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Should a HIDA scan be able to diagnose a poorly functioning gall bladder ?
I was told that my HIDA Scan was normal. My ejection fraction is 6% and I have had 3 ultra sounds due to pain in my back and right side. I ve been told that an ultrasound will not diagnose a poorly functioning gallbladder. Shoudn t the results of the HIDA Scan been evaluated further? | Hi, How are you?My name is Dr Suresh Raghavaiah. i am a liver and pancreas surgeon and I hope to answer your question today. i am sorry that you are having these symptoms. An ultrasound can be used to see the contractability of the gall bladder if the first scan is done on a fasting state and a second scan is repeated after a meal. The GB usually contracts to empty its contents into the intestine after eating, esp a fatty meal. Unfortunately this is not a very sensitive indicator. A HIDA scan on the other hand provides real time imaging of the GB and hence can visualise the GB contracting and emptying the radio active substance given into the intestine and based on how much content it empties, the percentage contractility is measured. Your ejection of 6% is definitely on the lower side esp if the function was measured in response to a meal or a special hormone administered during the scan.I take it that they have not found any GB stones on any of your USG scans as it could explain your symptoms.I would advise you to get a amylase level done the next time you suffer a bout of back pain to rule out pancreatitis. Hope this helps and hope you start to feel better. Pl do not hesitiate to contact me for any further clarifications needed.have a great dayDr Suresh Raghavaiah | |
What causes sweating in a child while having fever and tonsillitis?
Hi my daughter is 7 months old. She has had fevers now for 4 days we are giving panadol and neurofen to control the fevers we have taken her to see a doctor and as been proscribed medication antibiotics for tonsillitis. However I have noticed she has just started to get sweats but with a normal temp? Is this normal? What is the cause?? | Hi,It seems that due to giving panadol for fever giving round the clock might lead to more perspiration.Continue giving antibiotic but do not give Panadol if fever is not there.Give her enough milk and keep her well hydrated.Ok and take care. | |
What causes hallucinations after left side paralysis?
My mother is suffering from left side paralysis(Acute hemorrhage in left right ganglio capsular region. Now after after 15 days she is consious. eating, breathing & bowels all are O.K. But some times she is telling things which are not there. No movement of left hand & Leg . What are the chances of recovery. | HIThank for asking to HCMI really appreciate your concern for your mother the cerebral stroke is pathological condition while the hallucination is psychological one, in my opinion you have to consult the neuropsychiatrist hope this information helps you, have a nice day. | |
Suggest treatment for asthma
I have asthma and my doctor has tried several things and since I had bronchitis in the winter nothing seems to work . Right now I am on QVAR daily and ProAir and also albuterol with a nebulizer as needed. It works sometimes it other days I m using the albuterol too often. Is there anything that is considered a better combination. I also take an allergy pill daily | Hello dear,Asthma is caused due to broncho-constriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages.Management includes:1. Asthalin & Seroflo inhaler/ QVAR and ProAir- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, you can use it whenever you are having an acute attack.2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma.3. Antihistamine preparations like Allegra & Cough expectorant syrup for symptomatic relief.4. A course of antibiotics may be taken to manage secondary bacterial attack.5. Maintain adequate hydration & take a healthy balance diet.6. Also make sure that you are well protected from cold, dust & other allergens.So, the medications as prescribed by your treating Doctor are correct, kindly continue them as advised.Wishing you a good health.Take care. | |
Is there any risk in ingesting xanax to 4 year old?
My 4 yr old son may have ingested a. 5 mg Xanax - it is missing from the bottle and he insists he didn t take it. I knew it was there and the bottle was somehow opened. Its been over an hour, and he seems to be acting a little funny although I m not sure if I m being paranoid. He s not drooling and seems like his balance is OK, and has no complaints. What should I do? He s 40 lbs and turned 4 about 4 mo ago. | Hi...I understand that it is 0.5mg and not 5mg. Even this dose is high for a 4 year old weighing 40lbs. Other than the side effects you have mentioned there are others too. I suggest you take your kid to the nearest emergency room and have him examined by a physician or pediatrician. Regards - Dr. Sumanth | |
Have fatty liver, high iron reading. Did ultrasound. Precautions to be taken?
My doctor has told me I have fatty liver and high iron reading showed up in my blood tests. He said it is nothing serious and is sending me to have a ultra sound done on my liver. Being in a country town it is taking time to have these results done. Is there anything I can do in the meantime (reducing some foods or increasing certain food intake) that can reduce this risk? | Hi, Fatty liver is completely curable. You must first begin to improve your lifestyle by exercising and avoiding fatty foods, particularly foods that contain triglycerides. By regulating your diet as well as through regular exercise you will be able to lose some weight. Once you begin losing weight you would also begin losing fat from your liver. This momentum of weight loss should inspire you to exercise harder and make yourself fitter. If your fatty liver is caused by alcohol intake or fat food intake you can stop these immediately or gradually to reduce the strain on your liver. Combine this with increased levels of physical activity for best effect.Omega 3 acids are present in some plants and especially in fish. Omega 3 acids have been known to have a positive effect on the body by improving the blood to fat ratio in the body. With Regards, Dr.Sharmila | |
Suggest treatment for small bumps on the hands of a child
hi my 6 year old has small hard bumps only on his right hand just above is thumb and towards his index finger and on the back of his hand, they don t itch. He has had them for about a week, we were on vacation in Mexico, he said he got stung by a bee while swimming in the pool, they don t appear to be fadng | Hi...I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other exanthemas which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use Hydroxyzine at 1-2mg/kg/dose (Maximum 10mg) every 6th to 8th hourly for 7 days.This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it.Regards - Dr. Sumanth | |
Suggest medication for diarrhea
hi my husband had a sore stomach last night and woke up with a cold sweat , he eventually went to the toilet and had olot or diarreha. today he was feeling better but tonight has a fever of 37.5 and had a small amount of blood when he went to the toilet he is feeling weak. should i take him to the hospital tonight or wait to see whats happening tomorrow? | Hi, Thanks for posting in HCM. I understand your concern. From the description you have given, it appears that your husband is suffering from 'infective diarrhea'. Kindly do the following to overcome it. 1. He needs to take antibiotic course of Tablet. Ciprofloxacin with Tinidazole combination - at 12 hourly interval after food for 5 days. 2. He needs to increase the fluid intake by consuming good quantities of water, fresh fruit juices and oral rehydration solution (ORS) till diarrhea comes to under control. 3. He can Take tablet. Acetaminophen when he has or feels feverish. In case his condition does not improve or his weakness continues, he may require hospitalization and further treatment with infusion of intravenous fluids. Hope the information provided would be helpful. All the best. | |
What are the symptoms of bone cancer?
My son was told that his ankle doesn t look good. He had a MRI done. Finally one of the doctors said it might be bone cancer but he was not a specialist and suggested my son go back to Illinois. So he has not been officially diagnosed. He is in Nevada but will be back here in Antioch Monday. We need help desperately. . | Thanks for your question on HCM. Bone cancer can be seen in younger age group.The common symptoms are1. Chronic pain2. Disability in joint movement3. Osteoporosis of involved bone4. Malignant looking growth of bone on MRI.5. Pathological fracture due to demineralisation. 6. Malignant joint effusion.7. Spread of tumour in overlying skin and muscle. Thid can cause swelling and tenderness. | |
Allergy like irritation. Taken R-cinex. High reading of urine and creatinine. What is the problem?
My dad is suffering from serious allergy like irritation..He is taking R-cinex tablets for about 15 days...He is also taking treatment for kidney problems like high readings of urea , creatinine in both english and also in siddha medicine..Now he s suffering from serious allergy for the past week..What is his problem?Please tell me..I am totally depressed.. | if the allergy occured after taking the medicines it might be due to medicines and mismatching of salts because you are taking allopathic and sidhi medicines because of high creatinine and kidney problem we cant give medicine high dose of or even low dose of medicines because of kidneys malfunction urea and creatnine itself can cause allergy just apply local topical ointments like histocalamine mometasone and petrolleum jelly if skin irritates because you have not specified particularly the skin if any other form of allergies you can take tab piriton and try to treat route cause for which you are giving rcinex and stop sihi medicine | |
What causes HSV infection in penis?
i am30 years Male.last 2 months i am suffering from HSV deces.when i found ,i had a bubbles in my pennis inside.i consult the doctor,he adviced me to chekup HSV.Finaly the report shows +ve and all the values are above 5.00 below 8.00. I am taking 42 days Rudimin and Zovirx 400mg tablets sofar.what is the reason for that virus passed in my blood.how to rectify. | Hi! this virus gets into someone's body through body secretions therefore needs sexual contact, frictions, injury etc and not through blood!This virus generally infects nerve ganglions, epithelial cells, endothelial cells etc...This virus never leaves the infected person's body and resides within nerves and causes symptomatic disease whenever body immunity is low.Therefore, your treatment is okay but take personal care so that this virus does not infect others or cause more relapses in future.regards, | |
What causes lump on head?
Hi Doctor, I have a small lump around 1 - 2 cm in diameter at the back of my head on the left side, level with the bottom of my ear lobe and about 2 inches across. Its hard to the touch and does not appear to move. I also have pins and needles in my Left shoulder/arm | hello,welcome to HCMi think your lump is a sebaceous cyst.nothing to worry about.consult a surgeon and go for excision.it is a benign lump.your pin and needle sensation have no relation with the lump if the position of the lump you have mentioned is correct.it is hopefully due to degenerative lesion in cervical vertebrae.hope this is helpful.regards. | |
What does gall stone of 10x7mm from 10mm suggest?
