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Would taking Keppra and trileptal be suggested for seizures?
hi, my child is taking keppra and trileptal for seizers and recently he is acting abnormal, talking to himself, seeing someone with their presence, laughing with out any reason and crying without any reason at the same time. he continually talking. he has trouble sleeping also. and have fears like to doctors is coming and somebody is scaring him etc. i am very scared of his condition. he also have vp shunt which is working fine since he had all the check up done. please let me know who i should consult first, his neurologist or physichitrist | Hello!Welcome on Healthcaremagic!His symptoms could be related to Keppra adverse effects. You should know that this drug, besides being really effective in the control of seizures, can cause different psychiatric disorders as an adverse effect. For this reason, I recommend consulting with his attending doctor for a careful physical exam and a psychiatric evaluation. Switching from Keppra to another antiepileptic drug may be needed. Hope you will find this answer helpful!Kind regards, Dr. Aida | |
Should a painless hard knot on mastoid bone be of medical concern?
My son (6 year old) has a large, hard knot on his mastoid bone. It is towards the top of the bone. He has no other symptoms (no fever, ear ache, etc.) and he says that it doesn t hurt. He just found it a few minutes ago. Should we take him to an after hours doctor, or is it something that we could wait to see how it is tomorrow? | Hi Thanks for your query and welcome to healthcaremagic. I have gone through your query and understand your concern. It is not an emergency you can wait for routine examination by Doctor. It may be a benign lesion so examination by surgeon will be useful.You can discuss with your doctor about it. Hope your query get answered. If you have any other don't hesitate to write to us. Wishing you a good health.Take care. | |
Lower back pain. MRI shows effusion in knee joint. Want opinion
HELLO,I M KUNAL MANNA,AGE 22 YR. APPROX. 2 MONTHS AGO I FELT SEVERE LOW BACK PAIN .I WENT TO MY ORTHOPEDIC .HE SUGGESTED ME TO DO AN X-RAY & MRI OF LUMBOSACRAL SPINE .THE MRI REPORT IS AS FOLLOWS, THIS SUGGESTS THE SACRALIZATION OF L5 VERTEBRA ON LEFT SIDE WITH EVIDENCE OF RIGHT SIDED ACUTE SACROILIITIS.THERE ARE DEGENERATIVE CHANGES IN LUMBOSACRAL SPINE WITH POSTERO-LATERAL DISC HERNIATIONS AT L1-L2 TO L5-S1.THESE DISCS ARE COMPRESSING THE THECAL SAC & CAUDA EQUINA NERVE ROOTS.THERE IS NO SECONDARY CENTRAL CANAL STENOSIS . SUGGESTED CLINICAL CORRELATION & FURTHER INVESTIGATIONS IF CLINICALLY INDICATED.AN INFLAMMATORY SPONDYLOARTHROPATHY LIKE ANKULOSING SPONDYLOSIS NEEDS TO BE EXCLUDED.” PARALLEL ALLY I FELT SEVERE PAIN IN LEFT KNEE JOINT & IT BECAME STIFF.MY Dr. FURTHER SUGGESTED TO DO AN MRI OF LEFT KNEE JOINT. THE REPORT OF LEFT KNEE JOINT MRI IS AS BELOW, THIS SUGGESTS EFFUSION IN LEFT KNEE JOINT WITH OEDEMA IN THE SOFT TISSUE AROUND KNEE JOINT.FEATURES FAVOUR AN INFLAMMATORY AETIOLOGY. SUGGESTED CLINICAL CORRELATION AND FURTHER INVESTIGATIONS IF CLINICALLY INDICATED. NOW AFTER COMPLETION AN ANTIBIOTIC COURSE I FELT A LITTLE BIT BETTER BUT THE PAIN IS COMING BACK. MY INCONSISTENT BLOOD REPORT DURING ANTIBIOTIC COURSE IS AS FOLLOWS, DATE- 29/11/11 -ESR -62, CRP-12mg/ml DATE-04/01/13 -ESR-90, CRP-12mg/ml DATE- 09/01/13-ESR-60, CRP-12mg/ml ALL OTHER REPORTS ARE WITHIN NORMAL RANGE. URIC ACID NORMAL. SO,I M LOOKING FORWARD TO YOUR VALUABLE OPINION ON THIS REGARD. | It is more likely an inflammatory arthritis condition. Antibiotic usually given to treat infection. I would suggest to tap the knee and the joint fluid can be sent for lab examination. It will definitely confirm whether its an infection or inflammation. Inflammatory spondyloarthropathy include ankylosing spondylitis and rheumatoid arthritis and few other rare disorders. I would suggest to consult rheumatologist. Need to do bunch of tests to diagnose the type of arthritis You may have to do HLA B27 test to diagnose ankylosing spondylitis. Thanks. | |
What causes vibrating sensation in chest,raised heart beat and numbness in hands?
Yes I just had an electrical type sensation in my chest I reached for my cell phone in my pocket but it was not there or even in the room it instantly woke me up iv not felt good today my heart was beating hard at the time and numbness was in my hands what could this be? | Hello. Thank you for your question and welcome to HCM. I carefully read your query. It could easily be a simple intercostal muscle twitching, that resembles like coming from the heart. It tends to happen after exercise and/or any physical activity that includes heavy breathing and/or after episodes of drinking alcohol. However, I would recommend you to do an EKG, and depending on that and your sensation, a 24-hour rhythm monitor, to exclude any possible bout of any kind of arrhythmia. Also, your blood calcium levels should be measured. As for the other part, heart beats very hard in stressful situations, both psychological and physiological. My opinion is that this came as a very worrisome phenomenon to you, and the stress and anxiety from it happening again, produced the other symptoms. Please, run the tests I recommended above and discuss the results further with a general practitioner. I hope I was helpful. Take care. Kind regards, Dr. Meriton | |
How should MRSA, back sore infection, weight loss and swelling be treated?
Hi, may I answer your health queries right now ? Please type your query here... I weigh 100 lbs and I am diabetic ---- last month I was diagnosed with MRSA ----- I had a sore on my back that got infected and grew to over half the size of an orange ----- since then I have lost 4 lbs and have had a severe pinch under my right rib and some swelling ----- I do not have a gallbladder anymore it was removed in 1996 please advise what I should do and dont tell me to go to the hospital I will not step foot in one again that is where I got MRSA from in the first place thank you Chrystal | Thanks for posting your query to HCM. MRSA is a bacterial infection found resistant to many of the antibiotics mainly to beta lactum group of antibiotics. If not treated properly may lead to serious systyemic infection. Vancomycin is the drug of choice for this organism .you should contact to your physician and advice him to give yo full cource antibiotic treatmet as per your culture and sensitivity report .take care . | |
Suggest treatment for knee back injury
Hey there! I was out surfing today and got run over, which isn t too uncommon. The fin hit the back of my knee, but instead of a bruise there s a long raised bump. I d say it s raised about a millimeter or two, and three and a half inches long or so. It s red and doesn t look like much aside from that, but it s causing me to limp quite a bit, and hurts if it s moved past a few small angles. It s soft and doesn t hurt unless I press down on it and touch the muscle (?) beneath. | Hello,The symptoms seem to be related to the injury. The bump is related to the inflammation at the area of the injury. I suggest to use anti inflammatory medication such as Ibuprofen 400 mg. I also suggest using cold compresses and maintain the leg elevated. I recommend to rest.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
What is the cause of spotting?
Hello, I am now about 10 days late for my period. I chart my basal body temperature and am certain that I did and when I did ovulate. I have been taking pregnancy tests daily since 9 days past ovulation and all have been negative. My temperature remains high instead of dropping to indicate my period is near. Yesterday at 9 days late for my period I had some very scant pink spotting. We have been trying to conceive for 15 cycles now and this has never happened. Any ideas as to what is going on? | HAIWELCOME TO HCM,this may be your periods.CHECK YOUR DAY 2 FSH,LH,PROLACTIN,THYROID .TUBAL PATENCY should be checked by hysterosalpingogram.follicular study with induction of ovulation will increse you success. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
What causes bulging in L2 and L3 with pain in sciatica?
MY NAME IS JOHN I HAVE SYATICA AND IVE BEEN TAKING TORDAL AND FLEXARIAL AND EVEN ULTRAM MY DIGNOSIS WAS FREE FROM DR. RODREGUIEZ IN SPATENBURG S.C. HE SENT ME FOR A MRI AND I HAVE A L2 L3 DISCK RIP BULGE THAT SHOOTS DOWN MYBUTTICS AND TOES TO THE POINT IMBED REDING ANY WAY I HAVE STOPED SEEING HIM CAUSE OF LEGALITYS WITH INSSURENCE WHICH I DONT HAVE UNTIL I GET MY SSI DONE IS WHEN I CAN HAVE THE SURGERY SOME TIMES IM ABLE TO MOVE AND I TRY RELLY WALKING TO , EASE THE PAIN BUT IT MAKES IT WORSE THE OTHER NIGHT I WENT TO THE HOSPITAL AND I COULD NOT SIT UP FOR 4 HOURS CAUSE IT HURT SO BAD THAT I CAME HOME, MY MOTHER CAME OVER AND GAVE ME A LORTAB 10 , SHE SAID TO HELP AND INDEED IT DID A LOT FOUR A VEW HOURS BUT WHAT CAN I DO IM SORRY BUT IM IN H....! LIVINGHE..THANK YOU | Hi,It seems that you might be having acute PID giving rise this problem.Till you consult spine specialist go for back extension exercises daily and regularly.Take NSAID medicine to get temporary relief from pain.Do not bend much.Avoid weight lifting.Use hard bed for sleeping.Ok and take care. | |
Had acute kidney infection. Taking augmentin. Tingly feeling in left arm and hand, numbness. Related kidney issue?
I had an acute kidney infection on my right side and was hospitalized for six days. I was released from the hospital ten days ago and have been taking augmentin since then. I keep getting a tingly feeling In my left arm and my left hand seems to go numb a little, especially my pinkie.could this be related to my kidney issue? | Hi. No, this wouldn't be related to the kidney infection but it sounds like a pinched nerve, either at the level of your elbow or perhaps a compressed nerve root in your neck. I suggest you have this evaluated and you'd need an MRI of both the elbow and the neck to get to the actual cause | |
Is burping a lot symtoms of cancer?
Hey doc. I m petrified I have some sort of cancer. I ve been a smoker for 9 years, am 26 years old. Recently quit smoking (two days clear). Have had some issues breathing as of tuesday. Have been to the ER where they did a chest x ray but I recently found out I have esophageal cancer in my family. I have chest pressure and it feels like i swallowed something ( almost as if I m about to cry, that knot in your throat you get) and recently have been burping a lot . a few times bile would come up. | HiSince you are burping and have a family history of cancer I would advise you to do a pet scan.if any lesion is found then biopsy has to be done to rule out malignancy.RegardsDr de | |
Suggest treatment need after myocardial infarction
Hi, My father is 63 years old. 2 days back he suffered a chest pain for a long time when he was walking for quite sometimes. He did some chest examinations and after he was shown a cardiologist he told that apart from a blockage in heart there is a small miocadial infarction. I don't stay with him and i really don't know what is the his health condition and what is the immediate doable for him. He is fine now. Some medicines are given. I don't understand was it a heart attack because the doctor haven't told like that. I stay in Bangalore and is in Kolkata. Pls suggest the immediate doable and places where treatments would be good. Regards, | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Please note that as he has suffered a heart attack he must take drugs as nitrates as nitrocontin or angispan plus aspirin regularly. His blood pressure must be controlled. He also needs lipid lowering drug as statin. He should avoid physical and mental exertion. Morning or evening walk at slow pace is useful. Advise him to avoid outing in extreme temperature variations. As he is in Kolkata he should consult a cardiologist there and undergo angiography and discuss with his doctor about stent or bypaas surgery. There must be many cardiologists in kolkata itself. Hope I have answered your query. Let me know if I can assist you further. | |
What can be done to treat a persisting STI?
