokers are always at risk for throat cancer and a variety of other cancers. The symptoms that you have described are suspicious for cancer especially in the setting of your smoking habits. However, this is not definitive and it may just be a throat infection which you cannot see with naked eye. All you need to do is consult an oncosurgeon and get an endoscopy done. This is an OPD procedure and will settle the issue.Also, try to quit smoking and a lot of your problems will be solved including the anger. | |
Q. I have a sudden sore at the tip of my lips. What could it be?
Hi doctor, I have this sudden sore at the tip of my lips. I am wondering what could it be. I used to have frequent fat sacks, but this seems very different. I am attaching a close-up photo of it. Please advice. | Hi. I have gone through your complaint and have seen the attached photograph (attachment removed to protect patient identity). You are having herpes infection which is a viral infection. You should try taking a course of antiviral like tablet Acyclovir 400 mg thrice in a day for 5 days and apply a topical antibiotic like Mupirocin on the affected area twice daily. This will resolve the lesion within 4-5 days. This disease has a tendency to recur as the virus lives in the nerves of the host. Stress, ultraviolet radiation, surgery and infections can cause recurrence of the infection. This viral infection is caused by herpes virus. Herpes labialis The recurrence of herpes infection can be prevented or reduced in intensity by the use of a sunscreen lotion on the lips. So once the lesion heals, start applying sunscreen on your lips. | |
Suggest remedy to lower bp without causing water retention
I am 39yrs old, and my blood pressure has hovered around 150/105 (pulse 61-75) for the past 3 days. I was on 20mg of Benicar HTC, 4 months ago, but stopped taking it due to excessive water retention. My DR prescribed water pills that lower BP and bloating, but that didn t do much for the water retention. To combat having to take pills for BP I have dropped 22lbs in the past 2 months and have a regular exercise regime, and eat practically a zero salt diet - but still don t see much of a difference for BP. High blood pressure is in my family, but never effected me until I gained 50lbs over the course of the last 5 years - I always had 120/80 prior. | Hi ThereI have read the details provided by you which gives a clear idea that hypertension runs in your family. Also in general one of the strongest etiology for high blood pressure is genetics which is there in your case.Its good to hear that you have a strong will power and you are already on life style modification from the last 2 months which is first line treatment of High bp although its has not benefited you much till now.So now what you can do is that just continue this life style for another one month and still your BP does not show any improvement then we need to start you on proper anti hypertensive meds along with the life style changes. And also get an ECHOCARDIOGRAPHY done in the mean time to check your LV function and to asses the thickness of LV musculature, so that the meds can be planned accordingly. And please dont make up your mind that you dont want to take meds as they are going to protect you against the harms of high BP (for eg Stroke, MI, Cardiac dysfunction etc.).One more important thing if you smoke please stop it as soon as possible.Good Luck | |
Suggest treatment for pyogenic granuloma on the gum
I have a pyogenic granuloma on my gum its been there for about 3 years now. I have had 2 of them before with my pregnancies. They are told to be pregnancy tumors. But with this third one i had done had my tubes tied. But anyways here a few days ago, its gotten really irritated and has gotten really loose and swollen and yucky looking. I dont have dental insurance nor do I have any money to get it removed but this is got my whole mouth sore to where I can't eat. On top of all that I have gotten 2 fever blisters on my lip. And my top and bottom gums are really red and they are hurting really bad. What should I do? | Thanks for your query, I have gone through your query.As far as the pyogenic granuloma is concerned, it occurs commonly during pregnancy, but it can also occur secondary to deposits or any irritation.Regarding the blisters on the lip and reddish gums, it is because of the herpes virus infection resulting in herpetic gingivostomatitis.If i am your treating doctor, I would have suggested surgical removal of the pyogenic granuloma but it has a recurence rate of 2-3%.For the herpes virus infection, it is a self limiting infection, but you have to get your teeth cleaned once. Regarding your financial problem, you can get it treated in a educational institute, where they do the treatment under nominal price.I hope my answer will help you, take care. | |
Suggest treatment for scalp psoriasis
Hi Doctor , I am suffering Scalp psoriasis from one month, i wen t dermatologist and used medicines shampoo. but curing again its started small patches on my head. What should i do for this now? Where is the best treatment. Is there any treatment is there to solve permanently. Pls. suggest | Hello and welcome to healthcaremagicPsoriasis can affect the scalp as well defined plaques with adherent, thick scaling. Unfortunately the disease can relapse after seemingly complete cure. The course of psoriasis is indeed marked by remissions and relapses and available treatment options can only induce the disease into remission, rather than permanently cure it.For scalp psoriasis, I prefer to start my patients on a coal tar+salicylic acid based shampoo. Along with that I also ask my patients to apply a potent topical steroid lotion with or without salicylic acid, twice daily.Since psoriasis is a steroid responsive dermatosis, it responds very well to topical steroids, which must be gradually tapered to prevent a rebound flare.Alternative to topical steroids are topical Vitamin D analogues like calcipotriol lotion, which are steroids sparing agents and are thus devoid of the side effects commonly encountered with long term steroids use.These are prescription medications, I would suggest that you consult your dermatologist before trying these out.Regards | |
What causes smaller than normal gall bladder?
I was also told that I have a smaller-than-normal gal bladder for my age, weight and height, after I had fasted and had an abdominal sonogram. The reason for getting it was due to severe pain in my abdomin, and various other issues. Do you know what caused this smaller-than-normal gal bladder? | Hi welcome to the health care magic Small gall bladder can be from fibrosis secondary to chronic inflammation of gall bladder... Gall stone also can lead chronic inflammation and so small gall bladder Investigate with USG scan and let me know you your USG report for giving more comment If needed HIDA scan can be done for that Take care Hope your concern solved | |
What could continuing pain while ejaculation despite antibiotics indicate?
Hi 2.5 weeks ago I had unprotected oral sex in which I both gave and recieved oral sex, no semen was swallowed all though there was some per-cum which I spat out. A few days later I noticed that I was having very mild pain whilst ejaculating and I got tested for ghonorrea and chlamydia a week after exposure, in which I received a negative result. The doctor did prescribe me anti biotics to fight prostatitis as he believes that might be the cause. I have now finished the 5 day course of anti biotics and I still am experiencing pain whilst ejaculating, although it is not as bad, but I'm starting to experience chills at night and sometimes and fever. I am concerned that the symptoms I am experiencing are signs of HIV. Could you please tell me if I should be concerned? | HelloThanks for query .Fever with chills and painful ejaculation after oral sex is strongly suggestive of acute Prostatitis .Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis3) Semen examination and semen culture You need to take antibiotic as per culture report for a long time .In the mean while start taking Doxicycline and anti inflammatory medication like Diclofenac twice daily and later on switch on to appropriate antibiotic as per culture report ..Ensure to avoid sexual encounters it gets cured completely,As regards your doubt about acquiring HIV .Please note that HIV is transmitted only through intra vaginal sex with infected female partner and never with oral sex .Dr.Patil. | |
What causes stiff neck, back pain and one sided numbness?
I have had multiple symptoms for about 2 months now. Started with stiff neck/kink (constant). Then threw my back out 2 times in 1.5 weeks time. Nausea came on with pain from back. Neck still hurting through all of that. Then, there is the numbness all along the right side of my body (mostly limbs) even I'm my right labia. I'm totally perplexed. My right breast and armpit have been hurting as well. | I understand your symptoms. These symptoms mostly due cervical spine stiffness with spinal nerves compression. cervical spine x ray and CT should be done.Start with vitamin B12 injection once every 3 days and topical and oral non steroidal antiinflammatory drugs 3 times daily for 2 weeks. | |
What causes pain in chest while sleeping?
HI,i AM 27 YRS OLD WOMEN.From last two months after 4 or 5 hours sleeping at night,I feel a tremendous pain in my chest just bottom the rob,sometimes it goes also in back side.I feel it strong at the time of bed movement.I also feel right upper abdomen pain at the same time.I have already visited a doctor and according to him I did many tests like USG of upper abdomen,chest x-ray,TC/Dc.Himoglobin ,liver functioning test and blood sugar test,here are also some problems found like in USG it shows that a have an enlarged liver with heterogeneous parenchyma.and my hemoglobin is slightly is 11.6. In Dc blood test neutophils is 72. Now I am also taking some medicines but there is no relief from wake up main.plz suggest | Hi,Dear,Thanks for your query to HCM.Dear I read your query and reviewed it with context to your query facts.I understood your health concerns and feel Concerned about them.Based on the facts of your query, you seem to suffer from-Hepatomegaly with hepatitis? with Anemia with Neutrophilia.You seem to suffer from some infective pathology besides hepatomegaly detected on USG.Fatty liver with NASH is the possibility,as you seem to be non-alcoholic as per the history.The inflammed liver tissue irritates the diaphragm which causes pain in chest while sleeping and movements in the bed.Get the tests for hepatitis done and fix the cause of this.Hope this would help you to reduce worry with your problem.Take care and wish you to recover fast and Live healthy.Hope this reply would help you to plan further treatment with your family and specialist doctors there.Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS | |
Chronic kidney disease. Suggested kidney transplant, dialysis. Precautions, pros and cons of transplant?
Hellow Sir, My father is a Chronic Kidney Disease Patient. His creatine serum is 10 and urea is 216. Doctors suggested us for Kidney Transplant or dialysis twice per week. I just wanted to know that what are the pros and cons of this transplantation? Is there any danger to the donor s life? Is donor can live his life as much as normal after donating kidney? what are the precautions we have to take care for both side viz. recipient and donor? -Vikas- | Let me start by saying that Kidney transplant is the best treatment available.Dialysis should at least be thrice a week.Kidney transplant in general is siccessful if all the precautions & drugs as prescribed are taken properly by the patient.Donor in majority of cases does not face anything serious after donating kidney | |
Will osteochondromas cure completely?
hello there - I ve been diagnosed with multiple exotosis when I was three years old. I m 25 now,had 3 excisions so far and almost all of the osteochondromas i had once are not visible now.Now does that mean that they re gone or is it just the flesh that covered them.I can t feel them though and will there be any future complications - as of now I feel great and I m happy that the osteochondromas are gone. | Hello, Osteochondroma is just bone growths with very little chances of recurrence. If we excised it they rarely came back at the same place. However, they can come at different places, so for now just forgot your worries and enjoy life as it is also not necessary to excise all growths until they cause any symptom. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jaideep Gaver, Orthopaedic Surgeon | |
Asthma severe pain in lower calves in morning and while resting. Cause?