Hi, my mom had a gall stone measuring 10 mm. She had severe abdominal pain and bloating since last three months but is relieved after some medicines. But the doctor suggests lap cholecystectomy. The latest sonography shows 10 x 7 mm. What is the difference between 10 mm n 10 x 7 mm. Has it increased or decreased. What is the ideal option of treatment for the gall bladder calculus? | The difference in measurements of the stones is not significant. The treatment for gallbladder calculi is surgical removal. | |
Can accutane cause heart murmur in a 16 year old athlete?
Can Accutane cause a heart murmur in a 16 year old athlete? My son is 5 10, 155 lbs. and otherwise a very health football player. He s played for 8 years, even having sx last year for a broken hand, and now can t get clearance to play do to this murmur. | HiWelcome to the HCMAccutane cannot cause heart murmer. The most likely reason for asymptomatic heart murmur in this age group is atrial septal defect. So I would recommend you to go for an echocardiogram to rule it out and any other reason. If present, it can be easily corrected and has an excellent prognosis.Take care | |
Suggest medication for asthma and chronic breathing problem
sir I am of 72 years old and suffering from asthma and have chronic breathing problem and by certain exertion i become shortness of breath. I am diabetic and high blood pressure and taking medication. for asthma doctor has prescribed advair and albutrol puff and oxygen. I want to know is there any medication alternate to oxygen | Hi,You are taking advair,albuterol puff with oxygen, it is a very good asthma treatment what your doctor is giving.You have also DM and HTN with your age 72 years.If your doctor is giving oxygen then you might also have chronic bronchitis and there is no alternative to oxygen when you are having breathing difficulty even at slight exertion.There are other potent steroids inhalers available in market with antiallergic drugs like mast cell stabilizers in combination with antihistamines.You can discuss it with your pulmonologist. | |
What causes dizziness upon bending while on Lisinopril and Glimepiride?
Lately. I get dizzy when I bend over, I checked my blood pressure just now,, it is 79 over 49 I am taking the following drugs Glimepiride, Trulicity, Lisinipril, Lipitor, Metformin and zetia I recently stopped taking Androgel, because after 16 years, my drug company will not cover it. I have been diagnosed with high blood pressure, type 2 diabetes, and hypogonadism. I have had those 3 problems for 20 years or more. | hi, I have gone through your history.You must get checked for postural hypotension which is most common in long standing diabetes.Review with your physician for dose adjustment of antihypertensive medicines. | |
What should be done to manage low blood pressure levels after taking Amlodipine?
Yes I went to the my pressure was very high 187 I was taking hydrochlorothiazide 25mg also Lisinopril 40mg. And the doctor add another pill name amlopine 10 mg ok today I went to Walgreens to check my pressure it was 101over 68 so now it s to low now what? | Hi, I would explain that low blood pressure could be related to Amlodipine. For this reason, I would recommend taking half of the dose (5 mg) of Amlodipine, in order to avoid a further drop in blood pressure values. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
What are the chances of pregnancy?
I m in a state of confusion. Let me give the specifics. The date on my last menstrual period was 04/19/2010. I had unprotected sex on 04/24/2010. I had the discharge from ovulating on the 28th and 29th. What are the odds of me being pregnant. I m still cramping as of 05/03/2010. | Hi,There is less chance of having pregnancy as you had sex during safe period.As you said possible ovulation was on 28 and 29th so pregnancy is less likely.Ok and take care. | |
Suggest treatment for cough
i have a dry cough for last 20 days i have met pulmonologist for the same she has directed me to take a chest xray & blood check up for weight loss she has prescribed the anti biotic and after that the cough has come down but not compltly cured i am smoker for last 15 yrs | Hello dear , hiWelcome to Healthcaremagic.comI have evaluated your query thoroughly .* Suggestions for better recovery - Gargles with salted lukewarm water added peppermint oil 3 times a day - Deep breathing exercises , YOGA , walking in fresh air .- Avoid exposure to dust , pollen ; if required use face mask .- Consult your doctor for further dose of antibiotic and cough preparations .Hope this will help you for sure .Wishing you fine recovery from the same .Regards dear . | |
Suggest treatment for high BP when suffering from nephrotic syndrome
My son has nephrotic syndrome he's been on prednisolone for the past 4 years, frequent relapse has also tried levamisole and cyclophosphamide , now my son has high blood pressure and is extremely over weight . Doctor is talking about putting him on the next medicine, more concerns regarding side affects.? | hello,I have gone through your query.Thanks for using HCM.It seems that your son has relapse of nephrotic syndrome inspite cyclophopshamide and levamisole.Root of uncontrolled hypertension lies in kidneys.You should go for kidney biopsy in consultation with your nephrologist ,Depending upon report there may be need for alteration in medicine for nephrotic syndrome.He should be given Amlodipine group of medicine to control BP .My best wishesDR.Rajesh Teli,MD. | |
Pain in the lower back. Could it be fluid retention?
I have fluid in my lower back and have had so for a few months, following a laparoscopy. It really hurts to twist in certain ways and sometimes for no reason at all. Sitting feels better. It is all lumpy under the skin and moves around. It seems to be getting more. I was told by a muscular skeletal masseuse that its definately fluid. Do I need to go to the doctor? It does seek to be getting worse. | You need to go for check by a doctor, if it is some cyst , it is inflammed causing pain and needs definitive treatment.Try some ibuprofen 400 mg thrice after meals in meantime. Lower back pain also needs to be checked for the cause in spine by an orthopedics doctor, who might ask for X ray/MRI as per necessity on physical examination | |
Suggest remedy for lumps in lymph nodes
I had an open biopsy on my groin for swollen lymph nodes. I have about a 4 inch incision with about 10 staples. Its been 9 days since my surgery and now i have a hard lump under my incision. It does move from the start of the cut down to the bottom. Its very hard and causes some slight pain. Someone said this could be lymphocele. I'm not sure what that is. Do you know if this is a problem or just part of the healing process? | Welcome to Healthcaremagic... what you described could be a small collection of blood or lymph or it could be normal induration after surgery also... have a review with your surgeon... if it's induration medication should take care of it...if it's a collection you may need to have it let out... | |
What causes the numbness and tingling on the both sides of the body?
for the last 4 months i have been having numbness and tingling on both sides of my body. it starts from the back of neck and goes down my arms. some days my thighs aches so bad. and sometimes my right arm hurts as if i hit the part that s called the funny bone but i know i have not hit it. some times i can not close my hands either. | Hi,Thanks for your query.The abnormal sensations that you have such as numbness, tingling are termed peripheral neuropathy. Peripheral Neuropathy is a condition caused by damage to the peripheral nervous system [most commonly seen in diabetic patients]. Another possibility could be nerve compression in spine due to disc bulge.Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate the condition. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetablesVitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take tab methylcobalamine .I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Suggest treatment for dizziness and stress
My wife has experienced intermittent dizziness for a couple of years now. She is generally a high stressed person, has benefited from chiropractic care, massage and general medical checkups w/radiologic procedures. None the less, dizzy spells continue to crop up and neccessitate stopping activities or muscling through them. She has been referred to a second ear,nose,throat specialist recently. Yet to make the appointment. thoughts anyone? | DearWe understand your concernsI went through your details. I suggest you not to worry much. The diagnosis here can be done after getting the second opinion you are going for. The dizziness could be resulting from stress as well as obsession about health and diseases. Worrying about the dizziness can result in 'feeling' of dizziness. Just complete the second round of check ups and come back to me.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | |
Trying to conceive. Taken Clofert and HCG injection. Prescribed folic acid and Duphaston. Can I expect success?
Hello doctor,I've been trying to conceive from past 5 months. This month I went to a gynae who advided me to take clofert100mg, after which she did follicle monitoring on 16th day of cycle and gave me an hcg injection on the same day of 0000mg, then 3days later another hcg injection of 5000mg.. Also, I've been asked to regularly have folic acid and duphaston from 16th day till 12 days. My age is 26 years. Should I expect success this month? | Hello, Thanks for the query to H.C.M. Forum. Clomifene was prescribed for stimulation of follicle for release of ovum. Hcg was given for ovulation fertilization, duphastone was given for maintenance of pregnancy and folic acid for iron. In my opinion your doctor has done every thing for conception and I am sure you will conceive . Good luck for you for conception. Dr. HET | |
Suggest treatment for big scrape below kneecap after an injury
I tripped and fell on the pavement on saturday landing on my knee. It has a pretty big scrape below my kneecap and the whole area is very sensitive and painful to the touch. I can feel it swell up, but it all seems to be inside my knee. I have been icing it, should I be concerned that it is still so painful? | Hi, Any injury like this around knee has to be evaluated with X-rays and clinical examination. I suggest painkillers and check up by orthopedic surgeon. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon | |
What causes swelling midway between knee and ankle?
I have a very hard swelling about as large around as a tennis ball Midwest between my knee and ankle. It is red and warm to the touch and quite painful. I have been treated with numerous different antibiotics over the last 3 weeks with no change. It continues to be called Cellulitis but between the oral and IV antibiotics wouldn t this have improved? Ultrasound for DVT has been performed and is normal and bloodwork is normal with no elevated white count. Any suggestions of what this might be or tests for diagnosis that I should request? | hiswellingmay be assessed if it is a soft tissue swelling or from bone by scans .An fine needle aspiration cytology(FNAC) may be done to know nature of swelling, so consult an orthopedic doctor to rule out any tumour growth, in all probablity, has to rule out alsothanksbest wishes | |
What causes a breast bone lump?
