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Suggest treatment for pain in leg
sir my wife having pain in her left leg. she was x-rays in surya ortho in Faridabad . The Doctor said that there is less gap in hip due to that the nerves pressed and left backside pain occur. He also done Physiotherpy for IFT & ILT . He also give the PONDEX(TRAMADOL &PARACETAMOL), ALPHALIPOIC,VITAMINS &FOLIC ACIDS CAPSULE. She take this dose for two month but no any relief from pain .sir pl advice us | Hi, Physiotherapy is a good and harmless option. You can also use Pregabalin 75 (if there is no underlying contraindication). Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr. Tanmoy Roy, General & Family Physician | |
What could cause dizziness,tiredness,nausea and hyperventilation of heart?
Good Day doctor, I am 28 years of age. During the day my left arm goes numb sometimes tingli I feel tired the whole day, I dont really eat as much as I use too, cause sometimes that also makes me feel bad. About a month ago my heart started beating fast, I felt dizzy, it felt like all my veins were closing and that I wasnt getting enough blood/oxygen, I went to the hospital and the doctor told me that I was just hyperventilating, it went away for about three days and then it just started again, but it comes and goes, I feel extremely dizzy, tired and nauseas through the day, please let me know what this could be | this could be a hyperventilation syndrome.. you should take rest from your work..remove negative people from your life.. change your work area...get some stress free remedies lime meditation,yoga etc.soon you will be alright | |
Have kidney cyst, white substance in urine, low ketones, high globulin. What is going on?
I have multiple cysts in both kidneys and had been under the care of a Nephrologist but haven t been seen for about a year due to I had not had any problems until recently. For the past month, I have been having the symptoms of trying to pass stones again but haven t yet as far as I could see, however, my urine has been containing what looks like white pieces of tissue and at times contains tinges of what looks like blood whithin. U went to the emergency room and had bloodwork, urinalysis , and a C.T. scan done, no sign of infection, a trace of blood, Globulin level high(3.7), Ketones low(3.2), gravity low(less than 1.005, bacteria rare, and the C.T.scan said there was focal thinning of the lower pole of my right kidney where a 5 mm calculus was identified. What do you think is going on?? E.R. doctor said u was fine, figure that. | Hello. As you earlier said, you have multiple cysts in both kidneys. Such kidneys more prone to develop infections and bleeding. However it is not a rule. From your description, it looks like you have passes papilla in urine. You should consult nephrologist and urologist for the same. | |
Q. Why does my skin surrounding the surgery area look black and dead?
Hi doctor, I am a 57 year old female. I am 4.3 feet tall. I underwent a leg surgery 11 months back. The surgical wound has been infected three times already with pus discharge. After cleaning the discharge, a small area remains unhealed, and the implants fixed during surgery can be still seen through this area. The skin in this area has become black and looks dead. I already have thyroid and arthritis. Is there any way to treat the infection without removing the implants? | Hello. Kindly post the images of the affected leg and the infected wound after the surgery. I will be able to comment only after seeing the photos. Revert with more information to an orthopaedician and traumatologist online --> | |
Suggest remedies for episodes of severe pain in inner thigh at night
my husband keeps having terrible stabbing pain in his inner thigh he says it is excruciating like the charlie horse type of pain that you get in your calf sometimes at night. they usually come at night and can last several minutes at a time and he just screams. is there any remedy for this? | Hai. It looks like a neuralgia, occuring like sudden shooting pain, usually die to nervous irritation. I can apply local pain relieving gels, ifvpain is so severe u can go for drugs like gabapentin with methylcobal. | |
Suggest remedy for back pain
hi I am 44 yrs old 160 pounds I have been suffering with severe pain in the back. I have buldging disc in all of the lumber area. I have had 3 steroid shots, physical therpy, nerve test done which showed pain coming from L-3. Now they want to burn the nerve. Are there any suggestions? in pain 24-7 | well one can try epidural steroid injection before the nerve burn,along with physiotherapy and avoiding flexion activites of the trunk..and regular exercises specific for disc herniation | |
What causes low red blood count?
My husband s red blood count is 4.46. He is 81 years old and has congestive heart failure (but is in good shape because he has a pacemaker). We just found out that he has high blood sugar (234). His iron is good. What would be the possible cause of a low red blood count? Thank you. | Hi, dearI have gone through your question. I can understand your concern. His rbc count is slightly low only. No need to big worry. At this age it is common. He may have some normochromic normocytic anemia due to reduce rbc production. His sugar level is high. He should take treatment accordingly. Thanks for using health care magic. Wish you a very good health. Don't forget to click thank you. | |
Q. Can porokeratosis recur?
Hi doctor,I was diagnosed to have porokeratosis through a biopsy. I used Imiquimod cream and it was gone. After three years, the area started itching again now. Is it due to the recurrence of the same disease? | Hi. Revert back with the photos to a dermatologist online --> | |
Is switching from Bupropion to Lexapro safe?
My son is 27 and has recently been seen for anxiety and depression. They first gave him Bupropion and now are switching him to Lexapro just 5 mg. We are all very nerveous about this unknown and want him off as soon as possible. I don t now his options | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You have mentioned that your son has anxiety and depressive symptoms, usually the first choice of drugs are SSRIs and Lexapro (escitalopram) is one of them. Escitalopram would be a better choice for initiation than Bupropion, as Bupropion is less effective in tackling anxiety features. No dangerous side effects are encountered on switching from Bupropion to Escitalopram. It would be beneficial to add a low dose of Lorazepam or Clonazepam for short duration. Better teach him relaxation skills to counter anxiety symptoms and preventing from developing panic symptoms, as antidepressant drugs are effective only till they are used and not useful in preventing future episodes. Hope I have answered your query. Let me know if I can assist you further. | |
Have sore gums and toothache. Had molar extracted. Is it normal?
Hi so I m pretty sure its my first molar on the bottom right side that i got extracted on Monday Feb. 11th. For the first 2 days I slept and took the painkillers and Ibuprofen that they had prescribed but since then my gum on the outside feels sore and kind of raw. As if my cheek is rubbing against it and the second premolar feels like its shifting downwards a little bit. Sometimes it still feels like i have a massive tooth pain there and also my teeth on the other side of my mouth are starting to hurt a little as well(Also the tooth they extracted was abscessed). Is this all normal? I m 21 and haven t had a tooth removed since I was 5 and it s kind of freaking me out that my mouth hurts this bad still since its been 5 days. Also I was curious on why I m 21(22 in may) and haven t gotten my wisdom teeth in yet. | hi and welcome to HCM, As you have mentioned the first molar you got extracted was involved with abscess. so after extraction the socket needs to be curretted to remove the pus pocket and all the debris and irritants , disinfection of the socket is done and then the wound is packed with cotton gauze . any remnants of abscessed tissue in the socket may lead to infection and pain. Secondly you may have developed a condition of Dry socket due to dislodgement of bloot clot from the extraction wound which leads to delayed healing, pain and discomfort. you need to get it clinically examined by a dentist to confirm and make a diagnosis. Pain the other teeth may be due to gingival infection which can be cured by scaling and root planing. About wisdom teeth , they normally erupt at the age of 18 to 27 years so you can still wait as you will get the eruption signs once they appear. i would suggest you to get an OPG radiograph done which will show the wisdome tooth appearing as well as infection in other teeth if any , will help in deciding treatment. i hope i answered all your doubts, take care. | |
Experiencing back pain & tingling after taking Transforaminalsteroid?
Hi I have had a Fluoroscopically-guidedleft L5-S1transforaminalsteroid injection a couple of days ago for severe pain from my back to my foot which prevented me from working for 5 weeks now. The pain has reduced by 60-70% but I have this tingling sensation on the side of my leg from the side of my knee to my foot. Is this normal or is there anything I can do to eliminate this feeling? I am also having trouble sleeping with no specific reason. I am a 66 year old female and still working. Thanks for any advice. | Hi,Welcome to health care magic.YOU ARE SUFFERING FROM COMPRESSIVE NUEROPATHY. You can your MRI ls spine done.If there is compression of nerve root than spine surgery relieve you of symptoms.I think this advice will be of some help to you. | |
Fungal looking rash on thighs, buttocks, under the arm. Took oral steroid, OTC creams. How can i overcome this problem?
Yes, I have some type of fungal looking rash that I have tried OTC creams that don't work. I work out daily and I do sweat a lot. The rash appears on the thighs, buttocks, and under the arms and looks round circular. The only thing that seems to work is an oral steroid Millipred. I shower at least twice daily and always before bed.Any thoughts? | Hi,Thanks for writing in.You must confirm your condition as fungal infection by consulting your doctor. Always wear cotton inner clothes and maintain genital hygiene. Dry yourself completely after having shower. Apply the creams at night after shower and before going to bed. You can use deodorants with anti perspirant combination.hope this helps | |
What causes tingling through out the body?
good morning I have tingling through out my body, really bad breath, got a red rash on the base of my skull last year and have diagnosis (psoriasis) 1% hydrocortisone cream no good. sometimes feels like my blood is constantly churning, had MRI's, ultra sound, x-rays but still feel ill. | Hello!Welcome on HCM!You should know that your symptoms could be related to chronic inflammation or a metabolic disorder (including chronic anemia, thyroid dysfunction,etc.). For this reason, I would recommend consulting with your GP for some other tests: - complete blood count, PCR, ESR for inflammation- thyroid hormone levels for thyroid dysfunction- ANA, ANCA antibodies- Rheumatoid factor- complete blood count for anemia. Further tests may be needed. You should discuss with a rheumatologist on these issues. Hope to have been helpful! Kind regards, Dr. Aida | |
Q. I had Ex-lax for constipation and bloating, but I was not benefitted. Why?
Hello doctor, I got on an airplane and started having stomach pain. When I landed I used the restroom but could not empty my bowels. I then drove for two hours and had terrible stomach pain. I then used the restroom and was able to terminate a little but it was not a normal amount. I continued to be constipated for days. I finally took ex-lax and that cleared me out but I could not go the next day. So I waited a whole day and took it again (it worked) but I cannot terminate. It has been days. I usually go three times a day. I have been running, hydrating and eating well. I am not stressed. My stomach is completely bloated and each time I take ex-lax the bloating is gone and my stomach is four times smaller. I took some prune juice and my lower abdomen started having painful contractions for an hour followed by diarrhea. I am at a loss. I have tried fiber too and nothing helps. Please help. | Hello. A couple of things, use of stool softener or laxative is not recommended unless you have constipation for three days and you are passing gas. You are most likely to have diarrhea if you use it earlier also you may have post diarrhea ileus (the gut can go into a stunning situation and you would be constipated). My recommendations would be not to use any stool softener or laxatives and allow your natural habit to return. Please add vegetables in your diet and salads. Please only use MiraLAX (Polyethylene glycol 3350) it is a laxative solution from day 3 if you are not still going. Also, the bloating is a side effect of the product you are using. | |
What is the solution if doing self harm and have thoughts about it?