Hi im Bri 19 female 168lbs, with no major medical problems ( asthma ) I woke up crying due too severe pain on a scale of 1-10, 10 in my both my lower calves, Idk how to describe the pain I just know I woke up in tears , of also just happens while just resting. I haven t played any sports or any type of exercise so I have no clue what could be the cause of this pain can some one please tell me something | The pain in calf of both legs may be due to deep vein thrombosis. Do a USG Doppler of both legs of both arterial and venous system. Consult a vascular surgeon specialist. Always raise the legs. u need urgent consultation. | |
Pain in teeth since 1 month post filling, cetin 500 mg, rexidine mouthwash, Stolin gum.
hi doctor i am facing tooth pain problem fro last more than 1 month and that is not a hard pain it is light pain every time. i have filled my factured teeth which is front teeth upper site by a dentist , which was cracked around 15 years back, after filling it was good and no pain till next 10 to 15 days, but after 15 days that i am having pain problem in all the teeth some times upper site and some time lower site in hole mouth , i have confirmed from doctor and he has reduce the filling size but same problem persist, i went to another doctor, she checked avery thing and recommend some medicines, cetin 500mg and mouth wash rexidine, and one gum also which is stolin for teeth massage, approx 10 days i had all the things, but no relief , so i request you to please give me solution, why the pain is not ending. when i am sleeping on that time there is no pain and when i wake up then problem starts every day, i have never face this type teeth pain problem in my hole life, i am brushing two times lightly with colgate toothpaste, earlier i was using closeup gel, please help me for this, i will very thankfull to you. | hi pain starting after getting filling done in a fractured tooth points toward pulpal tenderness due to filling of the teeth without taking care of the underlying pulp. it means your broken tooth injury was either involving pulp ( nerves ) or very near to it which have become tender now due to filling on it. but as you are saying that pain is in whole mouth, then it can be either due to gingival inflammation due to gingivitis or periodontitis for which you have to get scaling done. but again as it started after your filling, then it can be possible that occlusal level of your filling was not right due to which normal closure of mouth is not achieved due to high point. so it is causing tenderness on whole mouth. so you have to get yourself a proper filling. but i will suggest you to get an xray done of the concerned tooth and post it here for better consultation and advice. for the time being- do warm saline rinses take painkiller - dolomed ( sos ) wishing you speedy recovery With best regards Dr Ankit Aggarwal | |
What causes elevated ALT and AST levels?
Hello Sir , my ALT is 173 and AST is 54. I don t drink at all and I don t smoke. I went for test no Hepatitis A,B and C. Wht could be the possible cause of this increase in ALT and AST. The pains is much on my lower rib . What medications do I need now | Hello,You are hepatitis A, B, C negative as per mentioned history. Rule out fatty liver by ultrasound abdomen scan. Your cholesterol levels also should be checked. If fatty liver not present, then viral infection history should be taken as a temporary viral infection also can lead to elevated alkaline phosphatase (ALP). Get back with reports for giving more commentHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Parth Goswami | |
What causes bumps on the face and feet while suffering from fever?
Since Monday evening, my 9 year old son has been sick at the stomach with a fever - 101.4 at the highest, vomiting until Wednesday morning, diarrhea, and now I come home to see his feet and face has broken out with the bumps- some already burst. what is this? What does he need? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Please revert back to me with images so that I can guide you better. You can approach me at the following link. Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it. Please find the link below - www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696. Regards. | |
Suggest treatment for lower back pain radiating to abdomen
hi I have been having a sharp pain in my back lower left side and it goes around to my abdominal area they have checked for kidney stones it either feels like a knife going thru my back especially while or after sleeping and with activity it goes around into the abdominal area and feels like someone is squeezing me from the side | Hi thanks for asking question.Here according to history it seems to be stone in kidney or ureter...Stone pain can be reffered to back.USG and chest x ray needed for it....If stone not present and you have fever also rule out kidney infection like glomerulonephritis or pyelonephritis like condition.USG and urine examination done for it.....If still pain there and front abdominal pain also present then colitis might be the cause.Take care.Dr.Parth | |
What may be the cause of clicking sound in triceps?
hi, i have been working out for almost 8 months now,i lift heavy n do a lot of running, 5 months ago i was doing tricep extensions when suddenly i felt ssomething like peeling off the back of my tricep.i was in alittle pain for the next two or three days so i took a week off from gym.After that the pain was gone but whenver i extended my arm to full extension i feel clicking in my muscles covering the inside of the elbow(Where forearm meets the lower tricep and bicep tendon) nothing happens when i curl it but when i extebd it i feel the clicking every single time.There is no pain,swelling or numbness or sound.I only feel it when i touch it during full extension of the elbow.Can you please tell me what it could be? | Hello, It could be a muscle tear or foreign body. Consult an orthopedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Suggest remedies for high BP of 153/85
My friend, who has been diagnosed w/high blood pressure, has not been taking his meds regularly. Recently, after experiencing headaches and eating too much salt, he then started taking his meds. In taking his bp, the reading is 153/85. I feel he should go to the dr. now instead of waiting for an appt he has scheduled for the end of December. What is your recommendation? | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.This is the borderline blood pressure and not an emergency to visit a doctor. However, his medicines need to be hiked and this may be done even by a general physician. So, you may visit the one. He should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. He shopuld have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. And blood pressure should be less than 140/90 mm Hg.Regular exercises like brisk walking, jogging according to one's capacity atleast 30 minuts a day and 5 days a week. He should avoid meat and have lots of green leafy vegetables, fruits, fish once or twice a week. Avoid smoking and alcohol if any.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar Makode | |
Diagnosed with high sgpt level. How to reduce it soon?
My husband had to undergo medical examinations required for their job onboard...he was diagnosed to have 108 sgpt level the normal should be 80 what should be the best thing to do for him to reach the normal level required for the test?Despite the exercise and strict diet he did accompanied by medication prescribed by the attending physician because this was already the 2nd time he went for a test the first one was pending he did have a 140 sgpt level...Could you please give me any possible things to do to lessen it in just 3 days he will be back again ob Tuesday for a test..thanks looking forward for an answer soon..God bless. | Hello!Thank you for the query.Unfortunately it is impossible to make sgpt level normal in just 3 days. SGPT is a liver enzyme which gets elevated when some liver cells get damaged. And it takes about a month for liver cells to regenerate. So it takes at least a month to decrease SGPT level.To do that your husband should modify his diet (avoid fatty foods, spicy foods, fried foods), avoid alcohol intake and do not take painkillers (like Acethaminophen).Hope this will help.Regards. | |
Should I take monistat-3 and hope reactions don t get worse or should I try the 7 day diflucan?
I have had UTI and put on Bactrim for 10 days. One week later, felt like another UTI. I suffered in silence and finally after 2 weeks, contacted my physician. Urinalysis - ok but culture showed e-coli. Put on macbid but got yeast infection. One diflucan - did nothing One week later one more diflucan. Nothing. I bought Monostat-3 per physicians suggestion. One dose and I felt normal, but broke out in hives all over my legs. She is calling in a 7 day Diflucan. Would you suggest I stick with the monistat-3 and hope reactions don t get worse or should I try the 7 day Diflucan | Hi, thanks for using healthcare magicSince you are likely experiencing an allergic reaction to the monistat, it would be best to discontinue it.Because you did not have a response to the diflucan your doctor may want to consider a swab to confirm the type of infections and possible resistance to medication.IF this is not an option then you can consider using the alternative medication suggested by your doctor.I hope this helps | |
Pain in pelvic area and hips, discharge, Done MRI. Have heavy periods, gained weight. What could this be?
Hi hope you can help, I have been experiencing a pain in my right hand side - pelvic and hip area for months and it is getting worse. I have a lot of discharge which is there all the time and pain seems to be worse when discharge is more frequent. This is being looked into by doctors and recently had a MRI which I am waiting results of. I have heavy periods and have recently put on weight. Any answers to what this could be? | Hi,the pain and discharges may be due to pelvic inflammation from genital infection . Heavy periods may some time due to hormonal changes or some uterine problems like fibroids .Endometriosis to be ruled out .A GYNECOLOGICAL CHECK UP WITH INTERNAL EXAMINATION WILL HELP IN REACHING A PROVISIONAL DIAGNOSIS .U S G examination also give detect any lesion in pelvic organs .since you have already got a m r i ,please wait for the report and discuss with your doctor preferably a gynecologist .PUTTING ON WAIT MAY BE DUE TO SEDENTARY HABITS and lack of exercises and taking extra calories or again may be due to endocrine disorder .Do not worry . discuss with your doctor and get treatment as advised . | |
Suggest treatment for pain under lower part of the ribs
Hi, I have a pain under the lower part of my left ribs, it started yesterday and felt like a knot at first and now it is just a pain not severe but constant. I am a female in good health 65 years old. I take Crestor each day an asterix each day plus a premerin every second day. | Thanks for your question on HCM. In my opinion we need to rule out cardiac cause first for your left sided chest pain, as you are old age plus taking antihypertensive drugs.So better to rule cardiac cause. Get done ECG. If this is normal than no need to worry much for cardiac cause. I think you are having musculoskeletal cause for your chest pain. So try to follow these steps for better symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Avoid movement s causing pain. 4. Start good painkiller and muscle relaxant. 5. Apply warm water pad on affected site. | |
Q. I get horrible intrusive thoughts. Is it due to anxiety and OCD or schizophrenia?
Hello doctor, I have been suffering from anxiety, panic disorder, and perhaps OCD as well (but I have not been diagnosed with that yet) since I was 11. However, I had been completely anxiety-free for about four or five years until three months back, when I got a horrible panic attack that started it all. Technically, I had some weed muffins last year, and I got a panic attack from which it took me over a week to recover, but I was fine again afterward. Anyway, first I was obsessively worried about my physical health, but that has now shifted to mental health. I have also been suffering from derealization on and off. Anyway, just a couple of days I got this horrible intrusive thought like 'what if I got psychotic and heard voices that would tell me to hurt my family or my dog or myself' (note that I love my family, I love my dog, I love myself, and I hate and despise violence of any kind. I have never acted violently in my life) and basically, since then, I have been feeling worse and worse. I read a lot about schizophrenia, mainly real life stories and experience of people, which at first made me go 'okay, now I certainly do not have this,' but as time progressed, I started getting more and more intrusive thoughts. Like 'what if I start being paranoid, what if I start believing that the posters in my room are real people, etc.' Occasionally, I ask myself 'what if these people are not real, what if I am not real?' I have also had a blank mind, pretty much unable to think of anything else, since I got this bad last week. I get this constant picture of myself, confined to the bed and crying somewhere in a white room, all by myself. I have also been feeling this kind of gut-fear since then. On the outside, with other people, I behave normally, much kinder, actually, I think. I am a bit slower and find it a bit harder to concentrate on two things at once, which had never been a problem before, but that could as well be due to anxiety. Anyway, my question is, could this be indicative of actual psychosis or prodromal stage of schizophrenia? Or is it more likely just anxiety and OCD? Thank you very much for your response. | Hi. Remember every problem has a solution you just need to try solving it and help is just a step away. Feel free to ask if you have any further queries. For more information consult a psychiatrist online --> | |
Q. I have some circular itchy bumps on my left buttock. Please suggest medication.
Hello doctor, I need help regarding with some circle bump appearing on my left buttocks, it is so very itchy and sore. I just bought antifungal cream and antifungal soap over the counter but I still want to know what really is this appearing on my buttocks. I did take some pictures of it, so I can send it over here. Please give me prescription of what medicines needs to make it disappear and heal. | Hi. I can understand your concern. According to your statement, you have been suffering from red-colored circular bumps on your left buttock which are very itchy and sore. According to the pictures that are provided here (attachment removed to protect patient identity), I think you are suffering from folliculitis. They are developed when hair follicles become infected due to bacterial infections like staphylococcus aureus or friction or shaving. They may be caused by viral or yeast infections too. Initially, folliculitis may look like rashes, a patch of small red bumps that are very itchy with sore and form whiteheads. Overtime, they can spread and progress to crusty sores. You can take Flucloxacillin 500 mg four times daily for 10 days by applying antibacterial cream on your affected area along with your current medications. You can apply topical steroid cream too. Wash your affected area daily with antibacterial soap and wear loose clothing along with maintaining personal hygiene. | |
What is the treatment for erectile dysfunction and premature ejaculation?
