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What should be the actual size of the follicle on each day?
Hi, I am 27yrs old. I am trying to get conceive for past 5 months. My Dr advised me to take the follicular study to monitor the egg growth. The size of the follicle at my 10th day-11mm, 12th day-12mm, 14th day-14mm & 16th day-16mm. Is this normal? wht should be the actual size of the follicle on each day? | Hi,Your follicles growth is fine. It should be 1 to 1.5 mm per day. So don't worry it's going well. May be on 18 th day you will be given one injection for rupture of egg. Then be in contact with your husband for next 2 to 3 days. You will be given some progesterone for 2 weeks, then you can do a pregnancy test.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya | |
What to do for the brainstem with focal seizures and aseptic meningitis?
i have been diagnosed with herpes of the brainstem with focal seizures and at least 5 hospitalizations with aseptic meningitis outbreaks. have been told i'm one in a handful around the world with this type of recurring condition. can you please give me more info? | Hello!Welcome on Healthcaremagic!Your clinical situation is a quite common condition. For this reason, I recommend continuing taking antiepileptic drugs for seizures, considering the past medical history. A prolonged therapy with anti-viral (acyclovir) is necessary to prevent from infection recurrences. Hope you will find this answer helpful!Best wishes, Dr. Aida | |
Suggest remedies for a painful lump on my vagina
I have a problem, between the clit and the lip there is a lump that s very painful to touch when I pinch at it, it looks like a spot I m not sure what to do or what it is, weather I should pick it or pit something cold or hot on it to get rid of it, I m really embarrassed to go to the doctors so any help you can give me would be a great help | Hi,From history it seems that you might be having infected Bartolin gland cyst giving this problem.There might be having some local infection giving this problem.Go for one antibiotic and anti-inflammatory medicines course for 3-5 days.If problem persisted, then consult Gynaec and get examined.Keep local hygiene clean, dry and airy.Apply antibiotic cream.Ok and take care. | |
Can taking Acivir dt 200mg be safe for oral herpes?
I am suffering from mouth harpies and taking antioxidants capsule n acivir dt 200mg two time from lost three days my age 50 year.I am suffering from last one month and taking different types of medicine as directed by doctors but still i am suffering .What i can do | perfect treatment of herpes is unfortunatly yet not available in severe condition u can take acyclovir tabs.and antioxidants which u r already taking take medicin for long term u will get relief if pain of ulcer discomforts u thn u cn apply ulcer healing ointments containing lignocain this will give u relief from pain like ointment containning chlorhexidin gluconate or triamcinolone with topical lignocain. | |
Why does a spot film of the mid-lower lung field is suggested for further evaluation?
hi. i ve done my chest Pa xray and here s the result: -No previous studies for comparison. -Minimal suspicious opacities are seen in the upper lung fields and in the left mid-lower lung field. -The rest of the lung fields are unremarkable. -The heart is not enlarged. -The trachea is midline. -The costophrenic angles and hemidiaphragms are intact. -The osseous structures and soft tissues are unremarkable. Remarks: An apicolordotic view and a spot film of the left mid-lower lung field are suggested for further evaluation. What does it mean? thanks. | Thanks for your question on HCM.In noral chest x ray PA view, the apical part of lung is overlapped (hidden) by bony structures like 1st two ribs and clavicle.So the lesion present on apex is not visualised clearly.So we need apicolordotic view.in this view x ray is taken in such a way that bony structures are not going to obstruct the apex. So apex will be clearly visualised and lesion can be identified. And spot film means taking x ray only of interested region. In your case It is left mid and lower part. So in simple words it is the magnifying image of only left mid and lower part. This will give magnified view and so better reporting can be done. | |
Somthing on collar bone near throat, moving around, not hard. History of having swollen lymph nodes, sinus and allergy issues. Possible lymphoma?
I have been to my doctor for swollen lymph nodes a few times. They are all small and mostly in my neck. I've had many sinus infections and allergy issues. My doctor told me they are normal nodes. I recently found something on my collar bone and I don't know if it's a lymph node or a tendon. It is near the throat end of the collar bone and I feel something similar on the other side. It moves around a lot and doesn't feel very hard. I always worry about my lymph nodes and having lymphoma | Hi, Thanks for using HCM.Since you are suffering from many sinus infections and allergy, these lymphnodes may be due to infection. Since you are telling many lymphnodes get done one USG neck to see if any significant lymphnodes present there and also one complete hemogram to check or infection or other blood related problem. Lymphnodes are normar structures present as a barrier and if only significant enlargement is a problem. Consult your doctor for local and systemic examination once and management. Hope I answered your question. You can explain how it is,pain, mobility, size, number, place, consistency, associated disorder then we can discuss purticularly on that. Feel free to ask me if you have any further queries. Wish you good health. Take care.RegardsDr. Lohit | |
Can low BP levels cause studdering?
yes last june I spent some time in the hospital for low blood pressure 48 over 0 needless to say I was in ICU FOR 7 DAYS, SINCE I GOT OUT OF THE HOSPITAL I HAV STUDDERING AGAIN AFTER NOT STUDDERIN FOR YEARS. DO YOU THINK THAT EPISODE HAS SOMETHING TO DO WITH MY CURRENT SITUATION | Hello!Thank you for asking on HCM!You prior pathological condition (with those very low BP values) seems to have been a very serious and dangerous situation for your life (regardless the primmary triggering factor).It may have been associated with possible cerebral blood supply impairment, leading to irreversible cerebral tissue injuries.So, there is a great probability, that your actual clinical signs (stuttering) be a consequence of that dangerous health condition you have experienced the last June.What I would recommend is: consult a neurologist for a comprehensive neurological status evaluation, coupled with a possible head CT scan or MRI (as is required), to identify possible cerebral damages, and institute an appropriate management strategy for your complains.Hope to have been helpful for you!Greetings! Dr. Iliri | |
Sex, pain in left kidney, burning in vaginal area, kidney stones. Treatment?
Hello, I had sex last weekend with my husband and I was ovulating. Two days ago I started feeling pain in my left and right side. And it is feeling like a burning in my vagina area. I have no discharge . A history of kidney stones too. The paid kinda feels like a stab to the right of my belly button and then down sometimes too. I feel like I have to pee all the time. | Hi, many thanks for the query!It can be calculus related pain, you need to do certain investigationsto confirm it, viz. USG (KUB), X-ray KUB, Sr. creat., Sr. BUN, Sr. Uric acid,Urine (Routine & Microscopy).For time being, you may take anti-spasmodics, pain killers, diuretics as peryour doctor's opinion.See your Gynaecologist for burning in vagina.Wish you a good health.Take care.Regards. | |
Suggest treatment for a huge lump on the forehead
My son fell and hit his forehead a month ago. Huge lump, both eyes black, and a lot of swelling. Wasn t knocked out but sinuses affected but had a cold previous. Now after weeks he has a pointed lump at the site where he hit the metal. Is this normal?. | Hi,It seems that there might be having big hematoma following injury producing swelling and black eye.Now gradually it is reduced and some collected blood is encapsulated.Apply ice pack for few days.Some times if not absorbed then aspiration with wide bore needle might required.Ok and take care. | |
What causes low HB count in child?
hello am Omar,My son is 3.5 yrs old.in june he was sick and looked pale.after blood test they found out his HB is 5.8.He got blood transfussion and it was 8.8.before discharged they did another test and it was 8.1 so they gave him another blood transfussion and it was 9.2. ten days after discharge we went for a checkup and his HB was 8.4,.A month later it was 9.6,two months which was 18th of oct is was 8.2 they did all the test possible but could not find the reason why low HB.the dr wants to see us next week,and he suggested that if its low then he has to do Bone marrow biospy........am worried! wat is happening .pls help | HI...I appreciate the fact that all tests have been done to know the cause of anemia. But has the haemoglobin electrophoresis been done before giving blood transfusions as it is crucial for diagnosing hemoglobinopathy or haemolytic anemia. I would also like to know if direct coombs test and retic count have been done or not. These are indirect pointers towards hemolysis and that of bone marrow function. ANA might throw some light on autoimmune haemolytic anemia.Bone marrow biopsy is one good test which will be crucial for diagnosis as the blood components are produced in the body in the marrow only.Regards - Dr. Sumanth | |
How to get stamina to control sperm leak out in sex?
hi i m 29 yrs old,when i thought having sex in sleeping automatically my sperm leak out. i m not yet married but i used to have sex with my girl friend. i have no stamena very quick my sperm leak outs cant satisfy my lover. please give me an suggestion | DearWe understand your concernsI went through your details. Automatic sperm leakage during sleep is called nocturnal emission. Nocturnal emission is a natural process of body on which you have no control at all. Semen is produced whenever you are sexually aroused and this produced semen is stored within the body. This semen is a waste product and body should find a way to throw the semen. Body does it through nocturnal emission. No health problems due to nocturnal emission.You could be having premature ejaculation problem which you term as lack of stamina. In reality stamina is not the criteria for premature ejaculation. in most of the cases, mental health issues like anxiety, apprehension and obsession are the reason for premature ejaculation. I suggest you to consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. | |
Q. I am having a chalazion. What should be done to cure it?
Hello doctor, A few days before, when I woke up, my eyes are swollen and painful. The swelling started to settle down after a few days by using warm compression, but there is a lump on my left eye. I do have a history of a chalazion in the left eye before two months. I underwent surgery in the past for both eyes. I wash my eyes with baby shampoo and have used ocusoft products; nothing seems to be helpful. | Hello. A chalazion is caused when glands (meibomian glands) in eyelids are blocked. Chalazion sometimes reduces with anti-inflammatory drops but very less. There are two options left now since it has not reduced, intralesional steroid injection or surgery (Incision and Curettage). I suggest you get it surgically removed. It is a minor surgery in which just a small incision is made in the inner part of the eyelid, and the contents are scooped out. Since chalazion is recurring, you have to get your blood sugar tested along with complete blood count (CBC). | |
Suggest remedy for intermittent chest pain
Hi, I strained something in my chest the other day picking up my son too quickly. The pain comes and goes depending on how I move, however I find the pain to be more when I inhale to breathe. I am also pregnant, so I am limited to certain medications. Do you have any ideas of what I can do? | Hi thanks for contacting HCM...Here according to history you are having simple musculoskeletal pain by muscular strain....I am suspecting this because pain aggravated in some position which indicating it....Apply hot pads over chest wall...Avoid strenous activity ....Heavy exercise avoided.Try to limit movement causing pain....Rest taken....Proper sleep position needed.....If still pain remain consult physician for that ....Then detail investigation might needs.Take care. | |
What is the treatment for body twitching and burning sensation?
