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Severe anaphylatic reaction due to a red color insect bite. Medicine or desensitization procedure ?
i dr AAAAAA working as a professor inskin department in jamnagar in gujarat am suffering from anaphylatic reaction caused due to the biting of any red coloured insect like red wasp,red honey bee or red big ant. severe anaphylatic reaction develops within 5 minutes of the biting the sympoms are BP falls less than 40,angiodema develops,difficulty in breathing ,bronchospasm develops and severe abdominal pain occurs this hypersensitivity has developed since last 2 years and in the last two years it has happened three times please suggest some medicine or desensitization of this waiting for a positive reply thanking you, Dr.AAAAA(MD skin) | It seems like your prakruti is sam pittaj vata. This is giving some physiological problems with blood after bite.Solution= 1)Take Kaishore guggule 2 tab with milk twice(mor+eve) 2)Apply narayan/coconut oil on the infecteed area. 3) Avoid spicy things+hot beverages. 4)Take munnaka(10) at bed time. Your hyper sensitivity also relates with stomach.This remedy will help u out. | |
What causes pain and burning sensation in the groin?
I woke up this morning with a severe pain and burning sensation in my left groin. It has eased slightly but every so often produces a fierce dull pain. The skin feels almost as if it is sunburnt. I have been unwell with nausea and stomach pains for the past 5 days and the doctor is sending me for a test for helicobacter. I doubt this is connected. I have not exercised for over a week due to illness so the pain cannot be a strain. Please advise me, I am 46 year old female with no health issues. I dont smoke but drink fairly often. | In my opinion you are experiencing ilieofemoral artery thrombosis, i recommend a doplar to check it Good Luck | |
Q. My daughter's central incisor is protruded. How can I get this corrected?
Hi doctor, My daughter is 10 years old. She has one central incisor protruded and the other is inside and one lateral that has not come out fully and another lateral is normal. How can I get this corrected? | Hi. Till one year, do not do anything, that means until she crosses 11 years of age. Most of the times, this ugly duckling stage (we call it in medical terms) is corrected by the fully erupted canines. At this stage, if you do anything or start any treatment, it may hamper the development of her jaw. So, wait for a year and a half and decide after that too. You can also upload her bite photos, both in open mouth and closed so that I may provide you a better opinion. For more information consult a dentist online --> | |
Are there any alternates for dialysis?
Dear Doctors,Good Day. I would like to ask if there is a possibility to stop the dialysis? My brother in law, 34 years old, has started his dialysis last August 2010. His dialysis is done twice a weak. His Kidney ultrasound report are Both Kidney are small in size with relatively smooth outlines. Renal parenchymas appear isoechoic to slightly hyperechoic relative to the liver and spleen with fairly defined cortico - medullary demarcation. Both pelvocalyceal systems are not dilated. No focal lesions, calcifications nor calculi seen. The ureters are not visualized 9not significantly dilated). The urinary bladder is adequately distended with smooth mucosal lining. No intraluminal echoes noted. Impression: bilateral Chronic Renal Parenchymal disease and Sonographically normal urinary bladder. How serious is his condition? Is still there's a possiblity that he can recover and stop the dialysis. but as we are observed his condition become worse. He is suffering for difficulty in breathing as well as a cough that last more than months already. His hemoglobin is sometimes dropping down and we need to transfused him blood. His transfusion is as often as 2 bags per month. Please help us understand his condition. Thank you very much | HelloThanks for query .The ultrasound report and clinical symptoms that your brother in law has suggests that he has Chronic Renal Paranchymal disease in a broad common term called as kidney failure.The function of the kidney is to excrete out waste products of protein metabolism (Creatinine and Uria ) out of our body through urine .Once the kidney function is deranged these waste product are retained in blood causing all the symptoms and reason for general poor health.The dialysis works as a substitute to kidney and temporarily drained out these waste products out of the body and has to be repeated at frequent interval depending on the level of these waste products (Urea and Creatinine ) in the blood .Since kidney damage is irreversible it can not be cured by medicine .The only other permanent option to avoid dialysis is Renal transplant surgery .where by a normal functioning kidney from a healthy donor is transplanted in patients body which carries out the function of kidney to have normal healthy life. .Dr.Patil. | |
What causes weakness in right hand and swollen arm?
My daughter is 13 and has unexplained weakness in her right hand. There is very slight swelling and her arm feels cooler than the left. Pedicatrician has set us up for Neurological eam at Children s in Pittsburgh. Is there anything thta has symptoms like this | HelloThanks for your questionWell weakness in right hand can be caused by many causes,for eg neuropathy,myopathy,ganglion cyst,huntington's.So very necessary to get throughly examined.Probably nerve conduction studies,MRI investiagtions will be necessary.regardsdr karthik | |
What causes long periods after taking birth control pills?
Hello, I just got married 2 months back and took a birth control pill (ipill) for the first time. My periods were fine for the first month, however m having more than 10 days bleeding for my second period. My gynaec is out of town so cannot consult. Is it ok?? How long will it continue? | Hallow Dear,I-pill is a Progestational medicine. After its consumption, some amount of bleeding is known to occur few days later. The subsequent menses after also are known to get delayed - up to about a week or so. However, this is known only for the menses subsequent to the consumption of I-pill. If you are having continued bleeding for more than 10 days 2 months after the consumption of I-pill, it is not due to I-pill, mostly you have developed hormonal imbalance. Please take some Progestational preparation like Deviry to stop the bleeding after which, you may discontinue the pills. Within 4-7 days after discontinuation of the pills, you will again get some withdrawal bleeding which will be od o controlled degree and will stop within few days. Please report to Gynaecologist.I hope this helps you. Dr. Nishikant Shrotri | |
Can hereditary spastic paraplegia affect PSA levels? Have prostate cancer
Is there any possibility that Hereditary spastic paraplegia can effect PSA levels? I have been diagnosed with Prostate Cancer . My urologist indicated that he found a small amount of Cancer in my biopsy,so I am having a prostatectomy in Oct. My PSA is 41 and he is unable to determine why it is so high. I have had an MRI, a CT scan, and a bone scan and they were all negative. The PSA is the driving force for his request that I have the surgery. | Hi! welcome to HCM! Hereditary spastic paraplegia does not effect PSA levels PSA or Prostate-specific antigen, is a protein produced by cells of the prostate gland.The higher a man’s PSA level, the more likely it is that he has prostate cancer however some men who have prostate cancer do not have elevated PSA. In addition to prostate cancer, a number of benign (not cancerous) conditions can cause a man’s PSA level to rise. The most frequent are prostatitis and benign prostatic hyperplasia (BPH) or a urinary tract infection. If a man who has no symptoms of prostate cancer but has an elevated PSA level, the doctor may recommend another PSA test to confirm. If a man’s PSA level continues to rise or if a suspicious lump is detected during a DRE, the doctor may recommend imaging such as a transrectal ultrasound, x-rays, or cystoscopy a prostate biopsy. Your PSA is high due to prostate disease itself hope your queries are answered take care! | |
What could bronchitis with back pain suggest?
I have had bronchitis and the other day I experienced severe pain in my lower back on the right side. If I lay down on my back and try to shift it feels like a spasm it is very painful. I can not stand up straight when I cough and it feels like I m being stabbed with a knife. I am scheduled for shoulder surgery for torn ligaments. | Hi,From history it seems that due to heavy cough bouts there might be having spasm of back muscles giving this pain particularly while having back movements.Take analgesic with muscle relaxant medicine to get relief.Apply hot application on the part.Go for treatment for bronchitis as well.Ok and take care. | |
Is blood in urine normal in case of kidney stones?
I am a 38 yr old female, I had abdominal pains, that it may be my ovaries, so i did go to the ER dept. found out I have a bladder infection and multiple kidney stones, this is my 3rd bout with stones, but today I noticed some blood in my urine .. Is this typical. The 1st two times i had no blood in my urine | Good Day and thank you for being with Healthcare Magic! Yes it is common for kidney stones to cause blood in the urine especially on top of a bladder infection since infections would make the lining of the kidneys and bladder to be friable. I advise you to consume plenty of water during this episode to wash out the bacteria and the blood. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: I would gladly help you. Best wishes. | |
Could the cramping be implementation cramps?
Hi, my husband and I are TTC. We had sex Friday/Sunday/Tuesday/Thursday/Saturday this past week. I should have ovulated sometime between Wednesday and Yesterday. I have been very bloated and cramping slightly all week. Could these be implantation cramps? | Hello dearI understand your concernImplantation bleeding and cramp occur around the time of the menstrual period.It is very early to tell about the implantation cramp.Your symptoms could be due to ovulation, hormone imbalance.Wait for the period to come. If period will delay by more than 8-10 days then go for urine pregnancy test and or blood HCG to confirm the pregnancy.Take tablet meftals spas for crampTablet Gas-X Take small frequent meal, drink plenty of water and do regular exerciseHope this may help youContact further if follow up neededBest regardsDr. Sagar | |
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 --> | |
Purple bruise near ankle and hard vein after accidentally hitting shin. Should I be concerned?
A bout 5 days ago at work, I accidentally kicked my leg into a sawhorse right on the shin. I believe I ruptured a large vein (I have an athletic build and have large veins that pop out), it swelled to what looked like a half inch around. Yesterday I noticed a small purple bruiselike spot lower toward my ankle. Today the bruiselike spot is bigger, and the vein is hard to the touch. Should I be concerned? | Hello. You need to get this checked out since in may not just be a simple bruise--it could indicate a deep venous thrombosis--a clot in a leg vein--and, untreated, that can lead to a life-threatening pulmonary embolus. You need to see a doctor right away for Doppler venous flow studies of the leg | |
What does prolonged pain in humerus bone and leg indicate?