due to frequent masturbation for 5 to 6 years my penni becomes so weak and small sometimes there is a erection but for few seconds and after that it again come to his original soft and short position i am also sufering with weak erection and i cant see a naked photo for mor then one min after then the white water comes out of my penni without any disturbance | Hi, It can be due to stress, diabetes and hormonal imbalance. You can take antioxidants and zinc supplement basically. With that regular exercise and yoga can help you.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist | |
Can i stop taking medicine for seizures if i dont have the attack ?
hello i am 18yrs old now, i am having seizures attack since 11-11-2005 and after it ,every year and i am taking eptoin 400mg at night before going to sleep , last year i did nt attacked by it now what should i do ,Do i continue to take eptoin (seizures attack due to tension and high fever ) | Hello and welcome to healthcare magic!! So you have been having seizure even while on medication until last year and have been seizure free since a year, then you should continue the medications atleast for another 2 years once you have been seizure free for 3 years continuously then the neurologist will get an EEG done and decide regarding the decrease in dose or stoppage but you will have to stop by slowly reducing your dosage called tapering. do not stop the medication by yourself without consulting a doctor it may lead to serious complications. take care. | |
When should meftal-P be given to a child having fever?
My son started a fever at around 1:00PM IST and it had reached 103.5. He was given Tylenol and Advil alternated every 3 hours. He was taken to a pediatrician in Trivandrum India who advised he be given Meftal P (Mefanamic Acid Suspension) instead of Ibuprofin. His temp now is at 101.9 and he has chills/shivering. How long should we wait before Meftal is given to him as he Advil was given at 11:30 PM and the time now is 3:00 AM. He is 4.5 years old and 3.5 feet tall and weighs 43 Lbs | Hi,There is no harm giving him Meftal-P medicine after 3 hours givinig Advil.Important is to give plenty of water and keep him well hydrated so that profuse perspiration will bring temperature to normal.Apply cold sponge on abdomen and forehead.Ok and take care. | |
Severe abdominal pain, operated for carcinoid tumors. Advice?
I had a hida scan it took almost 3 hours. During my scan what started with one tech evenutaully I had 3 people in there watching my scan. I have been having severe abdominal pain in my upper right quad. and the pain lasts for hours sometimes a whole day then passes and comes back. When the pain comes on its quick and severe horrible like a knife or something is just all the way through me. Is there any way I can interpret my hida results from the time it took? $hould I be worried I had 2 carcinoid tumors removed last year in two seperate surgeries. I get hot flashes and get weak. I legs hurt my back my chest all at the same time during my episodes of pain.. I sometimes also feel like my insides are itchy. I get headsches, can t sleep when having pain nothing helps ease it lay, walk otc med | Hello, kclarkie7114, You mention that you had two surgeries for removal of carcinoid tumors. If these were in the area near appendix and completely removed that would be a cure. However if the carcinoid has spread to other organs such as liver, you can have flushing etc. If the HIDA scan was mainly for the liver it might show how the liver is functioning. It may not be specific for showing recurrent tumor. You may need additional studies to confirm along with blood tests. CT-Scan and biopsy might confirm the carcinoid. If you still have your gallbladder , HIDA-Scan can show if you have acute inflammation of the gallbladder. The location of your pain does suggest, it could be a gallbladder attack. Hope you can discuss these with your doctor and get proper treatment. | |
What causes splinter hemorrhages and low white blood cell count?
Hello. I am a 39 year old male with a history of heart disease on both sides of my family. I have had an elctro-physiology study done. That was about 8 years ago. Over the past few months i have been seeing splinter hemorrrhages on my thumbnails and big toe nails. My body seems to ache for no apparent reason. I went to see my doctor about this earlier this summer. He wasn't overly concearned but I had some lab work completed. Of the five blood tests done, only my white blood count was abnormal. It was low. I do not smoke. I consider myself to be active enough to maintain a healthy lifestyle. Should I be concerned? Thank you. | Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. Splinter hemorrhages in previous heart disease, strongly need to rule out infective endocarditis.2. However, looking at the associated low white cell count, do get a blood culture.3. Echocardiogram of the heart is also necessary to look for any vegetations. Discuss with your doctor regarding this test.Hope it helps.Any further queries, happy to help again. | |
Have cough, cold sweats after esophagus, stomach cancer removed. Wear warm clothes. Suggestions?
I had a surgery 3-1-13 to remove cancer in my esophogus and upper stomach - which my stomach is now where me esophogus was - ther was only a few inches os esophogus not removed. I've had hod and cold sweats ever since. Some days and night are better and some are non stopping. I wear multilayered clothing but do you have any suggetstions? | Hi and welcome to HCM. I am not sure this is related to your surgery. cause can be any infection. Most common are respiratory and urogenital. SO do kindey ultrasounds and urine analysis. This is common cause of cold sweats and chills. Also you should change your dietary.AFter esophageal procedures your meals should be smaller, and more liquid. Eat 6-7 times per day but smaller meals and drink lot of water and natural teas. Avoid alcohol, fats and coffee. I am sure you ll feel better after this. Wish you good health. | |
Suggest treatment to conceive as Progynova and Cabgolin did not work
Hi,doctor I am 31 years old but I have no baby,I concerned with doctor and she found that I have hormonal disorder and pcos ,she prescribed me glyciphage 500,krimson 35,evecare for nine months but these medicines not effect on me,after nine month she suggest me for follicular monitoring but on my 14 th day my egg size is rt . ovary 12mm and lt.ovary 15*14 and et is 6 mtl and not increasing and doctor gave me medicine tab. Progynova 2 mg three in a day and capgolin 25 mg once in a week .I am very dippressed.pls .suggest | Hello, there is no need to be depressed as all your medicines are good and will regulate your hormones straight. Don't be depressed as all will be fine soon just keep taking medicines as prescribedIn case you have any questions in future you can contact me directly on | |
What causes pain in the upper thigh portion?
I suddenly developed a in the upper back portion of my thigh last night. I put Salon Pas on the area but the pain has not subsided. If I hang my leg over the edge of the bed this helps somewhat. I m sitting on th edge of the bed right now but can still feel the pain. | Hello, As the pain is in the upper portion of the thigh, I suspect it to be a nerve root entrapment in the lumbar spine. Doing hot water fermentation will soothe the muscles and reduce the pain radiation. Doing McKenzie maneuver will help reduce the pain in the thigh and centralise it in the lower back. You can check online this. If the pain has stopped reduced post-McKenzie maneuver then it's a lumbar spine issue and can be corrected by core stability and back strengthening. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Had lumpectomy, removed non estrogen cancer. Cancer cells were not in lymph nodes. Suggest treatment?
I recently had a lumpectomy. The Physician told me I had a 1.2 cm mass removed that was non-estrogen cancer. I am to see the Oncologist next. The cancer cells were not in my lymph nodes. I understand that I have to get radiation, but I am uncertain if I will get chemotherapy. Also it is ductal. What treatment is usually given in my circumstances. I realize your answer is not carved in stone and each cancer patient is different, I just need a general idea of whats to come. Thanks for your time. Cindy YYYY@YYYY | Hi welcome to health care magic forum.Generally,any breast carcinoma is treated aggresively even if there is no sign of lymph node involvement. chempth may be unpleasant but i am sure that you want to reduce risk of recurence as much as you can. so just be patient and go through all this.you will feel better after you know that you are giving your best. Hope I have answered your query. | |
Suggest solution for pain in legs
hi my son had strep throat a few weeks ago,and the doctor prescriped him amoxociolin and a few days later he brock out in hives all over his body.he said it cause hes asllergic to the antiboitics or it could be from the strep thraot,now hes complaining of leg pains,having a hard time walking,what should i do | Dear patient this may be due to rheumatic fever post streptococcal sore throat. In this condition which occurs only in children initially there is sore throat followed by which there is joint involvement with inflammation and sometimes heart involvement. This needs to be addressed immediately by paediatrician. Treatment is injection penicillin and aspirin. Do not waste time and take your child to pediatric specialist nearby you. | |
Q. For gallstone problem, should I get my gallbladder removed?
Hi doctor, I have aches on the right side of the upper and lower abdomen as well as in the back that is below my shoulder blade. These aches have got worse over time in the past seven months. My doctor informed me that I have gallstones and that is the cause of my aches and pains. He said that I should get it removed. I hope not. Please take a quick look at my sonogram and tell me what you think of my situation. Thank you. | Hello. I had gone through all the details posted. Revert back with the answers to the above questions to an internal medicine physician online --> | |
Suggest treatment for penile infection
I am having penis fore skin infection for the past 10 days. I consulted skin specialist last week. He prescribed Flocos tablet and candiderma cream. Intially, I found the syptoms subsided but again increased for the past two days. Even the candiderma cream is turning out to be sticky after applying. Pl. advice. | Hello,Thank you for querry.if the penis in not cleaned properly a smegma formation occur in between forskin and glans,which is infected and give rise to lot of diseases.local creams such cndiderm are effective but if recurrence rate is high the permanant cure is cirumcision.cirumcision prevent a lot of diseases along with penile cancer reduction rate.Hope the answer will help you in making decision. | |
How to treat swelling in leg at 33 weeks of pregnancy?
