patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
What diet is suggested to speed up apetite in a patient suffering from kidney disease, diabetes and congestive heart failure?
My husband has kidney disease, stage 4, he is also a diabetic, and has conjestive heart failure. His kidney dr. wants him to eat more protein as he is underweight. His appetite is very bad. He eats a good breakfast but lunch and dinner are a challenge. I cook what he likes and he eats very little. What do you suggest that can speed up his appetite.Thank you.my e-mail is YYYY@YYYY | Hi, welcome to Health care magic forum. Your husband is a patient of diabetis, kidney problem, and congestive heart problem. Hi is having loss of appitite and doctors want to take more protein. I prescribe to my patient with lack of appitite enzyme preparations, liver stimulants, etc. If proteins are to be given in excess, can have protein suppliments. Wishing for a quick and complete recovery.Thank you. | |
What causes forehead and neck pain with sweating?
Dear Dr.Gopi, i have been feeling little uneasyness in the last year or so and especially after bath, i sweet very badly. When i wake up in the morning, i don't feel fresh and i feel like having little pain on my forehead and also around my neck areas. My work schedule has been very hectic in the last year and mostof the time i attributed these to my stress. Therefore, requesting for your kind opinion after reviewing my test results for the next steps. Thanks you. -Raghu | Hello, I need to know if you have any previous illnesses like diabetes or hypertension or are you taking any certain medications for any other illness as well? These symptoms could be due to number of reasons like stress, lack of sleep or any other medical condition for which you need to be tested. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr SAMEEN BIN NAEEM, General & Family Physician | |
Have nasal polyps. Could I have developed an allergy to soy?
I have suddenly been suffering from nasal polyps. Could I have suddenly developed an allergy to soy, to which I ve never been allergic before; splenda, which I ve only recently started using; and/or aspirin sensitivity, which has never before caused me nasal polyps? The reason I ask is that they went away and now returned with a vengeance, and those foods seem to be the only possibilities. | yes it depends on immunity if your immunity goes down with age the same things can cause allergies to whom u were not you get your blood serum test for specific antibodies for foods and medicines you are getting doubtful and you will know which medicine and food you are allergic bto | |
What is the cause for lower abdominal pain?
Sharp lower abdomen pain, on the right side exclusively. Feels worse when I cough, sneeze or move in the wrong position. What is most likely causing these symptoms? Found out two weeks ago I miscarried, could this have contributed? Not feverish and normal BMs not convinced iris appendicitis, despite online articles. | Hi ! Good evening. I am Dr Shareef answering your query.Although an appendicitis might not be excluded, with your history of having a miscarriage two weeks ago, this could be due to a pelvic infection, but the absence of fever does not go in favor of it. Appendicitis can not be excluded without a physical examination of your abdomen. Therefore I would suggest you to get your self examined by a general surgeon for further management.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | |
What causes sensation of pounding heartbeat?
I am taking 2.5 Ramapril, 2.5 Bisoprolol, 10 Prasagrel. I had a STEMI July 12, got emerg stent in LAD. Trop was .25 (it was .01 4 days later). T was inverted until ECG on 09/19/2012 then resolved to normal ECG. What causes sensation of pounding heartbeat o I am taking 2.5 Ramapril, 2.5 Bisoprolol, 10 Prasagrel. I had a STEMI July 12, got emerg stent in LAD. Trop was .25 (it was .01 4 days later). T was inverted until ECG on 09/19/2012 then resolved to normal ECG. What causes sensation of pounding heartbeat o I am taking 2.5 Ramapril, 2.5 Bisoprolol, 10 Prasagrel. I had a STEMI July 12, got emerg stent in LAD. Trop was .25 (it was .01 4 days later). T was inverted until ECG on 09/19/2012 then resolved to normal ECG. What causes sensation of pounding heartbeat o I am taking 2.5 Ramapril, 2.5 Bisoprolol, 10 Prasagrel. I had a STEMI July 12, got emerg stent in LAD. Trop was .25 (it was .01 4 days later). T was inverted until ECG on 09/19/2012 then resolved to normal ECG. What causes sensation of pounding heartbeat o I am taking 2.5 Ramapril, 2.5 Bisoprolol, 10 Prasagrel. I had a STEMI July 12, got emerg stent in LAD. Trop was .25 (it was .01 4 days later). T was inverted until ECG on 09/19/2012 then resolved to normal ECG. What causes sensation of pounding heartbeat o | Hello , The pounding heart beat can be just a subjective feeling because of as I slated extra beat . It may be completely benign and you should not worry about the same . A echocardiography and stress test to evaluate cardiac function considering its 4 years since angioplasty is justified. Based on that uptitrating bisoprolol is an option if extra beats is the cause. Regards | |
Dizziness, tingling sensation in tongue, head spinning. Causes and treatment for symptoms?
Today i have been experiencing dizziness all day consistently. It has not increased or decreased. Every time i get a dizzy sensation i get a tingling feeling in the front of my tongue . The same thing happend to me last month which led to the ER. There were no tests done and I was sent home. I woke up the next morning and was fine. Im very concerned because the spells are so intense i feel like im going to pass out. Just to verify the dizzy consists of my actual self feeling like its spinning rather than the room spinning. | Hi,Thank you for posting your query.Your symptoms require further evaluation. Episodes of dizziness along with tingling in the tongue could represent posterior circulation ischemia (lack of blood flow to back of brain). So, an MRI along with MR angiogram of brain should be done to diagnose that. In the meanwhile, you should be on aspirin to prevent further ischemia and strokes.Risk factor evaluation would include tests for BP, sugar, cholesterol and homocysteine. I hope it helps. Please get back if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
Suggest treatment for hepatitis E virus infection
I m a 45 year old male. I m 75 KG in weight and am very fit. However for the past year I have been getting stomach upsets intermittently with fever and loose stools and cramps and a lot of flatulence. I also got hepatitis E virus infection followed by jaundice 4 months ago. That has cleared up now and all of my tests are fully normal. I spoke with my gastro and he said that I can start drinking beer if I wanted. I was a habitual beer drinker before I fell sick with jaundice/hepatitis. By habitual I mean 4-5 pints daily. When can I start drinking again? Thank you. | Hello,Welcome to HCM,Hepatitis E is a self limiting condition and there is no specific drug used for the treatment of hepatitis E.The treatment consists of adequate hydration by fluid intake and normal diet. At times it can take 3 to 6 months for SGOT and SGPT to return to normal. Monitor SGOT SGPT after a month.A hepatitis E diet includes high carbohydrate intake like Bread, pasta,wheat,rice and grains.The increased carbohydrate helps in preserving the protein in the body and prevent muscle wasting. Take vitamin B supplements, particularly B complex vitamins which your doctor would have prescribed. Wash hands well after using any washroom. Prefer to pick hot food and clean water. It is recommended to cook food at home. Drink only commercially bottled water or boiled water especially at places where sanitation and the water supply are unhygienic. Peel off raw fruits or vegetables before you eat. Thank you. | |
Q. I have PKD and my BP spikes within 2-3 days. Why?
Hello doctor, I am a 57-year-old male with polycystic kidney disease. My BMI is 27, and I am a non-smoker. My creatine ~1.25, eGFR ~63. I am currently on 30 mg Lisinopril, 12.5 mg Hydrochlorothiazide daily. Most recently I changed to (6 months ago), taking 40 mg Lisinopril only and noticed bp increasing so added the HCT. Since starting HCT, hypernatremic @ NA=130. My query is I get a rapid spike in blood pressure over the course of two to three days from well-controlled 130/80 mmHg to 165/105 mmHg which has maintained for the last seven days and continues. What are the possible causes of such a rapid sustained spike? | Hello. The causes of this accelerated phase could be multiple. Is there any change in dietary habit with increased salt intake? Any recent change in antihypertensive? Did you by any chance miss antihypertensive medications? Any consumption of pain killer NSAIDs (nonsteroidal anti-inflammatory drugs)? If none of this is true sometimes it could be just because of variation in weather with winters starting. My advice will be to continue with Lisinopril as advised. As HCTZ (hydrochlorothiazide) is causing hyponatremia I will stop that and can add Tolvaptan which has been approved specially for ADPKD (autosomal dominant polycystic kidney disease). This has to be done by your nephrologist though. For better control of BP add Amlodipine 5 mg once daily and monitor blood pressure. Please note that a common cause of hyponatremia in such a scenario is increased water intake, salt restriction, reduced protein intake and hydrochlorothiazide. Combination of these factors is common in ADPKD patients as doctors would be advising for all these. | |
What can cause a sharp pain that is radiating from ankles to knee?
hello Dr I have a problem with my leg its in pain from the ankles and it travelles right through to the knee and the second question is that I took an injection 2 months ago when I had flue but the pain is still there sometimes its sharp or numb pls doctor help me. thank you | Hi,Nothing to worry.Take tab.aceclofenac100mg+serratiopeptidase15mg twice a day by prescription of your doctor.Apply hot packs.Your problem will go but it will take one week more.Thanks. | |
What causes increasingly erections in nights?
I have been catheterised because of enlarged prostate. I am noe starting drugs to reduce the gland but I expect to be catheterised for at least a couple of months. After about 3 weeks, I am increasingly getting erections at night which disturb my sleep. Is it safe to gently relieve these? | Hello,The erections could be due to the sexual urges you are having which cannot be fulfilled due to catheterization. Therefore, I suggest talking to your urologist.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist | |
Having black pigmentation under eye. Not using any face cream. How to remove this?