Hi last week i got diagnosed of of having an STI, the nurse then given me doxytet pills to drink them twice a day for 7 day. A day before yesterday i finished the pills but the symptoms still persist... Please advice me if i need not worry myself the infection will go or must i go to the clinic again? | Hello,Welcome to HCM,Doxytet contains the active ingredient Doxycycline, which is a Tetracycline class of antibiotic, this is an antibiotic that's used to treat bacterial infections.There are many sexually transmitted diseases can be caused byChlymadiaTrichomonasHerpes genitalisGonorrhoeaHuman papilloma Virus Doxytet is used to treat bacterial infections but other STIs require specific treatment, to know which is the STI you are having, you require physical examination and lab investigations to identify the causative agent and then we can decide which medication is required to treat the condition.So I suggest you to consult your doctor at the earliest.Thank you. | |
Why am I having pain and swelling in my incisive papilla region?
35 y.o white female - I had sinus surgery 01/31/14 done , ever since then I have pain, rendess and swelling to incisive papilla region - I`ve been seen by my dentist and had my teeth cleansed - no any pockets were found. My dentist reffered me to oral surgent, who aslo did not see anything on x-ray - now I am scheduled for biopsy of that region - what could it possibly be - I am really concered about cancer ( I am a fomer smoker ), please advise | Thank you for posting your query.Cancer may be one of the possibility.Other may be oral infection.Its better to go for a biopsy | |
Can Lisinopril cause dizziness, stomach upsets and breathing difficulties?
Hi, may I answer your health queries right now ? Please type your query here... I have been on 20 mg lisinopril(once a day) since 9-15-10 with no side affects. Recently it is making me sick to where I can not function (dizzy, upset stomach, breathing difficut , anxious, shaky). I decided to not take it for ONE day (felt MUCH MUCH better) took it the next day(same AWFUL symptons). Quit the next day (MUCH BETTER). Is this normal or did they re-fill the wrong medicine in Dec 10, 2010. | Hello!Welcome on HCM!I passed carefully through your question and would explain that your symptoms could be related to lisinopril adverse effects or high potassium levels. For this reason, I recommend consulting with your attending physician and performing some blood lab tests: - blood electrolytes- liver and kidney function tests. If all these tests result normal, I would recommend discussing with your physician on the possibility of switching to another anti-hypertensive drug, which you may tolerate better. Hope you will find this answer helpful!Kind regards, Dr. Iliri | |
What causes fluid retention in head?
I always feel like there is water or fluid on the side of my head. When I do get it out I can feel a cool feeling on the side of the head. I have trouble in the winter I have to where a cotton ball in that ear because it aches in the winter with the fluid in it. What do do think it is. | Hi,Thanks for writing in.It is likely that the nerves on your scalp on one side are more sensitive and give you a feeling of fluid collected below the skin. This might be due to irritation of nerves supplying the scalp. Water or fluid inside the brain is a normal feature and everyone has it. That water is much deeply located and will never communicate with the outside surface of brain. Also the brain is protected buy a strong skull and over that there is scalp skin. In this way it is not the water inside your head but some sort of discomfort arising due to nerve stimulation in head and face region. Please consult a doctor and get a neurological clinical examination done. This will help in arriving at a confirmed diagnosis. Doing a CT scan might be indicated depending on clinical findings and to see if there is any structural changes under the scalp causing that feeling. Please do not worry. | |
Suffering from indigestion. Any suggestions ?
I have been suffering from indigestion , pllz givem the solution for that. | Hi, there are various causes of indigestion, like irregular diet, oily, spicy, excessively fried diet, alcohol, stress, smoking, infection etc..... most commonly it is due to altered dietary patterns, take regular healthy diet, follow strict time table for your diet, don't take oily or spicy food, avoid legumes in your diet, don't go directly to bed after your food, exercise will be an added advantage.. avoid smoking and alcohol. take anti acidity drugs (like ranitidine, pantoprazole).. in spite of all these measures if it won't subside then u get evaluate by gastro-enterologist...take care...bye.... | |
Suggest treatment for pigmentation below the eyes
I am a female, aged 23 years. I have been having pigmentations below my eyes from last five years. Dermatologist has suggested melaglow for me and i m using it from last week. How effective it is and is there any side effects. What are the best treatments of pigmentation. | Hello,Thank you for posting on HCM.Dark circles under eyes or under eye pigmentation is a challenging condition to treat.Its seen commonly in people having stressful life and irregular sleep and diet. Its also seen among people having atopic dermatitis and asthma. Sometimes its genetic due to deep sunken eye sockets in skull.Most of the OTC products are not very useful.I would advise you to apply tacrolimus 0.03% ointment at night and AVARTA eye cream twice a day. Take oral Vit C regularly.Additionally, a series of chemical peels like arginine, lactic acid etc from a certified dermatologist can help alot.Melaglow cream though helpful for pigmentation on face but I doubt it will be of any help in under-eye pigmentation.Try to de-stress your life and maintain a healthy schedule.Hope you will be fine Take careDr Hardik Pitroda | |
Suggest cause of dizziness and sleeplessness
I have been feelig dizzy for two days and two nights and i cant sleep on my side or i will feel like im falling, bobbing, rocking or spinning i somtimes get it when im just sitting up and it wakes me up at night somtimes. But i havent had a head ache. | Hello, In my opinion, benign positional paroxysmal vertigo is a condition to consider in your case. You should see an ENT Doctor for these symptoms and proper diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical | |
Suggest treatment for severe wrist pain
The back side of my wrist is in pain. Not all the time, just when I move it in a circular motion, or bending it straight down or pushing it back. Ive also noticed that pushing objects or pulling cause a sudden stiffling pain. What could this be? Sprain, possible fracture? Note there is no discolorration. | HiWelcome to healthcaremagicI have gone through your query and understand your concern.Cause of your rest pain can be arthritis, synovitis, sprain depending upon your age and how you got it. Its basic treatment is rest and analgesic such as ibuprofen for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care. | |
Suggest treatment for rashes and flu
Rash and the flu (for 1 month) after bug bites May 1, stiff neck and shoulders, right side after 2nd set of bug bites, May 28, rash persists, finding bruises on my arms, have cold symptoms (sore throat, lungs, asthma sometimes headache and cough)... saw primary care 5/29 Lyme titer negative, recommended antifungal cream. Saw new primary care 6/12, no solid advice... any thoughts? | Hi, Your symptoms seem to be related to viral rash. I suggest you to: -use anti inflammatory medication such as Ibuprofen -use Calmine lotion for local relief. Hope I have answered your query. Let me know if I can assist you further. | |
What causes lump with red spots on skin?
yesterday i found a heat rash like lump with little spots inside the lump, they are raised and red and hot and im sure puss started to come out of them. im alarmed as i never have anything on my skin and wonder what it could be??? is it a bite maybe??? | Hi,greetings from HCM.From your description you may be suffering from folliculitis with abscess formation.Insect bite is another possibility which can produce a raised red hot swelling.you have to go to a surgeon and do a complete blood tests including blood sugar to rule out diabetes.if this is not settiling with antibiotics and supportive treatment you have to undergo surgical drainage of abcess | |
Any suggestion for child suffering from fever, heaviness in arms/hands?
hello doctor, my daughter (10 years old) has a cold, her temperature is 97.8. she woke up and started complaining about her arms and hands, that they feel heavy - she was crying, saying that her palms were very heavy. She scared me, she sounded as if she was dillusional. Not sure what to do.Please help. Thank you! | Hi...feeling heaviness in the hands and feet fora 10 year old could be her way of expressing weakness of the limbs. If there is severe weakness in the limbs and she is unable to walk unsupported or if the fever is persisting or if there is marked weakness, I suggest you consult your pediatrician or pediatric neurologist as this is fitting into a condition called GBS (Guillian Barre Syndrome).Regards - Dr. Sumanth | |
What could pinching abdomen, with a history of abdominoplasty suggest?
I had abdominoplasty in 2011 and every since i ve always felt a pinching in my abdomin near my belly button. Now its progressed to extreme pain in which i feel every day. Sometimes it last for a few seconds and sometimes it last for minutes. I ve seen my plastic surgeon on several occasion. He gave me an injection yesterday and the pain is still coming. What can this be? | Hi.Thanks for your query. Abdominoplasty is an extensive surgery and it is but natural to cut many nerves. Some of the nerves on regeneration can give you any sort of weird symptoms, pains and pins sensation. You have got a Sensory Nerve problem and the nest way is to try the following medicines under the care of the Doctor as they are prescription medicines. Amitryptilin, Gabapentin or tegritol. these will definitely help you,; if not then it will be wise to have re-exploration and cut off the nerves causing such a severe problems. | |
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 --> | |
Suggest medications for bronchitis
5 weeks ago I had bronchitis/flu I took 2 courses of antibiotics and the cough cleared up but since then I have been getting a tight chest, difficulty breathing, a sore throat (at times ) and sometimes a flu feeling. I have had a chest x ray which was clear. I have also tried an inhaler which hasn't helped much. I also do inhalations which help a little . What do you suggest Regardssuzie | Thanks for your question on Health Care Magic. I can understand your concern. Possibility of bronchitis is more in your case. Bronchitis is common after viral upper respiratory tract infection (flu). And your symptoms are classical of bronchitis. So better to consult pulmonologist and get done clinical examination and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease. And treatment of bronchitis is based on severity. You may need inhaled bronchodilators and inhaled corticosteroid. So better not to take inhalers without prescription of doctor. You may also need antihistamine, mucolytic and expectorant drugs. So consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks. | |
How to prevent allergy which occurs frequently?
hi doc, my son is 6 1/2 yrs old. he had problem of allergy in the age of 2 but for next 3 yrs he remain gud. but this yr he is again suffering 4rm allergy. Running nose thick liquid, cough, loss of appetite n weigh as well. myteka sechet, lorin NSA, easiar was given. how can v prevent him in future n what shuld v do in adv to prevent it. | Hello.Thank you for asking at HCM.I went through your son's history and would like to make following suggestions to you:1. I would suggest you allergy testing for airborne allergen particles prevalent in your region. (common airborne allergens are house dust mites, molds, cockroach proteins, pollens, animal proteins, etc)If he is allergic to any of the above substances, avoidance is the best strategy to manage allergies.2. I would agree with his current treatment prescribed by his doctor. Were I treating your son, I would prescribe almost similar treatment.3. Please avoid exposure to dusts, smokes & air pollutions as much as possible.4. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will improve his immunity and will help him in a long run.Hope above suggestions will be helpful to your son.Should you have any further query, please feel free to ask at HCM.Wish your son the best of the health.Thank you & Regards. | |
Suggest remedy for wart on penis
sir m 23 male..i am having a small wart on my penis top i consuled a local doctor and he advised for VDRL and HIV tests VDRL is negative and HIV is non reactive so am a bit relaxed then he applied podowart lotion on that wart for the same day that wart was going down as i noticed but the second morning it reappeared as it was... so what should i do please help me | Hi,You should consult a Dermatologist as warts can be burnt or ablated by them.If its not a wart then the Doctor can suggest what to do with it.With your description and without seeing the problem it is difficult for me to comment upon how to treat it.These growths are usually on the penile skin and not on the tip as you mention. Therefore that makes it more difficult. If you do not want to visit a Doctor then you can ask us a Specialist or a Direct question to me on the site but please do upload a photo of the wart so we can advice you accordingly.Take care,Dr Rishi, New Delhi, India. | |
Suggest remedy for severe cough causing pain in the ribs
I am 39 years old i was having severe cough from 2 weeks ,?i visited my doctor , who priscibed amikacin injection, along with some other antibiotics(nupod, doxilin) and some cough syrp. CRF-D .but the cough is as good as before . no change in the cough .(its not a normal cold cough doctor said its some bacterial infection, and chronic cough)my coughing starts normally at the times i speak, or just after meals and at the time i sleep, so i can"t even sleep properly. i have pain in my ribs too.what to do ? :(please help | Thanks for your question on Healthcare Magic.I can understand your concern. In my opinion, we should rule out pneumonia (lung infection) in your case.So get done chest x ray and sputum culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. By this we can achieve speedy recovery with appropriate antibiotics. Drink plenty of fluids orally and keep yourself hydrated. Do warm water gargles 5-6 times a day. Apply warm water pad on affected areas of chest for painting relief. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes itchy bumps on the hand while suffering from sore throat?
