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CRP count 31, occasional flu, diverticulus, Hb 12.4
I ve just received a CRP count of 31 after standard tests - I ve had flu on and off for the past three months or so (four times - lots of my friends in London have had the same) - and have had diverticulitis some years ago. I m 50 and a male - all the other tests came back fine except the haemoglobin count which was marginally down at 12.4. Should I be worried? The test is being retaken. | Hello, You have already taken the next logical step, which is to repeat the test. However, if the Hb remains the same, a careful review of your "red cell indices" and/or a review of your peripheral blood film by an expert hematologist may be warranted. Kind regards. | |
What causes a hard lump with odor on the neck?
Hi, My husband has noticed a hard lump on the back of his neck (center),it doesn't move. It keeps getting bigger and is very painful. It hurts to move his neck. Today he noticed a strong odor on his finger after rubbing it. There's no odor if you sniff the bump, but if you rub it there is a awfull odor. He is 65, weighs 165 and is 5' 11". I'd appreciate any advice. Thank you Linda | Hi, dearI have gone through your question. I can understand your concern. Hr may have dermoid cyst or sebaceous cyst. It cause lump with odour. You should go for fine needle aspiration cytology or biopsy. It will give you exact diagnosis. Then you should take treatment accordingly. Surgical excision is the treatment of choice. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Suggest treatment for the nightfall
Hi Sir,I am 26 year old and my hight is 5.4inch and i have problem of nightfall that's creating me a problem there is one girl in my office when i meet her then this problem disturb me ...please give me advise to resolve this i am very upset due to this...please help me :( | Try pranayama and relaxing excercise. Also try yoga. Do self counselling. Speak with your subconscious and then fall asleep | |
What could cause chest pain?
Hi. I am 23 y/o male 6 1 about 250 pounds. Thursday evening i was awoke from sleep with a pain in my chest and an inability to breathe deeply without pain. The pain subsided after 10-15 minutes. Unfortunately, this morning around 1 a.m. it has return with a vengeance, along with a rapid heart rate and more pain with breathing deeply. I managed to calm myself down after some hours, although it felt like my heart was going to jump out of my chest, and was pumping way too hard, and i had heart palpitations that can be felt by placing a few fingers on my left breast. It did initially feel like i was having a heart attack (although i have never had one so i really wouldnt know what it would feel like). The pain is a sharp type of pain in the left side of my chest just to the right of my left breast, and can also be felt in the same area in my back. The pain happens at the bottom of my breath which makes it difficult to take deep breaths without pain. Although my heart rate has returned to normal, the pain is still there some 13 hours later. Some additional information: I sleep on a bad bed and tend to have back pain here and there. Sometimes i stretch my shoulders and chest out to crack my upper back until a pop can be heard in my chest which relieves stiffness. I feel as this can be somewhat related to the cause of my pain because i have been doing it the past few days as part of a normal routine. When the initial pain in my chest started, i thought that i may just need to crack my back in the same way i described to relieve the pain, but when doing so found that i could not and there was no pop in my chest. I have been researching the subject within the past 12 hours and come to find a condition known as Costochondritis. I read that the this condition affects the areas around the sternum, upper rib cage and cartilage between the two, and can be identified as localized pain the the left side of the chest that can cause difficulty breathing deeply. I read that it can be diagnosed simply by apply pressure to the area where it hurts, and if it does it is most likely Costochondritis and not another more serious condition. Well after hearing that i decided to give myself a little test, and applied pressure (not too hard, but not softly either) on my left breast with the tips of my fingers where i described the pain. I found that it was very sore and hurt very much to do that, and since i ve done it, the pain seems to have increased and | any associated fever, cough or loss of weight or appetite.if none of these can treat like costochondritis. can take acetaminophen tablets and diclofenac gel for local application.pain can continue intermittently for 6-12 months | |
What could be the cause for sleep disorders in an asthma patient ?
My mother-in-law is 45 years old.Height 5.2 and weight 80 kgs.She has asthma since many years but gets asthma attacks rarely now.she is able to sleep well only alternate night and not on daily basis.kindly help. | Hi, Thanks for query, As she is 45 yrs she might have manopausal syndrome. She should consult gynaec,if she has manopausal problem withthe treatment she will be alright. she can take some tab.for insomnia if required. Ok and bye. | |
What causes a sore moving lump in jaw line?
I have had this bump in my leg that moves around for awhile now all of a sudden i have a bump in my jaw line that moves around... it seems like the bump in my leg has now disapeard. The lump is sore when i touch it or move it around and my side of my face feels a little swollen. Can you please tell me what you think? thanks. | Hi dear ,Understanding your concern. as per your query sore moving lump in jaw line is a lipoma which is a growth of fat cells in a thin, fibrous capsule usually found just below the skin. Lipomas are non-cancerous . Sometimes they become painful and biggest in size due to infection and become cause of concern . I would suggest you to consult general surgeon . Doctor may remove lipoma under local anesthesia by giving small incision . Doctor may perform certain test before treating it like blood tests , biopsy and CT scan to confirm the diagnosis and to rule out condition like mucocele and cyst.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Can unwanted 72 i pill cause any bad effect on baby if there is a conception?
Hi doctor, my menstrual cycle stoped on 5th march, thereafter i had sex, but 1 day after i took unwanted 72 i pill, my cycle till now not started which was on 22nd march, if there is conception, any bad effect will creat on my baby??? I want to conceive doctor....... | Hello dearI understand your concernUnwanted 72 contains hormones which are normally produced in body. So the only effect of taking Unwanted 72 is hormonal imbalance which occurs.But there are no documented side effects or bad effects on the baby per se.There is only chance of pregnancy being ectopic that means outside the uterus commonly in fallopian tube.So, a usg scan should be done of abdomen as early as possible to pick up the location of the fetus by consulting the gynecologist.But Unwanted 72 also cause delay in period by 1-2 week.If period will delay by more than 2 week then go for urine pregnancy test and or blood HCG test to confirm the pregnancy.Hope this may help youBest regardsDr, Sagar | |
What causes hallucinations and bloody diarrhea while on Wellbutrin, Vistaril, Remeron and Celexa?
was recently put on meds for panic attacks/depression, I was also suicidal. The meds are - wellbutrin, vistaril, Valium, remeron and another I think celexa?? I m hallucinating right now, hearing talking, shadows all around me. I just ran to bathroom with diarrhea full of blood now deep in my stomach hurts so bad. What is happening to me. I was also very suicidal today, more so than ever because I actually had it planned out, I even made up will to ensure my kids were taken care of. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The medications you are currently using are included in polypharmacy, three different anti depressants. It may affect your body in general. You are hallucinating, so antipsychotics should be started. Consult your Psychiatrist as early as possible and tell him about your experience of hallucinations. Medications need to changed if you are truly hallucinating. Take help of your family members or friends. I hope I have answered your query. Feel free to ask further questions. | |
Suggest treatment for wheat allergy
good after noon, my son 7 years old, has a wheat allergy at the age of 3 years. and i immidiately stop all the products. and start giving him gluten free product. but now from last 4-5 months, he is regulary taking his normal diet that we people took. and it does not have any problem. so please suggest me what to do? whether stop him giving normal diet and give him glueten free diet or continous the current diet. | Hello,Thank you for asking at HCM.I went through your son's history and would like to make suggestions for you as follows:1. Were I treating him, I would not suggest him stopping gluten-containing products now as he is already is taking them for 4-5 months without any symptoms.2. Wheat allergy can improve by itself with increasing age. So it is possible that your son has "come out" of the allergy.3. However, if he has celiac disease (another condition which requires gluten-free diet), I would not suggest you to give him gluten.Hope above information will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish your son the best of the health ahead.Thank you & Regards, | |
How to confirm the presence of follicles in uterus after taking krimson 35?
Gud afternoon. i am from trichy. my marriage has been over before 10 months. but still now i am not pregnant. i have consulted a doctor and took a scan she told me that there are some follicles in the ovaries. she told me to take krimson 35 tablet for 3 cycles. i have completed two cycles. i want to know whether this tablet would cure my follicles in the ovaries. reply me the correct solution | Hi, Thanks for asking. I understand your concermn. Krimson 35 is a high dose hormonal preparation It does not affect the ova present in ovary.. but it can stimulate ovulation itself to start an ovulatory menses (which are essential for conception ) .. It is given in ovulation failure ...to block ovulation for few cycles &a rebound starting of ovulation after quthdrawal of pills. You should continue with rhe course of Krimson 35. & follow your treatment instructions of your gunecologist. There are many options for your problem.. which are tried as per doctor's choice. so fon't be stressed. Thanks. | |
Suggest opinion about liver condition and significance of HBV DNA result
I am a hep B+ patient continuing 10 years. HBV DNA in jan'11 were 13 IU/ML, SGOT 35U/L, SGPT 32 U/L, ULTRASONOGRAPHY - No Significant Abnormality. At present, I do not take any med. for hep B+. Now I want to know my liver position and significant of HBV DNA result. Pls advice me as per above result. | Hi I can understand your concern...I appreciate your awareness to get aware why reports of HBV DNA done ????See you are having hbsag carrier case. In patient having hbsag if HBV DNA increased along with elevated liver enzymes for three month than it suggest you are in active stage means virus multiplying ....So for that antiviral drug given to suppress viral load ...Just now no need for taking drugs ...Fruits taken more .Carrot , spinach , Indian gooseberry , red beet , avocados useful....Take care | |
Is amway finer effective in treating constipation?
Hello doctor,My regards to you. My query is about my father(63). He is dealing with his constipation since abt 30 yrs. I m being told that AMWAY fiber is gonna help him. But we do not know how to take it. If you could tell me it will be of great help.THANX !!!!! | Hello, Yes, Amway Nutrilite Fiber is a very valuable and a health effective product in treating constipation, maintain good health and prevent many diseases. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr AJEET SINGH, General & Family Physician | |
Brain hemorrhage. Has vertigo, swelling in brain. Stopped medication. Other options?