Thank U Dr. My name is XXXXXXX, I am 41yrs old, I have an problem in face under eye there is an black pigmentation like straight line under both eye, if there is any problem it is very ugly to see to, and In my lip there is an white pigmentation. And important is I have an sensitive skin . So I am not using any face cream. what is the probelm. Please solve my probelm Doctor. Thanking you ROSY | Hello and Welcome to Healthcare Magic. Thanks for your query. Common causes for having dark pigmentation under the eye are: -Iron deficiency anemia -Stress, anxiety or depression -Lack of sleep, poor sleep hygiene -Poor water intake -Smoking and alcohol -Chronic illness -Unknown causes (idiopathic). So, it is important to identify specific and treatable cause for best result. In most of the cases reasons for having dark circles below eyes are multiple and that's why multimodal approach becomes necessary for the treatment. General treatment consists of: -Iron and B complex vitamins -Apply almond oil around eyes in night -Put slices of cucumber above your eyes daily for 15 minutes -For stress (if present): daily morning walk, meditation and yoga -Proper sleep for 7 to 8 hrs per day, follow sleep hygiene -Plenty of water, fresh fruits, vegetables and salads intake -Using sunscreens: if your skin is sensitive for sunlight If above steps failed (which is less likely), then you should visit dermatologist for treatment options like: Medicines, Chemical peeling and Laser treatment. Best wishes, Dr. Sheeba Stephen | |
What is the lump inside my vagina towards my tailbone?
hi im 21 and female and i was having intercourse with my fiance, when she came across a large hard lump towards the tailbone side of the inside of my vagina. ive recently had an operation where my overiae was stuck to my wall and have been recovering until we found this. i was wondering if i could get some advise as i still get alot of pain like i had before my operaton but the lump itself is not painful to touch. | HI, dearI have gone through your question. I can understand your concern. You may have some tissue tumour or some cyst. You should go for pelvic ultrasound once and if needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Thanks for using health care magic. | |
Separation in kidney. What does slight separation mean ?
hi doctor, my 2year old son has hydronephrosis of left kidney and left puj obstruction , he went for an ultra sound last week and the dilation of his left kidney now measures 1.85cm, this has been ongoing from b4 birth and he gets scans every few months but at the scan last week the sonographer said theres slight separation in his right kidney which is his healthy one, what does slight separation mean. im so worried as he has other health problems too? thanks, deborah | Thanks for the query I really dont know what he meant by that. seperation of the right kidney? Is your son having any symptoms? disturbance in urination? Have u asked ur doctor about surgical options? Have a healthy living | |
Suggest therapy for nephrotic syndrome
my son is 3 years old,has Nephrotic Syndrome minimal change ,•ANA is negative , Heavy proteinuria (dipstick +3) albumin is 1.1 we started from 14 days with steroid 60 mg/m2 per day as a single dose the albumin is in increased to 2.17 ,but proteinuria is decreased to +2 in day 10 but return to +3 in day 14, any recommendation please and is 14 days enough to control proteinuria? also is the type of food affect this ,eg my son like to eat egg ( 2-3 eggs a day ) please advice yousef | Hi, I'am Dr Suresh MD , I had gone through your question and understand your concerns.About 80-90% of children respond to steroid therapy within 3 week. The vast majority of children who respond to prednisone therapy do so within the first 5 week of treatment. If child is does not responds to steroids treatment with in 8 weeks, there is need for further work up including renal biopsy . Some authorities considers further work up in case of non responders in 4 weeks.A balanced diet rich in proteins( 2-2.5 gm/kg/day is recommended . Reduction of salt intake is advised . once in remission protein can be reduced to 1.5-2 gm/kg /day, and salt restriction can be stopped . He can continue with eggs. For a menu based diet you can consult a dietician.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questionsTake care. | |
What is the cause of lump on the bone behind my right ear?
I have a lump on the bone behind my right ear. It is tender to the touch and sometimes changes in sensitivity & size. I feel tightness around the area of the skull where the lump is located. It's been there for a few days now. I know it's not like a swollen gland because i've had swollen glands in the past. | Hi, thanks for writing to HCM.Well, If I were your treating Doctor for this case of post-auricular painful lump, I would come up with three possibilities, these include: 1. lymph nodes due to some chronic disorder like scalp/ear/nose/ infection, tuberculosis, lymphoma or chronic throat / neck infection or even malignant diseases in elderly people!2. The second possibility is of benign and simple conditions like lipoma or neurofibroma; there is nothing to worry about these! 3. The last possibility is of an infected sebaceous cyst or some other cysts like branchial cyst or lymphatic cysts! Nothing to worry about these also!I suggest you to go for an FNAC and ultrasound of the lump for confirmation and to relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | |
Suggest treatment for disc bulge, thecal sac and neural foramina
Dear doctor. Presently I am suffering from Lumber-Spine related problems causing difficulty in seating/walking for more than15 minutes. MRI reports indicated disc bulge, thecal sac,neural formina causing mild to moderate compression over L4&L5 existing nerve root. The concerned spine surgeon has advised medication only I.e Shelcal OS & Neuroday(methyl cobalt mine)daily with Physiotherapy/exercise.What are the other Effective Remedial measures in my case.? | Hi, I am Dr.Bruno. I have read your question with care and understand your concerns. Let me try to help you Question : What are the other Effective Remedial measures in my case.?Answer : For your condition, i.e. "disc bulge, thecal sac,neural formina causing mild to moderate compression over L4&L5 existing nerve root" the initial treatment is Nutrients + Physiotherapy / exercise. You have to start with this. Most of the patients get relief with these measures Only if there is no relief with the above measures, you have to take tablets to mediate pain. If the pain still persists, or if you develop and numbness or weakness, you may require surgery . . .But don't worry . . . Only a minuscule percentage of people with Spine Problem actually require surgery. Most of them get relief with tablets and physiotherapy itself Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care. | |
Q. I am unable to breathe deeply, and doing so causes a cracking sound. Why?
Hello doctor, I am a 28 year old female. I weigh 55 kg, and my height is 168 cm. I have been having difficulty taking a deep breath for over a year now. I got it suddenly one day while riding my bike. It feels like my breath is not completed or like I am missing some air. Some days it does not occur at all, but it occurs most days. Sometimes, when I take a deep breath, I hear a cracking sound at my back. My physician said that my lungs and heart are fine. He stated that it might be stress. However, I often have it when I am not stressed, although stress usually makes it worse. Stretching my back seems to help. Could it be a muscle pull? What could I do about it? | Hello. Revert with more information to an internal medicine physician online --> | |
Suggest treatment for headache , fever and lower back pain
I am 28/female, I have been experiencing lower back pain for 2 1/2 weeks. And a headache for 3 days. Today, my lower back pain became so bad I cannot get comfortable. The pain has a piercing/burning feeling on the lower right side. It hurts to stand, walk, lay, and sit. My headache is the worst yet, and I am currently running a low grade fever 100.9 No rashes. | Dear; thanks for using HCM. Your back pain could be secondary to sciatic neuralgia due to pinch nerve.However , the fever can be related to kidney infection or nephrolithiasis. I recommend you to see your primary care doctor to get urine sample for analysis and culture and have a final diagnose.DrSara | |
What causes pain while taking deep breath with cough?
pain with every deep breath -sharp, painful. also a cough started over last week. i fell down a flight of stairs on my back3 weeks ago. had back x-ray no breaks or fractures. i dont understand this new pain 2 weeks after the fall or the sudden cough. could my lungs be bruised or something else? | Thanks for your question on Health Care Magic. I can understand your situation and problem. Chest pain on coughing and deep breathing is seen in pleurisy (inflammation of pleura). And common causes for pleurisy are pneumonia, tuberculosis, pleural effusion and Pulmonary contusions. So in your case possibility of either pneumonia or Pulmonary contusions (due to fall you had) is more. So better to consult pulmonologist and get done clinical examination of respiratory system and chest x ray. If chest x ray is normal than no need to worry for these causes. You might be having musculoskeletal pain only. So apply warm water pad on affected site, start painkiller and muscle relaxant drugs. First rule out pneumonia and Pulmonary contusions. Hope I have solved your query. Wish you good health. Thanks. | |
Light pain in left side of lower abdomen, burning sensation after passing urine, vomiting blood. Any ideas ?
hi i am 27 year old. it has been more than 5 months i am having very light pain in the left side of my lower abdomen and burning sensation after passing urine and urge to urine. whenever i vomit blood comes out within water. i had a endoscopy , ultrasound and urine examination done. reports are normal. but problem is the same. | hi, i have read about your problem of voimiting blood . blood is not normally seen in vomit with out any underlying problem like ulcers.as your endoscopy is normal that means you had a mild tear in the mucosa which can produce blood in forceful vomitings or when try to hold the vomiting. regarding your pain,burning urine and urgency to urine is because of urinary tract infection secondary to stones somestimes are not visible in tests(radiolucent) .please contact your physician,who can prescribe antibiotics. i hpoe this will help you take care ,have a good day bye. | |
My Daughter is not chewing the food and tries to swallow it
Hi, My Daughter is 2 years 2months. She is not chewing the food. What ever food we offer she wil try to swallow whether it is hard or soft. because of this sometimes she poops out. And other thing we wont pick any food with her hands..everything i need to feed her. Even if she is hungry we wont pick with her hands and dont even tries to chew. Please help me. | Hi...please do not worry. This is a common problem for some kids of this age. All your kid needs is some encouragement regarding feeding and food fads. This habit will wean off slowly, after she goes to play school or mingles with other kids after seeing them. So be rest assured that this is not a major problem.Regards - Dr. Sumanth | |
What causes a lump in forearm?
I'm 16, 140 lbs, and 5"8'. I woke up thursday with a small red lump on my left forearm just below my elbow crease and today it has gotten larger and it hurts really bad. the lump has risen and is hard all around it and has a red rash extending about 2 inches in each direction from it. what could it be? | Hi.You have explained about a boil turning into a stage of cellulitis which is spreading fast. Get your blood Sugar checked.Consult a Doctor as you need to take prescription based antibiotics and anti-inflammatory medicines. Apply liquid povidone iodine to the whole area. | |
How to treat an asthma patient who coughs green sputum, and light blood?
My 54 yr old brother has hx of asthma, allergies, smoked but hasn't for 12 yrs, and has a flare up of coughing with green sputum and pink but bloody in the morning. He is not telling me this, but I check his tissue when he goes to the bathroom. I am a nursing student and am concerned. His shortness of breath has increased and he has an appointment tomorrow with dr. I borrowed a nebulizer machine so he could do treatments with his own medication (albuterol) which he quit doing and sent machine back when his wife died of cancer in Aug. He had 2 control inhalers but had to ay out of pocket for those so he quit taking them. He finally called to get an inhaler this last week because he couldn't hardly talk to his clients (small business owner) and dr OOT on vaca but was ok'd 1 inhaler. How many of these treatments can he take per day to keep his airway open. No fever, no aches or pain, jus what I have said above. He is the silent type. Thank you and sorry for the long dissertation. | Hi This is Dr AlokPlease to assist you hereI think your brother should go for sputum exam and routine blood test and probably he needs antibiotics also. If things settle , than he should take jab for pneumococcal infection and flu also. | |
What causes sudden limping after running?