Well, Ive been struggling with self harm for over a year now, scars cover my thighs, Ive never cut deep enough to leave more than small white scars. Ive been 3-4 months clean now, but for the past week Ive been thinking about it nonstop, and even had dreams about cutting. The urges are getting worse with more emotional stress, and I dont know what to do. | HiThanks for using healthcare magicI think, you have underline depression and in that case, you should consult a psychiatrist for proper mental evaluation. You need antidepressant that would help to control these symptoms. You can also take help of a psychiatrist to control these self harming thoughts. In case, you need further help, you can ask.Thanks | |
Bloody stools like dark blood diarrhea, vomiting. History of having cirrhosis of liver, had ultrasound. Serious?
My husband has cirrhosis of the liver. He had an ultrasound last week followed by two days of bloody stool. Today he had an MRI and now has bloody stools again. Stool is like dark bloody diarrhea. He is also vomiting. Is this caused by his cirrhosis or by the test? He sees his liver doctor on Monday. Should he go to the hospital? | Hello,Thank you for the query.I have gone through your query and understood your concern. I dont think that MRI caused bloody stools as it doesnt causes any radiation exposure lie other tests. But the culprit in your case is liver cirrhosis in my opinion. And hospital visit is always needed as increased blood loss will leads to hypovolemic shock which is not an acceptable condition if the blood loss is no much then it is fine and you can wait for the change but if it is more you need to consult your treating doctor for sure. Thank you. | |
How can compressed disk on the back be treated?
Hi I'm a US Marine during my first deployment I had a hellicopter go down with me in it my doc thinks it caused a compressed disk in my back ( not provin because I would get medical discharged from the core I love ) after I that I was an inch shorter now 2 years later over the last 5 months I have gotten another inch shorter with no trama to my back when I enlisted I was 5 10 after Iraq I was 5 9 and now I'm 58 flat ... My question is .. Is this something to worry about? Or should I let it slide again and keep trucking? | yes two inch short a big worry get MRI SCAN OF THE affected area and get appropriate treatment if need be, which appears imminent. don't neglect, nothing is more important than your health isn't it | |
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 --> | |
Does warm beer help in flushing kidney stones?
I just had an ultrasound done on my kidney because my primary doctor thinks I may have a kidney stone. I had a dull ache on right side from the front under my ribs to the back for the past 2 weeks. One night I ached even when I tried to roll over in bed, it kept me up all night. I looked at the ultrasound machine while she was completing it and I saw a round white circle the size of a small marble. My daughter who is studying to become an ultrasound tech said it could be a stone or even maybe cancer because cancer shows up white on an ultrasound. I thought, oh wonderful. I pray it is only a stone. Actually the pain has subsided somewhat and is not as intense. Where I work one of the nurses aids said to drink warm beer, so I did. Do you think if it is a stone that warm beer will help? | Hi, welcome to HCMLooking to your history, i, as a nephrologist, understand your concern.Stones which are obstructed in urine passage, first of all, require its complete removal to relieve obstruction.CT scan will help us to rule this possibilty.Do basic urine report and S.creatinine.Then, it requires evaluation of cause of kidney stone and type of stone.Adequate water intake with salt restriction, decrease intake of nonveg protein and normal calcium intake are the general measures to prevent kidney stones.Magnesium, citrate and Vit B6 can prevent stone formation.Beer will not help much. Take adequate water and citrate supplements as advised.I think this would be helpful to you.Best wishes. TC.Dr Jay Patel. | |
Q. I have redness and burning sensation in my face. Is it curable?
Hi doctor, I have severe redness in my face. I also have a burning sensation in my face. What is it? Is it curable? | Hi. You are suffering from rosacea. It occurs due to solar damage, and it leads to vasomotor instability causing erythema on the face, and a tendency to flush easily. Identify the triggering factors and avoid it. The common triggering factors are hot or cold temperatures, wind, hot drinks, caffeine, exercise, spicy food, alcohol, emotions, and topical products. For red areas, you can apply Brimonidine gel twice daily after consulting your GP (general practitioner) or dermatologist. Use broad-spectrum physical sunscreen like Sun cross soft gel (Zinc oxide with Alkyl benzoate) with SPF (sun protection factor) 50 daily. Use it all over the face in the morning. You have to repeat it once in four hours. | |
What does "enlarged ovaries with multiple follicles" suggest?
my ovaries are enlarged in size and show multiple small follicles showing peripheral arrangement no dominant follicle seen.the stromal echogenicity is increased.no adnexal mass seen..there is no free fluid in pouch of douglas what all does it mean?? any serious problem for conceiving a baby | Hi I think you have pcod problem and you will need some medical help to get pregnant. It is quite possible for you to get pregnant naturally but it might take some time. Medicines will help you speed up the process. | |
What causes high blood pressure?
Hi, may I answer your health queries right now ? Please type your query here... Why does my blood pressure rise for no good reason? I can be sitting in my easy chair and all of a sudden my BP will go up to an all time high. Seems like it starts in the middle of my body and just rises and makes me feel really strange. What's up? | Hi ThereAfter going through your query I understand your concern.I would like to tell you that many factors can cause a rise in your blood pressure like, unhealthy lifestyle, lack of physical activity,obesity, body malfunctions or genetic factors etc. Cause of hypertension should be evaluated for a proper treatment. Its recommended for to consult a GP and get yourself evaluated and for further management.Kind Regards | |
Q. I am a bi-curious male who had exposure to blood. What are my risks of HIV or HCV?
Hello doctor, Unfortunate is that I am a bicurious male who encountered a possible exposure to blood (environmental exposure). Being my first male to male exposure, I was not very sure to engage in anal sex and I just tried inserting and I am sure even I was not too hard enough to penetrate when I tried to. So, I removed the condom and just ejaculated. Before that, I had unprotected oral sex. Once I was about to leave the place, I found a tinge of blood on the top of the used condom. It happened over three months ago. I tested the partner on the same day for HIV fourth generation Ab/Ag test and he tested negative. From then, I am panicked about being contracted with HCV and HIV. In the due course, I got a small sore on my penis which was examined by a dermatologist and he was very sure that it was not a syphilis sore (I explained all that happened). Eight weeks later, I wanted the person who had all other STD tests including syphilis, HCV, and HIV. He tested positive for syphilis and only now he is on treatment. My VDRL and TPHA results are negative until the last test 90 days after the exposure. Further, I underwent Anti-HIV Combo ab/ag, Anti HCV, VDRL, TPHA, HIV RNA PCR qualitative several times in the last three months and got the results as non-reactive and non-detected. Now it has been 13 weeks and three days since the possible exposure. All the above tests were taken in a reputed lab. Apart from the above, HIV RNA qualitative and Western blot tests were also done in a different lab twice (eight and 10 weeks post exposure) and were negative. My fear is: If there was any exposure by touching the blood while I pulled off my condom and that had contact with my penile gland when I ejaculated (though I did not have any open cut or sore, did not see any bleeding or blood tinge on my penis when I washed my penis after the mishap), will I be at a greater risk of contracting HIV or HCV (though the partner was tested negative for HIV and HCV two months post this mishap)? With the above tests done now after three months, what is the chance that I had contracted HIV or HCV? With articles on the internet talking about HIV and HCV co-infection which delays HIV seroconversion, make me go mad. With the tests done can I allay my fears of HIV at least? As my partner is positive for syphilis, is my three months negative VDRL conclusive on me? Is there any other test I can do to put my | Hello. Since the blood was on the outside of the condom, therefore, it was almost certainly not in direct contact with your penis. Your screening tests are negative on multiple occasions and they are conclusive. A negative Combo test (Anti HIV antibody test and P24Ag test) is considered conclusive at six weeks by most HIV (human immunodeficiency virus) specialists. Similarly, anti-HCV (hepatitis C) and HBsAg (hepatitis B) are reliable six weeks onwards in those with possible exposure. VDRL (venereal disease research laboratory) usually becomes positive three weeks after infection but because of the variable incubation period of syphilis of nine to 90 days, it is certainly conclusive if it is negative at three months. So a negative at three months in your case is conclusive. Regards. For more information consult a dermatologist online --> | |
What could be the itchy skin rash that started on thighs and is spreading now?
My fiancé has an itchy skin rash that started on his thighs and is now on his upper arms and forearms. He hasn't gone to see a doc due to having no Insurance. What could this be? I'm in the process of rehashing all our clothes in different detergent. Taking an antihistamine seems to help. | Hi,I can understand your concern for itchy skin rash that started on thighs and is spreading now. There can be multiple possibilities of the dark brownish pigmented spots and it requires a close physical examination to diagnose the exact entity of the problem.In my view correlating with the facts you have provided it appears to be fungal infection of the area.I suggest you to meet a dermatologist to for proper therapy. In between you should wash the area properly. If I were your dermatologist then presumptively would have preferred to apply an antifungal cream such as clotrimazole or miconazole. You can take an antihistamine such as loratadine for once a day if itching is present.Do not try to pinch, pop or squeeze the area as it may cause secondary infection of the area.All the best | |
What medication is suggested for ruptured tendon in right thumb?