Hi sir,I am sheefa Shams, my father got brain haemorrhage on 2011 and we consulted a good DR. HP Narayan (Ranchi, India). He handled the situation at that moment and he is almost fine till date, but from last one month he is again experiencing vertigo, DR said that this is happening because he got swelling in brain now and he prescribed few medicine, after having that medicine he got constipation problem and when we asked medicine for constipation he asked to stop all medicine. My question is that, will that be fine if he stop's all medicine.Currently I don't have his scanned report's and prescription but I will sure send you those if required for more details.I also wanted to know, who is best neurologist in Bangalore or in Cuttack from your point of view to consult with.my email id is YYYY@YYYY Regards,Sheefa | Hi Sheefa, Thank you for posting your query. Surely, if you can upload the CT scan reports and doctor's prescription, it would be very useful. In Ranchi, the best neurologist is Dr K K Sinha (Mansarovar, Booty Road). In Bangalore, you can consult Dr Murali Srinivas at Manipal Hospital, old Airport road, Bangalore. In Cuttack, you can consult Prof Sanathan Rath. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: drsudhirkumar@yahoo.com | |
Suggest remedy for abdominal and back pain with constipation
hi Dr i have been told i have kidney stones that have broken down in the bladder a couple of days ago and now i have abdominal pain and lower back pain with pale stools and constipation etc what do you think it could be as i cant get into see my Dr for a couple more days thanks im a 43 yo female | Hi.I would have appreciated your detailed history. Anyways, the history you have given is suggestive of GI problem as you have pale stools, pain in abdomen and back and constipation. Constipation makes stool darker. I would think of Pancreatitis as the first possibility due to the history of pale stools along with back ache. CT scan of the abdomen would be better once you get to a Doctor as also tests for Blood- CBC, sugar, amylase and lipase , urine for bile salts and pigments and stool routine and for Stercobilinogen.Obstructive jaundice has to be investigated for. Watch for development of Jaundice and distension, vomiting; if you develop any further symptoms , please visit the ER nearby, do not wait to see your Doctor . Take anti-spasmodic medicines for the time-being . | |
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 --> | |
Does coughing with mucus & milky white tissue like substance a sign of having bronchitis?
I had been having a very high body temperature, felt exhausted, felt pain in my chest and been tired for a four to five days. Now my temperature is almost normal, I feel no pain, but I've lost my voice (I can only whisper and hardly speak) and my bronchi are making some weird sounds. I have started to cough a lot (still nothing hurts) and when I cough, three times I cought out some white milky body tissue. Can those be parts of my vocal chords? And is this influenza that turned into bronchitis? Please answer, I'm so afraid that I won't be able to speak normally anymore. | Thanks for your question on HCM. I can understand your situation and problem. No, whitish thing is not your vocal cord. So no need to worry about it. This thing is sputum (expectoration). And your history and description suggest possibility of post viral bronchitis. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. PFT (Pulmonary Function Test). PFT is needed to rule out bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So get done PFT. You may need inhaled bronchodilators and antihistamines drugs. Don't worry, you will be alright. | |
Suggest treatment for stomach pain in a child
Hi, may I answer your health queries right now ? Please type your query here...my 7 year old son is complaining of stomach pain around the belly button area. it comes and goes he said its like someone is leaning on his stomach. this has been going on for the last 3 weeks on and off | Hi, You need to do an ultrasound imaging to exclude any organic dis., and you may give him buscopan syrup to relieve this pain. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist | |
Could nerves being pinched during lower back surgery lead to pain and numbness in legs?
I just had lower back surgery and some nerves were pinched b my left leg for left leg has no pain but right leg has pain and two last toes are numb. Doctor said work was mma mainly done Linn right side and that our should stop in a few days outs this true | Yes, spinal nerve roots can be "jangled" during spine surgery. Nerve tissue is particularly delicate, so it can take months, and sometimes years, for it to settle down. But the pain should settle down over the next few days, while it may take longer for the numbness to resolve but that should be less of a problem. | |
Excessive possessiveness in love relationship. How can I overcome this?
Hello sir i am a biy at the age of 22 age i feel possessive about my own thing.. even more than that it is continuing in my love case also , if my lover say that i speak with that boy means i feel disturbed, but she in in love with me and me too. plz give any solution for this , is this any problem any treatment is needed ah sir.... | Hi Dear thanks for your question,possessiveness in love at this age is a normal, but don't' be possessive so much that it disturbs your day today life,take things lightly ,your primary concern should be your studies,or your carrier,i mean what ever your doing,as you will grow with time these things settle dawn of itself.love at this stage is usually lust.concentrate more on your studies ,keep yourself busy with work and after a few years you yourself will realize ,was it love or ,lust or wastage of time,remove the fair of loosing her /him,in journey of lfe you will find many better lover than you think he or she is.hope my answer will benefit you | |
Does Tryptomer help to treat nerve compression in L5/S1 disc?
Hi I am having nerve compressionn in my L5/S1 disc and due to that my right leg is having numbness while standing. With in 02 minutes of standing the nubness starts and after sitting it is normal. Doctor has given me Tremtomer 10 for 07 days. Is it a cure or just it is for sleeping S Shankar | HelloThanks for writing in Health care magicI had gone through your query and understood your concerns.Your doctor gave correct treatment it cures neuropathic pain and also induces sleepHope this guides you. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you do not have any clarifications, you can please close the discussion. Thank you.Wishing you good health | |
Could burning over tip of penis be a sign of prostate infection?
Hello, after I urinate the tip of my penis burns and it burns alittle after I defficate. I was checked for all STD's last month and was negative. Last fall I was treated with antibotics. The MD was leaning towards a Prostate infection. Does it sound like I might have another infection? I'm 43 years old. The symptoms above have lasted for about three weeks. Thanks | Hello,Welcome to HCM,The symptoms are suggestive of urinary tract infection, the burning micturation is a classical sign of UTI.I would like yo know whether there is any history of high grade fever, chills and rigor which will suffice the UTI.You may be require lab investigation like urine examination for pus cells which helps to confirm our diahnosis of UTI, as you are getting frequent UTI you should be completely evaluated. For the present symptoms you can take oral antibiotics like oflox and metrogyl, which will improve your condition.Thank you. | |
What is the remedy for the hyper lipids, high uric acid and enlarged liver?
Respected Sir, Gall blooder removed in the year 2000, For last 8yrs Hyper lipids,High uric acid including large liver , when medication going on then all the results coming down.Today on 13/4/2014 done usg & found large liver, started Omez OD, 300mg Udiliv OD. Please advice | Hello, Welcome to HCM and thanks for posting your query. It seems you are mostly having fatty liver in my opinion. Can you please post all your reports to me along with your height and weight, so i can exactly guide you in right direction. Initially patients' of fatty liver are absolutely asymptomatic except elevated liver enzymes and abnormal lipid profile. Initial stages of fatty liver are reversible, but if it progresses further, then it can lead to cirrhosis and liver failure. So i would advise you to avoid oily and fatty food, take low calorie diet to reduce your weight, take high protein diet, avoid alcohol of any type and also avoid smoking, go for regular brisk walking daily for at least 40 minutes, do meditation to be stressfree, continue taking udiliv, take statin group of drugs if required after consulting with your doctor. Hope this answers your question and let me know anytime if you have any further queries, i will be happy to guide you. | |
How long after being treated for jaundice should diet regime be followed?
I suffered from jaundice with bilirubin level as high as 45...but have recovered completely and have started to eat normal outside food and having no problems but do i have to not eat outside food for few weeks...if so ...how many weeks do i hv to take proper precaution regarding diet | Hi there,Thanks for posting in HCM.If your liver function test is normal and all numbers are within normal limits and if you have good appetite, there is no need to follow any specific diet.Since you have recovered completely, you can have your routine diet.I hope that answers your query. | |
Tiredness, depression, thinning hair, lower back pain, fibrosis lump. Had blood test. Help?
I am a 25 year old female 71 Kg 160 cm, married, no children, no previous pregnancy, not using birth control pills. I had a blood test just yesterday, my platelets count is 465, MCH 24.5, MCV 75.5, MCHC 32.4. Is there any reason to worry. I usually feel tired, depressed, have thin hair, get Constipation frequently,and low back pain . one year ago I discovered a lump in my breast, I did a Biopsy , it is a fibrosis lump. The recent ultra sound showed increase in size to 2.8 cm. I usually experience little pain every now and then, however for the past 3 days, the lump is hurting so much more like burning and little skin redness and swollen. What could that mean. | HI thanks for your queryi can feel your concerns.your blood test shows MCV on lower side and platelet count on slightly higher side,most likely deficiency anaemiai advise you to take iron and multivitamin supplements after consulting your doctorfor constipation,i advise you to drink lot of water and take ispagol husk,.try to avoid junk foodimprove your diet.add milk,meat,fresh vegetables and fruit to your dietMoniter breast lump vigilently and get it examined by your doctor.pain,burning and redness can be either due to infection or may be malignant changes.wishing you good healthregardsdr.imran | |
What is the little button between penis and belly called?
this is kind of awkward but here i go, i am 17 years old and i have little button on the skin of the... lower abdomen (between the penis and the belly, i don't know what its called). i did my recherche i think it might just be acne (given my age) or fordyce spots, what do you think, should i be worried? (aditional info : i am still a virgin so i know its probably not an STD) | Hello,I have gone through your query and understand your concern.Your query is ambiguous and incomplete.You said that it looks like acne, I suspect it to be a infected hair follicle.As this the hair rich area, probably, it might be a infected hair follicle.This is usually caused by staphylococcal bacteria.It is not a sexually transmitted disease.You need the examination by your primary care physician to confirm the diagnosis.You need antibiotics like amoxycillin to get rid of this infection.Wash the area with the warm water.Sitz bath will be helpful.Hope this helps.Please write back for further queries.Wishing you good health. | |
How can cavities be fixed?
I went to the dentist today, they said I have cavities, and am losing my jaw bone, then they gave me a paper to see an oral and maxillofacial surgery DDS, it says "Please evaluate lesions on post palate right and left side" and i cannot read the rest -- ???? Can anyone help tell me what i am sort-of in for??? thanks | thanks for your query, i have gone through your query, the infection secondary to decay of teeth might have resulted in osteomyelitis means infection of the bone resulting in destruction of bone. or it can be secondary to periapical cyst or any benign tumor of the jaw. you can take a radiograph of the jaw like OPG which can reveal the lesion. i hope my answer will help you. take care. | |
What does the ct report regarding cancer indicate?