I have had pain in my right arm (humerus bone) going on 3 weeks now. I first had a sore neck and then the pain traveled to my right arm. The pain does not go away. I also get pain that switches from leg to leg that it is so bad it wakes me up in the middle of the night. when I'm sitting for a long time, when I go to get up my right hip hurts really bad. | Hi,As per the history, it seems like you are suffering from cervical spondilitis. It is a condition where a nerve gets impinched along its route. Use hot pack twice a day and apply any topical pain relief gel or spray it will decrease pain. And for back your pain can be attributed to lumbar spondilitis. So use lumbar corset while travelling, sleep on hard bed and use butterfly pillow at neck, do care about your sitting position, standing habits as wrong ergonomics worsens the situation. Drink lot of fluids and have green vegetables. Have vit b12 supplements (as vit b 12 is considered as nerve tonic).Hope you find the answer useful. Let me know if I can assist you further.Regards, Dr. Harsh Swarup | |
Suggest treatment for radiating knee stiffens with pain
I have knee problems with osteo arithitus. This has now progressed to my other knee but with different symptoms. Early morning alls ok. After about 5 hours my knee stiffens with pain when I move right to left. X-rays show just normal wear and tear but could this be due to a fragment of cartridge moving in the knee that the X-ray hasn t detected?. | HelloI appreciate your concern This could be due to osteoarthritis rheumatoid arthritis or ligament injuryTo help you better I would like further information likeIs there pain in any other associated jointdegree of morning stiffness Any aggravating or relieving factor if you could identify any In my opinion you should consult a orthopaedic doctor for examination and an MRI of the kneemeanwhile you can take pain killers like ibuprofen or diclofenacPhysiotherapy will definitely help you Waiting for your reply wish you good health | |
Suggest treatment for dizziness and high BP
Hi I am a 33 year old with dizziness, ha s and HTN over the last week. A am a RN and took my BP with a automatic cuff 174/106 after expereriencing dizziness and HA and episode of nausea. I immediately called clinic and was seen but BP had gone down to 136/102. They did an EKG, UA a/HCG and labs-all of which were normal. I am healthy, 33 y/o, work out 4-5 days a week, 5 9, 147 lbs and only take BCP s. My mom has HTN but is also overweight. I am not stressed. They thought I had BBBV or a migraine. But my HA was not that bad (it was no migraine). Why would my BP be elevated with BPPV? I saw a PA who did not seem to think it was a biggie having my BP that high. My BP s since then have gone done to 140 s/upper 90 s. I know in the past my BP is usually high when I get seen because I am really sick or in pain. For all I know I could have been having elevated BP for some time now......any ideas. Dizziness is still there a little (not as bad) was able to work out, slight HA, BP 145/98. Thanks concerned RN | Hello, As what I understand from the history is that the dizziness and nausea feeling is due to vertigo. As both are inter related and are due HMF. The nausea feeling can be triggered by Chemoreceptor trigger zone due to vertigo. Since you mentioned you Blood pressure was high on a digital monitor at home, was it same way measured digitally at the physician centre? If not than did you follow the correct way of measuring the blood pressure? like taking rest in lying position for 30 minutes before taking the blood pressure? also was this measurement of blood pressure happened in sitting position as soon as you reached the physician centre? which arm was showing signs of high blood Pressure the right or the left? Many things are unanswered in the history. but as you mentioned about your age as in the early 30s and you are a good physical workout kind of person , ignore this high blood pressure every now and then as it may be fluctuating in the time of the day. If we have to confirm you are having a high blood pressure than we need to follow the basic principle and also have to check you on a sphygmomanometer along with Echocardiogram and Electrocardiogram with some blood routine. Also, there should be some clinical symptoms before confirming you are having hypertension. As what I feel is your blood Pressure is not the concern and the concern is the BPPV. You need to meet up a good neuro physiotherapist so an exercise prescription is provided which should help you. In my clinical practice of 12 years I have been coming across such cases of vertigo and that is dealt with proper assessment and examination. Most have been having on their early 30s lowered the blood Pressure and also the symptoms of vertigo with a precise exercise prescription and vertigo medication. I wish you good luck and request you to stay calm and follow the guidelines of exercise. You should do well. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Suggest alternate medicine for Hypnodorm for sleep disorder
I have taken Hypnodorm to help me sleep for ten years. my doctor says I will not be able to continue taking them. What alternative do I have. When I try to sleep without hypnodorm, I get no sleep at all, abviously I am addicted to them and I am finding it very difficult to get off them. | Hi welcome to HCM I have gone through your query.regarding your sleep disorder .Insomnia is a relatively common sleeping disorder, affecting about one-third of the adult population worldwide. As you know our sleep disorder is not only a sleep factor ,is much more than that Sleep depends on how strong is our mental health .Your physical health is just as Important as your mental health and both can influence each other. So it is vital to keep your self healthy .Gulping on medicine will not work in any health problem Not even in INSOMNIA unless you take care for your life style ,food habits & exercise .Common problems with sleep are often easily addressed without the use of medication -for insomnia, there are effective steps you can take. Taking your mind off the problem can help to relax you and may help you to fall back asleep. Check your pillow and mattress .Is it comfortable ? Keep a gap of 1-2 hours in dinner and bedtime . Take light meals .Take a T spoon of almond oil and 1/2 spoon Turmeric powder With cup of hot milk strengthens mental power gives resistance against diseases .Avoid caffeine and alcohol, especially before bedtime - both can increase night time urination and increase sleep disturbances . Reactions of medicines also cause insomnia . If you can't sleep because of thoughts hovering on your mind, try the Relaxing Breath - DEEP BREATHING FOR SOOTHING MIND . it can help you put aside the thoughts that are keeping you awake. A few stretches can help with sleep aid, too .Meditation also helps to induce positive thoughts & brings sleep . Regular exercise , Walk , intake of healthy natural diet containing all (fiber , veges, fruit in natural form minerals & vitamins) essential nutrients helps a lot by helping metabolism to strengthen our immune system to help us stay healthy disease free life . Life is like a wheel ,if 1 spoke is displaced , movement of wheel is imbalanced same is the case with us . If our body is not healthy ,our mind will be unhealthy.And we face disturbed sleep .So, we must work for improving total health for happy, heathy,disease free life preferably without being dependent on meds , for small issues ..You can take Homeopathic Nux Vomica 30 /1 dose at bed time /7 days Kali phos daily / morning & eveninghope this will help solve your query Take care .All the bestDon,t hestate tocome back for any further query . | |
Q. Please suggest Ayurvedic treatment for broncho asthma.
Hello doctor,I am 28-year-old and suffering from broncho asthma for six years. My chest reports are clear, but often I suffer during respiration. I am using Seroflo 125 of Cipla. I often face a problem of breathing. Please advise me the Ayurvedic medicine to get out of this problem permanently. | Hello. Bronchial asthma is an autoinflammatory reaction of your lung to allergens. Allergens can vary from climate to food habits. Initially, you will have to take steps in skipping those trigger factors which are responsible for asthma. Certain food items can trigger asthma. Usually, these are hard to identify as the reaction comes probably after a day or two. At this stage, however, I suggest you begin the intake of two medicines. They are as follows. 1. Agasthya Rasayana one teaspoon twice daily after food. 2. Kanakasava 30 ml twice daily after food. Follow these for two weeks and follow-up regularly for absolute heal. | |
Abdominal pain, dizziness. Diagnosed with anemia
Hi I have the last few weeks had a sharp pain in my upper abdoman (centre) and a dull pain on the side, changing from left to right..just under my chest/ribs I also feel dizzy and like im a bit drunk... I have see a doctor who says im aneamic and also referred me for a gastroscopy but im really worried its somethign that can t be seen with this camera.. | thank you.upper abdominal pain with anemia indicate some disease of upper GIT.peptic ulcer disease is the most possibility. have you any history of vomiting out of blood or passage of black tarry stool ? gastroscopy is confirmatory for this. serology for h.pylori may be done. if these are inconclusive then other inv.should be considered like USG of abdomen. dizziness is due to anemia.you have to check Hb level also. | |
Suggest treatment for clot due to a fall down
Hi Doc, I tripped on my wooden stairs and hit my shin about two inches below the knee and believe that I hit a vein due to the bruising. It happened a week ago and is still really sensitive to the touch, also if I stamp my leg down hard it feels as if there is fluid moving around the wounded area. Should I worry about a travelling clot? | Hi, dearI have gone through your question. I can understand your concern. You have history of trauma. It leads to hematoma and oedema formation. So you feels like that. You should go for X ray of that part once. If you don't have any bone injury then no need to worry. Wound will heal within few days. If you have any fractures then consult orthopedic surgeon 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 does normal PET scan in a person with malignant ascites indicate?
A family friend of mine has been diagnosed with malignant ascites with no definite location of cancer. She s being bounced around from DR to DR. They suspect stomach cancer but her PET scan showed no hot spots. I am trying to help her through this process. We are just confused as to the cause of it. She has an extreme ulcer that she has been dealing with for a year. Original biopsy of ulcer came back negative. They are doing another endoscopy this week with ultrasound and deeper biopsy. She has lost over 60lbs this year and severe muscle mass. Nobody will give her an answer or outlook. Everything I m reading online states that malignant ascites has a bad prognosis. But why doesn t anything show up on a PET scan? | Hi.Thanks for your query and history.Read and understood your concern for your friend with malignant ascites.I hope the fluid from abdomen shows cancer cells as a confirmed diagnosis.PET scam has its own limitations, it may not show up everything.Malignant ascites means stage 4 disease and mrefs palliative treatment.Some anticancer injections are available to be instilled in the abdominal cavity to help the patient.Take her to the cancer hospital for further advise and care. | |
Suggest treatment for elevated liver enzymes in a child
I am writing this for my 19 months old grant daughter who undergone a surgary for Bilary Atresia on 21st Jan 2010. She was undrer medication UDCA 25mg syrup besides vitamin suppliments. In Nov 2010 doctors discontinued all the medicines because the blood test report was good. Bilurubin level was very normal. Now her SGOTlevel is 146, SGPT 217 and Alkaline 464 which are three times more than what was on 17th Feb 2011. Bilirubin and other blood results are normal. Kindly advise what we have to do. Thanks. M.O.Cheriyan | HI...nothing to worry about this if the bilirubin and other parameters are normal. More important the blood tests is the kids general appearance, growth and development. If this is normal, nothing to worry about this.Regards - Dr. Sumanth | |
Suggest a natural alternative to Adderall
Hello.....is there a safer or more natural way to adderall? I have my 11 year old daughter taking 30mg of adderall a day and I don t like the side affects she is having. Please let me know if there is something better or without as many side affects. Thank you.....sincerely a cmoncerned father. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I have reviewed your query and here is my advice. There are a number of medications used for treatment of ADHD in children. Of these medicines, the stimulants are the most frequently prescribed and are usually the most effective. There are two kinds of stimulants: Adderall is an example of one kind and Ritalin is an example of the other kind. While it is true that both kinds can have the same side effects, because a child has side effects with Adderall does NOT mean she will experience them with the Ritalin. If you have any further questions, I will be happy to help. Arnold Zedd, MD, FAAP | |
Suggest treatment for severe pain and numbness in the arm
Hi, my name is maria, I am 42 years old. I weigh 43 pounds, I live a healthy lifestyle and exercise at least 5 days a week. Last night, I woke up in the middle of the night due to a discomfort I had in my right arm. Half of my arm was completely numb, I could not move it and had to hold it with my left hand. This is the second time this happens to me, except last time the numb came all the way from my shoulder. The first incident was a year ago. I can still feel my arm somehow uncomfortable and I am scared it will happen again. | HelloSevere pain and numbness in the arm may be related to cervical spine.Your condition need proper clinical examination and investigations.You may need X-ray of cervical spine (AP/Lateral view).X-ray is basic investigation after clinical evaluation.You may also need MRI of cervical spine.Pain may be related to nerve roots compression,disc prolapse etc.Only MRI can evaluate in detail.Physiotherapy or surgery requirement depend upon findings.Get well soon.Take careDr.Indu Bhushan | |
Pregnant, dental abscess. Given amoxicillin tablet. Advice?
I have the start of a dental abscess, I went to the doctor yesterday as I can't get an appointment to see the dentist until next week. The doctor gave me a 5 day course of amoxocillin . This morning I have woken up still in pain and with a numb tingling tounge. Are the two connected? I'm 34 weeks pregnant should I seek further medical advice? | Hello,Thanks for writing to us.Abscess associated with tooth has to be drained and curetted as soon possible.If left untreated,pus can drain into sinus spaces too.Maintain oral hygiene well.Antibiotics can relieve pain temporarily.Take care. | |
Would it be prudent to test liver function?
would it be prudent to test liver function (blood test) -- given Lipase has been trending upwards (just above normal) Amylase trending lower (although in range), vitamin D -- low requested to take supplements, and EUS performed was normal. I m thinking these results could be related to liver, am I on the right track? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. First of all I would like to know about your symptoms. Lipase and Amylase are typically elevated three times above normal in acute pancreatitis. Liver function tests should be done only if indicated. Just above normal Lipase levels is not an indication. Will like to get back to you with more details of your health issue. Hope I have answered your query. Let me know if I can assist you further. | |
What is the solution for cold and running nose in baby?
my younger baby is one and half old. she have cold running nose twice in a month but there is no solution for that please prescribe some medicines. currently given medicines are levolin, relent. if the cold is severe we have to nebulize 2times per day does nebulization is good for my baby. | Hi...Thank you for consulting in Health Care magic. Greetings from Chennai.By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever?If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing and I suggest you meet a paediatric pulmonologist who is near your place. Or you can get back to me with answers to above questions. You can approach me at the following link. Please find the link below - www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696 | |
Need advice on Dentistry practice.