I experienced a sore throat which has lasted for the last four or five days. I was very hoarse and almost lost my voice for about two of those days. On day three or four I experienced a fever with a high of 103. This lasted less than 1 day. I took Iburprofen once. Today I noticed my hands were warm and slightly itchy. Just now I ve noticed small red bumps that almost look like ant bites. They itch a lot. They are mostly limited to my palms and wrist. I have two children (3 and 4) who have experienced these same symptoms. It doesn t seem to be chicken pox. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It looks like you are suffering from hand-feet-mouth disease. It is a viral infection mostly common in young children. It doesn't need special treatment. It needs only antipyretic for fever and any antihistamines for itching and rush. Also you can use Menthol talc to relieve itching. Take care. Hope my answer clarified your concern. Let me know if I can assist you further. Best regards. | |
What does a lump above the laryngeal prominence indicate?
I have what seems like a large lump that is located just above the adams apple. It is sore to touch and is on the windpipe under the skin of my throat. I do not have a sore throat, nor any trouble speaking. There is just a large lump that seemed to have came on over a short period of time. I am 69 years old | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This can be of different conditions as - pre laryngeal lymph node - thyroid swelling - others .* Needs ultrasound examination of the lump for confirmation of the diagnosis .Hope this will help you for sure .Wishing you fine recovery .Welcome for any further guidance .Regards . | |
Chest burning, tightness in throat, ears, on exposure to chemicals, perfumes. Pulmonary function test, CT scan normal. Allergic reaction?
I am having problems with my chest burning and getting tight, and my throat and ears getting tight when I am around strong chemicals, new carpet,perfume, etc. It started when I was exposed to polymers from my work over a period of 6 months. I have been to a pulmonologist and had a pulmonary function test and a ct scan , and everything came back normal. I tried different inhalers, but they make it worse. I read about a lady who has had the same problem from breathing bleach fumes. How come this is happening? and where do I go for help? | From your description it is apparent that you are suffering asthma. If possible avoid the allergens that you have mentioned. Normally inhalers are the answer to asthma but in your case they seem to make it worse. Probably the propellant in it is causing asthma like symptoms. You have not mentioned the inhalers that you are taking. You change your brand or take oral steroids like prednisolone or methyl prednisolone as short course when symptoms develop. You should repeat ct scan and PFT after 6 to 12 months to rule out any occupational lung disease which takes time to menifest. | |
Adrenal fatigue. Severe anxiety, depression, panic disorder. Taken MDMA, Citalopram. Possibility of MDMA side-effects?
Hi I think I may be suffering with adrenal fatigue and show most of the symptoms .about 7 months ago I was spiked with MDMA and suffered severe anxiety and depression which was controlled with citalopram . The symptoms of the panic disorder have now subsided and have been discontinued on citalopram but still show all signs of adrenal fatigue could this be a result of the MDMA ? | Hi, From your description possible causes of your suffering in order of preference: -Anxiety and depressive illness -Substance induced (MDMA) induced psychological problem -Adrenal fatigue If problem is prolonged or severe and leading to frequent interpersonal problems, then for assessment and treatment, you can visit specialist like psychiatrist. You may also need treatment with citalopram as you had history of good response with it. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com | |
What causes confusion and anger?
Hi I m 22 female having 2 children since last years I have been feeling some problem on my head.I feel too much confusion and I try to get some one message my head and I feel releaf also feel too much angary for every small bit and I can t control my self some times I abuse for every body Doctor please advice me | Hi,From what you have mentioned, it seems that you are preoccupied with something or feeling low which is making you very irritable. As a result, you get angry frequently. You confusion can also be due to the same. Such symptoms are highly likely to be due to an underlying depressed state.I would suggest that you consult a psychiatrist for complete evaluation of your symptoms. You will respond well to treatment with antidepressants like escitalopram. It will help you get rid of the depressive symptoms, which in result will help control your anger and feel better.I do hope that I was able to answer your query. Best wishes. | |
What causes chest pain and watery saliva?
Hi while i was sleeping my mouth kept on producing large amounts of watery saliva and then i had really bad chest pain in where my chest felt very very tight as if something was stuck there, right now i still feel a little bit of tension in my chest but it comes and goes | Hi thanks for asking question.Here are few possibilities in your case.You might have chest pain because of respiratory infection.It could be simple cold ,or sore throat like viral infection.Because of excess mucus and secretions blockage may feel.chest pain can occur as constitutional symptom.Second bronchitis like obstructive lung disease also has to be ruled out if smoking history present.chest x ray or spirometry for pulmonary function test useful.CBC also done.if show neutrophilia then bacterial infection could be probability and antibiotic needed.Here if you have acid reflux or ulcer like condition then reffered chest pain can occur.omeprazole needed for it.If congestive symptoms present decongestant or antihistaminic taken.steam inhalation useful with eucalyptus.Drink more water.To rule out cardiac cause ECG done.Finally although here it seems to be less chance , muscular strain can lead to chest pain.simple analgesic useful for it.I hope my suggestion will helpful to you.Dr.parth | |
What are the causes of mucus in infant stools?
My 5.5 months bab is given breastmilk by me and thru bottles...developed green mucus stringy watery stools since five day after taking feed ..pead gv walamycin for four days ..things improved but fifth day again after every feed watery green mucus stool started..pead asked to continue walamycin for another three days ...wat to do dont wa t to give so much antibiotics. ..shud I gv formula instead of my milk | HiWelcome to the HCMIn my opinion your child is suffering from an infective diarrhea. You can take the following steps to treat it:1. If possible, continue exclusive breastfeeding and avoid bottles as far as possible.2. Keep the child well hydrated by regular feeds.3. In case the diarrhoea gets severe, you may start oral rehydration solution with proper constitution.4. I would recommend you to change to Syp. Septran instead of Walamycin.5. Also start him on Syp. Zinc at 10mg once daily for next 2 weeks.6. Start a probiotic like enterogermina sachets twice daily for next 1week.Breastfeeding is the best for infants till 6 months of age followed by complementary feeds.Take careIf any further questions, then do contact us.Dr. Archana Verma | |
Q. Is it advisable to take Ipill in person with bulky ovaries with multiple small follicles?
Hello doctor, I have an ultrasonography which states I have bulky ovaries with multiple small follicles. I wanna know what does that mean and can I take Ipill and is it safe? | Hello. The report to me is normal with normal size uterus and also the ovarian size even though it mentions bulky ovaries (attachment removed to protect patient identity). But an ovary is considered bulky if the volume of each is more than 10 cc. The presence of small multiple subcenterimetric follicles indicate developing follicles and cannot be labelled as polycystic ovaries unless the criteria for clinical hyperandogenism like acne, hirsutism, acanthosis nigerians and oligomenorrhoea is met. The presence of frequent urination points towards possibility of a urinary tract infection which can be ruled out with a urine routine microscopy test. Also if you have been sexually active, then its always better to take an emergency contraceptive pill within 72 hours of intercourse to avoid unplanned pregnancy. | |
Can bed bugs cause rashes on the face?
my daughter has a few red spots on her face that are very itchy but dont look like bites it happened a few weeks ago iand i took her to the doctors and she said she had bed bug bites. i called an exterminator cleaned out her room throw out the pillows. the dr gave her an antibotic she stayed in my room for a few days. she has been back in her room and a few days later she has the spots again so i dont know where she is getting them from or what it is | Hi, It seems to be an insect bite hypersensitivity reaction. I would recommend you to apply topical steroid like cortisone cream on the affected areas twice daily and take anti-histaminic like tablet chlorpheniramine maleate 4 mg once daily. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist | |
History of COPD. Breathlessness, fatigued, weightloss. Xray showed shadow on lung. What is it? Cancer?
Hi my father has a long history of copd . Over the last 6 months he has become increasingly breathless , fatigued and there is a notable weightloss. He had an xray which showed a shadow on his lung . The GP has arrannged an urgent CT scan and told my father that the outcome could be nasty ,,,, or a deep seeded infection. He has no symptoms of a fever etc but is complianing of pain in his chest particuarlry when swallowing food, Could the shadow be cancer? | Hi and welcome to HCM. Unfortunately yes,it can be. It is usually diagnosed by detecting such shadows on xray. But also pneumonia or localized emphysema,bronchiectasie and other smoking related disease can be. CT, bronchoscpy and biopsy can give exact diagnosis. YOu must be ready for everything but hope for the best. Also if it is cancer it is necessary to see is it operabile and which way of treatment is the best for him. Wish you good health. | |
Should I be concerned for the lump on the scrotal sac which had been for a long time and has no pain?