I was lying down and had a pain in my chest . I drank some seven up and burped, the chest pain stopped .Then I massaged my breast and noticed a lump on my breast bone. I had a cold and fever. I don t feel ill other wise except I still have a runny nose. | hi,I think it's just a small thing to look into. but still if you have some sort of pain or discomfort you need to just have an opinion from a physician. You should have helped us by giving your age too or any specific detail taking the lump. as seen in the message provided which contains less detail so I don't think it should be much of an issue. still if a day or more if you find the lump same then meet up a physician and take a chest x-ray in AP view. hope this helps. | |
What norms have to be taken for tooth extraction of a patient who had jaundice a month ago?
hello doctors, i am a dentist .i need a opinion .i am planning for an tooth extraction for a 60 year old,otherwise healthy patient,he had jaundice before one month and now says he is normal.what are the norms i have to check before going for extraction and wat all medicines can i give....also wat all complications will be present. | hello renchigeorge, just get the latest blood sugar level report, both fasting and post prandial. get B.P checked and ask about other history to rule out any heart problem, thyroid, any operation in past and other histories. you get a complete blood picture done before undergoing extraction to rule out any bleeding disorders. Take an IOPA before extraction .You can put on simple antibiotics and pain killer for 3 days if the tooth is infectious. otherwise if you are extracting for the sake of denture preparation, then pain killers will only work. dr deepali, lucknow | |
Q. Having kell antigens in blood during pregnancy cause any permanent effect in babies?
Hi doctor, My partner is pregnant with twins of 22 weeks. She has kell antigens in her blood received from a transfusion when my first son is born. I did a blood test last week, and I also have a kell group present in my blood. Do my babies are safe? What can be done to help them? Are there any permanent effects that would inhibit them from having a healthy life? I am scared after knowing it. Please help me. | Hi. Kell blood group is a minor blood group system. ABO and Rh are called major blood group system. Kell antigen can be antigenic and can create a problem during a blood transfusion or else it may not create any problem. So there is no need for having a specific treatment. Whenever your child requires a blood transfusion, the blood bank should find the right blood suitable for your child as per cross match report. Please mention the blood group of your partner and first child. If the mother is Rh negative and the child is Rh positive, then there is a chance to have a hemolytic disease of a newborn, and it requires anti D. | |
Can histology and cytology not detect cancer in my mother who is coughing a lot ?
Hello, once I posted my question about my mother, She is coughing since January, Her X ray film and CT is the same, she has one shades on lung hilum and also shades like beans allover the lungs. She was told to have a cancer but histology and cytology didn t prove it, analysis showed up some kind of reactive cells, staphylococcus and streptococcus . She took antibiotics but she still coughs.Is that possible for histology and cytology not to discover any cancer cells in liquid taken out from bronchials. Now we are going to do a thoraxoscopy (I don t know if i spell right) and the biopsy finally to find out what is happening with her. I want to add that she has and she had no fever, productive cough, just now started a shortness of breath on physical exertion. what is happening with my mother. Thank U very much. I m expecting for your reply... KEti | Welcome to Healthcare MagicGood DayThe picture you are describing about the X-ray isn't clear. I would be able to comment if you mail to to my email goofinup2005@gmail.com. The biopsy should confirm. You need to rule out other causes like worm infestation, pneumonia. | |
Scanty period, slight lower abdomen pain. On Cerazette. Reasons ?
Im having a rather scanty period where theres hardly any blood but just a lot of brown and i dnt have any pain with it until nightime but the pain is only a little bit in my lower abdomen and its very sharp but the problem is on the birth control pill cerazette have been for the last 8months nearly and i shouldnt b having any periods at all | HelloThanks for writing to us.It is not a rule that while on Cerazette you should NOT be having periods at ALL.Cerazette often causes a period that is very scanty and only consists of brownish spotting such as the one you have described.So please do not worry.The period would be accompanied by mild pain also, which is normal.Continue taking Cerazette as has been instructed to you and do not worry.All the best. | |
Suggest remedy for sore throat,cough,fever and reslessness
13 month old with up to 101.3 temp that comes more at nite. I have been using tylenol and or ibuprophine for five days to help him sleep and just feel better and he is playful during the day but gets a sore throat, cough, and restless more so at nite or at nap time during the day. | hi, fever, cough and cold in a 13 month old child suggest upper respiratory tract infection. Since you are already giving antipyretic medicine for 5 days, the child should be given antibiotic depending on the chest examination. Kindly get the child examined by doctor so that antibiotic can be started. Blood test like complete blood count, CRP level should be done to know the causes of fever. Take care. | |
How long does it take the blood clots to break down while taking fragmin?
I am being treated for pulmpnary embolism found on Jan. 30th. For now I m taking Fragmin until friday until my blood reaches 2. It is now at 1.78 for the coumadin. How long does it normally take the blood clots, which are small, to breakdown? I think it is the result of inactivity, I m writing a book. | Thanks for your question on HCM. I can understand your situation and problem. For Pulmonary embolism, PT with INR should be kept between 2-3 to achieve effective anticoagulant effect. Since your INR is 1.7, you need higher dose of anticoagulant coumadin, to maintain INR between 2-3. You need to take blood coagulant for at least 6-8 months. And resolution of Pulmonary embolism needs at least 6-8 months. So you can expect recover after 6-8 months. | |
Gums separating from tooth. Oozing blood and pus, swollen
Behind my lower right tooth(my last tooth) it appears my gum is separating from my tooth. It started off as feeling if something was stuck like a popcorn kernel. I looked at it today with a tooth pick and when I poked it, blood and pus came out. That relieved some discomfort but it still feels swollen. I can like lift up my gums and sort of see what is under there. | Hello. Thanks for posting your query. You are suffering from periodontal disease. You can go for scaling, root planing, Topical antibiotics are generally the treatment of choice. They can include antibiotic mouth rinses or insertion of threads and gels containing antibiotics in the space between your teeth and gums or into pockets after deep cleaning. Surgical procedure include Flap surgery (pocket reduction surgery), Soft tissue grafts, Bone grafting, Guided tissue regeneration, Enamel matrix derivative application. Wishing you good health. Regards. | |
Are lung infection and dust and cold allergy signs of asthma?
Recently I visited doctor,they said I have lung infection. I need seroflo inhaler rarely, during weather change in gap of 3 or 4days,and I am using it after gap of 6mnths or a year. I am taking Montec lc every night. Is it symptoms of asthma? I am having allergy problem from past 3 or 4 years. Nose get blocked. Allergy due to dust and weather change and cold | Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. Asthma is a very broad diagnosis. As you have repeated breathing difficulties (may be seasonal), associated with allergies, I would think of asthma. To confirm the diagnosis, a test known as "spirometry with post-bronchodilator reversibility testing" is necessary.2. I would like to mention here that seroflo inhaler is a "controller" type of inhaler, it is not be used irregularly/intermittently. If it is used in a gap of 3-4 days, it will not be as effective as it should be.So please use inhalers as suggested by you doctor.3. I would agree for daily Montek-LC (montelukast + levocetirizine).4. I would suggest you allergy testing for common allergens like - house dust mites, insect proteins, indoor molds, regional pollens and pet dander (if you have pet). This will help you identify the substances causing allergies to you and also to know the measures to avoid them.5. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which gradually improves allergy symptoms by working on immune system.6. Regular breathing exercises and a healthy diet rich in vitamins & minerals will also help you in a long run by improving your lung capacity and immunity respectively.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards. | |
Suggest remedy for a nerve block
I am suffering from Postherpedic Neutalgia from the Shingles. My Shingle breakout was in late April. I was prescribed lyrica 150 Caps on 08/11/14 twice a day, and Nortriiptylin 10MG cap 1 or 2 at bedtime. This was prescribed by a Neurolgist. My next appointment with her is September 9,2014, possibly for a nerve block. I am just starting to feel a little better, but I still can not put clothes on or around my waist area where the shingles started, from the nerve pain. I would appreciate any advice you can give me about whether or not to have a nerve block, or should I just wait it out to see if it heals before getting a nerve block? I appreciate any free advice you can give me. I am so exhausted from this horrible decease. I have been house bound now for 4 months. So Scared to get a nerve block, but will get on if it will get rid of this horrible des ease. Thank you .H | Hello Welcome to HCM Thanks for posting your query. I understand your concerns. Nerve block is very well effective in shingles. Pain in shingles is due to virus reciting in the nerve roots. As nerve block causes temporary ablation of the nerve root your pain will drastically comedown. Get it done. No need to worry. Hope you are happy with the answer. Thank you | |
Suggest management for osteoarthritis of the knees and leg pains
Yes I have a MRI 8 months old showing a hemangioma on my L-4, but none of my doctors have talk to me about it. I have fallen 3 time when I had a sharp pain in back and lost my legs this has happen 2 time while driving, I have lose 25 lbs in 2 months, no attpite, very weak, no sleep because I am unable to sleep because of the pain, I sleep in right poation and with pillow in legs, leggs not working good and having pain shooting down both legs, sharp, burning then numbing going now down past knees. I also have the othorartistie in knees. lls, ddd in back. Have bllder problems going about 7 times, not being able to walk and had time breathing | Hello, It looks that your main problem is pain behind and below your knee.This can be due to various reasons like: -Compession of nerves at back -Thyroid problems -Anaemia -Deficiency of vitaminB1,2,6,12 -Anxiety If you are continue to feel such problems then you should have complete blood investigations including CBC,THYROID FUNCTION TESTS,VITAMIN B12 LEVELS,etc. At present you may have a mild analgesic like advil for relief. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mukesh Tiwari | |
Suggest natural ways to reduce BP
My platelet count is 470 and my bp is 140 and I m 40 years old and 98lbs 5 , don t smoke, don t drink and i have a healthy eating lifestyle but my mom has history of HIgh BP and under medication at the age of 60. My doctor just gave me 4mg of perindopylto take everyday. Is there a way to lower my bp? | Hello,Your blood pressure values are a little high, and before starting medication, some lifestyle modifications should be tried first. In this regard, I would recommend reducing maximally salt and caffeine intake in your diet and performing a lot of physical activity (aerobics, Yoga, recreational sports, etcetera). Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ilir Sharka | |
