patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
Suggest treatment for heart ailment
Resent bypass lima via lad and circ....aortic valve replacement....hemolytic anemia...returned to hosp a LESS THAN A WEEK after DC....stage 4 decub.ID PER SURGEON...ANOTHER MONTH IN LTAC..POST OF C/O BUTT PAIN..NO C/O OF CHEST INCISION...CHEST TUBE INCISION OR HARVEST SITE | Hello, After going through your medical query I understand your concern and I would like to tell you that you should personally consult a cardiologist on regular basis for further timely cardiac tests and modifications in treatment accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhanu Partap, Cardiologist | |
Can breast lumps be diminished by MX3 capsules?
during my breast ultrasound there were lumps seen in both of my breasts...it was benign cyst so i was told to have my check up every 6 months for proper monitoring. i just read about mx3 capsules and its literature do you think it could help diminish the lumps | Hi,Dear ,Good Evening.Thanks for you query to HCM.This is Dr.Savaskar from India helping you out of your health query. I studied your query in-depth and understood your health concerns.In My opinion the your breast lumps -are benign cyst and hence could be treated as follows-Treatment -a-Anti-oxidant medicinal capsules namely M x 3 capsules is a combination of natural ingredients with vit B /mangosteen fruit extracts and others -which have -benign or cancerous breast mass reversing properties and are available as the alaternative to surgical interventions for the breast cysts.b-AS your breasts have shown benign cysts-100 % removal of breast cystic mass by surgery is a full proof way to eliminate the lumps for SURE.c-I would suggest the Surgical treatment by a Surgeon,than a Natural MX 3 Capsules-whose results are not full proof in 100 % cases.d-M X 3 capsules you could use -if you have patience for long term drug treatment over surgical treatment.This could be taknen,provided you have planned-readiness for surgical removal -if after due trial with the capsule, breast cysts fail to reduce.-Hope this would help you to plan treatment with your ER Surgeon and other TEAM doctors.-Wellcome for further queries for this issue to HCM.Wishing a fast recovery for you.Have a Good day.RegardsDr.Savaskar M.N.M.S.Genl-CVTSSuper -Specialist in Non-Curable Chronic Diseases(NCCD)and Expert in therapy for-Cancer/Asthma/Psoriasis / Autoimmune disorders/Rejuvenation protocols for tissue and organ failures- etc. | |
Q. I am taking Inderal for social anxiety disorder. What is the recommended dose?
Hello doctor, I was affected by a social anxiety disorder. In the past two years, first, I used Inderal for one year and then Paroxetine 20 mg (SSRI) tablets. There was the best improvement in my confidence. Now from the last two weeks, I have not taken any happen. Do I want to use Inderal tablets again when I have to give the presentation or when I am in the classroom discussion? When I used the Inderal tablets, there were no harmful side effects; only a few happen like headaches, hand sweats and constipation. I searched on the internet and it says that it has very harmful side effects such as memory problems, sexual problems and many more. Is it so? Kindly help me. When I used this tablet I feel better and improved confidence. Please tell me the dosage of Inderal. Is it a safe medicine? | Hello. How long have you been having social anxiety problems? How severe and persistent are the anxiety symptoms? If anxiety is predominantly situational, like before giving public presentations, then you can try Inderal (Propranolol) occasionally as needed. Contra-indications like asthma, low BP (blood pressure), etc., need to be ruled out before trying Inderal. This will avoid any significant side effects. Other side effects like dizziness, cold extremities are usually mild and short. What dose of Inderal where you prescribed before? Usually, it can vary between 10 - 40 mg when needed (maximum two or three times a day only). If anxiety is pervasive across all situations, it will be better to consider going back on SSRI (selective serotonin reuptake inhibitors) like Paroxetine or other alternatives. Discuss it with your doctor. Also, try counseling and CBT (cognitive behavioral therapy) strategies to manage anxiety. It will be helpful. | |
What causes lump under the breast post ribs fracture?
Hello doctor, I had a car crash almost two years ago, and had broken ribs where the airbag hit me. I noticed only now that I have a lump on the side of a rib below my breast. The area of the lump seems to be consistent with that of the airbag hitting me. The lump feels like rolling under my fingers. Is it dangerous? What should I do. I live very far from doctors. Thank you for your help. | Hello,Thanks for using Healthcaremagic.I have gone through your query and I can understand your concerns.Probable diagnosis : HematomaDifferential diagnosis : Seroma/lipomaPlan of treatment : Conservative/Needle aspirationInvestigations : Basic blood investigations,FNAC (rarely)Outcome : ExcellentAll the symptoms you have mentioned suggest the possibility of a hematoma.It is nothing but a collection of blood under the site of injury.There is nothing to worry in it because it is a highly curable condition and chances of complications are very less.If there is any diagnostic confusion ,you have to do a procedure called FNAC(Fine Needle Aspiration cytology),in which a needle is introduced in to the swelling a portion of it taken out and studied under microscope to confirm the diagnosis.I suggest you to consult a general surgeon and get the proper evaluation and treatment done.He will either aspirate the fluid/blood in case of hematoma and if it is a lipoma treatment is by surgical excision.Hope this information helps.Regards.Dr.Shinas Hussain | |
What causes fatigue, bloating, achy bones and rashes with fever?
About a month again I had flu like symptoms (fever, chills, achy bones and muscles, and fatigue). Long story short doctor said its probably a virus so no help there. Flu like symptoms disappeared in about a week. Now I feel fatigued, bloated all the time, have a rash on my front and back torso area, achy bones and teeth and poor digestion. These symptoms started before the flu symptoms went away. What could it be? | Hi thanks for contacting healthcare magic.......Noted you had fever with rash...Yes according to symptoms you have viral infection...Like that of viral pharyngitis or viral rhinitis.....It can lead to rash development.....Your treatment is symptomatic......If nasal blockage present oxymetazoline spray can be taken...Steam inhalation useful...If needed for rash and inflammation relief levo cetrizine can be taken...If needed calamine lotion can be applied over rash...Let me know you if rash increasing then consult doc as it could be chicken pox or measel like infection...Proper examination needed for it.....Take care | |
Lichen planus,hyperpigmentation on back and stomach,skin problem
Hi, this is , a female, 26 years of age. I had this skin problem called Lichen Planus around 1.5 years ago and since then I have this really dark hyperpigmentation left behind. Its spread across my back and tummy and unsightly. I have tried allopathic and homeopathic treatments for the same with no relief. I was prescribed Clonate initially for the lesions. For the marks I have been using teritoin, mometasone, hydroquinine. In homeopathy i was advised Ledum Pal. Even that didn t help. Its 1.5 years now with no relief. Pls suggest if there is any cure for these marks and also if isnt then would Laser help? Thanks. | hi welcome to hcm.see i give you plan 4 lichen plans first you stop allopathic medicine and follow homoeopathy as per instruction like Day 1 sul 30 5 pills or 5 drops 3times a day day 2-8 nat mur 30 5pills or 10 drops 3times a day day 9-15 allovera juice 30ml with hot water in morning at empty stomach and at bed time. day 16-22 sepia 30 5pills or 10 drops 3times aday day 23-29 ars alb 30 5pills or 5drops 3times 30day sul 30 5pills or 5drops 3times aday day 31-45 anti crud 5pills or 10drops 3times a day day 46-60 kali bich 30 5pills or 10 drops 3times aday day 61-75 sul iod 30 5pills or 10 drops 3times aday day 76-90 juglan cinerea 5pills or 10 drops 3times a day day 91-120 ars iod 5pills or 10drops 3times aday. after finish the programme you definetally get some benefit. associated with take echinesia Q 15 drops once in morning in half cup of water. thanks dr.dhara dhara.shah84@yahoo.in | |
Lightheadedness when drinking water. Reason?
i get lightheaded when i drink water and it doesn t happen with any other drink. It is only momentary while I m drinking/ swallowing and not breathing . As soon as I take a breath it goes away. I m just curious because I can drink any other liquid the same way and it doesn t have this effect. It s always happened to me. | Thanks for your query , Lightheadedness usually is not a cause for concern unless it is severe, does not go away, or occurs with other symptoms such as an irregular heartbeat or fainting. Lightheadedness can lead to falls and other injuries. Protect yourself from injury if you feel lightheaded: Lie down for a minute or two. This will allow more blood to flow to your brain. After lying down, sit up slowly and remain sitting for 1 to 2 minutes before slowly standing up. Rest. It is not unusual to develop lightheadedness during some viral illnesses, such as a cold or the flu. Resting will help prevent attacks of lightheadedness. Do not drive a motor vehicle, operate equipment, or climb on a ladder while you are dizzy. Do not use substances that can affect your circulation, including caffeine, tobacco, alcohol, and illegal drugs. Do not get dehydrated, which can cause or increase lightheadedness, when you have an illness that causes diarrhea, vomiting, or a fever. Drink more fluids, especially water. Other fluids are also helpful, such as fruit juice mixed to half-strength with water, rehydration drinks, weak tea with sugar, clear broth, and gelatin dessert. If you have another medical condition, such as kidney disease or heart disease, that limits the amount of fluids you are allowed to have, do not drink more than this amount without first talking to your doctor. If you have vertigo: Do not lie flat on your back. Prop yourself up slightly to relieve the spinning sensation. Move slowly to avoid the risk of falling. Regards , Dr.Sharmila | |
Having sore breast, pressure in stomach, soreness around waist. On Depo. History of gallbladder problem. Cause of symptoms?
I had protected sex several months ago in November. I got my Depo shot in December and had a pregnancy test done at that time. Recently I have been having weird symptoms( sore breast , pressure at the of my stomach, real sore around my waist and sometime it feel like something moving around in my stomach). But, I m due for my Depo shot. Also had a urine quality pregnancy test done at a hospital. I do have a history of gallbladder problems too. I don t know what causing these symptoms! | Hello ma'am.Based on the symptoms and history the two most likely causes for your presentation are either: 1. Symptoms directly related to the depo shot causing a change in hormone levels2. A hormonal imbalance due to other causesWhich is why you would have to get your hormone levels checked. You did mention taking a urine test, but have not mentioned the results, so I am assuming these were i conclusive. As you do not have anu symptoms associated with any infections, and assuming you arein your reproductive age group pre-menopause can also be ruled out.So please visit yur doctor for an elaborate evaluation and please do abstain from all forms of sexual contact in the meantime.Hope this helps.Take care. | |
What is causing the pain in my stomach?