I have this small boil which has been on my scrotal sac for sometime now. I am kind of scared because i do not know why it is there. It does not disturb me in any way, except for its presence. I feel no pain at all, as i sometimes try to even massage it, but it still appears to be there. Its as small as an orange seed. Do i need to worry? | Hi, Thank you for choosing Healthcaremagic. If you are not sexually active then its a benign thing, it could be just a SABACEOUS CYST. Kindly visit any surgeon to rule out this.Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!! | |
Suggest treatment for chest pain due to costochondritis
I ve been having a tough year and a half... I had pneumonia in February last year(2013) where I was hospitalised. I won t get into details of what happened there but I started experiencing chest pain when I was discharged. I went to my gp who didn t believe me and after a few weeks said to my face you re lying . I didn t go back. In April we did two very fast moves (in three days, and the second move was to a different country) and I was given a new gp. He was more willing to help me but was stuck as in he couldn t figure out what was wrong with me. We tried a lot of different painkillers, a lot of them knocked me out for a few hours and then I was still in the same amount of pain. Months passed and the pain increased. My doctor put me down as chronic in May. I went home to visit my family in my home country during the summer where I got even worse and ended up going to the doctor I saw before moving to live with my husband. He diagnosed me with Tietze s Syndrome and started me on Prednisolone 40 mg that I were to decrease every week by ten mg until I was down to zero. It worked like a miracle and I was feeling so much better! I went back home and informed my gp of what happened and he accepted the diagnose but kept calling it costochondritis instead, I realised later that there wasn t that much of a difference in between the diagnoses, but kept me on the treatment I was on. Then catastrophe struck (in my opinion) and I was up all night vomiting. An ambulance was called and the crew gave me morphine to deal with the pain. At this point I was crying almost nonstop and kept speaking my first language rather than English. My pain didn t decrease so they gave me another dose, then another s in the bus as we were heading to the hospital and then another one when I was taken in to hospital. The doctors there put me nil on mouth for 24 hours. We (my husband and I) asked for a translator but was not provided one. The next day in hospital I passed out from the pain and when I came to a staff member, I don t know if he was nurse or otherwise, was shouting at me for not answering when he called and pressed on my chest. I was screaming in pain and when a doctor finally came she eventually put me back on Prednisolone. But 1mg. The third day in the afternoon I had been moved for the third time and I had had enough. So I put my foot down and demanded that they provide me of the translator that I had asked for when | Thanks for your question on Healthcare Magic. I can understand your concern. Thanks for the detailed history. In my opinion, you should not worry much about this as costochondritis is 100% curable. Only drugs are not useful in costochondritis. You need to follow some lifestyle modifications for better symptomatic relief. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Apply warm water pad on affected areas. 5. Wear rib belt (chest belt) today prevent minimal mobilization of affected areas. 6. Loose weight if you are obese. Don't worry, you will be alright and enjoy your normal a well as sex life. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Recurrent burning pain in back and lower ribs after completing antibiotics treatment for a lung infection
Hi I m hoping some one can help. I have a history of chest infections & get them regularly but a few years ago i was rushed to hospital with serious lung infection that i think was pluersy. I was experiencing severe pain in back, arm and right side of ribs. I had a fever, breathing hurt as did sitting. I also started coughing up pink phlem. I was treated with antibiotics but it persisted and needed more antibiitics as it felt like popping & acid burning up my back & ribs on right side, a pain more severe than anything i have ever experienced. Ever since then on & off i have experienced similar pain in my back & lower ribs (from breast height down)on the right. It feels like the pain is between the ribs in the cartlidge. It also is very tender & sore to touch the connective knobbly parts on the right side connecting to my back. It actually feels like a rib is poking slightly out of place. The pain ranges from moderate to debilatating where all movent causes sharp pain. I have just been dealing with these attacks when they arise but would really like to get to the cause. It has recently kicked off by being lifted up from behind by an over velous student in my class. Please help me | Thanks for your question on Health Care Magic. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x ray done to rule out any lung infection or it could be just a muscle pull. Do not lift heavy weights.Possibility of musculoskeletal pain is more. Ibuprofen is anti inflammatory. You will definitely improve with combination of painkiller and muscle relaxant drugs. Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. But better to first rule out lung infection.Hope I have solved your query. Wish you good health. Thanks. | |
Will the scan show the conception date of the baby?
Hi my last due date is on july 2nd but now in august i didnt get periods and its showing that i am pregnant. But i am married now on august 2 nd to another peron due to some circumstances. and i dont want to go abortion. so if they scan or xray can they know that the baby is already 1 month due or can i after a month that i am conceived. can anyone tell the exact months of the baby | Hello,I have gone through your query. Here are your answers: 1. If you have regular 28-30 day cycles, you should have had a natural period at the time you got married. 2.The fact that you already had a missed period even before you got married suggests that you conceived earlier. 3.A trans-vaginal sonogram done at 6 weeks can give almost accurate gestation age and if you conceived, before consummation of your marriage, it would be evident. 4. If you had the consummation before you were due for your next period, it is difficult to say from which act you conceived, if both acts occurred during the fertile period of the same cycle. Hope your query has been clarified. | |
What causes burning sensation along with ulcers on the tongue?
I am a 50 yr. old female who has experienced a burning tongue accompanied by tongue ulcers that come and go for the last 2 years. Also experience a lump in the throat feeling always on the left side. Often I wake up during the night because I the airway feels blocked for a second. Just recently, when I swallow my left ear hurts a bit. Should I be concerned? | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain burning sensation of tongue along with recurring eruption of blisters over the tongue and also feeling of lump in throat with breathlessness at night can all be related to Acid reflux in which there is reflux of acid from stomach to throat and mouth leading to following symptoms..Other causes of mouth ulcers can be Stress, Nutritional Deficiency [Iron, Vitamin B12 and Folic acid] , hormonal changes, acid reflux, tongue trauma due to some sharp teeth or tongue biting habit, excessive intake of sour and citrus foods, uncontrolled diabetes and other immunocompromised conditions etc..You should consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like oral swab culture, laryngoscopy, upper G.I Endoscopy etc can be done to rule out the cause and then only a proper treatment can be done..In case of acid reflux you can be advised to take Proton Pump Inhibitors like Omeprazole or Pantoprazole..Take antacids like Milk of magnesia..Avoid spicy food and drink plenty of water..Always take walk after meals and take your dinner atleast 2 hours before sleep..You should sleep with head slightly raised as compared to feet..As of now to relieve the mouth sores you can start gargling with a numbing mouthwash containing Lignocaine to relieve the symptoms.You can also take a multivitamin tablet daily..You can take anti inflammatory painkiller like Ibuprofen..Suck ice and do cool water rinses..Avoid spicy food..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.. | |
Is it safe to take Solavert and warfram for Atrial fibrillation?
I am taking solavert and warfram for AF. I am regularly checking for AF with blood pressure monitor and have not had any for several weeks. However I am becoming very tired, sluggish with very painful legs and hips. Could this be a side effect of the drugs, if so what alternative might I have for one or both. I want to be able to discuss this with my Doctor but with some background understanding. Ian | these are common long term warfrin use side effects you should consult your cardiologist for alternstive unsafe to suggest any alternative online i hope i could help more but it is wrong to switch AF medications online Good Luck | |
What causes recurrent abdominal pain with vomiting and diarrhea?
I m 36 years old with this problem, at least once a week I get stomach pain, with a symptom like getting the flu On two occasions I had vomiting, basically clear vomiting about 6 months ago When I get these episodes I get anxiety. I m afraid I won t be able to get to a restroom either because of loose bowels or possible vomiting. I have been healthy up to about 10 months ago when I started with these problems I ve noticed these symptoms start if I have to many carbos or sugars. Once my parents insisted I go to the ER and the doctor ordered an MRI. It was negative One of my cousins has gluten allergy. What kind of tests or follow up should I get? I have medical and it s difficult to get a doctor who will see me or refer me to the right specialty Thanks for your help! | Thanks for your question, I am Dr Asanaghanwa Carlson. I think you might be suffering from an allergy to a particular type of Carbohydrate or sugar given the fact that your symptoms generally come after you take in these. I advise you try to identify what particular type of food, sugar or carbohydrate causes you to have the said symptoms and you avoid them. This is more comforted by the fact that you said you have a cousin with glutein allergy and these allergies are generally transmitted in some families. If this still does not work, I will advise you go and see your doctor so he examines you properly. Good luck | |
Having dry skin with reddish rashes and itching. On diuretics for heart problems. Any other treatment?
I am 80 Male, have got a very dry skin : am under 40 + 20 mg of Direuatives being a heart patient (apart from other heart medications and vitamin supplements ) for over 20 years : I also take normally 12 Ozs of red wine a day. But my skin is very itchy ; minor red rashes type appear which start bleeding on scratching . I apply skin lotions (Gold Bond - Medicated) twice a day with little relief. What should I do ? | all this is due to medicines and vitamin you can add one anti allergic tab cleritin 1 od apply petroleum jelly mixed with mometasone no pplication of mustard coconut walnut ground nut and soya oils apply olive and use olive for cooking try it and then ask for next soap nikko shampoo nizral | |
What are the symptoms of strokes?
my mother had a stroke 2 years ago and has been getting very tired lately, sleeping alot, and at times just staring off in to a trance or some thing. we put her to bed and after she wakes up she is better. She hasn't been eatting as much lately either. Could she be having miny strokes. | Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.There is a possibility that multiple lacunar infarcts can lead to these symptoms and especially the fact that your mother has had a stroke in the past puts her at a higher risk. The other possibility is that these infarcts might have led to cognitive impairment and dementia which can also present with similar features. If it is dementia then there has to be significant impairment in the memory.You need to take your mother to a psychiatrist or a neurologist who can order and MRI and also assess the cognitive functions using MMSE. That will give a better idea. One thing is clear that there is no need to panic and things can go on their own pace. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | |
Q. Kindly tell me whether prenatal exposure to alcohol cause a short columella or not.
Hello doctor, Do you have experience with FAS/FASD? Can prenatal exposure to alcohol cause a short columella? Is this common in those with the affected face? | Hi. We do see cases of fetal alcohol syndrome or fetal alcohol spectrum disorders. Alcohol is a known teratogen for the human fetus. Consumption of alcohol during pregnancy is associated with abnormalities in the fetus. The problems can occur in many systems, most importantly facial changes, heart abnormalities, kidney abnormalities and neurological (structural or functional) abnormalities. Three findings are common in facial abnormalities: 1. Smooth philtrum (a groove seen from the bottom of the nose to the upper lip will look flat). 2. Thin upper lip. 3. Narrow palpebral fissures of eyes. Short collumella can be an associated feature, but that alone cannot be used to label the diagnosis as fetal alcohol syndrome. | |
How to stop ejaculation during sleep?
hi doctor i m zeeshan from pakistan.doctor i have problem of discharging while sleeping and it from last two or three years, i had discharge probably every night and having sex dreams.i dont knw why plz plz plz help me from this.how i can control this plz help me out | Hello, Nightfall or nocturnal ejaculation can be troublesome and embarrassing. I can help you in this matter of nocturnal ejaculation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist | |
Done discectomy, laminectomy with cortisone shots. Electric current sensation. Tried gabapentin, lyrica. Suggestions?
This web page came up when I Googled "sacrum electric current sensation." So far, I have had two discectomy/laminectomy procedures on my L4-L5, cortisone shots at same, and cortisone shots at L5-S1. This has all been within the last year and a half, most recent cortisone shots about a week ago. In addition to situational pain, there is a constant electric current sensation moving from my lower back through both legs, causing me to constantly move. It doesn't matter if I'm standing, driving, laying on the couch, sleeping, whatever. I constantly move. Gabapentin did not work for me, I'm now on Lyrica and it does not seem to be making a dent, either. Any suggestions? My employment is in jeopardy with these back issues!! | Hi, Thank you for posting your query. It is unfortunate to note that your symptoms have not improved despite surgery, epidural injections and taking pregabalin/gabapentin. At this point, you could take a combination of duloxetine and pramipexole for help. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: drsudhirkumar@yahoo.com | |
Q. Is it difficult to remove roots of teeth which is broken at the gum line?
Hello doctor, Is it difficult for a dentist to remove the roots of the teeth that are broken off at the gum line? And will it be painful when they do it? I think the ones are teeth 12, 13, 16, 26, and 27. If there are any chances for the bones to get broken while they do it? How will they get them out? I am very scared, and how many injections will be given? I think they are breaking it into three appointments. what complications could occur as well? | Hello, Welcome to icliniq.com. Do not be scared at all. This should be dentist's headache, not yours. All you need to know is that you should take a proper meal at least half an hour before you go for your appointment because after the extraction you will be on a soft diet for a day and should avoid eating till one and a half hour at least. Mild swelling or slight pain is expected post extraction of posteriors, otherwise, it will be a smooth recovery for the rest of broken roots. Take icecreams (if you are not diabetic) and soft diet for a day. After 24 hours of extraction start saline water mouth rinses (use lukewarm water) four times a day for a week compulsorily. It will help in quick healing of the sockets. Now, let me tell you about the procedure, it will not be complicated if the roots are not infected. Local anesthesia will be given then the whole procedure will be absolutely pain-free. You will not feel anything so be happy about it. Be relaxed, if you will be relaxed your dentist will enjoy doing work at ease and comfort level. | |
Is it okay to switch to NAN1 if breast milk reduces?
