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Suggest treatment for cryptococcal meningitis and pulmonary tuberculosis
Tomorrow I will be visiting my cousin in the hospital who has been diagnosed and being treated with Cryptococcal Meningitis and pulmonary tuberculosis. I have a poor immune system myself and easily get sick. Will it be safe for me to visit? He is in the research institute together with other patients with the same illness.. Need your kind and honest advise - Thank you | Thanks for your question on HCM. I can understand your situation and problem. Pulmonary tuberculosis is infectious disease. It spread through droplets. TThese droplets are produced by patient during coughing, sneezing, laughing, talking, yawning etc. By these acts, patient discharge droplets in the environment and through inhalation they will infect near by normal individuals. So chances of infection will be high in your case. Your immune system is also weak, so this will further increase the possibility of infection. My advice is to avoid hospital visit and still if you really want to go then wear protective mask before entering hospital premises. Use antiseptic solution after visiting hospital. Also insist patient to wear mask. These are the possible ways to decrease the infectivity. | |
Burning sensation in lips and mouth, dry feeling, cracking in corners of mouth, increased thirst, taste buds look inflamed
My mouth and lips have a burning sensation, lips are dry feeling as if they are wind burned, made worse by eating, slight cracking beginning at corners of mouth, increased thirst, almost feels like i burned my mouth eating something hot, has been going on for approximately a week, worse since Monday, taste buds look inflamed at times. | acidity or gerd or allergy as food allergy can cause this body start reacting to suddenly to food proteins get allergy specialist consultation to find specific antibodies for milk wheat potato or other foods you take avoid for resultstime being use anti allergic tabamntacidsapply triamsolone mouth paint locally | |
What do bilateral foraminal narrowing and disc protrusions displacement of cervical inter-vertebral disc in an MRI report suggest?
what do terms of broad based posterior spurring , disc osteophyte complex mod. bilateral foraminal narrowing degenerative endplate uptake degenerative facet uptake posterior disc protrusions displacement of cervical invertabral disc what do these mean. I have extreme burning in my neck and thoracic area of back, stabbing and sometimes I am holding something and it just drops from my grasp? I am not sure what s is happening. I did pull a muscle in my back in Jan and within a short amnt of time my neck starting burning and I lost ROM, significantly in my neck? I am afraid of these terms but they were in the report from two MRI s (cervical and thoracic) and a Bone Spec Scan. Thanks very much | it seems that you have moderate to severe cervical disc problem...due to that there will be nerve compression which causes the complaints you said...for which primarily we advise conservative management with pregabalin 75mg at night and gabapentin 100mg at morning for 2to 4weeks..if complaint persists go for Neurosurgoens opinion regarding surgery | |
Help required to stop masturbating
Hi my age is 35 years, i am married, but not living with my family because of my job, which is outside the country, to meet my sexual needs instead of doing sex with any girl i preffered to do masterbusting, but day by day it is going to be increase and i am feeling weekness and severe pains in my joints, i am willingly trying to avoid but how? please guide me in this, thanks | Hi ...You are having over masturbation habit ....Try to avoid over practise of it....It is pleasure giving procedure and can be done up to maximum 3 to 4 times in week .If you have habit of porn watching then kept limited of watching it....Yoga done ....Regular exercise helpful ...Behavioural therapy can be taken from psychiatrist....Take healthy diet....Consult psychiatrist if need help from him .Take care | |
Can I get pregnant after taking emergency contraceptive pill?
Sir I have my period on 4the June to 8th june and had unprotected sex on 14the. . I am not sure that my bf loose inside me or not . .though I take unwanted 72 on 15th . 1 Can I be pregnant 2 How can I be sure that I am not pregnant 3 Is there any effect on my pregnancy in future | Hello dearI understand your concernYou took the unwanted 722 pill with in 24 hour of sex.It is highly effective in preventing in the pregnancy (95-98% success).So it has 0-5% failure rate in your case.After taking pill, you have to wait for the next period.If next period will delay by more than 14 days then go for urine pregnancy test to confirm the pregnancy.Pill also cause earlier period and excessive bleeding can occur.You an also go for blood HCG test 10-12 days after sex as it more accurate and give positive result earlier then urine pregnancy test.One time use of unwanted 72 pill dose not cause problem in future pregnancy. But avoid repeated use as it cause menstrual irregularity, ovarian dysfunction and fertility issue.Meanwhile avoid stress, take healthy diet, drink plenty of water, do regular exercise.Hope this may help youContact further if follow up neededBest regardsDr. Saga | |
Does my egg size suggest I'm pregnant ?
hi doctor . BMI 23.12.and egg size 27mm.now now 10weeks past.urire negative.am i pregnent? hi doctor. BMI 23.12.and egg size 27mm.now now 10weeks past.urire negative.am i pregnent? | Hi mathu,Welcome to HCM. To say with certainty that you are not pregnant requires your normal period to start. No one on this planet can tell you 100 % that you are not pregnant, before that. Negative urine pregnancy test only indicates that you if are pregnant, the pregnancy is not of that duration which can be detected by that test.Best option is to wait for one more week and then repeat the test. If your last intercourse was three or more weeks back, then you are certainly not pregnant, but if you had intercourse within the past two weeks then, Negative test does not rule out pregnancy 100 $. | |
I have acne on my face. What treatment i should take to control it ?
Hi am sujatha my age is 23 i have acne on my face form 6-7years there are some dents on my cheeks what treatment i can take? To avoid new acne as a solution i have used several creams and my diet is veg and fruits with lots of water but stil i am not able to controll the acne. | hi sujatha acne is due to hormonal cause. due to hormonal imbalance you develop acne. only food and cream can not prevent acne. better to consult dermatollogist | |
What are the symptoms of pneumonia?
How can I tell if I have pneumonia or just severe allergies, or something else? I have coughing, wheezing. If I try to run (I am a marathon runner), I start to wheeze and gurgle a few miles into my training. I did cough up yellow mucus for a couple of days, now I have hardly any mucus and it is white. I have no fever, headache or fatigue. The pollen count is high in Utah right now and I have had allergic reactions in the past but not as severe as this year since I have reduced dairy and eaten more whole foods. I am 58 years old, 68 inches tall, weigh 145 pounds and am very rarely sick. Thank you. | Hi welcome to HCMYour symptoms seems more of allergic respiratory disease as you don't have any fever and cough and phlegm has come down. get your self evaluated for the same | |
What causes tightening around my chest?
I am a 17 year old female with no medical conditions, of a slender build. The past week I have had a sore throat and coughing, but as of last night I now have no energy, a tightness around my chest, muscle and joint aches, and occasionally when I urinate it is orange in color. Also all of last night I kept on getting really hot and then I would get cold, and had to keep taking off jumpers then putting them back on. | Hello and thank you for asking in HCMYou concerns are similar to a viral condition with sore throat wet cough, slight fever no energy, a tightness around the chest, muscle and joint aches.Usually these lasts for 3-5 days and sometimes a week.During this time it is better to stay at home drink a lot of water or liquids and if needed to take some oral pain killers (paracetamol).If this situation lasts more than a week you should see a doctor.Thank youDr.JolandaPulmonologist | |
Suggest natural remedies for IBS
I have IBS for last 5 years, could you please suggest me what can I do. I am not taking medicenes now. I thinking of curing it by myself. I am taking nutrilite fiber product just to have my needed fiber content in my body. Pls suggest me some ways. | Hai,I appreciate your concern. follow the below mentioned advise.Allowed food:a light diet is advised.A light fast can be helpful taking only vegetable soups and a little basmati rice with green gram.ginger, fenugreek, and cumin that stimulate enzyme secretions will improve digestion, absorption, and excretion.take food items old rice, jawar, gourd, coriander leaves, lentil, green grams soup, black pepper, dried ginger, Pomegranate, nutmeg, skimmed milk, buttermilk, hot water.Avoid foods items such as maize, barley, pigeon pea, pea, cow pea, black gram, gram, Soya bean, saga, kidney bean, potato, sweet potato, onion, coconut, groundnut, chili, oily food, chicken, red meat, crabs, prawns, fish, leafy vegetable like sorrel, drum stick etc, mango, pineapple, apple, watermelon, cashew, pumpkin gourd, papaya, fig, jack fruitThe following changes in lifestyle help to control IBS: 1. Identify and remove food intolerance —grains should avoided. healthy .milk and milk product avoided i lactose intolerance.healthy nutritive food should be choose. 2. Improve gut motility - Soluble fiber increases bowel movement and relieves constipation. Psyllium(Isabgol) is a good source of soluble fiber . Sufficient water should be taken or fiber can have the opposite effect and result in greater constipation. 3. Restore a healthy balance of bacteria in the gut -Use of buttermilk is emphasized.4. Irritable bowel syndrome will differ with constipation and diarrhea. so treatment will differ.certain Ayurveda preparation will help in maintaining healthy intestines.I advise you to consult ayurvedic specialist for further management.thank you hope i answered your query. | |
I have mva and hernia mesh problems. Is there any thing that can be done for the pain ?
abdominal hernia repair june 2010, bad MVA: dec.2010. rearended hard enough to buckle roof of my car, and hit 2 vehicles infront of me I was completly stopped. major pain in abdomin. ct done fluid found building up. 2 months later surgeon thought another hernia had occured. but when he did surgery found only fluid.(8lb) and loose mesh. after surgery some relief but with 2 weeks post. pain is back and no fluid found. Dr. said that mesh is loose at top of abdomin and that he didnt know why lower abd. hurt where lapbelt squeezed the crap out of me. mabey that it just tore, stretched.. and that it will just take time to heal again. and that I might just have to live with the loose mesh. is there any thing that can be done I am tired of pain and not being able to be active. what questions should i be asking to get better results. | Hi, Thanks for query. It is possible you might have reccurance of hernia. You might have lower abdominal injury inside which might have un noticed giving rise to problem. I think go for laparotomy for find out the lower abdominal injury and repair of hernia. Discuss with your surgeon. Ok and bye. | |
What causes heart palpitations with chest pain here?