I have a ruptured extensor tendon in my right thumb I can grasp but cannot move my thumb up when hand palm down or toward the index finger. im advised to have surgery and use one of t he tendons in my right index finger. if I wait on the surgery, as I can use my hand reasonably well, will I have t he option of doing the surgery say one year from now | hi,thank you for brief history of you.A thorough neuromuscular and musculoskeletal assessment is advised.After reading your history I am able to understand that the surgeon is planning for a Tendon transplant operation. I feel you should go now itself , as when the injury persists longer the rehabilitation takes longer to regain the movement. Also to understand that the early the better. Usually surgery is not recommended if injury is small and limitig the functional activities. But in case if does, it's better to get it done sooner. As tendons do no heal on its own and the movement don't come back.Also to understand that after the Tendon transplant operation you need to do a serious rehabilitation of the hand, as hand is a complex system to understand and rehabilitate, the time of recovery totally depends from individual to individual.In my personal experience we advice to take immediate steps. as the recover is early. when the case becomes chronic , the recovery is delayed and prolongs longer. which leads to irritation in patient and withdrawal of rehabilitation .regardsJay Indravadan Patel | |
Are there any home remedies for erisypelas in foot?
A lady friend 81 yearts old has erisypelas in one foot and was given anibiotics which closed the blisters and the pus coming from them is gone. However her foot is red, swollen and very painful. She was given a topic medication (I don't know what that is) and pain killer. Is there any home/natural remedy to cure her foot? | Erysipelas is a bacterial infection in the upper layer of your skin. It is similar to another skin disorder known as cellulitis, an infection in the lower layers of your skin. The bacteria that most commonly cause erysipelas are known as streptococci, and they normally live on your skin and other body surfaces without causing harm. They can, however, enter your skin through a cut or a sore.Usually, the affected body part must be raised higher than the rest of your body to reduce swelling. In your case leg is affected, you should aim to rest as much as possible with the leg elevated above your hip. For example, lie down, and prop your leg up on some cushions. It is important to get up and walk about from time to time and to keep up your fluid intake. The almond cold pressed oil is one of the most efficient way to get rid of the anesthetic erysipelas red spots. All you need to do is to anoint your skin with the almond oil twice a day, early in the morning and right before bedtime.Antibiotic treatment and usually penicillin is the kind of treatment that would be used in case of erysipelas and antibiotics are a must. All the bestRegardsDr Santosh | |
Why does the puss pocket on the tooth treated with root canal hurt ?
I had a root canal done on my front tooth about 5 years ago. It has an enamel cap on it. It has 3 puss pockets over it and hurts. What could be wrong with it? I am 73 years old, 6 3 tall. I am currently taking an antibiotic. Bill | Hi, It looks like there is some infection in the particular area. You have to consult your dentist to identify the reason of infection. Infection could be of the tooth or gums.Accordingly treatment can be obtained. | |
Had wisdom teeth extracted. Any chances of getting dry socket?
I got my right lower and upper wisdom teeth extracted 2 days ago. Bleeding stopped a couple of hours after the surgery. I was holding firm on the cotton placed on the extraction site. Took the med courses and i was fine the next day morning. No Pain..no bleeding. 24 hours later i started salt water rinsing ( a gentle rinse). Its already 48 hours after my surgery. Experiencing no pain/bleeding. I would like to know whether there are any chances of getting dry socket. | dear friend. thanks for sharing your concern. you are doing absolutely fine according to the history given. donot worry at all.you will be fine.wound will also heal soon as you are taking desired care. dry socket is not a common phenomenon post extraction. but it is a post extraction complication. so the patient is always made aware about that so that in case of any emergency dentist can be approached. you are doing good. no need to worry do not do forceful rinsing of mouth for next two to three days. do warm saline rinse gently. sometimes this causes clot disintegration and leads to dry socket. you need to visit dentist only when you are finding something wrong like pain bleeding infection etc hopes this helps thanks | |
What causes fertility problems?
I am 37 years old . I got married 2 years back . since then my husband & I tried for baby but unfortunately my fallopian tube is block from both side My doctor suggested for IVF .Once I through that procedure and i got positive result but it was not developing after 7 week .so we abort it. Now I am going through for 2nd time but I am not having periods I missed my periods doctor gave me meprate but it was not affecting. so what should i do ? | Hi,I read your query and I understand your concerns.Following is my reply:1) Your age is on higher side.2) hENCE IT IS POSSIBLE THAT YOU DEVELOPED SOME CHROMOSOMAL ABNORMALITIES WHICH ARE COMMON FOR THIS AGE.3) gO THORUGH SECOND TIME WITH HELP OF pgd IF POSSIBLE.Let me know if you have anymore questions.Regards,Dr. Mahesh Koregol | |
Suggest treatment for panic attack
I Have been facing panic attacks recently specially in the night when i try to sleep,,,,my BP shoots up considerably,,,i have been advised to take restyl by a Doc,,,when i take it, it does help,,,but i dont know how long this can last,,,I am really down, Plz Plz help me | DearWe understand your concernsI went through your details. I suggest you not to worry much. Panic attacks comes after anxiety or panic attacks are due to anxiety. Your basic problem should be anxiety. Anxiety is not a disease but a disorder. Escaping from the anxiety causing situations actually increases the probability of panic attacks. Taking situations head on is the solution. It could be difficult in the beginning. That is why I told you HEAD ON. Positive imagination is psychotherapy way. Close your eyes. Imagine that you are in the panic creating situation. Feel that you are happy, without panic, enjoying, smiling, calm, perfect etc. Do this several times a week. After a week please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | |
Does toothache cause pain in ear?
Hello, I am a 19 years old, female.. I'm having this mild pain in my left ear, a sharp pain when I swallow, and in addition, I also have two wisdom tooth on both side of my lower gum, but it haven't grown fully yet.. Could the wisdom tooth that causes my earache ? And also, sometime, one of my eyeball on either side of my eyes felt a sharp pain, like someone is squeezing it.. Help is in need..Thank you in advance | HiIn regard to your query, as such it is a myth that tooth ache leads to ear pain and eye pain how ever 0.1% chances are there for a tooth ache to result in so mentioned ear or eye ache due to irregular or un expected course of nerve supply. coming to your problem you had mentioned you have wisdom tooth in the lower jaw. so this is no way related in causing ear pain. there might be some other reason like presence of wax in the ear or unintentional entry of water into the ear or any other. i would suggest you to visit your ENT specialist for further treatment regarding your wisdom tooth status you can visit your oral surgeon. hope this helps you. | |
When can the pregnancy test be done?
hi, this month i have came off my pill and had been using condoms instead, until one drunken night, he did not ejaculate inside me. that was last friday and i was due on my period today but have only had a few cramps and no blood.... do u think i could be pregnant and could i do a clearblue test today?? thank you | Hello dear,I understand your concern.In my opinion the chances of pregnancy might be less in your case.Because the intercourse was protected with condom and also the Friday where it comes under safe period.So nothing to worry.The cramps could be premenstrual phase related.Anyway in order to clear the doubt of pregnancy a urine pregnancy test can be done a week after missed period for accurate results.If negative wait for spontaneous onset of periods.Best regards... | |
Are fertyle and clomid tablets helpful in getting pregnant?
hi, am 25 years old having pcos . I am trying to get pregnant from last eight months but didn't get the result. I am taking tab bigomet 500mg three times a day, fertomid from last four cycles and folvite once a day from last five months. I come to know that i am not ovulating. i had heard about tab fertyle and tab clomid . I want to know that which medication would be better for me to get pregnant. | Hello dearI understand your concernPCOS is very complex disease and difficult to treat.Tablet fertomid, fertyl and clomid are contain clomiphene citrate.So all the three drugs works on same mechanism.No need to take fertyl and clomid as you are already taking fertomid.You can ask for the doctor to add FSH analogue drug for fertility.Continue same treatment for next 2-3 months.If drug will not responds then go for ovarian dreeling procedure and in vitro fertilization.Do regular exercise daily in the morning for 60 minutes and reduce 10 % body weightHope this may help youBest regardsDr. Sagar | |
How can a hard lump above the left ear be treated?
I just noticed a hard - inch and a half-two inch hard lump above my left ear, it is mildly painful. No trauma. I ve been sick recently, and on antibiotics for an infected lymph node, but that is much lower. Are there glands up that high that could become agitated? | Hello,Welcome to hcm,Your symptoms suggest it could be lymph node enlargement. It could be reactive ,nonspecific or rarely malignant. I advice you to get FNAC done for confirmation.Thank you,Take care | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Early periods, reduced menstruation. Concerned if it is cervix cancer?
My 18 yr old daughter is worried as she has her period early (she is on the pill and says she normally gets them when she takes her sugar pills which is not till weekend). She describes it as she is bleeding but its not coming out! The tampon soaks it all up. She has freaked herself out thinking she has cervis cancer as she has goggled the internet. She has appointment at Drs on Wed, should she be worried | Hi, cervix cancer at this early age is very uncommon. there ere number of benign causes for irregular period. nothing to be worried at the present condition. Consult with your gynaecologist. He/she will ask about detail history regarding duration, cycle. gap between cycle, amount of blood loss then can give you some diagnosis. | |
Red patches, itching when exposed to sunlight. Suffering from psoriasis. Not much relief with Rupanax-m
HI doctor , i am having red patches with itching when i exposed to sunlight today , also i am suffering from psoraissis form long time and continuing with homeopathic medicine . One of my medical practitioner suggested Rupanax-m tablet , but stll i woke afwetr strong itching urge in my body , please help me out , thanks | Hi Dear,Welcome to the board of Health Care Magic,Psoriasis is a continuous recurring disease. It persists long, may be whole life.Stop worrying for this disease, lead a cheerful life forgetting the disease, but in the mean time you have to take continuous treatment from your dermatologist.For itching he will give you some antihistaminc medicine and some steroidal cream. This will take care of your night itching.Hope your query is answeredThanks | |
What causes lack of confidence and moodiness after divorce?
my sister is around 36 yrs divorcee due to internal family issue with the marriage.. though after counselling for more than a yr this did not work finally it was a divorce.. now she is very moody and disturbed mind wherein she does not have any confidence in herself and other.. could you please suggest us for further treatment.. | Hi dear.I had gone through your query.Divorce can cause emotional disturbance and due to this stress there are chances of depression.Loss of interest and confidence with mood variability may indicate depression.Proper psychological evaluation will give better idea about it.Mild depressive features can be treated with supportive psychotherapy abd counseling.Medicines like SSRI and benzodiazapine can help to reduce moderate to severe type of depression.So consult psychiatrist for further evaluation and get help.Happy to help you further.Wish you a very good health.Thank you. | |
Is Lespenefril effective in treatment of high BUN level?