Hi, I would like to know i think my milk is becoming less for my 4 month old baby. Is it ok to switch to NAN 1? are there any side effects. My baby is hungry every one hr with my milk and i do not have enough to express and keep for him. I need to do some thing as i go back to work soon, Thank you | Hi Mother's milk is best for the baby. If mother's milk is less, I usually give some medicines to the mom to increase milk production( Tab Perinorm 10 mg thrice daily for 3 days). Also good diet including 2 eggs per day, nuts and fish thrice weekly increase milk production in the mom. Sometimes breast pump can be used to express milk. If these measures fail, then formula milk like Nan 1 can be given. Formula milk if not prepared cleanly can cause infection. Also formula milk lack protective factors present in breast milk. Formula milk should be given with a spoon and NOT with bottle as bottle feeding increases chance of infection. Also one can start weaning foods like home made porridge ( preferred) or Cerelac for the baby after 4 months of age. These foods have rice etc which can be filling to the child for sometime. | |
Suggest remedy for pain in left chest
I am diabetic from last 5 years, some time i feel pain in the left chest but it last for only few minutes. i am taking medicin of glimmet 500 mg two tablets in a day. Also my burb is smelling too bad especially when i eat non veg. can u pls tell me the reason | Hellothanks for posting at HCM. Since your are diabetic, we must rule out a cardiac cause of this chest discomfort. I recommend an ECG, 2 d echo and a treadmill test. This the diagnostic modalities will give sufficient information about the heart function, previous damage to the heart, any leak between valves and can also predict the possibility of cardiac event in the near future. Also since you have got bad breath all this can also be connected to hyperacidity in the stomach. I recommend a course of antacids twice a day for 2 weeks. Please revert back with the above tests.wishing you good health. Regards. | |
Suggest treatment for fever and severe body pain
I have been suffering from fever for last one week or so. It goes with the effect of mediande and comes back after the effect is over. Its a normal fever with body pain no other issues but its been time I m facing all this. Please suggest some medicines and is it a symptoms of typhoide or malaria please suggest what should I do. Thank you | Hi,Welcome to health care magic,Fever with bodyache since 7 days could be due to acute viral fever or upper respiratory infection.You will have to go for routine blood testing,urinalysis,ESR,preipheral smear for malaria,widal test for thypoid.You will have to take antibiotics(quinolones or macrolides group preferred) with antipyretics,analgesics and antacids for 3 to 4 days course.If certain cause is found out then treatment is depend upon the underlying cause.Consult physician for further treatment.Thanks and Regards, | |
Could being shot by lead pellet gun cause muscular dystrophy?
OK, I was diagnosed with muscular dystrophy when I was 19 and i m 39 now. They can t figure out what type I have after 5 muscle biopsies. The recently did an enzyme test on my CK levels and the doctor said that with a muscle disease they should be in the thousands to 10 thousands but they were only 200. I m the only person in my family to have this disease and usually muscular dystrophy is hereditary. Back when I was 12 I accidentally got shot by my brother with a pellet gun. The pellet went through my lung and into my liver. The pellet is still there and the pellet is lead. Could that pellet be causing my problems? I am wheelchair bound and my whole body is extremely weak. I can t remember things and I get sick ALL THE TIME. | HiIt's unlikely be due to lead shot.Its a different class of disease something to do with genetical disorder and known to be in few families , gene becoming dominant expression after generations.Follow your physicians advise.physical therapy, exercises, massage with olive oil. | |
How to slow down the fast heart beats rate?
hi my name is bryan but i got to ask my heart rate is always about 90 to 100 beats a min and i dont know what it could be i dip and i have alot of anxity and i waigh 195 and im 5/7 sometimes it worries me when im just resting and its this high how can i slow my heart rate down | DEAR USERTHANKS FOR CONSULTING AT HCMI UNDERSTAND YOUR CONCERN.. BUT THE INCREASE IN YOUR HEART RATE IS PROBABLY DUE TO ANXIETY YOU ARE SUFFERING FROM..HOWEVER A CARDIAC CONDITION CANNOT BE RULED OUTI SUGGEST YOU TO CONSULT A CARDIOLOGISTGET A 24HR HOLTER MONITORING DONE TO RULE OUT PSVTYOU NEED TO REDUCE YOUR WEIGHT AS WELL BY A REGULAR BRISK WALKING OF 20MIN A DAYAVOID OILY AND HIGH SALT DIETYOU MIGHT B STARTED ON TAB ALPRAX AFTER CONSULTING YOUR DOCTOR TO REDUCE ANXIETYHOPE I HAVE ANSWERED YOUR QUESTION.. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS | |
What are the risks of smoking post tumor removal in spine?
My sister has MS. I recently spent 1 1/2 months with her after she had a benign tumor removed from her spine in the T3 region. She has been very Independent, not wanting anyone involved in her business. What I found in the time I was there is that her house had not been cleaned for some time and she hadn t thrown away a lot of unnecessary paperwork since the 1990 s when she was determined disabled. While cleaning her house and going thru the paperwork, I found some diagnostic comments from her neurologist for which I can use further understanding. They are: 1) cerebral vascular disease, severe; 2) cerebral ataxia secondary to MS; 3) mild bilateral middle cerebral artery stenosis; and 4) vascular risks include chronic smoking. Based on the fact that she didn t smoke while in the hospital and rehab which was over a month and the fact that she started again as soon as she got home, it isn t realistic to expect her to quit even though I wish she would and encouraged it every chance I got. Can you shed light on the diagnosis comments and what can be expected in the future, especially since she continues to smoke? | Well Multiple scelorsis (MS) is the dymylienating disorder of the nervous system which can lead to cerebral ataxia as well. Cerebral vascular disease / middle cerebral artery stenosis and other vascular risk are associted with the smoking.Cerebral vascular accident may happen if someone continue to smoke which can lead to irreversible neurological deficit.Counselling and medication are two effective modality for quit smoking. | |
Suggest treatment for high levels of SGPT & SGOT
sir,I'm 30 wks pregnant. I have no history of liver diseases. Today, I've done some routine blood tests and surprisingly found that my SGPT & SGOT levels have suddenly gone very high, 87 & 80.50 respectively. Can you please tell me how to deal with this and how it can affect my baby? I am really scared. Kindly advise. | 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.. AST (SGOT) and ALT (SGPT) are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common casue is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis,cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionaly done Then appropriate treatment can be started.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. | |
Suggest treatment for kidney dysfunction
My wife is going under Dialysis for the past 5 months , her both the kedneys not working .She is going under treatment at Fortis , Vasant kunj , Delhi.Her blood group is o+, We don t have any blood relation who is having o Blood group.She is just 36 year old , having one daughter. Kindly advice how i can get her Kidney Transplant.If any donor is there then also pls let me know. I m reachable at 0000 , 0000. | HelloThanks for query .Your wife who is 36 years old has Chronic Renal Failure and is currently getting dialysed .She has been advised Renal Transplant .However there is no matching kidney donor in near relations .There are centers in India like Nadiad in Gujrath ,Mumbai who implement cross kidney donor program where any one of your relative has to donate kidney and they will manage to get matching kidney from the relative of other patient so that both the patients are benefited .Dr.Patil. | |
What causes purple red lines in pubic area?
Hi there,Please help,There are som purple/red lines in mu pubic area and up my legs, brighter than natural skin color. No pain. Just it appears, grows in paralel lines and stop! It ruins my sexual view to my wife.What are possible causes and whar should I do to remove/conceal them??I m in hurry... | Hi. Welcome.It is not possible to comment on skin lesion without examination, so kindly see local doctor or upload the pictures in here to help you with specific advice.This provisional advice provided by me is based entirely on the input provided to me. I would suggest examination by the doctor.I hope this suggestion might be of some help to you. Please accept my answer in case you do not have further queries.Take care. | |
Sharp abdominal pain
sharp abdominal pain I have lower abdominal pain its sharp. started under my belly buton and if a squeeze on my left side it hurts. have not gone to the Dr. | Welcome to HCM, Symptoms of sharp abdominal pain below belly button can be due to a variety of causes. Depending on your age and sex , the causes could be intestinal or genitourinary or even musculoskeletal. It is important for you to get an ultrasound abdomen, especially at the episode of pain. You must visit a general physician who will relate your symptoms with periodicity, if any and perform a proper physical exammination. Take care. | |
Can alcohol cause raise in level of hemoglobin?
i am taking testosterone 200 mg per week 1 ml. anyways I forgot the night before my 3 month blood test and drank a fifth of whiskey my hemoglobin was 18.3 could the whiskey have caused this i heard dehydration can cause raised levels is this true. Thanks | Hi, Yes, it is true, dehydration might cause raised levels of Hemoglobin, while drinking alcohol does not have such effect. You are mentioning to be using testosteron 200 mg/week. Please bare in mind that testosterone replacement therapy is often associated with high hemoglobin levels as it might stimulate erythropoiesis. Erythropoiesis itself leads to polycythemia with increased red blood cell count, hemoglobin and hematocrit as final manifestations.At the end, as long as you are under testosterone therapy, your hemoglobin will keep high. So, you need to avoid dehydration as much as you can. You can discuss such side effect with your doctor for further evaluation.All the best!Dr.Bardha | |
What causes brown vaginal discharge during pregnancy?
I'm 36 weeks & 4 days pregnant for the past 2 days I've been losing brown mucus discharge, it's more dark brown/ black today, I went hospital last night & they checked baby & sent me home again, shall I go again as it's a lot darker today Would be grateful for your answer | Hallow Dear,Brown vaginal bleeding is old bleeding which remains inside for few days and then comes out. When it is of substantial amount, we suspect risk to the life of the baby. However, the bleeding was trivial and after such bleeding, you have been examined in the hospital and sent home with assurance. So no need to worry about the baby. It is likely that the mouth of the uterus (cervix) has started preparing for the delivery by getting gradually merged into the uterine walls. This process known as effacement of the cervix causes dislodgement of the mucous plug in the cervical canal with some bleeding. When such blood stained mucous come out immediately, it is red in colour, however if it remains inside the vagina (due to very little amount or position) or cervix, the blood and thus the discharge becomes brown. However, 36 weeks is too early for starting labour process. So I would advise you to have complete rest in the house in a view to postpone the starting of labour pains as far as possible, at least for one week more. It would be good practice to monitor the well being of the baby by listening to heart sounds (if you can do that) and/or counting the movements of the baby by clock. In left side position lying, in two hours, 10 movements are perceivable. If you note foetal movements getting affected, please report to the Obstetrician ASAP. I hope this helps you. Dr. Nishikant Shrotri | |
What causes clusters of pimples under penile skin?
