patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
Q. How to consume Kalarchi Choornam to get rid of multiple ovarian cysts?
Hi doctor, How to consume Kalarchi Choornam to completely get rid of multiple cysts in both ovaries. It is not pcod but countless multiple cysts on both ovaries. Please clarify, how much and how many times should I consume daily? And for how long? Is it fine to take the medicine during menstrual cycle? Should I have anything along with it? Is it fine to take birth control pills along with it to get rid of cysts? Please help. | Hi. From your query, I understand that the cysts are not the PCOD (polycystic ovarian disease). In order to remove the tiny cysts, you can consume Kalarchi choornam. If you could get kalarchi (raw), remove the shell and powder it. Or else, you can buy it from siddha herbal shops. 2 g of kalarchi powder to be mixed with honey and consumed. Since it taste mild bitter, you can keep one sugar candy or chocolate on your tongue after swallowing the drug. The drug to be taken morning and evening in empty stomach (before food). The powder also can be mixed in milk or buttermilk and consumed. In Siddha, normally the gynecology related disease are treated with drugs for three cycles (90 days). Thus, you can continue the drug for 90 days. Apart from Kalarchi choornam, you can also take capsule Nandhi mezhugu in the morning and evening after food for seven days. Next three days, drug free period. Thus total of 10 days. Again 7 days capsule + 3 days free. This is to be continued for three months. During menstrual period days: you should stop both Kalarchi choornam and Nandhi mezhugu. Both the drugs to be started again on day 4, after the first day of bleeding. In some patients, Kalarchi choornam delays the periods. If it is observed in your case, stop Kalarchi before 3 days of actual periods. There is no drug interactions between Kalarchi and contraceptive pills. Thus you can take together. Please try to avoid preservatives and chemical added foods (packed food, juices, etc). If possible, continue yoga practice. For the small cysts, these two drugs are sufficient. If you are planning for conception, but there are some problem with ovarian function, follicles, endometrium, etc., then there are other medications available. For further information consult an ayurveda specialist online --> | |
Suggest treatment for tonsillitis during pregnancy
Hi, I am 31 weeks pregnant and have been told today by my GP I have tonsilitus. I have been given penicilin and am taking paracetemol every 4 hours, but these are not helping the pain. I can t swallow, to eat or drink. How long before the penicil helps take away the pain, and is there any othe pain relief stronger than paracetemol I can take during pregnancy? | Hello dear,I understand your concern.In my opinion the paracetamol is safe for pain during pregnancy.You are also prescribed antibiotics for the clearance of infection.And nothing more is required.It will take 24-48 hours for clearance of infection.Take lukewarm water for drinking and warm salt water gargling twice or thrice a day.It will provide you relief.Avoid chill items.Best regards... | |
diagnoses for lupus
i am 6 months pregnent and am being tested for lupus. it runs in my family. I am showing meny signs yet my doctor hasnt diagnosed me. what can i do to get my diagnoses? | Dear Madam, Since you think you are having symptoms suggestive of and there is a strong family history of lupus in your family, you should request your doctor to do the preliminary tests for lupus. Lupus may lead to pregnancy loss if it is associated with APLA syndrome. Kindly get your self evaluated at the earliest. | |
What causes weight loss despite taking Metformin for this A1C level?
I was just told that my A1C is 15. I do not have insurance and I turn 65 in August so I will have Medicare in about 6 months. I am 5 9 and my weight dropped from 195 to 144 this past year with weight dropping even during holidays. I was hoping I could last without expensive treatments until Medicare. I m taking 2,000 mg metformin/day but it isn t doing the job. Do I need to hurry up and get care I can t afford? | you need a 2 or 3 drug regime....to control blood glucose levels.Although metformin itself causes weight loss.i hope you take it after meals & dont miss doses.also u need proper diet plan. | |
What is the painless bump on the tongue?
My 7 year old daughter has a painless bump on side of her tongue towards the front for past several weeks. Same colour as her tongue, just a big bigger than a pin head. she went to dentist for regular check up and was told wasn't sure what it was, could be swollen tastebud. what could it be and should we be concerned? | thanks for your query, i have gone through your query. the bump on the tongue could be because of chronic irritation by the teeth resulting in traumatic fibroma. consult a oral physician and get it examined and remove the cause like rounding off the sharp cuspal edges. and get the growth removed. i hope my answer will help you. take care. | |
How is HTLV 1 spread?