Hi doctor. for past six months i have twitching all over my body along with burning sensation some times. i was identified with Vit D deficiency too. i have pain in all post all joints specially in finger joints, and in anklets and in foot joints. i have bulging disk in ervical and lumber. i under gone panchkarma treatment for 15 days. unfortunately its not helping me. whether my condition is curable? I dont have thyroidand suger Regards Arun | Hi, Unfortunately, your post does not contain a specific question to answer but instead makes a number of statements about the twitching of your body. You are advised to see a neurologist for an examination and to be sent for proper blood work as well as possibly imaging studies. You may need a series of blood tests and depending upon exam results possibly an imaging study of the head. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist | |
Suggest treatment for yellow teeth due to lack of enamel since birth
hello my name is hollie i was born with no enamel and a condition which resulted in me having grey/yellow teeth all my life. i used to go to glasgow dental hospital for children and get this sorted for free but now i have moved country i dont know what i can do to get my problem fixed and if i can get it fixed on nhs for free as its a medical condition? | Hi,Thanks for posting the query, Yellowish teeth due to lack of enamel is a developmental anomoly, there are various procedures like bleaching, veneer, lamination first of all the condition of your teeth is to be examined and then the type of treatment could be decided i would suggest you to consult a Dentist nearby and discuss the treatment modalities.Hope you find this as helpful,Take care! | |
Does Monocef-o cause loose motion in a child?
My 2 yr old daughter is suffering from fever from 8th Sep.Doctor prescribe her to give Sumo-l syrup SOS.But she did not cured,then on 13th Sep added 100mg Monocef-o CV syrup 2.5 ml twice a day.Till Now she is not cure & loose motion start from yesterday 2-3 times a day.Is this side effect of Monocef-o CV? I should consult to my doctor? | Hi thank you for choosing healthcare magic.Are you using the antibiotics till now? if so then they cause loose stools after prolonged use. How is your child's fever? has it come come down in between and again started? if so it can be a new infection now. Kindly note that for any infection a 5 to 7 days course of antibiotics is usually enough unless its typhoid. Kindly get your child checked up and start her on probiotic sachets to improve her gut flora and reduce her stools.Hope this has helped you. Your vote of thanks is appreciated,Good luck,Dr J Sravanthi, Peadiatrician and Neonatologist | |
What does a small hole between the toes indicate?
My three year old son has a little pin size hole in between his pinky toe and the fourth one. There was a little piece of dead skin and i moved it thinking it was dirt and i noticed the hole and its a little deep and It is kinda hard around the hole .. we noticed our dog had a tick and I m getting really worried because they are saying it can be a staph infection or it can bea fungus. . | Hi...I feel that it could be discharging sinus which might have got secondarily infected. But, skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
What causes red,blotchy,bumpy rashes after dog bite?
My dog bit my arm last night. It was painful and left indentations but did not appear to pierce the skin except for a tiny amount of epidermis shed today. tonight there is bruising and a red, blotchy, slightly bumpy rash, that doesn't itch, around the area of the bite. Should I see a doctor about the rash? If so, what does the rash indicate? | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Such a bite mark will never cause any problem.But you should be worried for the two things. First is the infection that occurs because of the bite mark. For bite marks I advice you to do regular cleaning and dressing. Antibiotics and analgesics can be useful to prevent infections.Second is rabies. Rabies can be observed by the condition of the dogs. If the dog remains healthy for 10 days you can be free from the rabies.In other case you can take the rabies vaccination as scheduled. There is no harm in taking it and you can be protected from the rabies.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | |
Is there any problem for having headache and chest discomforts after inhaling the bleach smell?
Hi, my friend mixed harpic bleach with normal bleach in a bucket as we were cleaning our flat about 3 hours ago, after mixing the bleach there was an instant extremely strong smell that made us cough for a while, I then emptied the bleach down the sink and we stayed in the room for about 3 hours without realising it is dangerous. I have a very strong burning sensation in my nose and am extremely tired with a headache, and my friend just has a pain in her chest when she breathes deeply. Is there anything to worry about? | Thanks for your question on Health Care Magic. I can understand your's and your friend's situation and problem. Both of you are having these symptoms due to inhalation of bleach fumes. These fumes can cause inflammatory reaction in nasal and pharyngeal mucosa. It can also cause acute bronchitis due to inflammation in airways. Usually these symptoms are self limiting with avoidance of fumes and inhalation of fresh air. But if symptoms persist for 1-2 days then consult doctor because both of you may need antihistamine, anti inflammatory drugs with inhaled bronchodilators and inhaled corticosteroid (ICS). Since all these drugs are prescribed medicines, you need doctor 's prescription for them. Hope I have solved your query. Wish both of you good health. Thanks. | |
What causes black out while stretching and relaxing?
when i stretch and relax i tend to almost black out and then see stars? I also recently had heart attack and stent placed in the upper coronary artery but this also happened previous to the heart attack could this mean more blockage or problems? | Hello,Please get assessed for cervical strain. Get cervical spine x-ray anteroposterior (AP) and lateral view.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Varinder Joshi | |
What causes lump on left and right shin?
Hi I am 20 years old and I weigh 120pounds.I have developed a small lump on my left n right shin same spot,like 2 to 3 inches below my knee.they are painless,it does not hurt when I jump or run.I am wondering what this could be.and maybe it does not hurt since it might barely be starting | Hi.Thanks for your query, albeit short and specific.The development of painless lumps on shin of tibia at the same spots can be due to a condition called exostosis.This is a familial disease.Benign in nature and have to be kept under observation.Needs no active treatment at the moment. | |
Q. Do I have to take medicine for ankylosing spondylitis whole life?
Hello doctor, My age is 27 now. When I was in 14 years old, a severe hip joint pain started and the doctor diagnosed it as septic arthritis and operated right hip joint to remove fluid. Then the pain was gone. After three years, again pain started and I was diagnosed with ankylosing spondylitis by blood examination HLA-B27 positive. From then, I am taking Saaz DS 1 gm daily from the last 10 years. Shall I continue it till lifetime or is there any alternative treatment for this? | Hi. This is an autoimmune disorder which actually has no treatment. You need to take medications when there is a flare-up of the disease. In between when you have no symptoms then you can stop the drug. You have not mentioned about your hip pain right now. You need to keep doing regular general conditioning exercises and stretching exercises to keep your body flexible otherwise this disease will affect your flexibility very fast. | |
What is the treatment for cough?
Dear sir, my boy is about to turn 1year old, earlier doc suggested Ambrodil -s syrup to him for cough...we were giving him the same but today while getting medicine I got Ambrodil instead of Ambrodil S and gave himalmost 5ml of it...will it create any problems to him? I will get Ambrodil S tomorrow but what will happen now | HelloDon't worry , it will not cause any problem.You can give ambrodil s as adviced by your pediatrician. Ambrodil S contains salbutamol but amdrodil does not.Ambrodil is a bronchodilators relieves spasm of air.No need to worry, it will not cause any harm.Regards | |
Suggest treatment for rashes in anal area
HI, I am trying to find some information out about rashes in the anal area for my daughter. She is 2 and has a ring about 1/2 from her anus, about where the skin meets. Worried that it could be ringworm or maybe it is just irritation from where her skin meets. She hates it when I changer her diaper but doesn t seem to be itching or in pain when she is having her diaper changed. | Hi I just gone through your problem .Babies have very delicate and sensitive skin so that rashes and irritation around the anus and thighs are common .Specially due to diapers air cannot travel through there and drying is necessary for the skin to prevent rashes .To my patients I usually suggest take the diaper off for 1 to 2 hr in a day and frequently change the diaper.lanolin is effective in healing the rashes unless sensitive to it .coconut oil is another best remedy to apply to prevent rubbing and healing the skin .many times scaly rash denotes the fungal infection I suggest candid dusting powders to my patients. You can consult your paediatrition for the further treatment if any questions more you can reply . Blessings on your baby . Thank You | |
Can gastroscopy be cancer?
Hi Doctor, my boyfriend had a gastroscopy performed last week. His physician called today to tell him that an amount WBCs were found in the sample that he took. He told him to continue to take his Protonix for the next 4 weeks and then they will do another gastroscopy. My boyfriend is only 27 and his father died from brain cancer 14 years ago. Should we be concerned that this could be some preemptive sign of cancer? | Hi and welcome to HCM. Thanks for the query. Stomach cancer is extremely rare in this age and this is the last thing to think of. WBc in sample isnt indciating anything maligannt. it is indicating inflammation of stomach mucosa which is seen in gastritis, gerb or h.pyloriinfection. so you should not be worried at all. He should continue with antiacid mediciens and change his dietary habits.Wish you good health. Regrads | |
What causes pain in leg along with vomiting and fever?