I m a runner. I ve never had issues with knees. Two weeks ago, I ran 8 miles (which is less than my normal), and was fine, until I rested. I limp when I first stand up - about 5 steps, and then I can walk normally. I rested it for 3-weeks, besides my normal work schedule and I iced it. I went for a 3-mile run today. I m limping again about 5-steps and then I can walk normally. | hi,thank you for providing the brief history of you.A thorough musculoskeletal assessment is advised.As mentioned by you about the limping , I will recommend to undergo a complete clinical Musculoskeletal assessment as some clinical orthopedic special test will be performed to check the status of the soft tissues within the knee joint.Usually this limping occurs due to locking of the knee joint as by which the knee does not become flexible to move aournd. Runners usually suffers with ligament injuries over a period of time and needs a thorough assessment. Also post the clinical assessment may be an MRI of the knee will be guided to check any soft tissue Injury. which is important to know right now itself to avoid the later coming days injury. With rest and physical therapy the knee joint mechanism will be achieved. Also, on later stages a sports retraining program will be implemented by which the becomes stronger to avoid pain and aches along with locking unlocking mechanism to function to the optimum. in my clinical practice I have seen cases with such complaints and by a thorough detailed clinical assessment and use of MRI helps us to help the patient further for the best outcome score. My patients even achieved 100% of the score in their knee mechanism. I expect the same from you.regardsJay Indravadan Patel | |
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 --> | |
My 80 year old mother is suffering from Parkinson s disease since 10 years. she is now on Syndopa 110 - 1/2 tablet four times a day, amentrel once a day and Ropark 0.5 3 times a day. Her condition is deteriorating - stiffness has increased and her lips quiver. Please guide as to what course should be taken now. | with addition of a herb along with above treatment further progress may be checked. This herb is Kaunch. A medicine under brand name of this herb is also available Zandopa. I have seen good results with combination of dhara therapy along with kaunch and vrihat vat chiintamani ras. please note that treatment being offered for such a long period should not be discontinued abruptly. | |
Suggest remedy for dry skin
I, am 49 years old lady. TFT (FT3 normal, FT4 normal in range) but TSH 6.91 uIU/ml Method ECI came out in my Star imaging and Path lab report on 26/4/2014 I have noticed that my skin became puffy and dry skin for last 7-8 days and i went to dermatologist in Kaya Clinic they hv suggested me face wash, Tube MOISTUREX and Diprovate S for my neck( to remove black spot / patch) . (at that time, i did not get my tsh report). But now i am worried as i hv seen my TSH reports on following: Blood sugar fasting : 97 mg/dl Blood Sugar PP : 117 mg/dl (seems to be OK) KFT : Boood Urea, Blood Urea Nitrogen, Serum Creatinine, Uric Acid, Calcium, T. Protien, Albumin) are within Normal Limits but : GLOBULIN 4.18 g/dl and A/G Ratio : 0.89 indicates ? I think some insect bited me on my neck or some other reason, forpuffiness. only due these symptoms, i underwent for blood test. Please suggest and clarify on the above. (Presently, my skin is becoming dry from cheeks, throat little bit thirsty, urine frequency : 6-7 times a day) I would also like to know diet chart to follow seriously as i m not much interested in medicine, but pls suggest if it cannot be ignored. best | helloAccording to your symptoms of dryness and your blood reports, it is suggestive of a thyroid problem. your TSH is a little on the higher side and indicates hypothyroidism.Your reports are of 2014. You will need to repeat the tests and see the current levels. This condition very commonly causes dryness of skin. Along with that, in long standing conditions it can also cause a mild swelling and puffiness of skin over a period of time. 7-8 days swelling maybe too short to be caused by thyroid disorder and could be due to an allergic/irritant reaction. Or, you may not have noticed it earlier. Have you applied any cosmetic over the area or undergone any procedure/facial etc,?Also going by your age, since it is close to menopause such symptoms are common such as swelling,redness, hot flushes of skin. dryness due to loss of moisture.etcAre you on any regular medication? or new drugs?Keep a check on your blood pressure as well.I suggest that you consult a physician or endocrinologist for the thyroid as you may need medication to bring it to normal. This could directly affect your skin drynessYou can continue the moisturex SOFT cream twice a day for all dry skin. Use a mild moisturizing / glycerine soap. Do not scrub over the areas.Diprovate S can be continued for 2 weeks n stopped slowly.Drink fluids, include iodine in your diet. Reduce consumption of cabbage, cauliflower.etc for the thyroid. Do consult with the physician regarding the best diet for you. | |
Is the swelling in legs due to kidney failure?
hi! my mother recently underwent urine and blood test because her legs is swelled after the test the doctor confirmed that her kidney is infected and this is at early stage and the doctor gave her some medicines to recover. i just wanted to know that its not kidney failure right and do we need to consult a nephrologist now ? | Hello,If the doctor you are consulting have diagnosed her to have kidney infection and already given probably antibiotics for the same it will take around 5 to 7 days to get it right.Her leg might be swelled because the functioning of kidney must be hampered due to some reason lik infection. I would advise you to complete the course of medication prescribed to you and see whether the swelling improves.If it doesn't even after completing the course, you can repeat the urine routine examination and serum creatinine and urea and either get back with me or you can consult a nephrologist. I would be glad to help you out.Thank you | |
What are the chances of the biopsy comes back positive for barrett's esophagus ?
I had an endoscopy. The results look good - no inflammation , no esophagitis, no hernia , no rings, etc. The doctor told me it does not look like BE, but took a biopsy. what are the chances that the biopsy comes back positive for BE? | Good means good you should not be worrying.It is routine practice to biopsy whenever endoscopy is done.Now a days endoscopic are very precise they can peek up very minute things.but still as universal rule biopsy is must.When ever with naked eye nothing is seen most of the cases biopsy is also negative.so just relax. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
What are the symptoms of pregnancy?
I have missed my period by a week now but i have taken 5 tests in the past 2 weeks and they still all say negative i have been having pain in my lower abdoman for about 5 days but i have never had period pain before and the symptoms i have at the moment i have never had during or before my period. Is there something wrong? I have type 2 diabeties and take medication can this affect my hcg results? Is there a posibility that because im thinking about it too much that this could be the reason why i think im pregnant? | Hi,Pregnancy tests done on the expected day of period and onward are only valid. Since you have been doing them for past 2 weeks, but your date was expected just a week ago, this could lead to confusion and agony.Please do let me know when was your last test done .Diabetis or its medications do not affect the pregnancy test in any way.Also all this stress must be getting to you.So, I would advise you just continue taking your diabetic medications and repeat a urine pregnancy test tomorrow morning. If it is negative see a gynecologist who will give you tablets to get menses (called progesterone tablets. And if positive, also do see a doctor as pregnancy with diabetes will require special care.Hope this helps.Regards. | |
What causes lump in armpit?
hai Doctor, Am biju 24 years ols male. for the past few months i have some stone like substance on my left arm pit. and this substance grows and reduce alternatively. and there is no pain for some days. and pain for some days. what could be the reason . and any remedies | HiWelcome.I have gone through your query.Based on the information, I feel it might be folliculitis or subeceous cyst. But it need to examined to confirm the diagnosis.The treatment depends on the diagnosis.I would suggest you to see general surgeon for examination and further help.Take care. | |
Irregular periods with slighly elevated testosterone levels. On birth control. Can I become pregnant in future?
Hi, I have had irregular periods as long as i can remember. When i was 14, my periods would come around every two weeks and were very heavy. The doctor put me on birth control to control my hormones. Ive had yearly screenings every year since and my doctor suggested that i might have pcos . However the only symptoms i seem to have is irregular periods and slightly elevated testoterone levels. Is this something else? Im 23 now and hoping to get pregnant in a year after i get married. | Hello, Thanks for your query. Irregular cycles with increased testosterone levels suggests diagnosis of PCOS. I recommend you to continue with your doctors prescription. Reduce weight atleast by 5%. It will increase your chances of conception. Eat balanced diet. Since you are young -23 years , chances of conception are high. Wish you good luck, regards, Dr Nilofer | |
Q. After being obsessive about calorie intake, I stopped getting my period. Why?
Hi doctor, I am 14 years old and I have been obsessing over calories for six months. Since then my period has stopped but when I started being obsessive my period was irregular. I have noticed that I have lost weight and my family and friends have noticed my weight loss and my obsession with calories and food in general. I do not do a lot of sport but I get to 10000 steps most days and I do a seven minutes workout in the mornings. A few months before, I used to eat around 1000 calories a day and now I eat around 1300 calories a day approximately. I want to eat more because I want to get my period back and I have noticed my boobs have shrunk. However, I do not want to look like I have visibly gained weight or I do not want my stomach to become untoned. I also do not know how much I should eat in order to maintain my weight but I do not think I am losing weight at the moment with eating 1300 calories per day. I spoke to my mom and friends about it and they all encouraged me to eat more but they do not understand that I do not want to look like I have gained weight so I want to try and gain muscle but I do not have a lot of time to go to the gym and do weight training. Do you have any advice? | Hi. According to the given data, your BMI (body mass index) is 18.7 which is in normal range, which means the right weight for your body. Trying to reduce more weight might cause under nourishment. Similarly, your requirement according to WHO (world health organization) standard is 1700 kcal /day. To maintain your weight follow these tips: 1. Manage stress, do meditation as stress increases hormone imbalance. 2. Divide your meals to small frequent meals (to increase metabolism). 3. Increase fiber and protein content in the diet which helps to build good muscle mass. 4. Do regular workout at a stretch of 20-30 minutes to avoid extra fat deposition or opt for spot reduction exercise. 5. Increase fluids for good oxygen supply and blood circulation. | |
Is increase in the size of left CP angle extra-axial mass something of serious concern?
I had another MRI Brain Scan....history is meniangioma.....my last Mri of the brain was in 2014.....report is this: there is increase in size of left CP angle extra-axial mass which now measures 1.3 x 1 cm in the axial plane which prior measured 0.9 x 0.7 cm and 1.6 cm in sagittal plane which prior measured 7 mm...There is no significant mass effect related to this mass. Should I be worried about this? | HI and Welcome to Ask A Doctor service. I have read your question and here is my advice. The increase in the size ( though not very much ) is a little bit concerning howe'ver most of the meningiomas(90%) are benign tumour .They are not agressive .The good point is that's there is no mass effect ( not putting g pressure on teh brain ) and if you do not have symptoms. .then we can just wait and observe as the growth is very slow .but serial MRI,s are necessary to keep eye on size. If any time its symptomatic , it can be removed surgically.Keep in touch with your neurosurgeon. Hopes I have answered your question. I will be glad to answer any further question about this. | |
What causes bubbles behind ear while having kidney problem?
I work as cashier and we are no longer allowed to have water at our register and I also have problem with one of my kidney I have notice a few days that I have a few. Bubbles behind my left ear and after a I get home and are rested with a few glasses of water in me a few hours later the bubbles go away why ? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It has nothing to do with your kidneys. Please show those bubbles to your family physician once. You haven't mentioned if there is any pain or itching. It could also be herpes zoster. Consult your doctor. Hope I have answered your query. Let me know if I can assist you further. | |
How to treat breathing problems in children?
My 2.5 year old seems to struggle to breathe through is nose at night. He wakes up at least once or more. I took him to his doctor and he said he had a slight ear infection and generous tonsils. He said that if it didn t clear up in 2 weeks to call for a referral to an ENT. However, he was breathing like this for about 1.5 weeks before I called the doctor, he s been on amoxicillan for 8 days with NO change. He continues to struggle to breathe through his nose. Here I am at close to midnight, so concerned... he doesn t sound right. There were a few times I thought he stopped breathing but the doctor said he s not going to stop breathing but I swear he does and then wakes up. He has never been the best sleeper since about 1.5 years old.. wakes up quite a bit, at least once a night | disturbed sleep and breathing problem during sleep are being increasingly recognized as caused due to sleep disordered breathings even in children these days. the airway obstructions cause by enlarged tonsils and adenoids may have an added effect on breathing and sleeping.In such cases its a wise idea to take a consultation with and ENT specialist and Pediatric sleep specialist | |
Suggest treatment for SVT
Hi, I have been having SVT's since falling pregnant with my first child in late 2004. I cam off beta blockers in may last year and have had a few SVT's since then , but they have not required hospital treatment. I have read that they can prove to befatal, is this true as my consultant said they were not fatal. Can it be controlled by diet at all? | Hello Welcome to HCM. Most SVTs usually are not life threatening. When there are accompanying complications like low BP, previous heart disease then they may cause issues. But usually SVTs are not troublesome. There are no diet modifications that can prevent SVTs. They happen due to some improper circuit within the hearts conduction system. Medications like beta blockers do not cure SVT, the inhibit the trigger which leads to SVT. the keep the heart rate low so that SVTs sont occur. Since you are still getting them, I recommend you should be on a small dose of calaptin (calcium channel blocker) daily for your SVT. They have very less side effects and tolerate well by all patients. Another approach that is used for patients with low risk SVTs is to take a calaptin 120 mg SOS during the episodes. Since I have not examined you and seen your records, I would recommend the daily dosage of calaptin approach. Wishing you good health Regards | |
How can severe pain in the lower back be treated?