Bath Salt - What helps with... The Side Effects? Age: 20, Sex: Male, Weight: 190-185LB I did white pony bath salt, I m experiencing the normal(?) for most people side effects They Are; Increased Heart Rate & Chest Pain (Not sure on this one, really), Paranoia (Really I am just scared, not a Paranoia that every one is out to get me). I did about 700mg of it since Friday afternoon (4PM) Through Sat Night (7-8PM) I only maybe had 3-5 bites of food from that time. I went to sleep Sat night by taking sleeping pills, felt like complete shit the next day, went to work for 3 hours, went home and slept all day with the use of sleeping pills (TIL MONDAY 5AM TODAY),The Only Time I was awake on Sunday was maybe like - Hours 5-7 tops when I MADE Myself EAT. I worked from 7Am-3PM (I m a cart pusher). When I woke up, I didn t feel the best but I was better, so much better I worked my whole shift. I got home and ate a lean pocket, and measured the rest of the bath salt (1/4 TSP or 1.25ML) I dumped that one in the toilet and then measured the rest out (Like 1/3 of a t/4 tsp). I Mixxed that with 2 drinks and water and drank it. | You have taken a substance that is probably a synthetic stimulant with unknown long term effect upon your brain. Palpitations are a side effect of the drug. Your sleep disorder is similarly and effect, both toxic and withdrawal. Similar approved medications and drugs of abuse may produce permanent harm. These substances may be addictive. If you can't stop, get help. | |
What causes chest and wrist pain with family history of heart attack?
I am 37 years old with pvc's and anxiety I take zoloft flecainide pravastati for cholesterol..I have had chest pains on and off for about 2 half years and have had alot of testing done.. Recentle when I do have chest pain my left wrist hurts at the same time.. My father had a heart attack last year and that is what he had before the heart attack was wrist pain..should I be worried | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Chest pain and arm discomfort along with family history, is a real bad thing. Get stress echocardiography and angiography done at the earliest. Don't delay. Till these tests, keep your blood pressure, sugar and lipid profiles under control. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest an effective alternative to Augmentin
My 15 month old granddaughter has had respiratory infection on top of infection since September he s been on amoxicillin several times and has had frequent ear infections. She got a rash with augmentin and is now on Omnicef. Do you have any other suggestions? I am a nurse so you can talk clinical. I m just worried I m missing something. She s eating ok and hasn t lost weight. | Hi,Baby has recurrent ARI with ear infections. She needs a complete course of Amoxicillin, if allergic, then switch to Linezolide.Also, visit an ENT doctor for ear examination to rule out CSOM. Is there any hole in tympanic membrane?Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sachin Kumar Agarwal | |
What does this MRI report of brain indicate?
I had an MRI done and the results say, 1. A few small faint T2 and flair hyperintensities in the frontal white matter which are nonspecific and may represent early microvascular ischmic foci. 2. No acute infarct on diffuse imaging. 3. Otherwise negative MRI of the brain. Could you please explain number 1? | Hi. Thank you for using hcm. These changes in whitematter of the frontal lobes are caused by blockage of the very small vessels. When this occurs there is lack of blood supply to the small areas supplied by these vessels resulting in death of brain cells in those areas which show up on MRI as signal changes. These are common changes seen in hypertensive and old age people. You need not worry about these changes. | |
How can backache be treated?
Ok. I have been prescribed diclofenac 75mg. I have had allergic reactions to a approx and aspirin so I don t think I should take this medication. Can you recommend another anti imflammatory for my back pain, radiculopathy? Let me know if there is a charge please | hi sir/madam,Let me advice you for your problem.Low back ache may be a pre-monitory (prodromal) symptom in fistula in ano, sciatica, gouty arthritis, hernia, emaciation disorder etc. Pain is confined to lower part of the spine (back bone) especially lumbar region or lumbo-sacral area (rarely sacro-iliac region also). If it is secondary, earlier history of fall or injury may be associated. Rarely, radiating pain may be complained by the patient towards lower limbs. But it is quite common in low back aches if the defect is in the discs between vertebrae (back bones). Often the movements of lumbo-sacral region like flexion and rotation are hampered either partially or completely.Low back pain may be found in mild form in case of anemia, sciatica, rheumatoid arthritis, hemorrhoids, urinary calculi, uterine disorders etc also.Line of treatment as per Ayurveda:-The general principles of treatment of vata dosha are adopted in case of katishoola (low back pain). It includes various measures to suit its varied clinical entities, stages and associated complaints.1. Snehana (oleation) – by sneha dhara (pouring oil), abhyanga (oil massage), avagaha (tub bath with oil or oleaginous medicaments), kati basti (retaining medicaments on the back) etc.2. Swedana (sudation) –avagaha sweda (sweating treatment with tub bath), pizichil (kayaseka), nadi sweda (sudation through a tubular device – local sudation), panda sweda (sudation through medicated paste or powder) etc.3. Mridu Samshodhana -mild purgation.4. Basti (medicated enema) like eranda basti, vaitarana basti, pippalyadianuvasana basti etc.Formulations indicated in Low back ache as per Ayurveda:-1. Dashamoola kwatha.2.Maharasnadi kashaya.3. Rasnaerandadi kashaya.4. Sahacharadi kashaya.5. Gandharvahastadi kashaya.6. Trayodashanga guggulu.And for local application these oils will help:-1. Ksheerabala tail.2. Mahanarayana tail.3. Dhanwantaram tail.4. Maha narayan tail.Avoid these for better results:-1.Bitter, astringent and pungent food2.Cold water3.Fear4.Exhaustion5.Standing6.Driving7.Cold food and beverages etc.Hope i was helpful.Have a healthy day. | |
Suggest treatment for lower back pain
Im 14 years old with really bad lower back pain. If i stay still in certain positions it won't hurt but when i move around or sit up it will hurt alot then i would go back to a better position and it will stop. So it only hurtrs real bad when i move and stuff. I used to crack my back a lot such as sitting in a chair and twisting my back they may have something to do with it. and when i lay down to go to sleep i twist my body both ways so i can crack my back | welcome to Health care magic.1.I think you don't have to worry much at this age unless you had any trauma.2.Simple thing you have to do now is, visit your GP on normal appointment basis and get a x-ray lumbar spine AP/LAT to see the gross pathology / bony abnormality.3.If there is nothing abnormal seen, just do the back pain exercise on daily basis with flat bed and proper positioning should help you.4.Get a normal appoint meant and get the needful things done.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. | |
What causes persistent tiredness and laziness?
hey there, im 18 years of age so im young im supposed to be full or energy , but im always tired and lazy , i mean extremely lazy , today at 3:30pm i got to pick up my girfriend from school but when i look at the time now i just think to my self i really dont wanna get up and go , i usually get around 4-10 hours of sleep , depends on what i need to do , im the type of person that will sleep all day and stay up all night , is there something wrong with me ? | Hi Welcome to HCMI have gone thru yor query It is a matter of great concern one at this age should not be so lathargic ,lazy that want to sleep all the time .It is not a good sign . Certainly there is something wrong . I suspect you are anemic & suggest you to visit a doctor and get your self checked . Get traetment for whatever you are diagnosed . All that you need to be healthy & active is to take , a regular balanced diet including all essential nutierts - fiber , protein , vitamins , minerals fruit ,green leafy veges and lot of water . Take lemon juice with a pinch of salt and sugar for instant relief . Take all proper meals . Don't skip meals .Avoid fast foods , tea ,coffee , alchol , smoking worry , mental stress , constipation . Make Exercise , Yoga , deep breathing for 1 hour ,as part of your life to rejevunate your mind and body Adopt meditation to earn peice of mind and gain positive thinking ,strength to your will power . You are begining in life . Do study or Work , whatever you are doing ,do whole heartedly .Don't loose heart . you will be ok soon .Hope this helps you solve yourey Take care .All the best Get well soon.Dont hesitate to get back if have any further query | |
Got cut in a rock, got a itchy rash there. Took Benadryl. Now looking like bruise, bleeds when itched. Treatment?
August I gota rock cut on my leg. After that a itchy rash broke out around it. I thought it was almond alergy or even peanut alergy so I stopped eating peanuts and almonds. I used Benadryl that made it itchier then I tried neosporin it did not go away it seem to make it grow more redder and grow bigger. Then I tried aloe hydrating lotion with cucumber it made it smaller but it lingers. I am allergic to nickel and d3 and Gatorade and coke cola products and some seasonings in Lawrys seasons. I can't stand beer of any kind. I don't smoke. I'm reading some labels anything with tea tree oils seem to also make me itch on leg and head.so it's been 9 months still lingering on my leg 3 inches long it looks like brown Bruzes and red scaley it bleeds if I itch it to much which I think new skin is fighting.(like my body is fighting itself) what do you think I should do? | Hi,Welcome and thanks for posting your query to HCM.After reading your query it appears to be three possibility for your condition:1. Lichen simplex chronicus: It is a simple condition of the skin where there is continuous urge to scratch the skin is present. After any injury there is urge to scratch the area during the healing. As we scratch the skin becomes thickened and then there is more tendency to scratch. It leads to a cycle of itch- scratch and itch.2. Keloid formation: Due to improper healing there is formation of elevated and progressive scar like thing which again is very itchy and sometimes painful too.3. Foreign body granuloma: It is a condition where due to deposition of foreign material (such as rock particle) it forms an area of reaction of skin.In all of the above situation there is itching and if done on higher side causes oozing. It is best to meet a dermatologist for the best possibility. Mean while do not scratch the area as can aggravate the situation. with good health wishes,Dr Sanjay K KanodiaMD ( Dermatology) | |
Why face tingles and goes numb while sneezing after stroke?