I am severely anemic and have had 11 blood transfusions this year. I recently been having pain in the abdominal area that feels like bruising but there is no bruise. I hurts worse when I breath in. I also felt the invisible bruise under my right arm bicep. I have rapid heartbeats even if I just role over in bed. My ears ring and I'm short of breath constantly. What could cause the pain I'm my stomach area? | hi Thank you asking HCM With regards to your stomach pain it may be related with gallbladder problems ore stomach problem like ulcer or gastritis. please perform abdominal ultrasound and upper endoscopy. wishing you all the best Dr.Klerida | |
Suggest treatment for cirrhosis
my husband got out of the hospital a couple of weeks ago from ammonia in his brain. He has Cirrhosis not caused from alcohol my question is they cleared out all the ammonia but would there be oermanent damage to his brain caused by the ammonia because he also had a heart attack during this episode | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. He is in stage called "hepatic encephalopathy" and is considered as advanced stage disease. As of now he has to take Rifaximin, laxatives and lactulose enema to reduce the toxin load in the brain. Consult a gastroenterologist and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain | |
Bloated, tired, negative pregnancy test, irregular periods. Have taken the test too early?
I have been cramping for the last 3 days, i am bloated and feel tired all the time. I took a pregnancy test today (first response) and it was negative even though my period is not until the 15th of this month. Could i have taken the test too early? And should i expect more symptoms? I ovulated on the 1st and my husband and I were intimate. | Hi,It is too early to say about pregnancy.You have gone for test too early.If do not get period on time, go for test again after 7-8 days passed of your expected date of period.Ok and take care. | |
Intense pain on middle of belly, hurts on pressing and breathing, have gall stones. What could this be?
hello i have really bad pain on my upper left side in the middle of my belly it hurts when i try to push my belly out and hurt when i breathe it feel like a stabbing pain i do have gallstones but it affects the side and its a totally differnt pain as gallstones pain is unbareable please could you help me to no what this could be ? | Hi Dear Thanks for your question ,your having Gall stone and pain in the middle of abdomen,which hurts while pressing,dear pain due to gall stone is dull constant ache,refereed to shoulder,unless ,infection of gallbladder occur,the Gall bladder stone also cause dyspepsia and also a dread complication called as pancreatitis ,which cause pain in the middle of abdomen ,which can be acute which is very much serious condition,and chronic pancreatitis give constant dull pain along with altered blood parameters.you might be either having dyspepsia or ch pancreatits ,Go for ultrasound abdomen to rule out chronic pancreatits Hope i answered the answer | |
Can itching irritation in my testicles,penis and bumps symptoms for STDs or HIV?
I slept with 5 girls unprotected and had an orgasm in 2 of them, I was so paranoid I had something wrong with me that I went to the doctors. When I went he said I was STD negative, but Im so paranoid I got HIV because I got itching irritation in my testicles and penis & got bumps under my lips! WHAT’S WRONG WITH ME???I slept with 5 girls unprotected and had an orgasm in 2 of them, I was so paranoid I had something wrong with me that I went to the doctors. When I went he said I was STD negative, but Im so paranoid I got HIV because I got itching irritation in my testicles and penis & got bumps under my lips! WHAT’S WRONG WITH ME??? | Hello I share your concern, i will try to help you out in best possible way.Looking at your description this could be STI or infected ulcer may be due to trauma during rough sex or allergic reaction.I would like further informationto help you better Your age and relevant medical history like diabetes or other metabolic disease Any recent exposure to unprotected sex?You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test as well as pus culture of the discharge from the rashyou can rule out the possibility of HIV by an ELISA test after a window period of 3 to 6 months about which your doctor knows.Apart from.this blood sugar fasting and post prandial and Blood for CBC and liver function test are also advisable.Maintain good hygieneWash and clean it with antiseptic solution or soapYou can apply antiseptic or antibacterial ointment like mupirocin ointment externally on bumps.Use condom during sexHope this answers your question please feel free to ask for more clarificationThanks and regards | |
What causes upper thigh pain while standing?
For 4 days, I have had pain in my upper thigh near my groin, mostly when I walk or stand up after sitting. Late this afternoon after taking my usual 25-30 minute walk in the neighborhood, my left upper thigh near my hip started to hurt, and is throbbing now. I m thinking of calling my primary care dr. tomorrow. Otherwise, I am in excellent health and enjoy walking every day. | Hello, Most probably it is a musculoskeletal pain. We have to rule out other possibilities like neuropathic pain and pain due to poor blood supply.As a first management you can take analgesics like Acetaminophen or Diclofenac for pain relief.If symptoms persist, you can consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Need medication for stiffness & swelling on knees
both my knee s hurt.one feels stiff the one that is stiff appears to be swollen.i ve used hot water,ice,vicks,compression,and elevation how long does it take for watery knee s to go a way and when is am i soppost to feel relief.it happen two weeks ago,and i started resting this week thursday. | Hello, As you have a knee stiffness and swelling, we need to figure out if you have had any injury to the knee. What is your age? And what other conditions you facing with like - hypertension, OA, ligament injury, diabetes etc. As you haven't mentioned about all this I would like to say that taking an analgesic should help relieve the pain. For reducing swelling I understand what you did was right - compression, elevation, contrast bath etc. But for stiffness to come down you need to mobilize the knee. Stiffness can occur due to muscle tightness if there are any injuries within the joint - could be a ligament or bony. We need to assess this and work behind it. For now, on conservative management, you can start doing static hamstring and static quadriceps so this will elevate the pressure over the knee joint internal structures and thereby the neurophysiological system will release the stiffness of the knee. I will advise doing the above-mentioned exercise. Also, an x-ray will be good to see if any bony injuries are there and led to swelling and stiffness. If x-ray turns nil then an MRI will be good to understand the ligament injuries. Left untreated any ligament injuries will damage the bones of the joint and lead to early degenerative changes. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Suggest treatment for lower back pain and hip pain
I have numbness in my left foot (ball of my foot). I also have lower back pain and pain in my left hip. I have a slightly herniated L4L5. I ve done physical therapy and a lumbar and Si injection. Nothing has worked. The doctors seem to think my SI joint is the main problem. Could it cause the foot numbness? Or am I dealing with 2 problems now. | HiI read your query and understand your consernI am sorry for the symptoms you are suffering It seems your symptoms are provoked by the herniation so I don't think you are facing two different problems In my opinion you should schedule a lumbar MR which wil confirm the gravity of herniation Then you may discuss other treatment possibilities You can forward examinations to me and I will be glad to advice you Please feel free to ask further questions or discuss doubtsMeantime you should wear a lumbar fortress and continue pain killersHope I have been of helpThank you for trusting HCMBest regards | |
Sperm count. 25 milion/ml, puc cell 12 to 14, active motile 50 %, medicine?
hi. whats my report status .. semen analysis .. sperm count. 25 milion/ml .. puc cell 12 to 14 active motile 50 % whats medican you suggested me.. now whats we have to do ,,? | HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as Oligospermia meaning there by that your sperm count is low compared to WHO standards Presemnce of pus cells (12-14) is suggestive of infection either of seminal vesicle or prostate.Please take broad spectrum antibiotics like Augmentin or Doxycyclin twice daily for 4 weeks and repeat your semen analysis to see the status of infection,Get the prescription of medicines from your family Physician.Dr.Patil. | |
Suggest remedy for respiratory infection and bradycardia with history of successful surgery for acromegaly
I am 44 years old. 2 years ago i had transanal ablation of a pituitary adenoma that caused me acromegally. Surgery was successful and i have been living in assisted living. Recently i developed upper respiratory infection and marked bradycardia. Perhaps this is a consultation for a treatment that i should receive | Hi, In my opinion, you should definitely get done chest x-ray to rule out lung infection (pneumonia) because bradycardia is not seen in simple upper respiratory tract infection (URTI). Bradycardia is seen with lung infection. So get done chest x-ray. If chest x-ray is normal then no need to worry much. Do warm water gargles and steam inhalation 4-5 times a day. Drink plenty of fluids orally. Take levocetirizine and paracetamol combination. Avoid hard to chew food. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kaushal Bhavsar, Pulmonologist | |
Suggest treatment for high urea,creatinine and potassium
age 73, male, already treated for high urea, creatine and potassium in blood and was reduced to normal level. but, after week of peiod now he is having the problem of irritation during urination. Urine analysis reveled albumin trace and 15-20 pus cells. what could be the diagnosis and treatment. | HiThis is urinary tract infection showing a lot of pus cells. Take cranberry juice & tablet ciprofloxacin 500mg twice daily for 5 days. If having pain & fever, then a simple painkiller can be taken like tablet Paracetamol 500mg×SOS.Thank you | |
What causes pulsating chest pains?
Having pulsating chest pains about 30 to 45 seconds apart. Been happening for about 7 minutes. When the pain hits it feels like I have a burp about to come up but nothing happens. like constricting of my throat. Not to where I can t breath but it feels strange. | Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should first rule out heart diseases for your pulsating chest pain. So get done ecg, 2d echo and stress test (trade mill test). If all these are normal then no need to worry for heart diseases. You are also having burping feeling. So gastritis might be another possibility. So drink cold water. Take pantoprazole tablet on empty stomach. Avoid hot and spicy food. Avoid stress and tension, be relax and calm. Don't worry, you will be alright with all these. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Right lower side abdominal pain, small cyst in right ovary, nausea. Had hysterectomy 3 years back. Treatment?
Hi, I have right lower side abdominal pain which goes all the way to my lower back. Saw a GP 2 weeks ago and did a sonar which showed a small cyst my right ovary. I finished my antibiotics and the pain comes and goes. I'm nauseous in the mornings and late at night. Oh, I had hysterectomy 3yrs back. What could be the problem? | Hi Right sided lower abdominal pain can be due to Appendicitis,Right sided kidney stone,Right ovarian cyst etc. But, a 2cms cyst will not cause such pain. As kidney stones are ruled out on scan,it can be Appendicitis.Unless appendix is grossly enlarged,it cannot be seen in ultrasound scan. Sometimes,after surgery there will be adhesions and it may cause pain intermittently.If there is distension of abdomen,vomiting and constipation,surgery should be done. Get a CT scan abdomen for correct diagnosis.My first possibility is Appendicitis Wish you good health Regards | |
What could be the long lasting cold?
is it normal to have a cold for 2-3 weeks. i started with a cold, seem like it was going away and double back with body aches (1 day) now i'm full of mucus, i've been taking Alkasa plus and it helps me sleep but my mouth is very dry in the morning. i am intact with a 15 month old baby every week which has a cold. i never kept a cold this long. it seem like since i've been around this baby, im catching more colds. Could it be the baby keeping me sick? | 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-?Sinusitis with recurrent ? Flu infection.The cold has dragged long, may be due to the extension of infection to Sinuses this time.Your baby and you needs a check with your GP doctor and Ent/ Paediatric doctor.Chances of your baby getting re-infected from you are more,as you have a strong immune strength than your baby.X-ray Skull for Sinuses / and Chest X-ray- with CBC test would resolve your health issues.Other causes of repeated / long continued cold-TB/Allergic rhinitis,Deviated Nasal septum with sinusitis, needs to be kept in mind and ruled out.Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS | |
Q. Is it compulsory for my child to take Menactra vaccine?
Hello doctor,My son is 26 months old. The doctor has advised taking Menactra vaccine (Sanofi). Though this vaccine is not listed in IAP compulsory immunization schudule, is it necessary to take this? What are its side effects? | Hello. Menactra Vaccine (Meningococcal Vaccine (Group A, C, Y, and W-135)) is given to prevent meningococcal disease. It is not mentioned in IAP (Indian Academy of Pediatrics) compulsory immunization schedule. But in some places where meningococcus is prevalent, this vaccine is generally advised to be administered. This vaccine has some side effects like low fever, redness or pain at the site of vaccine injection and irritability. But these are very mild in nature and can occur with other vaccines also. In my opinion, it would be better if you give the vaccine to the child because meningococcal is a fatal disease and management is very difficult if the disease occurs in a child. For more information consult a child health specialist online --> | |
Is hepatitis b curable ?
docotors said it is in the starting stage.but have to take medicine for years | hi, Hipatitis B virous remain in your body without any symptoms. Only thing is you can infect other by blood, semen.So take precautions. Take healthy food, fruits. improve youe body immunity.Follow your the dr medications. | |
No periods yet, sore breast, headache, back pain, thick white discharge with odor, hpt negative. Pregnant?