Hi Doc,I have a terrible lowe back ache-it is almost if something is pricking me,it hurts when I sit down and want to get up-I have not hurt myself,it started on monday-last week,when I stand it is ohk but as soon as i sit and get up I feel this pain -do u think I should drink a lansoloc 30mg-or is for something else Yours sincerely Patricia | In my opinion it’s best to see an orthopedist.meanwhile one may take parrafonDS twic daily after meals available OTC.Avoid bending,lifting objects. Do hotfomentation and apply Voltaren gel.It should get well with this, but do Consult orthopedist doctor for knowing cause with investigation if needed | |
Suggest treatment for nonobstructive hypertrophic cardiomyopathy
Hi! I want to ask whats the possible cause of a choking like sensation? Is it significant with heart condition? I have a Hypertrophic Non- Obstructed Cardiomyopathy, 35 ,F, s/p ICD. I always experience numbness on left UE. The choking sensation is bothersome. Thank you. | Hello dear and thanks for posting your query here.The non obstructive HOCM generally doesn't cause choking sensation.It mainly remains asymptomatic in majority of the patients. But it is the most common cause of Sudden Cardiac Death that's the reason for AICD.Other that this, it causes exertional symptoms like dyspnea, syncope, palpitations and others. All these symptoms are more common in obstructive HOCM except dyspnea which occurs almost equally in both the varieties and that too in late stages once the heart systolic dysfunction sets in.I hope this information would be of help to you.Thanks and all the best. | |
Do accidents cause lower back pain in the hip area?
I got into a wreck two years ago. I have suffered back pain since. Lower left side in lower back hip area. it feels like it is dislocated. Is that possible because I have seriously considered hanging fro the ceiling by my feet. I believe it would make me feel better! | Hello, I have studied your case. present complain suggest disc pain leading to hip pain posterior.Due to compression of this nerve root in spine there is pain in your backI will advise you to do MRI spineFor these symptoms analgesic and neurotropic[pregabalin] medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.Till time you can continue your medication.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
Liver profile abnormal, indigestion, less energy, sleeplessness. What is the cause?
wELL MY HUSBND IS HAVING SUGAR PAST THREE MONTHS READINGS AN AVERAGE OF 300 MG /DL N ALSO HIS LIVER PROFILE HAS SHOOTED TO 8 TIME HIGH READING OUR PVT DIABETIC DR EARLIER PUT HIM ON LACTUS SOLRTUS INGECTION12UNITS3 TIMES GLYCIPHAGE 500MGS N TELSAR ONCE AT 9AM N VOLIBO ONCE AFTER ONE BITE OF LUNCH N AZTOR ONCE AT NIGHT BEFR SLEEP N AFTR A WEEK AS SUGAR YET ABOVE 200 HE ALSO ADDED T GALVUS SAYING TO HAVE BBF DAILY N ON 13TH DAY CHK PP N ON 14TH DAY CHK FS. TODAY IS HIS HIS 6TH DAY OF T GALVUS N HE FEELS HIS FOOD IS OT GETTING DIGESTED N FEELS SLEEPY N LESS ENERGETIC ..MY QUERRY IS ARE ALL THESE SAFE MEDICINES N PERFECT FOR THE DISEASE ALSO IS T GALVUS SUITABLE FOR THE CAUSE AS DR SUGGESTED ONLY AS SUGAR WAS STIL NR 200+ ..PLS REPLY NOW N LET ME KNOW WHAT IS BEST N WAT TO DO .PLEASE GUIDE . NITHYANANDAM | Hello All the medicines prescribed by your doctor are good including GALVUS. Galvus (Vildagliptin) is a relatively recently approved oral treatment for people with type 2 diabetes. Galvus was proven in clinical trials to add efficiency when used in combination with other anti-diabetic medication. You should trust your doctor and abide by his instructions. The goal of treatment is to correct the blood sugar levels without being aggressive and without causing hypoglycaemic attacks. Since the sugar levels are still uncontrolled,let your doctor decide what to give and see he response of the drug patiently. Sometimes it takes many weeks on the part of doctor to achieve proper sugar control. Besides medications,your husband should follow dietary restrictions as advised by the doctor and must do regular exercises,which help in better control of blood sugar levels. Keep his blood pressure below 120/80 and must keep his LDL cholesterol below and triglycerides below 150. Carry on the treatment without loosing patience. Thanks | |
What are the withdrawal effects of Trazadone?
I am bipolar and my N.P. changed my medication regime from Trazadone 100mg PO at bedtime to 15 mg Mirtazapine 7.5mg PO at bedtime. I do realize I would/will experience some effects as I have been using Trazadone for several years. I just want to know if what I am feeling is a normal and to be expected with this change. Concentration decreased, irritability increased, tremors worsening, and general sense of depressed mood. | in my opinion the ones u have mentioned are the withdrawal effectsslowly reduce and then stopmeanwhile relaxation therapy and sleep hygiene 8s useful | |
How to cure chronic depression?
hi........................ this is regarding my mother she is 58 yrs old having diabety since last 6 yrs she is on insukin from last 3 yrs.inthe starting sugar levels were high now its ups and downs up in the morning and down in the evening.its related with depression she is having total control on diet.she is cronic patient of depression | Hi dear. I had gone through your query. I understand your concern. Diabetes has co morbid depression amd need proper assessment. Anti depressant will helpful. SSRI like escitalopram/ sertraline / peroxetine will be useful but choice is depend upon clinical symptoms. Take advise from psychiatrist and get help. Exercise and meditation can help.Ensure proper sleep and diet. Thanks you.Still if you have a query then feel free to ask. Happy to help you further. | |
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 --> | |
Can smoking marijuana help to treat leiomyosarcoma?
Hello. My mom has been suffering from a rare form of muscle tumors called leiomyosarcoma for the a long time now. Surgeons have all said that there is no cure or nothing we can really do except try and take it out whenever it comes back, which it has at least twice a year for the past 10+ years. I know people who have lived with cancer all of their lives, and they would smoke medical marijuana. Studies have shown that medical marijuana stops cancer cells from growing and spreading. Could smoking medical marijuana be beneficial to my mother while she fights this ongoing struggle with leiomyosarcoma? | Thanks for your question on HCM.In my opinion she can try medical marijuana, as nothing else is working well in her case.Its effect is decreasing pain,rather then decrease cancer cell growth.So this can give good feeling subjectively.She can also try transdermal patch of fentanyl. It is centrally acting opioid drug. Its action lasts for 72 hours. So better and longer pain relief can be achieved.So she can take medical marijuana. Also ask her to try transdermal patch of fentanyl. | |
Blood in sputum, headache. Using inhaler and allergy medication. What is the treatment?
Sir, My age 24 female .the Last two years often very small amount blood comes through the sputum in the morning not regluarly. i did check ups 2 or three times.they says that it may be due to some cold seasons. .before 2months ago i had cough and small breathing problem i took medicines and i used inhaler also.that problem also cured.In the past two weeks i had a horrible head ache on the left side only. with that all part of left side upto neck is painful. left mouth left eye,left head,left nose.when that starts it will last for almost 6-8 hrs. i consult an ENT docotr.He says it may be due to some allergic resons and i took medicines too.On yesterday evening i had head ache and blooded sputum coming through the mouth 7times and a small amount of blood coming through nose too once.what should i do? | Hello sachu , From the description of your disease it appears that blood was coming not from your lung , but from the back of your nose or the sinuses. During sleep this blood would be collected in throat and coughed out on waking up. Probably you are having bacterial or fungal infection of the sinuses ( paranasal sinuses) on left side. it is causing pain on left eye, nose , forehead. You will require treatment with antibiotics and nasal drops that will help open up the sinus openings. The disease can be confirmed by proper examination of nasal cavity , by xray of sinuses , or by nasal endoscopy. Sometimes CT scan of sinuses will be required. You will require treatment fro an ENT surgeon. Sometimes minor surgical procedure may be required to remove pus from sinuses. Also investigate for risk factors like diabetes | |
Q. I am having cramps in my lower abdomen after taking I-pill. Why?
Hi doctor, I am a 21 year old female. I took an I-pill 12 days back, and since then I have a cramp in my lower abdomen. It feels as if I will get my periods, but still, I did not get it. | Hi. I-pill only makes the hormonal environment unsuitable for the embryo to get attached to the uterus lining. It makes the inner uterine lining thicker, which may not shed immediately. If you have never had a normal delivery before, your cervical opening will be very narrow. So, the thicker inner lining of your uterus is trying to come out of the same narrow cervical canal which is causing the severe cramps and lower abdominal discomfort. The effectiveness of I-pill depends on, after how many hours of unprotected sex you had the pill and in which half of the menstrual cycle you were in. It is most effective if taken within 72 hours, but the earlier, the better. For now, I suggest you wait, but if you do not have periods past your due date, consult a gynecologist and get a pregnancy test done. It is always advisable to have sexual intercourse using protective barriers like a condom, oral contraceptive pills, NuvaRing (vaginal ring), implants, etc. For further queries consult an obstetrician and gynaecologist online --> | |
Is having colon cancer in the ascending colon an advantage?
Are there any advantages to having colon cancer in the ascending colon as compared to other parts of the colon? I heard tumors in this area usually grow "outwards"...is this good or bad? Had a colonoscopy and they found a cancerous mass that had roughly been there for 1 year and a half to 2 years... biopsy results have not come in yet or scans.Can someone please provide me with any positive info based on the location ? | Hi, dearI have gone through your question. I can understand your concern. No it has no advantage. Moreover if tumour grows outside then it is more risky. It will detect in layer stage. If tumour grows in lumen then it causes obstruction and produces symptoms earlier so it can bd detected at an early stage. Wait for your biopsy results and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Does masturbation cause loss of concentration?