I'm a student and interested in learning Dentistry. People says that learning dentistry is much easier than medics. Is that true? Also, is the learning focus goes towards nerve , neuron and all that? I'm anticipate for the answer. Thanks a lot for reading this . I appreciate if Dr gives me a reply back. Thanks again. | thanks for your query. this is a health care service. but i would like to say, dentistry is not so easy. first you should know medical subjects and the dentistry. its vast than medical subject. ya you are right it goes to the level of nerve neurons, nerve block...but you can learn dentistry... its really good.. | |
Dislocation of the jaw during filling
Once i went to a dentist to get my teeth filled. During filling i had to open my mouth wide. After some time i was not able to close my mouth. I got worried. Some how doctor brought it back to normal. He said you have dislocation of temperomandibular joint. Noe i donot have problem. But when i yawn i feel sound in the jaw. Doctor has told me not to open the mouth wide. | Hello Tulika, its not in a common practice that you gets your temporomendibular joint dislocated while doing filling by a dentist,but neither you nor your dentist is responsible for this,you just dont worry and take precaution for sometime like while yawning put your hand over the chin and force it so that your mouth dont get wide opened,massage both of your joints near the temple region with any massage oil that will help to strengthen mussles and ligament. Thanks and wish you a good health | |
What causes recurring sinus infections along with sudden facial pain?
HI my question is, I have been having sinus infections lately, more than usual. I went to my doctor a month ago about, she gave me antibiotics. It was cleared. But this Monday it came back. Not only that now I m having facial pain, in symptoms of a toothache? What is causing that.? | Hi, Thanks for posting in HCM. I understand your concern. Sinus infection is treated by administration of a course of antibiotics, which would eliminate the bacteria causing infection. However, until the mucosal ducts are cleared completely and facilitates easy drainage of mucous, you might experience facial pain. Kindly do the following to overcome the same. 1. Take steam inhalation twice daily. 2. Do salt water gargling twice daily. 3. Take syrup containing mucolytic agents like Ambroxol or Bromhexine. 4. Take analgesic medication like Ibuprofen after food when the pain does not subside by undertaking usual measures. Gradually, you should be able to overcome the problem. Avoid intake of cold items like cool drinks and ice creams. Hope the information provided would be helpful. Wish you good health. Regards, Dr.Ashakiran.S.MBBS.,MD. | |
Does foracort 400 possess any side effect for prolonged continuation?
Dear Sir, i am 36 year old male. having asthma from child hood. last 6 year i am using Foracort 400. mostly just i puff / day. some times i skipping that also. 5 months back i just consult with a allergic & asthma specialist Doctor, He suggest to use seroflo 125. once i am starting this instead of foracort, i felt very uncomfortable then again i continue with foracort. Sir, my query is that, if ther is any side effect causing of the continuous use of foracort. Thanks if any better and alternative medicine available. | Hello dear,Foracort consists of 2 medications:1. Budesonide- a glucocorticoid which controls the inflammatory process in the airways.2. Formoterol- a long acting bronchodilator.Since the medications are administered through inhalation, there is minimal risk of systemic side effects.Long term side effects may include symptoms like Palpitations, fluctuations in blood sugar or lipid profile, hoarseness of voice, oral thrush, etc.If you experience any of the above mentioned side effects, kindly seek medical attention.Alternately you can also use:1. MDI Seroflo 2 puffs twice a day.2. MDI Asthalin 2 puffs during acute episodes.Wishing you a good health.Take care. | |
Q. Is it safe to conceive at 40 years of age?
Hello doctor, I am 40 years old woman. My husband is 53 years old. Since I married late, is it safe to conceive now or will I face any health issues? If safe, then when should I have sex to conceive at the earliest? | Hi. There is risk involved for conceiving at this age. Age-related screening is needed before conception even if you both are healthy and do not have any problem. As long waited oocytes (eggs) will be involved in conception, there are a few tests for conception at this age to check baby either it is free from anomaly or not like chronic villus sampling, amniocentesis and double, triple or quadruple tests to check early conception for excluding fetal anomalies. I am not confirming any mishap but it is the only recommendation for lots of precautions. If you and your husband have been treated for any disease, better to take full treatment like thyroid or diabetes. Quit smoking, tobacco, alcohol and other recreational drugs. Start Folic acid 0.4 mg a day if you are not having any disease. If having diabetes or epilepsy, have 5 mg Folic acid per day. Detailed preconception counseling and precautions are required in case of any disease if you have, like for diabetes, you have to achieve specific HbA1c level. If it is high, it is too dangerous to get pregnant and would recommend to avoid it. Similarly, renal, eye check-up is needed and frequent sugar level monitoring as well. Similarly, Insulin is mostly recommended in pregnancy with Metformin but rest of the drugs are mostly avoided for a safe pregnancy and nice outcome. For more information consult an obstetrician and gynaecologist online --> | |
Could itching and puffy hands with history of having shellfish, iodine, novacaine allergy be due to using rubber gloves?
WHAT ARE THE SYMPTOMS OF LATEX ALLERGY? I PUT ON A PAIR OF NEW RUBBER GLOVES TO WASH SOME DISHES & MY HANDS STARTING ITCHING, SLIGHT PUFFINESS & I GUESS WHEN I TOOK THEM OFF I MIGHT HAVE RUBBED MY FACE & SIMILAR REACTION. I DO HAVE SHELLFISH, IODINE & NOVACAINE ALLERGIES & ALWAYS CARRY EPI PEN & BENADRYL. MANY THANKS! | Thanks for query.latex allergy may be of three types irritant contact,allergic contact,immediate allery reaction.The most serious reaction to latex. It can show up as rhinitis , conjunctivitis (pink eye), cramps, hives, and severe itching. It is rare, but symptoms may progress to include rapid heartbeat, tremors, chest pain, difficulty breathing, low blood pressure, anaphylactic shock.as you are saying that it happens everytimep you wear latex gloves.if the reaction subsides on its own.it might be of allergic contact dermatitis .try avoiding those and use alternate latex free gloves.if you do not have rapid breathing and rhinitis(running nose)you would not need epi .antihistamines would do well.regards | |
Suggest treatment for severe lower back pain
Hi, my name is Jeanette. I have been having horrible pain in my lower back, front and side of abdomen. My stool looks very strange to me. Very string like, and noticed things in my stool that resemble a sunflower seed. It smells really bad too. I haven't had my period in over two months. I'm definitely not pregnant. I'm worried I have a parasite.... what is going on with me???? Please help??? | Do not worry. Only if you can rely please take the help of Ayurvedic measures.First of all clean the bowels by some herbal purgative, for three days.Then take some herbal digestive and appetizer.Eat very light and fiber diet.If you can do at home, please take a tsp of dried ginger powder and 1 tsp of baking sida 1 tsp Isabgul husk, (1 tsp of Bael powder if available) . Mix it well in one or two tsp of honey.1/2 qty in the morning and half qty in the evening, followed by hot water drink will clear your intestines and smooth GIT action may start.Additionally 1/2 tsp of turmeric powder in warm milk or water twice a day will help her a lot.Hope it helps. | |
Neurofibromatosis type one, back, neck pain, tingling, high pulse rate. Treatment?
I am a 23yr old female i have neurofibromatosis type 1 and have had a lot of pain in back of meck down to middle of my back. Both my upper and lower extremeties have been getting discolored and i have had painful tingling as well. My blood pressure has stayed between 112/88 and 126/93 but my heart rate has been between 115&130 should i see a doctor? Im not on any meds | Dear Kgriffith07 Neurofibromatosis predispose to formation of neurofibromas and discolouration of the skin. Please get yourself evaluated by a physician and you may have to get MRI Spine done to evaluate the cause of your neck and back pain which my be due to Neurofibromas. Skin changes are part of spectrum of the disease but they need to seen by a dermatologist before we blame NF for the same. | |
What are the withdrawal symptoms of prodep?
hi dr,i am using prodep 10mg last six month. i am 42 years female. but i am facing lot of side effects,like,weight gainig,heavy hair loss,sleepless,brest enlargement,vomiting sensation,etc...what can i do now? i want to quit the med. what are the withdrawel symptoms? how to get rid of this. | HiThanks for using healthcare magicProdep contains fluoxetine and its elimination half life is 36 hours. In that case, if you stop it immediately, you would not get any withdrawal symptoms. If you get any withdrawal symptoms in form of anxiety, you can take clonazepam on sos basis. Rest, you can discuss with your psychiatrist. In case, you need my help, you can ask.Thanks | |
What causes a vibrating feeling in the pelvic region?
I have a weird "vibrating" feeling in my pelvic area, rhytmic, some times the feeling lasts longer than other times. It´s not always on the same place. And feels much more intense than a twich in the eye. Can someone tell me what this is? My OBGYN didn't care to answer. | Hello,answering about "weird" symptoms is not very easy without clinical examination but I'll try to answer in the best possible way.No internal organ is supposed to make you feel "vibrations" but the intestine. Bowel movements may feel like that sometimes, they are commonly felt for a few seconds or even less and they won't generally cause that much discomfort.Some patients are more sensitive than others regarding bowel complaints and you haven't mentioned whether this symptom affects your life significantly or not. I'll have to assume that this is just a strange vibrating sensation (like if you had your mobile phone attached to your belt) that goes away before it starts to bother you.If this is your case then you don't have to worry about it.Otherwise please, ask again, being more specific this time. Please include all the details (how long does it last, is there something that relieves or aggravates it, is it always pelvic, is it always rhythmic, is it painful, are there any associated symptoms).I hope I've helped!If you'd like more information, please let me know.Kind Regards! | |
Suggest remedy to get rid of teeth getting yellowish
okay doctor sahib, i hope that u will be fine there, kindly help me in this matter that my teeth are yellowish day by day ,i used all kind of medicated tooth paste & maswak but not okay ,there4 plz give me a good suggestion for better health care, i m waiting 4 ur kind response,ur best frien shaheen jan | Thanks for using Health Care Magic.Read your query.Yellowish color of the teeth can be due to many factors including improper brushing ,heavy intake of caffeine drinks,also due to increase in age and many others.I would advice you to visit your local dentist and get your teeth cleaned and polished.Follow the post cleaning instructions with proper brushing and flossing.Use antiseptic mouth was for a while.Hope this was helpful.Thanks and warm regards. | |
Suggest treatment for tingling sensation in the left thumb
Symptoms: Weakness of left arm and leg. Tingling in my left thumb and sometimes all the left fingers. Extreme fatigure with very little physical activity. Balance, dizziness, tripping. Dropping things. Significant difficulty in swallowing, I just can t initiate the swallowing process. Lack of dexterity in all physical activities. | Hello,What I can infer from your complaints is that you should get yourself evaluated by your physician at the earliest.The complaints what you have described needs a physical assessment by a healthcare professional.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Santosh S Jeevannavar | |
Can prolonged intake of various drugs cause swelling in various parts of body?