I'm 10 days late. no sign of my menstral cycle coming. and I'm having symptoms of being pregnant. my boobs are sore but not too sore I'm getting headaches, my lower back hurts and I have thick white discharge. with no smell or odor. is there a possibility that I'm pregnant and still getting negative pregnancy test results? | Hello,First of all, you need to undergo one blood test for beta-HCG and TVS scan to rule out pregnancy at the earliest. Early pregnancy test may give negative result.In exclusion of pregnancy, other reasons are hormonal imbalance, thyroid disturbance, vaginal or pelvic infection, ovarian cyst, stress/ anxiety, over wt or loss, irregular diet habit etc.Please consult with gynecologist following test reports to proceed other relevant investigations to pin point the diagnosis. Take suggestive measures accordingly.Try to avoid stress/ anxiety, take healthy diet with iron supplements, drink plenty of water, maintain genital hygiene and take sound sleep. Good luck. | |
Suggest treatment for grade-III chondromalacia of cartilage over the lateral tibial plateau
A recent MRI shows Grade III chondromalacia of the cartilage over the lateral tibial plateau with high-grade thinning and mild irregulaity and a Grade II chondromalacia of the cartilage over the lateral femoral condyle with mild thinning. Are there corrective procedures available? | Hello,Chondromalacia is a condition with thinning and damage to cartilage.Usually it is associated with difficulty in walking and squatting. it is a self limiting procedure and usually patient responds well with physiotherapy and medicinal treatment. If there is no response with treatment then you can try for arthroscopy or key hole surgery. In this surgery damage cartilage is removed.it is called as chondroplasty. I hope this will completely heal your problem. I hope this answer will be useful for you. Let me know if there is any other followup questions.thanks | |
What treatment can i take in depression and tension ?
i am 30 years old male i m mentally dipresswd n tensd what to do, hv counsulted phycytrist but no solution, cant sleep well, cant tell others please guide, always doubting,negative, shouting, confused, forgetting on time, always thoughts going on but does not feel it, no connection between mind and tounge, need more and more, always guilt there if do something and dont do, always taking wrong decision | Hi, Welcome to HealthcareMagic Forum. May be you are Schizophrenic, Kindly get yourself examined by a Psychiatrist thoroughly as you will need medications and Psychiatric Counseling. You may want to know more about this condition as it will help you stick to your treatment plan and will help you understand your condition better. Create Goals and stay focussed on them. Practice Yoga and Meditation. Make sleep a Priority, sleep for 8 hours daily and avoid stress. Exercise regularly, this will improve your physical appearance and go for regular follow up. Eat healthy nutritious balanced diet, quit alcohol and smoking if you do. Good Luck and Take Care. | |
What causes reddish lump on labia majora?
I have a (just one) small, red, hard bump on my labia majora. I am not sexually active and never have been (I'm a virgin). I don't shave down there, only trim so I don't think the culprit is an ingrown hair. But I don't know what exactly it is. Do you have any idea? | THIS LUMP MAY BE BARTHOLIN'S CYST AND CAN GET INFECTED TO ABSCESS SO URGENTLY SHOW TO SURGEON/GYNECOLOGIST AND GET OPERATED AS PER CONVENIENCE.MY CELL NO IS ON WEBSITE | |
Q. My tooth is sensitive even after using an anti-sensitivity toothpaste. Please help.
Hello doctor, I am experiencing a sensitivity in my tooth, whenever I drink something cold. I have sensitivity on the front tooth, both on the upper and lower jaws. I also notice a crack down the front teeth on the lower jaws. I started using a sensitivity relief toothpaste. Initially, it worked quite well. But, after three weeks, I felt a pain in the same area again. Can you please guide me how to deal with this problem? Also, my front tooth is transparent. | Hello. Hope this helps. For further queries contact a dentist online --> | |
How to treat the pain in the lower stomach, along with gastric problems?
Internal pain in lower stomach, often have to pass gas. Also, pain in testicles, especially when running or moving quickly. I think I may have just strained something down there from squatting and doing heavy lifting last week, but the pain has been going no for about three days now. | Hi ! Good morning. i am Dr shareef answering your query.Discomfort in the testis could be due to ignored repeated trivial trauma, which causes inflammation causing pain/discomfort in the same. Testis being an intra-abdominal organ embryo-logically, brings the nerve supply to it from above, and so the pain in the testis is frequently radiated/felt as a discomfort in the abdomen/pelvis area. If I were your doctor, after a thorough physical examination I would advise you for the following:1) Support your testes with properly fitting under garments.2) Avoid standing for prolonged period, and avoid lifting heavy weight if you do.3) Advise you for a routine blood tests like a CBC, AEC, HbsAG, HIV test and a urine routine/microscopic examination followed by a culture and sensitivity report if need be.4) Avoid indulgence in any sexual activity if you are active sexually which would prevent further trivial trauma if any to the testes, apart from precipitating any kind of infection if present.5) Prescribe a broad spectrum antibiotic along with an anti inflammatory drug, and a proton pump inhibitor. The antibiotic could change after the report of the culture sensitivity test of urine.If your symptoms and discomfort do not subside with the above measures, then I would not hesitate to advise you for a Doppler ultrasound of your testes and an ultrasound of the abdomen if need be. Further management would depend on a physical examination and related investigations of the situation.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | |
Suggest treatment for tingling and burning sensation in the feet
I have grade 4 spondylolithesis L4 L 5. And now have an annular tear which was done at work I have had mri which says nerves are ok but the dull ache continues and I also at times have tingling in feet while sitting at times have burning on inside of feet my back tires very easy not sure what I should currently seeing a physio doing core excercises | hi sir/madam,As per ayurveda Burning sensation of the body is a characteristic feature in many diseases like Alcoholic intoxication, Diabetes mellitus, Cachexia etc. This is termed as ‘Daha’- in Ayurveda, mainly influenced by increase of Pitta Dosha.Causes of burning sensation in body:-1. Excess intake of alcohol.2. Dry and spicy food.3. Suppression of thirst and hunger.4. Severe emaciating disorders.5. Long lasting illnesses.6. Injury.7. Long term medicinal intake.8. Poisoning.9. Stress.Other causes:-1. Diabetes.2. Peripheral artery disease.3. Neuropathy.4. Sun burn.5. Chemical burn.6. Heat burn.7.Sciatica.8. Cold.9. Cerebrovascular accident.10. Back injury etc.I will prescribe some good ayurvedic medicine which will give you good results:-1. Kamadugha rasa:-1-0-1 after food.2. Usheerasava:- 1 spoon mixed with one glass of water.3. Sarivadyasava:- 15 to 30 ml with equal quantity of water.4. Shatavaryadi choorna:- 1 spoon mixed with honey.What all to avoid:-1. Alcohol2. Asa foetida.3. Garlic4. Pungent substances.5. Salts.6. Anger.7. Heavy exercise.8. Incompatible food stuff.9. Exertion in sunshine.What all you should take:-1. Raisins.2. Amla.3. Cow’s milk.4. Green gram.5. Banana.6. Bitter substance.7. Herbs of cold potency.8. Cold water bath.9. Intake of cold substance.I hope it was helpful.Have a healthy day. | |
Q. What treatment can I get for the painless bumps present on my penis?
Hello doctor, I have some painless red bumps (few are very small, and one may be less than 1 mm) on my penis. I have already consulted a dermatologist. He said this is molluscum and homeopathy medicines will be helpful. But there are no recovery signs for a month taking homeopathy medicines. I am afraid as they are spreading on the groin area and I am also in stress and not enjoying my sexual life. What can I do? Also, can a proper diet help in recovering as said by the dermatologist? | Hello I understand your concern. 1. Yes, this is molluscum contagiosum. On genitals it spreads via sexual contact, so it is an STD (sexually transmitted disease). 2. Try to avoid sexual contact till they get treated. 3. There is no role of diet as such in this condition, just maintain a normal healthy diet. 4. It can be removed by simple needle extirpation, which is not very painful and do not worry it will not leave any mark. And I do not think homeopathy will be of much help in this but can be easily treated with simple needle extirpation in single session. | |
Is this semen analysis result normal?
Hi Doctor, I have done my semen analysis report, the report is as follows kindly advice me if it is normal i have any problem Macroscopic Examination Volume: 1.5ml viscocity normal, colour grey, PH 7.6, liqufaction time: 30min, microscopic examination:Total Count: 100m/ml Motility: RLP: 60% SLP: 20% Non-Progressive: 25% Immotile: 40% Morphology: Normal: 60% Abnormal: 40% Head Defects: 17% Mid Piece Defects: 13% Tail Defects: nil Pin Head: Nil Round Head: 10% Impression: Mohmozoospermia * i am not able to understand what this mean to Contamination WBC 15-16LPF Epithelial Cells: 10-12 LPF Pus Cells: 7-8LPF Agglutination NIL Kindly advice wheather i am normal Awaiting for ur valued reply Velankannan | Der Velankannan,Thank you for asking your query on Heath Care Magic platform. I have gone through your report.Your semen quantity is rather low. Though count per ml looks normal, due to low amount, the total sperm count is also low; moreover the abnormal morphology count is considerably high. Presence of WBCs - white blood cells, pus cells and epithelial cells in the semen suggest presence of some infection. However, many times, immature sperms are misread as pus cells in the semen.This infection could be the cause of seminal low quality and quantity. You may have to take antibiotics for this infection. If you are having following type of your life style, you may have to change as any of them affect the quality of semen:1. Working in very hot atmosphere like near a furnace or so2. Prolong standing3. Any exposure to chemicals that may affect your sperm productionWas there any injury to your testicles?Please get checked from the urologist whether you have varicose veins in the scrotum (vericocele). If so, it needs prompt treatment. Any way, this report does demand a urologist's/male infertilitologist's advice. | |
What causes pain in the upper back, neck and shoulders?