Q. Gums feel irritated after a recent cleaning. How to manage it?
Hello doctor,I recently got my teeth cleaned with a water jet type cleaning, by a new hygienist. A few days later, my bottom front gums felt irritated. I took a look, and one gum looked as if it had been cut down toward root about 3 mm below the normal gum line like it was a mistake. I used a peroxide type mouthwash and declined follow up visits to the same dentist because I did not trust the experience of the hygienist. Ever since, I have been trying to treat the gums and also noticed an odor, greying area toward the root, and it has become difficult to manage the irritation. It also looks like a cavity may be present. I have attached a picture. | Hello. Discontinue the use of peroxide type mouthwash, use a gum paint which could strengthen your gums. Gums may move a little downward after cleaning as the inflamed gums come back to normal size after cleaning and is normal. However, in the photograph (attachment removed to protect patient identity), it looks like you still have inflamed gums and a consultation with a periodontist is recommended at this time. The probable causes of inflammation may be an injury during the procedure or incomplete removal of deposits or the use of peroxide-based mouthwash. Your gum specialist may do a thorough checkup and will be able to tell you if you require another round of cleaning. For more information consult a dentist online --> | |
How to administer enterogermina?
HiMy son 6 years old is suffering from stomach pain since 2 days accompanied by loose motions. He did not pass stool today though. Last night his family doctor advised eNterogermina how should the dosage be administered. Kindly suggestMany thanksDivya | Hi...Enterogermina is a probiotic and it can be given as 1 full vial as twice a day for 5 days. But if the diarrhea is already settling I don't think you need to give any probiotic now. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards - Dr. Sumanth | |
What is the cause for pain and pressure in my abdomen?
I have been experiencing pain in lower left abdomen, pressure, it sometimes can be worse before urinating. Sometimes if I'm sleeping on my stomach the pain awakens me the pain is sharp like a rock. No fever or chills, no foul odor with urine. Pain is intermittent. | Hello!Thank you for the query.Your symptoms are very characteristic for urinary tract infection. Lower abdomen is where bladder is located. During the night, when you do not urinate for some time, the amount of bacteria rises.You may also notice some trace of blood in the urine. Frequent urinating and burning while urinating can be present.I suggest you to visit a doctor, have urine analysis and abdominal ultrasound done. IN case of infection, antibiotics are necessary.IN a meanwhile please increase mineral water intake, try to urinate more frequently and start cranberries supplementation.Hope this will help.Regards. | |
Should blood spot in eye white be of concern in a cancer patient?
My Father has a combination of both hepatocellular carcinoma and cholangiocarcinoma and as a result has esophageal varices. Tonight his eye appears to have a large spot of blood on the white part. I can't find anything saying that I should be concerned or that it has anything to do with the cancer, but I wanted to ask you guys. Should I take him to the hospital? | Is he on any treatment, Its a sign of bleeding, Check for bleeding signs in other areas like gums, nose, or skin for red spots and bruises etc and take him to the hospital emergency immediately.If no other signs get a blood platelet count, and consult your oncologist. | |
What causes sharp pain in the inner thigh while on Atorvastatin?
Hello, I just started taking atorvastatin 20 mg oral tablet a couple weeks ago and I am having some sharp pain in my inner thigh area that has moved up to my upper inner thigh area. it is sharp fill like pins sticking my and a sharp pain at the same time. Also I had a mild similar pain in my left boob area up top. it s not constant but it happened at least 5-6 times in the last two days and in the middle of the night I got up for water and could barely walk I was out of breath a little and most of all very dizzy. Is this a side affect of the new med, or is this a blood clot? | Hello,What I can infer from your complaint is that you are having symptoms of side effects of statins.I would suggest you to visit your physician again, so that he can change the medication or will suggest you medications to decrease the side effects.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Santosh S Jeevannavar | |
Taking infertility treatment. Periods getting delayed after taking T Meprate, Fertisure F. Should I continue medicine after conceiving?
Hi doctor i am under treatment for conceive. Dr. advised me to take Fertisure F for 60 days also she gave me T Meprate 10g for 10 days from 17th day of my periods as i had irregular periods earlier.Now after taking these tablets. my periods date is getting delayed.My question is even after i conceive should i take this Fertisure F Tablet for next 30 days? | Hi, Thanks for writing to us. You should continue with these tablet till you conceive, then when you conceive you should consult your gynaecologist, whether you should continue the medication or not. You should start taking folic acid and zinc tablet which you can continue after concievement. Good luck. Take care. | |
What is the treatment for Hepatitis C?
Hi, my spouse was diagnosed with Hep-C and Cirrhosis several years ago. He has been sober for 18 months. However, recently tests have confirmed lesions on his liver (from MRI), with new lesions discovered this week. He has to have more blood work, and another MRI. Just curious about the treatment options for him, if in fact this is cancer. He is 61 yrs old, Genotype 1. He s had the Hep-C for about 40 years. The cirrhosis is a new diagnosis from 2011. | Hepatitis C is an infectious disease that affects the liver primarily. The infection is often asymptomatic, but chronic infection can lead to scarring of the liver and ultimately to cirrhosis, which is generally apparent after many years as in the case of your spouse.Although the infection is incurable, treatment consist of a combination of pegylated interferon alpha and the antiviral drug ribavirin with either boceprevir or telaprevir for a period of 24 or 48 weeks, having promising results on HCV genotype 1. It should be able to arrest the progress of his cirrhosis. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Is a subchorionic hematoma during an ectopic pregnancy a good sign?
Hello,i have an ectopic pregnancy and after the first methotrexate shot my HCG levels dropped by 25% in 6 days and now doctor says they need to drop by 50% in the next 7 days.I have a heamatoma around the sac in the tube.Is this a good sign or the expected | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Formation of hematoma around the sac may indicate that the methotrexate may be acting in regressing the ectopic pregnancy. But if you are having bleeding from the tube with peritoneal hemorrhage, better to be careful and ruptured ectopic should be ruled out. If you are having only hematoma around the sac you can continue with regular periodic ultrasound examinations and beta HCG levels for monitoring. Hope I have answered your query. Let me know if I can assist you further. | |
Does biotin deficiency cause green discharge from eyes?
I am a foster parent to an 8 week old boy who was diagnosed with biotinidase deficiency last week. I have an appt. for genetic testing later this month. My question is he woke up this morning with green goopy discharge in his right eye. Is this related to this biotin deficiency? He is taking 5 mg of biotin each day I am wondering is this is enough? | Hi...this is not related to Biotin deficiency. This seems like a bacterial infection of the conjunctiva of the eyes. I suggest you get in touch with a pediatric ophthalmologist as this will require antibiotic management.regards - Dr. Sumanth | |
What causes chest pain, fatigue and metallic taste in mouth?
I have aching in my chest when i breath in and have had a metallic taste in my mouth for the last three days, and am so tired, exhausted - could sleep anywhere, but can't, and even my teeth started to hurt. Am i going crazy? I have an ppointment tomorrow, but I was hoping you might know something | Hey there,Definitely there is some problem with you.Get done serum calcium, phosphorus levels, rule out any tooth problem leading to this.Have good sleep for same. | |
What causes pain on the left side of the head?
I have a pain on the left side of my head above the ear, It doesn t feel like its deep in the head, but rather between the skin and the skull. Pain scale is 5 - It is not a typical headache. For lack of a better description the pain feels topical . Any advice is appreciated. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You should have explained the duration of the pain and any other physical symptoms along with it. In any case, you should consult a GP for advise. Hope I have answered your query. Let me know if I can assist you further. | |
Based on the report, is my semen of a good quality?