I m experiencing a lot of knee, calf, ankle and foot swelling in both legs and feet recently , has been going on for approx. 3 weeks and getting very very painful to walk. Could this be a drug side effect just starting after prolonged use of various pain and nerve meds? | Hi, Yes, there is drugs that cause this symptoms with the prolonged use of them, like statins which is used to lower blood cholesterol levels. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist | |
Hemangioma on liver, bloating, nausea, fatigue. Undergoing fertility treatment. Should it be removed?
I have a 4.7cm hemangioma on my liver causing discomfort under my ribs and through my back. I am bloated, nauseous, and fatigued. I am also doing fertility treatment s but am currently in a waiting phase and am not on any hormones or medications. Should this hemangioma be addressed or removed before I start back up on my fertility treatments? | Dear Ma'am,Sorry to hear about your problem. Hemangiomas are very common in the liver and they require treatment only if they are symptomatic. There are certain types of hemangiomas which increase in size with hormonal treatment. In your case the lesion is quite big and requires surgery. You should consult a surgeon and have it evaluated.Hoping for the best. | |
Will Duphaston help conceiving?
i am married .i m trying for baby. last month i got my periods before 14 days . i went to doctor,she said i m not pregnant & she suggested me Duphaston for period on time. today is my 8 day of duphaston but no periods yet. & i have also PCOS problem. Duphaston are good for pregnency? | Hallow Dear, As your doctor has very rightly informed you, Duphaston will help you get your menses. If you are not pregnant, you should get withdrawal bleeding within 4-7 days after consuming the required adequate dosage of Duphaston. If even after Duphaston you have not got the withdrawal bleeding even after 8 days, consider the following possibilities: 1. You may be pregnant. Please perform pregnancy test on the overnight first morning urine sample. By this time, the test results are reliable. 2. You might have taken Duphaston in insufficient dosage and/or for less number of days. Please get the schedule confirmed from your Gynaecologist. Duphaston for only one day will not cause desired withdrawal bleeding. Later, you will have to report to a Gynaecologist for management of PCOS. PCOS is characterised by irregular menses with infertility. I hope this will help you. Dr. Nishikant Shrotri | |
Q. I am allergic to Levonorgestrel. How do I take Plan B?
Hello doctor, I am a 20 year old female, who weighs 140 lbs and 5.6 feet tall. I am allergic to Levonorgestrel, and I want to take Plan B. What will happen if I do take it? I developed a rash in high school after using pure Progesterone cream. | Hello. Do let me know the main indication, and I can guide you accordingly. Revert with more information to an allergy specialist online --> | |
Suggest remedy to cure high fever and vomiting in 4-year-old
hi i have 4 year old which has had a high fever and slight vomitting since friday,i ve taken her to her pediatrician twice and the er last night and all they did was a urinanalys and said she doesnt have a uti, she doesnt like nething oral and will throw up if forced to take it she only wants water so i cant mix nething in it, and she currently has a fever of 103.7 ive been giving her feverall suppositories everyday to help with the fever, it was gone all day today and then it suddenly came back she s barely eating and onloy drinks here and there | Visit Pathology Lab for Complete Blood Count and then show your investigaion. then tell me what will report of it. i will give proper treatment guidelines to treat your child. dont worry. dont be panic. give oral rehydration solutions if she dont take any liquid or diet. for fever if she is not taking oral then kindly go for IntraVenous or Intra lMuscular Injection treatment. | |
What is the ideal blood pressure?
I am a dialysis patient with a history of low blood pressure (80s, 90s) after needles are pulled from my arm. There are times when I have low bp but do not feel headaches, dizziness, or stomach discomfort. What is the ideal bp to let me go out at? 82 systolic ? thank you ….gg | Hello, SirWelcome to healthcaremagic.I can certainly understand your concern.I have worked through your query in detail.Considering your medical history and current blood pressure values, Its important to maintain the blood pressure in the range of 100 to 120 / 70 -90 mm of Hg in the safety zone to avoid dizziness while you go out.It is advisable to keep your blood pressure under control through appropriate medication and avoid excessive intake of salt and spicy food stuff.Routine monitoring of blood pressure twice a week is mandatory.Please check with your physician if he shares my view and if can prescribe these medications to you.Post your further queries if any.Thank you | |
What causes throat congestion along with pain in the eyes and face?
for some years [ approximately 5 years] i awake up to clear bout Flem for an hour or so very morning . As of February the 8th I am constantly clearing my throat and spitting up flem and it is constant all day and night . My face and eyes hurt and I am totally worn out energy wise. I he tried to steam my self and anything that i think could work. also sneeze strongly bout 10 times in a row. | Hello,I have gone through your query regarding throat congestion along with pain in the eyes and face. These are the very common symptoms everybody suffers sometime or the other in life. The result of a post nasal drip irritating the throat, an infection by the whooping cough bacterium.Pollution is another major cause, when small particles set in our airways when we breathe in due to smoke and dust. Either cough can be triggered by cold air, movement, talking, change of temperature, or laughing.Expectorant may be clear, coloured, stringy, frothy or tacky. A nervous habit during times of anxiety, removing the cause will lead to recovery.In fact unpleasant though they are, coughs have a purpose, it is nature’s boon in way of recovery. They protect our lungs from unwanted particles, infection, and the build-up of secretions that would otherwise lead to pneumonia.They also act as a warning signal for several serious diseases. Antibiotics can be used to treat bacterial infection with your physician’s advice. Decongestants relieve nasal congestion by drying up the mucous.Care must be taken as decongestants can excessively dry the nasal mucous membranes, which leads to further swelling and congestion.Kunjal therapy with Salty Luke warm water, drink 4 to 5 glasses of this water and vomit it out helps cleansing all airways, lungs, chest congestion, paving the way to health.A pinch of Black pepper turmeric powder in spoon of honey thrice a day is soothing to throat and relieves from anxiety. Warm water with salt and few drops of lemon juice, will enhance fast recovery. Hope this helps solve your query. In case problem persists you must consult a specialist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Suchda | |
Q. Innermost teeth on bottom row seem to be rotting away. What exactly is happening?
Hello doctor,I had sensed my gums swelling up on the inside for a while and when I took a picture of it today, I saw my two innermost teeth on the bottom row seem to be rotting away. I wanted to understand what is happening to me before I go to a dentist. | Hello. I have seen the image (attachment removed to protect patient identity). These are the wisdom teeth and they have stains mostly because of smoking. There is no evidence of clinical cavity as for now, but can be confirmed after stain removal (scaling) and a clinical examination. The gums are swollen because of improper oral hygiene in that area (as the toothbrush cannot reach and clean properly there), food debris accumulation, and the traumatic bite, all causing inflammation of gums (gingivitis). For now, I suggest you do lukewarm water with salt gargling to reduce the inflammation in gums. If severe pain is there, then take a Paracetamol and do not chew anything hard on these surfaces. If the pain increases on chewing, the dentist can reduce the high points or the sharp points in the tooth surfaces in that area to give temporary relief. But, since you said it is occurring often, the permanent treatment is to get it removed (extracted) as this tooth is not much useful in chewing and in turn causes problems only. It is not an emergency. You can contact your dentist and plan it accordingly. And get a professional cleaning (scaling) once, to remove the stains and deposits and make your gums healthy and the teeth more esthetic. Take care. For more information consult a dentist online --> | |
CT scan shows cyst in liver. Had abdomen pain. Have a cyst wall irregularity. Have Vascular flow. Treatment?
I had a recent CT scan without contrast a few weeks ago of abdomen due to extreme pain- there was a simple cyst in liver detected measuring 2.8 x 2.8 x 3.0cm. I had a follow up ultrasound that showed hepatic cystic lesion within right lobe. There is thick septation within the cyst. There is cyst wall irregularity which may reflect additional septations which are not visualized in their entirety. Vascular flow is noted adjacent to the cyst. The radiologist is recommending tat I consider tissue sample due to complex character. | Hello, Thanks for the query to H.C.M. Forum. As in C T SCAN diagnosis , confirmed so only option is type of cyst and its cause. This is cyst with many septum. Most probably this type of cyst is known as Hydatid cyst and this is the most common cause of cyst in the liver. 2nd reason may be traumatic cyst ,but this type of cyst is usually large in size and without septum. Hydatid cyst usually due to a parasite either from pet dog or unripe salad . As you mentioned only cyst so very difficult to say something about the cause of cyst. Any how only liver biopsy will find out the exact cause, so consult a surgeon and get it done. Good luck. Dr. HET | |
On treatment for getting pregnant. Prescribed Thyroxine tablets. How does it help?
Hi i have been given the tablets such as Nitrofuranton 100mg , Thyroxine sodium TA & Clomisd which i need to take from the 4th day of the cycle as i m going through a treatment and havent conceived for the last 9 years though i conecievd once after marriage which i terminated just yesterday thyroxine tabs ws given does this help in conceving. Many Thanks Arti Kumar Mob # 679 999 6056 | Hello Thank you for your query. Firstly, if you are anxious for conceiving, I fail to understand why you terminated your pregnancy. Kindly provide the details for me to understand better. THyroxine is given to patients with hypothyroidism, if your TSH is elevated, in order to normalize thyroid function, as hypothyroidism can lead to infertility and abortions. Nitrofurantoin is an antibiotic given for urinary tract infections. Clomid is clomiphene which is given to induce ovulation in case you have difficulty in ovulating. However, it cannot be started immediately, as you mention that you terminated a pregnancy yesterday. Please provide complete and detailed history. Take care | |
What causes semen leakage while talking with wife?
I recently face semen leakage while chatting/talking with my wife. We got married recently 3 months back. My wife is in Pakistan and I am working in Singapore. I don't have any bad habits like smoking, consuming alcohol and not even girl friends. Please advice me some suggestions to stop that semen leakage | don't worry brother. it is not semen. it is just normal secretions of glands present below foreskin at the end of prepuce. nothing is abnormal in that . this secreation occurs in some excited stage and before sex. so don't worry. hope my answer is thankful and helpful to you. take care and have a healthy life. | |
Q. I wake up every morning with extreme tiredness, mild headache, feeling very sleepy and have no interest in work. Please give me advice.
Hi, I sleep at 10 PM at night and get up at 7 AM. I am getting adequate sleep. But for the last few days, I wake up very tired in the morning and this is causing me to sleep in office. Please give me advice regarding this. | Hi, Thanks for posting a query at icliniq. The problem you described can be caused by multiple factors. One of them is subclinical viral infection that wisely affects during change of season. This is generally also associated with generalized myalgia, easy fatigability and decreased interest in work. If these symptoms are present along with sleep problem, I advise you to wait for two weeks from the first day of your symptoms and if you have suffered more than two weeks by the time you raise a query that it is matter of concern. If you are overweight, you may be suffering from Obstructive Sleep Apnea (OSA) which causes hypersomnia during the day. OSA is characterized by snoring and cessation of breathing while sleeping. If your family members or room partner complain of snoring while you sleep then, this could be the reason for your symptoms. Another condition that presents with hypersomnia is depression. In this, people have unrefreshing sleep. Depression is also associated with increase or decrease of appetite, feeling sad, loss of self esteem, loss of pleasure in activities that were pleasurable in past to name a few. If any of these symptom criteria applies for you, then you need to meet a psychiatrist online or in person for further course of action. If all the above descriptions do not meet your other symptoms then please repost the query with more details such as your age, weight, duration of symptom, gender, any psychosexual stress in the recent past, sleep attacks, any medical history kind of medicines you received or receiving. I will help you with the direction. | |
Skin darkening, pigmentation. Using melacare cream, stopped usage. Alternative fairness treatment?
im XXXXXX im using melacare since 3 yrs. if i stop using it my skin tone is going dark before using i was fair but after using it i became more fair but if i stop im loosing my natural clr also im becoming so dark please do advise me any cream or help me out of this.i dont want addict to this cream... please help cant take this cream | dear homan1977 please stop using cream like this or with similar composition for such a long duration else you might suffer from a condition called topical steroid dependant facies continous use of topical steroid for long period will cause the skin to thin, with dryness, itching, pimples like lesions, excess hair growth , sensitivity to sun -- the list goes on we can help you get rid of the addicton but first please let me know - when was the last time you used this cream?? regards dr amit | |
Is it safe to take Vitamin K2 for calcification of aortic valve?