Female 5 9 174# 52 History of stroke (acute), hypertension, Type 2 diabetes, PKD After my stroke this October, whenever I sneeze, my face (especially my mouth) tingles and goes numb, as well as my arms and hands. I feel like I can t move for about 5 to 10 seconds. | The raised intrathoracic pressure while sneezing will reduce the carrdiac output and so the circulation to organs like btain.when there is already a compromised circulation to brain, sneezing is causing reduced bld flow to brain and u hav these symptoms | |
What could be wrong if having pain in chest which hurts to breath deeply?
Chest painsI have had a pain in my chest, going on two days. No signs of heart attack. Its a pain, rated a 4. Its between my breasts. If I breathe deeply pain increases to a 6-7. Same pain when I raise my voice, cougg, sneeze, bend over, pick things up or reach for things. On second day I developed a popping feeling-when doing the above mentioned, adding rolling over in bed is an added pain. Often feeling weakened on this second day. As if I could lay down and sleep (nap) often. With no signs making me think this is my heart I am putting off going to hospital. I just want advice and or to know what is going on. | Thanks for your question on Health Care Magic. I can understand your concern. The way you are describing your pain is more suggestive of pleuritic pain. And most common cause for this is lung infection. So first get done chest x ray to rule out lung infection. If chest x ray is normal then possibility of musculoskeletal pain is more.So avoid movements causing pain. Avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas. Start painkiller and muscle relaxant 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. | |
What causes rashes on foreskin after sex?
i mr sandeep nikamfrom last 6-7 month after sex with my wife my panice 4play skin cricked(small rashes on the skin.and after 4-5 days i cant do realation with my wife. i m so tired.but last 2 year i have not this problempl ......help me doctor i m waiting | HelloThanks for query .You are developing cracks and rashes in foreskin after sex with your wife repeatedly since last 6 months .This is mostly due to infection being transmitted through sex from your wife who most likely have a vaginal infection .Please get her checked by qualified Gynecologist and take necessary tretment .Both of you take antibiotic like Augmentin along with Metronidazole twice daily for a week .Ask her to clean her vagina with Betadine Vaginal solution twice daily .Ensure yorself to wash your genitals twice daily with warm water .Ensure to avoid sex till you get cured completely .Dr.Patil. | |
What causes severe cough in a child?
Hello my daughter is 3 half months. Hes has a terrible cough barking wispy sound. I took her to th3 doctors monday cheast is clear m but it seems to have go worse. Should ibbe worried and do u suggest any medicine witch might help with her cough thanks stacey | your baby likely to viral bronchiolitis ,which needs only symptomatic treatment if you consult many child specialist you will be confused please consult only or if you doubt consult one more ok | |
What caused my brother-in-law s lung clot and foreign substance near his heart?
my brother-in-law was admitted to icu on sat. morning after collapsing..they found a blood clot in his lungs and some sort of a thing as they are calling it , near his heart but no real answers? what do u think it could be and why would a 38 year old healthy male present with these symptoms? | Hello,As you explain the history, it might be an atrial thrombus or myxoma, the cause of clotting.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jnikolla | |
Q. 2. 5 year old suffering from stomach ache. Which medicine has to be given?
Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. | Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness. | |
What could cause severe pain in the hip bones, ankles and lower back?
I have severe pain that transfers from left to right hip in the bone and also in the muscle down to my ankles and in my lower back. Have had cortisone shots and been to doctor but haven t been able to diagnose can you please lead me in the right direction of what might be causing this | Hi, Get an X-ray done for your lumbo sacral area in AP view. If not diagnosed with X-ray , an MRI might be needed. Based on your history, it seems neurological compression due to underlying bone pathology. Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr. Tanmoy Roy, General & Family Physician | |
Suggest treatment for chronic cough , asthma , dizziness and headache
hello doctor for the last 6 days ive been dealing with a coughing problem at first i thought it was just an asthma attack .. which i usually deal with a inhaler or if it get worse a nebulizer ... ive been coughing rusty green sputum, feeling tired and weak, dizzy, headache, and pain in my chest area .... i wanted to check if it was lung cancer since my family has a history with cancer ... so can lung cancer be detected by blood test? if so what tyoe of blood test is needed | Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of lung Infection (pneumonia) is more. Lung infection is common in asthma patients due to poor lung defense. And cough, greenish phlegm, weakness, dizziness etc are common symptoms of pneumonia. So better to get done chest x ray first. Chest x ray will also be helpful in screening of lung cancer. No blood tests are available for diagnosis of lung cancer. Non specific tumour markers like CEA, LDH, CA125 etc are raised in lung cancer. But these are non specific and hence diagnosis can not be made on their values. Screening of lung cancer is done by chest x ray. And fir confirmation, CT thorax and biopsy are required. But at present, you need chest x ray to rule out pneumonia. Hope I have solved your query.Wish you good health. Thanks. | |
What causes pain, itching and swelling in ankle during pregnancy?
Hi Doctor! I have a swollen ankle, tenderness to touch, itchy, painful and it is really irritating me. I am 3 and half months pregnant and I notice that it comes out only when I am pregnant and for my first baby delivery. Please advise I really need your help.Thank you so much! Irene | Hi, congrats on your pregnancy, motherhood is the best experience. Pain is in both ankles, it could be reactive arthritis which gets exaggerated, when body is under stress of hormones as is your case now. Try,1 Apply crepe bandages from foot to ankle 2 Take Paracetamol 500 mg BID, its safe in pregnancy.3 keep them elevated when you are at rest.4 get investigated once pregnancy is over.hope that helps. | |
What would happen if accidentally using otocomb for eye instead of chlorig?
My child has woken with conjunctivitis. I have accidentally put otocomb ointment in his eyes instead of chlorsig ointment. I have attempted to wash it out after realizing my error ( I understand that it is not for eye use). Do I need to take him to emergency? | HI if your kid is having any irritation and gritty sensation after the otocomb ointment application ,please take her to ER.Wash her eyes immediately with saline water | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Is Motrin likely to help tooth and gum pain?
Pain in gum of upper right tooth-feels deeper than tooth-beyond the gum. Had a deep cleaning done Friday, and the throbbing lessened because they cleaned out infection, but why is it burning again? The tooth is fine-no decay-but deep in there, it is hurting like a bee sting. Motrin does not make it go away, but makes it feel better. I think they will send me to a specialist after this, they said. They can not see anything on the x-rays. What could this be? | Hello, Thank you for consulting with HCM.It can be possible that because of deep cleaning of tooth, now there might be some lacerations on the gums, which is causing this throbbing.So better that you should start with applying gum gel on gums and even gargling with mouthwashes.Hope it will help you. | |
Q. What could be causing this symptom of cloudy urine?
Hello doctor, I am a healthy 32 year old female with no past urologic complaints. Starting three months ago, I had some episodes of cloudy urine and I got a urinalysis and had 1 plus leukocyte esterase and occasional WBC and RBC. Urine culture came back with 100,000 colonies of Proteus. I took five days of Bactrim and within two months, it was back. I just finished a 10 day course of Cefuroxime 500 mg twice a day and got a repeat urinalysis two weeks after finishing antibiotics and again the same urinalysis with occasional WBC and 1 plus leukocyte esterase and 100,000 colonies of Proteus mirabilis. What could be causing this? | Hello. Relax and do not worry. The length of female urethra is only 4 cm. So naturally, females are more prone to urinary tract infections (UTI) than males. What are your symptoms at present? Do you have any urinary problems like a poor flow of urine, burning, etc.? UTI usually occurs after sexual intercourse. You are suffering from recurrent UTI. If you are asymptomatic, I want you to confirm urine culture at a different lab (not the same lab where you did the last culture). I also want you to get done ultrasound abdomen with postvoid residual urine. Meanwhile, continue cranberry extract. And follow proper hygiene techniques during washing of anal region after passing stools. Do not wash from back to forward, wash from forward to back so that it will not contaminate your periurethral region. If you are asymptomatic, avoid antibiotics now. And get the above tests done. For more information consult a urologist online --> | |
Could taking Omeprazole cause high ALT levels in LFT?
Hi I have been taking omeprazole 20mg tablets last 5 months of my pregnancy for preventing extreme heart burn. I recently has liver function test carried out and my alt levels are 211. Consultant will check Nile acids in blood to rule out oc during pregnancy. Would omeprazole be cause for this high alt reading? If I stop would my liver functions get better? Thank you | Hello dearI understand your concernOmeprazole on long term use damage the liver and cause increase in the Liver enzyme, ALT.Omeprazole is extensively metabolized by the hepatic P450 system and cause damage to the heart like hepatic necrosis.The mild and asymptomatic elevations in serum aminotransferase that have been observed during omeprazole therapy are usually transient and may resolve even without dose modification. Clinically apparent liver injury due to omeprazole, however, generally calls for prompt withdrawal of the agent. Severe injury due to omeprazole is uncommon and most cases resolve promptly upon withdrawal.So do not worry, once you stop the drug your liver function will get better.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar | |
How safe is taking Lexapro for anxiety and depression?
HI,I suffer with depression and anxiety and i have being on lexapro for a lot of years. I sometimes worry about whether I took my meds twice or not. I have them in a box, Mon to Sun, but when i fill it etc I get confused. Would it be dangerous if I took more than my normal dose. Recently went up to 10mg so I may have taken two doses of 10mg Is this dangerous | Greetings !Well while i will recommend you to be more vigilant and to mark your daily dosing of lexapro so as to avoid confusion but to answer your question the 2 doses of 10 mg lexapro that you might have taken by mistake still fall within the safe therapeutic dose range which is 5-20 mg / day so you need not worry at this moment as even if you have taken double of what you usually take still the total dose is within the safe range for lexapro.I hope this helps.Regards | |
Suggest remedies for high BP
are there other factors that indicate if i should be on blood pressure meds or not. my blood pressure goes up and down and can range from 149/108 to 180/114. it doesnt stay at 180 long but is consistently high for the past 3 weeks at least. i dont want to go on meds and was wondering are there other things i should look for that can help me determine if i need to be on meds or not m | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After going through your medical details I understand your concern and I would like to tell you that untreated hypertension can lead to many serious health issues and your blood pressure is staying high which definitely needs a treatment. You can adapt lifestyle modification for initial 3 months if it is newly diagnosed hypertension. Lifestyle modifications includes: 1. Low salt Diet 2. No Fried or too oily food 3. No Alcohol/ Smoking 4. Physical activity for 40 min 5 days a week. 5. Loose Weight Kindly follow these lifestyle modifications for 3 months. If even after this your blood pressure stays high you may need to start with medicines also. Hope I have answered your query. Let me know if I can assist you further. | |
Q. I have pain in the left last lower tooth region. What is it?
Hi doctor, I am suffering from pain in the left lower jaw. I do not have any tooth pain, but the skin surrounding the last tooth is troubling me. Please help. | Hello. I think it can be due to pericoronitis. This is a condition where the tissue over the erupting wisdom tooth will get inflamed. Apply anesthetic gel in that area. Do lukewarm saline mouth rinse three to four times a day. If possible attach a picture for better diagnosis. | |
Is there any treatment to change face colour to pink ?