Dear Doc,my semon is 40 million/ml and the colour is grey,active motality is 60% and Slugglish is 20% and Non motile is 20%MORPHOLOGY Normal is 60%,Ab normal is 40%My Dout is I am fit for Fertility are not and my semon condition is good are notPlz clarifie my doutThankyou | HelloI will certainly clarify your doubtsYou need not to worry, Your semen analysis report is within normal range, your fertility is good.Sperm count is OK with adequate motility and good proprtion of healthy sperms You also can improve its quality and quantity by adopting healthy life style modifications and dietary supplementsAvoid smoking and alcoholExercise regularlyHave lots of fresh fruits and steamed vegetablesMultivitamin and minerals supplementsPlease feel free to ask for more clarification, I will.be happy to help youBest wishes | |
Can I take 1 strip of terbiforce again for ring worms in the pubic region?
under doctor's prescription , i had taken 1 strip (7 tablets) of terbiforce for the medication of ring worms in the pubic region and i had been applying canesten cream since 1 month but it is not going completely.. i want to know whether i can take 1 strip of terbiforce again now for 1 week... please answer me.. | Hello,Welcome to HCM,As your history is suggesting me that you are having fungal infection for which you are taking oral antifungal drug like terbinfine and applying antifungal cream like candid cream over the pubic area.As your symptoms are not coming down even after one month of treatment, you need physical examination to confirm the diagnosis and then we can think of trying other antifungal drugs, which are effective against the funfal infection.I would suggest you to consult your dermatologist for further evaluation and treatment. Thank you. | |
Suggest remedy for chest pain with back pain
I am 31 year mail from India, I am suffering from pain in Chest (Lower Right side) since two years now, I went to neumerous doctors, went for endo scopy, bone scan, MRI etc etc to identify the reason. Only thing which came to fore was I have slight protrusion of Stomatch over diaphragm (Diagnosis fromEndoscopy). Orthopeditions said it is costiocondritis and gave injections of pain blocker. The pain radiates near the joint of sternum and spreads through the lower half of the right chest. Also there are one or two spots where if I press on the ribs I feel pinching pain. From last six month or so I am suffering from back pain also, For that also I went through MRI. Scan shows slight bulging between L4 and L5 (Spine specialist said nothing serious and gave me Vitamin D3 and Calcium as I had Vitamin D deficiency(Blood test was done for B12 and D3)). But location of pain is not only concentrated in lower back region. There is muscular spasm in upper back (near the point where ribs join with back bone). Are there multiple reasons for my suffering since last two years or they all are linked? Kindly suggest so that I can move in right direction towards recovery. | Respected Sir, hi I evaluated your query thoroughly.Sir, you have undergone all the required procedures needed for the diagnosis.All things you have to do now is follow simple steps at home nothing else.* Regular deep breathing exercises along with light exercises involving back.* Avoid much banding / weight lifting till possible.* Avoid smoking / alcohol if consuming.* Maintain weight , BP , Blood sugar, Blood cholestrol levels.* Take adequate sleep of 8 hours.* Avoid stress and excess thinking of the concerned pain.* Take analgesic tab when only more pain.* Physiotherapy helps in many cases under guidance of expert physiotherapist.Hope this clears your doubts .Thanks for using Health care Magic and reading my answer carefully.Regards,Wishing you happy healthy life aheadBye , Take care Dear. | |
Is there any chance of pregnancy after having unprotected sex?
Hello doctor , I and my gf had sex but I hardly Had any precum n she just wanted to feel me once , I din cum inside her n I was just in for 5 seconds , r there any chances of she being pregnant ? She wants to hav an I ipill but I don wan her to have any side effects | Hi,There always chance of pregnancy in unprotected sex if you had sex during unsafe period of cycle (10th to 20th day of cycle considered unsafe if period is regular of 28 to 30 days). There is chance of pregnancy because precum may enter into vagina unknowingly and contain sufficient sperm concentration.So if you had sex in fertile phase of period then take I pill to prevent pregnancy. I pill cause tolerable side effect and no serious side effect will occur. It cause sometime bloating, delayed period by 1 to 2 week, earlier period, excessive bleeding, nausea, headache. Avoid stress, take healthy diet, drink plenty of water and do regular exercise. Use condoms in future to prevent unwanted pregnancy.Hope this may help you. Contact further if follow up needed. Best regards,Dr. Sagar | |
What causes swollen ankles with red spots around them?
My girlfriend has swollen ankles with red spots just around the ankles! She worked on her feet for 14 hrs and this occurred after sitting for 30 mins after her shift! Her ankles feel warm to touch and the night before she had fever which caused fever blister on her lip? Any suggestions? | Hello, The swollen ankles with red spots can be related to a viral infection. The swelling can subside after taking rest. Few blood tests are needed for proper diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon | |
Suggest treatment for hepatitis-B.
Good evening Sir. I asking for my brother in low. He working in UAE, 2 months ago he have some health problem then he admitted a hospital and Doctors found he have HEPATITIS B, Tomarow he return back to India. he living in Kannur Kerala, Sir, where will get good treatment .Kindly give the good guidence and and pls give the Dr.'s phone number or address. | Hi thanks for contacting HCM.Usually 90 to 95 % acute infection of hepatitis b recover with the time.If HBSag positive after 6 month then chance you of chronic carrier or chronic hepatitis.In Kerala you can contact nearby gastroenterologist for further guidence.Meanwhile take low fat diet.Junk food , butter, baked pestry , meat avoided.Fruits more.Avoid alcohol.Udiliv tablet can taken.One tsp cumin seed with water taken.If you have chronic infection with active stage then antiviral drug also can be given...Hope your concern solved.Dr.Parth | |
Suggest treatment for delayed periods
i want to get pregnant i am 36 yrs old an i have stopped the depro shot in feb this year but i have not seen ant signs of ovulation. although my last period was at begining of april and only light and went for bout 10 days i normally go for bout 3 to 4 and have not had period since | Hallow Dear,You seem to be in dilemma. You have missed period or have light period and hence are not sure whether you are pregnant or not. Secondly, you want to be pregnant. Let us discuss your issues one by one. If you have not got periods after April episode, by now ultrasonography will definitely detect the pregnancy if it is there. Now it is 4 months since you got your last period. So even you can feel the growing uterus manually over the abdomen below the naval. Please try to get the possibility of pregnancy detected scientifically, by urine pregnancy test and/or ultrasonography. As I mentioned earlier, physical examination by Obstetrician also will be sufficient to diagnose the pregnancy. If you are not pregnant, and want to be pregnant, you have to follow certain ordeal. First get your partner's semen examined to assess his sperm count and normalcy of the sperms. Also try to locate the day of your egg release (ovulation). Serial ultrasonography from 9th day of cycle is the best way for this. When the ovulation takes place, utilise that day for your marital relations. Give it a fair trial. If you do not see ovulation, you will have to report to Gynaecologist for its management. In spite of ovulation and fair trial, if you fail to become pregnant, get proper assessment of the patency of your tubes done by laparoscopy or hysterosalpingography. This is a broad outline for you. Hope you will take Gynaecologist opinion for the details. | |
Getting anxiety and stress, lack of concentration , recurring thoughts. What am I suffering from?
Hi, I am 26 years male ..I have been suffering from lack of concentration , recurring thoughts since last 10-11 years . My mind never gets relaxed and settled down even while sleeping I am continuously having dreams and I can remember then all . From last 3-4 years I have started feeling very anxious and stressed , most of the times I have worries which doesn t have base , my head feels dizzy ,I dont feel comfortable talking to people as i lose my concentration and feel irritated and restless.I get angry easily, feel vulnerable and confused . Some time i feel that I will lose control on myself . Please suggest the possible problem and solution . | Hello and welcome to Healthcare Magic. Thanks for your query.From the description of your symptoms, you are likely to be suffering from an anxiety disorder, probably a generalised anxiety disorder. However a detailed history and psychological assessment is necessary to pin-point the diagnosis.There are effective treatment options - in the form of medication and psychotherapy, which will help you overcome your problems. So, please consult a psychiatrist for further evaluation and treatment.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist | |
Vaccination Side-Effects
Hello, I took several vaccinations approximately 5 days ago, as follows: TDAP - (Tetanus, Diphtheria and Pertussis) Yellow Fever Hepatitis A Today (5 days later), I've discovered many small, raised and red spots on both of my forearms. Is this a result of some sort of allergic reaction and is it serious? - anon | Not just an allergic reaction but could be a reaction which subsides after few days. | |
Suggest treatment for back pain due to mild anterolisthesis
I had an Xray for my back pain last week..I have mild anterolisthesis of L3 and L4. ALso, mild left lateral subluxation at that level. Who should I see. MY PCP is sending me to a spine specialist who cannot see me for another 10 days...the pain is everyday and I am miserable. ?? | Often times, physical therapy and pain management for epidural steroid injections are suggested.If there is no improvement, surgery (lumbar fusion) can be offered. | |
Suggest treatment for ear and tooth pain after tooth extraction
I recently had back tooth removed in the last 48 hours. I am still suffering with gum ear and tooth pain by teeth closest to the pulled. I also have swollen face and bruise in the area of where the tooth was pulled. The earache almost feels like sore throat sometimes pain radiates from ear to front bottom teeth. I went back to dentist and ruled out dry socket but pain medication is not helping heat does help some. Do you have any ideas on what is going on. | If it was a traumatic extraction, your experiencing post operative inflammation. Analgesics should help at this point, but do reshedule your.appointment to rule out any infection for which antibiotics would become necessary. | |
How is a lump in the salivary gland treated?