I m 33 weeks pregnant and up until a few weeks ago my resting heart rate was in the 70 range. Now it s regularly 110-115. I m also having swelling in my left leg and it s achey from the thigh down. I see my OB today, but I was just wondering. | Hallow Dear,Swelling during pregnancy can be due to following common conditions:1. High blood pressure (may be essential or pregnancy induced) 2. Urinary infection: The swelling is usually found on the face first, more in the morning. May be associated with burning urination3. Anemia: Pallor is noticeable. Usually and unfortunately it is misinterpreted as fairness in the complexion due to pregnancy. 4. Hypoproteinaemia: Low proteins usually go with anaemia or liver failure. 5. Liver failure, Jaundice, etc. 6. Heart Failure7. No pathological cause. Please get your blood examined from the laboratory to rule out any of the above mentioned conditions. Since you have a history of the irregular pulse varying from 70/min to 115/min, the cause of oedema is more likely to be related to heart functioning. It is good that you have taken an appointment with Obstetrician. With his/her advice, you may plan to visit a Cardiologist also. Please consume high protein, moderate carbohydrate and low fat diet. Take daily iron, folic acid and calcium tablets. Have close monitoring on haemoglobin percentage since this even complicates the other conditions responsible for oedema. I hope this helps you. Dr. Nishikant | |
What is the best treatment to get pregnant?
Hi, For the past 3 days, I have been having a brownish discharge. It isnt much, I have been wearing a liner and it isnt really noticeable... My husband and I have been tested for STDs. My last period was 24th October. I have only been getting my period regular for the past 5 months. I am 25. We have been trying to fall pregnant for 3 years. I dont feel any different. Should I go to my doctor? This happened last year as well and my doctor tested me for pregnancy, but nothing. My doctor is all out of answers. | if you take my opinion then first go for a simple urine pregnancy test and then you can confirm your pregnancy by an ultrasound | |
Suggest remedy for lumps due to heat
I used a sunbed yesterday for 4 minutes (im not a regular user) and have a dark brown freckle/mole (not raised) on my right thigh, since ive been on the bed it has become raised and itchy and i also have what looks like a heat lump next to it ....is this ok? | Thanks for your question on HCM. By your history and description, you are mostly having heat burns of skin. It is due to inflammation in skin caused by excess heat application. This is normal tissue reaction. You need to do following things. 1. Wear only cotton clothes. 2. Avoid friction in that part. 3. Apply calamine lotion and antihistamine cream. 4. Start anti inflammatory drugs. 5. Avoid too much moisture and keep proper hygiene of that part. You will mostly improve in 1 week. If not improving in 1 week then consult dermatologist. | |
Had broken molar filled. Have pain in mandible, ear pain. Should I go for extraction?
Hi I had a broken molar (7) drilled and filled right side 5 days ago. I now have pain down mandible, (intermittent) on 2nd premolar-in ear like earache and up right side of face to top of head-not throbbing but intermittent and self medicating with ibruprofen 400mg some left over tramadol and panadol. Should I wait for the pain to go or go for extraction? Sometimes no pain sometimes lots of pain. | A thing to keep in mind is that it is quite common to feel a little bit of pain after a filling has been done. Your teeth and the surrounding region might be sensitive to the material that has been used for the filling and the trauma that it has undergone. Give it time to heal and the filling will settle down.If the toothache persists even after a few weeks of the filling then something is certainly amiss. All that you need to do is to go to the dentist for a second time and explain the pain and how you feel. The dentist will then be able to ascertain the reason for the pain after the filling and address the concerns. The dentist might advise you to use a sensitive tooth paste or put on a desensitizing agent on the tooth. After all of this, if the pain still persists then all that you can do is to have a root canal treatment done to get rid of the pain after the filing. | |
Q. I lost my hearing capacity due to meningitis. Should I consult a rheumatologist?
Hello doctor, I had meningitis fever when I was 7 years old because of which my hearing capacity was lost. I use hearing aids and I can hear from hearing aid, but it is hard to listen. One of the doctors said that I have bones issues, and I need to consult with a rheumatologist. But it is hard for me to understand. | Hello. The main problem with meningitis is that it is an infection which causes irreversible damage. As far as knowledge goes, there are not many cases who benefitted with the hearing. The cochlea is the hearing organ of the human body. It has three partitions filled with fluid. When hearing loss is caused by meningitis, the cochlea begins to ossify (the canals in cochlea start turning into bone). Thus the sound vibrations are not able to reach the auditory nerve. Usually, the loss is permanent. If you already wear hearing aids and now having a problem with understanding the speech, you need to see an audiologist and recheck your hearing as it might have progressed. If the loss has increased, please reprogram your hearing aids. If it has not changed, then you need to practice communication perception techniques. A speech therapist can help you with the techniques to improve communication. There are few techniques for better communication, but as you have not mentioned, I am not familiar with what method you use. I feel you should have discussed the problem in detail so that I could have helped you more with techniques. Do not hesitate to contact me. | |
What are the causes for dark purplish bruise with little pain in my armpit?
50 yr old white male, with dark purplish bruise on inside of left arm near armpit, has a white center thats sighltly firm (entire brise is size of 50 cent piece, pear shaped and painless...didn't know it was there till wife noticed it. Now that I've touched it I can feel it and if touch it, it's slightly painful...barely registers on pain scale though) | HelloI share your concern.Looking at your description it might be related to enlarged lymph node, axillary abscess, sebaceous cyst or local hematoma.If possible please upload me a photograph and provide more information likeIf you are taking any medicine?Is there any history of discharge?relevant medical history.I would advise you to take an appointment with a general surgeon or your family physician as per your convenience for physical examination and further course of action.In case of enlarged lymph node you may require further investigation like CBC, ESR, CRP, liver function test, blood sugar and FNAC if need be.At the same time your doctor should rule out possibility of metastasis by physical examination about which your doctor knows.Hope you will find my answer informative and useful, please feel free to ask for further clarification, I will gladly answer you.Best wishes | |
Should I take an emergency contraceptive pill along with Diane 35?
hye ....i am on a treatment for pcod and i hv been taking Diane 35(CYPROTERONE ACETATE AND ETHINYLESTRADIOL TAB) its my 15th day of my musttrual cycle.. and yesterday i had intercourse without using any protection.. do u think i should go for an emergency contraceptive pill today..?? | Hi,Your doctor must have prescribed Diane to treat acne and hirsutism associated with PCOD. Diane contains ingredients similar in action to hormonal birth control pill. Cyproterone acetate contained in it is a progesterone derivative and ethinylestradiol present in it is a synthetic estrogen. So this tablet is also a effective combined hormonal contraceptive. It is as effective as any other combined hormonal pill. Therefore if you have been using this pill correctly as per the instructions there is no need to use emergency contraception.However there is a very small possibility of method failure as in birth control pill. So if your periods get delayed get a pregnancy test done. I advise you to use barrier method of contraception like condom along with Diane to protect yourself from sexually transmitted diseases.I hope I have answered to your satisfaction. If you have any further queries do contact me through healthcare magic | |
Suggest treatment for high BP post Xanax withdrawal
Blood pressure is 190 over 105. I was taken off Xanax a few weeks ago, was taking it at night to go to bed for the past five years. Went to emergency room last week. Ekg and bloodwork came back normal. Filled with anxiety. I have been in touch with my GP. He only says to keep him in the loop with my numbers and doesn t seem to be too concerned. I however am in constant fear and panic. Help? | Hi welcome to HCm Dear , high BP, post Xanax withdrawal is a is no doubt , a matter of concern . Five years is quite long time for habit formng . It is not medically advised to just stop taking this medication without having slowly tapered down the lighter dose ,over an extended period of time .Gradual Reduction is Best For Coming Off Meds: But not In All situations .Most people will fully recover from their Xanax withdrawal, but it may take months or years . It is good that your Ekg and bloodwork came back normal . It is wise to be in touch with your GP. If He says to keep him in the loop with numbers , he seem to be concerned . you should approach him whenever in need of help . So I would like to suggest you not to be in constant fear and panic. The Best course of action would be to take the time to focus on engaging in healthy activities : Do things that are good for your mind and body such as: Bharamarri ,Omkar Naad ,Deep breathing ,Anlom- Vilom in Slow Breathing Meditation Getting natural sunlight, Socializing with others, Staying busy at a job or at homeExercising, Yoga Assanas , Shavasan (corpe posture)Eating healthy balanced diet andSufficiently hyderating and gud night sleep Avoidance of fried fast foods too much of sugar, tea, coffee ,alcohol , smoking ,stress ,constipation is right rule to boost immunity to lead a healthy life . Hope this helps solves your query .Take care , All the best .Wish Get well soon .Don't hesitate to get back tf have any further query . | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
What causes vomiting and loose stools in a child after taking Gaviscon?
2 week old baby irritable most of the day since birth. Thought she had reflux but the prescribed gaviscon infant has done nothing. She has been vomiting what I can only describe as curdled milk. Lots of runny stools. Do you think it might be an allergy to cow s milk? | Hi...Thank you for consulting in Health Care magic.What your kid is having is not a diarrhea and is only a gastro-colic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated.Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
Q. Will lower doses of Lamictal and Effexor help in overcoming Cymbalta induced hypermania?
Hello doctor, I recently was on Cymbalta minimum dose but did not feel better. I felt worse and was told to up the dose then I took 120 mg, still felt bad. So I abruptly stopped this and it triggered discontinue syndrome and hypermania. I have not felt the same since. I am not suffering so much now from hypermania after a month or two. I am Lamictal and when needed on Seroquel. On current medicines, I feel blank, unstable, unable to think normal, and some frustration, anger thinking, concentration, and speech affected at times. I feel I need to go back to antidepressants, my brain needs that and boosts mood and taper off appropriately like Effexor or Lexapro. I have had success but Lexapro cause stomach issues and Effexor is good but can cause weight gain or if working in the night it can cause mood swing. I believe my current issue is just because of Cymbalta induced hypermania. I did get psychosis from LSD. Do you think I should taper off Lamictal to Effexor low doses? | Hello, Welcome to icliniq.com. Considering the history of mania (even if it is drug-induced), it is not advisable to start Effexor alone in my opinion. So, I would suggest you discuss with your treating psychiatrist regarding starting Seroquel regularly as it also acts on depressive symptoms, or starting low dose Effexor along with Lamictal (as mood stabilizer). I hope this helps. | |
Should morphine and radiation be continued for buccal mucosa carcinoma and bone marrow cancer?