CT report of my father aged 67 yrs suggests extensive secondary cancer in liver and abdomen. What are his chances of survival.LFT results show: SGOT (AST) 77 U/L, SGPT (ALT) 64 U/L, GGTP 184 U/L, ALP 537 U/L, BILIRUBIN TOTAL 1.30 mg/dl, BILIRUBIN DIRECT 0.66 mg/dl....others are with in rangeurea 25 mg/dl and creatinine, serum .80 mg/dl | Thanks for your question on Health Care Magic. I can understand your concern. CT report suggestive of metastatic spread in liver and abdomen. This means primary site is somewhere else. And so we need to first find out the organ from which cancer has been originating. So better to consult oncologist and get done PET scan to find of primary organ. Future treatment plan and prognosis depend on primary organ of cancer. So first search for the primary organ of cancer. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks. | |
Difficult to manage anger. What to do?
i really think im losing my mind!!! everytime i am with someone i get so angry at them especially my father and i dont know why. i try to keep meself to myself now because its easier that way and i just about what i have done in the past and feel so guitly about it. I went to see my dad tonight and i lost my temper with him again and i hate my self for it. I just dont know what to do anymore. Please help!!! | Hello....... Thanks for your query. I understand your concern with inability to control anger. I would suggest a thorough psychiatric evaluation to rule out depressive disorder, personality disorders and impulse control disorders that can manifest this way. Subsequently anger management sessions along with choice of appropriate medication if required would be of use to you. Regards Dr Sundar Psychiatrist | |
Suggest treatment for lump in shin area
I have a very small 'ball' in my around my shin area (under the skin) which I can move around. I have had it for quite a long time now. It does not hurt in the slightest and has not grown since I noticed it, quite a long time ago. Is this something to worry about? | Hi,Dear,Thanks for the query to HCM.your concern is why painless lump with mild redness when injected with so called painless Boostrex dose?This being a foreign protein vaccine - a reaction is bound to come and is normal.And quoated the vaccine is Painless- as its with painless red lump.Hope this would reply your query to your satisfaction.Welcome for any further query to HCM in this regard.With Regards, | |
What causes vomiting in a 6 year old?
Hi. My son is almost 6 years old. Tuesday night he vomited his dinner. I suspected he had a 24 stomach bug that many people have been getting over the past month. His pediatrician always recommends a regiment of frequent sips of Gatorade until he can keep everything down for 6 hours. Twice after he vomited a small bit of mucus, then finally Wednesday afternoon he seemed well enough to eat - crackers, toast - small amounts. He vomited again late Wednesday afternoon & evening, so we repeated the process. Thursday morning he vomited a tiny bit of mucus, but by the evening he was able to tolerate foods. However, I noticed then that his temperature was extremely high - 104-105 F. I began giving him 10cc doeses of Children s Tylenol every 5-6 hours as needed. His pediatrician is out of town, and I spoke to a covering doctor. He said everything should be okay, as long as he doesn t have any severe abdominal pain, which he didn t. He is still going through a cycle in which he spikes a high fever, and Tylenol brings it down for about 4-5 hours. He also gets lethargic, sleepy and whinny when it spikes. He is about 90% of his normal self when the Tylenol is in effect. There are no other symptoms. I am concerned that this fever has gone on for this long. His ped returns tomorrow morning and his covering doctor is off today. At what point should I seek further medical attention? Should I take him to the ER, even though he feels okay when on Tylenol? (I m in NJ, where there is a deep freeze and would prefer to not take him out in the cold.) Thanks! | Hi, There are Humpty number of causes for vomiting in 6 years old. Given the scenario, it looks like your son may be having acute gastroenteritis or a viral illness. As you mentioned, children will get tired when they have a high-grade fever. But if they are active when afebrile, then it is unlikely due to any serious infection. I would suggest you give an adequate dose of Tylenol as advised by the pediatrician and keep him well hydrated. If fever persists for more than 5 days or if he has persistent vomiting, new appearance of the rash, lethargic when afebrile, decreased oral intake and urine output, then you need to consult a pediatrician immediately. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nirubhan Bharathy, Pediatrician | |
What causes pain in palm and difficulty to rotate wrist?
Hi, i have had surgery in may for de querveins release, I was recently told by the surgeon in a recent visit I need a second surgery now for intersection syndrome... Today I had a accident with my hand, was opening a closet door which came off the hinges, when I went to grab it I heard a loud pop...i now have pain in the palm side of my thumb and can t rotate my wrist to the right...not sure what to do...it hurts really bad, no bruising very little swelling | Hello,I have studied your case and I think that you may have developed soft tissue injury in your wrist. It is common after such injuries but chances of bon injury is less. I would suggest you to follow these steps.1.Hot water fomentation2.Tablet Bruten 400 mg twice daily.3.Compression bandage, avoid putting load on the wrist. Do not do heavy work.If pain decreases after these activity then it is ok. Otherwise you need to get x ray of the hand.I hope these steps will be helpful for you.Let me know if there is any other followup questions.thanks | |
Can constipation cause infertility?
Sir I am suffering from constipation every morning I have to push hard some time I have to do manually does it affect my conceive chances, because every morning semence coming out after pushing so I m worried | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would like you to try ayurvedic medicine for your constipation problem. You can take Softovac powder with luke warm water. It's a natural stool softener and it doesn't have any side effects. I hope my answer will help you. Thanks! | |
Suggest natural remedies to prevent yeast infection
How can I prevent a yeast infection after I've taken antibiotics? I've tried drinking lots of water, eating yogurt, and even taking AZO yeast pills, but it doesn't always stop it. Aside from creams and the flucan (I think that what the pill is) what natural way can I prevent them? I don't wear tight clothes. | Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you to eat as much curd you can. You can also take mushroom in your diet. Eat healthy foods like green leafy vegetables and fruits, dry fruits etc. This much care will help you improve your flora.I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease. | |
Is MRI required for pain above kidneys near spine?
Hello, I ve had a pain in my right back side above kidneys, closer to spine for about two years now. It feels like muscle pain, except sometimes I an actually feel the knots and its not something that goes away after a massage. Should I be getting an MRI or full body catscan? | Hi,Thanks for writing in.A pain in the right upper back can be due to many causes including those involving the spine. The correct approach is to get examined by your doctors and doing a ultrasound scan. The pain from stones in kidneys and gall bladder can be felt in the right upper back. Since you have the pain for 2 years it is important to rule out renal stones, gall bladder stones or anything to do with the liver. This is because the nerves supplying these areas can cause referred pain in the back. If the ultrasound report is not contributory then doing a X ray might be required followed by MRI if indicated after examination of the back clinically done by your doctors. If there is problem with your nerves then MRI scan will help. CAT scan helps only if there is a possible bone abnormality. Whole body scan is not required in every person and only the clinically suspected area is to be scanned. | |
Suffering from historical conversion reaction problem, falls unconscious often. Pshycological or neurological ?
respected mam, my daughter AAAAA, age 18 years has suffering due to historical conversion reaction problem.she quite oftenly get in to un-concious stage more than 7 hours a day continuing with her sleep. we have taken all the tests like CT, MRI , EEG etc., all the tests seems to be normal. we are giving treatment at athma hospital, trichy.we need clarification about her problem. whether it is pshycological or neurological ; | Hi, Geetha, Thanks for query. As her all reports are normal so any neurological diseases are ruled out. It seems that she might be having hysterical problem. Consult Psychologist for counseling. Ok and bye. | |
What causes dripping of urine in a 7 year old?
My 7 yr old daughter told me that urine is dripping out. It has gone on all day today. This has never occurred before. She is very healthy and has no existing health issues. She stated there wasn t any burning during urination and that it didn t hurt. She is approx 4 5 and around 64 lbs. | Hi Plesae do a urine routine test to check for infection sugar etc.If nothing is there look for psychological causes like fear,. Peer pressure etcShow her to a pediatrician for evaluation.Do not frighten her.God blessDr uma | |
Can abnormal axillary lymph nodes be precursors of cancer?
I have an abnormal right axillary lymph node - found in a breast scan June 2013. I had the scan due to extreme density. I m 48, over 4 years post-menopausal. The 25 mm in length lymph node had a 5 mm corticol thickening. The biopsy revealed a no cancer, but a lymph node that must have remained enlarged after some sort of infection my body had. (although I ve had none prior to this finding) I now have pain under my arm, specifically in that area where the enlarged lymph node is. I also have pain directly under my nipple. Is all this precursors for cancer? | Thanks for your quetion on HCM.In my opinion you are having inflammatory cause for enlarged lymphnodes in axilla.As your biopsy from breast mass is negative for cancer, I don't think lymphnodes are malignant in nature.Znother evidence is pain in the lymphnodes.Pain usually seen in infection, inflammatory nodes and not in malignant nodes.So chances of malignant nodes are very less but still I advice to get done biopsy and confirm the diagnosis. | |
Suggest remedy for severe itching and broken skin after being treated for staff infection
I HAVE HAD STAFF INFECTION 10 YEARS AGO . COME BACK EVERY 2 TO 4 YEARS I THING IT COULD BE SOMETHING ELSE. WENT TO DOCTER GAVE ME ANTIBIOTICS CLAERED THE BAD AREA BUT SKIN BROKE OUT EVERY WHERE. WENT BACK TO DOCTOR SAID SEE DERMATALOGIST CAN NOT HELP. I AM UNINSURED THEY CHARGED ME, TO TELL ME THAT NEED ADVICE CAN YOU HELP MY ITCHING IS TERRIBLE NOW ON BENADRYL. HELP.... | Thanks for posting you query to health care magic.broaken skin is a predisposing factor for infection .As you are having only ithching goes in favour of some allergic etiology or could be due to some fungal infection .antibiotic will not be helpful .I need some more information about your complain to suggest you correct medication : is there any pigmentation , is itching generalized to whole body or only limited to lesion area only, is there any red pathches develop on ithching are , how ithching are looks like .after getting complete information i would suggest you correct medicin.presently you can use moisturizer to keep skin moist and calamine lotion to releive itching and Cetrizine 10 mg tablet once in a day for sever ithching under guidence of clinician .hope you would be satisfied with my answer . feel free to communicate if any query .regards,Dr.Manish PurohitInfectious disease specialist | |
How can hepatitis B, low platelet levels with nosebleeds be treated?
sir my father is suffering from hepatites b and his condition was smewhat lukewarm from last 4-5 years but now his platelet level came down to 40000. Now he is also having nosebleeds we are very much worried we have taken him to many doctors but no one replies well. sir plz help me what to do. | Hi,HBV can not be completely treated as HBsAg can NOT be completely eradicated in a patient suffering from HepB. However, "complications" may be prevented if proper medication is taken and proper diet plan is followed. Treatment is advised IF high values of liver enzymes AND high viral load on a PCR. If HBV DNA count in PCR are not high, Liver enzymes should be monitored regularly while HepB markers maybe checked every 6 to 12 months.further advice: Advice:- abstinence from "Alcohol" - LOW fat diet should be followed- AVOID junk food and beverages- Decreased oil consumption (oily food)- NO red meat- Green vegetables should be ingested daily- Use lemon juice (lemonade) once in a day- Reduce weight if overweight/obeseHope to answer your concern. Let me know if I can assist you further.Wish you good and sound health.Regards,Dr. Tayyab Malik | |
Are there any tests to check the heart?