I have a blocked salivary gland, probably submandibular, on floor of my mouth, behind tongue to left. Ultrasound and x rays did not show a stone and there is no pain but this lump, the size of a small pea has been with me since late August and I am very worried. I am female and aged 51. | Hi, dear I have gone through your question. I can understand your concern. You may have siledinitis or some tumour of salivary gland. You should take a course of antibiotics. If it doesn't respond to treatment then you should go for fine needle aspiration cytology or biopsy of lump. Then you should 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 causes pins and needles pain in whole body?
hello sir, my mom suffering from shoulder pain, pins and needles pain in whole body. We consulted neurologist and done all test like vitamin ,blood, MRI,Ultra sound,NCV,EMG but she could not find underlying cause. she said all tests were normal. but she suffers from pain pins and needles whole night. So please help us out. thanks mohit | Hi, As first-line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What causes hardheadedness and pain under the ribs?
i have light headedness , pain in my left side under my ribs and sometimes in my back. also have tingling in my hands sometimes. went to the er had blood tests done and ekg. also had a heart monitor on. they said everything looked fine. told me to get a stress test . what could be wrong with me? | Thanks for your question on Health Care Magic. I can understand your concern. Yes, you should definitely get done stress test (trade mill test). Your resting ecg is coming normal. But you are still having left sided chest pain, back pain and lightheadedness. All these symptoms favour heart diseases more. So stress test is needed. Stress test will tell you if heart diseases like coronary heart disease is present or not. In this you need to run on trade mill and continuous ecg is recorded. So if any heart disease is there then it can be picked up. If stress test is normal then no need to worry for heart diseases as a cause for your symptoms. Sometimes musculoskeletal pain can be the cause. So get done stress test to rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes chest pain during pregnancy?
I am 6 1/2 months pregnant. Woke up this morning having chest pain. I didnt pay mind to it and continued with my day. Afternoon I took two Tylenol thinking the pain would go away and it hasn't. The pain is my dead center chest, in between my breast. Feeling like I can't breath. Like my chest is Caving in and someone punched me there a few times. What is it????? | Thanks for your question on Healthcare Magic.I can understand your concern.By your history and description, possibility of musculoskeletal pain is more likely.But better to rule out cardiac chest pain first.So get done blood pressure monitoring and ecg.If both these are normal then no need to worry for heart diseases.Apply warm water pad on affected areas.Avoid movements causing pain.Take painkiller and muscle relaxant drugs.Don't worry, you will be alright with all these.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Sudden eruption of purple spot on the gum, not raised or painful. Have good dental hygiene. Is it serious?
I have a very small purple spot that came out of nowhere on my gum above my front tooth . I do not smoke and I brush my teeth twice a day and floss at least 4-5 times a week. I am Caucasian in my late 20 s. The spot doesn t hurt and it is level with my gum (not raised). What could it be and should I be concerned? Will my gum go back to it s normal color? | hello and welcome to HCM forum, according to the history provided by you,it seems some kind of pigmentation spot has appeared which is nothing to worry about, this kind of pigmentation appears due to number of factors, like vitamin deficiencies, oral medication, etc. i would recommend maintain your oral hygiene as you are, use an antibacterial mouth wash(twice/day) massage you gums with your finger for atleast a minute, take oral antioxidant capsules for a month(1capsule/day), i wish you good health. take care. | |
How can pain in the ankles, knees and back be treated?
I HAVE THREE PA[N AREAS ANKLES, KNEES, & BACK. I QUIT TAKING MULTIBLE PAIN MEDS BECAUSE THEY KEPT ME IN A COMA STATE (I WAS ALWAYS FALLING ASLEEP) 16 TO 20 HOURS A DAY.... SO NOW I AM TRYING TO FIX ME & CONTROL THE CRONIC PAIN WITH MARIJUANA CREAM, BUT DOES IT WORK?? I DON T SMOKE OR DO DRUGS OR DRINK. I HEARD THE CREAM WORKS REALLY GOOD WITH NO SIDE EFFECTS. WHEN I QUIT THE PAIN MEDS I WENT THRU A LOT OF WIERD MIND THOUGHTS, I DID A LOT PRAYING 4 TO 6 TIMES A DAY TO STAY IN CONTROL OF MY MIND AND MY BODY WAS ALSO HIGHLY EFFECTED WHICH LED TO BELIEVE THAT THE DOCTORS ARE TRYING BUT THEY DON T KNOW EVERTHING..... | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It can be due to arthritis. Pain killers can help. I hope this information has been helpful for you. Regards, Dr. Praveen Tayal | |
Will vaccine for torch test positive taken during pregnancy cause fetal harm?
I am 27 year lod and married before three years. 2 Months before i had an tourch test and the result of it IGG +ve and IGM -ve. I Have taken vaccine injection for this infection and i have concieved in same month in which i have taken vaccine. So Is there any risk in my pragnancy. i am 2 months pregnant at this time | HiThanks for posting on HCMThe vaccine may not harm the baby.That is a good preventive move to protecting your baby.Positive IgG however does not show an active infection.IgM does and when positive, depending on which of the elements of TORCH is positive, serious decisions are to be taken concerning the pregnancy.Your baby will find.Just get closer to your OBGYN.Hope my answer will help youBest wishes to you and your unborn baby. | |
What does frequent urination, fatigue, blurry eyesight and painful nipples mean?
i have been experiencing a lot of different changes in my health and i am starting to get worried. i have not felt normal in months, i have frequent urination and bowel problems, my legs constantly feel tired and fatigued, all i want to do is sleep, i have had a cough for about a month, my eyesight feels like its fading, and most recently my right nipple has been sore and painful... | Hello , I am Dr Mody. If your age is nearing menopause and your menstrual cycle have become irregular all the symptoms you describe fit into peri menopausal syndrome caused by changes in hormonal balance of your body . I would reassure you that it's transition phase and the symptoms will wean off as your body gets accustomed to new hormonal milleau. Let me know if any clarification needed . Regards Dr Priyank Mody | |
How can swelling in the toe be treated?
I have a badly swollen hot red large toe. Went to urgent care, they thought maybe gout, but it is not painful to the touch, just uncomfortably swollen. They prescribed two drugs Diclofenac Potassium 50mg and Dephaexin 500 mg. One for pain - which isn t really a problem (I am diabetic, though well controlled A1c of 7) I m not sure about these meds since one is for bacterial infection - which gout isn t, the other for joint pain - which really isn t present. What do I do? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You may be suffering from gouty arthritis or cellulitis or infection. Until examination is done it is difficult to say what it is. Use NSAIDs and heat ,cold compression; if symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. | |
What is the treatment for severe pain in the legs and arms of a child?
Hi, may I answer your health queries right now ? Please type your query here... My 3 year old son wakes up in the night with extreme pain in the legs or arms. I noticed that this happens only when he has has rice or potatos to eat anytime during the day. I stopped both these for several days and no pain. I introduced rice (basmati) and he again woke up with pain. I tried this several times in last few months and result is the same. However, items prepared with ground rice or rice flakes (rice pasta etc) have never caused problems. It s not growing up pains for sure. He also has milk & wheat allergy. It would help if he could have some whole grain rice dishes. Any help? | Hello! Welcome to HealthcareMagic! The basic rule is if one is allergic to something, keep away from it. If he can't take rice, if it creates problems, there is no need to give him that. Take care Regards, Dr. Ratna Mulay, Pediatrician | |
Had MRI, found intense white matter in frontal lobe. Should stop smoking weed till visit doctor?
I had an mri and they found a "intense white matter in my frontal lobe" but said that everything else was good and no "acute abnormalties, normal flow" and so on... just that one thing which was described to me as a vessel thats messed up or something.. also said it wasnt infected. I have a dr appt in a cpl weeks but should i stop smoking weed or will that not matter? | Hi, Thank you for posting your query. The hyperintense area in the frontal lobe is most likely due to an ischemic lesion (lack of blood flow in the brain). Various underlying causes may be responsible such as high sugar, BP, cholestrol, etc. However, it may be a good idea to stop smoking weed. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: drsudhirkumar@yahoo.com | |
What causes lump under breast on top of ribs?
I found a lump under my left breast on the top of my ribs under the skin about 7 years ago while I was pregnant. The doctor took one glance with his eyes and said it was just a "Fat" deposit. I have noticed just recently it has gotten larger although I have lost a bit of weight over the years. It actually sticks up about 11/2 to 2 inches higher than the right side while laying on my back. Is it infect just a "fat" deposit which I shouldn't worry about or could it possibly be something more concerning? | Hi.Thanks for your query and an elucidate history.A simple principle is ::;It is better to get this removed (excised) for 2 reasons.1> your get rid of the disease and 2> you get the histopathological diagnosis- makes you tension-free that it is not a cancer.Why to keep such lumps which are not a normal part of the body ? | |
What is the treatment for Right kidney stenosis and left kidney calculi?
I'm from Bangladesh planning to visit CMC for treatment of my impaired kidneys. Right kidney has stenosis and smaller in size functioning 30% and the left kidney has calculi but functioning 80%. Creatinine is 1.7mg/dl. Kindly Suggest treatment and appointment.-Nijbjnjdin. | HI THANKS FOR POSTING YOUR QUERY ON HEALTH CARE MAGIC.KIDNEY STENOSIS CAN BE TREATED WITH RENAL ANGIOPLASTY AND STENTING.RENAL CALCULI CAN BE TREATED WITH ESWL;EXTRA CORPOREAL SHOCK WAVE LITHOTRIPSY AND PCNL-PER CUTANEOUS NEPHROLITHOTOMY.BECAUSE OF LOWER FUNCTIONING OF YOUR RT KIDNEY,YOUR CREATININE IS SLIGHTLY HIGH.YOU CAN TAKE AN ONLINE APPOINTMENT AT CMC.CONSULT YOUR DOCTOR FOR FURTHER QUERIES.THANK YOUTAKE CARE | |
Is pregnancy possible without having ejaculated?