Hello, My Aunt has been diagnosed with buccal mucosa carcinoma 6 months ago. she got operated and completed couple of sessions of radiation. post which full body MRI scan revealed that the Stage 4 cancer had spread in the bone marrow, brain, vocal chords, spinal chord, liver as well. she was very active during her radiation treatment, however after the MRI a radiation was given in the back since she had major pain in the back. post which she is totally bed ridden and on morphine tablets. she barely gains conciousness for 1-2 minutes 2-3 times a day, other than that she is in sleep all day. Doctors have given up and have mentioned there is not much we can do to cure her. we are also trying to treat her with soursoup juice (annona muricata). What alternative medicine / ayurvedic treatment can be given to cure her or reduce pain and increase healthy life span by improving immunity. i have read about Vaidya NS Narayan Murthy of Karnataka but havent read about successful cases / history regarding such cases. is it ok to give her alternative medicines. | Thanks for your question on HCM. I can understand your situation and problem. Sorry to say but terminal stage malignancy has no cure. Not even by alternative medicine s.So better not to follow these things.Since you are saying that your aunt is barely conscious for only 1-2 minutes and remains unconscious throughout the remaining time, I think her life expectancy is very very low.May be less than a week.So better not to give her anything especially alternative medicine s. | |
What causes rapid heart beat?
Hi, may Ib aneswear yoturs he alth oquuetri es orfigh tmy now ? Pleae tye your query here...my heart beats out of my chest everynow and then but it's been happening pretty frequently it lasted less than a minute but I pause and I get scared when it does | Hi ThereIts advisable that you should consult a cardiologist personally and get yourself evaluated properly with general examination, basic blood tests and an EKG. If it turns out be just a SINUS TACHYCARDIA you can discuss your options regarding starting you on a low DOSE BETA BLOCKERS.If your blood reports shows low Hb% or some thyroid dysfunction that's probably causing the fast heart rate then it could be treated accordingly. I wish you Good Health | |
Suggest treatment for pain in the legs & lower back
I m 61, my lower back and legs are extremely painful at time. My primary doctor has considered me a cronic pain patient. My Rhematoligist has been given me Norco to assist with the pain. I have had an apertural in he past with no success. Where shall i go from here without surgery? It s difficult to walk most of the time. Thanks in advance for your response | hi,thank-you for providing the brief history of you As your age is 61, you may possibly have some degenerative changes in the spine leading to such symptoms of pain and aches.I will advice you to undergo an MRI of lumbar spine to understand the soft tissue status.Treatment:Physical therapy has been successfull in my clinical practice for reducing pain and improving muscle strength. Physical therapy includes - therapeutic ultrasound therapy, TENS therapy and exercises.RegardsJay Indravadan Patel | |
Is irregular heartbeats, long and steady ache in left side with hoarseness while having leaking mitral valve serious?
On Wednesday, I was told I have a leaking mitral valve, but I don't know the extent of the damage yet. I've been experiencing irregular heartbeats, a long and steady ache in my left side, and hoarseness. I'm scheduled to have cardiac catherization on Monday; however, I'm wondering if these above signs mean I should check in to a hospital earlier. | irregular heartbeats is the matter for concern. should visit the cardiologist where your cardiac catherization is planned and get the EKG with electrolytes done. because irregular heart beats with left sided pain suggests less blood supply to your heart with valve leak. may require coronary angiography too. | |
What causes difficulty in conceiving a baby?
Dear Doctor, i was not able to conceive since past 1 yr. i am 30 yr old female and while on follicular monitoring i was encountered with follicle of 14 mm and endometrial polyp. was on next cylcle given metformin and leroz but again follicle size was of 14mm. doc asked to get an hysteroscopy for the polyp first. elisa was high at 2.15. she also said that she will also go for tb test and bioscopy. hysteroscopy was done and i had tb of endometrium....Histopathology report says i have irregular proliferative endometrium. and PCR says tb is detected. i had regular periods prior to all this. doc asked to get lft done. sgpt was high at 79. when i started taking medicines i had severe loose motions what could be the possible cause???? i was on metformin, subtex and 2 mutiviatimn tablets,blong and akt4. what are my chances of conceiving?? | Hello,I have gone through the query and understood your concern. Firstly, let me express my appreciation for the grace with which you have accepted facts. In the current scenario, endometrium is not congenial for launching of a fertilized ovum. Also, you seem to have the difficulty of ovulation as evidenced by the failure and infection of the ovary also has to be excluded, since tuberculosis often affects the pelvic organs together. You cannot plan for a pregnancy until you are free of the disease and all treatment stopped. The diarrhea can be a side effect of the medication. Regular monitoring throughout treatment is mandatory. Hope this helps. | |
What causes sudden lightheadedness and high heart rate?
60 yr female, history of grave's disease, off medication for 8 yrs. While at work felt light headed and on taking b.p. heart rate up to 194 per min. This did not go down, had to go to hospital and after medication rate went to normal. What apart from thyroid, could be causing this. I have never had this before. | Dear Mrs,People with grave's disease are tend to develop some arrhythmias.If they are very fast, as in your case, it can cause lightheadedness and low blood pressure.Just don't panic, in majority of cases, arrhythmias may be controlled with medications. See your doctor to do another ECG, 24 hour ambulatory ECG and to prescribe a treatment.Take careCome back if you have any further questions | |
What causes heart palpitations post angioplasty?
I had angioplasty 8 months one of my artery blocked 100% . Now I am working in dubai some time I feel heart palpitation my heart skip beat and my heart beat increased I am very scary about this kindly advise is heart palpitation is serious health issue. | You may have the palpitations even without the heart disease but in your case these may be due to the heart disease that you have I hope you are not overweight and you do not smoke if an artery is completely blocked it usually does not cause any problems also keeping good habits like doing regular exercise eating good balanced diet can help you also it depends if you have too many PVCs then you shouldn't be checked but if the vocational and you should not worry too much and you should avoid being anxious about it thank you also you can get a exercise test done if your PVCs go away exercise then they are not very dangerous | |
Q. How common is it for a 21 year old to have vaginal cancer?
Hi doctor, I have gotten my HPV shot. I do not smoke. I am a virgin and practice good genital hygiene. But, my vaginal area is very sensitive to soap, and it feels a little bumpy. But, I am not showing any signs of vaginal cancer like pelvic pain or unusual bleeding. Could it be due to some soap allergy? How common is it for a person, who is 21 years old, to have vaginal cancer? | Hi. Please do not think of such rare conditions for small symptoms. May I give you a few information about cancer of the vagina. Basically cancer or dysplasia has a genetic background. In the case of a few cancers like cervical and vaginal cancers, it is due to HPV infections (human papilloma virus). Also, in oral or lung where smoking is a cause due to repeated injury by the tar. A common thing to note is, be it infection or tar; it causes repeated damage to the healthy tissue. This injury heals before it heals the next injury come and so it goes on till the healing is replaced by cells which are abnormal, which takes many years. Once these abnormal cells come on, they keep dividing into abnormal cells. After many years, these cells dominate to form cancer. Now in female genital cancer, the commonest is uterine, next ovarian, next cervical, then fallopian tubes and the rarest is vaginal. Since it is due to HPV infection, it is seen in those with sex exposure at a young age with compounding sexually transmitted diseases, HIV, multiple sex partners or repeated injury to the vagina. The best part is it has no symptoms. The cases will present with a lot of foul smelling brownish or bloody discharge usually around 50s to 60s as cancer cells take so many years to reach such a stage to be detected. From your history, I do not see even a single risk factor other than that you have a vagina. For further information consult an obstetrician and gynaecologist online --> | |
Feeling shortness of breath after having a quadruple bypass surgery
My 71 year old brother had quadruple bypass surgery about three weeks ago and has his first visit to the cardiologist tomorrow. My brother still has shortness of breath and is on oxygen, he is sleeping in a chair in the rehab afraid to lie in bed because he cannot breathe when lying down. What questions should he be ready to ask his cardiologist in his visit tomorrow. Oh, he is also a diabetic. | Thanks for your question on Health Care Magic. I can understand your brother's situation and problem. Breathlessness on lying down is not a good sign after bypass surgery. This suggests heart failure due to poor pumping of heart. So he should ask for 2d echo to to determine heart function. About treatment, diuretics and inotropic drugs (this drugs increase heart pumping) are useful in his case. So discuss about starting these drugs in his case. Also ask cardiologist about daily fluid intake and food. Hope I have solved your query. Wishing good health to your brother. Thanks. | |
Suffering from indigestion with watery stool
Hi, I have been having problem with digesting anything for the last 3 days. Anythign i eat , goes out of my system in form of a watery stool. I also had my gall bladder removed 5 years ago but never had any problem like this before. Please advise. | Hello Welcome to healthcare magic.You must have had Gastroenteritis.Get your stool for routine tests and culture as well. Start some probiotics(lactobacillus).Can wait for the culture report to start with antibiotics. Else can start with Ofloxacin 200mg twice daily.But preferably, wait for culture report,it could be of viral origin too.If this has been there for longer duration then needs thorough evaluation at a physicians office. | |
Suggest treatment for severe abdominal pains in kid
My 10 year old daughter has been experiencing severe abdominal pain when hungry for 2 days. She has no other issues-no vomitting, diarrhea, or constipation. She bends over in pain and then it gets better after eating. The pain is not waking her up at night | Hi! Good morning. I am Dr Shareef answering your query.I feel that her abdomen to be examined clinically apart from any investigations like an ultrasound, a CBC , a stool test for ova and cyst and a urine routine test to reach at a conclusion. Further management would depend on the reports of the investigations.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
Suggest treatment for severe shoulder pain
I have a 18 year old son who plays high level basketball and wants to play in college. Last year as a junior he was the quarterback on the football team and hurt his shoulder. It is painful for him so in April 2015 had an Mri done. Went to 2 specialist and received 2 diff conclusions. He is still having pain. So I am trying to find a shoulder specialists in Dallas Fort Worth area that is highly recommended. Is there someone you can recommend? | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have severe leg pain. Well there can be many reasons for symptoms you mention in query like bursitis , tendinitis , bone spurs , torn cartilage , torn rotator cuff , pinched nerves or spinal cord injury . I would suggest you to give your shoulder complete rest , apply warm compresses on it , do not play until it gets better , do gentle massage and take ibuprofen or acetaminohen for pain . If condition doesn't get better then consult orthopedic surgeon for proper examination . Doctor may order CT scan , MRI or physical examination . Doctor may prescribe anti inflammatory , muscle relaxant along with physical therapy and stretching exercises . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Suggest treatment for bleeding gums
I am having the problem of bleeding gums when i wake up in morning i always see spots of blood in saliva on my pillow. I am undergoing the orthodontic treatment that may be the cause but it was my problem since long ago.What should i do to get rid of gangivitis and bleeding gums . | Hello,I can understand your concern. Orthodontic treatment undergoing patients usually are not able to clean the margin where the teeth meet gums and this leads to accumulation of plaque and debris leading to gingivitis and bleeding gums as you suggested.I would advise you to use specialized toothbrush that are made for patients undergoing orthodontic treatment which will make it easier for you to clean the gum margins. In addition, you can add mouthwash to your oral hygiene practice. Brushing twice a day will help to keep better oral hygiene.In addition, as long as you are having braces, I would recommend scaling sessions with the dentist or dental hygienist every 3 months which will help in reduction of plaque accumulation and gingivitis. After the treatment is over, you can go for scaling every 6 months or on yearly basis.I hope this information helps you. Thank you for choosing HealthcareMagic. Take care.Best,Dr. Viraj Shah | |
Need medication for cold ,fever and high BP
hello my 14 year old son is sick with cold gave him allergy meds generic Claritin, delsym dm and nasal spray for stuffy nose, cold symptoms and he has pink eye blood pressure is high 157/98 pulse 124 does medshave effect on the blood pressure and strong family history of hypertension mom, brother | Hi,Looking to the history having this much high blood pressure and pulse requires evaluation of your son.Medicines you are giving may not such effects.Consult Cardiologist and get examined and necessary investigations done.Ok and take care. | |
What does 1.4 nuchal fold and a nasal bone suggest from the test?