Hi i am 33y female. Have syrinx at t7 for about 7 years(that when it was found). Two bottom disks bulging. Have very bad pain in upper back,neck,shoulders. All back feels burning. No urge to urinate at all. Go just because i think i wasnt there for a while. Usually go in morning once a day and before i go to bed. Tramadol and amitriptyline dont help for pain. | Hello, Consult an orthopedician and get evaluated. We have to rule out possibilities like arthritis and fibromyalgia. 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 treatment for high fever in a child?
5 year old daughter has had recurring (high) fevers and stomach ache for the last few months. It will lasts about 3-4 days then go away for a while (every 2 weeks to a month) then return. My pediatrician thinks it s just a virus but it seems odd. None of my other children ever get these symptoms. Just concerned... | HI...I feel it could be are recurrent viral illness going on in your kid. To put your mind at ease, I will tell you certain facts about viral infection. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Regards - Dr. Sumanth | |
Platelet count abnormal. Had blood test. Taking B12 supplement. Express concern?
I had been taking B12 supplement for last 2 years, after my blood test I discover that my B12 is greater than 2000 pg per ml. My Blood reports also says that- my platelet distribution width is 17.8% ( apart from this my all platelet report is within limit range) Kindly pl. let me know is this report is a matter of concern for me. I am 61 year old women . Thank. | Hello and welcome to HCM,A wide platelet distribution width suggests that there is variation in sizes of the platelets.In health the platelet size lies between 1-3 microns.In some conditions, there is marked variation in sizes of the platelets, ie some are smaller than 1 microns and some are above 3 microns.This is commonly seen in conditions wherein there is rapid turn over of the platelets.Since, all other platelet parameters are within normal limits, it is not of any serious consequence.Thanks and take careDr Shailja P Wahal | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Suggest medication for azoospermia
My name is Vraj Shah, from ahmedabad,my semen analysis report is as under Quantity: 2.5 ml Fructose: Positive Viscosity : Fair Sperm : Nil (Azoospermia) Sonography of Testis shows normal testis and no any obstructions., no any other problems.. Everything is normal other than sperm count, I think there is no problem of genetic because such incident is occured with me first time, my height, weigth, hair everything are also normal.No any chikenpox in my childhood. Please advice me regarding your treatment in detail. 1. Could it be curable ?many doctors said it is curable by me, but no any positive results. 2. How much quantity of medicine, how different type of medicies given by you ?, because it is easy to hanle or not. 3. What is the cost and time for result. Please reply urgently, Sir. Thanks Vraj Shah Ahmedabad. | HelloThis could be due to number of reasons like chronic infections of sex organs or it could be due to hormones imbalance. I need you to get tested again for your hormones assays and infection screening as well.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician | |
Recurring spots in mouth. Treatment?
hi,doctor: in my mouth,there are some sore spots repeatedly occurred for more than three months .I used many ways to treat but use at all,such as washing liquid and clindmacin capulses,bee honey , strong tea water washing,etc. many dentists said it needs to pull out my teeth to prevent from kanker ulcers/ stomatitis .but acctually all my teeth are good enough and perfect without any symptons yet my 63 years old.could you give some concrete better guides to me.thanks a lot. | hi Thanks for The QuestionAs you mentioned you are 63 years old and all your teeth are fine...... but still you are having ulcers frequently in oral cavity and your dentist suggested you to go for extraction which you dont want.....At this age usually teeth gets attrited and develops sharp edges which are the common reason for ulcers so instead of extraction just tell your dentist to reduce those sharp edges or reshape your teeth..it will helpThank you | |
Could pain in hip after bout of flu be hip infection?
I had a bout of the flu three months ago and about two weeks later experienced severe hip pain in my right hip and groin area. I have had an ultra-sound and an x-ray which revealed nothing and was recommended by Sportsmed to take Fenac until I recovered. After nearly $1000 on medical opinions, this is three months later, the pain has slightly subsided but elevates when I walk, which is often 45 mins per day. I have not walked regularly for 6 weeks. On the weekend I again caught the flu, started taking Herron tablets and woke up two days ago with absolutely no hip pain? May I add that prior to experiencing the flu three months ago I had 4 deep tissue massages, then got the flu and my health went down hill. Do you think I had a hip infection after the flu? | Hi, By your description, this does not look like infection. As such hip infection after flu is very uncommon. This can be something else, but looks like a hip pathology only. I would suggest you to undergo MRI of hip if you keep experiencing such pains, also get a DEXA scan done to rule out transient osteoporosis of hip. Infection will be ruled out after basic blood tests, CBC, ESR, CRP. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rajesh Hingwe, Orthopedic Surgeon | |
I have chest acne. Is it necessary to go for surgery ?
Hi doctors! I have chest acne and I had consulted different dermatologists before but none of the products they gave was effective. I m a female and I m 23 years old and I have this for 5 years now. There are many acne bumps on my chest and also in between my breasts. it s very depressing. One of my doctor told me that some of the bumps are scars already and can be removed with laser procedures only. I m afraid of trying surgical procedures. Is there any creams or effective treatments that you know? | Welcome to Healthcare Magic There are no effective creams which can remove scar as there will be more side effects that good benefit. Better to get laser which is relatively less uncomfortable and has excellent results and good skin. It is the latest procedure and is accepted by many people commonly for removal of pigmentation, scars with satisfying results. | |
Suggest remedies for US report showing negative result on Liver
SIR I AM IN A GREAT PROMBLEM MY NANNY IS SICK FROM NEARLY 3 MONTHS . SHE EVEN DOESN'T LIKE TO EAT ANY THING. AND FOR THAT HER HAEMOGLOBIN% BLOOD HAS LOWERED. IN ULTRASONOGRAPHY OF UPPER ABDOMEN THERE IS A NEGATIVE RESULT ON LIVER SO I WANT TO KNOW THAT HOW CAN I GET OUT OF THIS PROBLEM | Hello and thanks you for your query. I am Dr. Rommstein and I will try to help you as much as I can with my answer.You should consider some .other causes of her symptoms,in first case,stomach and bowel so she should do endoscopy or ct scan to verify these organs. liver is just one possible cause.I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health. | |
Suggest treatment for getting pregnant
hi,i have pcod problem , my periods are irregular. it takes 2-3 months. my height is 5ft. my weight is 48kg. I am taking bigomet. but periods are not regular. I had also take siphene for one month. I want to concieve but unable .plz. suggest me what should i do... | HIWell come to HCMYou have not mentioned your age, this was very important, for the conception important is ovulation and production of ovum, if this is there then conception would be possible, (Presence of sperm also needed ) if this is absent then conception would not be possible, medicine has got limited role, take care, have a nice day. | |
Does excessive gas cause elevated BP?
My BP is high and my chest feels heavy. I believe it's gas because of the small bowl of navy beans i consumed. I took antacids but to no relief. Does BP always rise when filled with gas? It's steadily going up: First it was 137/85...then 142/90 and now its 154/104. | welcome to hcm gas does not give rise to raised bp but raised bp may cause gas as per allopathy we donot believe that gas increases bp though ayurved says sonow some foods or stress can raise bp but level will be upto 10 mmHg maximumplease take care of your bpit should not be above 140/90 if so you have to take drug as losartan or telmisartan ..avoid amlodipine as it will cause more gastric discomfortgo for morning or evening walk and avoid fried salty foods plus smoking alcohal ..these will help your bp and gas for gas rale tab pentprazole 40 mg two times for 5 days then one for 10 days on empty stomachbut be cautious about BPif you have any further query then you come back to hcm i will definitely help you with regards dr varinder joshi | |
Suggest remedy for lower abdominal pain with sores
I am having sharp pens in the lower left abdomen (In front) when rising from a seated position.Some days it is also sore on the posterior side, though not today It is otherwise sore. I was in my car five weeks ago when it was rear-ended (low-speed) – went to emergency room at the time. The pain started a week ago. | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in depth .* There are different possibilities for such condition ranging to calculus in the ureter , intestinal spasm or else .* Needs thorough evaluation clinically as well as ultrasound reporting of abdomen and pelvis to fix the diagnosis and manage accordingly .* Till then primary relief can be obtained with dicyclomine or drotaverine type of antispasmodic molecule .Hope this will help you for sure .Regards . | |
How can severe anxiety and hypochondria be treated?
Hello doctor, I am writing to you from New York and wanted to know if you are available via facetime or call if I would like to set up sessions with you from here. I have a major anxiety issue which could possibly be depression and the fear is dying and constant fear of health issues. This is impacting my daily life as I have unbearable chronic pain in the stomach, back and though most of my medical reports are ok however I am still getting more tests done. My fear of my health constantly is making me lose my interest in anything and that is all I think about all day. I have a wonderful husband a great job and a great kid and a good life here yet i am always thinking and anxious and only talk about my health and I need help. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You need to start on anti anxiety drugs like Clonazepam along with reassurance and cognitive behavior therapy. Hope I have answered your query. Let me know if I can assist you further. | |
Could infection be contracted by contact with blood?