Hi,my wife has a multiple problem with health, one of them-high BUN---------88. And i looking for something , which could help us avoid dialisis. Long time ago we are heard very effective medication,like Lespenefril, but doctors doesn t know about this(it s europian medication). Can some body explain me,what we can do? | hi increase in blood urea may be due to dehydration,increased metabolism/catabolism, increased synthesis of urea from liver and may be due to renal problem.Only if creatinine is also elevated with blood urea, then we have to consider a renal problem.Hope it answers your query and ready to help further. | |
Suggest treatment for hair loss and itchy scalp
I have had more than normal hair loss for ~5 months with an itchy scalp recently. I also have had headaches almost everyday for the last 2 weeks. A few weeks ago, I went to a doctor and had a lot of blood tests done. I know my hormone levels were checked as well as tests for leukemia, infection, and anemia. All came back clear. | Hello,Thanks for the query.Itchy scalp is usually caused by dandruff.You can use noskurff lotion in night and sleep.In day you can use sebowash shampoo to wash your hair.Also take antihistamine tablet like cetrizineThis will give you relief.Please meet a dermatologist for exact diagnosis.Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link. you a good health.Thank you | |
Which muscle relaxer is best for long term use?
I am currently taking zaniflex but it is not helping. I have plate from C2-6. I have huge knots and muscle spasms chronically. My new pain Dr. Wanted to put me on Robaxin but I can t swallow easily and choke on big pills. Crushing is out of the question..,too bitter. I am also taking Nucynta 50 mg. and was told I could no longer take Flexeril with it because it can cause heart issues. What muscle relaxer is best for long term use and maybe in liquid oral form? | Do not ise muscle relacsent so long it have verious side effects so do some stretching exercise. Is good for youalso use hot pack ice pack after stretching. | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
Puffiness under eyes. Has to do with pool water? What specialist to visit?
Hi, my 9 year old frequently has puffy under both his eyes. This keeps coming back after a few days of dispearing. I took him to see an eye doctor. Not a problem there. He is a year around swimmer. I am wondering if this has to do with the pool water. I am thinking about taking him to see a specialist. What specialist should I take him to: dermtology, or allergy doctor? Thanks. M | Hi there mmfeng. You seem a concerned mum & empathise with your sentiments. To begin with, an opthalmologist is not the right person for puffiness under the eyes. In the age group your son is in, yes an allergologist or dermatologist is the best person to go visit depending on which part of the world you are based in as these specialiites may be merged or exist individually. might i suggest a net search for doctors in your specific area...google throws up some amazing results! If after the consult, you get an all-clear regds pool water or other allergens, then you may want to consider if the child is getting enough sleep or needs to see a child counsellor or child psychologist..you would be surprised how often this will help. If it persists, then a cosmetologist will be the person to visit if only the cosmetic angle is left with :) cheers & good luck. Dr Praveen Rodrigues MD dermatologist, Cosmetologist & Venereologist, Bangalore, India | |
Suggest treatment other than surgery for hydronephrosis
Hi, My mother inlaw undergone a medical check up last month. A laboratory test was done and examined. It was perfect and passed all. Except the KUB ultasound result. It was found out that she has a BILATERAL RENAL PARENCHYMAL DISEASE. MODERATE HYDRONEPHROSIS, LEFT, SECONDASRY TO STONE IN THE MID URETER WITH MEASURES OF 2.0 cm. MINIMAL RESIDUAL URINE. She was scheduled for operation this coming wednesday. My question is. Is there any medication or option we can take if we decided not to do the operation procedure? How risk is the result? Thank you so much. Your advice or opinion is highly appreciated. | HelloThanks for query .Your mother in-law has been detected to have hydronephrosis of the left kidney due to a large stone of a size of 2 cm impacted in her left mid ureter .The hydronephrosis of the kidney suggests back pressure changes in the kidney due to obstruction to flow of urine from the kidney into bladder .If left untreated the kidney function may get delayed and finally a stage would come that it will stop functioning completely .Please do not hesitate to operate her .This will help her to save her kidney and regain function .Dr.Patil. | |
Have lots of small fat lumps on jaw. How to remove it surgically? Will it leave a scar?
Hi I have lots of small fat lumps on the front left side of jaw What now look like one big one Is there a way to remove them with out surgery As I have had one remove from my neck and it left a horrible scar . And I have been told surgery will damage the nerve in my face and I don t what to lose the feeling in my face or have a droopy lip Any ideas what to do next? | Hello, Thanks for writing in. According to the details you provided,its not clear cause of origin of the lumps. Direct clinical examination as well as palpation of the lesion is necessary to rule out the diagnosis and treatment plan. There are several cauterisation methods which will not leave a scar while surgery has done. Please do visit an oral and maxillofacial surgeon and do the treatments based on that. Meanwhile please do avoid intake of too much of fatty foods and oil. sURgery has to be contraindicated if it will damage facial nerve. Hope this helps. TAKE CARE. | |
High WBC, melanocytes and blast cells. Was on antibiotics. What does this mean?
I'm 38 years old and I have had high white cell count for the last 3 months. I have had 3 lots of different antibiotics. And they haven't worked. I just recently had another blood tests and it still shows that my white cell count is 13.7. And also shows that myelocytes is 0.82. Blast cells is 0.14. Could you tell me what that means. Thank you. | Hi there,Thank you for your question.Blast cells and myelocytes are immature cells of the white blood cell series. So when one's white cell count is high like yours is, it means that either this is an infection or something else that is causing your white blood cells to be high. Since your bone marrow is producing a lot of cells it also sometimes causes immature white blood cells to also come into the blood like in your case.This is not something to worry about a great deal.Kindest Regards | |
Is Inderal recommended in case of high BP?
HI, DOC. I AM A 56 YEAR OLD MALE. I AM TAKING INDERAL LA 80, TWICE DAILY FOR YEARS. TODAY MY BLOOD PRESSURE HAS BEE NCONSISTENTLY HIGH, FOR ME. AVERAGE 140/90. MY PULSE HAS GONE HAS HIGH AS 98. I HAVE FELT FLU LIKE SYMPTOMS TODAY. ANY REASON TO WORRY. WHEN SHOULD I SEEK EMERGENCY HELP? | Hello, Your high blood pressure values could be related to a possible infection. So, I would recommend having some rest and avoiding straining physical activity. If you have a fever, consult with your GP for a physical exam and some blood lab tests (complete blood count, PCR, blood electrolytes), may be needed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | |
Suggest medications for painful bruise in knee cap
I fell playing roller skating last week. I don t have a bruise, but I have a small goose egg just below my right knee cap. It doesn t hurt to move it, walk, bend, etc. The only time I experience any pain is when I kneel on it, or put direct pressure on the spot. The pain is sharp when I do this. | Hi, This is called a house maid's knee. It requires treatment so that it does not get worse or infected. Consult an orthopedic surgeon for the treatment and surgery may also be required. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon | |
Suggest remedy to stop loose motions with green stools in children
Hi my 9 month son passes loose green stools almost like 7 8 times a day. It has been 10 days. In between i have been consulting with pediatric doctor and she asked for the stool test and as per the doctor that report is all right. She prescribed to have Neopeptine liquid 3ml twice a day and we used the medicine for 4 days and stopped it. The prescribed medicine didn t help at all so now I need your suggestion. By the way my son doesn t have vomiting and he is active enough. | HiThanks for writing to health care magic.Diarrhea is usually viral and may last for 5 days.Give ors and zinc.Neopeptine is unnecessary, will not helpEnsure minimum 6 times urine output in a day.Try avoiding dairy products to see if that helps.Wishing your child good healthRegardsDr Arun | |
Is it normal to have tremors while having treatment for bone cancer?
My mother has bone cancer. Which has spread to her lung & liver. Chemo was stopped after 1 treatment & radiation after 5rounds. Is shaking & loss of ability to feed self normal? Bone cancer seems to be fast moving & extremely painful,is this normal as well? Any advice? | Thanks for your question on HCM. I can understand your situation and problem. It is not normal at all.It is common side effect after chemotherapy and radiotherapy especially in end stage cancer in old age patients. It is due to weakness from1. Disease itself2. Chemotherapy and radiotherapy3. Decrease oral Intake. So better to start nutritional support in the form of protien supplements, multivitamin containing zinc, folic acid and vitamin b 12. Drink plenty of fluids like fruit juice. | |
What to do for watery stools in kid?
Since Wednesday evening my daughter has has very watery poo is few times just before she does it she cries like she s in pain but stops after, I ve phoned 111 they advised giving diorlyte which I have been giving a well as her milk she had little food today but more then she s been taking she has had a very lumpy poos but still watery why shall I do | Hi welcome to HealthCareMagicYou can continue oral rehydration solution,you can also add zinc .Most important is to continue feeding of child along with oral rehydration solution , she should pass urine every 4-6 hourly , child should not be very irritable or dull , continue high fever should not be there. Continue giving ORS and see your pediatrician.thanks. | |
Swelling in ankles, kidney fullness, edema. Splenectomy done, pancrease tail removed. Treatment?
Hello: I ve had a splenectomy 3 years ago. Part of that surgery also removed the tail of my pancreas . Lately, I ve been having problems with Edema . My ankles are very swollen. I ve gone to my accupuncturist and says that since I don t have a spleen , my kidneys are overtaxed. Is there anything that can be done naturally or will I need to see a regular MD? | HiThanks for the query.There can be numerous causes of edema and kidney diseases is just one of them. Some simple tests like urine analysis, CBC and creatinine will tell us if you have any kidney problem.Also removal of spleen does not over burden the kidneys.Hope this helpsGood luck | |
What causes swollen ankles and lower leg?
I have been having swelling in my ankles and lower leg. It does not happen first thing in the morning but my the time I get home you can see where my shoes were and you can tell they are swollen. What could it be? | hiu seem to have some sort of vitamin or calcium deficiency or protein lossget an detailed blood profile done and get x rays done n let me know thanks | |
What causes testicular pain and groin pain?