I m on 5mg of Coumadin for DVT. I recently had an Echo and it showed slight calcification of aortic valve, so should I be on Vitamin K2 and if so how much and I have read it should be MK4 not MK7? Is this true, K1 thins the blood and should not be used with Coumadin, but MK4 has nothing to do with blood thinning, but only with calcium regulation? | No form for vitamin should be taken while you are on coumarin analogue. Also the calcification on aortic valve is age related degeneration and no studies throughout Europe, America or Asia, have found it to reverse with vitamin k analogue, it's a fad and not backed by scientific data, so as a cardiologist I would ask you to refrain from it, as there is no evident benefit , and in your case it can harm. Regards Dr Priyank Mody | |
How many times i can have iv as i am suffering from iron def anemia?
i am suffering from iron def anaemia.i am having orofer fcm iv.dose of 1000mg atleast every alternate month.every time my Hb reaches 10 and falls to 8 or much lower.how many times i can have iv.I am a 53 yrs old lady.no mensus for last 6 months.earlier suffered from heavy periods. | Your HB levels fall because of earlier heavy periods. initially when you take orofer alternate month it will store iron in your body. once the storage is adequate it will cause your hb level to rise. storage of individual person varies so time also varies. so be patience and take treatment till full. thnx | |
Experiencing lower back pain which makes it very hard to stand for more than few minutes
I have lower back pain on my right side. It is very hard to stand in one place for more than a few minutes and bend and pick things up. Last week I had an episode where I couldn't move it at all without screaming in pain. That was an extreme but this has happened now about three times in the last two years. The pain standing and bending happens all of the time. I have RA and I am not interested in steroids or pain meds I just want this to stop. I am only 42 and I can no longer excersize like I used to. I have Florida Blue do I need a referral to see a back doctor? | Hello, Thanks for your query.It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis.The main treatment of such pain is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic.You can get the appropriate drugs prescribed from your Orthopedician after examination.Meanwhile you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.- Avoid exercises in times of pain. - Improvise your posture while sitting.- Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.Also, maintain a proper posture while working, sitting and standing. Keep your back straight. Physiotherapy plays a major role in treating such conditions.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
How to treat SLE?
Hello Doctor, i m 11 yrars old gir.i have sle problem since 6 months ,my height is 4'11" and current weight is 48kgs.i am using preduisulin 20mg in alternate day.But my anti ds dna is still positive.so plz what is the best solution 4 me plz give ur advice...thank | Dear Madam,Your treatment is right , anti ds DNA signifies the activity of lupus and it will take time to settle down.Dr. Shruti | |
What are the chances of pregnancy after having taken levonorgestrel?
Hi, My girlfriend and I had sex during her fertile days, she took levonorgestrel 0,75mg 17hrs after, and 12hrs later took the second dose, as the prescription says, what are the chances she will be pregnant? and I read that the following 5 to 10 days she may have little blood losses, it's that a signal that the pills will have made their work? o it's not a rule? Thanks. | Hi,Your girlfriend has taken Levonorgestrel well in stipulated time; hence she is well protected from the pregnancy due to this intercourse. However, please understand that this pill prevents the pregnancy from the unprotected intercourse performed 72 hours prior to the consumption of the pills. Any intercourse performed after the consumption of the pills is not protected by the previously taken pills. Each intercourse has to be protected by pills taken within 72 hours of the intercourse. Yes, what you have read is right. Few days after the consumption of the pills, some bleeding per vaginum may be experienced. Though it happens in most of the cases, some exceptions may be found. It is not an issue of concern and does not need any medical attention. Moreover, I would like to inform you about one more after effect of these pills. The period following the consumption of the pills may get delayed by few days to a week or so. So you may be prepared for it and do not get stress of such delay. I hope this resolves your query. Let me know if I can assist you further. Regards,Dr. Nishikant Shrotri | |
What causes a lump on the neck?
Hi, may I answer your health queries right now ? Please type your query here... I was just putting my 18 month old down for his nap and noticed that he has a huge lump on the left side of his neck, under his ear area. He had strep and a ear infection last tues. started antibiotic, he is still taking the meds, but today has a horrible stuffy and runny nose and cough. Should I have him seen for the lump? | welcome to Health care magic.The most possible cause of the lump is enlarged lymph node.Lymph nodes are enlarged after an infection / inflammatory process.Let the treatment gets over and see for reduction in size, is resolved after 1- 2 week of treatment well and good, if not - then needs to examine and scanned for any congenital abnormalities. For which you have to see paediatrician.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. | |
Does taking soy isoflavones during the cycle increase chances for twins?
hi i had a query about soy isoflavones . Lately i have read a lot of good stuff about it and claims that it is a natural form of clomid. Although i have no problems concieving , I have two kids both concieved in the first try ,i really have my heart set on having twins this time around . I want to know if taking soy isoflavones for the 5 days during my cycle help and increase my chances for twins......also i would like to mention that there is no history of twins in any of our families. | Hi, Thanks for the query. I understand your concern. Clomid is a drug which leads to stimulate follicular stimulating hormone FSH from pituitary gland .. stimulates maturity of follicle ( higher dose of the medicine can cause maturity of multiple follicles & cause twins/ triplets/ quadruplets & so on) .. These follicles secretes estrogen .. & on full maturity of ovum... estrogen stimulates Leutinizing hormone secretion by pituitary gland which is responsible for ovulation. Soy isoflavone are known to help in estrogen production by body ... & thereby helps ovulation. Somehow it is not proven to influence FSH secretion by pituitary for more follicles to mature... Some how Isoflavones action is unpredictable in this respect... so it's not sure to cause twin or triplet pregnancy like Clomid. In case you are willing for twin pregnancy you should consult a gynecologist & use either clomid or IUI for increased chance of success Thanks. | |
How should testicle tumor, abdomen and lung metastasis be managed post treatment?
hii doctor, i m a post-chemo patient of NS Germ Cell Tumour of left testicle, it also expanded to my abdomen and lungs, high inguil orchidectomy was done on 18th march 2009 in Tata Hospital Mumbai and I recieved four cycles of BEP chemo after the operation, in june 2009 my treatment was over and follow up was done thrice.. In the last follow-up CT SCAN and AFP TUMOUR MARKER TEST, all nodes of lungs and abdomen were completely resolved and AFP was 3.07 which was initially, 104.5, i m just worried about my vitality etc.. please chat to me and please suggest me or guide me.. | hello dear . I have gone though your details. Now you have been cured, you required surveillance which is done with the help of CT scan every 6 monthly and tumor markers every 3 monthly for initial 2 years. So keep visiting your doctor regularly and stay fit.thanks regards | |
What causes lower pelvic area pain with lower back and ilium pain?
I have a pain in the lower left pelvic area that includes a constant lower back pain, pain on the Ilium, and lower left pelvic to the bladder area, it keeps me up at night, sitting down makes it worse and I feel that I constantly have to rub the area to try to get rid of the pain. Its been going on for about 4 weeks now and gets worse on a daily base. | Hellowelcome to hcmwell the pain seems to be due to PIVD i.e prolapse inter vertebral disc which in turn causes spasm of the lower back muscles leading to pain in the areas u have mentioned...you need to get a MRI OF LUMBO-SACRAL REGION for the confirmation of diagnosis n in the mean time you can start the following treatment to get relief from pain(1) TABLET NUCOXIA-MR twice daily(2) CAPSULE MEGANEURON 1500 mcg once daily(3) put on a LUMBAR BELT while driving n doing other physical activities(4) HOT FOMENTATION 2-3 times daily in the regions of pain(5) if pain gets very severe get INJECTION THIOCHOLCHICOSIDE intra-muscularly twice dailyfor 3 daysRegardsDr Rahul | |
Took erythromycin for itchy throat. Had papillary thyroid cancer. How to get relief?
I have a very itchy throat. The MD gave me erythromycin 5 day course in early December. The med took care of the fever and phlegm . I m 43 years male old with a history of papillary thyroid cancer with thyroidectomy , in 2008 and Type 2 DM. I saw my ENT in the grocery store and he we talked at length and he said based on my description of symptoms he ruled out cancer. He did tell me to take omperazole but I haven t so far done. The itchy throat happens every 1/2 hour and last a minute. The itch is intense and relieved by coughing. No fever, phelgm, weakness just a an itchy throat that attacks at least once in an hour. Lying down does not relieve symptom. Thanks | Hi, Gastro intestinal reflux disorder (GERD) may be a cause. YOu should follow you ENT specialist's advice. Thyroid cancer to be followed with regular thyroglobulin assay and occasionally for radioiodine uptake scan. I dont know whether your radioiodine ablation treatment was done before or not. anyway you should visit your oncologist at regular interval. take care. | |
Q. My energy levels are low, and feel sad and cranky. What can I do?
Hello doctor, Lying all day not interested in literally anything, energy levels low, feel tired without any reasons, sad, cranky and not doing any work. This happens in cycles, might work for a day and then shut off for weeks doing nothing productive and feeling stuck. Been quite a long time experiencing this. Sometimes does not even change clothes and bathe for weeks and days. Also got hair chopped off for avoiding combing. No suicidal tendencies but cannot feel things and am upset most of the times. Unmoving. I mean like I do feel normal to good at times but I am largely unproductive and mostly feel that if I am happy for now the next day I am gonna feel down again. I badly want to come out of this and feel normal. I am a 20-years-old female. | Hi. You seem to be suffering from major depressive disorder. You need to take medication for your disorder and be active in your life. Try to do exercise daily like just go for walk for 30 to 45 minutes, take good food avoid junk food, take good sound sleep at least 6 to 8 hours, develop some creative hobbies like reading books, play some instrument, painting, writing, etc. You need to start SSRI group of medication like Sertraline 50 mg daily in morning after breakfast and for sleep disturbance take tablet Clonazepam 0.5 mg daily before bed. Do an investigation to rule out thyroid disorder, TSH (thyroid stimulating hormone) and serum B12 level for vitamin B12 deficiency. For more information consult a psychiatrist online --> | |
What causes pain in shoulder?
Hi I m 17, 5 9 ~145lbs, pretty healthy male. I was playing badminton earlier today and it seems like I popped/dislocated my shoulder. I thought it was just temporary so I took a 5min rest then went back to playing, a few minuted later it popped again. It hurts to stretch it or move it right now and I can t lift much with it. I didn t do anything after hurting it other than resting (I hear some people pop it back into place and other stuff like that, I didn t do and don t know how to do any of these things). Any tips? | Hello,A dislocation shoulder is very painful situation,on first instance one may be unable to get it normal without assistance of your doctor.It can be either a recurrent dislocation of shoulder or a rotator cuff injury.I will advise you to not to wait and consult to your orthopedic doctor for evaluation and treatment. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon | |
Feeling pressure in the upper stomach pain. Tenderness above belly button. No hernia detected. What else?