Hi! I have the htlv1 virus, which I got from my ex husband. He recently passed away from a series of ailments, some of which were brought on by the htlv1 virus. I recently had a very unusual sudden and extremely painful Achilles tendon swelling. I'm worried that my mom symptomatic htlv1 virus may be causing me to suffer from thrombosis. Do you think this is a possibility? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.The most important routes of HTLV-1 transmission are:- from mother to child - breastfeeding, sexual intercourse,-blood contact, including the transfusion of infected cellular products or sharing of needles and syringesHope I have answered your query. Let me know if I can assist you further. | |
Which medicines should one take for low sperm count ?
I am 39 yrs old, my sperm are very low i.e. 18% counts. my Dr. prescribed me for Petarina Tab. with the combination of Siphene-M Tab. for 3 months. kindly guide me is it sufficient treatment for me? because we are looking for our 2nd baby since last 6 years but we can t conceived. | Hello !! Ayurveda Medicines are the best medicines for increasing Sperm count and motility without any side effects. As per your semen report You can get it increasing by six to nine months treatment. try to find out these medicines from your region or you can also contact me for availability of the same; 1. Vrusya tablet 2 tabs twice a day 2. Lepta tablet 2 tabs twice a day 3. Aatma tablet 2 tabs twice a day 4. Varada tab 2 tabs twice a day 5. So. Viryamatruka vati 1 tab once a day you can take all medicines empty stomach or after meal and have to take with water. Regards, Dr. | |
Suggest treatment for chest pain
its been 5 days since i had some crystal meth only 2 pills in 2 days. started getting severe pain in chest 2 days ago. thyroid specialist who started me on thyroid med 2 weeks ago for hyperthyroid suggested taking advil 400 have taken 3 in the last 4 hours and has not done anything to help could i b getting chest pain from the crystal meth and what should i do | Thanks for your question on Healthcare Magic.I can understand your concern.Crystal meth is strong symphathomimetic drug. It can cause immediate severe gastritis.So your chest pain is mostly due to crystal meth induced gastritis.So take pantoprazole tablet on empty stomach twice daily for 5 days. Avoid hot and spicy food.Quit habit of crystal meth as it is very difficult bad for habit.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes a lump on the lower abdomen and the pubic bone?
Hi I am a 21 yrs old female. I have about a week I have noticed a 1 centimeter in diameter size lump in my lower abdomen, about 4-5 centimeter higher than my pubic bone. When I first noticed it I thought to be just an bikini bump as it hurt the same when I would touch it, but as the days went on the lump got bigger and the little discomfort went almost all away. I have don t feel sick or bloated. what would it be? Could it be serious? What might it be caused by? Thank you in advance. | Hi,From hisotry it seems that you might be having some ingrown hair follicle infection producing lump in that area.Go for one antibiotic medicine course for 3-5 days.Keep local hygiene clean and dry.Ok and take care. | |
Head Injury, it is sore and feels tight. Is it normal ?
I hit my forehead,and now it is really sore , and it feels tight, Is that normal? | Hi, welcome to HealthcareMagic. The head injury would have caused a hematoma or edema, which may be the cause of pain. Use an ice pack on the injured area. Watch out for any loss of consciousness, vomiting or severe head ache, and if so, consult a surgeon immediately. A CT scan may have to be taken then, to rule out any intra cranial injury. | |
Does the semen analysis report show sperm fertility?
DEAR SIR / MADAM I AM 34 YEARS OLD MAN. MY SEMEN ANALYSIS IS ABOVE SEMEN COLLECTION AT LAB. COLLECTION TIME 10-00 A.M. EXAMINATION TIME 10-30 A.M. DAYS OF ABSTINENCE 10 DAYS QUANTITY - 2.00 ML COLOR - OPALESCENT WHITE ODOUR - MUSTY VISCOSITY - NORMAL LIQUIFICATION TIME - 25 MIN TOTAL SPERM COUNT 38.00 MILLION / ML. ACTIVE MOTILE 55 % SLUGGILISHY MOTILE 5 % NON-MOTILE 40 % TOTAL ACTIVE MOTILE SPERMS 42 MILLION MORPHOLOGY- NORMAL 75 %, AB NORMAL 25 %. CELLS- PUS CELL - 25-30 CELLS / HPF RED CELL - 7-8 CELLS / HPF EPITHELIAL cELL NIL FRUCTOSE TEST - POSITIVE SPERM AGGULATION TEST - POSITIVE. THIS RESULT ISTHREE MONTH TREATMENT BY ME. AT THE PREVIOUS I HAVE VERY LOW SPERM COUNT. 6 MILLION / ML SPERM COUNT NOW I RECOVERY, SO PLS YOU TELL ME I AM NORMAL CAN I BACAME A FATHER. PLS REPLY SOON. | Hi welcome to healthcaremagic.I have gone through your query.Your semen analysis is absolutely normal EXCEPT abstinance time, it should be 2-3 days and your 10 days. Although no need to worry with it.Your report is fine enough to become you father.Hope i answered your question.Would be happy to help you further.Take care. | |
What is the treatment for dyspnoea and fatigue?