I had a high on a c-reactive protein test that came with a group of tests. This was last summer. Not concerned about my heart till I had a strange shimmer in my heart last night and this morning. Is there more blood tests or other test to check my heart or should I be concerned at all? My father had a heart attack about my age. | Hello. Thank your for contacting HCM. I carefully read and understood your concerns. The C-reactive protein (CRP) is an established indicator of coronary artery disease risk. People who are higher on CRP have a greater risk for an eventual cardiac event than people who have in within normal ranges. It is, in common words, an indicator of the presence of inflammation within the atherosclerotic plaque (fat build-up in coronary arteries). Other test that can show this phenomenon, although not specific, is a recent discovered factor that is linked with this kind of inflammation - the red blood cell distribution width (RDW). Also, I recommend you to check your blood levels of total cholesterol, LDL fraction and triglycerides.Chest pain, indicative of coronary heart disease - angina, is more like a tenderness, heaviness on the midden part of the chest, it is triggered by physical activity (although it can happen while resting), radiates to the both sides of chest, jaw, left shoulder and left arm. According to your characteristics, you have a positive familial history for cardiac events. Do you smoke? What is your age? Besides blood test, I would recommend you to have a full cardiac check-up with an EKG, echocardiogram and a cardiac stress test.Keep in mind that a series of changes in diet and lifestyle will help improve your risk factors for cardiac disease, such as a diet rich in fibres, poor in salt and a regular, 60 minutes, physical activity a day.I hope I was helpful. Feel free to contact me again. Good day. | |
What could cause blood in pants without pain and all tests being normal?
I am a 16 year old male. During the night, I will find blood in my pants and I don't feel any pain, and sometimes I don't even know it happened until late in the day. I have had tests done, such as an ultrasound on my kidneys and a urine test. They have all come back fine. What are some possible causes of this? | DearWe understand your concernsI went through your details. If ultra sound on kidneys and urine tests are done and doctors could not find anything which could cause blood leakage from penis, then you should not worry much. Bleeding is also possible from a tear in one of the fragile veins within the prostate, the organ which produces most of the seminal fluid following sexual stimulation. arousal without ejaculation, excessive intake of spicy foods or you will usually notice spots of blood on your clothing as well. Irritating the prostate gland may also cause inflammation that will increase your risk of bleeding. Infrequent alcohol, withdraw at the time of ejaculation, bike riding or similar activities can increase this risk. The prostate may also become infected, causing bleeding. I suggest you to consult the doctor once again if the symptom persist.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. Is there any ayurvedic remedy for severe hair fall and reduced density?
Hello doctor, The density of my hair is decreasing and I have a severe hair fall. It looks like an androgenic alopecia to me. Please suggest any natural medicine which can reduce this or block the DHT. I am currently taking Antoxid HD and Zincovit. | Hello. I read your query. Take Bhringraj oil and do gentle massage with it of your scalp on every alternate day and wash your hair with mild herbal shampoo. Take Capsule Bhringraj two capsules two times a day with water for two weeks. Consult me after two weeks regarding improvement and for further management or you can consult your nearby reputed ayurveda physician if you want to. After two weeks. | |
Red streak in middle of uvula, pain in oral cavity, swollen lymph node, hurts to swallow. Help
Hello, Hope you are doing well today. I hope you can help me out. Sx began ~5 days ago. Noticed one red streak right in the middle of my uvula . Incredible pain on the far back left side of oral cavity. Pain increases upon inhalation . Mild pain when I touch my left lymph node (which is slightly swollen). It hurts to swallow. No other Sx. Please help. | Hello dear,All these symptoms indicate that you might be having Pharyngitis.Management includes:1. Gargle with warm salt water to relieve pain.2. Analgesics like paracetamol 3. Antibiotics depending upon culture & sensitivity reports to remove the causative organism.4. Antihistamine preparations can also be used to provide symptomatic relief.If symptoms still persist...it will be better to consult an ENT specialist. Meanwhile...avoid taking cold food & drinks, maintain adequate hydration & take soft, non-spicy foods.Wish you good health & a speedy recovery. Thanks & take care. | |
Is fever normal after undergoing stomach cancer surgery?
Hello, I have a grandma that had a stomach cancer removal about 4 years ago. But just recently she had a horrible high fever and red spot start to appear all over her body. Does anyone know what is happening or what might be happening to her? Thank you for your help. | Hi, dearI have gone through your question. I can understand your concern. Dhe has history of stomach cancer. However she might have some infection. Her platelet count may be low and it leads to red spots. She should go for complete blood count with platelet count. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Q. My baby is suffering from frequent cough and is allergic to cold. What medicine should be given?
Hello doctor, My baby is 3.5 years old and weighs about 12 kg. She is suffering from frequent cough and she is allergic to cold. What medicine should be given? | Hello. Everyone has an allergy to cold, its severity varies between individuals. If she had recurrent episodes of cough, and it associated with wheezing then, it could be hyper-reactive airway disease. It is common but sometimes it may turn out to asthma, it is more common if there is a family history of similar illness. Anyways, the viral infection is common and some people may have 10-12 times in a year. No need to worry about this. Advice: Best is if you do not give any medicine except Paracetamol if associated with fever. If the cough is interactable then you can use these medicines. 1. Syrup Honitus 5 ml, four times a day. 2. Syrup Coriminic (Phenylephrine HCl and Chlorpheniramine maleate) one tea spoon three times a day. 3. If there is wheezing, then give syrup Asthalin (Salbutamol Sulfate) 5 ml three times a day. 4. If associated with fever, give syrup Paracetamol 5 ml whenever fever occurs. 5. Give fresh food, plenty of water, and tomato soup. Report back if needed, otherwise, it will take three to five days to resolve. | |
Whats the prognosis for pneumonia with C diff?
A friends husband is in ICU on a ventilator with pneumonia, as well as C Diff and the last antibiotic to try is being given. Cath was done on heart which showed no blockages. They are saying they are using the last heart med at their disposal to get his heart pumping over 20% which is all it is doing. Infection and pneumonia are the culprits. What is the prognosis for this. He is in an induced coma. | Thanks for your question on HCM. In my opinion he is in septic shock. In this due to blood stream infection , toxic substances are released in the blood by bacteria and these substances cause cardiac damage and low function of heart and low Blood pressure.The only treatment for this is to give appropriate antibiotics to stop the sepsis.In my opinion get done 3 sets of blood culture and sensitivity and start antibiotic according to the sensitivity report. Prognosis is obviously not good if antibiotics are not working. It indicates infection with drug resistant bacteria.Pneumonia with septic shock with invasive ventilator support carries poor prognosis. | |
Q. I cannot concentrate and go blank while studying french. How to get rid of it?
Hello doctor, I am studying french, and every time I conjugate, I get a brain fog. It is the feeling you get when you stare at something. It is very annoying. What can I do to get rid of it? I am trying very hard to concentrate on the spells, but it is not helping me. | Hello. Being a school counselor, I feel that you are having concentration issues while analyzing or solving any query in your academic work. Learning the second language whether it be French or any other, requires much effort in the beginning. Especially when you are at the written or spoken level. Conjugation itself requires much effort and it is alright if you feel like brain fog, because it does happen as I said. Follow these steps: 1. You need to improve your study skills and learn better strategies for this class. 2. Read the class material beforehand and mark your questions. 3. Ask your questions to re-explain things to you, if you have any confusion. 4. Practice helps in skill-building. Learning a language is another skill. Keep practicing and learn verbs and grammar in a gradual manner. 5. French grammar is quite different from the English language. Do not compare it with your previous skill and learn it as a different and new skill. 6. Audio and video aid will be helpful. Search online video aids for better pronunciation and grammar rules for french. 7. For improving concentration, try different language games. 8. Try to study when you have an active mind and make it a daily routine. I hope this helps. | |
Suggest treatment for pain around carotid artery, under jaw radiating to ear/shoulders
hi, I have always had pain around my right side carotid artery, under my jaw, radiate to my ear, and my shoulders. Sometime i feel it is on the side of my throat. It is wearing me out, my memory is geting weaker and weaker, sometime i feel as if everything blocked as it affect my proper breathing and i dont feel i am relaxed...i am 49 by the way and i had this for few years now ... but it is geting worse and causing me to be rigid and stiff... can u tell me plz what i should do and what could be the diagnosis and what kind of doctors i should visit... thx.. MK | Hello MK!I passed carefully through your question and would explain that your symptoms could be related to a temporo-mandibulary joint dysfunction or a bulging disc in the cervical vertebral column, causing radicular nerve pain in this region. For this reason, I would recommend performing a cervical spine MRI study. If this test results normal, I would recommend consulting with the ENT specialist for a physical exam of the temporo-mandibulary junction. Anxiety could also play an important role on all this clinical scenario, too. Hope you will find this answer helpful!Kind regards, Dr. Iliri | |
Suggest treatment for hives all over the body
I was bitten by a stray cat last Thursday. It swelled up and scabbed; some redness but went away. I now have been having bouts of hives all over. I also was wearing my mom's clothes as i stayed at her house the weekend so maybe it could be the change in detergent? I also am fighting off nausea. | Hello,Thank you for posting on HCM.The condition you have referred to is called Urticaria or hives. Its an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up.You may have to go for specific tests like patch test, food prick test, IgE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various anti-histaminics for long duration( atleast 3 months) with or without oral corticosteroids. For non- responding cases there are many other drugs like dapsone, cyclosporine, montelukast, omalizumab etc which can be used in certain selected cases. Hope this will help you in resolving your query.Thank you Dr Hardik Pitroda | |
What causes tingling sensation in the left shoulder radiating towards the neck?