My face colour is normal.I want that my face become pink in just few daysss.plzzzzzzzzzzzzz help me | Hello You could try this facepack. 5 Walnut and 5 Almond soaked in milk overnight. Next day morning add 6-10 rose petals, few drops of lime and bit of multani mitti and apply on the face. Leave it for 20 mins and rinse in cold water. This will only help in getting a glow on your face and it is temporary. Dr.Sneha Sama Wellness Clinic Disclaimer | |
My mom has swollen kidney and stones in it
my mom is suffering with the kidney problem.. having swollen kidney and stones in it please give me suggestion in finding a good doctor please | your mom is suffering from hydro-Nephrosis a condition usually caused by partial obstruction of urinary tract by calculus [stone] or any other pathology when this calculus is removed this hydro-Nephrosis is usually reversed there is very good treatment of Renal and urinari calculies [stones of kidney ,ureters and Bladder ] these drugs are called Ashmari bhedya or Lithiolytic in Ayurveda you can go for Ayurvedic consultant or write at drnaithani@gmail.com | |
What causes excessive sweating, heart palpitations and labored breathing?
i had a scary incident last night. hot/cold with extreme sweats. heart palpitations. very fast pulse. labored, shallow breathing. fainted. could understand what my husband was saying but unable to respond. thought a warm bath would help but water felt both scalding and freezing at same time. kept collapsing. finally got into bed and soaked clothing 4 times during night. this has happened to me several times before and i have been to the er. each time the doctors said they didn t know what it was and sent me home. i really felt as if i were dying. my husband was sure i stopped breathing at one point. | Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that your symptoms could be related to a metabolic disorder or an infection. For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests to investigate for the possible causes: - a chest X ray study- a resting ECG and cardiac ultrasound- a urine analysis- complete blood count, PCR, ESR for inflammation- kidney and liver function tests- fasting glucose- thyroid hormone levels- cortisol plasma levels. Further tests may be needed. Meanwhile, I would recommend you to closely monitor your body temperature and your blood pressure values during those episodes. Hope you will find this answer helpful!Kind regards, Dr. Iliri | |
How can severe depression and panic attack be treated?
I am a 62 y.o. woman with a h/o MDD and anxiety who has been on Zonegran for atypical migraines for many years. My Doc and I decided to wean me off of the Zonegren (Zonisamide). I went from 300 mg per day to zero over a period of 2 weeks. During that time, and continuing now into the 4th week, my depression very much worsened, I became extremely irritable and angry, had periods of rage and impulsivity, major tearfulness, panic attacks, and nausea. I have just found out that tapering off of Zonegren should be much, much slower. Aside from taking a benzodiazepine to feel better, is there anything else you would advise? I m inclined to just stick it out but I am feeling really miserable. Thank you. Lynn | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Even antidepressant are helpful for preventing further migraine attack. Benefit of using antidepressant probably SSRI will be that it will take care of your depression symptoms as well as further migraine attacks. Benzodiazepines will just calm you down and can be helpful in the beginning of treatment but for long term SSRI will prove beneficial. Hope I have answered your query. Let me know if I can assist you further. | |
Does antibiotics consumption for H.pylori cause nausea and diarrhea?
I have H.pylori and i've been on antibiotics "Clarithromycin, Amoxicillin, Metronidazole" for 6 days now, I still feel sick : diarrhea, nausea, queasy and feel like I have to vomit. I feel like these antibiotics are hurting me as opposed to helping me. Is that normal? And what is the best diet for H. Pylori? | Hi thanks for asking question.You are taking Antibiotic for h.pylori.So these drugs can aggravate gastritis ...You can take omeprazole along with these drugs for preventing further gastric Damage.so start it with these regimen drug.Avoid excess spicy food.Avoid smoking and alcohol.Fruits and green leafy veg taken more.Use less oil in diet.Avoid taking stress.Drink more water.Avoid taking excess tea and coffee.If still no benefit then USG done for further work up and physical examination done with detailed history.Take care.Dr.Parth Goswami | |
Suggest remedy for chicken pox
Our 3 yr old has chicken pox and is showing signs dehydration. Not wanting to drink a lot. Goes in and out of a blank stare with fever. Gave coll bath to bring the fever down and has drank some water. Is Tylenol Ok with chicken pox for fever management? How much water should she be drinking? | Hello,Welcome to Healthcare Magic,Hello,Welcome to Healthcare Magic,Chicken pox is a highly communicable 1-2 days before the appearance of rash and 4-5 days thereafter. After which virus tends to die out and looses the capacity to transmit disease to normal individuals. The scabbing usually begins 4-7 days after the rash and completed by 30 days. During the scabbing period you are child will be sterile and will not transmit disease to others.The disease will cause dehydration because of fever, the symptoms will come down once the rashes starts fading off. Your child should drink water as much as possible atleast 100ml/kg body wt./day.Thank you. | |
Suggest treatment for abdominal pain and shortness of breath
Since past 4 days my throat is so tight its like blocked iam suffering from shortness of breath i feel lots of pressure in my both ears and nose and cheeks when i liying down either side i cant breath....i get pain in my tummy or abdomein because i cant get enough breath i have to take it deep and when i take it i feel pressure in my ears i went er they said i got acute sinutisis and gave me azithromysin for 6 days she also found so much wax in my ears and tried to clean it butit was so dry they couldnt get much out should i see ent for this or whatelse should i do???can you tell me what is going on with me??? | Thanks for your question on Health Care Magic. I can understand your concern. In my opinion you are mostly having viral upper respiratory tract infection (URTI) and complicated by bronchitis. Your all ear and throat symptoms are due to viral URTI and your shortness of breath is mostly due to bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Drink plenty of fluids orally and keep yourself hydrated. Do warm water gargles 5-6 times a day. 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. | |
Suggest remedies for hair loss and red sensitive patches on the scalp
hello sir...i m from India.i m 26 years old..i m suffering from hair problem...actually i have lost my hair day by day..firstly red area after that hair will died...and that area feels like very sensitive...i m very worried about it...how can i solve this problem... at least can u suggest me any doctor related to hair problem in rajasthan....plz give me answer | 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 red sensitive patches on the scalp which can occur due to many reasons like genetic factor, fungal infection and hormonal changes. Sometimes it could be due to improper cleanliness as well. Need not to worry. I would suggest you to take multivitamins and indian gooseberry powder with water daily. Get massage done with olive oil. You should 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 minoxidil spray , fincepia and Vitamin E. Maintain complete hygiene of scalp. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest remedy for lumps on armpit and neck
Hello, I want to ask about lumps I have in my neck and armpit, about 8weeks ago I noticed a small hard non moving lump behind my left ear, still there and I don't think it's changed in size, after a few weeks I was getting worried so checked other places I found a lump behind my right ear that is hard like bone non moveable and has defiantly grown in size, I found one on the back of my neck slightly to the left that is firm non moveable but hasn't changed and also one in my armpit, that is pea sized and movable, I went to the dr 2 weeks ago who didn't seem concerned but did a full blood count which come back fine. Didn't say when to return or for a follow up. I feel very tied, have noticed I have an itchy scalp (100% no lice and don't see any evidence of infection on it) people have commented on how skinny and tied I look. I'm a a 26 year old mother of 2, a smoker and I weight about 8 - 8 1/2 stone and have had a few cases of tonsillitis in the last 12 months but nothing for about 4 months, any advice? | Welcome to Health care magic.1.History suggest that there are multiple enlarged lymph nodes in neck, axillary region.2.Lymph nodal enlargement is seen in presence of infection / inflammation in local or systemic causes. One of the possible cause could be the recent tonsillitis. 3.In this case an ultrasound examination will help to know the nature of the lumps, its source and where are extending.4.An FNAC - fine needle aspiration cytology will help to give a definitive diagnosis.5.Avoid smoking, take healthy food, with the scan and results, one can start the treatment if required.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. | |
Taking duphaston and clomid. Can I have a baby?
Hi! I m Nette...I am 41 yrs old now and been married for 12 years...me and my husband wanted to have our own baby even we have our adopted child from the Orphanage...I ll try to consult my gynecologist and advice me to take duphaston tablet and clomid bcoz a I have a PCOS result of my ultrasound and i am also have a retroverted uterus ....Now I am taking MX3 capsule since i have read in the newspaper the miracle of this product which have the same case with me.....Doctor please help me since Im getting older now and about to become frustrated and crying always without having our baby...Thank you Doc. | Hello. Thanks for writing to us. In your case, it is best to consult an infertility specialist for a detailed hormonal profile evaluation and proper treatment of PCOD. Ovulation inducing drugs will help you in conception. Do have regular sex near your time of ovulation. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
Suggest treatment for pneumonia
My sister has recently had a bone marrow transplant. In June she had a lung infection and since has had breathing problems. She has just been readmitted and a scan showed pneumonia, pus and fluid has been drained and further tests have shown she has a fistula? If this is treated will her breathing problems be eased? | Thanks for your question on Healthcare Magic.I can understand your concern. Yes, if we treat Fistula, drain pus and fluid and cure pneumonia, her breathing will be eased.Since she is bone marrow transplant patient, possibility of atypical bacterial infection is more likely because of immunosuppression.So get done bronchoscopy and BAL culture. Also get done fluid culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. By these, we can achieve faster recovery. Hope I have solved your query. I will be happy to help you further. Wishing good health to your sister. Thanks. | |
What is the treatment of lump on breast ?