I am 23 years old. I started having testicular pain around Christmas '10 and on 12/31 went to the doctor and was diagnosed with a UTI and epididymitis. I took 10 days of cipro and got a lot better, but after a few days my symptoms began to come back. I called my doctor who gave me 5 more days of Cipro. I then had an unrelated surgery (gynecomastia) and took a week of Keflex and Percocet. When I started coming off the percocet I could feel the pain in my groin very acutely. My GP gave me 10 days of levaquin which helped but didn't seem to help as much as the first 10 days of Cipro. I have contacted a urologist but my appointment is not until the 25. Is it safe for me to wait that long? Should I try to find a different urologist or go to the emergency room in the meantime? | Hello,Conditions like epididymoorchitis must be ruled out. As of now you can use analgesics / anti-inflammatory combination like aceclofenac / seratiopeptdase for symptomatic relief. A short course of antibiotics must be considered. You can go for a scrotal Doppler to make a diagnosis.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What is the cause of a racing heart with a bladder infection?
my mother recently went to the er for a bladder infection and had a blood pressure of 240/106 they got it down and told her make an appointment and she did. In the meantime she said she got sick last night and her heart is racing off and on today and she feels weird. | HI, thanks for using healthcare magicIncreased heart rate can occur commonly as a result of illness. It occurs due to fever, altered metabolism that can occur in illness, any electrolyte abnormalities due to altered appetite or fluid loss.If it is entirely due to her acute condition then it would resolve as the infection improves.If the palpitations are significant or associated with any other symptoms such as chest pain and shortness of breath, she may want to consider visiting her doctor for an assessment.I hope this helps | |
Suggest remedies for toothache
HelloRecently I have been having issues with my wisdom tooth. I noticed it because I am having tooth ache in the tooth right in front of the wisdom tooth. The wisdom tooth hasn't broken the surface, but I can feel it with my tongue and finger. Since realizing the tooth ache, I have gotten a sore throat, painful lump in the neck under where the wisdom tooth is, and my tonsils seem to be a little inflamed. Is it possible it's all due to an infected wisdom tooth? | Hi..Welcome to HCM..As per your complain it seems that you have inflammation of the gum flap surrounding the wisdom tooth and the condition is known as Pericoronitis..Pericoronitis occurs if food gets lodged between wisdom tooth and the gum flap covering the wisdom tooth...And by food it does not mean that you see big food particles stuffed in there but it also means uncleaned area and bacterial growth below gum flap...It leads to inflammation of the flap leading to pain swelling and as the area lies close to the throat there can be sore throat and swollen lymph nodes..But pain in the tooth infront of the wisdom tooth can be infection or decay in second molar tooth..The line of treatment is Antibiotics, Painkillers, Mouthwash but only this is not enough to you, you should go to dentist again and ask him to irrigate the area between gum flap and wisdom tooth with saline, betadine solution and hydrogen peroxide so that the area get disinfected and clean..Other thing is do warm saline gargles,it will help you to reduce inflammation...Carry on with the course of your antibiotics and pain killers, your pain and swelling must go in two three days..Once you get relieved of ur discomfort visit the dentist again and get an IOPAR (X ray) done to find out whether wisdom tooth will erupt to proper occlusion or is impacted (means having an obstruction and wont erupt to occlusion).If it is not impacted just get your gum flap removed known as OPERCULECTOMY and if impacted get your tooth extracted... This will be your ultimate treatment and finish your problem forever..If the second molar tooth is also decayed leading to pain you can get Root Canal treatment done to save the tooth and resolve infection..Hope you recover soon..Thanks and regards..Dr.Honey Nandwani Arora | |
What causes sudden fainting and high BP?
my brother is 44 years old two days ago he passed out no breath pale and he remained like this for 2 minutes or may be more or less . his echo graph is normal and doctor found a cyst on his kidney .his blood pressure was 160/ 10..can you please let me know why he passed out like this . | Hi, I understand your concern and I'll try to help you. The sudden loss of frame of consciousness that you reported is compatible with syncope.There are several causes of syncope is the most common type is the vasovagal syncope, but there are also syncopations of origin for cardiac arrhythmias and neurological diseases.The picture of your brother has several characteristics of vasovagal syncope, but the information you reported is insufficient to confirm the diagnosis. This type of syncope is often triggered by stress such as fear of needles, fear of heights, long periods of standing and in the same position, hot and stuffy places. Usually there is complete loss of consciousness, which can last a few seconds and the patient wakes up slowly, often with nausea and dizziness, and skin pallor and general ma-being. After a few minutes the person is totally normal. This all occurs by stimulation of the autonomic nervous system that causes bradycardia (reduction in frequency of heartbeat and drop in blood pressure).To confirm this diagnosis and away from others is necessary look for a good Cardiologist to make a detailed medical history and discard cardiac and neurological causes. So I use some additional tests beyond echocardiography, holter as 24 hours, exercise testing, in some cases the tilt test and if there are signs of neurological causes, request a cranial tomography and evaluation neurologist.Hope I have answered your question. If you have any further questions I will be happy to help you. Wish you good health. | |
How to remove the stains from teeth caused by chewing pan masala?
Hello sir my brother was chewing pan masala from last 2-3 years but now he stops doing that but stains of them r there on his teeth that looks really very bad will u plz tell him how to remove those stains naturally....if possible then give some homemade tips. | thanks for your query, i have gone through your query. the stains cannot be removed naturally. consult your oral physician and get your teeth cleaned. you have to quit the habit and maintain the oral hygiene. you can use mouth washes. its better to stop the habit because stains can be removed by cleaning, but if the damage has ocurred to the cheek cannot be corrected. i hope my answer will help you. take care. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
What causes knot under tongue after having taco?
One week ago I had a taco from Taco Bell. The next morning I woke up with a knot under my tongue that feels like an air bubble that is now moving up and down my throat. I have tried Benedryl and Flonase thinking it was allergy related but nothing helps. I have been stressed out lately but dont know if that is related | Thanks for your question on Health Care Magic. I can understand your concern. Its unlikely to be related . You will require a detailed examination of the lesion kindly consult a doctor for the same. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
Can i get my tooth plucked during pregnancy ?
im pregnet and i cant go to the dentist i have panic attacks i need my tooth pull out badly can i get nocked out or anything like that | Hello, You have not mentioned which trimester of pregnancy. Ideally dental treatment are safer to be done at the second trimester. But if a tooth pains an access opening can be done immediatley for pain relief. Extraction can be done only in second trimester. Pain killers like Paracetamol is safe during pregnancy but should be taken on prescription of your gynecologist. Regards | |
Can sunburn cause baby to keep spitting food?
My baby is 2 months old and normally spits up after feedings. The entire night he spit up on average every twenty minutes. It kept coming out his nose and mouth. It projectiled several times. Is he ok? He did get sunburned yesterday and I am wondering if it has anything to do with that and what I can do | hai.according to me if child showing projectile vomiting after feed you please check for upper abdomen for any mass is there in right upper quadrent.. mostly looking like hypertrophic pyloric stenosis better go for early treatment if not leads to electrolyte imbalance and metabolic imbalance and malnutrition my advice to for investigations like xray abdomen and ultrasound and s.electrolytes | |
What medicine should I take as my left arm hurt and is itching badly?
I am 59 female, good health, started bootcamp- type intensive fitness sessions a few months ago. about 4 weeks ago. Around that time, I noticed my left arm hurt and itched like crazy, very deep in my left upper underside of my arm. This area of my arm still hurts just to touch it, and a large area (softball size) now shows bruising. Can use arm, lift, work in the yard, etc, but nags me and hurts to touch. Thought I would just give it time, but husband and kids are worried. | Hello, Thanks for the concern. According to history it might be an allergic reaction so you can use antihistaminic drug like chlorpheniramine maleate. But according to you it also hurts and had history of intensive fitness sessions so for pain you can take painkillers. Also you have to take rest and if possible avoid use your arm. but consult the physician regarding it. Take care | |
Can taking omeprezole cause feeling of fullness in ear?
i .had extensive stomach surgery 3 years ago accompanied by severe silent reflux and am now takiing prescription strength omeprezole. is it possible that this can cause a feeling of fullness in my ears . this feeling has been going on for months now. the ent i am seeing now has me drinking more water ,doing neck exercises,drinking no alcohol and eating right.my neck is sore also and glands behind ears are starting to swell the ent says that this will take some time to work and wants to see me in a month . can anything be helpful to this problem.thank you | Hi,Omeprazole has very few effects and therefore it just doesn't have many side effects and those are not in the ear. There are many other things that cause fullness in the ear like infection with a virus or bacteria. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | |
What causes itchy dry rash after flight journey?
Hi, everytime I fly abroad, be it a 2 hour or 11 hours flight i seem to get an itchy dry rash within a couple of days. It usually goes within a couple of weeks after the flight until my next holiday. What could this be as I have also developed a similar rash on my fingers after my last flight? | Hi, It could be due to dry skin, most probably asteatotic eczema. Try applying a moisturizing cream during your flight travel. If the lesion still persists, do consult your Dermatologist. Hope I have answered your query. Let me know if I can assist you further. | |
How to cure sore knees?
I have a very sore knee. It began in the back of my knee and it felt like stiffness. It is still there but has also gone around to the front and down the leg. It is a burning feeling, which has actually been keeping me awake. Very painful when walking. I am very active and enjoy dance exercise, walking etc. my leg almost feels weak from this feeling. | What is your age?I presume you are a young adult who enjoys dance & other similar activities.Treatment suggested-1.Rest.2. Avoid painful act & activities. 3. Fomantation 4. Knee exercises.5. you may take Paracetamol 250 mg sos for pain along with MV tabs 1 OD.6. contact me again , if needed. | |
Could blocked fallopian tubes, ovarian cyst and endometriosis cause problems in conceiving?
Hello Dr. My Sister had blocked fallopian tubes, ovarian cyst and Endometeriosis for which she got operated in 2010,but still unable to conceive. The local GYN suggested Ovral -L for 3 months starting 5th day of her period*21 days. By taking OCP's can someone conceive? Thank you | Hi,I think the OCP has been given to treat the endometriosis. But one can't conceive on OCP medicine as it is also a contraceptive. As you told she had blocked tunes. I just wanted to know if you came to know about the blockage by HSG or laparoscopy. If block was seen on HSG, she should undergo a laparoscopy to confirm it. If it was found on laparoscopy then she has to undergo IVF to conceive.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya | |
How can ear infection be cured?