I have tingling in my left shoulder that has gotten worse, now it crawls up my neck and to my ear. I find myself scratching and rubbing my shoulder, neck and face. I feel that It is the verdibraes in my neck has a pinched nerve. If I hold my head to the side a certain way the tingling stops. the tingling is getting worse and is not being some pain. In order to sleep, I have to lay on my left side with my head proped up in a certain fashion to get any sleep. Can you tell me what kind of doctor or specialist I need to see. My family doctor prescribed Gabapentin but that had side effects so I quit taking it. It did not help me anyway. | Hello,What I can infer from your complaints is that you are suffering from cervical disc prolapse. This is a condition in which the cervical nerve roots get pinched by disc material.I would suggest you to consult an orthopedic surgeon and get an MRI Scan which will show the condition of cervical disc and roots. Meanwhile, you can start undergo physiotherapy to reduce the pain.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Santosh S Jeevannavar | |
Suggest remedy for recurring fever, stomachache and headache
my daughter vanshika DOB 22 June 2007 is having fever since 3 days the same ranges between 99 - 102. We have been giving her ibugesic+ syrup 5 ml but the fever recurs every two hours. She is also complaining of stomach ache and head ache. She had feveroil ceisure when she was 2.5 months old and was on epilepsol for one year after which it was discontinued on the advise of the doctor. | Hi, Keep on ibugesic and increase the dose to 7 ml every 6 hours with cold compresses. Secondly, ask for blood culture to exclude any infection there might be. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist | |
What to do for abnormal ESR?
Just received my blood work from my doctor from my physical. I am 52 years old and have been having issues with inflammation for quite some time now. All my blood work is normal except my ESR.I exercise, and have been eating healthier. What do you suggest I can eat or take to get this rate to normal. Debbie | ESR is an investigation which indicates the status of inflammation in our body. High ESR means that chances of active inflammation are there in the body. In my opinion you should continue the treatment for inflammation, cure of inflammation will automatically normalize the ESR. There is nothing in particular to eat by which you can reduce the ESR. I will just advise you to continue eating healthy food and increase the amount of vagetables and fruits in your eatable items. | |
Can abscess in sinus cavity cause danger?
When i was active in my addiction i neglected my teeth, I had the upper left last molar in the back break and lived for at least 3 years with it broken off horizonatally at the gumline and finally had it pulled in treatment but not before it affected the tooth in front of it, After months of pain that increased daily i finally had it pulled as i was pretty sure i had an absess because i had a huge lump on my gums right about they eye or canine tooth. I had to take 2 rounds of antiobiotics in order for them to pull it and that was a little more than 4 months ago, but the lump never went away, it doesnt necessarily hurt but there is alot of pressure and in the last two months it seems as if i get every cold, infection, etc known to man, ii am worried that the absess is in my sinus cavity and i dont know what to do | Hello,Thanks for consulting HCMRead your query ,as you have lump and pressure in area this can be due to infection is still there in gum dont worry I will suggest you to do warm saline rinses and consult dentist and go for examination of lump and if needed go for investigations IOPAxay or OPG of that region tooth and go for its treatment .Hope this will help you. | |
Borderline gamma blood test, viral infection, enlarged RBC 104
i had a gamma blood test 2 weeks ago and the doctor said it was boarder line ? what does this mean ? i have just had another one this morning ? i dont usually go to the doctors if i can help it , but six weeks ago i was quite poorly with a virus infection , the doctor came out to visit me , and everything has snowballed from there , i hadnt seen a doctor for over two and a half years , 5 blood tests later i am still in limbo , first they thought i might have b 12 something or other , but no , not that ,! i did have enlarged red blood cells , 104 , then another blood test later they were 102, all this means nothing to me , sorry , kind rgards confused | hello, are you talking about gamma glutamyl transpeptidase estimation which is increased in biliary duct damage in liver involvement . I think your doctor might be thinking of viral hepatitis. as far as your MCV of re dblood cells are concerned they may increase id vit b 12 or b6 or folic acid deficiency or even in alcoholic liver disease where gama is also elevated , so quit alcohol only if you consumes it and be honest to your treating doctor and you should ask them clearly about your dought after an all doctors are there to help you.an another gamma test is done for gamma globulin estimation to detect several infections.I think you should follow and believe your treating physician and leave all worry and try to recover fast.wish you all the best. | |
What causes a sharp painful lump on the back?
This evening I have been expefiencing very sharp stabbing pains in a tiny mole on my back. It has never happened before. It has been happening every few minutes and is not subsiding after 3 hours. It is very unpleasant. Should I see a doctor tomorrow? | Dear user,Thanks for your question.Any changes in the mole anywhere on the body should be checked. By changes I mean, colour, shape, size, itching, pain, bleeding etc.This might be an early sign of infection of a skin cyst but it needs to be checked to rule out any sinister cause. While you are waiting to see the doctor, there is no harm to take a good painkiller anyways.Hope your query is answered. Please dont hesitate to contact if there are any other concerns.Thanks | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
What does my MRI report suggest?
had an mri after auto accident: what does this mean? hypodensity in the periventricular white matter is consistent with chronic ischemic demyelination. it also said the CSF spaces including the basal cisterns, sulci over the convesities, and ventricles are enlarged but stable when compared to the prior exam. | Hi , periventricular hypodensity is due to ischemia and it is due to age related changes .Enlargement of CSF spaces is due to brain atrophy .Advised to start tab ecosporin 75 mg .Thanks | |
Could psychiatric medicines intake have negative impact on cognitive abilities and my immune system?
In between 13-19 years of age I took continously medicines given by my pschiatrist. Few of the names that I now remember are: Prothiaden, Libotryp, Benzodiazepine. When I was around 16.8 years took 28 tablets of benzodiazephine (I forgot the amount of mg per tablet) and had to be hospitalized; the reason I took it to simply escape the familial tension but it was not my addiction). In my last months of teen years approx. 19.5 years I abruptly stopped taking it without consulting my pyschiatrist. Since then I have never touched any pyschiatric medicines. I have a question: Would 7-8years of medicines intake could have negative impact on cognitive abilities and on my immune system? | Hello, Psychiatric drugs does not have any impact on your immune system. You can continue your pills as prescribed by treating physician. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain | |
Is implanted gestational sac on the anterior lower segment near the C-section scar a concern?
Hi i just had my tvs ultrasound and results show that at 5wks2days my gestational sac has implanted on the anterior lower segment...i am worried as the dr mentioned it was near my cs scar...are there still chances that it(gestational sac) will move on the 6th week? Or what we have seen on the u/s is already the final location of the sac? | migrating placenta.. - placenta found attached to lower uterine segment cannot be diagnosed as placenta previa untill 32 to 36 weeks pog. repeated scan can exclude | |
Suggest treatment for chest pain and slow heart beat
I have chest pain more then 2 & half year, I done CT scan,Barrium meal,endoscopy,Echo 2d with colour doppler, but still i dont know what i am suffering from long lime I feel pain like some thing is burning,hurting, when i feel pain eyes dark circle become more darker,i feel hart beat is become slow some thing is swelling in left side i feel. i feel relex when the swelling is moving from left to right | Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that your symptoms are not typical of any cardiac disorder. Anyway, considering your complaints and your already performed tests, I would recommend performing further tests: - an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends and investigate for cardiac arrhythmia. - an exercise cardiac stress test or stress echo, to exclude possible coronary artery disease. If all these tests result normal, you should consider anxiety as a possible cause of your complaints. Hope you will find this answer helpful!Wishing good health, Dr. Iliri | |
Is joint pain while taking combutol and R cinex for TB be due to medication?
HAI....my mom has been diagonised to be affected with early stages of TB ...she is taking combutol 1000 & R-cinex 600 once a day. she is suffering from heavy joint pain throughout the body....does this occur due to the medication?? is this common for all? please answer!! | Hello, In a patients on combutol user's may present like pain and swelling of joints. It may be due to allergy or side effect to the drug. Pain may be due to arthritis of joints. Until examination is done it is difficult to say what it is. Please consult with your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Penchila Prasad Kandikattu | |
Q. I have pain in anus while passing stools. Is it hemorrhoid?
Hello doctor,I am feeling pain in my anus while passing stool, feel like have developed hemorrhoids. Please suggest. I am 37 years old. | Hello. First thing is your stool should be soft. For that, you should eat high fiber diet like fruits, apple, banana, oranges, green leafy vegetables like spinach, raw cucumber. Avoid smoking, refined food, fatty, and oily food. You should have plenty of fluids and regular exercises. Also, syrup like Cremaffin plus 15 to 30 ml bedtime to maintain your stool soft. Second, you can use 2 % Lidocaine gel before each stool so as to relieve pain. It is better if you can get examined by a local doctor to confirm the diagnosis. | |
Suggest treatment for chronic kidney disease
sir, Ths is pramodh kumar from hyderabad.I am suffering from CKD from last 18 months.When i go for the dignosis at first time the Serum-creatinine level is 3.2. .My previous months cretinine levels are3.2,3.4 2.8,3.2,3.4,3.1,4.4,3.2 all other remaing parameters are in reference ratio except creatinine.I am 25 years old.My Hyperthesis level is : 120/70. I am using renalog tablets (daily 9tabs), Prazo press xl 5mg(daily2), Acupil 10mg(daily 1), Becouseles(daily 1) &using EPO injections weekly once. sir,I want to go abroad for heigher studies.How long should i use these medicines,How much time it will take to cure? Thanks, Pramodh | Hi, 25 years of age and having no history of high blood pressure and diabetes, definitely requires the physician to diagnose the disease properly as some of them are treatable. Your high creatinine levels definitely shows there is some problem. I hope the doctor has given you a diagnosis for the cause of the chronic kidney disease. Young patient commonly at your age can have membranous nephropathy. or it could be a nephritic syndrome. It is advisable to further investigate your condition. Do Peripheral smear, Serum Albumin, Pt/aptt/INR levels, LFT, RFT, Serum electrolytes, Lipid Profile. Urine Routine Examination and Spot Urine ACR are also important. Furthermore, do an ultrasound scan of your kidneys. If required a nephrologist can advise you to do a biopsy. Until you have been properly diagnosed, its very hard to tell the treatment, prognosis and for how long you will take meds. My advise is consult a proper nephrologist. Hope I have answered your query. Let me know if I can assist you further. | |
What casues hallucinations?