Hello: I am 38 years old and will be 38 at my baby s birth. My Nuchal Translucency was excellent in that the baby only had 1.4 nuchal fold and a nasal bone was identified. However, the blood test that goes along with this test was not as good and although I don t have the risks of 38 year old my risks were of a 32 year old or 1 out of 441. My doctor said that this was still a good result, and that she didn t want to do an amnio, but wanted to run a triple screen blood test. Can you please advise whether the physical markers of the nuchal scan and the nasal bone are a good indication that my baby is safe or whether the weight of the blood test makes does show that there are greater chances that the baby has down syndrome. (My results for trisomy 18/13 were very low and only had me at the risk level of a 19 year old.) Thank you, Aurora | Hi,Thanks for writing to Healthcare magic.I conclude that probably you are asking whether to go for the triple screen test.All screening tests are done to come to a probable doagnosis. And only 1 or 2 tests cannot do this job, so we need sometimes more tests to be on sure side. So with that I mean its adviable to do the triple screen test.Hope this helps you.Thanks. If you have any more queries I am happy to answer them. Else please rate this answer and close the discussion | |
What causes deep pain in middle finger?
I feel a deep pain in my middle finger once in a while by the side of my finger.it usually occurs when i carry something with that hand but when i deliberately press the finger it doesnt occur. secondly i feel some rapid worm movement in my anus and leg sometimes. | Hi, With the description you have provided, It is not possible to arrive at any possible diagnosis. Please put your question in details. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
What causes a pinkish blood streaked clear discharge during menstruation?
I always have regular periods & am not using birth control. This month I had no sign of period on due date. Then I had pinkish blood streaked clear discharge. This was intermittent for few days and now very light bleed that hardly needs any protection. I took a recent pregnancy test but this was negative. What could this be please? | Hallow Dear,Just a pinkish streak without considerable bleeding may be considered as missed period. The usual urine pregnancy tests are reliable after about a week of missed period, earlier they may give false negative results. However, Beta hCG tests are very specific and sensitive and may give reliable results within 2-3 days after missed period, or even earlier. You may opt for this test. Another possibility of unruptured ectopic pregnancy may be kept in mind. However, usually it gives faint positive result. If it is confirmed that you are not pregnant, you may take birth control pills for 5 days. Please do not take Deviry like Progesterone only pills since they minimize the bleeding. You should get normal bleeding 4-7 days after discontinuation of the pills. If still you do not get bleeding, please report to the Gynaecologist for your hormonal evaluation. You may be developing Polycystic Ovarian Syndrome (PCOS).I hope this helps you. Dr. Nishikant Shrotri | |
What are the effects of removing screws from fracture site?
2 years ago I had a car accident which resulted in a open fracture of my left tib/fib. The tibia was plated from the ankle bone up to mid shin. There appear to be 4 screws. The top screw in the shin (or the top of the plate?) has begun hurting with almost every step. At times it feels like shin splints while other steps the pain is sharp. Can this cause further bone damage? What are the expected results from removal of the screw or all hardware? Recovery? | Hi and welcome to HCM. Thanks for the query.Screws and other ostosynthesis materials are routinely removed after there is no purpose for it in our bones. it means that bone has healed and these materials dont cause stability anymore. for prevention of possible infection,it is recommend taht it is removed 6m-2 years after surgery. it wont cause any bad effect on bone healing or pain. Wish you good health. Regards | |
What causes a constant and dull head pain?
I have had a dull, constant pain in the back of my head, on the right side just above my neck. It is sensitive to the touch and feels like I hit my head at some point but I didn t. I ve had this for a couple of months. Should I be concerned? Should I see my dr.? I m 41, 5 7 , 185lb female, non-smoker. Only on-going medical issues are hypo-thyroidism and pernicious anemia which are under control. | Hi, Read your complaints. dull constant pain in the head can be due to various reasons. first of all try to focus on your posture. when you are at work try to maintain an erect posture.even while sleeping you should try to sleep straight using a low lying pillow. have a good sleep - 7-8 hours and be relaxed. do some mild exercises especially neck muscle stretching exercises. you can even take some painkiller if needed. However if you feel you are not improving then you need to get yourself investigated. get any eye check-up done and also imaging ( MRI )brain. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Milinda Gupta | |
Can I get pregnant without an actual penetration?
? ok so i had sex two days ago and i was getting back shots and he pulled out and said some got in there but he didnt cum he wiped off his penis and we finished he pulled out before he came then a few seconds later something was dripping down my leg is there a chance i could get pregnant | Hi,Without actual deposit of semen in the vagina, pregnancy is unlikely. If you are referring to anal sex, then rest assured, pregnancy is unlikely. | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
Suggest treatment for eye infection in infants
My 18 month old appears to have an eye infection in his left eye and a fever of 103. What can I do for him? I ve given him tylenol for the fever and will be giving him ibuprophen alternately (he is teething-3 molars at once) but I don t know how to treat the eye infection/ | Dear Parent,The symptoms suggest that your child may be having a viral/ bacterial infection and needs to be seen by a pediatrician for the diagnosis and to know if antibiotics would be needed. In the meantime you can use general hygiene measures like clean his bedding, use a separate towel for the infected eye, wipe off the discharge from his eyes with cotton and lukewarm water. | |
What causes painful lump in neck?
i am 31 years old n 5 foot 8 inches , 168lbs , i have a lump on my neck , around the front right next to my adam s apple , that seems to have formed overnight (at least i didn t feel it yesterday ) it kind of hurts , as if my skin is stretched , i have tried squeezing it and after much force only a little oily substance comes out , should i be worried ? at first i thought it was an ingrown hair , but after squeezing it , and nothing , i am worrying . | Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns.Cause of painful lump in neck-In your case the cause of the lump,which formed overnight-mostly is the thyroid cyst? or the Epidermoid lump -which are congenital hamartomas , with sebaceous cyst like oily substance from it, which got infected and is causing stretched skin lump,with oily substance in it.This advise is based on the facts from the history you give and needs further clinical check.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good resume and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N. | |
What causes difficulty in getting pregnant?
I already have two boys of my own and he doesn t have any kids I been trying to have one for him for the past 9 months I don t know if it could be me or him with both of us have some health problem going on so I don t know if that can be on reason for it so can you please help sincerely Regina | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would recommend that your husband gets a semen analysis to detect any possible male factor of your infertility problem.. If the semen analysis is normal then you need a day 3 estrogen and fsh blood test together with a pelvic ultrasound to asses your fertility status. Hope I have answered your query. Let me know if I can assist you further. | |
What is the prognosis post stent replacement?
I guess I m just curious about the average amount of time before a patient passes once morphism e drip is initiated. She was given 3 months to live two weeks ago but has not responded to her cardiac meds after she just had a HAnwith stent placement. Grandma even tried committing suicide with her pain meds once finally home from ICU, and was rushed back when it was then determined Hospice care was what she was wanted. But now since last night she has taken q turn for the worst. Can move turn self or eat and has the morphine erip going for comfortability. So I guess my question is how long on average does someone remain alive. I know everyone is different.,.too but... | normally stent mostly block in3-4yr and if blocked also she may live with that Block's for some time also with out any intervention. after blockage of arteries if they are severe bypass surgery can be done | |
Veins showing on stomach. Is this normal ?
Hi, I am 26 years old, 152cm hight, 64kg weight. I have been trying to conceive for last 3 months.... Past 2days I ve suddenly noticed thick nerves seen out of my abdominal stomach...I ve normal skin color (not fair) have not been lifting weights or working out recently. I m little bit confused. Is this any problems in my body or what? Could anyone tell me, I am really scared, Please help ! | hi it may possible to find prominent vein over body it is normal and u must not worry about it if there are multiple vein over same area then liver problem is there if u feel pain or other abdominal symptoms then better to consult doctor | |
What causes purple discoloration on finger tip?
hi, i have two fingers on my left hand my ring and pinky my pinky is worse they are cold n tip of my pinky is on the purplish side. i didnt do any thing to them that i know but feel like i froze them in the snow kinda like that and also hurt when i put them under hot running water | Hello,I have studied your case and I think that you might be having either a frost bite or a Raynaud's phenomena. In both condition exposure to cold causes bluishness of fingers and difficulty in movements.I would recommend you to show it to orthopaedic surgeon for confirmation. Treatment is gradual warm fomentation of the finger. antispasmodic medication is also helpful in Raynaud's phenomena.I hope this answer will be useful for you. let me know if there is any other followup questions.thanks | |
Q. Can I combine 7. 5 mg of regular Paxil with Paxil CR for about a week or month?
Hello doctor, I have been on Paxil CR 37.5 mg for 16 years. After a recent depression or OCD episode that occurred around my period, I saw a psychiatrist to see if I needed to bump up my dosage or change medicines. She prescribed me 7.5 mg of regular Paxil, not CR, to take with my 37.5 mg CR a few days before my period and a couple days into it. The 7.5 mg capsule is marketed as a menopause or anti-hot flash drug called Brisdelle, but is just Paxil. Is it safe to combine this 7.5 mg of regular Paxil with my Paxil CR for about a week or month? It feels weird to me because of the CR or regular difference, the short usage, and the fact that the pill is marketed as a menopause relief pill. Thoughts? | Hi. It is safe to take the additional 7.5 mg of Paxil or Brisdelle along with 37.5 mg of Paxil CR, as you rightly mentioned that both are same medicines. The increase dose of Paxil or Brisdelle for short time is for managing your hot flashes, and it is just like that the dose of Paxil are increased to manage your symptoms. If your symptoms are well managed by this then it is good otherwise you may need to increase the dose further. The CR and regular difference is just how the active ingredient of the pill is released in body and to minimize the side effects of sudden increase of drug in body. | |
What causes abdominal pain after masturbation?