My son just turned three on september 30, 2014. He complains alot about pain and I always thought he was just trying to get attention or maybe just saying it because i have chronic arthrtitis pain and he always hears me say im hurting and then his dad will rub my neck. For the past month or so he has been telling me that his left leg hurts and he always wants me to rub it but there is no brusing or anything and he hasn t injured it. he also gets fevers often and vomits often. Should i be worried. For some reason the word cancer keeps popping up in my head. | The mentioned pain could be growth pain wherein your child could have genuine pain and not be crying for attention. Chronic arthritis is not relevant at this age. Cancer does not seem relevant for the mentioned details.The cause of frequent fevers and vomiting needs to be evaluated although I do not think it to be something severe and. Please do not worry. Please visit a pediatrician and get your child assessed. | |
Suggest treatment for itching and rashes on penis after intercourse
I'm having an itching on my penis head. I noticed it after sexual intercourse a few months ago. There was what looked like a rash on my penis and then it healed and returned one Sunday after I had not washed in a day or so. There is no discharge or burning when urinating. I've noticed an itching in my butt as well lately. I thought it was ballanitis so I tried clotrimazole. It helps but then it seems to make my penis a bit red after using it a few days. | Hello and thanks for your question.It's my first priority to help you.Well as you describe,possibly it's balanitis.Irritation in the area due to rough sex,frictioncan cause balanitis.Irritation can be caused also by:not rinsing soap completely off of your penis after showeringusing scented soaps to clean your penisusing bar soap that dries out the skinusing scented lotions or sprays on your penisNow I would recommend some self care measures likeDo cool water sitz bath with betadine solution twice a day for 5-10 minutes.And afterwards,apply OTC 1% hydrocortisone cream mixed with bacitracin ointment twice a day.Clean the area with DIAL soap and use OTC Abzorb powder afterwards.You should avoid frequent washing.And keep the area dry and clean.Wear loose fitted cotton clothes to prevent friction.Take OTC Motrin and Claritin for few days.Abstain from sexual activity for a while.Avoid any scented soap,lotion on affected area.Hope this helps. | |
Will morning headaches after a history of breast cancer lead to brain cancer?
I HAVE HEADACHAES EVERY MORNING WHEN I AWAKE. I HAD A MRI OF THE BRAIN AND RESULTS WERE NEGATIVE. IT IS BEGINNING TO EFFECT MY ENERGY LEVEL, I AM IRRITABLE, INPATIENT, AND MOST OF ALL DO NOT FEEL GOOD. MY OTHER HEALTH ISSUES INCLUDE TYPE 2 DIABETIC; MY THYROID WAS REMOVED IN JUNE. THE PATHOLOGY REPORT SHOW CANCER CELLS IN STAGE 1. MY DIABETIC CIA IS 6.7. I HAVE TRIED DIFFERENT PLLOWS AND THAT DID NOT HELP. I AM AFRAID THE DOCTORS ARE OVERLOOKING SOMETHING. I HAVE ALSO HAD BREAST CANCER (23 YEARS AGO). I KNOW THAT I AM MORE PRONE TO BRAIN AND COLON CANCER DUE TO THE FACT THAT I HAD BREAST CANCER. I JUST WANT TO WAKE UP WITHOUT HEADACHES. | Hello, Since you've had CT and MRI, you can't say that your doctors have overlooked something, MRI is the most sensitive exam to detect brain lesions (including cancer, whether primary or metastases). So they seem to have done, all in their power to make sure there isn't any lesion responsible for the headaches. So I think medication for headache prevention is necessary. Amitriptyline would be the more obvious choice. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olsi Taka, Neurologist | |
How is an avulsion fracture treated in an elder and does it require immediate surgery?
How is an avulsion fracture treated in an older adult, age 50+? In a young adult/athlete the a tendon or muscle may reattach but in older adults it may not - and surgery be required. How long does an adult wait before considering surgery or should this be an immediate consideration? | Hi Avulsion fractures normally require surgical fixation if they are displaced . As far as the time of surgery is concerned it should be done ASAP but usually not as emergency surgery. In Older adults all possible precaution are to be taken before operation. | |
What are the symptoms of Hepatitis?
My friend told me that I might have viral hepatitis. I am a 23 year old. What are the symptoms and what should I do now? | Fatigue, Nausea and vomiting, Abdominal pain or discomfort, especially in the area of your liver on your right side beneath your lower ribs, Loss of appetite, Low-grade fever, Dark urine, Muscle pain, Yellowing of your skin and the whites of your eyes(jaundice) are the most common symptoms. If you do have any of the above mentioned symptoms it is better for you to go to a doctor for a physical examination and get a few blood tests and a urine test done. The doctors will advice you on what tests are needed after a physical examination. | |
Does kidney disorders make legs extremely swollen?
My legs are extremely swollen. My blood pressure is 150/100. I am 5 foot 2 inches at 185 pounds. I had a stroke less than a year ago from an AVM for a total of 3 craniotomies. I have a VP shunt for hydrochephalus from the stroke. Should I be concerned? My kidney function lab work was elevated slightly about a month agoo. | Hi, dearI have gone through your question. I can understand your concern.You are swollen leg. It can be due to kidney disorder or cardiac disorder. You should go for complete kidney function test as well as echocardiography once. You also need to control your blood pressure because diastolic blood pressure of 100 is very high. SO consult your doctor and t accordingly.Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health. | |
What do you give a baby for runny nose?
Hi..I am a mom of 15months old girl. She has a running nose since two days and couldn t sleep the whole night because of nose congestion.. Her body temperature is also little more.. I have tried saline drops and removing stuffs from her nose. Still Is there any way I can help her make easy? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You can use Tylenol for the high temperature or Ibuprofen.Saline nose spray or drops are a good choice for your 15 months old girl to loosen up dried mucus.There are no other treatments for runny nose safe to use at her age.You have to continue doing washes whenever the girl can't breathe through the nose and before feedings, until she gets better.If the air in her room is dry, you can use a humidifier.Hope I have answered your query. Let me know if I can assist you further. | |
What could be the cause for lack of energy after having a pacemaker inserted?
I have a pacemaker and have experienced lack of energy hiking up hills. I just had a stress-echo test, my pacemaker and heart are fine my oxygen levels dropped during the test. They are sending me for a lung function test and chest xrays. What are possible problems | Hello, Lack of energy or fatigue commonly occurs if a patient has pacemaker syndrome, the coordination between the upper & lower chambers are disturbed & hence the symptoms. Chose a backpack where the straps don't sit on the pacemaker. Avoid heavy bags while on hiking. Get assessed for your discomfort. It's just a follow-up examination with investigations to check the cardiac functions, no worries. In case any pathology is detected, it will get treated at the earliest. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician | |
Taking duphaston. Will HCG shot help in conception? Chances of follicle rupture?
I took 5000iu HCG shot last month it didn't rupture the follicle. This month I am scheduled to take the 0000iu HCG shot on my 12th day of the period. Past three months my follicle over grows an becomes a cyst and washes away. I am currently also taking 20 tablets starting on 20th day of my cycle called Duphaston 10mg. Will the 0000iu HCG shot help me get pregnant ? What are the chances of having my follicle rupture? | Hello, Thanks for your query. There are so many factors for follicle rupture, it should be of matured follicle say size of 18-20mm, and good endometrial thickness, and there should not be premature LH surge. So as scheduled try this cycle with 10,000IU HCG. And I presume you and your husband have been evaluated with all the possibilities for Infertility. Wish you good health. Regards, Dr Arif | |
What causes recurring numbness in hands, feet and knee swelling?
I am 21 year old female, 5 10, maybe 155lbs. I have noticed slight numbness in hands and feet that comes and goes, and just noticed swelling behind my knees it is not painful. In addition my arms and feet have become more prone to totally falling asleep. Medical history includes heart problems- I also just moved to china where it is difficult to eat well. | Hi, I think you should get your spo2 checked in both upper and lower limb very week. If it is below 90% you should consult vascular surgeon. Because if there is decrease in blood flow it may cause numbness in hand and feet. You have not mentioned about parasthesia and pain. If you have that than should met MRI spine and vitamin B12 level check. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Gaurang B. Shah, Orthopedic Surgeon | |
Suggest treatment for sharp chest pain while breathing
I have asthma and I have a cold at the moment, for some reason, when I bend over and take a breath, I occasionally have a sharp pain in the left side of my chest. I am not sure if this is because my bra is too tight, or if this is something that needs to be taken care of by a doctor or through the use of medicine. | Thanks for your question on Health Care Magic. I can understand your concern. Possibility of muscular pain due to tight bra is more. But since you are asthmatic, we should rule out lung infection and worsening of asthma because both these can cause similar symptoms. So consult doctor and get done clinical examination of respiratory system, chest x ray (to rule out lung infection) and PFT (Pulmonary Function Test) (to rule out worsening of asthma). If all these are normal then no need to worry much. Wear appropriate size of bra. Apply warm water pad on affected areas. Take painkiller. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest remedy for person with hysteria to get back to normal
Hi;My sister who is 20 years old has gotten a kind of hysteria...she is retelling her past memories and she has a sever headache. how can we help her(I mean psychologically) to back to her normal condition?....by the she has been recommended to use some drugs by a specialist physician...Best..Shwana | Hello Shwana,Hysteria, also known as dissociative disorder is a condition which is often precipitated by stress. It can lead to various manifestations including episodes like seizures, motor or sensory loss, memory loss or as in your sister's case, regressing to past.I would suggest that you seek a psychiatric consultation for her. Medicines like escitalopram might be helpful for her, but the larger part of her treatment will involve non-pharmacological measures. It is a condition in which more the attention is given to patient's symptoms, higher is the chance of increase in symptoms. So, the first thing to do will be to reduce attention to her symptoms. It is important to understand what is she stressed about. It might be possible that the patient herself will deny being stressed, but it is important to be patient, give time and deal accordingly. She will also need to do some relaxation exercises. Your psychiatrist can guide you regarding all this.Hope that this information was helpful. Best wishes. | |
Q. Does continuous tingling sensation on face, legs, and arms indicate multiple sclerosis?
Hello doctor, About a year ago, I started with tingling symptoms on the face, which was most consistent but also arms, legs, and torso those are more intermittent on both sides of the body. At time B12 was low started taking it after a couple of months symptoms better. Also, I had regular neuro examination and normal MRI of the head and cervical spine. After a few months, I stopped B12 levels up then a few months after the same symptoms again and B12 low again. Started back on B12 symptoms went away in a couple of months. Last month it started signs yet, but still, on B12 it is very high 1270 so symptoms not due to that. Had another head MRI was normal. My cervical MRI did show moderate to severe changes throughout of narrowing of foraminal in all areas c3 to c7. Also flattening of ventral cord c3 through 6. I am anxious about it being multiple sclerosis. | Hello. If your neuro exam and MRI brain and cervical spine are mostly normal, I believe that the symptoms may not be an indication of something serious. However, if the tingling persists, please get the following tests done. 1. Serum Vitamin B12 (to know if your supplements have worked). 2. Serum Vitamin D3. 3. Nerve conduction studies to check the conduction in nerves. I suspect all the tests will come out to be normal. | |
What causes heterogeneous calvarial bone marrow signal problem?