Hii...this is vinayak..I'm a 20 year boy..I mastribute once a day or in 2 days...I don't feel any weakness the whole day..but do mastibution affects our body and mind ???...Do its stops the growth of height and loss of concentration....plz provide me the suitable advice.. | Thanks for contacting HCMYou are concerned that masturbation will cause loss of concentration and reduce your growth. At age 20 you have already reached your maximum growth. So masturbating will not affect your growth potential. Also masturbation does not inhibit or affect your ability to think. Hope this answers your medical question. Please contact us again with your health care concerns and questions | |
Suggest treatment for enlarged heart and high BP
Hi I am a 37yearold woman, I have been officialy been diagnosed with an enlarged heart, very high blood pressure, and an irregular heart beat, where it beats so fast I have to have shots at times to slow it down, I have two 2 leaky heart valves, and arteriolschlerosis. and one of my EKG s has showed thatmy heart is not functioning as it should be period and I am developing a blockagein one of the arteries that leads to my heart. Lastly I have a heard time catching my breathe during any activities, and I get dizzy whenever I do any activities. My question is; when is a increased heart and pulse rate dangerous? I ask this because just to night my heart started beating like this. thump, thump,thump,thump,thump, (pause) thump, thump, imagine this pattern going really fast repeatedly to the point it scared me and I could feel it and hear it, and when I checked my pulse, it was; thump, thump,thump,thump,thump, (pause) and thump, thump,thump,thump,thump, (pause) and it continued. | Hello, I would like to tell you that in valvular heart disease patients can commonly experience palpitations and is recommended for you to get an echo and Holter Analysis done and consult your treating cardiologist for further treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist | |
How to get rid of lower back pain?
hi sir, i got pain in lower back. i feel it is in middle of hip and lower back. actually i am feeling the pain 3 days back onwards. And it started paining when i woke up in the morning 3 days back. i have used one of the spray but no relief. Used some myospaz and aceclo but no relief. Not able to understand what could be the reason and how to avaoid this. | HiWelcome to healthcare magicAfter going through your query I think You are suffering from acute backache.Treatment of it is rest and analgesics . Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as ultracet three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics . You can discuss with your treating Doctor. To futher investigate MRI of the region is advised. Hope your query get answered. If you have any further questions then don't hesitate to writing to us . I will be happy to help you.You can also write to me directly on below link: you good health.Take care. | |
What causes swelling of lymph node below the ear lobe?
Hi! I am 21 years old male student. 2 weeks ago i noticed slightly swollen lymph node beneath my ear lobe . i felt slightly sick and i went to the doctor . Doctor gave me antibiotics and i had sore throat to in the throat wall which resulted severe pain while swallowing. the fever was below 100 not much. I went to another doctor and he said it s viral pharyngitis but also told to continue the anti-biotic in case if it is strep. Within a week my sore throat gone , lymph node came back to normal. And again my doctor checked my throat and he said it s fine. The next suddenly my left tonsil got slightly bigger (not that much big). I don t feel any pain while eating neither it s sore. But the left tonsil is swollen i think. I have taken the antibiotics but the tonsil is not coming back to normal and i am too much worried. I also feel dry throat and have to drink a lot of water. I am really worried about it and recently i have developed hypochondria and anxiety by searching the symptom all day in internet. Please help me and give me some suggestion | Hi, dearI have gone through your question. I can understand your concern. You may have tonsillitis, abscess or other lesion on tonsil. It leads tp reactive hyperplasia of lymphnode also. You should go for examination. If needed take a course of antibiotics like azithromycin or amoxiclav. It is prescription based medicine so consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Does daily orgasm tamper conceiving?
Hi, am 32 yr married female trying to conceive.Conceived once in 2007 but due to some issues in baby growth i got the baby terminated.I have a bad habit of reaching to organsm on daily basis.Kindly tell me if this is creating any problem in me getting conceived. | Hello,Thanks for writing to us.There is NO relation between pregnancy and achieving orgasm. You should do it in hygienic way. Pregnancy depends on proper timing of unprotected sex with ejaculation inside vagina during fertile period.Good luck and take care. | |
What causes child to pass blood with stools?
I am ramesh i am living govindpura near krishna nagar, my child 4 year old he is suffering from stool proble. before one month he he made green stool. that time doctor said that his stomach infected. he recomonded prosoyal milk amd stop mother feeding. now he is cure but i am looking few days he made stool with blood. what is reason? | Dear parent,uYour history is not clear. Blood in stool can be because of anal fissure,intusucception or dysentery.In dysentery child might be having fever,abdominal pain and blood in stool.If so,u have to use appropriate antibiotics. | |
Why am I still having pain in my feet after taking Febuoxstat?
Hi. I am 23.. I finished my under graduation from Med school three months back when I got diagnosed with tuberculous lymphadenitis, tuberculous pleural effusion and pericardial effusion. I am on akt4 since more than months. Since the last three weeks I ve been suffering from very severe pain in my feet below the medial malleoli. The same site on both sites is tender and slightly swollen. My uric acid levels are raised and I ve been taking Febuoxstat for it since three weeks. There is no improvement in the pain. I am not able to even walk properly. Should I be concerned ?? | Hi, dear. I have gone through your question. I can understand your concern. Your have gout problem. In that level of uric acid is increased and its crystals are deposited in joint and causes joint pain. You are taking febuxostat it is uric acid lowering drug. It takes time to releive pain. You can take anti inflammatory plus analgesic drug for receiving your pain. Once your level of uric acid fall down you will get releif. Moreover you should take low protein diet to decrease production of uric acid.Thanks for using health care magic. Wish you a very good health. | |
Suggest remedy to reduce the ALT level
Hi doctor. I am 29 years old, male. Now this is my blood report Renal profile:(mmol/l) 1.Plasma urea 3.3 2.Plasma Sodium 133 3.Plasma Potassium 3.3 4.Plasma Chloride 98 5.Plasma Creatinine 122 Liver Function Test:(g/l) Plasma total protein 67 Plasma Albumin 35 Globulin 32.0 A/G ratio 1.1 Plasma Alkaline Phosphatase 959(U/l) PLasma Alanine Transaminase 97(U/l) Plasma Total Bilirubin 46 (umol/l) what should i do to reduce the ALT level. Currently i didnt take any medication. | Hi, dear. I have gone through your question. I can understand your concern. Your ALT level is high. It is a liver enzyme. Its level increase in liver damage. It may be due to some viral infection, alcoholism, drugs or toxins. You should go for ultrasound abdomen. You should take low fat diet & high protein diet. Liv 52 tablet is also helpful. Consult your doctor, search for the cause first and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Q. There is a hemorrhage in the eye and a cotton wool spot. Is this serious?
Hello doctor, I have recently had an eye test done and it revealed that I have astigmatism, also there is a hemorrhage 2 DD superior to macula 2 DD in the left eye and a cotton wool spot 2.5 DD supero-temporal to the optician's disc in the right eye. I am hypertensive but my BP is under control with medication.My question is could this be related to my BP and what degree of urgency would this be? I have been referred to an eye hospital. | Hello. Yes, this probably is related to hypertension. You are currently suffering from hypertensive retinopathy. Now your BP is under control but previous longterm episodes of uncontrolled BP has led to the narrowing of blood vessels in your retina and this has led to a response from your retina which led to the formation of new and leaky blood vessels. These vessels leak blood. Also, cotton wool spots indicate that it is hypertensive retinopathy. Now, coming to the treatment part: Both these tests will confirm if there is fluid accumulation inside the retina and also areas with these new vessels. In this treatment, you have to get pan-retinal photocoagulation plus I suggest you get injection antiVEGF substance. Along with that kindly see your specialist doctor to revise your antihypertensive treatment. For further queries consult an eye care ophthalmologist online --> | |
What causes headache and body pain post typhoid treatment?
HI sir , last month my sister was diagnosed with typhoid. and later on with medication , she was feeling good. But now she has headache and band like sensation of pain over head and ABOVE ears. She also has some kind of stiffness that occurs in half side of her body. She says something comes from below of her foot and continues upward to the head. and that part becomes sesationless. please suggest the treatment. | Headache, body pain, weakness, giddiness & joint pains are the post typhoid symptoms of the illness. It is because of toxicity of salmonella typhae toxins.These symptoms take almost 2-3 weeks to disappear with rest,anti- oxidantsafter complete course of anti biotics. Diet should be soft, gradually semi- solids & later solids should be given. | |
Suggest treatment for abdominal pain along with constipation
My husband has been experiencing abdomenal pain for approx. 2 years now. Symptoms intensifying with each episode. The most recent episode has lasted 5weeks (and counting) additional symptoms include constipation, pain and numbness in groin area, bloating and green mucusy stool. The pain sometimes alternates from left to right sides (in lower abdomen) but focuses on the right. He suffered a blunt trauma as a result of an accident 2 years ago around the same time the pain originally started. We have done most medical tests (still waiting on a MRi and endoscopy) we have tried naturopathic remedies and elimantinting diets. No answers, no cures.. :( | Hi welcome to healthcare magic,I understand your query and concern..Your symptoms are suggestive of hemorrhoids (piles).I you to get per digital rectal examination immediately by consulting your surgeon.Meanwhile I advise you to take syrup.smuth 10 ml daily bedtime,Tab.lyser -d twice daily for 10 days.Drink plenty of water 3-4 litres per day.Take fiber rich diet like oats,chapati,green leafy vegetables everyday.If symptoms still persist you may need surgery.Consult your general surgeo for exert management.Post your further queries if any,Thank you. | |
Will the heart palpitations be due to red yeast rice?
i am having heart palpitations all the time, i notice more with caffeine, which i drink very little, or when i am doing something around the house, like gardening or washing my car, ect., i don t smoke or drink, i do take red yeast rice and ubiquinol every evening, could it be the red yeast rice? | Thanks for your question on Health Care Magic. I can understand your concern. Yes, daily intake of yeast rice can cause palpitations. You are also having palpitations with caffeine, gardening, washing etc. So possibility of allergy of dust, grass, yeast etc is more in your case. And allergy can cause palpitations. So better to consult allergist and get done allergy testing time rule out possible allergies. If you found to be allergic then you need to avoid those things. You may need oral combination of antihistamine and anti allergic drugs. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Does tb medication cause any side effects?
I am a tb patient and taking all those medicines which are prescribed to me. its been 6 months, i am taking it. i have got acne on face. is it due to the medicine i am taking? is there any side effect which will harm me in future? i am 20 years old and my height is 163cms. | Hi,Anti-TB medications are generally well tolerated by most patients however acne can occur as a side effect of rifampin one of the anti-TB medications that you have been taking.Other common side effects of anti-TB medications include orange colored urine, saliva or tears, redness and itching of the skin in sunlight, peripheral neuritis, joint pains, flu like symptoms, and liver injury.You must report to your doctor if you develop symptoms of liver injury like fever, right upper abdominal pain, vomiting, and jaundice.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
What causes heart palpitations and shortness of breath?