Helo doctor,i do masturbate with water since i was really small and now m addicted to it,but m having likoria problem too.from three years after i masturbate i feel slight abdomenal pain.I don't kbow wheather it is due to likoria or mastubating with water....please help me,sometimes this pains becomes sevior | Consult your physician to rule out infection of the genitals, you need to take treatment for leukoria as well. Keep you private parts dry and clean .......tc care | |
What is the treatment for mild abdominal pain?
Hi, I am passing predominantly froth when I use the toilet. I have a mild abdominal pain, which intensifies when I try to use the toilet. The stools is small, but there is a lot of creamy coloured froth. I'm 30 yr old male, no previous medical history of note. Any advice? | Hi.Thanks for your query. Read your history and understood your problems.You have small stools with creamy colored froth. You also have mild pain in abdomen. The pain intensifies when you try at the toilet. Such an history is seen in patients suffering from Colitis. This may be more due to amoebic colitis as it gives mild pain which increases on passing stool, has creamy froth. There can be a super-added bacterial infection too. I would advise you the following:First of all take a course of an antibiotic and Metronidazole in appropriate dosage under a Doctor's prescription; take probiotics and multivitamins for full 5 day course. See the results. If the problem is settled nothing more needs to be done except to take care to have home-made fresh food and sterilized water - boiled for 20 minutes and cooled .If the problem persists I would advise you to undergo tests of blood- routine and sugar, urine and stool tests, an ultrasonography and colonoscopy. This will give further idea about the probable diagnosis and a guideline for treatment . Wish you a good health. | |
What are the side effects of creatine?
Sir I m in 23 Old, I Am Doing GYM Nowadays. Sir I Am Planning To Take Creatine As A Supplement For Bodybuilding, Is There Any Side effects Of Prolonged Use Of Creatine. Or Is There Any Other Supplement Which Can Give Me Better And Faster Results Than Creatine? Please Help | Hello, Creatine is not recommended by most of the physicians as it can cause serious adverse like renal dysfunction and infertility. Rapid result is not anticipated and products which give faster results must have adverse effects as well. You can try good quality protein supplements without steroid contents for best results. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What is the constant abdominal pain?
Hi, I have had abdominal cramps, like period pains, for 3 days now. My abdomen is painful when I walk, cough, sneeze or do any sudden movements. When I have to go to the loo, it hurts to bear down and empty my bladder, and my abdomen is painful when I empty my bowels. I have no stinging sensation at all. Do I have a bladder infection? | HIWell come to HCMThis is may not be due to any infection of bladder but this could be colicky abdominal pain some time does not have any specific reason behind this, just wait for some time this would come around, if this does not then you can have the following medicines 1) Tab Dicyclomine with Acetaminophen three times in day2) Tab Clinidium with Chlordiazepoxide three times in dayevery would be fine soon take care, have a nice day. | |
Irregular period, painful, had bleeding, tested for abdominal diseases. Is it cancer?
Hi I'm a woman 35 years age, I'm 5 2" and my weight is 46kg. I've always been thin. Recently I've been getting sharp pains when I wake up and eat my breakfast. It's irregular but now frequent. Today I had a gush of small amount of bleeding but my period ended on Saturday. So its not period. It's not much blood and its brown. I'm going to get it checked but sadly my GP never takes anything I say seriously. She says I'm perfectly healthy. I will insist I get tested for stomach and other abdominal diseases. At this point it would be very helpful if you could direct me as to what I should ask for specifically. I'm obviously thinking "cancer". Today I suddenly felt exhausted and slept for half an hour although I could've done with a few hours because it didn't do much for me. Please help me or guide me? | Hi, You have mentioned about sharp pain but the site of pain is not mentioned. Anyway abdominal pain should be carefully investigated. Bleeding after the end of period should also be investigated. Nothing to worry about cancer right now because there are lot of of other causes. You should be examined by a gynaecologist. After clinical examination he/she may have ordered investigations like ultrasound whole abdomen. Please visit a gynaecologist's office. Take care. | |
Suggest treatment for radiating chest pain with low heart rate
Hi lately I ve been having stabbing pains in my lower left ribcage, and the next day it moved to my right side chest. And as the day goes by it jumps around my body from shoulder to neck, throat, and down to my lower body,(right side stomach to gluteus maximus. I ve been having chest pains and Yes I do smoke. Im a very athletic person and i checked My heart beat per minute and I have 50 hbpm in the morning once I wake up, and around 65 in the mid day. Will you please evaluate my medical status? thank you soo much. | Hello, Your symptoms do not seem to be related to the heart. Your heart rate seems to be within the normal ranges. Is the pain triggered by body movements or deep breathing? This would indicate a possible musculo-skeletal pain. Coming to this point, I would recommend performing further tests to investigate for the possible causes underlying your complaints: - A resting ECG - A chest x ray study - A cervico-thoracic spine X ray study - Complete blood count, PCR, ESR for inflammation. You should discuss with your doctor on the above tests. Hope I have answered your query. I remain at your disposal for any further questions whenever you need! Regards, Dr. Ilir Sharka, Cardiologist | |
Are Ubiphene and Addyzoa given for low sperm count?
Hi My husband is 28 years old. He has low sperm count problem. His count now is 21 millions. The doctor prescribes us to eat q-gold tablet and testovitforte. Another doctor prescribes ubiphene and adizoa.I need which is the best tablet from the above mentioned we have to continue to increase the sperm count quickly. | Hi Wecome to HCM, Your husband sperm count is with in fertile range according to new WHO standards. Hope his motility also with in normal range. I recommend Q- gold, and Ubiphene. Please take Q-gold Twice daily. Ubiphene 25 mg Night for 25 days in a Month for 3 months. Taking Adizoa and Testovitforte also not harm. | |
Unable to get pregnant, advised Fertomid, Thyrore, Dera. Any side effects ?
I am 23 year old from delhi, I get married last year, now from last 6 months we r planning to have a baby, but unable to get pregnant . My hus and me consult with doc they advise us to do some test which was done successfully. Test report was ok. Doc gave me some medicine like pyriconting, Dera, Thyrore25, Fertomid 50mg. for 15 days. I want to ask that are these medicine for pregnancy or have side effects of this medicine... | Hi,You have been given pyridoxine, thyroxine and clomiphene. I should say that the prescription of ovulation induction should be done once all the standard investigations are done and ovulation needs to be induced. Empirical treatment, for six months of failed trial is not justified. Thyroxine is given to supplement if there is a deficiency and has to be continued at least for six months to a year to attain benefit. Until I get to know what are the investigations performed, I cannot comment further on the treatment modality. Hope this helps. | |
Rubbed penis on vagina during foreplay, penis tip wet. Any chances of getting pregnant?
Hi sir ,,me and my gf ,,were doing foreplayb,,and suddenly I rub my penis to my gf vagina ,,,keep rubbing to vagina ,,but I didn t ejucate on vagina ,,but my penis tip was little bit wet but didn t ejucate ,,, is there any changes of getting pregnency ,,if yes what to do ,what pulls are advices with Jill side effect ,pla reply as soon as possible ,,I am waiting n Iam in emergency | Hello,In above sexual activity, chance of pregnancy is extremely RARE or NIL as there was NO proper intercourse or ejaculation. Just rubbing can't make her pregnant.Pregnancy is possible only if unprotected sexual intercourse is done with ejaculation around ovulation time in regular period. Therefore, you have nothing to worry and emergency pill is NOT required.I suggest to await for next period and undergo pregnancy test if she misses her regular period. Practice safe sex by using safe period/ OCP/ Condom etc to avoid unwanted pregnancy.Good luck and Be well. | |
What causes tightening pain in mid spine postpartum?
I get these tightening pains (reminiscent of active labor) the start about mid-spine and often feel like they wrap around my rib cage. It s like a giant vice is constricting all my muscles around my ribs/back. I get them sporadically, sometimes not for weeks and sometimes 3 nights in a row. The pain builds quickly within a few minutes from discomfort to pretty damn near a 10 on the pain scale. These episodes last from 45 min to 3 hours. Hot showers, heating pads, stretches, and pain meds (Norco and I uprofen) do nothing to help. I ve been to the ER, but my episode was done by the time I got there. They did a chest x-ray and saw nothing and my EKG was normal, so they don t think it s clots. I have more x-Rays scheduled and possible MRI, but I m nursing and they say that s a last-resort. These episodes started mid-pregnancy just in my back and now that I m 3 months post-partum are still happening in back and rib cage. Also, I realize it s not genetic as far as anyone knows, but my grandmother had Stiff Person s Syndrome if that matters. I m 31 years old with a 3 year old and 3 month old at home and can t keep dealing with this and taking care of them. | hiThank you for providing the brief history of you.A thorough neuromuscular assessment is advised.as you have pain which is like tingling pain and stiffness of muscles, I will advice you to undergo the physical therapy as it is totally non invasive and also by therapeutic ultrasound therapy and TENS therapy your pain and stiffness will come down.Also, to ask a question here is about, what type of surgery you have undergone for delivering the baby? normal or c-section? Now, with a thorough neuromuscular assessment the physical therapist will be able to help further with even the exercises which helps you improve your flexibility and muscle strength as well.In my practice I have seen females with both normal and c-section delivery. They complain similarly and I advice them to undergo physical therapy and it has helped them in 2-3 weeks of time.I am sure you will also be benefitted.In case you need additional information/any doubts/any further assistance I will he happy to help you.RegardsJay Indravadan Patel | |
Q. Please suggest medication for red patches in the bottom of the foot.
Hi doctor, My mother is 57 years old. She has red patches and dark spots in the bottom of the foot. It itches most of the time. Many doctors we have consulted, but no positive result from their treatment. Please suggest the best medication. | Hi. Revert back with the details to a dermatologist online --> | |
Had Spinal fusion of L4-5, lumpectomy for stage 2b ductile breast cancer, chemo. Blood work shows low VitD. Should I worry ?