Hi. When I put pressure on my upper stomach, for instance bend down or kneel down. I get a knot above my stomach and feels like the outer layer of my stomach muscle is tightening up. It is very painful, I have to unbutton my pants and relax to relax my stomach. It takes several minutes for the pain to go away. I was admitted to Flagstaff Medical Center last week and they really couldnt find anything wrong with me. they said I did not have a hernia and possibly an ulcer. what else could cause this pain? My outter skin (about 2 inches above my belly button) is very tender to touch and I am afraid to put any pressure on the area. I may have another attack, which I call it. Help. | Hi and welcome to hCM. Well it sounds like abdominal wall issue,not intraabdominal especially if this is sensitive to touch. YOu should do ultrasound of this area to see is there any abscess formation, lipoma or muscle rupture. There can be intraabominal mass which presses abdominal wall but this is rare and more serious. If this is related to your digestion or more painful after meal then gastritis or GERD should be considered and ensdocopy should be done. I suggest to do tests i ve mentoned if symptoms persist. Wish you good health. | |
Have OCD, washing hands and bathing for a long time. Should my parents support me?
Hello doctor.I am a girl of 23 years old.I live in Mauritius.I have OCD since a long time and my life is like hell since a few years. Am really fed up and am not following any treatment because my parents feel this isn`t a problem and that am doing all those rituals like washing hands etc because all this is in my mind.They say one day i`ll definitely kill them because i always make them scream or angry due to my habits of washing hands and bathing for ling time.I really dnt knw what to do. Today my mum caught me washing my hands and arms and she was really angry and phoned a psychologist to take an appointment. Am happy actually that i can finally seek some help. But am afraid if the psychologist doesnt understand my problem then my parents will continue to blame me for everything.Plz tell me...am i a bad person if i have OCD?Should my parents support me if i have OCD? | hello welcome to health care magic Relax and don't worry. No you are not at all a bad person. Anyone can have any kind of problem in life. Your parents should definitely support you. Without family support, it will be difficult to get out of this problem. I advise you to take help of a psychiatrist as this condition is treatable with pharmacotherapy and psychotherapy. Good Luck Thanks | |
Q. What foods can my wife take to improve fertility?
Hello doctor, My wife is 24 years old and her height is 4'10" and weight is 61 kg. She is a bit overweight and also has PCOD problem. We got married 2 years back and she cannot get pregnant. Please send the diet chart to reduce her weight. What are all the foods that she can take to improve fertility? Thank you and looking forward for your reply. | Hello, Welcome back to icliniq.com. Thanks for your query. From your information, I got to know that she is obese. She needs to reduce approximately 6 kg. It is too much weight for her height but no worry she can reduce it by diet and some exercises. She needs very low calorie diet of about 1200 kilocalories a day. Rice intake has to be as low as 50 g as well as 50 g whole wheat. Carbohydrate group not more than 150 g. Only brown rice, brown breads, and more fiber containing products like whole grains to be taken. Take more vegetables from gourd family and 300 g fruits have to be taken. Reduce sugar intake to minimum 1 teaspoon per day or have less sweets. Avoid the following food items: She can take the following foods to reduce her weight: Should not sleep at daytime, maximum keep working and follow dynamic lifestyle. Yoga or mild home based exercises are very helpful. If she is not serious about her diet, activities and lifestyle then she would face more complications. Improper food habits and improper meal planning. 1. PCOD (polycystic ovarian disease). 2. Food habits. 1. Junk foods. 2. Foods containing high carbohydrate. 3. Wrong foodings. Very low cholesterol and a bland diet. Proper small but frequent balanced diet to be followed. | |
Suggest treatment for bronchitis and asthma
I have a 1 year and 5months old child whose suffering from bronchitis and asthma, one of the medicines the doctor prescribed was sinecod forte, I am worried because I just read the label stating that it shouldn t be administered to children under 3 years old..I want to my child to be cured but I don t want his health to be harmed as well.Thanks | Hi...Thank you for consulting in Health Care magic. Greetings from Chennai.By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does he cough or feel breathless?2. How many nights per month does his sleep get disturbed due to above symptoms?3. Does he feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever?If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing and I suggest you meet a paediatric pulmonologist who is near your place.Regards - Dr. Sumanth | |
Suggest treatment for hepatitis A
sir,my brother is suffering from hapatitis A. he is not taking anything except little pieces of apple, sugarcane, mineral water and coconut water. can he take steamed rice? i need suggestion regarding what he can take as a food.sincerely yoursS M KamalIndiae-mail: YYYY@YYYY | Hi, dearI have gone through your question. I can understand your concern. He has hepatitis A.Rest and diet control is very important for treatment. He should take low fat diet or fat free diet. High protein diet should be taken. Supplements of multivitamin tablets and liv 52 tablets are helpful. He can take steamed rise. He should take diet which are easily digestible. 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. | |
Suggest treatment to increase hemoglobin count
Hi sir my name is vinod, i have taken blood test of my mother recently her hemoglobin levels are very low i.e, 6.0 gms/dl rest all count is in normal range her age is 45 , what should i do now to improve the levels of hemoglobin and what are the consequences of it . | Hi, thanks for posting your concern in the HCM. Anemia has many types. According to the morphology of the red cells in the blood they are classified. Depending on the classification and a detailed history the treatment of anaemia is initiated. Anaemia may occur due to blood loss (acute or chronic), nutritional deficiency, chronic diseases e.g. renal or liver disease, inappropriate synthesis due to bone marrow abnormality, premature killing of the blood cells by phagocytic cells, heavy metal poisoning, infection, congenital problems and many others. But, for such low haemoglobin level, in patient management after hospitalization should be done. Blood transfusion may also be necessary. Immediate intervention is needed to prevent development of arrhythmia and heart failure. This condition should considered as an emergency and you should urgently visit the hematology OPD or ER of your local hospital for further evaluation and treatment to SAVE the LIFE of your mother. For any further query please write back. Regards. Dr. Kaushik | |
Having systemic lupus. Ultra sound of kidney shows microhematuria. Should I get the x-ray done?
Hello. I have systemic lupus (calm). I usually get lab work done 1-2 times a yr. to check my kidney, etc. due to the lupus. Three yrs. ago, June 2010 I've been having occult blood (1) in my urine. I asked my Rheumatalogist and she said I probably took the urine test close to my period or near the end of my period and that's why it showed the occult blood, so I didn't worry anymore. This July I had my lab work done and again the occult blood (1) showed up (as it has been in the last 3 yrs.). This time however my Rheumatologist was concerned and told me to see a urologist. Because I couldn't see a urologist sooner, I went to see my family doctor. He ordered a urine test and an ultra sound of the kidney. He diagnosed me as microhematuria. When I finally saw the urologist, she ordered a urine cytology and rec'd that I get a cystoscopy esp. because my lab showed occult blood (1) along with rbc 4-10 . She wanted to make sure that I don't have a bladder cancer or kidney disease so a cystoscopy needed to be done. When I did the urine test that day, I believe the cup was contaminated that's why it showed the rbc 4-10. When repeated, it didn't show rbc 4-10, but normal rbc 0-2 (below)Results: 1. Urine--- no infection, occult blood (1), rbc 0-2 2. Ultra Sound of Kidney--- 3 x 5 mm nonobstructing stone in the inferior pole of right kidney3. Urine cytology--- benignI recently talked to a 2nd urologist at a social gathering and he told me that I should get an x-ray, kub to see accurately the size of the kidney stones, etc. He actually rec'd a ct scan but changed his mind when I told him that I was trying to get pregnant. So with that info., he rec'd me to get an x-ray instead. He also rec's that I get rid the stones asap even though I have no pain because if I get pregnant it would be bad. QUESTIONS:1. Should I get the x-ray done when the ultra sound already shows the amt. and size of the stones? I would think the ultra sound and x-ray both show the same size and amt. of stones even though they are two different tests.2. Should I still get the cystoscopy even though I have benign in urine cytology and that I have occult blood due to kidney stone (from ultra sound) ?3. Should I get rid of the stones since I'm trying to get pregnant even though I have no pain?4. The 2nd urologist rec'd I get lithotripsy done soon before I get pregnant even though I'm not in p | Hi there, sle can affect kidney best way to detect is RBC in urine examination> 4, urine spot protein creatinine ratio > 0.2 and high dsdna and low c3 levels . Then we call it lupus nephritis. In your case stone is also present. So rbc can be because of stone also. It is important to rule out SLE nephritis as it is more dangerous. Xray msy not be helpful. If you wantvimaging study to document stone size and number then ct kub plain should be done. It has no effect on future pregnancy. If the stone is a single stone of 3 to 5 mm as in the ultrasound. There is no need of anyvtreatment before pregnancy. If a problem arises it can be tackled as such chances are very less as it is a very small stone. Chancesvof cancer are only there if your age is greater than 50 yr in that case also ct should be done before cystoscopy. And most likely cystoscopy will not be needed. Best wishes. | |
Can treatment of piles prevent conception ?
I am 30 years of age and have been experiencing piles for a very long time now. I am still on the curing process. But in the mean time, can this prevent me from conceiving? Are they any medicine or curing process you will like to suggest to me as well? Are there any challenges I will face in getting pregnant and delivering. Please help. Thanks | hi welcome to HCM read your prob,medicine which used in piles cant affect fertility. you should rule out cause of infertility by getting blood test for gonadal hormons, CBC ESR nUSG for follicular study. discuss it with your doc n start proper treatment. | |
Have Factor 5, lupus anticoagulant, DVT in leg. Itchy, fluid filled blisters in leg. Normal symptoms?
I recently had a dvt in my leg. I also have been diagnosed with factor 5 and lupus anticoagulant . I am on warfarin now for it. In the last few days I have been getting blisters on my affected leg. These blisters are small (about the size on the tip of a penicle). The leg also itches a lot. When they pop a clear fluid is discharged from them. I am just wondering if these are normal symptoms. | Hi, Since you already have pre-existing DVT, lupus and factor 5 deficiencies, you are likely to develop these lesions and they occur quite often in these patients. Please do take the relevant measures to prevent them from worsening like limb elevation. Continue to take warfarin. You may need a few sterile dressings for the blisters. Hope this helps. Get well soon. Regards, | |
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 --> | |
Could Losartan cause swollen ankles?
i have had a tendency towards swollen ankles for over 30 years since i had dvt. lately the swelling has gotten worse- i take loasrtan for high blood pressure( have been taking it for secveral years) couldthat be making the situation worse? i am overweight, do not excercise regularly, sit at a computer at work all day and i live in a very warm climate. i realize that all of these factors can contribute to the problem but am wondering if i should be on a different HP medicine that does not add to the swelling | Hi,Don't worry about Losartan. It has no side effect of causing edemas. Take careCome back if you have any further questions | |
Suggest treatment for ankle sprain
i slightly twisted my ankle this morning, but caught myself before it actually twisted. i was able to walk on it all day and had no pain. I even forgot it happened. When I got home from work and got out of the car, i noticed it hurt on the top of my foot. I proceeded to walk my dog and was limping before walking around the block. I am still limping around the house. I can put weight on it, but not walk on it. What is wrong? it is the top middle to outer part of my right foot. | Hello, Thanks for writing to us, I have studied your case with diligence.As per your history pattern there can be tear in ankle ligament leading PAIN.I will advise to do MRI ankle for soft tissue involvement.Till time you can continue physiotherapy exercises and also use supportive splint or brace.Physiotherapy like ultrasound and TENS will help in early healing.If there is complete ligament tear then arthroscopic ankle ligament repair can be done or if capsular tightness is severe then release can be done.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. | |
What could cause red bump on gum?