I have an 11 month old boy who for about 2 weeks has been pulling at his right ear. He has been afebrile, plays well, eats well. He had a double ear infection about 2 months ago, when the right ear drum ruptured. I noticed tonight he has a couple of semi-hard lumps behind his ear. Are these swollen lymph nodes or something more serious? I am debating taking him to his ped in the morning to make sure he's not battling an ear infection again. | HIThanks for posting your query to Healthcaremagic. You are absolutely right, those lumps behind his ear are enlarged Lymph nodes . But an enlarged lymph node is an indicator of both ongoing infection or healing infection ( in your son's case -- Ear infection ). So I need to know whether this lymph nodes were not there before and you noticed them today or yesterday or it could have been there since few weeks and you might have not noticed them . In any case he needs to be checked again whether he is having a relapse of ear infection ( He requires an Ear examination ) . Also get a Complete Hemogram test done . Hope this information was useful to you. Any clarifications feel free to ask . Regards. | |
Superficial spreading Melanoma on upper thigh, 5 moles removed, conservative re-excision advised. Needed ?
Hi, My name is AAAAA and im 48 yrs old. I had Superficial spreading Melanoma 5 years ago on my upper thigh. I have been getting body scans for 5 years and last month i had to go to a new doctor in NJ. because the insurance was dropped at the other office. I had 5 moles removed and 2 of them read this: The lesion extends to one lateral margin of the tissue specimen. A conservative re-excision with a zone of normal non-scarred skin is advised. The other one read: this lesion should eb removed completely because solitary nelanocytes in the epidermis predominate over nests. A conservative re-excision with a zone of normal non scarred skin is advised. so my question is , Do I need more surgery to have this removed? Thanls AAAA | Hi, it appears that you have conservative re exxcision is better as it is non invasive, and you will have a possibility of having excision latter if necesory. I advise you to have good food, with green leafy vegetables, pulses, sprouts, and proteine rich foods for the healthy skin. Thank you. | |
Could chest pain indicate heart problem?
Hi,my name is H. and my heart rate is 100, my blood pressure is 107/72, and my pulse is 72, should I be concerned because I am only 19 years old, with my no previous heart problems, or heart conditions, although I do get chest pain that last for a few seconds,so is this a problem? | Thanks for your question on Health Care Magic. I can understand your concern. You are having tachycardia (high pulse rate) and normal blood pressure. You are also young, so possibility of heart disease is very very less. But better to get done screening for heart diseases by ecg. If ecg is normal then no need to worry for heart diseases. Sometimes stress can also cause tachycardia and Chest pain. So avoid stress and tension, be relax and calm. If you are having poor eating habit like junk food then gastritis can also cause chest pain. So avoid junk food and take antacid like proton pump inhibitor. Don't worry, you will be alright. Heart diseases is less likely in your case. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
MS with lesion on optic nerve of right eye, hair like floaters in left, shaking tremors, weaker lungs. Remedy to slow down the symptoms?
hi my name is robin bowman and I suffer from m s . something I wouldn't put on anyone. my right eye went out in the year 2003 . theres a lesion laying on the optic nerve, and now im seeing hair like floaters in the left. do you think I could loose this eye as well . also I have a lot of shaking tremors. also my lungs seem to be getting weaker. im on a breathing machine every six hours. my question is . Is there anything that can slow this down .. I ve move from ky to va and have not found a neurologist . | HIThank fro asking to HCMAs long as the question of your eye is concern it could be lattice degeneration of retina it may not be more worse than what it is right now because the onset is rapid then stops, damage of retina is depend upon the area cover by degenerative patrons, for lung problem you can try breathing exercise, for hand shaking underlying cause has to be seen for that some blood work would be needed like liver function test, I would be happy to help you for further query take care and have good day. | |
What causes bump on labia majora?
I have a little bump on my labia majora. note, I am also a virgin. so I am kind of sure it can't be an STD. I never ever had any sexual contact with anyone. it doesn't hurt & I can walk & sit down right, I tried to pop it but it is too hard or something, I don't know, it just doesn't pop yet. what could it be? I have had one pimple before & it was like that, it was hard at first but later on it's own almost, I squeezed it just a tiny bit & the bump popped | Ho,This is likely to be a Bartholin's cyst. This is a common type of cyst in this area. If it is not getting any bigger then it needs no treatment. If it gets bigger or starts to. other you then you may need to have it drained or a minor operation to remove it. Regards,Dr K A Pottinger | |
Suggest treatment for itchy, red, rash on neck
Hi I just had a question I been having this rash on my neck it s very itchy & red I been having it since Tuesday and I went to the doctor and she said it was from the pollen she gave me allegy pills and one to calm down my inflation on my throat but I don t see that the allergy pill is good my rash still looks the same I been putting Vicks is that a good idea ? Please tell me what I can do to make this rash go away | Hi, The rash could be an allergic contact dermatitis. But other possible diagnoses are also there. I request you not to apply Vicks as it may irritate the skin. Do consult your Dermatologist and explain him about the non response to the treatment. He/she will help in the further management of the disease. Hope I have answered your query. Let me know if I can assist you further. | |
Can Mensovit tablet be administered for delayed periods and to avoid pregnancy?
Hello,Me and my girlfriend had sex on 17th dec 2013... my girlfriend used to get period usually around 17th-20th, now its been more than 10 days,still she has not had her periods. We are planning to have Mensovit tablet. Does that would do any good? will there be any sideeffects? Does 10 days means that if she is preganant???? | hello user,first do urine pregnancy test,if single line negative..not to worry.if double line positive.if its positive,visit gynecologist for sonography to know weather pregnancy is intra uterine or extrauterine.then only you can take menosovit if pregnancy is intrauterine.thanks. | |
Primary infertility. Ultrasound done, multiple fibroids, ovarian cysts, thickened endometrial echo. Advise?
I am 36 years old and my case is primary infertility after 8 years of marriage My USG report is:\ Uterus with multiple fibroids in anterior and posterior walls measuring 20*14mm and 14.3*9.4mm and one is 23.6*16.4mm is submucous and ovaries have a cystic lesion occupying right adnexa and pelvis meauring 85.2*80.2*63.1mm in size displacing the uterus towards left. Endometrial echo is thickened hyperechoic measuring 16.8mm in size. | Hello. Thanks for writing to us. Multiple fibroids are usually responsible for difficulty in implantation. The persistent cysts in the ovary also need to be investigated. These may also be related to non functional ovaries. You need a detailed hormonal assay to know the extent of your ovarian function. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
Suggest treatment for sharp lower abdominal pain
HI, as i was carrying my 10month old son on my right hip I felt as though someone kicked me in the right side of my lower abdomen and I yelled out as it was sudden, sharp, kinda like a pop or something. i almost dropped my son and i had to lean over forwards to regain myself, I had tingling and my body was very flustered and heating up for abit. I stood still for a bit incase it happened again but it hasnt since, No pain afterwards at all | Hi,From history it seems that carrying your child on your hip and with some unusual movement at hip might have produced lower abdominal muscle spasm giving all these symptoms for a while.After spasm gone you felt relaxed.Nothing to worry.If require apply some muscle relaxant, analgesic cream over the part.Ok and take care. | |
How to overcome the problem of no vigor ?
I am male 53 with no other physical problem except no vigor. Presently I am on 20 mg escitalopram in the morning and 15 mg mirtazapine in the night from last few months. I feel ok but no enthusiastic. I workout daily.For real feel good feeling what are your suggestions? | DearWe understand your concernsI went through your details. The medicines you are talking about does not reduce sexual vigor. In that case, I feel, the low sexual vigor could be associated with your age or anxiety related to sexual performance. For the time being, I suggest you to include almonds and milk with your dinner. It should make the difference. Take care.If you still need my assistance in this regard, please use this link. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck. | |
Suggest treatment for pain and stiffness in mouth after filling
Went to dentist on Jan 26 for routine cleaning and a white filing on a wisdom tooth. It was not a big filing. Had to be frozen with, i believe, 3 needles. Drilling was short and everything was painless even though I was told it was a difficult area in the mouth to reach. I was fine for a couple of days then on the 29th Jan. I started feeling some tenderness around tooth. This escalated to soreness in upper and lower gum/jaw area on side of filing. Went to dentist on Feb 1st and he told me everything looked fine and to take Advil for pain and wait and see. Pain got worse and it was dificult to open mouth or eat. Went back on Feb. 3rd, dentist had a look and I was told there was an infection. I am now taking Amoxicillin. Dentist said I probably chewed on that side while I was still frozen(which I didn't). What are your thoughts. Does this happen easily and often? | Thanks for using Health Care Magic. Read your query. Pain in the filled tooth continuosly and increase in swelling can be probably due to the presence of underlying infection in the last tooth. Amoxicillin can be continued as adviced. I would advice you visit your oral surgeon and have a radiograph done.If the tooth can undergo root canal treatment,please go ahead with.If not have it extracted.Removal of the filling will provide relief. Do salt water gargling. Hope this was useful. Thanks and regards. | |
Q. What causes vague middle back pain?
Hello doctor, I am 26 years old. I am working in bank for the last one year. I am having back pain on the right side thoracic region while sleeping on my back or sitting for the last six months. I have antral gastritis. I have done MRI of thorax which came normal. Ultrasonography of whole abdomen is also normal. X-ray of chest, blood test like LFT are also normal. My doctor said that it might be postural pain, but it is like a crawling pain just like an insect is crawling under skin sometimes. I have taken physiotherapy which has given some relief, but still there is pain in scapular region on the right side. Currently, I am taking Nucoxia MR, Caltrol and Pan 40. Is any other test required? I am attaching my scan reports for your reference. Please guide. | Hello. I have gone through your history. Kindly answer the following questions for better evaluation of your condition. | |
Suggest treatment for infertility
Hi, i am trying to conceive since an year but no success yet. My husband tries to hold his sperm nayurally for few more minutes. Does this action makes the sperm lazy to travel towards egg? I've doubt about it becoz i still have no success in conceiving. I am diagnosed with PCO's as well. | HiThanks for writing to HCM .Holding for some more time before ejaculation doesn't cause problem in motility of sperms. Don't worry for that. You should start treatment for pcos. I would suggest you to reduce weight which is main factor. With that if cycles are irregular you should start ocp's . Metformin tablet also should be started by your doctor prescription. I also suggest you to undergo follicular study to know you are ovulating or not and what is average day of ovulation so that you can plan accordingly. Hope I have been helpful RegardsDr.Deepika Patil | |
Fibromyalgia, disc bulge, have random onset of itchy rashes near jaws, wrists, stomach. Taking lyrica, benfomet. Possible causes?