Hi. I am 27 years old and female. For the last 3 weeks i have felt my heart pounding through my chest and then up through my neck and then through my head. This is very painfull in my head but only lasts a few seconds then i feel out of breath. Usually when i climb the stairs or bend down to pick something up. I also have a feeling that i can't get enough air into my lungs when i breathe especially when i wake in the morning, and i always wake up with a mild head ache at the front of my head. I have a healthy bmi and go for regular walks every day. Any suggestions on what this could be? Thanks Leanne | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Is there any stress, anxiety and panic, do you have heavy menses. Symptoms look like of anemia or anxiety. You get hemoglobin tested and it's normal then you should try tab ciplar LA once a day. You can get this tablet prescribed from local doctor.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode | |
Q. Why am I having fever even after taking medicines for wisdom tooth pain?
Hello doctor, I am a 33-year-old male, Hispanic, non-smoker, exercise regularly. No significant health issues. I am 1.76 m and 68 kg. For three days, I had really bad pain on a wisdom tooth (lower right) that has erupted years ago but never really gave any problems. But this was bad, really bad. I was waking up with fever and heartbeat rate of 90 to 95 whereas I am usually 55 to 60. I went to the dentist, he cleaned the area, took an X-ray and gave me Amoxicillin and Clavulanate Potassium tablets (875 mg and 125 mg, respectively) twice a day for five days plus Paracetamol or Ibuprofen for the pain. I think he referred to this as pericoronitis. This is my fourth day of treatment and the area is a lot less swollen and tooth pain has pretty much gone. However, the part that has me worried is that I am still waking up with fever and a very fast heartbeat plus throbbing headaches. Is this normal? | Hi. I have gone through your question. I can understand your concern. Yes, as per your signs and symptoms it looks like pericoronitis. I think the treatment he or she has started is not the ideal one. After five days of treatment, I think it should have been gone. If you can upload a picture of your X-ray and teeth involved in the mouth, I can provide you with a better treatment plan. Because periodontitis is infected by anaerobic bacteria and will not respond to Amoxiclav (Amoxicillin and Clavulanic acid) that effectively. You also need to use mouthwash H2O2 (Hydrogen Peroxide) two percent three times daily and antibiotics too. For that, I need to know if you have any drug, allergic or medical history associated. | |
Q. I have pain before I get my period. What is happening?
Hello doctor, After my second child (born three years ago) I had PPH. It was a terrible experience and my ob/gyn literally had to pull the clots out with his arms while two nurses held me down. It had to be done so quickly. And now to this day, I always have pain before I get my period, and at random times it is so painful. Do you have any thoughts on what could be happening? He has requested a gynecological scan but when I book it, it needs to be within a few days of my period ending. I would really appreciate this as I am wondering if I am not really able to have any more kids? I am not sensitive and am happy to hear the truth. | Hello. Do not be stressed and think positive. It would be better if you send me your complete history of menses, gynecological, obstetrics, medicine, and medications you had ever. As far as I could understand, you had postpartum bleeding (after delivery of your second child). For that, clots were removed manually and it is a source of anxiety for you still. Postpartum hemorrhage (bleeding after delivery) could be mostly due to four 'T's: tissue, trauma, thrombin,and tone. For you, it was some retained tissue that caused bleeding and that removed even manually as well. I do not know your circumstances and situation of that time but it is past now. So, now think positive for future. Pain, before menses is part of the premenstrual syndrome or only pain, can be observed by normal females. I suggest having tablet Ponstan (Mefenamic acid) 500 mg eighthourly as per need. You can have from day two to five or total five days even. It will not only reduce flow but also pain. I do not have your complete history and reports. What I could understand, I am trying to help you. For more information consult an obstetrician and gynaecologist online --> | |
Need medication to cure the growing lump noticed on the back of neck
I am diabetic and I just recently started to get a growing lump on the back of my neck in the middle by the hairline. It doesn't form a head as if it's acne. It's very painful. The doctor gave me antibiotics which made it go down a little and take the pain away but the pain and swelling came right back as soon as the prescription wore off. What could this be? | HI.The first question would be how much is your blood sugar ?IF this is not controlled , will be the first reason for not healing . This can be a sebaceous cyst- infected one and can be transformed into a carbuncle if not properly treated.So go for serious course/s of antibiotics and anti-inflammatory medicines.You have to keep the diabetes well under control. | |
Suggest alternative supplement for autrin
hi there, i went for a gastric bypass three years ago, i am very healthy now and have shed 90% of the weight and have maintained it. i have to take calcium(caltrate plus), iron(autrin) and a multivit(DS24) everyday. the Autrin is very very expensive, is there an alternative suppliment that i could take. Cara, SOUTH AFRICA | **1. Iron deficiency and anemia are common after gastric bypass or other weight-loss surgery, especially in women and one has to look for levels of other vitamins like Vitamin B12, folate which may be altered after gastric surgery since there deficiency causes neurological and hematological deficit also.2. Don't take calcium supplements at the same time you're eating iron [hampers iron absorption].3. Avoid Antacids, phosphates, phytates, tetracyclines which makes complexes with iron and impedes absorption.4. Take vitamin C rich diet [since it is required for absorption of iron].5. You may take prescription medicine like Punarnava Mandur, Manol Malt along with amla,carrot, methi, and since iron tends to cause constipation take soluble fires like peas, soybeans, oats, barley, prunes, avocados, berries, ripe bananas, skin of apples, pears, broccoli, carrots, sweet potatoes and onions.PS. Iron sulfate and iron fumarate are the more commonly prescribed iron pills. The fumerate compounds are more easily absorbed and are more easy on the GI tract. | |
What causes pain in the chest and neck after a bypass surgery?
I M 65 yrs weight 70kg and height 5.8 cm 5 years back bypass surgery was done but when it was done at that time I was not having any diseases but after that from last 2 year I got diabetis it means after a after the age of 62 I got diabites now some time I get a chest pain some time my hed pain from the back side near the neck I have acidty problem informed by my doctor but still I went for a small test called as tmt they told me a slight border has come now I m in tense doctor told me continue ur medicine it will get dailute there wont be any blockage but could u plz let me know is there a possiblity to have a blokage again in future if yes that does a persona can go again for a bypass surgery or the best way can I go for angiograaphy test so that even I will come to now and the precaution can be take soon plz suggest me | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my adviceCertainly blockages can recur. But since since your TMT is borderline and it appears you don't have chest pain on exertion, less likely that you'll have significant blockage this time needing intervention. Still if there is any doubt regarding TMT you can undergo stress thallium. If stress thallium is positive then angiography can be done to detect blockages. Also regarding precautions, you need to have low fat, low sugar diet, regular exercises like brisk walking. Also take medicine as advised properly.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode | |
What causes elevated heart enzymes and how does it effect aortic dissection?
My daddy has an Decending Aortic Dissection that is 5.4cm and very very VERY close to his spine, so close they are trying extremely hard every way they can NOT to have to do surgery. He has been having extreme shortness of breath and chest pains. His vitals are good, EKG is fine (no heart attack. The only thing they found was his heart enzymes were high what does that mean and how would it effect this problem he has already...? Help? :( | Hello , The heart is affected generally in ascending aortic dissection and practically never in descending aortic dissection . So simultaneously an ascending dissection should be ruled or an Co incidental heart pathology . Many a time heart enzymes ( Cpk) can rise in muscle injury which may happen due to decreased supply the thigh muscles . Regards Dr. Priyank Mody | |
What causes pain and twitching in scrotum?
My 15 year old son has been experiencing pain and twitching in his scrotum. Started during a football camp (he wasn t hit there) and happened on and off during the week. Since he s been home from camp (2 days), it is happening less frequently. Wondering if we should have him checked by our doctor or if this is a normal occurrence during puberty | Thanks for asking in healthcaremagic forumIn short: May be a muscle pull/contusion of testisExplanation: As your son is physically active it may be a simple muscle pull or may be a blunt injury to his testicles. So, give him anti-inflammatory/analgesic drugs for 2-3 days and wait. If it subsides then ok, otherwise take him to a doctor for physical examination. | |
Palpitations in the right corner of left eyebrow, numbness. History of asthma, sinus. Treatment?
Hi, from last one week I m having palpitation in the right corner of my left Eyebrow (right above the nose ). It is not continuous but starts all of a sudden and then stops it self. While palpitation, I feel numbness at the same place and saw can see skin tissues movement. Please note that I do have the history of Asthma and resenting experienced Sinus symptoms too. Please advise | SINUS IS COMPLICATION OF ASTHMA AND SINSES ALSP EFFECTS EYECAOSING SYMPTOMPS YOU WROTESINUSES CAN BE CAUSED Y PCM BRUFEN VITAMINS CALCIUM MUKIVITAMINS IRON DIET SUPPLIMENTS USED DURING ASTHMABETTER GET ALLERGY TEST AND IMMUNOTHERAPY TO COVER BOTH ALLERGIESPRESENTLYTAKE ALLEGRA 120 MG BDGELUSIL 1 TSF TDSAPPLY NEOMYCIN H EY OINTMENT IN NOSE EYES AS ;OCAL APPLICATION CHROMAL FORTE DROPS IN EYES AT NIGHT AND SEA WATER 2 DROPS AT NIGH IN EACH NOSEDICLO AS PAIN KILLER SOSYOU CAN CONTINUE TILL YOU GET FURTHER ONVESTIGATIONS | |
What does a painful lump on spine between shoulder blades indicate?
my daughter has a lump on her spine between her shoulder blades....she complains abt pain when it is touched or when leaning against something.Notices a few weeks ago but it is getting alittle larger and she complains of pain.....could this be a cyst ? | Hi am Dr Fahim and I will help you with your problem I have gone through your question and understood your concerns. It appears to be a Sebaceous cyst which usually present like this after getting infected. However, clinical examination is required to rule out other differentials. If such a patient walk into my clinic, after clinical examination and establishing my diagnosis. I prescribe tab augmentin (co-amoxiclav) 625mg 1+1+1 and Paracetamol 500mg 2+2+2 followed by excision of the sebaceous cyst under local anaesthesia and daily dressing. Since these are prescription drugs and there is a procedure involved, you need to see a general surgeon.I hope my answer will help you. Do rate it, If you like it.Regards | |
What could cause extreme fatigue, sleepiness, lightheadedness with lowered BP?
Hi there the last week I keep falling asleep in the day just feel so tired no energy head feels light I do suffer from low blood pressure and I dont drink alot of water I also work nigjts but its just been this last week that I cant keep awake or be bothered to do anything no energy please help whats wrong with me ? Thanks julia lloyd | Hello,I have gone through your query and understand your concern.There are numerous causes for Excessive fatigue, tiredness and sleepiness.It is very usual after a prolonged work in night shifts and frequent shift changing.Frequent shift changing and night shift usually alters our Circadian rhythm.Circadian rhythm is nothing but a our body's own physiologic and biologic clock.Blood pressure can be low in night shift workers and frequent shift changers due the disturbance in circadian rhythm.Some common medical condition you have rule out are Anemia and Hypothyroidism and Diabetes.Have a healthy life style, eat in time , exercise regularly, try relaxation techniques like yoga and meditation, Spend enough time with your good friends.Plan and do the work so that you can not get frustrated or depressed.If still the tiredness and sleepiness is more, then you should consult a general physician and further investigation may be needed for the diseases which i mentioned earlier like blood check, thyroid hormone, blood sugar etc.Hope this helps.Please write back for further queries.Wishing you good health. | |
What is the peanut shaped lump on my bikini line?