I m looking at MRI results that I have not went over with my dr yet and it scares me. MRI was of brain . Results heterogeneous calvarial bone marrow signal probably reflecting marrow reconversion in the setting of anemia or metabolic disorder to be followed up with bone scan if history of malignancy please explain. My dad my and my brother died of cancer and this frightens me | yes it looks like it yet can not be confirmed by MRI alone you will ba asked to do blood test for tumour markes aslo a biopasy sample may be needed to confirm Hope i was of help to you Good Luck and Sorry :( | |
What causes blood in sperm?
hi....i am 24 years old male. I got blood in my sperm ,and it was more of the blood and no signs of white color sperm. Till now i didnt have any problem regarding this, and i dont have any past record of any type of problem or surgery regarding this. what should i do, shall i contact doctor, or is it normal ? | DearWe understand your concernsI went through your details. Usually occassional blood discharge along with sperm is not considered a risk factor. You may please take rest for a week and recheck. But if the discharge is more often, it is always better to consult a physician for further investigation. If you still need my assistance in this regard, please use this link. Please remember to describe the whole problem with full detail.Hope this answers your query. Please feel free to post follow up queries. Available for further clarifications.Good luck. Take care. | |
Back pain after throat cancer treatment can be due to cisplatin?
I underwent treatment for throat cancer and then had a Neck dissection, they took 15 limp noids and said they were all benign. I am having a pain in my back about the size of a silver dollar, just to the right of my spine. could this be caused by the cisplaton? | I do not think that cisplatin can cause back pain. It could be a tender zone. You can apply diclofenec ointment and see if that works. If pain persist or increase than show it to orthopedic surgeon. It can be a fibtomyalgi spot also. | |
What causes lesser degree of phlegm in lungs?
I believe I have had H1N1 - though did not consider this until this week. First came on suddenly Dec 19 with sniffles. Since then have had all respiratory system involvement in stages - throat painful - used salt water gargle, stuffed and runny nose, seriously plugged left sinus under eye - used saline spray, went into lungs - lots of coughing and at other times it stays quiescent although feels irritated lower center, occasionally chest hurts. Have coughed up and lots of phlegm - dark yellow, green, and after a particularly heavy coughing spell may have light blood streaks and this has been when hard to catch my breath. I have not seen a doctor as was treating as just a viral cold,as my normal body temp 97 and highest was 99 and then immediately dropped to 95. Most recent 96/97 again. This is now 2 weeks. Nose still a little runny, not coughing much today, but am feeling "slightly clogged" in lower lung. Other meds for cold have been Benylin and Advil cold & sinus. I have also had a touch of diarhea, lack of appetite. My MS is currently asymptomatic and while lethargic have not had the onset of MS fatigue. I do not like to go to the mediclinic unnecessarily, but should I be considering going now after 2 weeks even though my primary problem now is lesser degree of phlegm in my lungs?. | Thanks for your question on Health Care Magic. I can understand your situation and problem. You are mostly having either bronchitis or lung infection because all your symptoms are seen in both of these conditions. And multiple sclerosis (MS) can be the risk factor for both of these. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x ray to rule out lung infection 3. PFT (Pulmonary Function Test) to rule out bronchitis. If both are normal then possibility of viral Upper respiratory tract infection (URTI) is more. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes indentation on shin bone?
I have never broken any bones,and I have not fallen or been injured in any way. The past year I have noticed an indentation by my Shinn bone, I don t have any pain but my leg is beginning to look a little deformed. Do I need to worry? Thanks, Kari | Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, painless indentation without history of any injury is suggestive of any abnormal slow growing growth, you should get yourself an x ray done to see any such possibility in the bone, but if its in your soft tissue, than you need to see your doctor and get investigated.I hope that answers your query. If you want any more clarification, contact me back.ThanksDr Narender Saini | |
What causes pulsating sensation in knee cap and suggest treatment?
I have a pulsating sensation in my knee cap. It has been bothering me for weeks. It doesn t hurt but it is terribly uncomfortable and distracting. The pulsating makes it very difficult for me to fall asleep and concentrate on other tasks, especially at night. How do I make this go away?!!!! | Hello, Your symptoms are suggestive of local inflammation. For this reason, I recommend checking inflammation tests (complete blood count, PCR, ESR) and performing a Doppler ultrasound of the leg vessels. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Can Option 72 medication stop period cycle?
hello doctor am taking pills for my regularation of periods after miscarriage by advice of doctor but yesterday i had sex with my husband and took option72 tablet for unplanned pregnency so now my question is does that tablet stops my period for this month ? please help me | Hi,What pills are you taking to regularize menstrual cycles?Option 72 tablet will not stop your period. It helps in avoiding implantation and thus the chance of pregnancy. It is 95% effective in avoiding pregnancy if taken within 24 hours of unprotected sex. It's effect on menstrual cycle depends on during which part of the cycle you took these pills. If you have taken these pills in the first half of your menstrual cycle, your period may get preponed. If taken in the second half of cycle it may get postponed. However if your period is delayed by more than a week, then get the pregnancy test done as there is a very small possibility of treatment failure ( method failure ).I hope I have answered to your satisfaction. | |
What is causing excessive weakness during viral fever?
I am a patient of mild mitral stenosis with mild mi (mitral valve size 1.8 sq cm without left atrial enlargement) once in a year when there is viral fever I feel excessive weakness & felling of near syncope & markrd reduction of exercise tolerance-cannot walk for more than 5 minutes. What may be the cause & what is treatment. Thanking sir, Arvind patel. | Hello, I would like to tell you that it’s recommended for you to get fresh echocardiography done just to check heart functions and severity of MS. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist | |
Can stomach pain, fever and numbness in legs be connected?
Hi, My name is Belinda and my son has had a stomach ache for 8 days now. He was given an ultra sound and they could not locate the appendix however, Lymph nodes were found in two regions. The pain is central, not on the side and last night he had a fever with numbness down his legs. I am in an isolated town and our surgery is closed today. Can you give me some advice please? | Hi Belinda.Thanks for your query.Read the history of your son having pain in center of abdomen for 7 days - appendix not located on USG - lymph nodes in two regions - Surgery in town is closed - wants to know the reasons.The commonest reasons for pain in the center of the abdomen of a child are- Lymph node inflammation. Get a CT scan done to get a confirmed diagnosis as early as possible as it is already 7 days. Get started a course of an antibiotic and anti-inflammatory like Ibuprofen and probiotic. This may settle and CT scan will the final diagnosis. If there is no cure even after 5 days a Diagnostic Laparoscopy to know and treat the problem can solve the problem. | |
How can allergic skin reaction be treated?
I had poison ivy, I got a shot and had to take pills for 12 days. Three times a day no the ivy has cleared up but it has left reddIshmael purplish circular scars where the infection was the worst. They are not faded and look has if I just got them yesterday. Some still have little scab in center. They are not sore and do not itch or change in color. I have never seen this before and I have has it in summers past. Please advise me has to what could be the issue | hi sir/madam,Thanks for your question on Healthcare Magic.these allergic reactions can be easily treated in Ayurveda.Allergy is a hyperactive response of the immune system to particular substances called allergens. These allergens may be food, pollen, dust, drugs, molds, air-borne, dog, cat, mushroom, soy, gluten, etc. Sometimes, it may be for short times or continue for longer periods.before going for treatment we should focus on to prevention of this problem.The main causes of allergy are:-1. Infectious diseases at childhood2 .Pollution3 .Food allergies to peanuts, pecans, pistachios, pine nuts, and walnuts etc.4. Latex sensitivity5. Hereditary6 .Hives7. Eczema8. Redness9. Swelling 10 Abdominal crampsYou can go for these test for your allergies:-1. Upper endoscopy.2. Skin Test for allergy.3. Blood test for allergies-RAST and ELISA.4. Food allergy testing.Doing yoga will also help you in this issue,the yoga's like:-1.Matsyasana:- It is a good aasana for those people who suffer from asthma, bronchitis and other lungs ailment thereby relieves congestion.2. Sarvangasana:- It helps in clearing of exchange of gases through the nasal passage.3. Tadasana:- It improves concentration of mind and develop sense of balance.4. Padhastasana:- It improves concentration and helps to decongest the nose.5. Trikonasana:- It systematically revitalizes the entire body.6. Padmasana:- It induces mental calmness and helps to bring about physical health and mental equilibrium on permanent basis.7. Bhujangasana:- It expands the chest more than usual, helping to improve one’s breathing.8. Paschitmoasana:- It tones all the abdominal organs, including the liver, pancreas, spleen, kidney and adrenal glands thus helps to mental calmness.9. Pavan Muktasana:- It relieves from abdominal ailments associated with malfunctioning of inefficient organs.You can see these yoga aasan in the internet for better understandings.Simple home remedies for allergy which you can do yourself at home itself:-1. Warm water gargling with salt helps to treat it.2. For inflamed eyes, use the mixture of lime+ mallow + chamomile tea.3. Quince + Honey + Lemon show a good impact on the throat.4. Eye irritation may be reduced washing it through cold water.5.Keep yourself away from allergens.6. Hot shower is effective to ward off allergen and may be used as skin.7. Use sunglasses to protect your eyes from pollen, mites, dust etc.8. Dust mites favour humid place that may spur the condition.9. Hay, straw and grass b | |
What causes babies to have fevers?