While running in the park this morning I saw a woman take a hard fall off of a bike and I stopped and joined two others to attend to her, get her to the side of the road, await medical assistance, etc. When I left I noticed a drop of her blood on my hand, she was bleeding pretty good from her chin where she hit the pavement. I washed it off immediately with the water I had with me, although I was a couple of miles from home so it was about another 45 minutes before I got in the shower for a full scrub. Anything to be concerned about, do, keep an eye on? Thanks. | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern...As per your complain it is true that infections can be transmitted from one person to another through blood.But this is possible in the case if the infected blood of a person suffering from some infection comes in contact with your blood directly and it is possible if you have any laceration or broken skin in the area where the contact with infected blood is made..If you have an intact skin then the chances of transmission of infection are very rare..So if you had intact skin and your blood did not come in contact with her blood then chances of infections are very less..Nothing to worry get a complete blood picture done for confirmation..Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora. | |
Can I take domperidone tablets to help deal with chest and abdominal pain?
dear sir,i am babu from chennai for the past 2 months i am getting pain below left chest i.e upper abdomen, doctor prescribed to take rexpro 40 and domperidone tablets, they said i am suffering from ulcer and advised me to take endoscopy. are my tablets are wright? | Hello. Possibilty of gastric disease or reflux disease is there based on your symptoms of past 2 months. Rexpro 40 is given to suppress acid and domperidone to prevent reflux of acid into food pipe. Medicines are right. A trial of acid suppressing medicines is usually given for this condition. Get endoscopy done if symptoms persist | |
Suggest effective remedies for hair loss
i live in the middle east so i do have a hairfall problem and a dandruff problem. i have fine curly hair and an oily scalp. i hv jus started using cipla x gain shampoo and i also use virgin coconut oil.is this enough or should i use sum other product?? | Hi,You said you have hair fall. I think probably you may be having telogen effluvium. You suffer from dandruff also.And that may also contribute in hair fall. Kindly consult dermatologist to have firm diagnosis.Investigations may be done to find out some cause..like thyroid dysfunction,anaemia,vitamin deficiencies or internal diseases.I would suggest as below...- biotin tab 10 twice a day for few months- iron preparation and folic acid if anaemia is found- treatment of disease ...if found- continue Cipla X gain shampoo to improve the state of scalp- use almond oil to oil the hairs- have patienceI hope you got my answer...Thanks.Dr. Ilyas Patel MD | |
When there is bleeding after having emergency pill to avoid pregnancy what does this signify?
hi doc, i have a question regarding an emergency pill to avoid pregnancy. can you help ?I had unprotected sex with my gf on friday, a day after her periods ended. She had an emergency pill within 14 hours. One week after her periods as in today(thursday) she is bleeding (mildly). What does this signify ? Is she pregnant and ahs the pill worked ?? | hithanks for using healthcare magicshe is not pregnant. Chances of getting pregnant is more between 8 to 22nd day of menses. U had unprotected sex with her a day after her period. In that case chances r very rare. Sometime bleeding occur after taking emergency pills which show it has done its function. Now nothing to worry. enjoyThanks | |
What causes swelling on knee and leg after an injury?
I slipped on the stairs and fell on my right leg and knee. I did not hear anything pop but the inside of my knee is sore. My knee and leg is very slight swollen. My foot also may swell very slightly. I am walking but with a limp. I feel the effects of the trauma when I get into the car or sit for long periods of time. I am not in a lot of pain but it is uncomfortable. It has been four days and when I wake my leg is kinda stiff. I have been wrapping my leg but the sypmtoms are still there. Does this sound like something major? | Hello, The symptoms seem to be related to sprained muscle duethe injury. I suggest applying heat or ice to the sore area can help reduce inflammation, relieve pain, and improve movement. Over-the-counter anti-inflammatories or pain relievers such as Ibuprofen 400 mg three times a day might help if needed. I suggest to rest and avoid activities that can trigger the symptoms.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
CT shows complete opacification of posterior ethmoid air cells. Should I be concerned ?
Recently hospitalized for asthma and found all sinuses infected. A 30 day follow up CT scan states there is complete opacification of the posterior ethmoid air cells. Pansinusitis, chronic but improved as compared to prior Ct. What concerns should I have about the posterior ethmoid opacification? What does it mean? | Hi...it means that those cells still have collected secretions in them which are not getting able to drain and may get infected if not properly treated...so kindly continue with your treatment..Dr. Ashish Verma | |
What could a sense of lack of energy and concentration?
Hi there,I was wondering about the following:I am a 20 yr old female student, for the past 3 or so months I've noticed the lack of energy I've been having despite having 7-8hrs of sleep a day, eating decently, getting some exercise here and there, with minimum to moderate amounts of stress. I find that concentration is difficult, mostly at school, I've been feeling depressed and moody also. Would you happen to know why things are this way? | Hello,Thanks for consult,Brief answer,DepressionExplanation,1. Symptoms which you are mentioned like difficulty in concentration, depression and moody suggest that you are suffering from pyschological disorder called Depression- a mood disorder2. To prevent depression behavioral therapy or medications belongs to the class of antidepressants are used which include a) Selective Serotonin Reuptake Inhibitors-SSRI b) Serotonin-norepinephrine reuptake inhibitors- SNRI c) Tricyclic antidepressants- TA d) Monoamine oxidase -MAO are usedHope this information helps | |
Suggest treatment for dizziness when diagnosed with low blood sugar levels
hello doctor, I have had seizures in the past and I have been told by doctor years ago that they were caused by low blood sugar. I am a mental health care specialist and last week I was taking a client for a walk, I began to get dizzy and see points of light. Vey fast I felt faint and couldnt hear or see. I tried to text my boss for help, but i was so confused that my text didn t make any sence. Then the worst part I could not remember where I was, so I pulled out my emergency glucose drink and was able to drink it this helped the dizziness and confusion enough so that I could walk myself and client back to the clinic. My boss had to drive me home that day 80 miles round trip and needless to say I had to call in on saterday. I went to the Er on sunday my glucose and blood count was tested and normal they also did a CBT blood test they sent me home saying that they think I have blood sugar spikes and valleys. I knew this so I did a ER bill to be told the exact thing that I told them that I suspected. They treated me like I was crazy and there was nothing wrong with me. I am a professional I know what a panic attack is and I also know what a seizure feels like these symptoms are terrifying and dangerous what if I have a spell while I am driving or alone. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There can be a number of causes. Treatment depends upon underlying cause. Glucose supplementation is the treatment needed if it is due to hypoglycemia. Please upload medical notes and investigation reports if available. Thanks. Best regards. | |
Hospitalized with Dengue Fever, still tired with headaches, trouble sleeping, elevated liver enzymes. Should be worried ?
I just returned from Dominican Republic with Dengue Fever . It has been aprox. 9 days since I have returned. I was hospitalized there for 3 days and then another 3 days in the states. I am feeling better, still tired at timeswith headaches at times, but trouble sleeping. I have hot flashes and severe sweating it feels like very hour 24hrs a day. My liver enzymes are still elevated, but platelets are better and so are WBC & DDimer. Should I be worried about the elevated Liver enzymes?? How long will they remain elevated. My doctor is doing a Hepatitis C test. Please advise. | Hi, Thanks for writing to us. No, You should not worried about elevated liver enzyme because the enzyme level become normal after 2 months, your platelet count is normal. If your liver enzymes not came down after 2 months you should consult a physician. Good luck. Regards Dr. Richa | |
Suggest treatment for asthma
Feels like I was having an asthma attack or bronchitis at first or something. Chest hurt, got tight, it felt like my stomach of airway was hurting as well. The pain in my left side chest (nearer to the armpit than to the ceenter) was and is hurting but not as bad now. My belly looked like it gained about 10 pounds then and there from bloatedness. It hurt most when I sat forward, standing wasn't too bad. I farted and burped a lot and it seemed to temporarily aid the pain, but once the gas ran out it's like my chest start filling like a balloon. My instinct was to puke and so I did. The pain is still lingering and it still hurts to hunched over and my left side feels all weird. What's going on? | HI, thanks for using healthcare magicBloating can be associated with significant pain in some persons.It may be due to : GERD, lactose intolerance, food intolerance, use of foods associated with increased gas production (beans, turnips, broccoli, cabbage etc).The use of medication such as pepcid, nexium, prevacid or prilosec would help to relieve the pain.You may want to monitor which foods cause the problem.I hope this helps | |
What do the following test reports of a neonate indicate?
hi we have 36 weeks neoborn deleverd by SVD with dusky color and poor perepheral perfusion blood gas normal x ray chest unremarkable we connect to mecanical vent . ECHO .done show right to lt. shunt after 2 h. develop hypotension and acidosis oxygen sat. fluctuating 80 -85 / inspite nitric oxide 30 ppm and correction of acidosis and hypotension. what we can do ? dr ahmed ,,,neonatologest. | Hello and welcome to HCM,The clinical features of poor peripheral perfusion, hypotension and acidosis suggests that the shunt in heart is preventing the blood to be pumped from heart to peripheral tissues.The structural abnormality in heart is probably causing obstruction to flow of blood in aorta, the major blood vessel which supplies blood to periphery.There is probably mixing of arterial and venous blood in heart thus oxygen saturation is also very low.The oxygen saturation needs to be maintained with external oxygen.This will correct the acidosis also.The definitive treatment is surgical correction of the shunt. I suggest you to consult a pediatric surgeon for surgical correction of the defect.Thanks and take careDr Shailja Puri | |
Reason for child having raised gland in the neck after chickenpox?
Hi my 17 month old daughter has had to have bloods done as she was poorly with chickenpox and her glands at the back of her neck her under jaw and groin were raised and they were like this for nearly 3months her esr blood test results has come back as 18 I cant speak to a doctor till tomorrow as no appointment and I am worried out of my mind she has cancer | Hi,It seems that due to chicken pox, formation of blisters might be there and might give rise secondary bacterial infection producing enlarged palpable lymph nodes in various regions.She might require one course of antibiotic medicine course.consult pediatrician and get examined.Nothing to worry about cancer.Ok and take care. | |
MRI showing disc protrusion in the foraminal zone and annular tear. Disc bulge with dorsal ligamentous narrowing. What does it mean?
I have an mri that staes at c5-6, a disc protrusion in the left foraminal zone measureing 0.4 cm AP by 1.1 cm TR is present and demonstrates an annular tear. this disc protrusion appears to contact the exiting left c6 nerve and results in mild to moderate left neural foraminal narrowing. there is no significant right neural foraminal narrowing. at c6-7 the disc protrusion within the right foraminal zone measuring 0.4 cm AP by 0.8 cm TR results in server right neural foraminal narrowing and possibly impinges upon teh exiting right c7 nerve. the superimposed disc bulge along with dorsal ligamentous hypertrophy results in mild to moderate canal narrowing, decreasing the AP diameter of the spinal canal to 7 mm. the disc bulge also results in moderate to server left neural foraminal narrowing. What does this mean? what treatments or surgery will have to be done to correct this? me | Hi, Thank you for posting your query. Your MRI of cervical spine shows features of degeneration of discs (soft tissue located between the vertebral bodies), which has bulged at two levels. This has resulted in compression of the cervical nerves, which take care of sensations and strength of arm muscles. Common symptoms are pain in the arms, weakness or numbness of arms. Usual treatment is with medications such as pregabalin and physiotherapy. Surgery is required in about 10% of cases, to relieve the pressure from the compressed nerve. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist | |
What causes raised,dry and rough spots on hips in a child?
hey .... my 6 year old little brother was in the bath and i came to wash him a he has these raised , dry , rough spots on is skin hips up he said they didn t itch they don t look like chicken pocks we did the cup test no results im a bit worried please help xxx | Hi...by what you say I feel that they could be warts which spread by contact. I suggest you consult his dermatologist. But...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.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.Regards - Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
Q. Can one be color blind if one has 20/20 vision?
Hello doctor,Can one be color blind if one has 20/20 vision? | Hello. Well, for your knowledge color blindness and color deficiency are two different things. You gain color vision due to cone cells in your retina. True color blinds see only black and white. They have no cones or have only blue cones. This is rare and they do not have 20/20 vision they nearly have 20/200. Most others are color deficient people; however, it is erroneously used as a color blind. They have either two types of cones including the blue and all three types of cones. They see the world colored but they have issues with color discrimination. They can have 20/20 vision. For more information consult an eye care ophthalmologist online --> | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
What is the treatment for irregular heart beat?