Hi, My name is Matt. I am a male 22 year old with a Filipino heritage and no family history of mental illnesses that I know of except Alzheimers. For a few years now I see things at night. I'm not sure what they are. Sometimes I can tell, like two nights ago I could recall large spiders slowly decending from my ceiling. most of the time though the things I see I am not sure what they are. They are just shapes. Or when I do "know" what they are, i'll forget what it was. No I don't hear voices, and I only "see" things when it is dark and I am trying to sleep. I am mentally and physically compitent. I need some advice. | Hi.I had gone through your query.No need to worry as it is not organic or real hallucinations. Its called hypnogogic hallucination which is occur while we are in trans stage. When we try to sleep we are in between conscious and unconscious mind and its called trans phase.It is normal and no require any treatment. If it is occurring in day time or associated with auditory hallucination or voices then require psychological intervention.Relax and do not think about that. It will gradually decrease with time.If still persist then consult psychiatrist for further help.Hope i have answered your query.Thank you. | |
Does side effect after taking Postinor after unprotected sex shows it is working?
After unprotected sex, i took Postinor 2 within the first 24hours. I have been experiencing the side effects of the drug. I would like to know whether the side effects are an indication that it worked and if the bleeding rules out the possibility of pregnancy....kindly assist | Hello dearUnderstand your concernSide effect and bleeding after the pill does not rule out the pregnancy.Side effects occur due to the high progesterone in the pill and bleeding is due to breakthrough bleeding.But as you took with in 24 hour after sex, it will 95 percent effective in preventing the pregnancy.Period may be delayed by 7-10 days after using pill as it prolong the second phase of menstrual cycle.So if your period will be delay by 12-14 days then go for pregnancy test and or Blood HCG to confirm the pregnancy.Hope this may help youContact HCM for additional health issue.Best regardsDr. Sagar | |
Q. Why am I not suitable for LASIK?
Hi doctor, I have an eye power of +8.5 in both eyes. I want to go for LASIK. But, in the hospital, they said that I am not suitable for LASIK. Please explain why they said so. | Hello. I had gone through the data posted. Revert back with the information to a family physician online --> | |
A fracture on clavicle bone has calcified.What is the remedy?
hello doctor, i had fractured in my clavicle bone in 2009 and at that time doctor said it will be healed up with the time....but it is still fractured only its ends got calcified...i can easily feel its movement over each ends....what is the remedy for this...shd i leave it as it is or go for any surgery...plz advice | Hello, Consult an orthopaedician and get evaluated. If there is malunion you can go for surgical correction. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Suggest remedy for random abnormal thoughts coming in mind
Hey my name is louisa and i am 21 years old. I dont know if this is a phase i am going through but i have started to get intrusive thoughts and for some reason they keep repeating in my head and i dont want them in my head. I keep remembering all times from my past and they are building and building and making me feel guilty, depressed and are giving me headaches. I cant even concentrate on all the happy things in my life?i am in a long distant relationship with my fiance and i love him soo much but all the men in my past life keep poppoing in my head even without me realising and i dont understand. Could you please tell me whats wrong with me? | Hello Such thoughts can occur due to ocd, anxiety and depression. These conditions can occur separately in early mild cases or together in late severe cases. You should not worry and meet nearby psychiatrist for treatment. Combined treatment in form of cognitive behaviour therapy and drug treatment will be helpful for you.Take care.99doctor.com | |
Suggest remedy for persistent back pain after treatment for flu
Prescribed Naproxine and co codomal and a small number of decongestant (Now finished) from my GP last Friday 20th Jan. - Following 3 days of flu symtoms and increased chronic back ache. - I went back to work on Tuesday. But although I have cut down on the others I just had one Naproxine 500mg yesterday morning I have felt like a zombie all weekend - tired out depressed and even some chest pain today which thankfully seems to be now lifting. I can now feel my back pain returning so what should I do would there be other pain killers or anti - inflammtories that may work better ? ( From my GP) | Hello and WelcomeI appreciate your concernMeloxicam or ibuprofen with a muscle relaxant like tizanidine should be used in consultation with your physician. Physiotherapy has added benefit and will reduce the overall recovery time.Wishing you best of healthThanks | |
What does this abdominal ultrasound test result indicate?
dear sir my ultrasound report shows there is a 7 mm shadowing mobile intraluminal echo seen in GALL BLADDER. what does it mean?. is there any connection with gall bladder cancer? IMPRESSION - cholelithiasis(solitary single calculus in G.B) | Hi, You are having a gallstone problem. It is not gallbladder cancer. So don't worry about that. You can take Udiliv tablet for that which dissolves cholesterol in bile and so beneficial. If you are asymptomatic than only screening is needed. No further action required. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician | |
How to treat asthma ?
vanakkam, i am pasupathilingam, aged 61, suffering asthma for the past 40 years. it was so acute during the last 3 years. i am taking allopathic medicines regularly during the past. i took Betnelan Tabs during 1975 to 1986 regularly during every night. i was ok then. After that i took medicine from Navshathi Aushathalaya Bangalore. for about 6-7 years and due to that my skin became black. Then i stopped that medicine. After that I was taking Theo Asthalin Tabs regularly and taking Asthalin Inhaler for 3 to 4 times daily. During acute attacks i used to take Decadran and Deriphilline injections. Then I took Acupuncture treatment from Dr. Fazlurman at Chennai. during 1996 to 1996 and felt some improvement. Due to my office pressure i was not able to continue. Even I am taking Theo Asthalin Tabs thrise a day with inhaler puffs and taking Decadran and Deriphilline injections at heavy wheezing. And now I am taking Homoeopathic medicines for the past two years. Now i feel the attacks are so reduced The intensity of the wheezing is very low. However, i have become addict to the use of inhalers. My homoeopathist advises to control my self the usage of inhalers so that the medicine should act fast within me. But I am unable to follow eventhough my wheezing is very very mild one. But except that i do not have heart, uriniery pressure problems Even my vision is so normal. I request you to give me suggestions as to whether(1) i can fully recover from the asthma. (2) is there siddha medicines which can improve me, (3) shall i take supportive products during the progress of alternative therapy(homoeo) (4) and further, i am now residing at Chidambaram, Tamilnadu and whereas i have to shift myself to Bangalore where it so cold. It is my annoyance whether i can survive there with my asthma. Kindly reply me doctor. with regardspasupathilingam, YYYY@YYYY | Hi,I had gone through your query and understand your concern.For query 1:Asthma is a chronic airway disease which has no permanent cure but if you take modern medicine (allopathy) as advised by respiratory medicine specialist,the chance of having good asthma control is greater than any other of treatment methods.Query 2: This is not wise to comment over herbal medications since I am a physician of modern medicine. But I can assure you that modern medicine is the most scientific method of treatment in which sometime raw materials are also processed from herbs.Query 3: No, you will not require to take alternative medications if you follow physician's advise properly.Query 4: If cold is a trigger of your asthma, then you better think once more before shifting to cold region.For asthma management, we follow step care management according to patient’s disease status.So my suggestion is: Please consult with a respiratory medicine specialist to confirm the diagnosis (by clinical features, physical examinations, objective test etc) and get treated accordingly.Hope this answers your query. Wish you good health. | |
Chipped tooth, upper front teeth being pushed together. Are the teeth going to have to be removed?
I dove head first into a pool and hit my face at the bottom and chipped my tooth. About a month later I began feeling pressure when I bite down on my molars, like the upper front teeth are being pushed together. Are the teeth going to have to be removed. Email me at YYYY@YYYY | Hello ans welcome.Thanks for sharing your concern.It appears to be abscess developed post trauma.It is best to get it examined clinically by taking suitable x rays.This will show the periapical infection.Based upon the x ray finding root canal treatment can be done.This does not requires extraction of tooth mere devatilising the pulp tissue helps.Therfore please see your dentist soon in this regard.Meanwhile if required you can take pain killers until you see your dentist.Hope it helps.Thanks.Take care. | |
What are the side effects of pyeloplasty surgery?
Hi, I am by the names of Owor Alex. I under went pyeloplasty surgery six months ago. but still I fill some pain as it was before the operation. So what could be the problem? and how safe is my health after this operation. If its a failed operation do I have to go for further surgery. Thanks | You have undegone pyloplasty. But not given preoperative or postoperative evaluation. Without these information it is not possible to give you any advise. | |
Suggest treatment for mucus and sneezing while being in cold for some time
Hi Im Kevin (29 yrs of age), if I consume anything which is cold or if I go out n the cold air at night...I start sneezing incessantly and bad mucous which doesn't seem to go until I use a nasal spray...this affair is going on for past 1 and a half years now. ..please help | HelloThank You for contacting HCM.You seem to have chronic allergy problem. I would suggest you following things:> Take levocetirizine one at night for 5 days.> Take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably.> Take hot water in a cup, add 1 table spoon salt in it. Perform gargles (mouth wash) with it three times a day for at least 3 days. It will give soothing effect.> Take boiling water in a pot, put your head over the steam and cover whole with a sheet. Take deep breaths in it.(Avoid getting closer else it might cause burn). Do this twice a day.AVOID:> Chilled water> Drinks> Spicy foodI would also suggest you to under go allergy testing at allergy clinic as you have chronic allergy problem. It will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen and it will improve the problem.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health. | |
Pigmentation problem, dark spot, facial hair, skin thin, used melaglow, scarlight. Any side effect?