I found a hard peanut shaped lump on my bikini area on the left side. There is no raised point and it doesn't seem like an ingrown hair. It feels tender to the touch and has a general red appearence. I have tried squeezing it and it hurts too much. Any thoughts? | HiWelcome to hcmDon't squeez it. Mostly it is skin infection or hair follicle infection or rarely infection in lymph node. Any of the case you need antibiotics like Tablet Augmentin 625 mg twice a day for 5 days. Show it to a surgeon once to rule out abscess that is pus formation as it requires surgical drainage.Regards | |
Experiencing bacterial infection which was received sexually. How did this happen?
I was just prescribed doxycycline and metronidazole for a bacterial infection that I received sexually. I would like to know what caused this? Does this mean that the guy that I was with has been with someone else or did he need to wash or take a bath before he was with me? I want to know if I need to stay away from this guy because he may be having sex with someone else that has a bacterial? No one has explained the causes to me and I would like to know to avoid this from happening again please. | Hello,Welcome to HCM,There are some good microorganisms in the genitals whenever there is alterations in the genital environment these bacteria will activate and produces the symptoms which you are having.There are many sexually transmitted infections which will produces these symptoms, I would suggest you to undergo physical examination to find out whether there is any STIs.STIs is confirmed by physical examination and lab investigations, both the partners should examined and evaluated to confirm the presence of STIs.Thank you. | |
Suggest treatment for personality disorder with depression
i think i have a personality disorder. im constantly sad, depressed, i HATE myself, i cant get along with anyone, i cant be around to many people at one time or i freak, i cry for random reasons, and sometimes i cant have my back to people because they can read my mind..... and thats only a few things i feel. help? | DearWe understand your concernsI went through your details. I suggest you not to worry much. You may not be having any personality disorder or depression aas you suggest. This feelings and worthlessness could just be due to some set back or negative experiences happened in your life. You need to understand disappointment and clinical depression. Experience makes a man perfect. Small and big negative life experiences creates a perfect and wise man. Understand why you are like this. Talk to your parents, friends. If need be consult a psychological counselor.If you need more of my services, please post a direct question to me in this website. I am happy to serve your purpose.Hope this answers your query. Available for further clarifications.Good luck. | |
What is the treatment for fatty liver and itching on the dry skin?
my mother in law is having fatty liver problem, along with it itching problem in skin dry skin, rashes in skin and regular problem of boils in her skin since january she has suffered with 11boils till now.. i would like to know which doctor should i consult in lucknow for quick relief.. | Hi,Fatty liver is usually asymptomatic in most of pateint. Recurrent boil like superficial skin infection can occur because of underlying cause like diabetes or immunosuppression by drugs or HIV like status If underlying any cause found than accordingly treatment started For boil topical antibiotic cream can be applied along with oral antibiotic course. For fatty liver life style modification needed with fruits more and less fatty foods. Avoid alcohol if habit of it. You should consult physician first examination and accordingly work up done.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Parth Goswami | |
Q. Can I use Ancool SF tonic daily for GERD and acid reflux?
Hello doctor,I am asthmatic for four years and hypertensive. Two months back I had a breath issue in spite of using my inhaler. Later, it was diagnosed with GERD and acid reflux. I was suggested a medication for 15 days. Later, I was fine. But whenever I eat oily food I am having a heartburn sensation. I was suggested to take Ancool SF tonic whenever I have such symptoms. Can I use this tonic daily? | Hi. This Ancool SF contains sucralfate. This helps ulcers to heal if any (by coating over ulcer). If you take this, you need to take three times in a day for 1 to 2 weeks, not intermittent. Antacids you can take while burning. Endoscopy report (attachment removed to protect patient identity) says about evidence of fungal infection, I think it was treated with antifungal medication. Besides medication, life style modification is an important way to cure GERD (in form of food change, excercise, etc). For more information consult a medical gastroenterologist online --> | |
Suggest remedies for fever and redness in eyes
my 6 year old complained of feeling tired last night and not feeling good. she went to be at 7pm. at 9pm she came out crying and said she really didnt feel good. she had fever, whites of eyes red and one cheek is red. i gave her tylenol. this morning, the same cheek is red and she stil has mild fever of 100. she also has some stuffiness, but her eyes are no longer red. she also has 4 molars coming in. | Hi...Thank you for consulting in Health Care magic.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Regards - Dr. Sumanth Amperayani | |
Is it safe to take Dolo during pregnancy?
HI My wife have acute abdomen pain since last 24 hours. She is 17 week pregnant now. Last evening we had visited the doctor and she informed that baby s growth is good. For pain, she asked to take dolo 650. Just wanted to check if its safe to take dolo 650 during pregnancy ? | Hi dear, I have gone through your question and understand your concerns.Dolo is paracetamol which is completely safe in pregnancy.If there is severe pain in abdomen, then she should get herself examined properly to rule out any otheraabdominal pathology.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma | |
What causes pain in front of the crease of armpit?
Hi, I am experiencing pain just in front of the cress of your arm pit. It feels like my something is poking and pulling on it. What could it be and is it serious? I had a heart attack last May, however, just got a full clearance from my doctor. Could I have pulled a muscle in my pectoral area? | Thanks for your question on Healthcare Magic. I can understand your concern. No need to worry for heart related pain as your heart reports are normal. Yes, possibility of musculoskeletal pain due to pulled muscle is more likely in your case. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Sit with proper back and chest support. 5. Apply warm water pad on affected areas. 6. Take painkiller and muscle relaxant drug. Don't worry, you will be alright with all these in 2-3 days. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest treatment for severe cough after open heart surgery
My Husband had open heart surgery 10 days ago. He was coughing up mucus prior to surgery, and due to a complication with an IV place in the ambulance, came down with phlebitis He was in the hospital prior to the surgery and was on IV antibiotics given every 12 hours. He continues to cough up clear phlegm. Should I be concerned? | Hello there. As long as he has no fever and the phlegm is clear and limited in quantity there should be no concern but if it continues the same rate and does not appear to decrease he could possibly have contracted a hospital based infection in which case a sputum culture should be performed. As for now, steam inhalation, postural drainage and anti histamine like loratidine at night should be enough. Take care. | |
How are the symptoms of post-concussion syndrome treated?
I had a bad fall on the ice back in late December. I bruised my tailbone and had a concussion and bruised my knee. Everything slowly healed but I m still having a vertigo type dizziness at night when I turn over in bed and upon rising in the morning. I checked with my doctor in early March and she said it was okay because of how hard I hit the back of my head on my concrete porch. But yesterday, I started having like flashes of lightening in my peripheral vision in my left eye. Any ideas what s going on? What s my next step? | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Go for CT Scan head. I hope this information has been helpful for you. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest medication for hair loss and dandruff issue
Hello Sir, I m 32 years old and facing hair loss problem for last 5-6 years. My centre of the of the scalp have badly damaged and having very hair. Now the frontal scalp is also becoming thinning the hair. I dont know there is some dandruff kind infection on the whole scalp. is that causing my hair loss or any other reason behind it? if yes what are the medications should i start? Please help? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your query you have symptoms of hair loss and dandruff issue which seems to be due to fungal infection and hormonal changes. Sometimes hair fall can also occur due to side effects of certain medicine. Need not to worry. I would suggest you to consult dermatologist for proper examination. Doctor may order skin patch test , blood test and physical examination. Doctor may also prescribe supplements like Vitamin A, Omega-3 and Vitamin E. Doctor may prescribe shampoo like candid TB, Finpecia and Minoxidil spray. You should take Indian goose berry powder (half spoon) with water and use olive oil for massage. Hope I have answered your query. Let me know if I can assist you further. | |
Liver function GGT and ALT results high. Attacked with jaundice few years back.
I want to get advise on liver functions I'm 43 years old. I had jaundice in 1986. I got herbal medicines that time to cure this disease. After that I had no trouble until now. I got blood tests including liver functions in 2011& 2012. But that time very thing was normal. This year also, I got my liver functions test but now after one year there is too much changes on liver functions. I have blood reports but there some test which are higher than the normal. The reports show the following: T-BIL : 24 (normal range 4-20), GGT 94 (5-50), ALT 1133 (5-40), AST 624 (10-40), LDH 393 (120-250), Iron 38 (5-30) TRF 3.8 (2-3.2). I want to know about the results, how this can be treated? I feel well and been working as normal, exept I don't feel hungry these days. | Hello and welcome to HCM,Your liver function tests are deranged.The levels of bilirubin, SGOT, LDH, alkaline phosphatase and GGT are raised.The levels of bilirubin, SGOT and LDH are raised in damage to liver parenchyma cells.The levels of alkaline phosphatase and GGT are raised in case of any disease process in the extra-hepatic biliary tree.Thus, the report of liver function suggests that a disease process is damaging the liver cells as well as causing deleterious effect on the extra-hepatic biliary tree.Are you alcoholic since alcohol is known to affect the biliary tree as well the liver cells.In case no risk factor is present for liver dysfunction, a liver biopsy may be required for exact diagnosis of liver dysfunction.Thanks and take careDr Shailja P Wahal | |
What could be the reason for recurrence of cancerous lump in belly button?
My mother in law had surgery for a lump in the belly button in Mexico. A few days later they cleaned the wound and more lumps came out. They were tested and said they were canerous but they all gone. Now 3 weeks later she is back in the hospital with another lump. What could this be? | Hi...better show to an oncologist... there maybe a cancer inside her abdomen too which they are missing and which is causing recurrence...Dr. Ashish Verma | |
Does blood clot like area in penis require medical attention?
Hi there I notice a small blood clot like in the centre of my penis today. Its on both sides. One is slightly smaller than the other. It does not hurt or itching. I had sex this morning and noticed this in the afternoon. Shall I go and see my docter. please advice. | Thanks for asking in healthcaremagic forum Blood clots are not normal in that area. Please visit your doctor at the earliest for examination and further management. All the best. | |
History of kidney transplantation. Have loose motion. Increased creatinine level. How much kidney damage has happened?
Sir, My name is Hareesh.e2 year.s back kidney transplantation is done in st.hospital bangalore.thar time my creatinene is 1.3.sir 1month back 1 day i suffering from loose motion that time i 5 day s admited in hospital.that time my creatinene is 5.1.after discharge my creatine is 1.1..my queton is how much kidney damaged(transplant kidney)?pllease guide me sir. | Hi It looks like you had developed acute renal failure secondary to loose motions which recovered after treatment . In such case kidney recovers to almost full extent without clinically apparent residual damage. So dont worry as your kidney functions seem to be normal now. Continue regular followup with your Nephrologist. Take care | |
What could be the reason for elevated levels of SGPT in a non alcoholic person?
hi ,docmy husband have cholesterol for last two years ,but he is not useing any medicine ,yesterday he had gone for liver function test , his sgpt levels are high(90) ,could you please advise what could be the reason ,he is not alcoholic, his age 30. | Hi..dear..apart from liver disease SGPT can raise in other conditions such as heart problems like myocardial infarction,muscle injury..so it is also advisable to see for other organ disorder..he is also having cholesterol so check for the heart problem..do the blood. sugar levels and electrocardiogram and consult..SGPT is slightly elevated nothing to worry much on that but high cholesterol is a problem..hope that was helpful to you..thanks | |
Can I get pregnant with anal sex?
hello doctor me and my bf had an anal sex 10 days ago i am a virgin 19 years old he cumed all in my anus while i was lying on my back i dont remember if anything came near my vagina or no but i remember after he cummed he whipped my *** after he cummed by a 30 seconds or so we had anal sex the day after my period stopped also i took contraplan 2 after the anal sex with about 2 hours can i be pregnant still or what? | HIThank for asking to HCMI really appreciate your concern and looking to the history given here I could say that the chances of conception is not there not because it was anal penetration but because the area was full of semen, even if this is not the vaginal penetration but the near by area is having semen all over then this could be helpful in conception if the female is highly fertile and sperm has 100% motile, take care and have a nice day. | |
Pain in left upper abdomen, back and sternum, diarrhea. Suffering from acute pancreatitis. Remedy?