Dear Sir, I'm a 33 year old male. Since last 2 days, I'm feeling some kind of spike in my heartbeat, once in 15 to 30 mins (sometimes in an hour gap) the beat goes very high, like as it will be when i run for 100 mts. Only one beat happens like that after it becomes normal. I have consulted with the general physician, he said it could be because of the gastric or acidity. Please advise me | Hello dear, thanks for posting your query here.You might be having what is called as paroxysmal tachycardia.Most likely you seem to have paroxysmal supra ventricular tachycardia.Please try to get your ECG done during tachycardia but if that is not possible due to the short lasting nature of your tachycardia, consult your doctor for a 24 hour Holter study as you are having very frequent episodes.After identifying the exact cause for your symptoms, the best treatment can be offered to you.I hope this would help you.Thanks and all the best | |
Q. What is the cause for seperation of nail from nail bed?
Hi doctor, I am 50 years old female, went through menopause but otherwise I am healthy. There is a problem with my nails. Out of 10 nails, six nails have one-third of the nails separated from the nail beds, with a v shape, looking white underneath, rest of the nails are looking pinkish pale. The nails are painless unless I press them hard. All the nails have some ridges. I kept my nails short with no polish for over five weeks. My fingers felt dry with mild skin peeling after a travel. Currently, I have a mild skin eczema. I also had seborrheic dermatitis in my scalp a few years ago. But it is under control with special shampoo treatment. I had one fingernail with a similar problem but it was in a milder condition. I thought it was nail fungal. I used Mometasone furoate 0.1 % cream for my skin eczema. It cleared up when my nails grew. I have an allergy to pollen. | Hi. I have gone through your attachment (attachment removed to protect patient identity). You seem to have a condition known as onycholysis, which is characterized by the separation of the nail from its nail bed. Causes could be either a fungal infection (onychomycosis) or underlying skin eczemas like psoriasis. For more information consult a dermatologist online --> | |
How to ease pain after scope surgery due to bloated intestine ?
how to ease pain after scope surgery due to bloated intestine? a friend of mine has been diagnosed with bloated intestine and has undergone a scope surgery. since then the pain has gradually decreased but he has not able to consume any solid food cos he doesnt wish to aggravate the internal injury. he isnt taking any antibiotic/painkiller as it is too costly for him to afford it. presently the pain has become more excruciating and he is losing sleep due to the constant pain. he is also anaemic but due to the pain, unable to take its daily dose of pill. is there any alternative ways that can help ease the pain besides the strong antibiotics/painkillers? since he isnt able to eat solid food, is there any soft food that he can take in order not to jeopardise his anaemic condition? | Hi, Thanks for query, Do not go for self medication.if pain he seems is unusual then consult surgeon who has operated upon. He will decide whether any complication is there or antibiotic is required or not. If antibiotic is required he has to take it,otherwise he has still to suffer big financial loss. Ok and bye. | |
Is it possible that Hydronephrosis in one kidney affect the other?
I was having pain in right side of my abdomen for more than one months. One month ago I have been diagonsed with Hydronephrosis in right kidney by whole abdomen ultrasound and citi scan, other organs are found normal, from last 15 days I am feeling same kind of pain in my left side of abdomen. Is it possible that hydronephrosis in one kidney can affect the other kidney too? I am little worried because just 15 days ago I had all the scans and everything was fine in others parts of my body. | Hi,Can you provide details of your scan and ultrasound reports.Usually hydronephrosis is due to obstruction to flow of urine.Depending upon site of obstruction hydronephrosis may be unilateral or bilateral.When obstruction is at ureterovesical junction or above (proximal) it causes hydronephrosis on same side.When obstruction is at level of urinary bladder or urethra there may be bilateral hydronephrosis.Some time renal stone may present on both sides in that case there ma ybe bilateral hydronephrosis.Hope this may be helpful to you, if so do vote. | |
How can infection around a pilonidal cyst removal site be treated?
I had Pilonidal cyst removal surgery almost two years ago and in the past couple days my scar has had very light bleeding but it’s discharging the very foul smelling stuff it did after I had the surger, should I visit my doctor could it be reoccurrence or just be inflammation | Hello,Based on the history, you seem to have developed recurrent pilonidal sinus that is associated with foul smelling discharge.Late recurrence is usually due to secondary infection caused by residual hair or debris that was not removed at operation, inadequate wound care or a perianal fistula.I advise you to consult a surgeon for further evaluation and to undergo certain tests such as fistulography and MRI to confirm the diagnosis of anal fistula so that it can be surgically excise laying open the sinus tract for primary healing.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Taher Ali | |
Q. Is it normal to have pain in a filled tooth?
Hello doctor, I had an extraction and an implant placed for tooth 13 about six weeks ago, and I am supposed to get a crown placed on the implant in about six more weeks. Sadly, apparently due to the change in my bite caused by having number 13 tooth, a bottom tooth broke through an old filling in the 14 tooth and cracked the tooth, and I was experiencing constant low-level pain in that tooth. My dentist drilled out the old filling and filled the tooth eight days ago, and he said I still have a crack he could see, but does not know how deep it goes. He wants to try to wait for six weeks and do the crown for the 13 implant and 14 at the same time. He said I may need a root canal for 14 or possibly extraction, and he would know more when he drills it for the crown, and he said I should contact him if the pain gets bad. I had a lot of pain for three days after he drilled and refilled the tooth, and then the pain got much better, but yesterday, day seven after he drilled and refilled, I had very intense pain, and it still hurts a lot today. Does the pain mean I need a root canal (or extraction). Or is there a good chance the tooth will still be fine with just a crown? Also, if the crack in 14 is really deep and extraction is recommended, can I add a second crown for 14 to the implant I already had placed for 13? I have read that you definitely can put two crowns on one implant, but I was not sure if that requires the implant to be centered between the crowns. In this case, the implant would be off center, directly under the 13 crown. | Hi. Thanks for giving all appropriate history. Tooth 14 that is having intense pain is indicating for root canal treatment (attachment removed to protect patient identity). If it would be a crack deep down to root you would be having sharp pain when you bite from it, otherwise pain would be mild. But in root canal case, you would be experiencing sharp lancenating pain and throbbing pain in continuous manner that increases when you lay down straight at bed. Moreover, your dentist will check clinically after opening the chamber of tooth that it is going for root canal or extraction. Again I would say from your given history I am suspecting it to be root canal case. Now, if it would be root canal of 14, then everything would be good as 13 will have cap on implant and 14 will have cap on root canal treated tooth. But ,in case of extraction you can surely have two crowns on support of 13. As a single implant is able to support atleast three crown in anterior segment of jaw and two definitely in posterior segment. Be easy with it. Hopefully, there will be no need of involving any third tooth in bridge cover. It would be best if you can provide me with clinical picture of both teeth and radiograph of the quadrant that is under procedure, so that I can suggest you more accurately. | |
What causes vibrating feeling on left side of neck?
I have been having a strong vibrating or pulsing feeling on the left side of my neck. It is on and off but sometimes happens several times in an hour. It lasts anywhere from 5-20 seconds. I can feel it when I touch my neck and I feel like I can hear a sound. Should I be concerned about it? | Hello,Vibrating feeling on the left side of the neck is commonly due to Neurological disorders, Spondylosis, MS, Torticollis or essential tremors. You are suggested to get clinically examined by a Neurologist, get all blood & Imaging tests done. Your treatment will depend on the pathology detected.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician | |
What causes intermittent burning pain in toes and foot?
My wife has an intermittent burning pain that shoots to her left foot second, third, & fourth toes. She describes it as electricity shooting. Reports that the pain almost paralyzes her when it comes. She is not diabetic, thin build, & wears proper shoes. She is a nurse & is on her feet a great deal of her work day. She does suffer from bunions bilaterally, but they have not been a significant problem for her. Is this something that she should be concerned of? Do you have any recommendations she can try to use for relief? Thank you for any assistance. | hi,thank-you for providing the brief history of your wife.As the symptoms indicate the sharp shooting pain and also she is a nurse I will recommend to undergo a thorough clinical examination.As the pain is in the toes first thing to look for is gout. so for which urine culture is advised which can help plan the medical treatment. If gout reports are negative then we should look out for spine pathology. as due to the compression of the nerve in the lumbar Spine electrifying pain is felt either down the leg or either the toes.After a clinical examination an MRI is advised to understand the spine pathology and with physical therapy she should respond well. As she is a nurse and having long standing hours job I suspect it to be spine pathology which nurses are common to have.In my clinical practice most nurses have similar problems and they respond well to physical therapy.Regards Jay Indravadan Patel | |
Can there be a white object in my blood circulation?
hello doctor i need ur help. i have some problem but i cant understand what it is. something is running in my vain with blood circulation. it is 2 inch long and it has white color. and its slowely runing in my body. i do xray and sonography . but result is none. it cant be shown in xray and sonography can u tell me what was it? and how to solve this problem? | HELLO IT SEEMS YOU HAVE DELUSION OF IT,HOW YOU CAME TO KNOW THAT THERE IS SOMETHING RUNNING,IT IS NOTHING ,U BE CALM ,IF U FEEL TOO MUCH U SHOULD CONTACT A PSYCHIATRIST. | |
Pregnant with persistent itchy in the throat and cough. Prescribed amoxicillin. Any natural cure?
I am 6 weeks pregnant and have had a persistent itchy in the throat cough for the past 1.5 weeks. Now it seems to be worsening and I can feel a congested chest with phlegm creeping up my throat. I also feel shortness of breath. I have been prescribed Amoxicillin but I'm trying to avoid taking it. Is there a possibility that the cough and phlegm will clear naturally and in due course instead of me taking meds. Thanks. | Hi, thanks for using healthcare magicIt is understandable to be hesitant about using medication especially at such an early stage of pregnancy.Most cases of cough and cold are viral and you can consider waiting out the symptoms to see if improvement occurs. These viral illnesses can last 2 to 3 weeks in some persons and the cough itself can last up to 6 weeks.You can increase your fluid intake to decrease the viscosity of the mucus , this would help it to be eliminated easier.You can also consider the use of a humidifier or vaporiser which should help as well.I hope this helps | |
What causes backache and itching in the upper abdomen?