Hello sir, i am using melaglow cream on my dark spot in my face. Its a harmfull cream? or we can use this cream in regular base? we have faced pigmantation problem in my face. After used scarlight cream we have faced many problem in my faced like pitches ( dark spot) hair problem in my face & skin thin. please give me right direction. Thanks Regards Darshika | the cream which you are using should not apply more than 28 days, so stop using at first.and if there is no recovering after applied then better you start using any other cream like ADVAN cream from Alembic.use it preferably in bed time and in morning do not forget to apply any sunscrean before going into any light or sun light.do it contineu up to 30 days.then inform us...again.thanks | |
Suggest treatment for testicular pain
Hello i am now having pain in my left testicul for abour 2 months it is heating higher each time and i feal the same thing in my penis i almost past out 3time by now the pain cause up to my stomic and belly please tell me wath to do i went 4 time to the doctor i got on medication 2time for infection but its stegesal not working | Hello, It can be due to: 1. Epididymitis – is Inflammation of the tube, back of the testicle that carries sperm. Due to infection (both sexually and non sexually transmitted ).diagnosed by urine Complete, Ultrasound pelvis. 2. Hydrocele - can cause swelling 3. Hernia – can also cause swelling but it will be an off 4. Kidney stones can cause abdominal pain too 5. Infections – can cause fever, discharge from the penis 6. Testicular torsion- 7. Epididymal Hypertension (EH) – Also called as BLUE BALLS, its caused due to long sex without ejaculation (delayed Orgasm). Letting out the sperm by masturbation, oral sex or regular sex will ease out your pain. 8. Urinary tract infection (UTI) 9. Any previous surgical procedure 10. Diabetic neuropathy 11. Benign or malignant lesion. If you haven't done an ultrasound scrotum, need to do and also ultrasound pelvis and prostate examination. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | |
Can a large herniated disk in lower back L5-L6 take years to heal?
can a large herniated disk in lower back L5-L6 take years to heal,i dont want to risk surgery,its been 10months now of pain,but patches of less pain have been occuring,i dont mind how long it takes,just wondering if theres any risk in waiting it out? | Hello,The herniated disc will require surgery if the disc is not healing for any number of reasons. The surgeries that are chosen will usually aim to 'decompress' the nerve root that is being touched and irritated by the herniated disc. You should consult a neurologist to decide the proper treatment in your case.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
What are the chances of pregnancy if not taken Althea pill regularly and had unprotected sex?
hi doctors, I took althea pills on feb 03, its my first time to take the combined pill..i bleed on feb 27, day 4 of my free tablet taking..on march 05, i had unprotected sex with ny husband..supposedly i need to take my new pack on march 03 but i failed..instead i took althea on march 05..i took 2 tablets on the same day..is it possible for me to get pregnant? Pls help me..thanks.. | Hello dearI understand your concernThere is no chance of the pregnancy as you did sex in the complete safe period of the cycleDuring safe period no ovum is released so no fertilization will take place.But to prevent he unwanted pregnancy now onward, take pill regularly on specific time.Make habit to take it regularly by putting reminder in the mobileAvoid stress, take healthy diet, drink plenty of water and do regualr exerciseHope this may help youBest regardsDr. Sagar | |
What causes chest pain?
I have had pains in middle of my chest that go away and come back mostly when I lay down on my back or sit.My left arm and shoulder felt very cold,numb,and tingly so I went to the ER. They took blood and did ekg. Sent me home saying I'm fine but I still have this middle chest pain and weird tingly feeling in my arm. I also have been having pains in right and left chest. | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* There are different reasons for the same with normal EKG - reflux gastritis - ulcer stomach or duodenum - anxiety or stress induced psychosomatic manifestation - musculo skeletal issue of the rib cage - others .Hope this will help you .Welcome for further assistance .Regards dear . | |
What are the symptoms of mers
Tell me what are the symtoms of mers I have been around people at the dentist 5 times this month and I never saw him change his gloves from one room to the next,they are egyptions and I can t breath I can t get enough air,I had fffflulike symptoms at first hacking up stuff from my lungs and I/m very fatigued and can t stop this really bad coughing,please sdvise. | Thanks for your question on HCM.MRSA is Methicillin Resistant Staph Aureus. It is gram positive bacteria, spread through contamination. So you are right, dentist might contaminate MRSA in your case.It usually produce pneumonia. And the symptoms are cough with expectoration, chest pain, fever , weakness , low energy etc.So your symptoms can be due to MRSA pneumonia. Better to consult pulmonologist and get done1. Chest x ray2. Sputum culture and sensitivity Chest x ray is needed to know the extent of pneumonia.And sputum culture and sensitivity is needed to guide antibiotic therapy.So start appropriate antibiotics according to sensitivity pattern and you will be alright. | |
How to stop a child from urinating when he gets into trouble?
my 2 year old wee s everywhere when he gets in trouble or punished how can i help prevent this as he is unlik toely learn consiquences as i have to stop his punishment and toilet him so he doesnt wee everywhere and after he has gone to the toilet the moment for punishment has gone. | Hi... by what you say I feel that your child is very sensitive and is not able to cope up with even the minute amount of stress such as reprimanding from his parent. As of now you need not do anything as he is very young to change anything or understand anything. I suggest that you see a clinical psychologist if he continues to have this behaviour even after 5 years of age.Regards - Dr. Sumanth | |
Suggest treatment for chest congestion and cough
Hello, Last night i fell asleep very late. And i woke up within hours with trouble breathing. My chest felt very heavy and I was heating up. After drinking some water and putting on vicks vapo rub medicine. i started to cough and i could feel that it was phlegm. Now I have a dry cough. I am in alot of pain. What should I do? | Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of either bronchitis or lung infection is more. In both these conditions, patient has cough, expectoration and breathing difficulty. So better to 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 bronchitis. You may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS). So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. | |
What causes bumps with white heads on abdomen of a child?
Dear Doctor, my daughter with 34 monthes and her weight is 14.5 kg and height is 95 cm ten days ago we found pimply with white heads on her tummy around 7 nos I put Antipruritic cream for her and next day we went to the doctor and he said it might be chicken box however she had got her vaccination and after 2 days disapeared without any medecine today new one apear on her tummy again and there is no fever please advice what is this? is it stomach proplem ? | Hi,It seems that she might be having chicken pox infection.This can be mild form as she has taken vaccination.This can be better judged seeing clinical examination by the doctor.Give Benadryl syrup if itching is there.Give her paracetamol syrup for pain.Withing few days she will be alright.Ok and take care. | |
Suggest treatment for blurred vision , shortness of breath and burning sensation on the back
I recently tried methamphetamine and my skin feels like it s burning and on my back have a severe rash that is spreading to my chest and stomach. I m Having symptoms of shortness of breath, very tired, weak and vision is blurry. Don t know what to do?? | Thanks for your question on Healthcare Magic I can understand your concern. Your all symptoms are mostly due to methamphetamine. It is sympathomimetic drug. On ingestion, it causes sympathetic over activity and this can cause all the symptoms. This drug is illegal and comes under abusive drugs. So better not to take it again. At present, you should consult emergency room because you need intravenous fluid and other supportive drugs for detoxification. Don't worry, you will be alright. But don't do this again. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What is the treatment for cramp in calf muscle?
Good afternoon, I am a 40 years old man. I had a stent (Promus Premier DES) inserted. The size is 2.75 / 20 mm on the 31st of december 2013. Eversince, I have a frequent heart burning feeling on the right hand side of the heart, a non so frequent heavy jaw feeling, a blocked pressure in my ears ( although my blood pressure shows a normal 12 / 7), an occasional heavy feeling on the left arm. I also feel a discomfort between the shoulder blades. The blood analysis after the operation showed a sign of an infaction. A button formed Under the left nipple, which has been cleaned at the hospital and has not reformed again. I underwent an Echostress test, which was negative. I have taken up a daily 30 minute walk. However, while I was walking this morning, I felt a severe calf cramp, and found it very painful to keep on walking. I still feel a relative pain now, 4 hours late. | Hi,I had gone through your question and understand your concerns. I personally recommend icing it for the first 48 hrs with topical gel massaging or physiotherapy is helpful, 2 Advil tab after meals, muscle relaxants like Thiochochicoside. You may take this remedy for 3 to 4 days would be effective. Please click THANK YOU and consider a 5 star rating with some positive feedback if the information was helpful. Hope the above information helps you. If you have any further clarifications feel free to ask.Regards,Dr. Ahmed Aly Hassan | |
How to get pregnant with PCOD?
doctor, i am 32 years with pcod as a issue and my husband has a sperm count of 66 millions with not great morphology.i had conceived once but unfortunately the heart beat was not there for fetus(this happened in year 2005) till now i was not able to conceive. i got my hysterolaproscopy done where the entire results were of no problems. i have finished 12 cycles of ovulation induction and 3 failed iui also. | Hi. Thanks for the query. I understand your concern. * As you are 33 years old..&you need to conceive ealiest ( it's desirable to conceive before 35 years for good ourcome of pregnancy ). You should therefore go for laproscopic drilling of the ovaries .. for treatment of pcod. Mostly ovulating menses resumewith this treatment. * Your husband should consult a urologist.. get semen analysis done to confirm it's normality. &take needful treatment as per need *Both of you start taking folic acid & vitamine E orally (3 months intake before conception is good. *After both of you are normal.. have unprotected sex for 5 days from the LH surge test becomes +ve (indicating ovulation ) * pregnsncy test htp becomes +ve after 8 days delay in menses. **In case there is no +ve result in 6 monthd... go for assisted pregnancy . Consult a fertility specialist. Thanks. | |
Noticed itchy spots all over the body
my son has spots all over his body( he is 6 years old) they are itchy he says to me but he has no symptoms other wise. Is it still possible that he may still have chicken pox even though he doesnt show any other symptoms? and what should i do should i just let it run it s course or should i go to the emergency to get him checked out? | Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should visit the ER,It looks not like chicken pox, it looks like kind of allergy.I advice you to search for the kind of allergen for your child and keep it away from him.You can take paracetamol and cetrizine for fever and itching under your GPs guidance until you visit ER.Apply the calamine lotion this can help your child in itching.Please maintain hygiene by frequent cleaning and dressing over the wound portion.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist. | |
Can i reduce syncapone prescribed for shuffling gait,if causing drowsiness?
my father is 79 years old and suffering from a shuffling gait and urinary incontinence. he has been put onto syncapone 100 (3 times a day) and duprose (morning only) , roliten 2mg (twice a day) and duprost (morning).in addition he is also taking amlong (morning) and ecospirin 75 (night).we have noted that besides the fact that there is very little improvement, he is extremely drowsy all the time and is ending up sleeping almost 14-15 hours a day! he has also become a bit of a recluse and not taking interest in almost anything.i wish to know whether these symptoms are to be expected and whether there is some risk that he is being overdosed? if we decide to reduce syncapone to see how his condition alters -is there any risk? | Hello, It is not surprising that your father is having these drowsiness problems since all of these medications can cause the symptom, worse when all combined. Typically, a medication such as syncapone is already mixed in proper proportions with the elemental ingredients for adequate dosing to take place. However, it just may be that the 100mg. dose 3x/day is too much for his body. Check with his doctor before making any changes but they may authorize to try him on a lower schedule of 1-2x/day to see if he is less fatigued. Of course, if he is not responding adequately to the medication then, that is another problem and you should report this to the doctor as the diagnosis may have to be rethought or another agent may have to be tried. Always check with the primary prescriber before making any changes to a patient's medication dosage or frequency of administration. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Dariush Saghafi, Neurologist | |
Suggest treatment for Hodgkin lymphoma
i am a survivor of Hodgkin s disease. I was treated with radiation therapy in 1986 and chemo (ABVD) when it recurred in 1990. I just had two valves replaced. About two years after my surgery it was determined i had radiation fibrosis from the radiation therapy. is the fibrosis fatal? | In todays era u have very good options fpr hodgkin lymphoma, we have new drugs and we have options of bone marrow tramsplantation after relapse of the disease if age permits. Even after bone marrow failure ve have very good drug thst can take care of bone marrow failure. | |
What causes elevated SGOT levels?