Hi. My GF and I were engaging in sexual activities on the 26. I came on my stomach and chest. She cleaned her fingers off with a towel and then I did the same to my stomach and chest. If one of us touched her vagina, would it be possible for her to get pregnant? Also her period is late this week(hasn t happened yet) but it is finals and week and she s been very stressed and a little sleep deprived | Hello dearI understand your concernTouching of the finger to vagina does not cause pregnancy.To become pregnant penetrative sexual intercourse or intercourse up to vaginal intoitus is required in fertile phase of the period.I do not think your act cause pregnancy as there is no penetration.But delayed in period could be due to excessive stress and sleep deprivation, hormonal imbalance and change in life style and dietary habit.Wait for the period to come.If period will delay by more than 14 days then go for urine pregnancy test and or blood HCG by consulting the gynecologist to confirm the causeMeanwhile avoid stress, take healthy diet, drink plenty of water and do regular exercise.Period can be induced by the progesterone pill in absence of the periodHope this may help youContact further if follow up neededBest regardsDr. Sagar | |
Painful swelling at the base of tongue post lower teeth extraction, no improvement with amoxicillin. Recovery time?
i had four lower teeth pulled, and am now experiencing painful swelling at the base of my tongue . my dentist prescribed amoxicillin , five hundred mgs, and have been taking two pills twice a day, this being my third day. swelling still persists, but have noticed i have been spitting out thick saliva alot. How long does it take to reduce swelling? very uncomfortable and hard to talk. | Hello and welcome. Thank you for your query. Although recovery time is considered to be 2-3 days, there is a chance it might take a while longer. There is also a chance that there could have been some damage to a blood vessel during the extraction process. This at times causes a presentation at a different part (the part supplied by the blood vessel that got damaged). Please give it sometime or discuss the possibility with your dentist. I hope I have succeeded in answering your questions, you could write back to us anytime for further clarifications. Best wishes. | |
Could taking avlicor be safe for brown patch on corner of lips?
I have a brownpatch on the corner of my lips, the local med clinic thought it was cold sores, prescrbd me 4 pills, avlicor and sentme on my way. Well its been there for 3months now, i went back two and ahlof months aftermy first vivst and am being told it might be fungus now, they told me to put lotramin on it. what is it what can i do?? I am a 26year old male, 5ft8in at165 pounds | hello...reading through your query i may say that it can be fungal or it can be due to vitamin deficiency...so better takemultivitamin tablets for 1-2 weeks...and apply topical antifungal agents....keep ur oral hygiene at good level too...and more over reduce stress or tension...be calm...and happy...have a nice day!!! | |
Can antibiotics effect birth control?
so i was taking singulair and it ended on friday... i had my period on thursday and friday and saturday because it was the end of my pill packet. i started my new pill packet on sunday and for some reason got some blood on monday but i don t think that it meant anything, it was just the end of my period. on tuesday, my boyfriend thinks he ejaculated a little in me and were concerned that my birth control isn t in full effect maybe becuase of the antibiotics (which evidently don t affect birth control) or because of the potential spotting i had on monday. thoughts? | HiAntibiotics such as Rifampicin and Rifampin used in the treatment of Tuberculosis are the drugs that can interfere with oral contraceptives and affect their efficacy.Other antibiotics can be safely used.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician | |
What could painful lump between vagina and anus oozing puss be?
HI I have found a pea size lump between the bottom of my vagina and my anus. It's has a dull ache and I have just noticed tonight after a hot shower some small amounts of puss coming out. It hurts to sit, but is bearable. I am worried about what it is. Thanks | Hi,This could be a Bartholins cyst. This is not serious and they are easily treatable. I suggest you see your doctor for confirmation of the diagnosis. I advise antibiotics for the infection and keep the area clean with regular showers.Regards,Dr K A Pottinger | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
Which out of atenolol and telvas should i take for controlling BP?
Yes, thank you.I am a patient having high blood pressure with some variations.I was prescribed ATENOLOL 25,INDERAL 40,NEWTEL 40, TELVAS and now using SUSTAMET 25.I would like to know which particular medications will hold my Measurement in control.? | Thanks for your question on Health Care Magic. I can understand your concern. You are not taking drugs correctly. You are taking more than 1 beta blocker. Atenolol is beta blocker. Inderal is having propranolol. It is also beta blocker. Sustamet 25 is having sustained release metoprolol. It is also beta blocker. No need to take all these 3 drugs. Better to take only Sustamet 25. Sustamet will also help in controlling blood pressure. Continue newtel and telvas. Both are good antihypertensive drugs. Along with drugs, you need to follow strict salt restriction in diet. Do aerobic exercise like running, cycling, swimming etc. All these will also help in controlling blood pressure. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Recurring redness under foreskin with white patches. What could be the cause?
hi, i am ........ 23 yrs old married boy , i had a problem under foreskin of pennis, it seems reddish skin in color, and i see something white patches hmm like white color wet powder i am see this type once in a month..what this type of indicates ? and there is any solution for it.. tell me and i also want to know how to get strong stamina in pennis while doing sex..i get immediate discharge( premature ejaculation ) please give me home made remedies..not any medicines treatmens..only home made remedies. | Hello,,As you are getting this white discharge frequently it looks like a fungal infection. Usually these fungus are the normal comensal of the genitals which will be kept under control by the helpful bacterias, whenever there is imbalance in the environment these fungus will produces symptoms which you are having. I would suggest you to take oral anti fungal and to apply topical antifungal agents.Regarding your sexual performance, it is mainly of your psychological condition, if you believe you can perform it will increases your sexual desire and performance. Nothing is required to boost your desire , you are very young and you can perform. Take nutrious diet thats all, you donot require any medicines or any other remedies. Thank you. | |
Skin rashes spreading on the body. Had exposure to coral on the beach. Will it go away with Bortic-ds and phenergan?
My grandson is 2 he is on hoidays at hamilton island he was walking along the beach and touched soft coral he imediatly came out on a pimpley rash he when to the doctors and they gave him a antihistermene shot sorry about spelling then he went home with Bortic-ds 1% and phenergan the rash which is red the morning its on his hand and wrist is there anythink we should know about this should we look out for anythink ? | His symptoms are suggestive of Acute Urticaria. This is usually caused by either due to allergy to the sea plant or coral or toxins from the coral . The treatment given to him is the perfect treatment however if it worsens he might need a short corticosteroid medication course . Please note that if he has any lip swelling or difficulty in breathing you should see doctor right away. Hope this information is useful, please feel free to ask if you have any queries. Please feel free to ask if you have any queries. | |
Suggest treatment for nausea and malaise in a child
My daughter, (age 12, approx 5 2 - 115lbs) accidentally ate a slice of moldy bread two days ago and she has cillin allergies. She s been a bit nauseous, light headed & achy... just general malaise... since yesterday, but her appetite is fine, and bowel movements are fine. Is her malaise related to that? What should I do? BTW.... my son (age 14, 5 10 , approx 120lbs) also ate a slice, but no cillin allergies for him. He s been a bit nauseous with diarrhea, but appetite is fine. | Hi...1. Your daughter's malaise may be related to the mouldy bread intake.2. Even your son's diarrhea might be related to the same.Diarrhea - Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment.Regards - Dr. Sumanth | |
What does a lump under skin below the ribcage indicate?
For about 3mths now my 18 mth old son has had lump under the skin just below his rib cage. The lump is roughly between 1-2 inches and is only visable at certain times e.g when lying down but strangely not only just when skin is stretched. Do you have any idea what it could be? | HelloWelcome to health care magicit may be lipomaIf it doesn't causing any problem just wait and watch but surgerical can be considered | |
Suggest remedy to prevent pregnancy
hi ,my problem is that I feel I am pregnant but I have not inter course with my husband I checked with HCG strips but they answer me no after all that I feel warmting and 18 days above to my menstrual period kindly suggest me safe medicine I have 5 months baby now. | Hello dearUnderstand your concern.First you have to confirm pregnancy by Blood HCG level or by USG that is very sensitive.Your period may be delayed due to high prolactin and hormonal imbalance.If you are pregnant then you should use mifeprex abortion kit.it contain five tablet-Mifepristone 600 mg (One tablet) take orally.After 24 hr of oral tablet, put four tablet of misoprostol in to vagina.With in half an hour of punting tablet in to vagiana , bleeding will come out and that is conception product/embryo.Hope this may help you.Best regardsDr. sagar | |
What causes painful lumps on neck level in 2 year old?
My two year old has two lumps on the back of his head near his neck level with his ears, he saids ouch when I touch or feel them or press on them, do you have any ideal what they are and should I be concerned? I notice them about 3 weeks ago but he hasn t had a fever and his personality has been the same there about the size of a quarter. | Hi,From history it seems that there might be having enlarged neck lymph nodes giving lumps.This can be due to having some infection in surrounding area like scalp, ear or throat.If there is no acute infection he might not have symptoms like fever, pain or discomfort.Consult your doctor and get examined.Ok and take care. | |
Having noticed a fracture between shoulder and elbow
My father right arm bone (Between shoulder & elbow) was fracture last week and doctor advice to make surgery and fix the plate. But i have questions my father has a sugar, high BP, breathing problem and heart size is a bigger than the normal size. Hence in this condition is it possible to make the surgery? | Hi, I had gone through your question and understand your concerns Your father has fracture humerus ,this fracture could be treated conservatively in some cases and other cases need surgery according to fracture displacement . If I were his treating Doctor for this case I will ask him to do full laboratory investigations ,ECG,ECHOcardiography and chest x ray and to consult anesthesia doctor before doing surgery.If He is unfit for surgery so closed reduction and coaptation splint is the only option . | |
Can chest pain be related to stress?