I’m having a lot of back pain in the middle to upper back and itching around the upper right side of my abdomen? I’ve been diagnosed with having gastritis and gallstones. Are these symptoms that I’m experiencing from one of these two conditions or could there be something else going on | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Both these are related to cholestasis caused by gall stones. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for cough, cold and breathlessness
i am 26 yr old woman, i am got cough and cold almost once in two months from last last 6-7 months and some times breathlessness also, my esr value is 32 mm/hr.. what does it mean? is there any serious type of infection? Is it curable by taking antibiotics? | Hi. I can understand your concern. Chronic cough is commonly seen in bronchitis and lung infection. Since your chest x ray is normal, no need to worry for lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
Can an infant be given paracetamol for fever and diarrhea?
my 6 month baby was having feaver and loose motion since last three days. i have given him paracetamol and ofloxacine and ornidazole. no fever now but loose motion is still there. however pimple like rashes has developed on face and other body parts. he is not active now, is it the side effect of these medicines or due to some other reason. m worried please advice. | Hi YOU can safely give paracetamol for your baby as per the dose prescribed by your child specialist.No need to give antibacterials for loose stools as mostly due to Viruses, in small kids.Give her ORS fluids 25 ml/stool to prevent dehydration and syr.Zinc 20 mg for 2 weeks.Skin lesions are also a sequelae of a viral infection and show her to a specialist who will examine them properly.Hope it answers your query | |
Q. My 2 year old kid's sugar levels are out of control. Please guide us.
Hello doctor, My 2 year old daughter was diagnosed diabetic and I am giving four units of Lantus and two boluses Novo rapid for each meal three times. But still, her sugar levels are not in control. We give her low-carb and proper diet. What should we do now as none of the doctors we consulted are able to guide us in the proper direction? | Hello. I just read your query. From what you have mentioned, it appears that your daughter has insulin-dependent diabetes mellitus and you are concerned about her high blood sugar. Hope you will do the needful and get back. Revert with more information to an endocrinologist online --> | |
What causes gamma gt rating of 74 in blood test?
I am hypothyroid.. My recent blood test also showed a gamma GT rating of 74. I do not drink... What could be causing this? I do have some pain under my right rib cage which flares up now and again. Had an ultrasound of my liver which came back fine. | Hi,Thanks for asking.Based on your query, my opinion is as follows.1. GGT is mildly elevated. 2. Ultrasound will detect only major abnormality.3. Biopsy of liver is necessary to rule out any hepatitis. Certain hepatotoxic medications can also raise GGT. Get a liver biopsy. With history of pain in right cage, a biopsy is necessary. Hope it helps.Any further queries, happy to help again. | |
Is there any treatment for brain atrophy?
5 month old baby has been diagnosed with brain atrophy, he gets seizures, he has hearing loss. they have him on sterioids...is this ok to give a baby? what does this mean for my son? any treatment? is there a life span for brain atrophy? do you recomend any hospital? | Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!Your son symptoms seem to be related to serious neurological disorders (epilepsy syndrome).It is OK to give steroids in such clinical condition, as they may help stop seizures and improve his situation. Anyway, it is difficult to judge on his future situation, based on what you refer. Genetic tests may be necessary. You should discuss with his doctor on the above issues and the exact diagnosis. Hope you will find this answer helpful!Best wishes! | |
Is lump behind the right ear related to seizure?
my daughter, age 4, had a seizure a few months ago and after an eeg they found there was some abnormal activity on the right back part of her brain. this morning she woke up with a lump behind the right ear. could those 2 things be related? i m very worried about her. | Hello, The lump is not related to the seizure activity, at least not directly. Seizures originate in the brain which is confined inside the skull, the lumb on the outside of the skull is not in contact and can't irritate brain cortex to cause seizures. Such lumps are common in infections, such as ear or throat infections and usually subside by themselves (although it would be wise to refer it to her pediatrician as he might want to inspect it). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olsi Taka, Neurologist | |
What causes enlarged heart in a child?
My 10 year old boy was having fever 3 days back and the dr gave him a course of antibiotic. today is the 4th day and his fever was still 39 and is having a very bad cough. I took him again to the Dr. today who sent him for an X-ray to check the lungs. The Dr. then said that she found that the size of the heart is big for his age and said will send the x-ray to the cardiologist to view it. I am very worried now and would like to know what might be the resons for having enlarged heart. | Hi, From the scenario you describe I feel that this could be a viral myocarditis which is acute in onset or the other possibility is that of a longstanding dilated cardiomyopathy which got aggravated because of the viral illness. But whatever be the cause your child will require immediate cardiologist consultation, echocardiogram and if the ejection fraction is less then he might even require hospitalization. I am sorry to say this. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
What are the chances of communicable diseases through the touch of blood?
Hi there, I have an urgent question. I was once visiting my neighbour and the cat she used to have scratshed her hand on the back side of her palm. The hand was bleeding heavily. She washed her hand, used a disinfectent, but her hand was still bleeding. She was pressuring the wound with a tissue & I saw blood in that tissue. As she was doing this, she gave me her business card to send her one of my friends' CV. I was shy not to take the card from her, so I took it. Then I put the business card aside in her bathroom on the sink counter, washed my hands while giving sometime for any blood to dry on the business card, took the card again and went home immediately. At my home, I washed my hands again. Now I didnt see any apparent drops of blood on that card but I am afraid the card had any streaks of blood on it when she handed it to me. It looked a bit reddish to me but m it' only in my imagination. I am afraid I might have caught any of the communicable diseases as Hepatitis or HIV. Back then, I also had a cut on my index finger but it was recently healed as far as I remember. I am also afraid that I might have accidentally touched my mouth or nose after taking the business card. Could you please let me know my chances of getting infected by any of the communicable diseases in this case, especially HIV? Appreciate your prompt response | Although it is true that HIV can spread through infected blood, you have to understand that it can happen only when the blood comes into contact with your mucosa – in other words, the blood should have penetrated your skin. This happens in needle stick injuries, or by sharing needles. In your case, I do not think you have any chance of acquiring any communicable disease, especially HIV, because:1. You did not come into direct contact with the blood.2. Whatever traces of blood that may have bene on the card did not penetrate your skin3. You have not mentioned if this person who gave the card to you is positive for HIV. Even if she was positive, you still would not acquire HIV as no blood has gained penetration into your body through any open wound or cut on your skin. Please calm down and carry on. You have no reason to worry. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Is it safe to take half pill of Lisinopril in addition to the prescribed dosage to lower bp levels?
I have been having pain in my left arm and shoulder and left side of head along with rapid heartbeat and bp is around 189/135 ? Its started around 2am lastnight then went away but has happened two more times just recently tonight. I am on bp meds lisinapril 40mil. and take furosemide 40mg. once a day ? Is it safe to take a half pill of lisinipril to get bp lower ? | Hello, You can take additional lisinopril. If blood pressure is persistently high, you have to consult a physician and add additional drugs like thiazides. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Unable to move lower limbs after surgery for fracture, loss of sensation of urine and stool. Suggestion?
Hello Sir, My father got D12 Fracture by felling down from the building, and undergone the surgery and got cage fixation at the D12. After the surgery, he is unable to move lower limbs . He losted sensation of urine and tools passing. It is been mentioned that he is affected with Paraplegia ,and adviced to be on continuous physiotherapy . He is now taking a physiotherapy treatment. It is almost 1.6 yrs that he is suffering with. Could you please provide your valuable suggesion/advice to make him stand and walk? | Hi, Thank you for posting your query. It is unfortunate that your father suffered spinal cord injury, resulting into paraplegia (paralysis of both legs). This happened because of bone fracture of spine due to the fall. In your father's case, possibly, there was delay between the fall and surgery. If surgery is done early, we can expect some recovery of functions. At this stage, any recovery would be slow and incomplete. Please continue with the physiotherapy. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist | |
What causes shortness of breath with anxiety and depression?
Hi, I am a 20 year old male 8 months ago i was in perfect health. Fast foward to today my health is not so perfect. During the 8 month Span I’ve gotten really sick to the point I couldn’t take the stress and anxiety. My condition could best be explained by feeling overall sick to my stomach feeling the need to throw up and short-ness of breathe. About 4 months into feeling sick i noticed that my tongue had a coating of green, so i went to the doctor and they did a tongue culture. The results i got back from my culture was a bacteria on my tongue possible upper respitory infection. The doctor then proceeded to proscribe antibiotics but my condition didn’t improve. I don’t know what to do any advice ? | HiI admire you for positive outlook.If you have respiratory symptoms like coughing, difficulty in breathing etc then need to consult pulmonologist to rule out lung pathology.Respiratory infection can produce features as you mentioned. And culture also suggested some kind of infection so require proper treatment.It can be a part of anxiety but need to rule out local infection or respiratory issue 1st. And we will reach to conclusion after certain investigations.So go for consultation and get advise from him.Thank you. | |
Feeling like symptoms of borderline personality disorder. Should i consult a therapist?
I need to consult a therapist. How do I go about it? I have been suffering from hopelessness for a long time, and it's beginning to harm my self-worth. I feel like my symptoms resonate a lot with Borderline Personality Disorder. I don't want to let my behavior go undetected as I feel it might have devastating impacts on my life in th near future. | Welcome to health care magic!I have gone through your question, from it few things are apparent- you have hopelessness and now started having worthlessness too. You think that your symptoms resemble borderline personality disorder (but you have not mentioned any other symptom resembling borderline personality). However, what ever be your diagnosis, (as these symptoms can be present in several psychiatric disorders), one thing is certain that you do need help.Had I been at your place, I would first visit a psychiatrist and discuss my problem in detail, let her make a correct diagnosis. After that the doctor may prescribe you some medication along with counseling sessions.I can assure you that you should not worry anymore as you have taken a right step in discussing your problem. Accepting ones problem is the first important step in treatment.Hope the answer helps you.feel free to ask more questions.Dr. Manisha Gopal. | |
What causes chest pain with breathlessness?
i have pain in upper abdomen, very sore to touch. chest pain also, after eating the chest pain is very bad and breathlessness. i have lost 3/4 stone in past 2 months as cannot eat much. had ct scan last wk, waiting on results but feel so weak and ill. | Hi, thank you for asking healthcare magic.With this presentation, I think the problem is coming from acid secretion in the stomach. it may be gastritis or peptic ulcer. I would advise you try antacids in association with another drug like omeprazole, pantoprazole, ranitidine or cimetidine for about 2 weeks. It would be important to do a certain laboratory test called H. pylori test to be sure that this bacteria is not the cause of this problem. If the test is positive, you would need a special combination of drugs to eradicate it.I hope that helpsI wish you good health | |
What is the life expectancy for someone with triple bypass?