I am 37 yo female ht. 5"4' and Wt. 105. Meds ASA 81 mg po daily, Prozac 20mg po daily. No health problems. Sugeries: T&A, C/S x2, Appendectomy, Gallbladder removed, and LATVH. My SGOT is 41, SGPT is 37, and GGT 15. What could be causing the elevated SGOT do I need more testing? | Hi thanks for contacting HCM....According to your report you have no abnormality ......Here normal value of liver enzymes is up to 42 .....Your enzymes level are normal so no need for worry....Your weight seems high here.So weight reduction done to prevent complication by obesity .....Investigate folliwing rather then liver ....-tread mill test -blood pressure -serum cholesterol -ECG -CRP....For weight reduction low fat diet taken....Exercise done.....Use less oil in cooking....Hope your concern solved ....Take care...Dr.Parth | |
Should i be worried about the hard lump at the impact site?
I am a healthy, 36 yr old female and fell hitting my chin on the hardwood floor a week ago. There was bad bruising, which is now diminishing, but the area of impact is hard and almost independent (i can feel a lump independent of the rest of my chin). Is this to be expected? Should I wait a little longer to see if it sustains? | Hi,It seems that there might be having hematoma formation at the site of impact.Now it is localized and independant lump is seen.Nothing to worry, gradually it will be absorbed.Apply ice pack for few days.Apply Thrombophob locally.Ok and take care. | |
Could dizziness, sweating and freezing chills be side effect of paracetamol overdose?
I am 16 years old and was wondering if i have the symptoms of a paracetamol overdose. 25 hours ago I took 18 paracetamol tablets 500mg each. in the past few hours I have had dizziness, sweating, freezing chills, no appetite and aching bones? what are these the symptoms of and what can happen? | Hello, First of all, I don't know why you have to take 18 Paracetamol. The only reason for this might be for a suicidal purpose and any information I write here might be misused by you and I cannot share you those. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr ASIF, General & Family Physician | |
What is the duration of treatment for cervical tuberculous lymphadenitis?
Hi im a Masters student in china, 4 month before cervical tuberculosis lymphadenitis was diagnosed by a doctor in my home country, first of all i take Myrin P tablets for 3 months and now a days i m taking Myrin tablets,please tell me how long the cervical tuberculous lymphadenitis disease treatment is to be continued?, WHO recommend 6 months course, i have read many articles about cervical TB so im confused because some author written 6 and some 9 months, now a days i don t have swelling on my Lymph nodes, can anyone tell me duration of the cervical TB treatment? | Hello,You should clearly follow the WHO recommended treatment course of six months.Make sure that you take this trratment regularly without any break.A irregular treatment leads to drug resistant TB which becomes a difficult problem to cure.Thanks | |
Ultrasound says "prominence of the pelvicalyceal system seen at right kidney". What does it mean ?
my ultrasound says prominence of the pelvicalyceal system is seen at right kidney .what does it mean & what is the risk factor for my kidney.is there any serious abnormality.bilateral nephrolithiasis since 2008.eswl done twice.but multiple stones were noted in both the kidney at all the poles on 02.10.2012 by ultrasound. serum urea-20,serum creatinine-0.8, urine microscopy-leucosites-1 to 2,epith cells-1 to 2.but the pelvicalyceal system is normal in left kidney but the same is seen in right YYYY@YYYY -e mail id | hi mr/ms mohanty, you have multiple small kidney stones on both sides, and mild fullness of PCS on right side. It may be a normal finding, it may also be due to small stone on its way out in right kidney tube, or a recent passage of stone from right kidney. If you have no pain, maybe a repeat sonography can be done after 7 days. An Xray kub (morning, fasting stomach) will give exact size of kidney stones and if any stone is stuck in ureter. Usually stones smaller than 6 mm will pass. Take lots of fluids. I suggest you get a stone metabolic workup done to know why you are forming multiple stones. follow up with ur urologist regularly. | |
Q. What medicines can I take for painful urination?
Hi doctor, I am a 24 year old male. From the last 15 days, I have pain at the time of passing urine. So, I went for a urine test of complete urine examination and urine culture. There was nothing wrong with the complete urine examination. But, in the urine culture, at the bottom of the report, they mentioned one comment: 'occasional inflammatory cells seen'. Kindly correlate clinically. I am attaching the files. Please go through the files and suggest medications, please. | Hello. I have seen the reports sent by you (attachment removed to protect patient identity). It shows urine infection with E.coli type of organism. Inflammatory cells are seen due to the infection. I suggest: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Repeat the urine culture tests after eight days to check if the infection is gone. For more information consult a urologist online --> | |
How can I lower my SGPT level?
Hi Dr - I am vikram with 26yrs age I have tested my SGPT last week its arround 94 . I have taken few medicine as pricribed by doctor but after one week SGPT gone 94 . Can you please suggest how can I low my SGPT . I am taking normal food without oil and no alcohal at all . | thank you for posting your query @HCM.presentation of Acute Hepatitis.it takes 2 to 4 weeks for the enzymes to lower in the blood and with compliance of doctors advice , enzymes would return to normal after few weeks.you should keep following your treating Physician advice and recheck your LFTs after 4 weeks.any further questions are welcomed.hope to answer your concern.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik | |
What causes dry heaves with chest pain ?
My husband had dry heves with chest pain. (he has a history of heart disease). After the dry heves, he was still having chest pain. He lays in floor as he can t get up and walk, he is weak. His drs. say his heart tests are good. His liver enzymes are up due to cholesterol meds he was on. I wish drs could find what is going on and if there are meds to relieve his condition. | Hi welcome to health care magic.....Here your detail work up needs to be done with..... -Auscultation -CRP -Blood pressure measurement -CBC -EKG-Chest x ray -Echo only if needed If allergic cause or cardiac cause present than it will revealed by above investigation... According to cause further specific treatment will be guided.... Avoid stress as it can lead pain sometime If no specific respiratory, cardiac causes present than it could be muscular pain.. Take care Consult pulmonologist for examination | |
Had liposuction surgery. Since then skin is loose, weight gain, backache. Suggestion?
I have gone through liposuction surgey on December 2011... I did notice change.. But I was nt satisfied completely.. My skin is loose after the surgery. And I am still gaining weight on those specific areas. Now againim planning to go for this surgery. But with some good procedure . During the simple liposuction surgery, doctor have given anesthesia on my back which was painful and after surgery I have occurred the problem of backache.Please suggest me any other best liposuction surgery. And also the cost involved to it | Hellolaproscopic gastric fundoplication is far superior surgery for weight reduction than liposuction.Yes it may be costlier but results are good.Till time continue exercise to improve tone ,and diet plan to reduce wt.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care | |
Are numbness and tight throat normal post a wasp sting?
I was stung by a wasp just above my lips over 10 hours ago. I m now feeling numbness in my right arm and tightness in my throat. I m not aware of any allergies to stings. Is it heard of for an allergic reaction to manifest after a delay of this duration? | HelloThank you for contacting HCM.yes bee sting results in two types of reactions. One is "immediate response" which ranges from redness swelling, breathing difficulty to sever symptoms while other is "delayed response" which can take hours to manifest and show similar signs like you are having now.I would recommend you to take Tab Zanlan (citrizine) 10mg one tablet now and one at night before going to sleep.Also if possible then do visit nearby hospital/clinic and if you don't want to visit now or not possible then visit hospital if:> Condition starts to deteriorate.> Condition does not improve in 2 days.> Breathing difficulty occurs.Hope you will get well soon.Thank You | |
Q. My 6-year-old has ADHD and the EEG report is abnormal. Is Valprol syrup safe for him?
Hello doctor, My nephew is 6-year-old, and weight is 20 kg, had been detected with ADHD from three years. We had started his medication and behavior therapy around 40 days back under the consultation of pediatrics and psychologist. After 10 days, we consulted a neuro-psychiatrist who recommended us EEG brain (sleep). The report of EEG was abnormal, whereby non-epileptic discharges were captured. The doctor prescribed liquid Valprol in some dosage. Since the finding was abnormal, we thought of getting a second opinion from a neurologist with video EEG this time. The video EEG (awake and asleep) under consultation with senior neurologist gave absolute normal findings. We showed this video EEG report to the previous doctor and asked him why is the difference in his (abnormal) and elsewhere video EEG (normal) report. The former doctor said that once the patient has been detected with abnormal findings, then subsequent normal findings cannot contradict the fact that the patient has the issue of non-epileptic discharge. We are confused about whether we should give him the syrup Valprol or not. | Hello. I have read your concern and seen the reports (attachment removed to protect patient identity). It seems like there is a discrepancy. It would be wise taking to account both results are true positives. It is warranted to that you go to your child neurologist to confirm if these are seizures. Most of the time, a video EEG (electroencephalography) confirms the presence of seizures. If it was not caught on video EEG, a thorough history and physical exam are warranted for your nephew. You can continue the valprol for now and let your neurologist discontinue it on the proper time. |
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