I'm 56 - 5'5" - weight 165 lbs. I've been having this achy pain just on the right side (nearest the center of my chest) for a couple of days. No other noticable symptoms although I have been under a lot of stress lately, i.e., husband had a massive HA in Feb., work stress, problems w/ my father-in-law's estate, economy. I am taking Wellbutrin for mild stress but I'm afraid this may be something related to my heart. | Hi thanks for asking question.I can understand your concern well.Here I am giving you few posibilty in your case.1.First you have undergone very much stressful condition.anxiety and related panic attack can lead to chest pain.Try to avoid stress . Rather think about alternate solution for problems.Short term alprazolam can be taken for few days.2.Second it might be because muscular pain by overwork or improper sleep posture.take analgesic and hot compress for it.3.Though chance less to rule out cardiac cause ECG can be done.I hope you will get well soon.Parth | |
Q. My pregnant wife passed a little blood. Is it a sign of miscarriage?
Hello doctor, My wife tested positive for pregnancy four weeks ago. Three days later, she was passing a little blood. Is that normal or is there a chance of miscarriage? Is Progesterone 200 mg a good tablet or is it because of this tablet that she is passing blood? Please advice. | Hello. How are you doing ? Hope I have clarified your query. Do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
What is the cause for frequent stabbing pain in the groin area with a history of uric acid kidney stones?
HelloToday, out of the blue, I was sitting at my desk and go a very sharp stabbing pain, near my left testicle.It is not in the testicle, actually up in my groin. It felt liked I was being poked with a needle. I got up and rubbed the area and walked around . . . and the pain went away. SInce then I have gotten the sharp pain about every couple of hours. It comes with no warning. The pain only last about 5 - 10 seconds, but hurts tremendously. It seems that moving helps get rid of the pain, but don't know for sure. The pain makes me have to move and walk.I just saw a dentist yesterday because of a tooth ache. He said I need a root canal and prescribe amoxicillin for the infection. Could this be related to the new stabbing groin pains ?Also, I have had uric acid kidney stones. | Hi. From your history this looks to be a stone impacted or trying to pass through the ureter on the same side of the pain. No relation to amoxicillin. Get the urine test and sonography done, Visit a Doctor for clinical examination as to see there is no hernia or so. | |
Suggest treatment for chest congestion and cough in an infant
20 months baby, suffering from congestion, cough. Taking alex p syrup, drowsiness. Should i change medicine? Hello Dr, I ve a 20 months old baby boy who is down with congestion and pretty bad cough. This was caused due to travel and esp due to change of weather. We were advised to give him alex p syrup thrice a day(2.5 ml each time). But it makes him too drowsy. Is it safe to give or there could be a better medication for cold congestion and severe cough. | Alex p is safe drug It may causes drowsiness U have to decrease dose to two times a day If baby is more drowsy then consult ur pediatyician | |
How to reduce IgE level in blood?
Hello. I have an Ig E level of 1200 wheras the normal level should be around 120. I am highly allergic to a lot of things. Every situation in which normal individuals sweat, like heat, tension, workout etc, i intead become red and develop a rash. Any solution? or a good immunologist in bangalore? | Hi, dear. I have gone through your question. I can understand your concern. You have high ig E. Its seen in allergy. You should take immunosuppressive drugs like steroids to control that. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Have stage 3 multiple myeloma. Neck pain, lump under rib cage. Taking Dexamethasone. Go to emergency care?
Good day, my father was diagnosed with stage 3 multiple myeloma in september, 2012, he is 78 and has had two blood transfusions. one in september and the other November 6th. since Nov 6th, he has been experiencing bad pain in the neck and just today (Nov 22) I discovered a large lump about the size of half an apple on his right side under his rib cage. should I take him to emergency right away? He is on a steroid treatment ( dexamethasone ) and painkillers ( hydromorphone ) | Hi Mckoy, what I feel from your description, the pain was there from last 20 days but the lump has developed just now. It could be bone fracture and hematoma over there. Please take him to emergency room and get evaluated. Take care. | |
Canker sore in left cheek, in area where wisdom tooth is growing. Treatment options?
Hi i recently developed a canker soar in my left cheek back where my wisdom tooth is growing in. thought it was fine until i used my tongue to feel around it one morning and it had a boxy lump around it and it comes out all the way to my gums and it hurts to touch it open my mouth or spit and eat. What could it be and how should i treat it? The soar is white and it caves in a little. | Hello, Thanks for writing in. I read your query,i would like to tell you that this soreness is because of wisdom tooth infection. One more thing i will tell you that wisdom teeth play very little role in food chewing,so i is better to get them removed if they create any problem like infection again and again because such infection will destroy underlying jaw bone. So i will suggest you visit an oral surgeon as soon as possible and after proper medication get them removed. Nothing to get worried. Take Care Dr. Gunjan Gupta | |
Q. I have clogged ears with pain from ear to throat with vertigo. Is it due to nasal drip or herpes infection?
Hello doctor, I have clogged ears and pain from ears to the throat, vertigo, and always feeling confused. I had a sinus nasal drip which I thought that is why my ears where clogged it has been six weeks and it is still clogged, popping and painful. I saw an ENT and he said I had no fluid and there be any underline issues causing my ears to stay with pressure and fullness like HSV-1 and HSV-2 can cause me to lose my hearing. I am 40 years old and never experienced this before. My doctor prescribed me antibiotics and they are not working. I already took Acyclovir and he prescribed it again. I just need to know if herpes causes hearing loss? | Hi. I can understand your concern. According to your statement, you have been suffering from clogged earaches with painful jaw joints and sore throat with vertigo and all these sufferings may result from herpes infection according to your assumption. When herpes affects the nerve in the face that spreads to ear known as Herpes zoster oticus its clinical features are severe earaches, swelling of vestibular nerve, fluid-filled vesicles on outside of ear and inside ear canal, permanent or temporary paralysis of the face with hearing loss. Again herpes esophagitis can attack the mouth. Sores may develop in the mouth and make swelling difficult due to inflammation of the throat. This pain can radiate to mouth and jaws. Sudden hearing loss can result commonly from viral infections other than herpes are measles, mumps, rubella, viral meningitis, syphilis, AIDS, etc., which can cause sudden loss of hearing. Again bacterial meningitis, Lyme, any tumors in the ear can also be hearing loss. Any type of hearing loss, steroid should be applied immediately. It helps in reducing the inflammation and decrease the swelling and increasing hearing ability. So along with your current medications, you should use steroids immediately to prevent further hearing loss. In case of any other query knock me and I will try to help u further. | |
Why has my hunger reduced? Why do I get tired soon? Why is temperature below normal?
Im a female who s 21 years old. For the past 3 days I ve be much more tired then normal, and haven t been hungry at all. I ve had boughts of nausea , and as well as occasional mild pain on the right side of my abdomen . My temp has been ranging between 96.5-97.2 depending on the thermometer and location taken. My temperature usually sits right about the norm, 98.6. What could be causing all this? And should I pay a visit to my local doctor? | Hello dear,The symptoms can be attributed to:1. Anemia2. Hormonal disorders like Hypothyroidism3. Lack of proper hydration status of body4. Electrolyte imbalanceKindly consult your General Physician & get a proper clinical examination done.Investigations like complete blood count, serum electrolyte assay & Thyroid profile will be helpful.Take care. | |
Q. I often get bad breath with swollen and bleeding gums. How to eradicate this?
Hello doctor, I am facing a bad breath problem. Sometimes gums get swelled and bleeding happens. I do not feel comfortable speaking to someone because of the bad breath issue. What can I do to eradicate this problem? | Hello. I understand your concern. Gum bleeding, gum swelling, and bad breath are the signs of gum condition called gingivitis. Gingivitis is the inflammation of the gums caused due to constant irritation by tartar or calculus (hardened yellow deposits on the tooth). Food deposits or plaque that settles on the tooth get calcified in the long run and become hardened calculus deposits. Constantly irritated gums become weak and start to bleed when we brush or in the morning time after waking up. A professional scaling and polishing procedure is done by an ultrasonic scaler instrument to remove that calculus. Once removed, the gums take a day to heal and the gum bleeding and gum swelling will resolve the next morning. You will also see an improvement in your bad breath issue. Please visit your dentist and get this procedure done. This procedure can be done once in six months if required. Although we do a proper brushing every day, there are certain spots between teeth where the bristles fail to reach. Hence a professional tooth cleaning is always advised once in a while. There are certain brushing techniques that can be followed to prevent calculus accumulation. Get to know that from your dentist and please do follow them. And you should start cleaning the tongue with a tongue cleaner or by using the back of the brush. This will be effective in reducing the bad breath issue. I hope this helps. | |
Recurring painful swollen gum oozing green pus and blood. Suggested need for root canal if there is continuous swelling. Advice
i have swollen gum at the same place once every few months. it goes away eventually. but today, it hurt quite a bit. and when i touched it with my tongue, it "burst", something greenish looks like pus and blood oozed out. the swelling reduced a bit. a dentist told me that i needed root canal, another one told me it's fine as long as it didnt swell continuously.. pls help.. | Hello,Since your gums are swollen and pus and blood oozes from the gums,there is chance of periodontal infection which has progressed into abscess formation.I would advice you get a thorough clinical evaluation done.Deep scaling and root planning is required.Curettage and drainage of abscess can be done.Take complete course of antibiotics too.Use soft-interdental toothbrush and dental floss to clean your teeth.Brush your teeth in back-forth and up-down motion.Maintain oral hygiene well.Use chlorhexidine mouthrinse to gargle.Take care. |
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