I have acute pancreatitis and have not drank in over 6 months because of that reason. For the last week I have had the same pain in my left upper abdomen an in my back as well, its goes away sometimes and then comes back. the pain under my sternum is shape and radiant at times. I am eating but it hurts when I do and within minutes I feel the need to use the restroom. Also I am having Diarrhea. Is this a flare up? | Hi ! It could be a food poisoning if you have eaten from outside. Otherwise, it may be an attack of chronic pancreatitis, where there is periods of remission followed by periods of exaggeration of the symptoms. You are suggested to get yourself reviewed by your family physician, who may advise you some routine blood check ups like CBC, and stool test, apart from some specialized tests like an ultrasound or a CT scan to know the status of the pancreas and manage accordingly. Wishing you an early recovery and I also wish that you do not revert to alcohol, as at the present stage and future, it is a poison for you. | |
Suggest treatment for subdural hematoma
my son just had a subdermal hematoma and surgery to drain it in a burr hole. This is a complication of a large brain tumor removed two months ago, a dermoid cyst behind his eye. He is a 16 year alcoholic and I wonder what this means for recurrence. What is his probable prognosis of further debilitation in memory and balance? | I read your question and I understand your concern.Whether the hematoma has left any added residual damage though depends on factors like its size and compression effect and on how early it was detected and evacuated. The smaller the size and the sooner it was intervened the better the chances of no aftermath. Also it depends on whether there is still bleeding, you mention he is alcoholic and if he has severe renal impairment from alcohol coagulation is affected as well.Generally speaking the chances are good though, I can't speak about his brain tumor, but he has good chances not to have had consequences from the hemorrhage.I hope to have been of help. | |
Q. I have bipolar II disorder, anxiety disorder, and agoraphobia. Is Paroxetine a good option?
Hello, I'm looking and would like to discuss my treatment options for my conditions. I've bipolar disorder II, social and generalised anxiety disorders, panic attacks and agoraphobia due to it. In past, I used escitalopram, venlafaxine, fluoxetine, sertraline, lithium, depakote, quetiapine, risperidone, anxiolytics. Venlafaxine was effective but had to discontinue it due to high blood pressure it caused. Other treatments mentioned didn't work for me. Anxiolytics worked, but now i don't have such options to continue this treatment because I'm getting used to Tranxene. Currently I'm taking Lamictal 200 mg and 10 mg olanzapine. I am afraid to go out from my flat, I am constantly alarmed, nervous, anxious, can't eat because of constant lump in my throat. Anxiety is debilitating, I can't work outside my home. At work I get so anxious that I have to take some free days from work, if I don't do that, I vomit from this anxiety. 1) Can duloxetine be effective? Is it common that it can increase pulse and blood pressure as Venlafaxine did? 2) How long does it take for escitalopram to take effect? 3) Can prozac decrease anxiety? 4) Is paroxetine an good option for me? | thank you for taking help from psychiatrist. you should continue medications on which you are stable at present. 1)duloxetine may be good option for you. it does not increases blood pressure. 2)tablet escitalopram takes around 4 weeks for full effect after starting medications. 3) yup,prozac can decrease anxiety but it belongs to same group as tablet escitalopram. 4) yup,paroxetine is good anti anxiety but tablet escitalopram is better than tablet paroxetine. you should follow below advice which can help your anxiety. hope you get your answer. thank you | |
What is the remedy for pain in the stomach after 3 c-section?
I have had 3 c-sections and my doctor says its scarred tissue but i think otherwise.i feel at least 3knots in the bottom of my stomach on the left side.when i sneeze,cough,laugh.walk,or lay down it is very painful.my stomach burns an feel like something is pulling in the area were i feel the knots.the pain gets worser when my cycle comes on.i can barely move sometimes.my bowels have been messed up since i been feeling this pain as well.i go 2days sometimes witbout having a bowel movement and its hard 4me to pass gas too.its like da pain put a strain on me to were i cant pass gas or have a bowel movement.please help me....... | Hi. The 3 knots you feel look to be incisional hernia with entrapment of the bowel loops, causing the symptoms you described. I would suggest to get a high resolution ultrasonography done and visit a Surgeon to confirm the diagnosis. Hernia has only one solution, and that is surgery. | |
Suggest treatment for vomiting and fever
Hello Im worried about my daughter,she is 6years old and she has a fever of 102 she is also vomiting alot and says her throat hurts. i have no way to get to the hospital..im keeping her in bed and making sure she has plenty of water..is there anything more i can do | Hi, As per your query your daughter have symptoms of vomiting and fever which is due to compromised immunity of body and electrolyte imbalance. Need not to worry. I would suggest you to visit pediatrician once and get it examined. Start treatment after thorough examination. You should take proper course of antibiotics to fight against infection. Drink plenty of fluids. If not taking any antibiotic start Norfloxacin for 5 to 7 days. Avoid intake of outside food. Drink plenty of water as well. You should take plenty of fluids to rehydrate body. Take diet rich in multivitamins. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Harry Maheshwari, Dentist | |
Suggest treatment for persistent hair loss
hii my name is soma i am 35 years old my big problem is hair my hair was fall since 2005 now my is falling.i hav taking vighan cp & use o lotion name is presenta but i am not responsed from take this medicine who can i make my hair healthy pls tell me ta solution of my problem | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Since you had this problem earlier as well, did you notice any specific cause that could have started it again? You have not mentioned, is there any history of any illness, fever such as typhoid, viral, or any other medication you are taking regularly? Also, is it related to pregnancy or delivery recently? In these cases there may be a hair fall which will take time to grow back to normal as body recovers. This can take a few months to improve as the hair has to get back to its regular growth cycle. Also, the body had to get back to its strength and nutrition. Genetic or family associated hair loss and receding hair line can make you prone to the same.Please rule out other factors, as well, such as poor nutrition, stress, lack of rest, low iron and hemoglobin levels, thyroid disorders.Dandruff, chemical treatments, and dyes on hair can also aggravate hair fall.For your hair to grow well, it needs sufficient nutrition. Water change, work stress, pollution, etc., are the factors.Any illness or course of medication, application, etc., could slow the growth.These causes need to be considered and treated as they affect hair growth since, it is a long-term complaint for you so necessary steps can be taken and changes to be made.For now you may start with Ducray Anaphase shampoo. Apply almond oil or Recute hair oil to stimulate new growth, at night, to scalp. This needs to be continued at least for 2 to 3 months to see results. Take a biotin and multivitamin supplement daily like Follihair or Keraglo Eva.Do start with the treatment as advised and see a doctor for follow-up. But, do keep in mind it will take time to improve. It would help if you could narrow down on a possible cause and avoid it. Also, get a good nutritious diet, avoid stress, pollution, and get good rest, required for healthy hair.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Dinah Levillard | |
Can swelling in tendons cause to teeth to move on its own?
Hi, I started having my teeth move all hours of the day and it is driving me crazy. I have an underbite and my dentist says I grind my teeth. I am not crazy about this but when I feel my teeth moving no one else can see that. My dentist says that the tendons swell which causes me to think they are moving. Everyday I feel something different going on in my mouth. I feel my moulders are shifting and my teeth are going to fall out. What should I do!!!! Am I going CRAZY!!!!!!! | Hi,Thanks for posting the query, According to your clinical symptoms i suppose that the above symptoms are due to grinding of teeth.Night guards can be used.Visit to the Dentist and get complete moputh examination done.At home take lukewarm saline rinses.Take care! | |
Suggest treatment for severe anxiety disorder
My anxiety seems to be worsening. What can I do? It can shows up out of the blue and strongest when I have a speaking engagement or at events that require a lot of networking. I have been in the hospitality business for many years and this has been becoming more difficult over time. | DearWe understand your concernsI went through your details. Anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing heart and shakiness. There are a number of anxiety disorders: including generalized anxiety disorder, a specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, and panic disorder among others. While each has its own characteristics and symptoms, they all include symptoms of anxiety. I need to know more about your anxiety so that I will be able to diagnose it properly and provide you tips to overcome and manage your anxiety. Otherwise, contact a psychologist near your hometown and get his help.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. Take care. | |
Shall I take immunoglobulin injection for the dog bite?
I was bitten by a start dig at our shelter in india on Friday.the dog died on Saturday n showed signs of rabies bef dying.there is no way to perform an autopsy on the dog in india.I have been vaccinated against rabies since the past 10yrs.my last booster shot was on 22/1/2010.bef thus have taken my 5 shots if post exposure in Jan 2009.I had washed the wound immediately with soap n iodine solution(it was tooth stab wound with teeth bruising around it).I immediately took the 0day vaccine n 3 day vaacine on Monday.my question is if I need to take immunoglobulin injection?also I am getting a low grade fever n headache at the back of my head n sides.my esr has come high.pls help !!!!shd I take the immunoglobulin n if I take it now will it interfere with the vaccine???pls pls help!!! | Hello,Welcome to HCM,Rabies is 100% fatal but it is 100% preventable by proper and adequate treatment.As you were bit by a stray dog and the dog died after one day and as you have taken post exposure prophylaxis last year and Re-Exposure prophylaxis following recent incident you will be having protective rabies virus neutralizing antibodies (RvNAb) titres which will protect you from getting rabies.According to WHO in case of Re-Exposure, even it is a Cat III bite there is no need of rabies immunoglobulins (RIGs) and can undergo Rapid fluorescent focus inhibition test (RFFIT) to know your RvNAb titres.Thank you. | |
What causes severe pain above the abdomen?
Hi, this pradeep i am suffering from stomuch pain from 9-10 year. in initialy pain is right above abdomen but after 3-4 year it is at the novel position.but at the time it is again the above the right abdomen position. i have done the three time ultrasound and two time liver blood test one time urine test it is normal. i have also done the ct scan it have find the only apendix 12.3 mm diameter. and there are more gas to make in my stomach. i have consult the doctor one saying is pain from apendix and another doctor is saying pain in stomuch from alsar. i want to check the alsar . what i should do. please give the suggestion to me. | To check the ulcer u must meet a gastroenterologist and get sn upper GI endoscopy done. Till then avoid snoking, tea coffe and spicy food |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.