4 months ago I had a spinal fusion of L4-5 including bone grafts. In 2007 I was diagnosed with stage 2b ductile breast cancer. I've had a lumptecomy, lymph nodes removed, chemo & radiation, and 6 years of "clean" smooth sailing. I just got done with my 5 years or Arimides in Feb. My latest blood tests showed low Vitamin D, and a CA 27.29 of 42 a month ago and 49 a week ago @retest. My CEA was normal a month ago. A CA 15-3 was also done a week ago & was 33, & is supposed to be less than 31. How scared should I be??? My main question is whether or not, especially in light of the low Vit. D dx, the added stress of bony fusion (which the spinal docs say will take a year to "finish" healing) , COULD BE EFFECTING MY TUMOR MARKERS? Thanks, AAAAA | HI Thank for asking to HCM,, No it does not affects to any of your body system even if you had breast surgery for 'CA' just do not be panic, Vit.D is little complex element, having certain controversies, and it turns low among the female nowadays, with the changing of life style and diet, but it does not cause any harm to a person, you are really doing fine just keep it up, forget the vit. D, Have nice day. | |
How can severe backache be treated?
I have been prescribed Norco 7.5/325 for a few years. I have numerous back pain issues and this dosage does not help my pain. I m embarrassed and feel guilty for asking my pain management staff to increase my dosage as they didn t want to increase it from the 5 mg. As a pain patient, do I have a right to tell the Dr this dosage isn t strong enough, or do I tolerate what they want to prescribe? I often double up on this. Or is there a better pain med I could take with relief results? | hi sir/madam,Let me advice you for your problem.Low back ache may be a pre-monitory (prodromal) symptom in fistula in ano, sciatica, gouty arthritis, hernia, emaciation disorder etc. Pain is confined to lower part of the spine (back bone) especially lumbar region or lumbo-sacral area (rarely sacro-iliac region also). If it is secondary, earlier history of fall or injury may be associated. Rarely, radiating pain may be complained by the patient towards lower limbs. But it is quite common in low back aches if the defect is in the discs between vertebrae (back bones). Often the movements of lumbo-sacral region like flexion and rotation are hampered either partially or completely.Low back pain may be found in mild form in case of anemia, sciatica, rheumatoid arthritis, hemorrhoids, urinary calculi, uterine disorders etc also.Line of treatment as per Ayurveda:-The general principles of treatment of vata dosha are adopted in case of katishoola (low back pain). It includes various measures to suit its varied clinical entities, stages and associated complaints.1. Snehana (oleation) – by sneha dhara (pouring oil), abhyanga (oil massage), avagaha (tub bath with oil or oleaginous medicaments), kati basti (retaining medicaments on the back) etc.2. Swedana (sudation) –avagaha sweda (sweating treatment with tub bath), pizichil (kayaseka), nadi sweda (sudation through a tubular device – local sudation), panda sweda (sudation through medicated paste or powder) etc.3. Mridu Samshodhana -mild purgation.4. Basti (medicated enema) like eranda basti, vaitarana basti, pippalyadianuvasana basti etc.Formulations indicated in Low back ache as per Ayurveda:-1. Dashamoola kwatha.2.Maharasnadi kashaya.3. Rasnaerandadi kashaya.4. Sahacharadi kashaya.5. Gandharvahastadi kashaya.6. Trayodashanga guggulu.And for local application these oils will help:-1. Ksheerabala tail.2. Mahanarayana tail.3. Dhanwantaram tail.4. Maha narayan tail.Avoid these for better results:-1.Bitter, astringent and pungent food2.Cold water3.Fear4.Exhaustion5.Standing6.Driving7.Cold food and beverages etc.Hope i was helpful.Have a healthy day. | |
What are the side effects of cortisone injection?
My doctor gave me a cortisone injection for bursitis in my hip. The next morning I had blood drawn for liver enzyme tests,AST and ALT, along with T3, Free, Free T4, and TSH tests. Would the cortisone injection alter the test results for any of these tests? | Hi.I've gone through your query and I can understand your anxiety. Cortisone injections has side effects like - skin thinning, loss of color , facial flushing- insomnia, moodiness- high blood sugar. - Damaged tendon, cartilage & bone- Infection & painfu joints. Also higher doses & chronic usage of steroids can reduce the conversion of T4 to T3. Hence, hyperthyroidism will be converted to hypothyroidism. So it is useful in the trearment purpose. Then, liver enzymes like ALT, AST, ALP and GGT are also increased after steroid injection. I advice you to reschedule or repeat the test once again after few days to get rid of the effects of injection & also to avoid biased reports. Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr. Yogapriya V, General and family physician. | |
Should the birth control pill be taken again?
Hi, So I have a really strange question haha. So like 2 mins after I took my birth control I burped and regurgitated and something yellow came up so I spit it into the sink and washed it down, after I thought about it I realized it was most likely my birth control pill a little mushy from just being swallowed, so umm what do I do? ha | Hallow Dear, You have a logical valid issue. If you have regurgitated the pill, or even if there is a suspicion of its throwing out within 30 minutes of ingestion, you should repeat the pill. You have regurgitated it within two minutes. So you should repeat the pill. Even though the pill is not thrown out, one additional pill will not do any harm; however missing a pill may. Henceforward, please make sure that you take the pill on full stomach or with a glassful of milk at bedtime. This will prevent vomiting out of the pill. I hope this helps you.Dr. Nishikant Shrotri | |
What causes sudden drop in BP with low heart rate?
being easter i cannot reach my gp.... however last evening i had sudden drop in BP with low heart rate. nitro lingual seemed to ease it a lot but after being fairly normal this morning it has occured again even with a trans dermal 50 on diastolic dropped to below 60 with pulse rate below 45.. I do not feel otherwise serious ill.. | Nitroglycerin itself is the reason of your blood pressure fall, as it will dilate your arteries your diastolic blood pressure falls, avoid it if there is no chest heaviness Or exertional breathlessness. However I will suggest you to get an ekg done particularly when your when your heart rate is on lover side. Likewise if your are on beta blocker group of drugs that will result in lowering of pulse rate in most of the patient s. Do re titrate your medication when your Gp returns. Regards. Dr Priyank mody | |
Can a girl get pregnant with non penetrative sex?
we had sex like wearing undergarments..we have not opend the cloths...just rubbed on vegina over her panties... not actual touching but both of us became wet near area we are rubbing by having orgasm.. then still rubbing my penis on her vegina..next day morning we repeted the same thing and next day she had her period irregularly..is she pregnent? do i worry ? | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Very less likely she may be pregnant but if there was any spillage of semen and sperm migration with her being in her fertile period there may be a chance. She may become pregnant but it is very unlikely with less than 1% chance of getting pregnant. To be on safe side get a pregnancy test done to confirm so that you can be free from worrying. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sushma Dubbaka | |
Is detection of Heroin in the system possible during pregnancy?
Hi I m 35 weeks n 5 days pregnant and i have been on heroin my whole pregnancy today is my first day clean will they find out when i have my baby even if i was prescribed 5-325 hydrocodone in the end of October im also guna start Subutex as soon as my 24 hours is up i was prescribed them back in July iplan on taking 12mg today and 2mg less till I m down to zero this will be my first baby and I m native American so cps can t take my baby unless they notify the tribes cps | Hi there, I have understood your concern and I will suggest you the best possible treatment options. First of all do not panic.I would like to congratulate you for getting yourself treated with deaddiction medications. Your concern about detection of heroin in urine and subsequent consequences about baby's care taking are absolutely right.In my opinion, once you stop taking heroin actively, it takes 3 to 5 days to clear it from urine. After 10 days it is definitely out of your body systems and is not detected in the urine. So if you continue with the abstinence and your current line of treatment, it shouldn't be a problem.Please seek support from your counsellor regularly. Continue with Folic acid and vitamin B 12 and Iron , Calcium and protein supplements regularly.Take care. Meditate regularly.Think positive.Things will be fine in the due course of time.May God bless you with a bundle of Joy.Thanks.Dr. Purushottam Neurgaonkar | |
Should sexual life be avoided for the lumbar spine stenosis?
Dear sir, I am 58 yeras old,weight 95kg; height 1.65m, Type 2 diabetic patient since 15 years, but under control. I am having lumbar spine stenosis at three levels, by doing special exercises I don t have back pain but my doctor advised me not to have intercourse in future. My penis size is 1.5 inches, when erected 3.5 inches without any hardness and immediately gets ejeculation at this loose stage when I try to enter in vagina, thereby cannot satisy my wife any more. I am working in Abu Dhabi, UAE since last 30 years and used to go to India on vacation once in every two years. Last week I rejoined duty and my problem still continues even after taking soft VIAGRA - 100 mg. pills many times before each intercourse and sometimes other unani herbal medicines, but of no use. Please advice. My doctor says because of my age, weight, diabetes and lumbar stenosis, this problem will never be solved permanenetly. Kindly help me to solve this long lasting problem once for all. I request you to write me in detail. I appreciate your quick response in this regard. Thanks. | Hi, Well if your power of will to find a solution then with personalized therapeutic plan under close medical monitoring you should be able to overcome the issue. This won't be easy. This requires long detailed therapeutic plan to help. I will gladly give a short glimpse of such a plan. Feel free to contact me for detailed plan and step-by-step action. First, your first goal would be to lose weight. It is easier said than done. This can be done using caloric deficit, that will result in weight reduction without suffering. Second, you need to include daily exercise. I know this will be hard due to the stenosis. At start this could be simple gradual exercise plan. In a period of 1-3 months you will start noticing difference. During this period, If I were your treating physician I would prescribe you Metformin, medications that can help you will premature ejaculations. I would monitor your testosterone levels closely too. Prescribe supplements if needed. From what I read, It is great that the stenosis pain responded to physiotherapy. With aforementioned therapeutic intervention you will not only add years to your life but also quality to your life. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ahmad Nazzal | |
What can cause swelling and burning sensation in the foot?
i have a swollen foot that is hot and too painful to walk on. the problem is i didnt hurt it in an accident nor was i stung or cut. I do have brittle diabetes tho and its really serious. What in the world could i have done and should i go to my doctor? | Hi, You are having signs of infection most probably cellulitis. In diabetic patients due to peripheral neuropathy sensations are decreased and minor injury might go unnoticed. They are more prone to infection. Visit to physician is highly recommended. Antibiotics and control of diabetes is usual treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jayesh Vaza, Orthopaedic Surgeon | |
What causes heart strong heartbeats after taking Solpadol?
i have taken 2 solpadol and im on antibiotics for urine infection,i took the 2 solpadol 4hours ago with an antibiotic and im not having heart pulptations my heart beat is realy strong and fast and im having shortness of breath,should i go up the hospital? | Hello,Palpitations, feeling the heart beating strong, can happen with Solpadol use. Other drugs and medical conditions may cause palpitations as well. So, if you get the palpitations frequently or you develop any chest pain or shortness of breath with the palpitations it is best to see your doctor to have your heart and lungs checked and also review your medications.Meanwhile, try to avoid energy drinks and coffee as these may cause the heart to pound as well.I hope this answers your query and is helpful to you. Let me know I can assist you further.Regards,Dr. Antoneta Zotaj, General and Family Physician. |
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