Hi I have small clusters of pimples(very small) under the penile skin.they pain some time...I had unsafe sex three months back.but I had some of these before also...please help ....got STD negative in test in second week after sex...plz hlp( i am 25 male with 70 kg weight...physically fit with no medical history) | Hello, As per your history, it may be due to smegma. This is a normal finding and no need of active management. Clean private part with plain water. Avoid harsh cosmetic products. Use loose cotton clothes and avoid sweating. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician | |
2 yrs 10 months old has angelman syndrome with seizures, EEG normal. Advised valparin. right medicine?
my son 2 years and 10 months a angelman syndrome kid had seizures from last month dr, advised to take an EEG it showed an normal report but yet he had seizures and they advised to take valparin 3ml twice a day but he had seizures after taking medicines also and now dr. prescribed valparin 4ml and lobazam 5 twice a day.is it the right medicine? What are the side effects? HE is 11 kgs now. | Hello, he medications are right and your doctor has appropriately increase the dosage when it was not controlled with a lower dosage. The highest doses can not be given right from the start and so gradually these medications have to be adjusted. If seizures are not controlled with 1 medication then others have to be added. For some patients it is a long and truly frustrating experience to reach at the correct dose and combination. Good luck. | |
Suggest treatment for stiffness of right leg after recovering from typhoid
My daughter is 30 years old. She suffered from Typhoid fever 5 years ago and totally paralized because of a high dosage of medicine. It was so severe attack. She became totally blind, unable to talk and facing memory loss. We visited all famous doctors in Pakistan and after lots of efforts, she recovered partially, but we didn t give up and kept continue our efforts. Her eyesight is 90% recovered and she can also talk but bit slower than she speak before the sickness. We are grateful to God for His kindness for all this recovery. The main problem is, she can not walk without support. Her left leg is 100% OK, but the right leg is not moving because of stiffness. According to doctor s advice, she is walking on a manual Walk Machine but it does nt help. We shall be thankful if you would kindly advise treatment for movement of her leg freely. We, being parents, shall pray for you and your family s good health. Kindly advise remedy / medicines on the below mentioned mail. Mohammad Arif EMail: YYYY@YYYY | HelloAs you mentioned that she has stiffness in the right leg and unable to walk properly .This is a very good thing that your daughter recovered from eyes sight weakness . But according to your history of illness it is not possible to establish any diagnosis . What is the reason of unable to walk due to right leg. So either upload all previous reports or consult any medical institution and get their ( doctors ) opinion.But don't desperate ,she will recover . | |
Is it to be concerned about bilateral meniere's disease?
I have bilateral Meniere's disease, poor balance and undergone several surgries that include a Laby and two weeks ago a decompression Sac with shunt. i am also having right weird sensation in right, mostly but also left foot sort of an ache, not painful, it is also in my right leg. This has gone on for years but seems to be getting worse. I have had neurological tests and they say all is fine. Any suggestions as to what to do next. Also I have my days and nights mixed up. I sleep all day hard as I try not too and am awake all night. thanks | Hello,Welcome to HCM,Meniere’s disease is a disorder that affects the inner ear.The inner ear is responsible for your balance, as well as hearing. This disorder causes vertigo, hearing problems and a ringing sound in the ear.You requires investigations like Vestibular evoked myogenic potentials (VEMP) testing, Posturography, Magnetic resonance imaging (MRI) and Auditory brainstem response audiometry.You may require medications like diazepam for motion sickness, promethazine to control nausea and vomiting and medication to reduce fluid retention.Thank you. | |
What causes a false positive stress test?
I failed my stress test and the doctor is sending me to a hospital to take the stress echocardiogram test. He is telling me that women have a tendency to have false positives during the original stress test and that he is not concerned there is anything wrong. Is it really normal to fail the original test? | Dear Mrs,ECG stress test results can be false positive among women, it means that there can be abnormal results, when the person actually has no problem.We perform a stress test to a woman patient, if it negative, no abnormality in results, then heart disease is unlikely, if it is positive or doubtful, it doesn't yet mean that a person has heart disease in case of a woman patient, in this case we need more specific tests, so you were referred for echo stress test. Don't worry, your doctor just wants to make sure, that everything is normal.Take care | |
What can cause a knot and pressure on the back after an accident?
4 months ago had an accident was hit on my back ..simce then i noticed a. Knot Past three weeks ..where tje knot is on my middle of my back by my spine i feel like tnere is pressure there..it hurts when i walk or when i lay on my back ..plz help what cam i do | Hello, The feeling of a knot and pressure in the lower back can be due to fibrosis or a hematoma caused by the injury. This usually resolves on its own with time. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon | |
What is the remedy for the inflammation and pain in the leg after wearing a steel toe work boots?
After getting my new steel toe work boots and a different size my right knee has inflamed and makes it hard to walk and is very difficult coming down steps and have not worn the boots in 10 days (returned them) but my leg is still in pain, am also on concrete all day? | Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.after using those new steel toe work boots,which might be heavy i guess,u seem to have strained your knee soft tissues,including the muscles,tendons and ligaments. even though u have stopped using them,the swelling and pain usually takes atleast 3 weeks to heal if given proper rest. try taking as much rest as possible,use a knee cap while on work. hot fomentation twice a day. if the pain still remains,i suggest u get an xray of the knee done to find out the cause. analgesics,anti-inflammatory drugs local gel application may help. a remote possibilty is of elevated uric acid levels,that can be found out on a blood hemogram.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. | |
What is the remedy for back pain?
I have a history of a blocked kidney last year,? due to an ovarian cyst.I have recently experienced right sided pain,and had a renogram 2/52 ago,and am awaiting the results.I have been experiencing lower centralised back pain,and a fluttering feeling in my right kidney area..what does that indicate? | Hi, thank you for posting.Your symptoms bight be related to kidney disease and ovarian cyst.Kidney pain is severe and it can stop and start whenever(kidney area).This kind of pain is caused when the patient has ureter blockage.The most common cause is renal calculus(kidney stones).Ovarian cyst is manifested with lower middle back pain.To keep your disease in control you need an Ultrasound every 3 months.You also need: 1. Blood test(erythrocyte sedimentation rate). 2. Urine test.To relive pain you should take Paracetamol(Acetominophen) 500mg(only when you have pain).I also recommend anti inflammatory non steroidal medicines such as Ibuprofen(Advil) 400mg 1 pill twice a day.And Buscopan(Butylscopolamine) 10 mg 1 pill twice a day.Contact your nephrologist and your gynecologist.I hope you find this helpful.Regards.Dr. Behar. | |
Could pounding of heart and sweating be due anxiety?
Peace, mercy and blessings of God Greetings to those in charge of the site and reward you with good for what you are doing to serve your brothers. I am a man age 41 years and for a long time and I am afraid of death and disease, and aviation and despite my every year and I am not afraid of flying. I always came to me suddenly cause of death while I pray in the mosque behind Imam surprised the idea of death, and I try to be finished the prayer to escape from the mosque and heading towards the house (this case I have more than 20 years). 8 months ago, I grew a fear of severe and I m in a barber shop while I was shaving and taking a sweat me and blows my heart accelerates not finished shaving and left the shop and I felt dizzy and like a faint Ali and I have been at night trying to warm my limbs, but to no avail and I went the next day to the hospital and told me that the compressive high and needed for medication to lower it and three days after I checked the hospital after a dizziness in the head and was compressive 160/110 and described to me a medicine called for lotevan 5/160 and after stabilizing pressure on the 130/84 returned concern in terms of health and Adttrt to raise the dose to 160/10 of the same drug was then substituted into Eisenberl 10 mg and now proven pressure, but I am a permanent sense that I have a disease is discovered Although my visit to several consultants and the various disciplines and the work of various tests, but I am still in fear and anxiety, and is now afraid troubled, because I started to forget some of the names and remind her after Houdat or minutes at most times, but rarely type as I have a lot of confusion when you see one for fear of error in his name as I became moved away from the marital cohabitation for lack of desire and the lack of pleasure. After this suffering and confirm that the doctors and blood tests to detect the physical sound all decided to go to a psychiatrist and told me that I have anxiety disorder. He described to me a medicine called Escitalopram20mg But I did not I address please help me I am confused about what is the problem on my case. | Hi,Thanks for writing to healthcaremagic.I appreciate that you have narrated your history quiet well and it suggest that you are suffering from panic disorder with agoraphobia.There are panic attacks with impending doom and with anticipatory anxiety.you have also fear of crowded places and fear that how you can escape from those places.You did not have mention when your blood pressure exactly taken at point of time because during panic attacks also you may found high blood pressure with completely normal cardiac profile.SSRIs are drug of choice starting with low dose with benzodiazepines for short time under psychiatrists guidance.Escitalopram itself is SSRI and it will work well but start with 10 mg first then gradually increase to 20mg if needed. Hope I have answered your query, | |
What could sudden chills, diarrhea and fever blisters in mouth suggest?
New years @ 3am (no party) I woke up to chills so bad that I hurt my back from the shivering. I piled on clothes and blankets and it went away. However I have had the worst diarrhea ever going on 4 days. Im not in much discomfort. After the 3rd day I started eating again. I acquired fever blisters on the inside and outside my mouth. I don t do drugs or alcohol. I am visiting family from out of state so my insurance will get tricky on me. Any suggestions? | Hello,It appears to be viral fever.Drink plenty of water,coconut water,lemon water take B complex vitamin and tablet paracetamol for bodyache and fever.It generally takes 4-5 days for viral nfevtion to go away.In case your problems persist for more than 5 days,then consult a doctor.Thanks | |
What causes loss of strength after radiation treatment?
my sister has breast cancer she had chemo and radiation then they found lesions in her brain. She had 10 more radiation treatments on her head. That was 6 weeks ago. Her last Cat scan showed the lesions in her brain were significantly shrinking. Now she has no streength in her legs and her legs seem to be shrinling up?? | Hello dear, thanks for your question on HCM. I can understand your sister's situation and problem. Actually radiotherapy and chemotherapy breakdown the body tissue.These causes release many chemicals (cytokines, chemokines).These chemicals cause decrease appetite and loss of body mass.So patient feels weak. Better to start multivitamin and protien powder to build up body mass.Ask her to drink plenty of fluids. | |
What does a painful lump around the tailbone indicate?
I don t really know how to explain my situation but I ll try my very best ,I have m.s ,fms,ra,Psorisis, psoratic arthritis, degenerated spine ,n alot of other health issues.I woke up n was hurting really bad on the side of my tail bone n lower back ,but I didn t check it out just got up n tryed to stay on my feet cause it hurt to sit down but my lower back got worse n worse n unbearable. Well I had to lay down cause I was done in severe pain so unbareable anyways I felt down my lower spine to my tail bone n this what I found out my lower back is swollen n between my lower back spine n my tail bone is a Knott (hard) on the edge of the spine .idk what it is or could be but its about a half inch n size or a little bigger n really hurts bad .thank you for your time. Ginger south | Hello,According to our clinical expertise, the lump around tailbone mostly infected pilonidal sinus or sebaceous cyst. Needs clinical confirmation with an expert consultant surgeon.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel | |
What causes pain in the legs and back?
I walk on concrete floors 9hours a day I am suffering from pain from the top of my legs side of legs things it is all over no back pain no leg swelling no numbness no prickling I was just put on skellaxin 800 mg tid Monday and no relief they think it is muscle pain but now I feel it is nerve pain what do you think | the pain you are getting comes from the nerves related to your low back Spine and the main reason for your pains is your work for which you have decrease your physical strain and you didn't mentioned that your age and are u diabetic or any other health problems.any way try cap.gabapentin 100mg for 5days nigt followed by morning and night for 10days and regularly do some spinal excersices | |
Suggest remedy for pain when diagnosed with degenerative disc disease
I have degenerative disc disease. It s int the L5 vertebrae. My left side has been bothering me for a while. I thought it might be the muscles trying to keep my back straight. I m crooked now. It is getting worse and is moving towards the front. Just curious if I was correct in thinking that the muscles are overworked. | HelloDegenerative disc disease need proper evaluation.Besides clinical assessment,you may need further investigations like MRI of L/S spine.It is important to know status of inter vertebral disc and nerve.Treatment options of degenerative disc disease is both conservative or surgical depending upon findings.You may need to take medicines and physiotherapy.Surgery is required in non responsive cases.You should contact your neurologist.Take CareDr.Indu Bhushan | |
Is heart attack hereditary?