I had a small lump under my right breast several months ago that was very sore. It seemed to get better. But then about a week ago I noticed that the same spot was very tender and seemed to be oozing and bleeding occasionally. It is very painful at most all times, but especially when I wear a bra. What should I do? | This must have been a sebaceous cyst . It got regressed with time , to reappear with infection. Nothing much to worry.It is already open. Get an antibiotic and anti-inflammatory medicines. If required go for excision in-toto. | |
Suggest remedy for painful groin
I have been having pain in my left groin area. I am fine when I walk, but if I lift my leg to go up the stairs, sit down in a chair or bend down to put on my shoe it hurts. I have been taking 2 ibuprofen 200 mg 3 times a day for the past two days.Thanks for your help! | Sir can you please tell your age, If you are and old age person your symptoms are pointing towards hip arthritis, If I were your treating doctor I would examine your hip range of motion and any local tenderness and then decide plan of management. | |
What causes a weak heart after having a triple bypass surgery?
my brother is 53 years old and just had triple bypass surgery and his heart is still weak doctors don t know why. his procedure was done at NYU in NYC, any suggestions should i have anther group give him a 2nd opinion if so what group is the best in this field? | hello there the revascularisation sometimes takes time to work depending upon the rehabilitation and medication in tandem .. while sometimes the muscles are unable to revive evn after a revascualarsation processYour brother can be put through a dobutamine thallium test to reach to a conclusionhope that helps | |
How can cough and sinusitis be treated?
I was diagnosed with viral infection. She gave me Doxycycline Hyclate 100mg 2x daily. I ve been taking zinc Tues and I am still coughing and have a lot of sinus issues. Can t eat much just chicken noodle soup. Should I get a second opion. I use inhalers and coughing up phlem. Sorry about my lungs. | Hello,It seems that Doxycycline is not the right treatment. Please note that antibiotics, such as Doxycycline, are not effective against viruses and viral infections. They are given in order to prevent a viral infection to be complicated by a bacterial infection and usually, such treatment is based on the judgment of your physician.Your doctor has prescribed you the right dose of Doxycycline. If your symptoms will not ease in 2-3 days, then you will need to change the antibiotic. It is possible that your disease is exacerbated by Streptococcus, a kind of bacteria that has developed high rates of resistance to Doxycycline. Therefore, your doctor might need to change the antibiotic for you, and suggest Cephalosporins for example. If the fever is high (39 Celsius degrees or higher) and cough persists or deepens, then you will have to see your doctor again. The difficulties in swallowing could be due to the involvement of tonsils. Change of antibiotic will help ease these symptoms too. Gargling with salt water several times a day could help your tonsils recover and enhance the healing process. Also, please keep hydrated by drinking water and fruit juices. Vitamin C (up to one gram per day) also will boost your body's resistance.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Ervin Toçi | |
What causes pain in the joints, hands, feet and fingers?
diagnosed with breast cancer 2yrs ago had 6months of chemotherapy double mastectomty recently had right breast reconstruction cant wait for my left one i av had memory problems of late trouble with word finding also speaking nonsence forgetfullnes short term memory recent blood test show high raised platelet levels after drinking moderate amount of alcohol on all 5 occasions over the last 2months i am in constant pain for afew days aching joints hands fingers feet every where really simular to growing pains but much more painful can you help? plees? | Hi, Multiple joint pain can be due to many reasons, but as you are on chemotherapy the most common reason will be vitamin D and calcium deficiency so take proper supplements it might help. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon | |
Lower back pain. MRI shows bulging annulus. Worried
Hi, I am 2 year old female, I feel apprx 7 weeks ago with continuous lower back pain radiating into my leg. I got an MRI 3 weeks ago and it states L3-L4 have a prominent bulging annulus identified which is board-based with anterior thecal sac effacement no gross nerve root distortion identified. No foraminal impingement seen Mild thecal sac impingement seen at this level. L4-L5 there is a small bulging annulus seen. Bony canal is small due to congenital basis L5-S1 level demonstrates a tiny bulging annulus. Boney canal small due to congenital basis Early degenerative facet changes are seen on all levels. Today the pain became so unbearable, I was unable to get up off the floor from picking something up due pain and unable to straighten/move my back or right leg, I am still in a great deal of pain 6 hours later. This makes me worried. Please help :) | Usually bulging annulus may not be a problem however if you have congenitally narrow canal then it may become important as the space for the neural structure is compromised. I need to know how is the disc signals? are they normal or totally black on MRI. If they are black then it indicated early changes in the spine and you need to take care of your back because if you get an episode of disc herniation then it may have pronounced effect on your nerves. At present you need to continue physiotherapy with anti inflammatory with muscle relaxants. Thanks. | |
Is it possible to conceive with one tube blocked?
Hello I am 34 yrs female want to concieve from last 5 years.....I am taking treatment form last 3 yr. My husband's(36 yrs) reports are Normal. During test ,doctor reported that one of my Tube is partially blocked.During sonography we found that eggs een at blocked ection of tube? is it possible to concieve with only one tube?what to do to concieve as early as posible......i am depressed | Ya. .it's possible to concieve even with one tube blocked...do follicular study after taking clomiphene from day two and till follicle size increase to 18 mm den rupture den iui for early results. .. | |
Low sperm count& motility
I am 40 yrs old.I am facing a problem that is my sperm count and motility is low. My weight is 60kg,& height 5.9 | Hi Welcome to HealthcareMagic You need to be examined by a doctor for any associated conditions leading to low count and motility for eg. Varicocele , infections etc. Once cause is established treatment can be started. Avoid smoking and alcohol. Nutritious diet and antioxidants like vit E and C are of help. Post your semen analysis report to have better idea about your condition. take care. | |
Can dengue cause high fever with ear pain?
sir, my child is suffering from high fever 103 from last 10 hrs .he is 12 yrs old and weighs 51kg and is strong, one month back he had dengue and now i feel its the same again.he is no other rashes or joint pain except pain in one ear. we are giving him fluids and sponging and geting d fever down as we did this earlier also.can we give him meftal forte which has mefenamic acid 500mg and paracetamol 450 mg to get his fever down as regular 650 paracetamol is not able to get his fever down. | Dear FriendWelcome to HCM.I am Dr Anshul Varshney. I understand your concern.Pain in ear is not a symptom of dengue.He might be suffering from:1. Acute Tonsillitis/ Pharyngitis2. Ear Infection- Otitis Media.I would advise you to get it evaluated by a doctor, if required antibiotic like Augmentin would be started.Till then continue cold sponging and Pracetamol as on when required basis.This is my personal opinion for you based on available details. If you have any further query please ask me.Stay HealthyDr Anshul Varshney, MD | |
How to overcome masturbation addiction?
Hii doctor I m very feeling bad because I m not control our mind I m daily masturbation,I m look any sexy image or video then I m not control our then go hurry up do masturbation but doctor please give me some ideas stop masturbation And give me idea I want grow our weight and body size | Thanks for asking in healthcaremagic forumIn short: Will power is the solutionExplanation: Masturbating now and then after excitement is normal. If it is a habit then it is better to consut a psychiatrist for advise. If you have the will power you can. Divert your mind from this to playing games, reading novels and mingle with people and go around. ALso avoid being in your room alone. I think this may help you. Do let me know. Good luck | |
How much time does the fractured tibia take to recover?
Hi, I had flu about a week ago and since then have had a cough. It is starting to go and is not on my chest, mostly seems like I still have a lot of catarrh in my system. I am pretty much back to normal apart from cough. Would it be ok for me to go swimming as I feel like some exercise might help get things moving. | hi,the question and the history are different. still I will go along with your history. You mentioned you had flu and having cough. You should do deep breathing exercises and perform costal breathing exercises to make lungs stronger. I know it's boring thing to do but it does miracles as well. If you want to go for swimming you can go if you have a facility of warm pool. Avoid cold water for time being in the pool as it may give a chances to go closer to cold again. after a week or so you may go for swimming but for time being if you avoid it will be good.with the grace of God I wish you a speedy recovery | |
What causes vision abnormalities and dizziness in a child?
My 7 year old is having vision abnormalities, almost like what someone would experience when they are dizzy (room seems like it s moving) but she doesn t say she is dizzy. She complains of a headache though not at the same time, and is having frequent nose bleeds. | HIWell come to HCMIf this is visual problem in pediatric age group then this need to be ruled out for refractive error, else this may not be the dizziness, and this is the best option you have, in my opinion it should be neglected, better to see the ophthalmologist, take care. | |
Suggest consequences with hemolytic anemia
My granddaughter, age 13, has igA warm hemolytic anemia. This was a sudden onset and she is currently at the Cleveland Clinic. She is currently getting IV steroids and fluids.My questions are: is this the only treatment? - will she always have this disorder? -and can it be fatal? | Hi, dearI have gone through your question. I can understand your concern. She has autoimmune hemolytic anemia. Her body produces antibodies against her own rbcs so her. So thete is immune mediated destruction of rbcs.This disease remains life time. It can bd fatal sometimes. Treatment is immunosuppressive drugs like steroids. 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. | |
How to treat swelling in upper right calf?