Hi Doctor, I realised that i randomnly get rashes on my skin near my jaws and a little below that,on my neck and they are slightky itchy and quite uncomfortable. They come and dissapear in some time. I used to always relate it to my sentitve skin condition. Also, i have dandruff so i thought its due to that. But i didnt have this problem beofre.. I belive this starteted almost 3 yrs back after i got married. I am 29 now. I am on lyrica and benfomet . I am diagonised with fibromyalgia . I have c5-c6 disc buldge and L5-s1. I feel strange pain in ribs and it hurts when i am getting up from bed or sitting for a little long.. It comes in phases and then goes off for couple of months. I am very confused why all this is hapenning. Also, i get some rash near my wrist near the palm area now and then and right now near my ankle,,sometimes near my stomach also..all these things are not more than a year old. Please help. | Thanks for posting the qwery.These rashes might be due to drug allergy or seborrhoeic dermatitis I.e. dandruff on skin.Drug allergy may be due to medications you are taking for fibromyalgia. If you withdraw the offending medications, your symptoms might subside. Seborrhoeic dermatitis can be tackled by proper antifungal lotions and creams.Take antihistamines I.e. anti allergic medicines and topical moisturising creams along with calamine lotion to reduce itchiness and discomfort.Proper dermatological evaluation of this condition is necessary. Hope for speedy recovery. ThanksDr Sandeep | |
What causes awful smell in my dentures?
I just had 9 extractions and immediate full upper plate put in. This all happened 4 days ago. I saw the dentist yesterday and he said every thing is healing fine. When I take the denture out to rinse, it smells just awful, like a meat rendering plant. Is this normal? Did my dentist miss something? | thanks for your query, the denture what you are using is immediate denture and the tissues are still healing so there are more chances of food lodgement between the denture and tissues...so soon after eating anything rinse your mouth and clean your denture with denture cleanser..rinse your mouth with mouth wash..i hope my answer will help you.. | |
Suggest treatment for fungal infection on the toe nail
I'm 40 year old male about 175 pounds and I don't have diabetes or any other health problem that I'm aware of.I've had toenail fungus on right toe for about two years now. About two months ago, I started soaking it bleach/water for about 30 min a day. The appearance has changed dramatically. Now the skin around the nail is red and scabby and about two days ago I can see a clear liquid coming from where the nail and the skin meet. I also have a slight fever. I don't have any money to see a doctor, is there something I can do without seeking medical help, to see if it will go away on it's own. | Hello,Welcome to HCM,Seems to be a case of fungal infection worsened by secondary bacterial infection leading on to pain and swelling.I would advice to maintain strict control of blood sugar which is the most likely cause for recurrent fungal infectionIf i was your treating doctor i would have asked you to take an oral antibiotic for a week to resolve the secondary bacterial infection followed by application of a topical antifungal cream either terbinaine or clotrimazole twice daily for a month.An oral antifungal is often required in case of recurrent fungal infections. My choice of drug is oral fluconazole 150 mg once/week for 4-6 weeks.An antifungal dusting powder also helps to prevent recurrences once the infection is cured.An oral antihistamine once daily would help you deal with the itching associated with fungal infection.Thank you. | |
Should i be worried as got bitten by tiny insect?
I just got bit by what looked like a tiny cockroach maybe an hour ago on the back of my upper right arm. Now my arms feels cold, kind of tingling, and my right leg is starting to feel the same way. Should I be worried?I'm afraid to go to sleep on the risk that it's something bad. | hello..take levocetrizine and wait for two hours.if you can measure your BP and pulse every half hourly it is good..if the problem persists for more than two hours or symptoms get worse go to emergency room..they will check your vital parameters and if required you will be kept in observation..hope my answer helps youif you have any more queries i would be happy to answer.. | |
Suggest remedy for chest pains
my friend was told he has a widow maker heart. Is there a cure for this type of defect or is he doomed to die. He said he has chest pains today,but according to him, he has been told there is no cure and he's going to die. I told him to get a second opinion but he said "there's no use"? | Thanks for your question on Healthcare Magic.I can understand your concern. Widow maker heart is structural defect of heart. It is very very uncommon. It is not able to treat by drugs.Only option is heart transplantation. So in my opinion, he should consult transplant surgeon and discuss about heart transplantation. Now a days, many centers have started heart transplant. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks. | |
Diarrhea, urinary incontinence, blurred vision. Had chronic regional pain syndrome, gentamycin poisoning, femoral nerve damage, palsy. Treatment?
I suffer from gentamycin poisoning, with chronic regional pain syndrome 2, following femoral nerve damage and palsy. in a botched thr. Is intermittent diareha, and urninary incontenence, part of this problem, or something else, just as blurred vision (or bouncing vision was immediately noticed in recovery, but eye sight/eye xaminations not showing serious impairment or degeneration. .Wearing glasses dont help much, just as have done pelvic floor and other lifetime excercises, but intermittent incontence with loose bowel, also intermittent. Is this frequency part of gentamycin poioning, or something else.Healthy kidneys went to esr Grade 5, in short space time. The damage seems immeasurable.Anything that can recerse this, other than good nutrional diet, excercise.and helthy lifestyle (dont smoke or drink) | Use decoction of the following herbs, bekh azkhar 6gm, bekh badiyan 6 gm, bekh karfas 6 gm, badiyan 6 gm, ustukhudoos 6 gm, badranjboya 6 gm, make decortion in 300 ml of water, when water remains 100 ml, filter it and use twice in divided dose, continue 7 days, hope all your problems get solved. take care | |
Does melacare cream reduce acne scars from face ?
Hi..i ve a lot of acne scar on my face..and i want to use melacare whitening cream..is it good??? | Hello Acne scar is a common problem. There are many types of scars like superficial, deep, boxscar type, ice pick marks etc.scars can not be tackled with ointments. You have to undergo dermato surgery techniques by yor dermatologit. These include chemical peels. Dermabrasion. Derma roller or laser or radio frequency ablation. I suggest you consult your nearest dermatologist for better treatment | |
Is non obstructive azoospermia curable?
Hello DoctorThis is Mohit here. I am suffering from Non-obstructive Azoospermia (Sertoli Cell only Syndrome), Germ Cell Hypoplasia. I wish if it would be curable with your advice and guidance. I have undergone FNAC twice. First, few years back, and the result were "Maturation Arrest" and second has been done now and the result is "SCO, Germ Cell Hypoplasia". Please suggest if it is curable. Currently my attending doctor suggested that it is not curable. Other details are:Here is the outcome of reportsLH: 9.8FSH: 16.7Testosterone: 192FNAC:-Specimen: Bilateral Testis-Gross: Thread Like-Microscopic Exam: FNA smears from both testis predominantly show clusters as well as single scattered sertoli cells. In addition, right side shows few germ cells with occasional spermatidThe features are of germ cell hypoplasia.Please suggest if it is curable or not. If yes, kindly suggest how should we proceed and where can we consult to get the desired result.-RegardsMohit YYYY@YYYY | Hi, Unfortunately it's NOT curable. However, there is 30-40% chance of having sperms from the testicles if we do TESE testicular sperm extraction) by which we make small cut in the testes under anaesthesia and see under the microscope. These sperms can be used for ICSI (intracytoplasmic sperm injection) during which the sperms are injected inside the wife's eggs (collected after stimulating the ovaries by injections). The embryo is then transferred inside her womb. In this way, you can become the biological father of your baby. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sujoy Dasgupta, OB & GYN Specialist | |
What causes recurrent diarrhea and constipation in a child?
I have a five-year-old granddaughter. She is Constantly getting diarrhea or being constipated. Have you ever heard of kids getting sick like that from your stomach? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This could be due to inflammatory bowel disease which is uncommon at this age but a stool analysis is mandatory. Hope I have answered your query. Let me know if I can assist you further. | |
Can Metoprolol be taken instead of Atenolol to avoid HDL level increase?
I am a type 2 diabetic and hypertensive well controlled on Atenolol 50 mg once a day. I am also taking Enalapril 10 mg twice a day regularly. Recently done tests showed a Glycosylated Hb of 7.1. My HDL is a bit low at 0.95, but LDL is normal. My BMI is 25.5. I want to start metoprolol 100mg daily and stop atenolol altogether. Would you recommend that I should change to Metoprolol as Atenolol has been found to cause an increase in HDL levels. Please advise. Thanks Tan | Hello, Metoprolol can be taken instead of Atenolol to control blood pressure. They are in the same family of medications. There are fewer side effects reported for Metoprolol regarding the HDL level. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr.Dorina Gurabardhi, General &Family Physician | |
Unable to conceive, prescribed Folsafe, Reeshape and Glycomet. Help
I am married and have completed 2 yrs of my married life. And still i m not conceived. Lot of expectations from my family and relatives side i am not able to take it up. As per the Doctor concent i was asked to take the following tablets Folsafe, Reeshape 60 and glycomet. And i am taking this tab from last 1 month. please help. I hope you are able to understand my situation. | Dear mary.vidya5, It seems to me that you have PCOS i.e. Poly Cystic Ovarian Syndrome. This is not a serious problem in the sense that you are not really ill but you may be having any of these 5 features of PCOS, in alone or combination - obesity; no release of egg; delayed periods; infertility and male features like excessive hair growth on beard and moustache area, oily skin, acne. The treatment prescribed by your doctor will help you in decreasing weight and in normalizing the insulin resistance. Give it 2-3 months more and you may conceive by yourself. Remember to have intercourse in the fertile period during this time. The fertile period is from 8th day from start of period for next ten days. Have intercourse every alternate day. Daily intercourse may decrease the quality of sperms in the semen. To help you conceive you can also take egg releasing medicines for 5 days. Discuss this aspect with your doctor who will then prescribe it. The chances of your conceiving are high so don't worry. Since the egg is released only once in a month, every time its not released or it has not been able to fertilize, you have to wait for next cycle. This may lead to great upset but if you understand the reason behind it, it makes it easier to wait for conception to occur month after month. Hope this answers your query. | |