My 9 1/2 month old daughter has a temp of 39.2 and a runny nose. She is happy to sit and let me wash her down with cool water. But she is fairly happy within herself. She has a little cough which she normally seems to get when shes teething , and she is teething just now. She is talking away and drinking water. I have given her some baby paracetemol (calpol) to help bring her temp down. Do u have any suggestions?? What it could be? | thanks for asking I gone through your question.your 9.5 month daughter having fever of 39.2, with running nose. she is playful Most of fever with running nose are due to viral illness. generally it take 3-5 days to recover. if i would your pediatrician , i advised you what you taking already baby paracetamol. Dose of paracetamol is 15 mg per kg per dose . can be given up to 4 times per day. I baby is having discomfort with running nose i would suggest syp citrizine 1.25 ml twice a day for three days . It is myth that people correlate symptoms of loose motions, fever or running nose with teething , There is no correlation found in modern medicine. process of teething is continuous generally from 6 months to 2.5 year of age . your child should recover with above mention medicine . and not to forget to MMR vaccine that should be given at completed 9 months of age thanks | |
What causes discomfort in my groin after a hernia repair surgery?
I recently had a surgery to repair a hernia. A little under a year ago. And recently I got sick I assume it was the flu, My body ached from head to toe. But I could really feel the most discomfort in my calves, right bicep and in my groin. All other symptoms have subsided for the most part but I still feel discomfort in my groin. And now I feel the groin pain in my testicles as well. Is this normal? What might this be? | Hi.Thanks for your query and an elucidate history.Noted the history of pain in the groin, biceps and calf after flu. Also noted history of Hernia surgery. After infection with flu , which is a viral infection , it and the inflammation thereupon affects the old injured area, scars and so on , hence you have got the pain in particular areas only. The pain in the testicle must be a referred one, or a neurological. I would advise you the following:-Bed rest strictly.-Oral anti-inflammatory medicines like Ibuprofen. Hot fomentation. Oral steroids if required. | |
What is the white pus pocket behind the teeth and white bump on the tongue?
I have a swollen very large white pus pocket right behind my two front teethAnd it looks like its going from behind through that little space between my Teeth to the front of my gums and i also have a white bump on my tounge and very painfulCan anyone plz help? | helloi have gone through your query.it can be an abcess either periapical or periodontal.plz mention your age.how is your oral hygiene.any oral habits like chewing tobacco or smoking.small white painful bump on the tongue can be because of certain conditions like trauma or InjuryOral thrush (fungal infection)Poor oral hygieneLeukoplakiaOral lichen planusi suggest you to visit a dentist to find out what the condition is.Meanwhile maintain a good oral hygiene, stop any bad oral habit if u havefor swollen gums and pain an antibiotic and painkiller may be takenHope this ans helpsRegardsDr. Shesh | |
Suggest treatment for runny nose, cough and rash on the legs in children
My 1 year old daughter has very dark circles under her eyes. She also has had a runny nose, a cough and a sever rash on her legs and arms. She was diagnosed with Asthma at a young age. I am certain she has some sort of allergy, but her doctor won t do anything. We have taken her in 6 times in the last 8 weeks, with no results. I am at a loss of what to do. I know she is miserable! | Thanks for consulting at Healthcare Magic.Cough, cold, runny nose rash etc. suggest possibility of viral infection or allergy.As your daughter is already diagnosed to have asthma, probably complaints of your daughter are due to allergy.Episodes of cough, runny nose, chest congestion occur due to exposure to allergens.You will need to identify what is triggering such episodes. It may be allergens like pollens, dust, mite etc, Some times chemicals like perfumes, mosquito repellents etc. Adequate treatment may not be as effective if exposure to allergens is continued.Ask your doctor for medications like Citrizine, Xylomist Drops, Nembulisation with Budecort and Levolin, Montelukast etc.If no relief consult pediatric pulmonologist for further evaluation. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
What is ulcer ?
I was wanting to know what allcer is ? | Hi, Welcome to Healthcaremagic Ulcer is breach in continuity of a surface lining. If it is in skin, it could be due to trauma, infection, malignancy, burns etc. If in stomach, agin benigh or malignant. Take care. | |
Bronchial issues and allergies. Can telmisartan be harmful?
I am trying to learn if the talc used in Telmisartan (80mg) could cause any problems for people with bronchial issues, sensativities, allergies? I am also interested where the drug is manufactured as there has been a recall on this drug. The drug I take is made by TEVA, I am curious where it is made ( if it is outsourced) and the source of the talc. Thank you... | Hellowelcome to health care magicthanks for your queryTelmisartan is an angiotensin receptor blocker,,used to control blood pressure..It is used in hypertension patients..Side effects are usually mild..It can be used safely in asthma patients..In some people the drug or its components are sensitive that means when they take it causes allergic reaction to our body..Sensitivity to components of the drug is very rare..You can safely use the drug no problem..Hope you understand my answerThank youDr.siddartha | |
Q. Will Cilnidipine help to control BP instead of Amlodipine?
Hello doctor, Currently, I am on Telvas AM and BP is well controlled. My question is: 1. I want to shift to Cilnidipine instead of Amlodipine. Heard from many patients and clinical trials that Cilnidipine is useful in sympathetic nervous system hyperactivity as it is dual type CCB. I have that. Will it be a good alternative to Amlodipine? Will Cilnidipine be equally efficacious in terms of BP control when compared with Amlodipine? 2. Is there any difference in efficiency if I go for seperate tablets of Telmisartan 40 and Cilnidipine 10 mg or single pill consisting of both is preferred? Can I take separately? | Hello. Regarding your concern, I would explain that Cilnidipine is a good alternative for treating hypertension, especially in patients with uncontrolled hypertension or after a stroke. It may be more effective that Amlodipine and with fewer adverse effects (less edema). You may use them (Telmisartan and Cilnidipine) separately or even in the same pill depending on how it is more convenient to you. Anyway, you need to discuss with your attending physician on the maintenance scheme and periodic follow ups. | |
What is the best treatment for stomach cancer?
My 80 year old friend has stomach cancer. She was told without treatment she would have 8 weeks to live but with treatment life would be extendec by 6 weeks. She decided to have palliative treatment and has done really well. Her last scan 6 weeks ago showed that the cancer had shrunk considerably and that she could now consider radiotherapy or surgery. Her chemo, which was administered daily though a pump, has now finished. This was over a week ago. She is now experiencing cracked skin on her hands which is very painful, sores in the mouth, which again is very painful and a very uncomfortable stomach. No pain just discomfort. She was supposed to have a scan today to monitor the tumour but was unable to because she now has a fever and a cough. She doesn't sound herself. Are these symptoms a sign of chemothereapy withdrawal? | Thanks for your question on Health Care Magic. I can understand your friend 's situation and problem. Chemotherapy drugs can not cause withdrawal symptoms. So his symptoms are not due to stopping of chemotherapy. Cancer patients who are on chemotherapy are immunocompromised. So they are prone to get opportunistic infections. Lung is the common site for such infection. And fever with cough are seen in lung infection (pneumonia). So better to get done chest x ray first, to rule out lung infection. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks. | |
Unable to find mirena string by doctor. Due for ultrasound. Been having unprotected sex. Cramping, pain vagina and back with brown discharge. Guide
Hi, I recently went to the doctors and my mirena string could not my found. He used his finger could not find it, he like used the inserted and his finger still no sign, after that he used the light to look inside and was still unable to find it. I have been having unprotected sex with my husband thinking everything was okay. I am now experiencing cramping, shooting pain up my private, chronic lower back pain. light brown discharge. I also have headaches. Worse then usual. I am unsure what is going on. The doctor is sending me for an ultrasound.. but its a week away. My mind is in a thousand places. | Hi, Thanks for writing to us. Your minera thread is not find out may be minera is misplaced from the site, only ultrasound can confirm wheather it is displaced or not. The chances of pregnancy have always been there with unprotected sex so if minera is displaced from site chances of pregnancy in your case is also there. Good luck. Take care. | |
What causes nerve pain after gum cancer?
I had cancer of the left lower jaw gum and neck almost two years years. I had a 12 hour surgery where they took part of my left tibia and muscle and rebuilt my jaw and put titanium and screws to hold it in place. I am still having pain in the left jaw. They have tried botex shots and cortizone which gave me no relief. They have me on methadone swish and magic mouth swish. Today I had a cat-scan with contrast dye. It has only been 3 months since my last scan and I am concernd. I have also ben on 10 mg of vicoden and neurotin for the pain. Could this be some kind of nerve pain because nothing really is giving me mush relief? | Hello dear. I have gone through your case. So, the pain which is persisting even after 2 years of surgery is likely due to neuropathic pain. But you need not to worry. There are many better medications available today for neuropathic pain. You should consult a neuro physician regarding your illness. Hope that makes you clear.regards | |
Suggest remedy for pain in fingers
Hi Sir i have been suffering pain and swallow on right leg s feet, thumb and other fingers since from last 1 and half month. Consulted 2 doctors but still they are giving the bullshit tablets thats all either than letting me know. Whats the wrong with the leg. I am suffering heavy pain and swallow only at legs feet and fingers : ( | Hello,I have studied your and I think that it can be due to high blood pressure, or poor kidney function. Some time in patient with long bed rest or obesity there is chances of deep venous thrombosis. I would suggest you following.1.Get your blood pressure check up and also BUN, creatinine.2.Also get an ultrasound examination to see there is no blood clot in legs. That can prevent blood flow and cause swelling.3.Rarely if you are in such job where you have to stand for long time then it can also cause swelling.I hope these causes will help you to understand your causes.Let me know if there is any other followup questions.thanks | |
Suggest treatment for severe joints pain in the fingers
Hi, I have recently noticed loss of dexterity in my ring finger and my thumb. It is painful when I put presser on the sides of joints. I cannot bend them all the way and cannot grab things tight as it causes pain. I have also had random pains throughout both hands last night that were intermittentmel, was recently at Dr. and she just said to watch it. I also have had hot poker sensation in my fingernails that comes and go quickly in both hands. | Hi, The symptoms are more likely suggestive of arthritis. Arthritis typically affects small joints first. As of now, you can take analgesics like Aceclofenac or Tramadol for pain relief. If symptoms persist better to consult an orthopedician 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 is the remedy for exercised induced asthma?