I stepped up on a ladder, heard a loud snap in my upper right calf and it began hurting and swelling immediatey - this was two days ago. I didn t do anything to treat it at first because I was out of town for a Wedding and couldn t rest. Once I got home the next afternoon, I elevated it and put ice on it. Today, the swelling is worse and now my ankle and foot are also swollen. I m 43 and fairly healthy (stay physically active at my job). | Hello, I have studied your case and I think that you may have a muscular injury. It is common during sudden twisting. I would suggest you visit an orthopedic doctor and get it checked. Most probably it is a grade 2 muscle strain. He will suggest you painkiller tablets with local ointment. Continue ice application. Avoid standing for a long time and doing any heavy exercise. Walking is allowed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Naveen Kumar Sharma, Orthopaedic Surgeon, Joint Replacement | |
Suggest treatment for schizophrenia
10 years ago my son was diagnosed as having schizophrenia. about two months ago he began laughing often with no apparent reason. he also talks outloud some. he takes medicine which is same he has had for several years. I want him to go to neurologist and have mri. hes 47 and smart but very slow to respond to questions asked him. He doesn t realize he has a problem and is avoiding getting reevaluated. One doctor in the past said he had symptons like early aultimers | Hello thanks for askingI can understand your concern. Laughing without any reason or inappropriate laughter, talking with someone probably due to hallucinations are features of persistent psychosis in Schizophrenia. He is not willing to take treatment and is avoiding visiting a doctor for evaluation. All these can't be ignored. Please discuss with a psychiatrist and take proper advise. Drugs like Olanzapine, Risperidone, Quetiapine etc can be used for him. If he is not getting ready for treatment then long acting injections can be used for treatment. Haloperidone deconate, Fluphenazine etc can be tried. Talk with his doctor for helP.Thanks and Take care | |
What causes pain in heels and ankles?
For about two weeks I have been suffering with pain in my heels and my ankles. especially first thing of a morning and I d does carry on for most of my day. It s becoming annoying and limiting my ability to walk. Any ideas? I have an OC health dept at work, which I my visit tomorrow. I m constantly on my feet at work. | Hello, Thanks for writing to us, I have studied your case with diligence.As per your symptoms there is possibility of calcaneal spur along with plantar fasciitis leading to heel pain.It is advisable to wear low heel shoe to maintain centre of gravity of whole body.Shoe/footwear should be with soft sole. You can use silicon pad insoles.You may need x ray heel to see bony overgrowth.Start plantar exercises consulting physiotherapist also Physiotherapy like TENS and ultrasound will help.Take calcium supplement with vit D.If no relief with this line of treatment then local injection shot can give pain relief for longer duration.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. | |
What is the treatment for depression and anxiety disorder?
Dear doctor, I have been addicted corex and rexcof cough syrup since 14 months and now as I want to stop it but couldnot as it is givving lot depression,headache,bad mood,hand shivering,running nose.muscle discontrol,sleeplessness and becoming short tempered..more than anything its depression which is stoping me to leave this drug..plz just give me some advice and home remedies to get rid of this severe depression | Hi,Thanks for writing to healthcaremagic.You are suffering from opioid dependence.Whenever you get less than your usual dose or you stop taking corex ,then withdrawal symptoms arise like running nose,lacrimation, leg cramps, diarrohea, bodyache, headache etcYour depressed mood is also mostly due to your opioid dependance disorder.You need to be deaddicted first and in that period ,you may need antidepressants for short period of time.Buprenorphine and naloxone combination is available at deaddiction center.Simultaneous symptomatic treatment for withdrawal is also given.You should seek help from there.You are taking since 14 months,it will be more easy to be deaddicted at present than later.Hope I have answered your query, | |
Suggest treatment for asthma and chest thightness
Hi. My 15 year old has asthma. She is experiencing tightness in her chest, rising fever, and a cough with yellow phlegm. It started today. Should we treat her at home or wait until tomorrow to see if she improves? Didn t realize there was a charge for a response. Never mind. I will follow my instincts. | Hello,Thank you for asking at HCM.I went through your daughter's history and would like to make suggestions for her as follows:1. As she has fever and yellow phlegm, I would suggest her to start antibiotics like amoxycillin or azithromycin.2. As she is a known asthmatic and has experiencing tightness in chest, I would suggest her to use salbutamol inhaler as rescue inhaler, which will provide her relief.However, if her chest tightness or breathlessness does not improve with rescue inhaler, I would suggest you to get examined by a doctor immediately.3. Please continue regular medications for asthma, if any.4. If she has breathlessness any time, please contact your doctor immediately. Also, contact your doctor immediately if - fever does not respond to paracetamol, very high fever/rising fever, any another new symptom develops, etc.5. For relief of fever, I would suggest her to take paracetamol if temperature is more than 101 F.6. If she has additional nose symptoms like running nose, sneezing, nose congestion, etc, I would add levocetirizine + montelukast to above treatment.7. Please give her rest. Make sure she takes adequate amounts of liquids during day to maintain hydration.8. Please avoid exposure to dusts, smokes and air pollution as much as possible for her.Hope above suggestions will be helpful to her.Should you have any further query, please feel free to ask at HCM.Wish your daughter a very good recovery and best of the health ahead.Thank you & Regards. | |
Suggest treatment for chest congestion and breathing difficulty
Phlegm in heart & unable to breathe Male, 86 My grand father is not feeling well from few days. Almost losing control & forgetting things. He even fell in the bathrooms & lost lot of blood due to head in injuries. Yesterday, we was in ICU & doctors thought that everything would be fine and can switch him to normal ward. Today, he cant breathe and he is on ventilator. Doctors are mentioning that my grand father at this stage cant take an operation at back to clean phlegm in heart . The medication process takes time it seems. Can anyone of you please tell me honestly what are his chances of survival( on a scale of 10)? How long can a person be on ventilator?? | Hello,At the age of 86 and with those complaints, possibility of survival is very very rare. Need of ventilator itself suggests poor prognosis and outcome. In my clinical opinion, his chances of survival are 0.1/10. And he can stretch for 2-3 days more ventilator.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar | |
Are potassium levels related to seizures?
I started having adult onset seizures afew years ago.In each case I was told my potassium levels were too low,yet this has never been brought up by my neurologist.If this isn't an issue with seizures why do they check.If it is an issue,what can I do to help | Hi, seizures are common in hyponatremia, hypomagnesemia , hypoglycemia but not common in hypokalemia .seizures when occur they can cause potassium changes . Thats why potassium level is checked. Thanks | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
What is Forcan-150 given for ?
Hi why we con use forcon-150 | Forcan 150 or fluconazole is to be taken once a week after meals preferably with an antacid for fungal or ringworm infections on skin, arm-pits or groin. Along with Forcan you can use a locally acting cream like quadriderm and keep the part dry. Continue for 4-8 weeks and do a haemogram test every 15 days | |
Undergoing treatment for lupus nephritis, have involuntary finger movement, eases with massage, delayed taking Epofit injection. Harmful?
Hi, This is Pradip kumar,my wife has a disease called lupas nephraitis ..she is almost cured..but the doctor has asked her to take Epofit 6000 injuction for a month(4 times)..but as we are travelling it is getting delayed..she was suppose to start it from last week..any problem can happen for this(for delay)?. RBC is 7.8 ..sometimes her finger is getting bend automatically and after massage it is cured. | The finger problem does not seem to be related to epofit. That is mainly for the anemia.however don't delay the injections as they are for the hemoglobin. | |
What causes pain in the jaws and headaches?
I have a sore left jaw, upper and lower, and it radiates toward my ear, and I get a headache. I went to the Chiropractor and he told me my neck was all messed up, but if it didn t go away to see an MD for possible heart attack. I am 47 with no known heart problems. When it happened, I was chewing gum and thought I broke out a filling. It started hurting in my upper and lower jaw and I couldnt tell which tooth it was... | Hello,You may be grinding your teeth causing stress on the TMJ. I mention this because of the chiropractor telling you your neck has some problem. A night guard can be helpful if you grind your teeth at night and offer some relief. Your dentist can evaluate your bite and make a recommendation.You may have an infection in a tooth that needs treatment. See your dentist for an evaluation and necessary x-ray. If you broke a filling, you also need to take care of that to avoid a larger problem. Broken teeth or filling can also be a result of grinding your teeth.Maintain good daily dental care which includes brushing, flossing, and rinsing. Look for sensitivity to temperatures and pressure. Take Motrin or Tylenol if you are experiencing discomfort before you can visit your dentist. Plan to make an appointment soon. Plan to have a physical to rule out heart problems as recommended as well. Thank you for your inquiry. I hope you feel better soon. | |
Suggest remedy to stop frequent biting of inside cheek
about a mnth ago my bottom right wisdom tooth was coming through and i ended up with what looked and felt like a blister on the gum. it disappeared after a few days. however for the past 2 weeks i have started biting my cheek on my right hand side whenever i close my mouth due to eating, smiling or talking. is this due to my wisdom tooth and what i can do to stop it as it is very painful when it happens | Thanks for your query, I have gone through your query.The cheek biting and the swelling of the gums over the wisdom tooth could be because of the pericoronitis. Consult a oral physician and get a radiograph done to rule out whether sufficient space is there for the wisdom tooth to erupt.If the space is not available then you have to get the wisdom tooth removed. you can take a course of antibiotics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic). Do saline gargling. i hope my answer will help you, take care. | |
How to improve my immune system to fight verruca?
Hi i have got a verruca and its very very painful, i am applying salicyclic acid solution (17%) but for past 3 days it has become very painful..... it is still blackish, what best i can do to improve my immune system to fight the virus ? please let me know, | Hi, thanks for using healthcare magicThe use of probiotics, wide range of fruits and vegetables, healthy foods , multivitamins and appropriate level of activity can help improve the immune system.In addition the treatment of any chronic illnesses such as diabetes and avoiding immune suppressing medications such as steroids, would also help.I hope this helps | |
Suggest treatment for hepatitis b
recently i know that i'm hepatitis b positive when i went to donate blood. i don't know from how many days i'm affected and how much affected. before 20month i donated blood this time i was not affected. how can i know that how much risk i have? what should i do now please suggest me. | Your hepatitis b is positive however it does not mean that you have active infection at present. Its depends on your previous infection or vaccination and your immunisation status. So it requires proper investigation first and then take treatment accordingly. | |
Have stomach pain, back pain, nausea. Can it be due to red bull?