Q. What is the reason behind postnasal drip entering esophagus instead of lungs?
Hello doctor, I have a cough at certain times almost every day due to post-nasal drip. I take allergy medication (Cetirizine) but it does not seem to help. I have tried other techniques like lavage and have tried thinning my mucus by drinking more water, as advised by all the medical web sites. All the explanations I read online say that post-nasal drip is caused by a thickening of the mucus, that the mucus membranes make about a quart a day of mucus, which normally is thin enough to slide down the throat unnoticed and ends up in the stomach, but if it is too thick it is noticeable and it ends up going down the windpipe and needs to be brought up through coughing. Here is what I do not understand, normally the passage that is open is the trachea. The epiglottis only closes when swallowing, and furthermore it is behind the esophagus, so why the thin mucus which is sliding down our throat unnoticed does not go down into our lungs? It makes no sense. If I do not notice it and thus do not consciously swallow it, how does it go down the esophagus? It should be the opposite. Please suggest. | Hi. I am so delighted to read your query. My initial thoughts were that you were kidding. But when I thought I realized how beautifully you have thought about the question. We need to know about mucociliary clearance, direction of mucus movement, closure of airway by the epiglottis/supraglottis and by the glottis. Mucociliary movement occurs towards the throat and that is what brings the mucus towards the throat. Like you said, when the mucus gets thick due to allergy or infection or rhinitis, one gets a feeling of the movement. Cilia are small brush like extensions from cells which beat in a particular direction so as to drive the mucus film over the cilia towards the throat. From the throat, the brush border epithelium, that is the ciliated columnar respiratory epithelium pushes the mucus towards the pyriform fossa preferentially. The epiglottis and aryepiglottic fold and the inter arytenoid region form the supraglottic closure which acts as the first check point towards aspirating one's own saliva. The next check point is the glottis or the vocal cords which remain closed to prevent aspiration in such times. When the mucus drip is constant and thick then some microaspirations occur due to the nature of the mucus as well as due to any lax behavior of the closures causing some cough or chest infection. You must understand that the vocal cords, trachea and the respiratory pathways further below are also lined by ciliated epithelium which also have a mucus layer on top of them. This mucus layer traps smaller particles which escape the upper airways and bring them away from alveoli. They also moisturize the air we inhale. In your case, you need to arrest the cause that is causing the thick mucus. That is inside the nose. You need a steroidal nasal spray, taken in a particular way for a few weeks. This supplemented with an antacid like Protonix and Cetrizine will provide you lasting relief. You should also take mucolite for a few days to lighten the mucus. Couple this with steam and plenty of water. Avoid exposure to sun, smoke, pollution, and dust. | |
Suggest treatment for rapid heart rate
Hi! My symptoms arent that bad. This only happens like once every 4 months. No pain with it, or hard to breath feelings no rythmn problems with it. It usually happens when I lay down to sleep. It is in my left side of my chest. I get a strong beat like feeling, for 5 to 6 moments, and it stops. I move my position and might get 3 more , and then it stops. No pain during it or after, or before, and lasts for maybe 5 seconds. What is it lol ,,,,,,,,,, ty | DearWelcome to HCMWe understand your concernsI went through your details. You were able to find a pattern and generality to your problem. That is heartening and shows your thirst for research. But in fact, there is no necessity. Rapid heart beat could happen due to many reasons but the given rapid heart beat could happen only due to obsession with own heart beat. Purely psychological. Don't worry and don't be anxious about it any more. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
What causes blood in semen?
Hi,My fiance has a lot of blood in his stool, blood when urinating & blood in his semen. He has had test after test for colorectal cancer, but nothing has been found. He has a positive family history of prostate cancer & colon cancer. Is there something else it might be? | DearWe understand your concernsI went through your details. Blood in the semen is known as hematospermia. Prostate biopsy is the most common cause of blood in the semen. Blood in the semen can be caused by tumors, infections, anatomical abnormalities, stones, or inflammation in many sites throughout the genitourinary system. Usually blood in the semen is benign and resolves on its own. Treatment, if indicated, depends upon the underlying cause.In most cases, hematospermia has no underlying cause, is benign, self-limited, and no treatment is required.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care. | |
Suggest remedy for getting pregnant
I got married in jan 2011.I took unwanted 72 on golden night.I stay at home for 3 month with husband,but no pregnancy.I visited doctor for pregnancy,but no advantage.my husband went j&k for 2 years.i was only stayed there 4 month with him.bu no pregnacy...now i visited in Mangla dogra nurshing home,chandigarh since mar 2014.since 3 months treatment is carry on,folicular monitoring is carried out every month.in this monthsize was 27mm,docter advised to intercourse.i did intercourse with husband. My husband is in Airforce.i want to concieve.please guide me,sir. | Hi, I think if your periods are regular, you can try naturally for 6 months at least. Be in contact with your husband every 2 to 3 days after your periods stop. If it doesn't work, then you can take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Also get a thyroid profile and prolactin levels done for yourself and a semen analysis of your husband. Hope I have answered your question. Regards Dr khushboo | |
Q. Can male menopause cause propensity towards sexual adventures outside marriage?
Hello doctor, I am a 57-year-old male. Happily married since the last 26 years to a very loving and caring lady. We have an equally loving daughter. We are a religious family, well settled, financially, socially and professionally, and by the grace of God, have no significant issues in life. My wife and I enjoy normal sexual activity, with the usual ups and downs, due to age and mood. I can confidently say that I am a one women man, and till date have not had any extra marital encounters. I am heterosexual and do not have any sexual deviations. Personality wise, I am an introvert and have a minor speech defect. I am well respected at my workplace, where I interact with female coworkers. I do occasionally indulge in sexually explicit clips, which I receive on social media, but I am not overly obsessed with them. However, lately, I have noticed a propensity towards sexual (mis)adventures, outside marriage, which is a cause of concern for my wife, who is also aware of this and we are very upset. I am very much aware and realize the devastating effect this can have on my life, and especially on my family, which I treasure more than anything in this world. Hence I am taking all possible measures to understand and counter this urge. My question is, whether this is progressive? Is this a manifestation of male menopause? I also feel, that, being an introvert, I have this huge desire to become an extrovert, and hence end up doing something illogical. I gave smoking three years ago, do not drink. But sometimes I drink, because, I feel, it helps me become an extrovert. In your expert opinion, what remedial measures should I take to control these urges? And do I need medications, to help me control these urges? | Hello. I can understand your concern about your symptoms. It is not the male menopause, you are suffering from boredom (the state of feeling bored). you have everything in you. Everything seems normal in your life. You should have had your hard hassle in your earlier life, now your brain is in need of adventure in life. Two things you need to do. 1. You need an adventure in life, take a trip, soul searching, yoga, meditation, fulfill your mental craving. 2. The other option is sexing up your life. Talk to your partner about your feeling. There are like other things in life two people can do rather than just normal sex. You can try role-playing, introduce sex toys, try different sex position, try difficult sex position, and so on. I Hope I have answered your query. If you have further doubts, I would be happy to help you. | |
What causes diastolic blood pressure to increase?
I am 28yrs old, female. I have been diagnosed with mitral valve prolapse. On and off high diastolic blood pressure recently 80-93. I have significantly cut back on caffeine. However, today I had a cup of coffee in the morning and two fountain glasses (small ~32oz) of mt dew at lunch. My BP was 115/83 this morning before full consumption of coffee, currently the 116/92. Would the soda at lunch increase my diastolic this much? | Hello!Thank you for asking on HCM!Regarding these diastolic blood pressure values, I would explain that they are a little high and may indicate possible tendency for high blood pressure. Caffeine and salt intake can trigger these changes in diastolic blood pressure values. For this reason, I would recommend you to reduce salt and caffeine intake. I would also recommend avoid smoking contacts and perform a lot of physical activity (walking, aerobics, yoga, etc.), which can help reduce your blood pressure values. Hope you will find this answer helpful!Kind regards, Dr. Iliri | |
What is the difference between spo2 abd spo2 hr reading?
Hi I would like to know the difference between documented SPO2 readings and SPO2-HR readings. If a patient is on BiPAP, O2 sat is 94% records list O2% is 50...not sure what this represents. Please advise. Also I know that each case is individual but what would be the deciding factor to switch a patient from BiPAP to ventilation? thanks for your assistance. Connie Belculfine, RN | HR mean heart rate, SPo2 mean oxygen saturation. it means 94% sp02 on FiO2 of 50% (giving 50% oxygen) on room aor, we have 21% oxygen. I hope this clears ur doubt. If patient is becoming droesy, not breathing properly on bipap, we need to motivate and ventilate. | |
Q. I am anxious and wake up with racing heart. Why?
Hello doctor, A few months back, I felt a shock in my heart. There was chest discomfort; I was sweating and my pulse was going down. I almost felt like a heart attack, but, after a few minutes everything was normal. The next day I went to my GP to check and in ECG he found that I had irregular heartbeats. He referred me to a cardiologist, but I cannot see him due to lack of appointment. Meanwhile, I had palpitations and so I went to emergency. There they took many ECGs, blood tests, chest x-ray, etc., and according to them, everything was normal except my heartbeat, which was a bit higher around 110. So, they gave me beta blocker of 1.5 mg. I went to see my GP again and this time my heartbeat was irregular. I decided to visit a private cardiologist. He took ECG and echocardiography and found nothing wrong except little high BP. I took my reports to my GP and he took my ECG again. My heartbeat was irregular from time to time. I feel current or shock in my heart and different parts of the body. I am confused and do not know what to make of it. I am anxious sometimes and wake up with a racing heart. Thank you. | Hi. I have seen all your details. Revert with the details to a cardiologist online --> |
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