I am twenty years old ,male .Dear doctor ,I have a heart problem for the last year and having a fatigue,dyspoea when I work hard not at the time of work but when I try to sleep and my heart beats so strongly that I can see it on the sheet covering my body ,and I am also feeling heaviness on my left back and having also heaviness on my abdomen while sitting in the class ,I have a fever for sometimes and can see clearly bounding peripheral pulses such as the carotid ,brachial and those on my medial part of my ankle | You should have your heart evaluated with an ultrasound (echocardiogram) for signs of failure or infection of the valves that can cause symptoms like this. | |
Acoustic neuroma or a cyst in MRI scan
Hi, I am female and 25 years old. I have two pictures from my MRI scan that I wish to have looked at either by an neuro or an ENT , please can you help. My current neurologist did not look through the whole of my scan, I think he had written me off before he saw the results. I think it might be acoustic neuroma or a cyst. I suffer from daily headaches, nausea, vertigo/dizziness and ocassional tinnitus aswell as balance problems. Thanks, Kate | Hi Kate. Thanks for your query and using Health Care Magic You symptoms of daily headaches, nausea, vertigo and tinnitus with ataxia points towards Vestibular Problems. This is related to the VIII cranial nerve and an effect it anywhere throughout its course from brain-stem to the ear. MRI brain will usually be helpful in identifying Accoustic Neuroma which can cause all the above symptoms. Please feel free to mail me the MRI Images and I assure you to give the the right advice Thanks | |
Suggest me natural remedy for the semen leak out.
Respected Doctor(s), My age is 21. I've been masturbating repeatedly since I was 14. I now observe that My semen continues to leak out even When I am not under the state of arousal. Perhaps, As a result of the same, I'm very weak in spite of my diet being quite rich and nutritious. Please help me out with some natural remedy with the help of which I could cure this problem. | Dear, We understand your concernsI went through your details. Semen leakage is a natural process and is neither related to your masturbation nor can create any physical health conditions. Please consult a psychologist for counseling.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care. | |
What causes a swollen jaw?
my grandson has a swollen jaw on the left side along the jawline. It hurts very badly when he chews and when it is touched. Does this sound like a impacted tooth, swollen gland, or lymph node? He was born three months early and has many problems with his teeth and surgeries. | thanks for your query, i have gone through your query. the swelling could be because of the tooth infection might be from the wisdom tooth. it can be enlarged lymphnode secondary to tooth infection. consult a oral physician and get radiograph done to rule out origin of infection. then treat accordingly either root canal treatment or extraction. you can take a course of antibiotics after consulting a oral physician. i hope my answer will help you. take care. | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
Suggest remedy for infection spreading due to nail stuck in arm
Hello i had a injury last week, i got a nail stuckin my arm , i went to the hospital and they took it out , but i have still got some in my arm, i treid getting it out but i cant get it , i think it is infected as well as i have pain in my arm and its spreading in my body. what should i do ? thanks k | HelloYou will need to go back to the hospital for the nail left in to be removed.If it is not removed and the spot explored and cleaned, the infection will not be controlled.Antibiotics and pain medications will have everything under control.So do not be scared.Just get to the hospital fast.Wish you a speedy recovery | |
What causes painful bump filled with pus on pubic area post intercourse?
yes,i noticed when had sex 3 weeks ago,that about 4days after the sex i got slight inner sensations and slight biting inside my penis,at the tip so after 3days observing this i used azithromycin-1grm plus cefixime- 400mg as a single dosage.it stopped,but now 2 weeks after i now have a big painful pus head bump,on pubic area and it is tender as if ready to burst. Please what does this seem like pls guide me through | Hi, it seems like an STD or some other infection leading to abscess or lymph node sepsis. You should see a Doctor or a Demratologist at the earliest to get investigations done and istitute further injectable treatment at the earliest. All the best.Take care,Dr Rishi, New Delhi, India. | |
Should Cerelac be given with water or milk to 9 months old?