23 years male, 177cm, 66kg. for the last 3 months i have been having chest discomfort, dizzy, palpitations and fast heart rates (90-110 at rest), high blood pressure (24h monitor revealed 133/75mmHg, pulse pressure 58mm Hg, heart rate 86bpm - during sleep 126/63mmHg and heart rate 64bpm, it fluctuates between 50-84bpm), sometimes i have bluish/purpule lips and nails, sometimes i feel like my throat is closing or narrow. ekg was normal, echocardiogram did not reveal anything, and bike-stress test was ok (time 0= 145/85mmHg and 132bpm, reached 171bpm @ 175w in 8:17minutes - after 1st minute it went down to 150bpm, the second minute it went back up to 157, the 3rd minute 143, 4th 134, 5th 133bpm; my bp went up to 175/95mmHg, 3rd minute of rest it went back down to initial 150/85mmHg). i did not fell any pain or problems breathing, just a little lightheaded. i still get palpitations (at rest), my lips turn bluish at the corners, i feel slightlly faint or dizzy. i can run for 15 minutes(5 walk, 5 run, 5 really really fast run) and not have any discomfort (maybe a little dizzy or lightheaded). what can it be ? if i experience chest pain or discomfort, wouldn t exercising while i feel it make it worse ? i tried it twice and the discomfort went away. (still get that blue color on the side of my lips and purpule-ish nails). my dad had a heart attack when he was 45. | yes certainly heart problems are hereditary so you at a risk but presently all your work up is negative.Do you smoke?, any acidity problems like burping, sour water in your throat.Your problems can be related to gastritis so try some antacid. avoid spicy, oily food. Avoid alcohol if you are having it.presently no need to worry however be vigilant.Preventive measures like healthy lifestyle and regular exercises should be continued. | |
Sudden death due to bleeding from upper GI tract while on hemodialysis, didn't survive ventilation. Was this timely or wrong medication ?
My father died a sudden death due to bleeding from upper GI tract while on hemodialysis . He had a hemodialysis about 3 days earlier- then he had a bleeding episode- a hemorrhage and then he was admitted to critical care unit. He was kept on medicines and then one more dialysis was conducted on him just 2 days before he died. After this dialysis, he was kept in the CCU only for two more days. On the third day he had breathing problems. He was given oxygen through a mask. After about 15 hours, the docs said he has to be put into mechanical ventilation support. However, he did not survive in the ventilation. He died in about 1 and a half hours time. Could you please let me know if this death was timely or was it caused by some wrong medicines during his last dialysis. | Hi, Thanks for posting your query. Were your father was suffering from chronic kidney disease? Were there any defect in clotting time/ bleeding time/ prothrombin time? Had your father derangements of liver function test or any abdominal symptoms? Those patients who had already deranged liver and renal function may have deranged platelet function & prothrombin time with defect in coagulation. All these factors predisposes patient to bleeding with decreased clotting ability. Although heparin is given during dialysis but all these are applied by trained staff by measurement. So there is least likely possibility of wrong medicines. You can also understand that when dialysis was not started, he got hemorrhagic episodes. So I think medicines are not the likely cause. Once bleeding is started, then a vicious cycle starts in body and if not controlled within time then its very difficult to save life whether all medicines have been given by expert doctors. So doctors are also helpful at few places and we have to accept the judgment of god. Thanks, Dr. Mayank Bhargava | |
Accident, nose injury. Sutures put in, area turning dark. Mederma for treatment?
Hi, I had met with an accident 2 weeks back and had injured my nose . the doc had to suture the nose, i had around 6 stutures. the sutures were removed in a weeks time. The part of the stutures were initially pink and now it is turned darker. how long will these marks take to fade away completely. Is mederma a good option? | Hi Samantha Thanks for posting your query on healthcaremagic.com As you have mentioned the injury of nose , i would like to know what exact part of the nose is the scar present ? Secondly ill like to tell you that any traumatic wound leaving a scar has a series of changes occuring at molecular level which causes change in the colour , texture and extent of the scar.It is natural for the pink colour to become darker. Ill suggest few options for you to be followed : 1) Avoid direct sunlight contact over the scar. 2) Apply some topical application of contractubex or kelocote ointments for few months , which may help in fading off of the scar .Avoid using any depigmentation agents at present. 3) If the end result of the scarring is not satisfactory for you , consult a plastic surgeon for scar revision / resufacing the scar with Laser to make it almost inconspicuous I hope i have asnwered to all your queries .If you have any further doubts feel free to post again God Bless | |
Painful pimple on the penis, looks bluish in flaccid state causing discomfort. Remedy?
hi doctor i am 25 year old from last 3 month i am facing some problem related to my penis .on starting of my foreskin one strip of very small pimple had form before some day it was itching now it has stop sligt pain i am feeling on sulcus when anit look light blue when it is not erected.i am feeling un confortable every tine with my penis.please help | Welcome.It fits with infection called balano-posthitis.Kindly get examined and early treatment will do good.Local creams will suffice.Sincerely | |
Suggest diet that helps with blood flow in the body?
I don t have time or money right now for the proper fix but what can I take or eat at home that will promote blood flow even a little? I know all the proper stuff but that takes time I was looking for any type of quicker help, even if its just a little | Hi, dearI have gone through your question. I can understand your concern. You should take high fiber diet with low fat. You can take low fat diet with high amount of polyunsaturated fatty acids. High protein diet is also helpful. Drink plenty of water.Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. Don't forget to click thank you. | |
Could abdominal pain and tremors be related to taking antidepressant lexapro?
I am 23 and stopped taking the antidepressant lexapro after four years about a month ago. I experience diarrhea several times a week, cramping, bloating, abdominal pain, severe tremors, sweating and hot flashes. Are these symptoms of antidepressant withdrawal even though I stopped the medicine a month ago? | No, if these symptoms have started 1 month after stoppage of antidepressant, these must be due to Gastroenteritis,. Get investigated and clinically examined. Get a proper antibiotic treatment and you may be fine. IF there is no response get ultrasonography done. | |
How to get rid of itchy red spots all over the body?
MY 8 YEAR OLD SON HAS SMALL RED SPOTS ALL OVER HIS BODY THAT ITCH I HAVE TRIED JUNIOR OIATUM BUT IT HAS MADE NO DIFFERENCE HE HAS HAD IT FOR OVER 2 WEEKS AND IT SEEMS TO BE GETTING WORSE THE DOCTOR SAID IT WAS ECZEME AND HE HAS HAD A BLOOD TEST AND WE ARE WAITING FOR THE RESULTS MY DAUGHTER AND MYSELF SEEM TO BE ITCHY TOO ONLY WE HAVE NOT GOT A RASH | Hello,Thank you for asking at HCM.I went through your son's history and would like to make suggestions as follows:1. Were I treating him, I would prescribe him an antihistamine like cetirizine in the morning and hydroxyzine in the evening (before going to bed) for at least 5-7 days depending upon response.2. If it is eczema, it is important to know the cause of eczema and to avoid the causing factor.3. I would also suggest application of a lotion or moisturizer over eczema areas.4. If he has severe eczema, corticosteroid creams also may be necessary. Please apply them only after consulting a pediatrician/dermatologist.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish your son the best of the health ahead.Thank you & Regards. | |
What causes itching of hands and feet?
With children s hand and foot what can I do about the itching?!!! We have tried cool cloths, oatmeal baths, children s Benadryl, and 1% Hydrocortizone (only on his feet, he is 2 and puts his hands in his mouth which is not great right now). It is worse at night so Mommy is getting little sleep. Suggestions? | Hi,Thank you for asking question on health care magic.Your history suggests that it may be scabies.Single local application of Permethrin ointment or lotion is the drug of choice.Local application of Calodryl lotion and oral Cetrizine will temporarily relieve itching.Secondary infection due to scratching may be treated with suitable antibiotic.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics | |
What causes severe stomach pain and vomiting?
My daughter spent the last 12 hours in emergency for extreme stomach pain and vomiting, she does not have the flu...they gave her pain relief through a morphene iv and anti nausea and basically said they didnt know what was going on.. she had gastritis as a teenager and now at 24 is under extreme stress at university.....the hospital has not offered any further suggestions on what to do..we are very frustrated and worried. she is now home and still has severe pain and is vomiting. | Hi.Thanks for your query.If your daughter still has pain and vomiting , she needs to be admitted and investigated. Vomiting in most of the cases of abdominal pain are due to ''reflex''- meaning as a secondary to pain. ""Reflux'' vomiting is due to regurgitation from the stomach.In such a case I would advise:Re-admit.Nil orallyIV fluids and antibiotics, symptomatic treatment for vomiting.Investigations of blood, urine and stool.Ultrasonography of abdomen, if necessary CT scanUpper GI endoscopy only if vomiting is suspected due to stomach or duodenal causes.Standing X-ray abdomen :All these things start the treatment and lead to a definitive diagnosis. , helping definitive treatment. | |
Rash on breast region cascaded down abdomen. Bumps on back, arms, inner thigh, big red patches. What is it?
I have a rash primarily located on my breast region that has cascaded down my abdomen, with light small bumps beginning on my back, arms, and inner thigh. The small bumps look similar to previous contact dermatitis, however in the area mostly concentrated under my breast I have bigger red patches around 2-5cm in length. I am quite itchy and neither fungal nor bacteria creams have worked. What may I have? What can I do about it. | Hi, thanks for your query.As per your description of the rash and its areas of involvement it seems to be a fungal rash. It occurs in the areas which are prone to be moist like body folds. moisture and sweat facilitates the growth of fungi.To treat the same you may require a course of oral anti fungal drugs along with local anti fungal creams, and oral anti histamines for itching.You may consult a dermatologist for exact diagnosis and appropriate treatment.Hope this solves your query. You may write back if you have further queries in this regard.Wish you a good health. | |
What is causing my extreme discomfort in sitting position?
questions regarding abdominal pressure. Feels like i am pinching an organ or something when i sit. I went to the hospital and had labs done. No over production of white blood cells. No blood in stools. small traces of blood in urine. pressure is more and more an annoyance . Like have a testicle flicked by accident or somthing. Source is on my sides and inside. Please advice | Hello, Avoid prolonged sitting and biking. Use cotton undergarment. Maintain hygiene. In some cases, the problem may be because of kidney stone or prostate. therefore, if the problem persists, do USG of these organs to see if everything is OK. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta | |
Recurring lower abdominal pain, PCOS, yellow and green bowel movements, recurrent UTI, back pain, fatigue, colonoscopy showed mild colitis. Cause?
For the past 6 years I have had recurrent lower right sided abdominal pain (which feels like a hot poker) which has got worse and worse. I am now on Oral morph and tramadol for the pain whichm doesnt really help when it is at its worse. I have had my normal appendix out. CT scan was normal except Polycystic Ovaries. Symptoms include yellow and sometimes green bowel movements which ranges from diarrhea to constipation very quickly, recurrent UTI s, back pain, extreme fatigue . I also have an Underactive thyroid which when tested several years ago was 81!!!! A colonscopy was normal except for mild colitis . Two laparoscopies showed nothing except PCOS. I am so desperate to know what is wrong, I can t live my normally active life :-( | Hi. I need to know a few details: - Age? - Do you reside in an area where urinary stone disease is endemic? - How long does each episode of pain last? - During the so-called pain-free interval, are you completely asymptomatic or do you continue to have some discomfort/indigestion? - Have you noticed any specific initiating/aggravating factor for the pain? - Have you noticed any factor which relieves the pain (apart from analgesic medicine whenever it works) e.g. passing flatus/stool etc? - Fever? - How about your appetite? - Have you lost any weight over this past period of 6 years? - Do you get bloating of the tummy? - Do you pass mucus (slimy fluid) / blood per rectum? - Are you allergic to anything? - Has you gynaecologist cleared you of any gynaecological problem being responsible for the pain? I will be able to attempt to get closer to your problem after receiving answers to the above queries. Thanks. | |
Do persistent bronchitis and chest pain lead to pneumonia?