It's slightly hard to explain, but behind my top front teeth, there's a white flap I guess of gum tissue. It started out as a red bump after I had my braces tightened and had power chains put on to pull my teeth together. Now it's white and it like, peels back from the roof of my mouth. It's gross and irritating me. I'm in college and don't have the time nor the cash to go see my dentist, but it's genuinely worrying me. It's been there for about two weeks now, and I'm hoping it'll go away soon and on its own? | hello thanks for consult at hcm..it could be frictional keratosis if it is white,,the red bump could be abscess,, either ways take a iopa radiograph, u may also need antibiotics ad analgesics under the prescription of ur treating dentist,, plz take an opinion with a dentist,, do not neglect it,, hope it helps,,tc | |
What is the treatment for sarcoidosis and latent tuberculosis?
My mother aged 59 was diagnosed with Sarcoidosis at GB Pant hospital. The reports showed: -Honey combing of lungs was seen in Xray. -Elevated ACE levels: 67.70 U/L. -Liver Biopsy: Sections show cores of liver tissue with maintained lobular architecture. Many well defined epithelioid cell granulomas are seen in the parenchyma and Portal tracts. Many langhan s and foreign body giant cells are also seen. No caseous necrosis is present. Focal macrovesicular steatosis is seen. After she developed regular coughing she was advised to receive treatment for Latent Tuberculosis. She started DOTS from 21st December 2010. Her coughing was relieved after 2 months of treatment. But Liver Function Test showed: -S.Bilirubin(Total): 8.47 mg/dL -S.G.O.T.(A.S.T): 1,048.70 U/L -S.G.P.T.(A.L.T.): 797.10 U/L -S.Alkaline Phosphatase: 273.01 U/L She was diagnosed with Jaundice and DOTS was stopped. The doctor changed the medicines to ETHAMBUTOL, URSODIOL, OFLOXACIN, STREPTOMYCIN and PANTOSEC. She has been taking the above mentioned medicines for 7 days. Since then she has been suffering from extreme gastric complications, yellow eyes, swollen stomach, loss of appetite and insomnia. She has a history of Gastric problems, Urinary Tract Infection, and she also has an artificial pacemaker installed. | hi..as your concern your mother has SARCOIDOSIS. DOTS treatment had produced side effect on LIVER FUNCTION . your doctor had changed the therapy regime to avoid toxicity of DOTS regime.its only 7 days so better to have LIVER FUNCTION TEST after 10 -15 day..to see if present side effect is of changed regime or earlier one.keep repeated LIVER FUNCTION TEST every 15 -20 days to see proper function of liver.and for gastric problems take medicine with milk or food. | |
What is the recovery time for typhoid fever in a child?
Sir, My daughter is suffering from typhoid since 5 days she is taking the medicine cefedoxime twice a day. for fever nice kid we are taking this is the 5th day but still the temparature is rising in the morning How many days it take to cure completely. | Hello,I hope your child is currently feeling better.The medicine that she is taking is alright.Fever in case of typhoid tapers down slowly and gradually. Do not worry about it. Low appetite and weight loss is common with typhoid! Take care of the child's nutrition. Complete cure will take minimum of two weeks.Wishing her a speedy recovery ! | |
Should Cushing s syndrome be investigated given the various symptoms?
Hi there doc I have a 9 year old daughter who had childhood asthma. She was on singulair and seretide. She was a skinny baby and as she grew we noticed her stomach got larger. She started putting on alot of weight in spite of us being a healthy eating family, who generally avoid too many refined foods and junk food. She outgre her asthma by the age of 7 and has become a lot more active, being a competent swimmer, she does tai kwon do, plays tennis and also did gymnastics last year. She also does a bit of ocean kayaking with us. Our concern is that she has a very solid feel to her when we pick her up (lift her- I have not been able to pick her up since she was about 5), her tummy is still very overweight and she does not lose weight in spite of her exercise. She does not raid the cupboards at home or the fridge, drinks good quantities of water, loves fruit and eats everything that we prepare.I have cut back on her portions as well, watch her sugar and salt intake and she makes good choices as well most of the time. A nurse at a childrens health programme mentioned that it was probably a shot in the dark, but that we investigate cushings syndrome. I have asked doctors to check her thyroid, diabetes etc and all these results have come back fine. She is already developing breasts and her confidence is not good. She does not seem to remember things too well, which worries me as well. She did have a fall when she was about 5, out of a friends car window and hit her head, but by the grace of God, luckily did not sustain any serious injuries at that time. We are so tired of visiting doctors to find out why her tummy is not getting smaller and she now weighs 52 kilos. She is about 1m50 tall. What would you suggest we do? I am also concerned that she may develop disorders down the line and we try not to make too much of an issue about it in front of her. Thanks, M | well she is definitely overweight but only this factor does not qualify her to be investigated for cushing,'s syndromesome kids have tendency to gain weight inspite of eating just adequate.. a lot depends on family history, daily outdoor playing habits, gadget useAs for investigating for cushings syndrome.. she needs to be examined clinically for some findings, then only i can suggest you | |
Should a blood test be done while suffering from high fever?
My granddaughter who is 10 years old and is nonverbal with autism. She had a fever of 103 and had a seizure .she was taken to emerg in the hospital. Antibiotics was prescribed, which she has difficulty taking. She was also given a suppository to reduce her fever. She has no symptoms of a cold, but she has a tooth coming through. My question , should blood work have been taken? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. the situation with which you went to hospital, the kids temperature has to be reduced first. Hence probably they went about giving an antibiotic. Blood test after am antibiotic is required if the kid didn't recover, if recovered then the reports might not be correct since antibiotics we're already given. Hope I have answered your query. Let me know if I can assist you further. | |
What is the treatment for calcium deposit on the forehead?
Hi I got in a four wheller wreak about 4 years ago and I found out that a calcium deposit formed on my forhead the docter said I m fine but if I want it tooking off then I could just for looks.. It dosent hurt but I was wondering if that sounds right | Hi, dearI have gone through your question. I can understand your concern. You may have calcification lat your injury site. It is a chronic process. No need to worry about that. If you want to remove it then you can go for excision. If uou don't want to remove then also its ok.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. | |
low MCV and low MCH but all other levels normal. What is it ?
I am a 46 year old male. For over 7 years I have had low levels of MCV (78) and MCH (25) but all my other blood levels are normal including iron, B12, RBC, hemoglobin, hematocrit , MCHC, RDW, WBC, platelets, MPV, differential WBC s, thyroid and liver function. What does this mean in terms of possible disorders? (I also have sleep apnea , EBV, permanent sinus inflammation and off-and-on bouts of fatigue and general muscle pain.) | Dear thanks for query.This low MCV and MCH indicates that your RBC are small in size and low in iron.this can happen in case if chronic hypoxia means low oxygen level in blood.Please talk to your doctor and look for it.bye. | |
Q. What can be done for loose teeth and bleeding gums?
Hello doctor, A couple of my adult teeth feel loose. My gums are sore and bleed randomly as well as when I brush. Do I have gum disease? | Hello. As you say about your gum condition and oral health, I think you have a gum infection. But do not worry. It is common and curable. You need a dental appointment as soon as possible. He or she will examine clinically and advice treatment (deep oral prophylaxis, gingival flap surgery). You can follow some instructions like brush twice a day, make sure all surface of teeth is covered properly. Use a soft brush and change it every two months. Use medicated mouthwash containing Chlorhexidine twice a day or you can use lukewarm water with a pinch of salt to rinse your mouth. And make sure to confirm an appointment with the dentist. Poor oral hygiene. Clinical examination and dental X-ray. Gingivitis, periodontitis. Periodontitis. Oral prophylaxis. | |
Suggest food supplements for jaundice patients
Hi,4 7may I an sweyr yoeuar rhesal th queroiles ridght now ? Please type your query here...my father is 47 years old and he is suffering from jaundice which is mild now but he is feeling weakness too much nowdays. which kind of food should i give to him? | Hi & Welcome to HCM.Incomplete data like the lab tests, the cause of jaundice (hepatitis A, B, C, or E)???I appreciate your concern for your beloved father.Assuming that he is suffering from Hepatitis Virus type A or E infection (confirmed by serological tests), I would suggest the following:1. Complete bed rest till the liver function test come to normal2. High carbohydrate diet comprising of rice or daal soup at least twice daily.3. Clean and boiled water for drinking (at least 2 litres /day).Ensure that a good volume of urine is passed per day.4. To eat only home cooked items. Avoid hotel cooked stuff strictly.5. Avoid raw fruits as well.6. Avoid fried or oily foods.7. Proteins in moderation.8. Multivitamin supplements.9. Alcohol should be avoided.10. Repeat liver function test every week to see for fall in bilirubin and liver enzyme levels. That would be a sign of recovery.I hope this information helps in speedy recovery of your father. | |
Could IVF help to have a healthy baby?
i have a 5year old daughter who Is perfectly healthy in every way. but i have had 2 children aswell who both had a lethal form of skeletal dysplasia. after the first time with it. i was told it would never happen again it is so rare and if it did it would be a girl. unfortunately it did happen again, this time a little boy. i have since been told i can't have anymore children due to this. is this true? and could ivf help me to have a healthy baby? | Hi you can have a healthy baby. IVF can help you in this by selecting the unaffected embryos by doing peri implantation genetic diagnosis. | |
How can reddish mouth patches with irritation due to allergy be treated?
Hello, for a few years now I have gotten reddish patches around the corners of mouth that extend out about an inch and then drop down toward my chin. They do not hurt, the do not itch, it just looks irritated and of course I look like a clown as I am pale and the red really stands out. I have been put on antibiotics, used steroid cream/gel and then non-steroid when the realized I was allergic, and now I am taking some estrogen additive as the derm thinks it may be due to a chemical imbalance. Over the years it appears it happens when I eat too much of something with red sauce, if I eat citrus things, if I drink certain alcohols and God forbid I use a tooth paste with whitener. Please advise. | u are pale....hence it is necessary to know ur blood reports..get cbc.,esr,.serum B12 LEVEL,. VIT D LEVEL...AS ANAEMIA/VIT B12 DEFICIENCY CAN CAUSE PATCHES AROUND MOUTH. U HAVE NOT TOLD REGARDING UR AGE/SEX .HABBITS OF SMOKING..WHICH MAY B CONTRIBUTING FACTOR.ALCOHOL CANCAUSE SYMPTOM AS U DESCRIBED.U NEED TO STOP IT. | |
Chronic pain due to lumbar puncture. Taking light medication. Recommendations?
Hi, I had a lumbar puncture to diagnose csf headache 8 weeks after the birth of my second son, since having the lumbar puncture I've suffered with chronic pain in m coccyx. I've tried a diclofenac gel and tried all sorts of prescribed tablets but nothing seems to help. I can't sleep because it wakes me up, I struggle to sit down and have severe pain when bending down to pick my son up. Is there anything else that can be done to help? Vornie | Hi,Based on the details you had headache during post natal period for which lumbar puncture was done to know CSF opening pressure and to rule out any infections.Now you have coccyges pain ( you meant to say pain in the tail bone).Lumbar puncture is done at L3-L4 or L4-L5 vertebral level.Pain secondary to CSF drainage will be at this level. Coccyx is the tail bone seen after sacrumYou should consult Neurologist for the neurological examination and determine the level of painYou may also require MRI lumbosacral spine with focussing on sacrococcygeal regionYou require, analgesic, neuralgic drugs and short cause antibioticsYou also need calcium supplements, avoid weight bearing.Hope this will help youRegardsDr Sandhya ManorenjNeurologist Hi tech City Hyderabad | |
What is the time-frame for follicle rupture after injecting HUCOG 5000?