I have exercise induced asthma. A few people on my team have it, too, and they describe it as their chest tightening up and their lungs hurting. With me, my throat airways close. I don't feel it in my chest or my lungs ever, it's all in my throat. Why is this? | Hi i read ur problem of asthma during exercise.I want to tell u that vigrous execise is imp cause of asthma. So do the exercise but not vigrously.But firstly u take precaustion for ur health.1-some drug like aspirin intake causes asthamatic attack so prevent to take these drugs.2-To prevent ur allergens 3-Prevent from infection by increasing immunity like taking healthy diet.4-Intake of ayurvedic drug like chavanprash,ashwaganda awahleha with milk in night.5-To prevent the constipation use Triphla churna in night with hot water.6-Intake of zinger and tulsi everday in boiling water.7-use til teil mixed black salt and heat it apply on chest. INVESTIGATION TO CONFIRM THE DIAGNOSIS BY USING FOLLOWING-PFTXRAY CHESTTLC,DLC,ESREKG THANKS FOR QUERY. | |
What causes a lump near belly button?
hi when i was 14 i had my appendix taken out and it left a horrible scar from my belly button downwards and from that i had it neatened up which didnt work because it got infected and 5 years later i noticed a soft lump which wasnt a spot and it is now weeping puss was just wondering if you have any suggestions cause i am concerned to what it is | Hi.Thanks for your query.This may be a stitch or fb abscess. A course of antibiotic for 5 days should help. IT this does not- a small surgery to remove the foreign body will settle the problem. | |
What is the cause for chronic tooth ache when on antibiotics?
Hi I have a lump on the bottom of my jaw line which does not hurt. I am taking antibiotics for what my dentist believes to b an absess as I have a swollen cheek and chronic toothache that goes all the way up to my right eye. This is the fourth amount of antibiotics I have been on in the last few weeks and the pain is still not going. What else could this be? | HiThanks for writing in.Medications will provide you temporary relief. For permanent relief, you need to get RCT or extraction of that teeth depending on clinical & radiographic examination.Do warm saline rinses.Maintain proper oral hygiene.Visit your dentist for further treatment plan.RegardsDr. Neha Sumra | |
Taking fertility treatment, missed period, not ovulated. Normal while taking treatment?
Hello, I had an my last period started 11/26/12 And I has an Hsg 12/7/12 to check if my tubes were clear. My menses have always been like clockwork 30 day cycle. I have still not received my menses or ovulated. I had a blood test for both. I was seeking fertility treatment due to male factor infertility not because of any problem I had myself. The Hsg was just a just in case procedure. Is it common to miss a period and not ovulate after this kind of test? My doctor has offered provera to start my period but I am considering waiting it out and letting my body take its natural course. Also am I correct in assuming that the provera might make me bleed but not ovulate? Any help would be appreciated. Thank you | Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply: Sometimes there is variation in women's cycles. If you wish to wait for another month it should be fine. If you are in hurry, please take the medicines prescribed by your doctor. HSG is not associated with this. I hope I answered your query. I will be available for any follow up queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist. | |
Suggest treatment for multiple calculi in kidney
hi,right kidney shows multiple calculi in its pelvis, collectively measures 1.2 cms. right pelvicalyceal system is mildly dilated.urine bladder shows few internal echoes.pain in right kidney and down the right side ribs and i cant bend my right leg. | Hellokidney and urinary tract stones of sizs less then 10 mm can be expelled via certain specific medicines but stone of size more then 10 mm size requires either surgery or laser | |
What causes pinkish red rash under the breast?
I have a round small pinkish red flat mark about 1cm in diameter under the inside right breast. There is no lump and it is not sore. I am 52 and have just started taking Evista for osteoporosis about six weeks ago. There is a history of breast cancer in my family, I am 171 cm tall and weigh 69kilos. | HiI would advise you to do a bilateral mammography test.if any lesion is found then biopsy has to be done.RegardsDr de | |
Suggest remedies for blister with pus on the thigh above the knee cap
Hello, a blister with yellowish pass formed on my thigh just above the knee cap. At first I had itchiness and I scratched quiete vigorously the next thing a blister with yelowish stuff has formed and is quite painful. Should I puncture it with a sharp need and squeeze out the fluid or what should I do? | HI, thanks for using healthcare magicIt would be best not to puncture it because the aseptic technique can introduce further infection.At the moment, it is likely that you have an abscess which is a localized collection of pus, though part of treatment is incision and drainage of the abscess, this should done aseptically to prevent worsening.In addition, the abscess cavity is supposed to explored or prodded for a bit to break down any additional pus walls to prevent recollection.It would be best to see your doctor for assessment and treatment.Antibiotics are also neededIf this is difficult at this time then you can consider magnesium suphate paste, this encourages discharge to come out of an abscess.I hope this helps | |
How to treat left atrial abnormality and irregular heart rhythm?
what does an EKG report mean that says possible left atrial abnormality and irregular heart rythym... was on medication that was stated that it can cause this, will it go away since Im now off of this medication, I have never had heart problems ever other than a murmur | hello, I have gone through your query .Thanks for using HCM.As you have mentioned that you have murmur,it suggests that you some valvular abnormality ,though may be mild as you are asymptomatic.left atrial enlargement may be secondary to mitral valve lesion irregular rhythm may be due to mitral lesion itself or medication.if it disappears then you may conclude that it was drug induced.I suggest you to get Echocardiogram done to know the cause of murmur and severity of mitral lesionDr.Rajesh Teli,MD | |
Are tenseness and tussle in the chest symptoms of asthma ?
Hi.iam 20 year old man and i have allergy problem last 8 year.and last one week i have feeling like tenseness ,tussle in my chest . last friday i have done asthma test . the result was normal. now am taking homeopathy medicin.now i have feeling tenseness and tussle more.so what i have to do? is this going to asthma? | Hi,thanks for query.Tightness in chest and discomfort could be due to breathing problem or acidity.You need to visit your physician to see whether it is breathing problem or something else.Please take regular treatment for this.Avoid strong allergen like smoke,strong smell etc.Take light diet,avoid junk food and tobacco in any form.bye. | |
Suggest treatment for loss of strength in arms after an injury
3 yrs ago. Got hit very hard on my right side off motor bike by 4x4 .. I pull out on green. My speed 20 other hit me 50 km. I change direction from south to east quickly. Flew 20mtre down road landing hard on my backpack. The bull bar took a chunk out my thigh muscle. Open to bone. I still get pain running threw up leg to butt. Then now I live with tinggles numbness. I Broke 6 back ribs. But now and all this time I hv back neck hurting. Tip Side and back. Sprain down arm.akes back skull. Hurting stuff back front neck color bone aera. On and off muscles feeling hit sharp jabs . And muscle hurt ake.Then when stop sore to touch. Plus lost strenth in arms couldn t cut cheese.and lots other things hard .But I m getting there.So do iI hv whiplash. From changingddirection fast and landing hard on my back pack. Head bending back as well quick side ways movement. I hv been told got muscolarskullartor pain... that be from landing and broken bones. But my shoulder and shoulder blades and all muscles hurt tight sore ake too. I just live feeling hit hard sore still hard to shake it. | Hi, The only worrisome thing to be ruled out is an injury to your nerves in the neck after trauma...get physical examination with a neurosurgeon and if there is a real weakness of arms then probably you 'll need an MRI of cervical spine along with brachial plexus. If it comes out normal then massage your muscles and probably get some muscle relaxants that 'll help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Uday Singh Raswan, Neurosurgeon | |
Pimples, marks from old pimples. Prescribed minoz 50 medication. Safe to take?
Hello Doctor, I am 24 and I had been having pimples since my teen. Later I had some prescribed course by a doctor for few years, and they were perfectly under control. I discontinued the course after two years and now I rarely get a pimple, which stays for very long and the mark also stays long. Am getting married in three months and I wanted my face to be clear. I was prescribed Minoz 50 recently., Do you suggest me to continue the tablets? or is there any other suggestion you would like to give me. Thank you so much. | hello sravya, i think you should continue with minoz 50 and avoid oily and fatty food and Acnesol lotion for application | |
Suggest treatment for psoriasis between fingers and thumb joints
Hi I am a 30year female weight of 53kg and long history of psoriasis. Recently I have it bad between my fingers and thumb joints. I have used various ointments that contain steroids. Please advise me Im fedup with it and in my job I have to wash my hands alotregardsJulie-Ann | Hi.As per your case history of psoriasis, my treatment advice is-1. Don't scratch the lesions as it may worsen the condition.2. Apply a good emollient cream like Enmoist twice daily along with a steroid plus salicylic acid ointment like Dipsalic-F ointment twice daily on affected skin.3. Take a vitamin A supplement once daily and an antihistamine like levocetrizine for itching.If problem persists then consult a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS,DDVL. | |
What causes high fever with swelling in abdominal area?
My sister is known patient of CKD(ESRD) and have been on dialysis from last three years. She aged 28 years and unmarried. She has hypertension also.She has been suffering from high grade fever from last one with swelling in abdomen area consisting of liquid containing phosphate etc.Please guide as she has been suffering from lot of pain. She has been on antibiotics injection and paracetmol injection for controlling fever but it does not works.She has also weight loss off 6 kg in a month and now her dry weigt is 39 kg. | Hi, Consult a physician at the earliest and get evaluated. She might require a urine routine and urine culture to evaluate the cause for her symptoms as urinary tract infections can cause similar symptoms. An ultrasound scan also required to rule out any focal collection which can act as a focus of infection and can cause fever. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for swelling in knee during day time
Im a male 57 yo My legs below the knee have started swelling up during the day. Swelling goes away after sleep In addition my leg hair on the lower shin/calf is thinning and I sometimes have itchy toes and heels and possibly thickening nails. I dont sleep well and have begun to go to the bathroom at night every 2 hours (full bladder) 3 weeks ago I had cellulitis on my right shin I am concerned about the above being symptoms of heart failure I am overweight but no matter what I try cannot seem to lose Thoughts? | higravitational oedema is common in older age when muscle exercises are not sufficient. since the swelling goes downon lying, it may not be heart failure. Get kidney function tests, serum sodium and pottassium levels after consulting a doctot.Do leg exercises and avoid prolonged standingbest wishes | |
Trying to conceive, had missed period. After test told to have endometrium thickness, no pregnancy. Suggest?
hi doctor. I'm 26 years old, my husband and me want a baby. This month I have missed my period. My last PMS was 31st July 2013. I went for a check up to a doctor to check if I was pregnant, but the doctor said that my endometrium thickness is 7mm after missing my period. He said that there is no chance that I have conceived this time. is it true?. | helloplease don't be stressed. just by looking at the endometrial thickness it is not really possible to say if u had conceived or not. a blood test and serial follow up would be more appropriate. further then a couple of other tests would need to be done to see if there's any problem with your fertility. | |
How to remove chest fibrosis?