I ve had bronchitis for 2 weeks. Very wheezy and coughing up yellow mucus. This is the 7th time I ve had bronchitis this year. I now have terrible sharp pain on left side of chest which seems to wrap around to my left shoulder blade. ICould this be pneumonia? I do not have a fever, just completely exhausted. | 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-Chronic bronchitis with Pleuritic pain in left chest-wrapping around left shoulder blade.This pain is from chronic bronchitis with clogged up terminal alveolar groups,causing pleural inflammation from infection.X-ray chest may show few dense shadows with thickened pleura-which indicates edematous thickened inflamed pleura..In your case as the cough is with productive yellow mucus, indicating enough infection of air track.Possibility of Pneumonia, accompanying with this is more and needs to be kept under watch, by closed observation.But the afebrile body,with this yellow mucus indicates recovering Bronchitis with pleuritic pain in left chest laterally and in back near left shoulder blades.Pneumonia would be indicated by high fever with chills which is not there in your case.Exhastion is from chronic infection with dehydration and destruction of vital lung lining tissue, from productive yellow cough.Possibility TB Bronchitis with Pleuritic pain is to be kept in mind.For this to find out-AFB sputum / PCR tests of yellow mucus to find out TB antigen of live/ dead bacteria/ IGRA-blood test to detect hidden subclinical TB.Exhaustion may indicate TB infection with no fever/ or mild fever.Course of Augmentin duo(Amoxycillin with clavulanic acid ) may differentiate NON-TB cause,if it responds to this course for 10 days time.Supporting it with high protein bland diet with plenty of fluids / vitamins would recoup you soon from this condition.Hope this would help you to plan further treatment from your doctors there.Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS | |
Suggest treatment for pain in the penis head
Hi, I m having a small painful feeling around the tip of my penis several times throughout the day for the past week (about a 1-2 on a scale of 1-10) I was diagnosed with Gonorrhea two months ago and was treated and my symptoms went away. I have zero discharge, and zero pain when I urinate as well, I plan on seeing my doctor next week regardless but does this sound like my Gonorrhea had not been cured? | HelloThanks for query.The pain in glans penis could be due to infection of glans penis (Ballanitis) and is unlikely to be related to cured Gonorrhea .You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil. | |
What causes sensation of weird movements in the abdomen along with sharp pain?
Hi, my name is XXXX I m a 19year old girl and I keep getting these weird movement feelings in the centre of my stomach (inside) it feel like there is something in there. Sometimes it give me a sharp pain doesn t really hurt just a quick weird pain. At first I thought I could be pregnant but then I tooktook a pregnancy test and it came up negative, and I am also using contraception ( the implant ) so I don t think I could be pregnant, and also the last time I had sex was 5 months ago I feel like I d no if I was pregnant 5 months gone. I just want to know what it is because it is a weird and slightly uncomfortable feeling because I don t know what it is or could be. Thankyou. | Hi,There can be numerous clinical conditions to present with sharp weird movements in the center of abdomen as intestine colic, GI infection, acute gastric upset or others. Immediate relief with anti spasmodic medication as dicyclomine or drotaverine prescription from your GP and later on discuss the need of an ultrasound of the abdomen & pelvis for precise underlying evaluation of abdomen viscera and care accordingly.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon | |
What causes swelling and fluid in the elbow causing pain and having a history of Rheumatoid arthritis?
Hi Dr. Siegel! I m a patient who has been living with Rheumatoid Arthritis for 20+ years. My right elbow is swollen, has fluid near the elbow and above the underarm where blood is usually taken from the vein area above the it throbs. Experiencing much pain; I just had x-rays of the right elbow taken waiting for results. Prior to taking the x-rays I asked the Rheumatologist for a cortisone shot but he insisted on getting results from the x-rays first. What information can you give me regarding this type of pain. I am currently taken Humira; took Enbrel in the past. | hello, I understand your concern over the issue. First of all you are RA positive( rheumatoid arthritis) for more than 20 years. Good that you are taking treatment for it from rheumatologist. RA is a slowly progressive autoimmune disease, hope your are taking medicines on time that your doctor has prescribed. Do not change or modify dosage or any medicine without asking your doctor. I hope you are doing routine blood tests advised by your doctor every 3-4 months and do follow ups. The medicines work to slow down the progression of the disease which damages joints. For the elbow, looks like there is accumulation of fluid that is leading to swelling and pain. The pain and and swelling shall be there for some time but it will reduce after treatment. So till then I would suggest you do as per your doctor says. As first need to see the extent of joint damage and other things before giving you cortisone shot. Because if there is need to take the fluid out and get it examined, then that should be done prior giving you the cortisone injection if it is needed.The medicines you are taking for RA, keep taking those till you get the x-ray reports as your doctor advices. If the pain is extreme you can use pain killer spray for relief. Keep yourself active with slight exercising. And visit your doctor as soon as you get the results. After that your doctor will suggest you what next step to do. Hope it helps. If any queries, feel free to contact. Stay healthy. | |
How can a blister on the penis post oral sex be treated?
Hi, so I had oral sex it was her first time going down on a female and she was way too rough. It started hurting so I made her stop and there was a lot of blood. I have what looks like a cut which then kinda created a bubble looking thing. Dr gave me triamcinolone acetonide ointment. It looks like the swelling has gone down (happened 6 days ago on meds for 4) but it looks like the bubble is going to stay like that and it looks extremely gross. dr wants me back in 6 more days, if it still looks like that can the dr cut it off? It literally looks like a ball of skin that doesn t need to be there | Hi, Blister may be due to fluid collection under prepuce skin after vigorous sex or it may be due to herpes simplex or candida infection. Until examination is done it is difficult to say what it is. Use oral pain pain killer and apply anti inflammatory medication locally. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu | |
What could hard lump inside vagina suggest?
when i got home from work a little bit ago I peed and when I wiped there is a hard lump just inside of my vagina and it bled. I just made an appt with my dr for tomorrow morning but it is freaking me out. It was not there 3 hours ago when I went to work and used the restroom. What could it be? | Hi, Thanks for query to My HCM virtual Clinic.I studied all details of your query.Your query information is insufficient and confusing to comment on the nature of the lump in vagina.In this background I would suggest to consult your family doctor who would check it in all its aspects and if need be would refer you to Gynec specialist doctor to check up unexpected lump in vagina which was not there 3 hours back and which bled?Going by the limited facts, In My Opinion you seem to have problem of -Bartholin Cyst/Boil of the labia majora which bled due to the friction while you were on the job.To confirm this cause,from many other causes, I would suggest you Second opinion from Gynec doctor who is the right doctor to help you out from this worry.Hope this satisfies your query.Don't forget to hit thanks and write excellent review comments to help needy visitors at HCM.Welcome for any further query in this regards.Dr.Savaskar M.N.M.S.Genl- CVTS.Senior Surgical Specialist. | |
What can cause pounding sensation in Asthma patient?
My 8 year old daughter is undergoing tests to diagnose asthma. it is well controlled. She has been complaining of chest discomfort. It started very sporadically at first (once per month), but now more regular. It happens when she`s just doing quiet things. She points to either her left or right side, it varies, located just under the breast, more towards the outer chest wall. She describes a pounding sensation and `swirling`....that`s her description. It doesn`t affect her breathing. Is it asthma related, or medication.....she`s on flovent and singulair. Thanks. | Hello, Pounding (swirling l) sensations in an asthmatic child should always be evaluated for 1. Heart (valvular) diseases 2. Control of asthma. So better to get done 2D echo to rule out valvular heart diseases. Also, get done chest X-ray and PFT (Pulmonary Function Test) to see asthma control. If all these are normal then no need to worry much. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Kaushal Bhavsar, Pulmonologist | |
What do these blood sugar levels indicate?
My wifes blood sugar level was 50, 2 hours after dinner. after the test she ate an apple and a small piece of chocolate. When she went to bed her reading was 52. I gave her a glass of orange juice and 5 minutes later the reading was 64. Is this okay ? Thank you. email: YYYY@YYYY | Hello,Your history suggests me that your wife is hypoglycaemic any sugar value below 72mg/dl considered to be hypoglycaemic, so she needs to increase her sugar content by eating more frequently and increasing the amount of sugar consumption. Hypoglycemia is more dangerous than diabetes as the sudden drop in blood glucose level can harm the brain more than an increase in the sugar level.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Medhavi Agarwal | |
How to treat social anxiety disorder?
So I had a report to do on social anxiety disorder, and I ve always had a peoplephobia but I was doing research on SAD I realized that those symptoms are ones that I often experince when being around people, talking to strangers, etc. What are the chances that I have a social anxiety disorder | DearWe understand your concernsI went through your details. I suggest you not to worry much. In one way everyone has their own anxiety symptoms. Some are anxious to talk to strangers, to talking on stage, to write exams, to be in a high place, to insects, to water and so on. the list is end less. If you categorize by just anxiety symptoms, everyone in the world will come under anxiety disorder. Therefore, to determine whether you have any social anxiety or not, first just ignore the symptoms for around 5 years. Then if you feel, you can consult a psychologist.If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | |
Q. What does glaucoma suspected patient mean?
Hi doctor, I had eye checkup nine months back as I had light pain in right eye. The doctor advised me to get OCT and CCT. With the test reports he said that I have glaucoma. He advised me to take an eye drop named Lumigan one drop daily at night in both eyes. I am not satisfied with his opinion and so went to another doctor. He said no glaucoma and advised to take vitamin tablet daily. After a week consulted another doctor and he said that the OCT report is normal and no need to take any eye drop. After a week I went to a famous eye hospital and consulted there. Again took an OCT and reported to have glaucoma and advised to take Brimosun 0.15% drops twice daily with a gap of 12 hours. A month later went to another hospital and the doctor said he is in confused state and asked me to check my eye regularly and take OCT for every six months. Then two months later I visited a glaucoma expert and he examined my eye deeply and done another OCT. After all tests he said I am a glaucoma suspect patient and advised to take eye drop Timolast 0.5% or Timolet od every morning one drop in both eyes. My eye pressure is always between 20 and 24 in both eyes. My first and second time CCT reports are 502-503 and 533-534 respectively. My OCT reports showed 10% area in red figure and balance in green figure in the left eye and 10% area in yellow and balance in green in the right eye. Is it necessary to take glaucoma drop? If yes, which one to take from the above? Is Timolet a highly concentrated one in comparison of Brimosun 0.15%? My mother suffered with glaucoma. I am taking Thyronorm 75 daily. Please advise me in detail. Thank you. | Hi. First of all please relax. There is nothing to worry. All the doctors are correct. Now let me explain you. Glaucoma is a very slowly progressive disease. You are glaucoma suspect means you are at risk of glaucoma or have many predisposing factors for glaucoma, but there is no conclusive evidence to diagnose glaucoma. Predisposing factors present in you are as follows: All these factors make you susceptible for glaucoma, but it is not conclusive. You should not worry about glaucoma or loss of eye sight. Having said that you can use Timolast eye drop (Timolol) or Timolet eye drop twice a day, there is no harm in using this eye drop. Some doctors give Lumigan (Bimatoprost) and some give Brimosun (Brimonidine). There is no harm in using any of these eye drops, but please use only one of these. For further information consult an eye care ophthalmologist online --> |
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