When will the follicle rupture after taking HUCOG 5000 injection? hello doctor, i took HUCOG 5000 IU on 29/08/17, my follicle size yesterday was 20 mm. I just want to know that how much time it takes for rupture after injection. and for how many days i have to get pregnant | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It takes 24 hours to 48 hours to rupture follicles after injection. Follicle size 20 is enough to get injection HCH 500 iu.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sravanthi | |
Is there any side effects of pumpkin seed oil?
I m a 57 year old male. I recently started taking pumpkin seed oil to help arthritis . The next day, I was shocked to find I was pooping John Deere green. Christmas green in fact. I felt fine otherwise, but I quit taking it and the stool returned to normal the next day. Does Pumpkin seed oil do that? Is it a health concern, or should I simply get used to pooping in technicolor? | Hello There.. Welcome to Healthcare Magic forum.. Since your stool turned to normal color after stopping the pumpkin seed oil I would suspect it has cause for your green stool.. Pumpkin seed oil is considered beneficial for arthritis, BPH, Irritable bowel syndrome. Reducing cholesterol level etc. If you find it beneficial for your arthritis I would advice you to continue using it.. Hope this helps.. Take care.. | |
How does autoimmune hepatitis affect my sperm?
how does autoimmune hepatitis affect my sperm i am 21 years old and have had AIH for six years now. my bilirubin is high cause my eyes are really yellow and my sperm looks kinda of an orange color and it looks really reddish i haven't ejaculated in a while, how does this affect my sperm? | Hello, According to mentioned history, you are having blood in semen called hematospermia. For that, you need to rule out seminal vesiculitis which is a common cause for that. I would like to suggest you investigate with semen analysis and ultrasonography pelvis with special emphasis on seminal vesicle and prostate. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | |
Suggest remedy for capsule stuck in trachea
Yes i swallowed an Enzyme gelatin capsule down the wrong pipe about 2 hours ago. It seems to have somewhat disolved a bit and i was able to bring up some of the enzyme but the the capsule has not disolved and is still in my throat. I tried coughing several times but is still stuck and it hurts to swallow. Mario | Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, the capsule might have stuck in posterior pharynx. It is very difficult to remove this by your own. So better to consult ENT doctor and get done endoscopic examination of pharynx. By this we can diagnose if capsule is stuck there or not. And if stuck there, we can remove it also with help on endoscope only. So consult ENT doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes white fleshy bits in stool with abdominal pain?
I went to the bathroom a few moments ago and there were white/pink fleshy bits in my stool? I have had a bit of abdomindal pain the last few days, particulary under my right ribcage and just below my belly button but nothing too serious, what can be the cause of this and should I be concerned? | You are having dysentery. Nothing to worry about.just take Tab NORFLOX - TZ twice daily for 3-5 days along with tab meftal spas.It will be relieved. | |
How to ascertain that I may be under the risk of getting cancer?
Hi, on my father's side,many family members have or had rare forms of cancer.some have died.Just found out my 3rd cousin 23yrs old passed away 3 hrs ago. 3 wks ago he had his eye removed due to a benign tumor.than yesterday we found out he had cancer thru-out his body.also had it in his testicals.my brother died age 20 of hairy cell lukimia.I have M.S. Do I have a high risk factor.what kind of cancer could my cousin had. | you are high risk individual for cancer as your family history. you have not name of cancer whic your father had. your cousin may had testicular germ cell tumor ,that is common for that age,but testcular tumors have very good chances for cure. plz check for Li fraumeni syndrome. | |
Is it MS if I have vision changes, floaters, weakness in limbs, bladder issues?
a few years ago i started having changes in vision, beginning with blurry vision which i corrected with contacts. I then began getting floaters in both eyes. I have gone to a retina specialist and they confirmed it was caused by inflammation caused by some type of auto immune disease. i got blood tests ruling out many diseases and they all came back negative. I never really considered Multiple Sclerosis until recently when i noticed other changes. i have had weakness in my limbs especially my right leg and tingling in both my arms and legs. Ive also been having bladder issues consisting of hesitancy to urinate, a constant urge to go, and going to the bathroom to pee at least 3 times before bed, once in the middle of the night and again in the morning, each time with a feeling of a full bladder.Do you believe this could be MS? | Hi, welcome to Health care magic forum. Of course all the symptoms ar coinciding with the multiple sclerosis, But is always advisible to consult a neurologist for diagnosis. Your symptoms are all related to the urinary tract infection, and the constitutional symptoms there on. I advise you to consult a neurologist for diagnosis and treatment , for want of the correct diagnosis of the other systems. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods. Wishing for a quick and complete recovery. | |
Whats causing back pain and stomach pain radiating to the buttocks and thigh 2 years after healed back injury?
I injured my back in dancing class back in 2012 (spring) and it healed after 1 week (partially) with complete pain free achieved after approx 10 days. One week ago, I noticed a dull ache in my lower back then my period started 2 days later. The pain went after 2 days of my period ending. I don't normally have such severe back pain with my periods. From time to time, I have expeienced mild to moderate back pain and lots of stomach pain. This time all of the pain was in my back and none in my tummy. I also noticed on the last day of this pain, that it had radiated to my buttocks and thighs. What's going on please? Thank you | HiThank for asking to HCMI can understand your worry and I could say that this is not because of your injury but this could be dysmenorrhea, refer pain of this could be toward your buttock and thigh and this will go way with the help of any pain killer and the drug of choice would be ""Ibuprofen"" you can try this, nothing to worry about this, this is not the big problem will go away soon, take care and have nice day. | |
Should i take two tablets even after four months of my CABG?
Hi I have undergone bypass on 1st Feb 2012 and am taking several medicines along with Clopitel 75 mg twice a day. I have been taking this medicine once a day for last 4 years. Do you think I shold still take two tablets even after 4 months of my CABG? | hello, I have gone through your query.Thanks for using HCM. you need life long medication i.e.antiplatelets and statin following bypass surgery.However you may not continue with dose of clopilet 75 mg twice a day.You may reduce it to once a day. You should follow healthy life style and also continue other medication as suggested by your treating doctor. My best wishes Dr.Rajesh Teli,MD. | |
Gum swollen with pus at last molar. Due to wisdom tooth or by wearing braces?
On the right side of my teeth, just behind my last molar my gum is swollen. The swelling is not red (its the color of healthy gums), and has pus (I assume, because I have a constant bad taste in my mouth). When I close my mouth, I can feel it hitting my top gum. The swelling popped up virtually overnight, and is in just that one spot. It has a throbbing feeling and slight pain on the right side of my jaw and the swelling is just barely over the edge of my back molar. I have no difficulty opening/closing or moving my jaw in any way. My throat just barely aches on and off, like that just-before-you-get-a-cold feeling. All of my adult teeth have grown in. I thought it was gingivitis, then thought that it had something to do with wisdom teeth, but I'm only 15. I have braces. I'm female and 15 years old. Should I see the dentist? | hi, as your gums behind the last molar is swollen it suggests of pericoronitis or may be the last molar is errupting and also you feel pain in your throat that could be a reaction of your immune system to 3rd molar erruption.you please star warm saline gargles 2-3 times a day and also consult your dental surgeon in the meanwhile you can take some pain killer for relief. wishing for your better health | |
Suggest treatment for porencephaly in kids
dear sir , i have a kid of years who is suffering with porencephaly and the MRI report states INDICATION : NOT MENTIONED. MRI BRAIN — REPORT Technical : TSE TI, T2 Wt. images of the Axial sections without IV contrast. *** Signals from orbits are normal, bilaterally. No masse:.; *** Signals from brain stem &.cerebellum are normal. *** Ventricular system is normal. *** Sulci, sylvian fissures & cisternal spaces are nortml. Gender Date & Time : M Age : 9 Mo . 25—May-13 10:06:12 AM ***Moderate size welldefined hypointensity on Ti, hyp,fintensity on T2 noted in the Lt.frontal lobe, paraventricular area with dilatation of adjacent to the frontal horn of the of Lt.lateral ventricle. (Porencephaly). * * * Paucity of white matter. IMPRESS ION : * MODERATE SIZE GLIOSIS IN THE LEFT FRONTAL LOBE & PARAVENTRICULAR AREA. {POSSIBILY DUE TO OLD HYPDXIC INJURY}. present condition is: no neck holding,hypotonic,vry little activity,no visual perception and spasms, currently we are using valporin{3ml 3 times},nootropil{2.5ml 3 times},and sabril {1/2 tablet 3 times},and lonazep 3 times a day could there be any cure atleast to make him self dependent. thanks for giving u r valuable time and advice, T.Suresh please let me know if any kind of treatment available sir | Thanks for posting your query at HealthCareMagic. Procencephaly is a condition where the cerebrum of our brain does not develop properly. Our nerves are made of basic unit neurons which have a small cell body and a long axon. The axons have an insulation. These insulated portions are arranged in the white matter while the cell bodies lie in the grey matter. Since he has paucity of the insulation or white matter, there is short circuit when the brain fires an impulse and a convulsion results. He is receiving valparin to prevent such convulsions. Since the brain controls the muscles, lack of portions that controls various muscles leads to hypotonia as a result of which there is no head holding.There is not cure for the condition as new brain tissue cannot be created. However, developmental assistance and supportive management based on his symptoms may be provided. Your doctor should be able to determine the exact supports he requires.Hope that will take care of your query. Feel free to communicate back in case of further queries if any. | |
Why is my penis skin cracked dry and tight and painful?
i am 18 an i am uncircumcised and my girlfriend has been checked and she is clean. but my penis is cracked dry an peeling and it feels like the skin is getting tighter and i cant pull it back without extreme pain. it hurts after i ejaculate and to go pee sometimes.. i REALLY dont know what to do.. iv been putting Vaseline on the tip every couple days. | Dear, We understand your concernsI went through your details. Cracks, fissures and erosions in the penis can also lead to secondary bacterial infection. Fissuring can be either the inner part of foreskin or the outer part and also involve with swelling. The Causes could be:Excessiv washingRepetitive Friction during SexRough frequent masturbationLichen sclerosus et atrophicusBalanoposthitis etcI suggest you, it is always better and healthy, to consult a skin specialist or urologist for diagnosis and treatment. Do not self diagnose and self treat.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Happy New Year. Take care. | |
Need advice on diagnostic symptoms of cancer.
Hi I had an ultrasound that showed multinodular goitre, a cystic mass with solid components and thyroid lower poles reaching both sides of the neck, I have been feeling lethargic had weight loss and difficulty breathing I am concerned about thyroid cancer | You need further investigations. 1. Thyroid function tests TFTs to see if you are hyperthyroid, euthyroid or hypothyroid.2. An ultrasound of neck and an ultrasound guided FNAC (fine needle aspiration for cytology ) of suspicious nodule in thyroid to get to a diagnosis.Dyspnea can be due to pressure on wind pipe from goitre. A chest radiograph should be done to see lungs for any abnormality.Weight loss can be due to a hyperfunctioning thyroid (Hyperthyroidism) but a malignancy should be suspected.I hope it helps.Please discuss it with your doctor. |
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