Hi dear sir i have ask some question please tell i am 21 years old today i do my chest x-ray and docter said you dont have any diaeases but yourchest x-ray show thats old disease spot FIBROSIS RMZ sir tell how can i hide fibrosis for do x-ray and how can i remove my chest fibrosis | HelloYour doctor has rightly suggested that you don't have disease.Fibrosis in lungs may be due to sequel of past infection.Lung parenchyma heals by fibrosis and calcification.It is generally a permanent benign finding and patient usually doesn't require any treatment.Fibrosis in lung may require treatment only when it compromises pulmonary functions.Get well soon.Take CareDr.Indu Bhushan | |
Feeling clumsy and mild headache due to bruised nose
I'm 20 and relatively healthy. Being occasionally clumsy (stubbing my toe or not moving my limbs out of the way in time before closing the door sort of clumsy) i somehow managed to slam a fridge door onto the side of my nose.I hit it rather hard but was shocked to see i had given myself a blood nose in the process.Ever since this incident about 5 days ago i've had mild headaches that get worse into the day.Finally it's become so bad that i've resorted to taking panadol which has only eased the pain, there was also only very minimal bruising making it look like i had not slept well in a few days - i doubt it's broken or fractured so is this normal effects after bumping my nose? | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As the injury to your nose caused bleeding this can be a fracture or some severe internal injury which is showing a sign in form of a headache (remember headaches are signs of an underlying disease and not an disease in itself). So you need to show a specialist, a GP or an ENT who might recommend you a x-ray. Meanwhile apply ice over the area to sooth the pain.Hope you find this helpful. Let me know if I can assist you further.Regards,Dr. Jenis Bhalavat | |
Suggest treatment for severe abdominal pain
I ve been having this pain in my abdomen for three months now. I ve gone to the emergency room a number of times and they couldn t find anything wrong except my white cell count is really high. This past week I ve been having this pain through out my whole midsection that gets worse with each passing day and this morning I started having this white/yellow discharge with an order. What could it possibly be? | Hi.Thanks for your query. You have got pain in abdomen for the last 3 months and the Doctors in the ER could find only raised white cell counts . You have started white yellow discharge today only , hence may not be related directly to it. Since you have visited ER so many times, I would advise you the following:Get a reference for the Gastroenterologist.Get investigated:CT scan of the abdomen,Upper GI and colonoscopyThis will help you to get a probable diagnosis and a plan for treatment. | |
What causes soreness and popping sound on back muscles after lifting an object?
I was lifting something and it didn t budge and my spine popped mutliple places. now the middle of my back on right side is sore. I have full movement from head to toe and right to left is sore but not in the spine. did I pull a muscle and the popping sound is that normal. | Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, the main fear is such activity is of muscular pull and prolapse disc, muscular pain is localized and on movement, while disc pain is radiating to the leg or may be localized to the back only, the first thing you need to do is 1 take analgesics like ibuprofen 400mg three times a day for 3 days.2 take rest and see if your symptoms improve, if they do we are on the right track, and if they do not than we need to get investigated for the problem.I hope that answers your query. If you want any more clarification, contact me back.ThanksDr Narender Saini | |
Suggest therapy for anger and violent behavior
im suffering with problem that i cant control my angry ,im behaving like animal,i dnt knw what im doing at tht time.......my brain want to take revenge on some if anybody insult or any cheat immediately i behave like anything i cry like anything if anybdy insult me. plz wt is my disease ....i would like to commit suicide if i ll be like dis.........wt shall i do ? | Hello It appears that you have symptoms like anger outbursts, violent behaviour, extreme sensitivity to rejection and insult, revengeful attitude etc. Even on minor insult you want to take revenge or cry excessively. You want to kill yourself. Most probably your complaints are due to some personality problem. Other possibility is Impulse control disorder. Severe anger spells are seen in both disorders. Antisocial personality, Narcissistic personality etc disorders may present with revengeful attitude. Consult a good psychiatrist for treatment, don't feel bad about yourself. Mood stabilisers like Sodium Valproate, Carbamazepine etc drugs can be used to control anger outbursts and to stabilise the mood of patients. Try anger management sessions from some good psychologist to decrease anger.Thanks, hope this helps you | |
Suggest remedy for lipoma
I have a possible sarcoma that was diagnosed as a lipoma in 2008. I was told because I do not have insurance that they would rather watch the lipoma and see if it grows to determine sarcoma. For 1 year i couldnt tell if the tumor was growing. It is going on 2 years and a lump that was 5mm in size is palpable from a standing, sitting and especially laying position. I was laying on my right side and felt the lower left abdominal mass sticking out. It is about 2" deep spaning around 3" across I cannot differentiate all areas of the mass. Over all I believe it is about the size of a raquet ball deep and 2 raquetballs side by side. I am afraid. I dont want to be turned away due to lack of insurance. I am a 36 year old female with 3 children. I have had 3 previous c-sections with no complications other than adhesions. I have had 2 adhesion removal surgeries from my c-section scar. This mass is from the level of the scar to about 2.5" above the scar and about 4" across. I have called my doctor but I do nt trust his team anymore. The last time I saw his recomended general surgeon she had not looked at my ct scan and told me this was really a CYA appointment. After I inquired what CYA meant she told me cover your ass. So my doctor could cover his ass in diagnosing lipoma. This surgeon did call after she reviewed my ct scan and told me this was just c-section scar tissue. I also have autoimmune chronic pancreatitis with a recent bout of diverticulitis, fibromyalgia and degenerative joint disease. Please point me in the right direction to go | First of all, you need to rule out a hernia since the swelling is in the region of the incision. A hernia is just a defect in the abdominal wall with resulting protrusion of the contents within. This can be ascertained based on an abdominal ultrasound. So, get that done first. If it is not a hernia but a soft tissue lesion, then get an FNAC (needle test) done from the lump. This will ascertain whether it is indeed a lipoma or something more serious. A lipoma can be ignored unless it is causing pain or other symptoms. | |
What causes odd tastes after stapedectomy?
HI I had a stapedectomy four weeks ago through a small cut in front of the ear and two weeks ago had the packing removed and debris suctioned out. Then the ear was repacked two weeks ago until 4th November. The last few days I have developed an odd taste in my mouth and food is lacking in taste but I did not notice this post operation and wondered if noticing any damage to the taste nerve might be delayed or if I should contact my surgeon. Thanks. | After the stapedectomy complication may occur-Please consult your doctorThe most serious risk is an increased hearing loss, which occurs in about 1% of patients. Because of this risk, a stapedectomy is usually performed on only one ear at a time.Less common complications include:• temporary change in taste (due to nerve damage) or lack of taste• perforated eardrum• vertigo that may persist and require surgery• damage to the chain of three small bones attached to the eardrum• partial facial nerve paralysis• ringing in the earsSevere dizziness or vertigo may be a signal that there has been an incomplete seal between the fluids of the middle and inner ear. If this is the case, the patient needs immediate bed rest, an examination by the ear surgeon, and (rarely) an operation to reopen the eardrum to check the prosthesis. | |
Why am i not having erection during sex and having erection during masturbation?
i am facing a problem in my life is the sexual one.when i start the sex with my wife my penis will not erect and i am getting perspired.So can you pls advice what is the remedy for this.Normally day time and masturbation having no pblms and erection will happen day time tooo,not for the sex with wife. | Hi,I understand u are worried.from the description you gave, i understand that your erection problem is due to psychological issues, it may be any e.g issues with sex partner, guilt related to sex etc.I suggest you consult a psychologist or Psychiatrist. it will be of great help and you will be cured..hope my answer was helpful | |
Suggest treatment for severe pain due to vericocele in testicles
Will i be cured of my severe varicocele pain? I have been diagnosed by my urologist with varicoceles in both testicles. I have an appointment for embolization of the left in a few weeks. I m very concerned after much research that this problem will affect me my entire life (I am 18). It makes work and even everyday tasks hard to accomplish. I want to feel healthy again. What are my chances embolization will cure me? | HiI understand your concern.analgesic medicines with scrotal elevation will help in pain.elevate testis with braces will reduce pain.Embolization has very good results but it varies in subject to subjects.Embolization will reduce pain but if you are concern regarding fertility then it may have mix results.Urologist will best give information about it.Wear tight under garments can help.Still have query then feel free to ask.Thank you, | |
Pink patches and dark skin on the lips after an injury from a chipped tooth. Will this get back to normal?
Hi,am 18 year s old and I fell and chipped my tooth and had a cut my lower lip a year n 5 months ago,I started to have pink patches on my lip and my lip s are dark am insecure and have tired so many medication and lip cream s for more than a year my lip s delevope dry skin and wen it peel s of it shines and my pink patches are more vissible please tell me if this is permanent or what I can do for it to go away | It would go away after a couple of months on its own.Do nothing | |
What causes high BP levels along with dizziness?
I have high blood pressure and since yesterday I ve been experiencing this severe dizziness where the entire room is spinning. Whenever I try to get up straight I feel really dizzy and I can t stand up.. Dizzy to the point where I feel like I m about to pass out. I measured my blood pressure already and it s high but out of the ordinary. | Hi welcome to HCM.Elevated blood pressure presenting with symptoms like dizziness should be promptly treated and reduced.A baseline EKG and a screening 2 dimensional echo of the heart can provide vital clues to the overall management.Treatment consists of reduced intake of salt less than 5gm/day.Drugs like Beta blockers and Ace inhibitors can be used as once or twice daily basis.Regular physical activity can control the blood pressure.Consult your cardiologist for further queries.Thank you | |
What causes tightness in chest?