Hi, I am a 55 year old woman who had triple bypass when I was 47 years old. Family history of heart disease on my mother's side, so I feel lucky to be alive after the heart attack. I know how long the Dr. say the bypass lasts...10 to 15 years. My question is what is the life expectancy for someone with triple bypass? Are there statistics that predict how long I can live given the fact that I am not overweight, eat well, don't smoke, drink, exercise regularly, etc? | Hi,It is quite individual. If you are not overweight, follow healthy lifestyle, you have good chances of favourable prognosis.We have patients with bypass, who live more than 20 years after bypass and doing quite well.The main goal is try to slow down the progression of atherosclerosis as much as it is possible. It is done with medications and lifestyle changes.If you have good results in these two areas, have no heart failure and no angina, then you have good chances.Hope I could help youWishing you good healthIn case of further questions don't hesitate to askRegards, | |
Are R Cinex and Becosule the right medicines for pelvic TB?
Hi.. I have been diagnosised with tb free pelvis biopsy. I am on below medication:Rcinex 600 - 1 early morning half an hour before breakfast.Pyznia 750 - 2 tablets after breakfast.Combutol 1000- 1 after lunchBecosule 1 at nightBenadon 40 mg - half tablet at nightI am also taking one Ayurvedic medicine longvidaAnd 1 dompan | HelloYour weight must be more than 50 kgs .All these tablets , prescribed are meant for the patient having more than 50 Kgs weight .Becosules , benadone ( pyridoxine), domeperidone ( for nausea and vomiting 0 are also good .Please keep one thing in brain don't stop this treatment without doctor advise .Good luck. | |
Suggest remedies for chronic stomach pain
I've been having stomach pains for over the course of 3 months. I'm not taking any medications but I am on birth control..the shot. If I sit or stand for a certain amount a time then it begins to hurt. The pain seems to be under my left rib cage. I'm not sure if there's something wrong with my back or stomach. What should I do? | Hi ! Good evening. I am Dr Shareef answering your query.If I were your doctor, after an initial clinical assessment of your abdomen, I would advise you for an ultrasound of the abdomen with special reference to the pancreas to rule out inflammation in it which could give rise to such discomfort under the left rib cage. Also a routine CBC, a serum amylase and lipase would be helpful. In addition I would also advise you to avoid eating from outside to prevent any intestinal infection creeping in from outside unhygienic-ally prepared food. Avoidance of alcoholic beverages and smoking also top in your case if you do. A serum HCG might be indicated to rule out a pregnancy before going for an ultrasound. Till then you could go for an anti spasmodic and a proton pump inhibitor drug for a symptomatic relief.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. | |
What causes headache after masturbating?
Hi. I am a young teen boy and I masturbate. When I do, I progressively get a very bad headache and I threw up alot. Ive never had a migraine so Im not sure if it is one or not. I would like someone to tell me whats wrong with me and what I can do to stop this, so I dont have to confess to my dad that I have been masturbating. Help! Thanks. | DearWe understand your concernsI went through your details. Head ache after masturbation is possible when there is a stress angle related to it. Usually masturbation is considered as a safe exercise without any physical implications. But in excess, more than one masturbation per day, is stressful for the body as well as mind. Such stress could develop itself as head ache and throwing up. I suggest you to abstain from masturbation for around a week and restart it. Observe and note down the changegs you found in your body and behavior. Then, if found anything wrongm please consult a physician.If you still need my assistance in this regard, please use this link. Please remember to describe the whole problem with full detail.Hope this answers your query. Please feel free to post follow up queries. Available for further clarifications.Good luck. Take care. | |
What causes burning sensation in the foot?
I have taken oxycodon 30mg. For 5 years my pain doctor closed. I have went through the most terrible withdraw I nowam on medication for high blood. Why is it so hard to get into a pain clinic ? I have spurs on my spine disc bulge my feet burn like fire and feels like I,m walking on spikes. What is causing my feet to do this I m not diabetic | Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.U seem to have peripheral neuropathy that can affect u even if u r not a diabetic.start on pregaba tablets and u will be fine.Nothing to worry about. I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless. | |
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 squishy feeling on gums?
I have a squishy feeling on my gums on the inside of my mouth that my tongue is constantly rubbing. I have no pain or redness to that area. It started when I had a crown done 2-years ago. My dentist assured me the crown is perfect after several x-rays. A panoramic x-ray was also done. I was sent to an endodontist and didn t find anything either. If you could please advise me what I can do to get rid of this annoying habit, would be greatly appreciated. Thank you! Kim | Some of the possible common medical causes GingivitisPeriodontal diseaseScurvyPlaqueOther Causes: Spongy gumsSome of the less common causes-Mouth breathingToxic metal poisoningPoorly fitted denturesLeukemiaTeethingToothpaste/Mouthwash allergy | |
Is chanca piedra safe to take to treat kidney stones?
yes I have suffered from kidney stones along time and I have one in my kidney right now that is 1/2 inch big I was trying the lemon juice and olive oil remedy but my stomach is very sensitive to acid and that causes it to hurt is there another remedy I can try that works the same way to get rid of this stone nautrually? I heard about chanca piedra is that safe and does it work? | HelloThanks for query.You have 1,5 cm size stone in your right kidney.Truly speaking there are no medications that can desolve the stone .The stone of a size of 1.5 cms is unlikely to pass out spontaneously.The only safest option is to get it fragmented by a procedure called Extra Corporeal Shock Wave Lithotripsy.(E.S.W.L.)Dr.Patil. | |
What does it mean by WBC is 15000 and C-recative protine is 51 for a 5 months old baby?
Hi My 5 months baby girl was havinf fever of 100 degree in urine test we found pus cell plenty in urine test.In blood test Total WBC is 15000 & C-recative protine is 51.In Cerebrospinal fluid all was normal.Want to know is my baby having any severe issues ? | Hello,Your baby has Urinary Tract Infection (UTI). It is common infection problem, don’t worry.It is more comments in female child, fever, raised TLC, elevated CRP, urine test suggestive of pus cells present. So, it is clearly UTI.Needs to stared antibiotics, sent urine culture test, revised antibiotic according to report.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sachin Kumar Agarwal | |
Can hepatitis B be detected in childhood ?
One child has produced from inactive HBS ag father, During the childhood hbsag detectable in serum? if not, what age it will become detect. | i am not able to actually get your question well, but lemme brief out hepatitis is classified as confirmed or probable cases. 1. if father is a carrier and mother not at all anything, both mother and child gets immunization 2. if mother is a carrier or confirmed both situation, father should get vaccines and son on birth should get passive immunization as immunoglobulins. (hepglob) see hepatitis b managment has taken a huge expansion lately and should consult a hepatologist before you take your final decision, cos lot depends on HBSAG, HBEag, anti-Hbs, ALT and even the PCR-DNA of b virus | |
Unable to read small letters. MRI shows changes in cerebral, cerebellar atrophy. Treatment?
Hi Sir, My brother (age 36) is not able to read small letters so we have done MRI and CT scan and in report it is mentioned changes of cerebral and cerebellar atrophy .He is taking alchohol.Could you suggest treatment/hospital/doctor for the same and let me know if you need more information. Thanks & Regards, Rajendra Solanki Cell: 0000 | Hi Mr Solanki, Your brother needs to be seen by a neurologist for evaluation and treatment. MRI and CT reports of the brain show atrophy (shrinkage) of brain, which could be related to alcohol. However, other causes such as nutritional deficiencies would need to be excluded. An eye examination should also be done. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist, Apollo Hospitals, Hyderabad | |
Q. What does my blood reports taken for fever, sleeplessness and body pain indicate?
Hello doctor, I am writing this letter for my mother-in-law. She is 65 years old and seems to be healthy. Recently she was suffering ill (fever, sleepless at night, body pain, etc.) thus visited a doctor (physician). After a physical examination and studying certain blood tests (that he was suggested to test), the physician advised us to consult with a hematologist ASAP. Soon, we consulted with hematologist. He advised us to check certain tests such as protein electrophoresis and free light chain, HbA1c, LFT, USG abdomen and pelvis. He also pointed out that she may undergo bone marrow examination subject to test results. The reports are as follows. We shall see the hematologist by next week. Before meeting him, we wish to know an expert opinion about the interpretation of the test results and further course of action. HbA1c- 6.65, bilirubin- 1.5, bilirubin direct- 1, SGOT-54, SGPT-30, alkaline phosphatase 04-304, T protein- 7.1, S. albumin- 3.8, S. globulin- 3.3, calcium- 8.3, phosphorus- 3, uric acid- 6.1. USG remarks: Chronic liver parenchymal disease with PHT, no ascitesat present, other organs normal free kappa (light chain) serum– 46, free lambda (light chain) serum– 33.10, free kappa-lambda ratio– 1.39, total protein- 6.8, serum albumin– 3.7, alpha 1 globulin– 0.19, alpha2 globulin- 0.46, beta 1 globulin– 0.39, beta 2 globulin– 0.42, gamma globulin– 1.65, albumin-globulin ratio– 1.19, comments– electrophoresis shows elevated gamma globulin. No significant change in the other fractions. No M band seen. Kindly look into the above and revert with your valuable suggestions. | Hello. Your electrophoresis report shows increased gamma globulin level (attachment removed to protect patient identity). So your doctor might suspect plasma cell dyscrasia, especially multiple myeloma like condition. So referred you to a hematologist. But in electrophoresis report, M band is not seen which is classically seen in plasma cell dyscrasia. Moreover, Kappa to Lamba chain ratio is normal in the report. So, the chance of multiple myeloma seems to be less. But increased gamma globulin need further work up in form of CBC, serum calcium level, etc. In the case of multiple myeloma, the osteolytic bone lesion is also present. For that X-ray can be done in the suspected area. The gamma globulin increased in infection or inflammation as well. So your physical examination is necessary. Moreover, your cirrhosis with portal hypertension needs treatment in the form of beta blocker to reduce portal hypertension. The elevated bilirubin can be due to liver damage by cirrhosis. | |
What causes pain in groin,penis and testicles with itching and burning?
24 year old male. Had unprotected sex with girlfriend 6weeks ago, have not had sex since. 3weeks after sex, constant pain in groin, bright red testicle sack (but no bumps or growths), pain in penis, testicles are also itchy and burning. I got tested one week after sex and all were negative. Do these symptoms seem like herpes? Or could this be anything else? Maybe some type of infection? Yeast infection? O yes and i also am tired all the time | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be sign of uroinfection o urinary stones and some other genital infection but this is less common. In every case, antibiotic therapy may be required so test should be done as soon as possible so that appropriate treatment can be started. Till that try to drink plenty of fluids, avoid sexual intercourse and rest.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.