I am a college student and tend to drink A LOT of redbull for late night study sessions. Recently I have been suffering from crippling stomach pain that is sharp at moments, but usually a dull ache that causes nausea and radiates to my back. This has been going on for months and then for the past 3 days I have felt fine. Until today when I drank a redbull and noticed a couple hours later the pain and nausea were back. Could redbull be the culprit? | Hi Red bull can be the culprit. If you are getting pain and nausea regularly,please stop it and take Rabeprazole with Domperidone and antispasmodic Dicyclomine. If pain comes even after stopping Redbull,please get an Ultrasound abdomen and Upper GI endoscopy. Wish you good health Regards | |
Can taking birth control pills decrease libido and cause migraines?
hi...am 28 female....have been taking birth control pills past two years....have suffered with decreased libido...so my q is is that a common side effects...also suffering with migraine...what should i do ?....should i stop taking the medicine or change the type of pills? one more query...how long I should continue with this type of pills? | HiHormonal pills can cause dizziness,fatigue,mood and behavioural changes, migraine headache are some of the common side effects. These can cause stress and lower sexual interest.Hormonal contraceptives can also lower libido in some women. It is estimated that between Five to Ten percent of all women who take the pill can experience a decrease in sex drive.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician | |
How are shrinking kidneys treated?
Hi, I am Alankrita from India. My cousin, 16 years old just got diagnosed that his kidneys have shrunk to the size of 7 and 8. He has no symptoms, no problems with his physical activities. During a normal check up, this diagnosis came up. Please advise the cure and treatment | HelloThanks for query .Your cousin who is 16 years old has done his ultrasound scan and have been told that his kidneys are shrinking .The figures of the size of the kidney that you have posted seem to be normal for his age .It is the cortico Medulary differentiation that is important to decide whether the kidneys are normal or not .Please consult qualified Nephrologist for clinical assessment and get following basic test done to confirm the diagnosis 1) Haemogram 2) Kidney function tests like blood urea and serum creatinine 3) Routine urine test with urinary excretion of creatinine and proteins .Further tests if required and treatment will depend upon results of these tests.Dr.Patil. | |
Why am I having burning eyes?
i had a unprotected sex 1 year ago with a girl . 2 month 10 days after sex i was tested non-reactive. after that sex i am suffering from burning eyes is there any risk? also i was suffering from cold like symptoms and fever (typhoid) | HiI feel it is highly unlikely that your present symptoms are related to your 2 year back sexual encounter.Get your eyes examined by the opthalmologist to rule out conjunctivitis and any refractory errors.Take care | |
Suggest treatment for persistent fever in kids
Hello,My 6 yr old has had fever since 11pm last night ranging from 100-103.5, I have been giving him motrin & tylenol, have given him a cool bath midday. When I called dr earlier I was advised to continue w meds & to call back in the morning if fever continued. He was @ 102 earlier, his eyes are red & watery, & his nose is literally dripping? | the best treatment of fever are antpyretic like motrin,paracetamol, brufen etc.but is better to know what caused that fever to the child.is better treat the causes of fever instead of remaining using ant fever only.so you need to send your child to hospital for further investigation. | |
Suggest treatment for severe pain in the knees and hips
the pain in my knees and hips and legs are the most severe pain. i was diagnosed with sarcoidosis and givin planquinal it worked beautifully for a year now things are so much worse. i cant get up cant walk up and down steps trip all over forget every thing i am also on 400 miligrams of lamictal daily and 20 of prozac and lamictal 24mg..... i feel worse than ever i feel crazy not remembering where i out something moments ago all the time trip n falll all the time. i think some of this is all adding to the pain. whats the proper painmanagement i need pain help BAD | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The pain in your case can be relieved symptomatically with the help of pain killers. Hope I have answered your query. Let me know if I can assist you further. | |
Q. Oil-like substance is floating from my stools. What is going on with me?
Hello doctor,I am having digestive issues for some time, gotten a bit worse. Symptoms: bowel bloating and pain after meals or sometimes on empty stomach middle of the night, mornings, acid reflux with everything I eat, I eat purely healthy, puree my veggies and small amounts of chicken, eggs, salmon when I can. My stools are loose in the mornings with oil-like substance floating on top of the water, yellowish or green. At times, mucus as well. Discharge looks like white cloudy pieces floating. Feeling fatigue pains, depressed, cannot go to work. Going in for a consultation and testing soon. I just wanted to know what could be going on with me. | Hello. You have acid peptic disease (peptic ulcer) which is usually controlled by PPI (proton pump inhibitor). You are already taking this. If you could not correct dietary practices, you may not get complete relief. You should avoid, chilly, fresh onion, and oily foods (fried items) and non- vegetarian foods. Stomach finds it difficult to digest foods. So, consume easily digestible foods like fresh fruits, fruit juices, sliced vegetables, steamed foods, etc. Avoid tea and coffee which never allow the peptic ulcer to heal. Daily morning take one cup of pumpkin juice on an empty stomach. Do not eat raw vegetables (such as cucumber cut pieces, etc) in large quantities. Eat the same in small quantity after completely chewing into a paste. While sleeping you should sleep in left lateral or supine. Never sleep in right lateral and prone position. You can practice pranayama to balance autonomic systems. You also need to come out of stress situation, because stress certainly increases acid secretion. Do not skip any meals. If required, please undergo endoscopy to see if any ulcer is present. Continue the dietary, yogic, and drug therapy for at least six months. Thank you. For more information consult a naturopathy specialist online --> | |
Could the molars be the cause for tooth pain at the front in a 2 year old?
My 2 year old boy is complaining of tooth ache at the front. His back bottom molars are coming through, could this be putting pressure on the teeth at the front? Whilst I haven't seen him fall or bang his chin, his bottom teeth do feel quite rough, should I take him to the dentist or do you think it is just teething pains? | HiWith your query, it could be teething pain you can just watch and see usually eruption if molars will not cause any pain in front teeth unless there is not enough space in the jaw to accomodate the tooth but this cannot be diagnosed by now so I would suggest you wait and see if symptoms persist plz consult pedodontist. Hope thus helps you and make sure he has not git any trauma | |
Can holistic treatment be preferable for vulvar cancer?
I have Vulvar Cancer and just finished Chemotherapy, I also had a CT scan that showed the cancer was still growing even after the treatment, so my question is what is your opinion on holistic treatment, I was in stage 4 when I started treatment and this is the second time I ve been through this type of cancer, I am 38 years old and in good health. | Hi, dearI have gone through your question. I can understand your concern. If you have stage 4 cancer then chemotherapy and radiotherapy is the treatment of choice. Surgery may not helpful in stage 4 cancer. 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. | |
What are the causes for waxy skin in a diabetic patient ?
hi Iam huda may you tell me causes of waxy skin in diabetes patients? | Hi, In diabetes due to metabolic disorder skin loses its luster and due to fat mobilization skin becomes thin and shining So skin is thin and shining it looks waxy. | |
Suggest treatment for numbness in thigh and tingling sensation in feet
Hi my name is Kathy. I have spondylitis and I suffer a lot of nerve and syattic pain 24/7 Today is different my right thigh is numb to my knee so I pocked my thigh with a fork and their is no pain in that part of my leg. My feet still have the same burning, tingling and pins and needles in them. I m a bit scared as this has never been like this before.What should I do and is the feeling going to come back. Thank you Kathy | You need to consult Neurologist Immediately. There may be possibility of any further nerve roots or canal stenosis acutely by the protruded intervertebral disc. Possibly your doctor will perform NCV/EMG and MRI spine to look for the cause. Another possibilty can also be a minor stroke which involved left thalamus which can produce only sensory symptoms on right side of body | |
Any suggestion for child suffering from fever, cough, cold and joint pains?
My daughter is 6years old. She's been down with a fever since Thurs. her fever has been ranging from 37.9 to 38.3. She also has cough and colds. We've been giving her paracetamol and cough meds. She doesn't seem weak. She's not complaining of joint pains. Should I bring her to the hospital? | Hi, only paracetamol and anti cold medicine is not going to core her respiratory tract infection and antibiotics are needed to be given to her only then she can recover well.anti biotics like ampi-cloxacin or co-amoxi-clav or roxithro can be given to her an dsome vitamins including vitamin C should be given, but i advise you to go to a physician and let her examined physically to rule out pneumonnia and other specific condition for which special attention is required and then follow the treatment. thanks and with regard. | |
How should low platelet count and WBC count be treated?
Sir, Recently when performing my routine health checkup, i found that my blood platelet count have been reduced to 90,000 (report date 31.3.2010). My WBC count is also close to the lower normal limit of 4.7 X 10^3. Last test was performed on 17.11.2008 and my platelet count at that time on Peripheral Blood Flim was "low normal" and the WBC count was 5.2X10^3. All the other test like blood glucose, thyroid, lipid profile etc are totally normal. I am aged 39 yrs and my weight is 75 kgs with BP of 120/80 mm Hg. This decease in platelet count and the gradual decrease in WBC count have put me in a very tense situation. The Doctor advised me to follow up for a complete blood count after 1 month and if there is further fall in platelet, then a bone marrow test is needed to be done. I am also suffering from lots of stress and anxiety since many years owing to my profession and home and is a regular taker of alprazolam/drugs. I would therefore request you to let me know how can i get rid of this problems since this situation have further aggravated my mental condition and made my life worse. With regards Somit Das | Hi, Somit DasI have gone through your question. I can understand your concern. Your wbc count and platelets count are slightly low. Even simple viral infection can leads to this. So no need to worry at thos stage. You should go for follow up complete blood count at monthly intervals. If it goes very low then bone marrow examination is needed to search the cause. No any treatment is required right now. Just be relaxed. 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. | |
Are Cap Androanagen, Minoxidil Topical Solution and Sternon-S Lotion effective for hair fall problem?