I'm 43 and about 2 weeks ago I got a weird sensation in my chest, the middle. It was a heavy tight feeling. I dismissed it and it did go away, however the next day I ate some popcorn and it came back, also after eating a variety of foods even licorice? I do smoke about 6 cigs a day, I am overweight, don't exercise and have a very poor eating habbit. I've tried antacids but with no luck. The heavy, tight feeling just won't go away and now I seem to have a headache along with it? | HelloThis could be cardiac in nature as in angina or even a heart attack.It might otherwise be gastric acid reflux but if antacids don't help that is less likelyYou need to see a doctor right away for an exam and a cardiac workup | |
Suggest treatment for numbness in tongue after wisdom teeth extraction
Hi I had all four of my wisdom teeth removed 3 weeks ago. the left part of my tongue and the floor of my mouth on the same side are somewhat numb. I d not have pain but my taste is severely altered. I believe this is caused by damage to my lingual nerve which I was told could be a risk before the surgery and also told that is 85% of the cases is temporary and will go away within a few weeks. How can I tell if this is something that will gradually improve and go away or is more of a permanent nature | Hello,Thanks for consulting HCMRead your query as you have altered taste sensation after wisdom tooth extraction yes this can be due to lingual nerve injury during surgery or it can be due to depapillation of papillae also . I will suggest you to take Take Neurobion tablet by consulting with your local doctor . Do warm saline rinses two - three times a day. Hope this will help you. | |
Suggest treatment for fever
hi my daughter developed temperature 10 days ago, we gave calpol for 2 days and it went off. but she was passing loose motion since then. after 2 days, loose motion is more and the temperature is also back. we cunsulted a doctor and she prescribed medicines for fever only. loose motion continues and temperature is going off only when the medicine is given, after a while the temp is back in 37+she is eating and taking medicine as well. but the raise in temp is really worrying us. please advice usthanks in advance,Rajeev | Hello,Age of your daughter is not known. If its less than five years, you may try following safe but simple-looking, effective pure herbal formula:Sy Kutaja + Bilva may be given one to two teaspoons thrice a day.A. Dantobhedgadantak rasa pills may be ground coarsely and mixed in honey and rubbed over gums. (optional if teething is troubling).B. Or give Godanti plus Giloy satva each with honey twice daily. May give A plus B also.Even if the child vomits once or twice, please give. Boiled water (you may boil holy basil leaves also) should be given. Fever and lose motions will correct and will not relapse soon. Pure non-toxic and safe Ayurvedic medicine.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Rajesh Choda | |
Using ginette 35 from day one of periods. When will contraceptive become effective?
Hi there. Im 25 and its been 5 days since I ve started using Ginette 35. I started using it on the first day of my period which was 5 days ago. When will this contraceptive method be effective to prevent pregnacy in order for me and my partner to have intercourse without worrying about falling pregnant? Regards | Hi, Ginnette 35 is effective from the first day itself. (Its effective from first day if started between day one to day four of starting periods). So you can have intercourse without worrying about pregnancy. Wish you good health. | |
What causes low platelet count?
In my blood test today, the platelet count is 133 instead of normal range 150-400. What does this mean and how can I improve it? The report also mentions anisocytosis. Can you please elaborate. Blood pressure is low like 90/60 for last couple of days. | Hi, thanks for writing to us sharing your health concerns!In the present case of mild thrombocytopenia, if I were your consulting physician, I would just say you, 'nothing to worry!'As per your description, you have platelets adequate for one's normal health but a count of 133 could be low to some hematologists and in some methods! Manual platelet count is necessary for confirmation. Anyways, there is nothing to worry about this as platelet count is so variable and might be reduced due to some flu-like conditions; once you are in good health within few hours/days the count will be normal.In case this is constantly low or decreasing then please write to us again.Anisocytosis relates to RBC morphology and some degree of anisocytosis is seen in normal health but when in severe degree, it might suggest some kind / cause of anemia. Please mention your Hb% level also!Low BP is treatable with good protein diets, high fluid intake and salt in foods/drinks...Hope you got your answer. Please feel free to write to us if any more queries.Wishing you the best health! | |
Suggest treatment for bilharzia
I have bilharzia which will not go away after rpeatative treatments. Looks like I had it for a long time (about 9 yrs) before it was properly diagnosed. Is there a way to treat chronic bilharzia? At what interval must I take the treatment drugs? Ps my most recent results were: IgM 4.9IgG 2.09IgE was less than 0.35, I am a 40 year old male living in South Africa. I don't really feel sick but would like to get ride of this thing. | Hi, Welcome to HCM.The medication used to treat schistosomiasis (bilharzia) is praziquantel. Praziquantel works by first paralysing the worms and then dissolving their outer casing, killing them. In most cases, a single dose of praziquantel is usually required, but sometimes a longer course is needed. | |
Done semen analysis test. Explanation?
Total Sperm Concentration 32 million/mL Percentage Motility 25% Grade A 25% (Fast Progressive) Grade B 35% (Slow Progressive) Vitality 60% Agglutination Negative Pus Cells 3 Hours Red Blood Cells 3-4/hpf Epithelial Cells + (in small numbers) Morphology Normal Morphology 60% Abnormal Morphology 40% (a) Head Defect 25% (b) Neck & Midpiece 1 | Hello, The semen analysis report is indicative of just average sperm count, lower motility and lower normal morphology. There is also a possibility of infection. A single abnormal reading cannot say everything. The reading has to be repeated with different samples taken at different times. I suggest you see an andrologist for further advice and treatment. Take care. | |
Had IUI transplantation, with two follicles, given an ovidac egg releasing injection. Possibilities to conceive both eggs?
Hi.. I am 28 years old & I was asked to come on saturday for my first IUI . I had a scan on wendsday(11th) day of my cycle & had two follicals on each right & left side. Right 2.02cm & left 1.81cm. I was asked to have ovidac egg releasing injection of 0000 yestday 8pm. What my question is, by tomorrow morning 8.00 ,will the both follicals release it s eggs? And how likely to conceive both eggs? What is the percentage of being pregnet with first IUI? I am really excited for tommorow.. | Hi,The chances of a follicular rupture are more if the size of the follicle is about 18mm. Larger sizes may go on to form cysts. The percentage of conception in the first cycle of IUI is 10-20% and higher in those below 35 years of age than those above 35 years of age. If both the follicles happen to release ova at the same time, it is possible that both could be fertilized. Hope your query is answered. Take care. | |
Suggest treatment for orthostatic hypotension
Hello, I have very bad neurocardiogenic syncope with orthostatic hypotension. I noticed that my blood pressure gets extremely low in the middle of the night, sometimes my husband has to do the sternum rub to awake me in the morning. Is it normal for me to have such a high pulse at 104 when I wake up in the morning? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I understand your concern and would explain that the high pulse could be related to a physiological reaction to waking up. You should know that waking up imposes a high stress to the body. From the other hand, considering your medical history for orthostatic hypotension, it be related to this disorder. Nevertheless, I recommend consulting your your attending physician and performing some further tests: - A cardiac ultrasound and a resting ECG - An ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends for a prolonged time - Thyroid hormone levels for thyroid gland dysfunction - Cortisol plasma levels for possible adrenal gland dysfunction. Hope you will find this answer helpful! Kind regards, Dr. Iliri | |
What do red moles on scrotum indicate?
Rather embarrassing but, I have numerous, around 10 or 15 small red, raised moles on my scrotum. Because I ride bicycles and for comfort reason shave down there, they are easy to nick with the razor. They really bleed a lot before getting them stopped. They are pretty small but very troublesome. Is this purely a cosmetic issue, or should I have my dermatologist check this out. Thanks | Thanks for asking in healthcaremagic forumIn Short: May be sebaceous cystsExplanation: Sebaceous cysts are seen in many people over there. They are harmless unless you meddle with it like you did. So, you can leave it like that only. Otherwise you can visit dermatologist for its removal. Hope this will help you. | |
What causes amenorrhea post an IUI procedure?
hi.., I have done 3 IUi's with tablets for folicular growth and also injection for the same, still I was not pregnant. Then I decided to take a break for few months and try naturally. Now it is been month and half from my last period I have still not got it.., I consulted gynecologist, she suggested meperate for 5 day 3 times Even after taking that it is past 15 days and still no periods. Also My pregnancy report is negative. We are planning for kids.. Previously before IUI i had my persiods regular | Hi I think you should take a combination of oestrogen and progesterone for inducing periods. It can happen sometimes due to ovarian dysfunction. Get a AMH level, day 2 FSH, OH and a day 2 ultrasound done to see the number of antral follicles in each ovary. It will help in further treatment. | |
Hay fever, itchy ear and mouth, watery eyes and nose, tightness in chest, blood while coughing
Since giving birth to my twins 3 years ago I started suffering from hayfever during the month of May . I get very itchy ears, mouth/ throat , itchy and watery eyes and watery nose . Suddenly I got a feeling of tightness in my chest and started coughing and wheezing . Sometimes when I sneeze or cough I get a taste of blood in my mouth. I am 32 years old, 59kgs and 163cm tall. | Hi Ruth, Thanks for writing in. I understand your concern. In case of allergies, the management comprises of several parts. First is control of symptoms. The symptoms can be controlled in your case with Tablet Cetrizine 10 mg once a day. If you have significant amount of breathlessness, speak with your physician about taking inhaled corticosteroids. we should also be looking at drugs like monteleukast and sodium cromoglycate in your case which would help a lot. This may have to be started just before May and continued till the season gets over. If you are getting the taste of blood in your mouth, I would suggest you get a CT scan and see a pulmonologist. I would like to rule out a lung disease definitely. Also, steam inhalation and warm saline gargles would help. Please see your physician. I am sure you can start feeling better very soon. Regards |
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