Hello Doctor, Good Morning. As i visited a Doctor couple of months ago for Hair Fall Problem. They have prescribed me Cap Androanagen for 6 months alternative days, Minoxidil Topical Solution USp 5% - 5ml regularly at night and Sternon-S Lotion at morning alternative days. Please advice me is it effective to use for 6 months. | Hello. Thank you for writing to usAfter going through the treatment that has been prescribed to you it seems that you have androgenetic type of alopecia/ hair loss.You have been asked to use minoxidil solution and oral saw palmetto extract.Androgenetic alopecia is characterized by gradually progressive thinning and hair loss from the frontal scalp and vertex. It is also associated with receding anterior hair line.Topical minoxidil and oral finasteride are US FDA approved remedies for androgenetic alopecia. Saw palmetto extract is an alternative to finasteride though it has not yet been approved for this indication. Saw palmetto extract has the same mechanism of action as finasteride and is said to be devoid of sexual side effects on libido.Goal of treatment of androgenetic alopecia is to arrest or slow down further progression.New hair regrowth may be seen if the problem is not a very long standing.Treatment is long term.Noticeable improvement is usually seen after 3-6 months of regular use. Therefore I agree with the duration you have been asked to use the medications.Response to treatment is variable and varies between individuals.Regards | |
Suggest treatment for cerebral palsy with quadriplegia
hi this sumit from delhi india . my daughter is suufering from cerebral pasy with quadriplegia . she is 5 now,. she still cant hold her neck and she is just 12 kg . ,. can u please tell me whether she can be normal in all her life or what else can we do for her . she is not having any medical treatment now a days except for physiotherapy | hello, Mr Sumit, Let me share with you the truth of Cerebral Palsy, This is a non progressive condition and it will never be normal. You NEED TO EXCEPT the truth to continue her care. Physiotherapy and proper nutrition will help her. You may please visit a developmental pediatric center close to your vicinity, which your pediatrician may be able to help you with. | |
Suggest treatment for non reducible hernia in scrotum
hi..i am 69 years old,have a non reducible hernia,that has filled my scrotum,i have had 2 heart attacks,with 5 stents placed in my arteries,my cardiologist advised me against gettind it repaired,because he says I could easily get a blood clot,since I take a blood thinner,but its gotten so big,its beginning to worry me...any suggestions | Thanks for asking in healthcaremagic forumIn short: Surgery is risky but not impossibleExplanation: Your reducible hernia has turned into non reducible now and may inturn gets obstructed and can cause emergency problem. So, surgery is risky in you but there are surgeons who take challenges and surgey can be done under spinal anesthesia after necessary precautions to prevent bleeding. So, its upto you to decide to undergo surgery or to obey your cardiologist's advise. Good luck. | |
Suggest treatment for low sperm count with loose testicles
55 years old male with two significant symptoms: very very low semen volum and loose testes skin specially at the sex time. My test results are : LH= 1.41 (from normal range of 2.8 to 6.8 ) and testesterone = 3.1 Can my situation be changed to normal as it used to be ? | hellothank you for trusting HCMdear your testosterone you mentioned 3.1 is it free testosterone??or bound or total??. it is low if you mentioned in ng/dl. some times andropause may cause low testosterone levels may need replacement. please consult your doctor he will examine and treat you accordingly. I think I answered to your question if you have more questions feel free to ask.take care | |
Is excessive masturbation due to kidney stones?
Hi sir, I used to masterbute every alternate day or sometimes everyday. I had problem of kidney stones.Is it problematic for me to masterbute frequentely?Is it bcoz of kidney stones I like to masterbute? My age is 27 years currently.. I wanted to leave this habit. Thanks, Rahul | there is no relation of masterbation and kidney stones. masterbation is not always bad.many people of your age masterbate. don't worry. | |
How to cure reoccurring groin injury due to playing soccer?
I have a had a reoocureinggroin injury because of soccer. I have played on it recently an it fees fine while running but it bothers me when I am laying down and sitting down. It is a dull pinching feeling. It also seems if I over stretched it would tear? YYYY@YYYY | Hi,As an Urologist,i can understand your anxiety. You should get an Urologist examination done and then do a scrotal scan. It's called a scrotal doppler ultrasound scan.It'll clear all doubts about the injury to the testis. The testis are seen very clearly and if normal, there's nothing to worry. The U/S-KUB will clear all doubts about any abdominal organ injury. If you've any doubts, send me a direct question. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Matthew J. Mangat | |
Q. Can stimulant medication be prescribed after an episode of psychosis?
Hello doctor, Is it ever appropriate to prescribe stimulant medication after an episode of psychosis? I am a patient that has done well on them in the past and is struggling to mange my ADHD without them. The psychosis happened last year during a period of social isolation. | Hello. You have raised a very pertinent question. Stimulant medication can raise the risk of relapse in psychotic symptoms. If psychotic symptoms were clearly treatment-emergent, generally it is not advisable to try stimulants again. If ADHD symptoms are problematic, you can discuss with your doctor about trying non-stimulant options like Intuniv (Guanfacine XR). Also, try to follow behavioral strategies to manage ADHD symptoms. | |
Suggest treatment for lung cancer
In the past 3 years I have had lung cancer, prostrate radition & bladder cancer surgery . I just completed 5 0f 6 bcp treatments. I have lost 35 pounds in the last few years, not planned. For the past few months I have a dry mouth and loss of appetite Is there a specialist I could go to to look at all these issues. Ilive in Buffalo, New York | Go to a cancer specialist. get your complete staging work up done so as to diagnose any kind of recurrence of cancer or progression | |
Suggest remedies for dark, blackish bruise on nose bridge
My nose bridge has a dark blackish bruise (and is also scarred) and it has been like this for almost 4 years although I do not wear my glasses that regularly and discarded the ones that initially caused this. It has really started to bug me and I have no idea how to get rid of this to get my good skin back. Remedies? Very please. | Hi. I would suggest you the application of a cream by name MELAS . It is an ayurvedic cream which helps in reduction of dark patches.Application : While using for the first time squeeze out required / small amount of cream and apply gently on affected area for 5 min using your finger tips, to check for irritation. If no irritation is seen this application may be left overnight.Note : Though the cream has no side effects it is known to peel of the affected area in small layers (painless) so it is best used at night and only on the affected area. Time Span : Time taken to respond to certain product differs individually, hence predicting the same is not possible. However on continued use for a month and amount of result seen in the same, may prove to be helpful in deciding the time taken on the whole.Other Suggestions:Potato juice, Tomato juice, Lime +honey+glycerine are best know agents to reduce a dark Patch/ BruiseOlive oil, Vitamin E oil, Vitamin E Capsules ( by the name EVION - you can puncture the capsule and use the gel within, as a night time application) can also be used.If your nose bridge is prone to such bruises you may want to try for contact lens if its advisable by your Ophthalmologist/ Optometrist.Hope this has been helpful. Have a great day | |
Q. I get tinnitus in my right ear after self irrigating the ear for wax. Did I damage my ear?
Hello doctor, Since about a week and a half ago, I have had tinnitus in my right ear. This was after self irrigating the ear with one of those squeezy syringes that come with the Otex ear drops. Before doing this, I was putting in oil drops for about a week prior. Quite a bit of wax came out, but now I have this hissing noise in my ear which gets worse when listening to podcasts and music at low-medium levels. It also seems to become more pronounced when I chew. I have had a subtle amount of ear pain over the past week but that seems to have gone now, but the hissing sound has not improved at all. I am worried I may have applied too much pressure when squeezing the ear syringe and have damaged my eardrum. I was wondering if this will heal over time and the tinnitus will go away? I cannot go see a GP due to Corona, so an opinion would be much appreciated. | Hi. It is always dangerous to predict and take action in case of their own health. The tinnitus in your case is not due to earwax, it may be due to the blockage of the eustachian tube (tube connecting middle ear and back of the nasal cavity, its primary work is to equalize pressure between environment and middle ear). This is also a prediction. The real cause can be found after an ear examination, as you have already mentioned nowadays it is a little hard to go for treatment. What you can do is practice some no side effect formulas. Steam inhalation, start sipping lukewarm water. For tinnitus, use resound relief app which has so many natural sound combos. Use that in speaker mode, never use earphones. Do not put oil and do not do the treatment on your own unknowingly you are worsening the conditions. | |
Suggest treatment for lump near the rectal area
I have a bump on my bottom next to my rectal area . its been about 5 days & its very painful . I took a needle and burned the end of it , after that I poked where I seen the white head and it popped . there was blood , black stuff & pus that came out ! It also smells really bad . I just popped what I could for now but there a lot more infection in there . its so tender its hard for me to wear underwear . what should I do now ? | Hi,From history it seems that there might be having anal abscess giving this problem.Due to cut or soreness due to constipation there is infection leading to abscess formation.Go for one antibiotic, anti-inflammatory medicine course for 5 days.Clean the local part with antiseptic lotion and dress it with antibiotic cream.Keep local hygiene clean and dry.Ok and take care. | |
Need dosage information on the use of oral contraceptive pills
Hi, I am 21 years old VIRGIN girl. I have three questions: I am getting married next month, My period is due 7-8 days before my marriage date. Can I start taking Saheli (OC Pill ) pill before my marriage; on 1st day of my period (I mean before having First time sex) ? Is is mandatory to take OC pill on 1st day of period ? OR Can I start taking in NON-PERIOD days (before start of period) ? Is this tablet protect from pregnancy from 1st day of taking pill ? If not then how many days after taking FIRST pill it takes to protect from pregnancy ? | Hi Welcome to HCM Saheli is a weekly oral contraception pill but has to be started twice weekly for 12 weeks and then onward it is once weekly. After the periods end, during the next 7 days, there is no ovulation and hence conception do not occur. The week after these days are the ideal days for conception and then again the week before the cycles not for conception. As you are having you wedding at the time of your periods have ended, so you can have a safe intercourse without taking any pill however on the 6th day you can start taking it. fix two days a week for atleast 12 days for pill taking days. Best of luck for your newlife. Thanks Regards |
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