Sir, My daughter is 9 months old and she weights 7.50 Kgs I am going planning to start giving cerelac in couple of days. My question is should cerelac be given with water or should i try it with milk in it instead of water? Your answer to my query would be appreciated :) | Hi...you can give with either water or milk. It all depends on the palatability of the kid - that means you can try both and continue with what the kid likes - for example if she likes it with milk - then continue with milk or otherwise - water.Other home-made food options will be - 1. Daal and rice well cooked and made into a porridge along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal porridge preparation with additional ghee added.Remember certain principles like -1. Add one food material / cereal or fruit per week. This will be useful because if he develops vomiting or diarrhoea, we will know what to avoid.2. Add vegetables and fruits made into a paste surely to avoid constipation.3. Do not add too much sugar as it may cause diarrhoea.Regards - Dr. Sumanth | |
Q. Can stroke cause altered sensation in face?
Hello doctor, Six months back, I had a bad sinus infection with a cough that caused a left internal carotid artery dissection. I had a stroke as well that left infarcts on my left parietal lobe and caused problems with my speech and I was not able to use my cellphone correctly. Thankfully I had no lingering damage. Two months back, I had my 3 month MRI rescan and it said the artery had healed and the infarcts were smaller. I have had a sinus infection again which started about a week and a half ago with a cough again. Earlier in the week I was having on and off dizzy spells for a few days and that has passed. Now I am having sensations in the right side of my face around my cheekbone, cheek, top of right lip, around the right side of my nose. I can also feel it around my right bicep, and sometimes my right calf. There is no drooping of my smile or eyebrows. I can raise my arms without drooping. Everything seems to work correctly. These sensations have been going on for at least four days. I have sleep apnea so I sleep with a full face mask and I lay on my right side with my right arm under my head. What could these sensations be? | Hi. Post stroke, during periods of illness, fever, cold, etc., previous symptoms of stroke may reappear but to lesser degree. They usually go away as the illness resolve. It does not mean you have new stroke. With left parietal stroke, one can expect sensory symptoms over right side and depending on your location, body part, need to see your previous MRI which can help identify if your face region was in previous stroke region or scar tissue is there. If you are very concerned, then you can go for another MRI brain to look for any new stroke. MRI brain if symptom worsen or if no scar tissue in facial region on previous MRI | |
What is the prognosis for Grade 2 fatty liver disease?
Sir, I have grade2 fatty liver but otherwise I am active with good apetite . dr has told me to abstain from Alcahol and prescribed me medicine Heptral for 4 weeks. Is this cureable and how long can I survive if I totally avoid alcahol and fatty food? thanks | Hi,Don't worry about fatty liver condition, it is not life threatening condition. Follow below advise for fatty liver.- Avoid alcohol drinking - reduce weight if obese - regular exercise - refined good and fatty foods restricted very less - use less Pol in cooking and sunflower like good oil used - cheese, burger, pizza, fried non veg etc restricted very less - good food for liver like carrot, onion, Indian gooseberry, lemon juice, fruits, avocados, spinach etc consumed more - udiliv 300 mg tablet taken two times a day - vitamin E tablet also can be prescribed Gradually fatty liver will improve in few months. Regular follow up done. Consult gastroenterologist for examination and discuss treatment plan as I suggested.Hope your concern solved. I will be happy to help if you have further queries.Regards,Dr. Parth Goswami | |
What causes lump on the left tonsil?
i ve woken up this morning with a pea sized lump on my left tonsil,i was sore lastnight and iit just felt like i had a swollen gland which i get quite often but i.ve never experienced a lump before,it s a little sore swallowing saliva but not too sore? | Hi, thanks for sharing your acute health concerns with HCM!Well, when somebody presents to me with acute neck problems, irrespective of its history or symptoms, I just want to have an examination of the tongue, tonsils, pharynx, epiglottis and glottis and also the neck glands, salivary glands etc as these are actually in a chain...!you did not mention your age; however as per your description, your episode seems to be an acute episode of the chronic tonsillitis giving rise to a small abscess!It needs hot saline gargle 20x3 times a day for 2/3 days and take azithromycin 500 mg once a day for three days and if not responding, please revert back to me on HCM!OR Just consult some ENT specialist so that the disease does not progress...Hope you got your answerWish you good health! | |
How can I overcome stage fright?
I tend to get "stage freight' when speaking to an audience of 6 to 8 or more people. I enjoy writimg poetry and delivering it to groups of like minded people. I know my material is fairly good as I have won awards for my work. But more often than not I will get stage freight. What can help me overcome this? I would not over rule medication if it willl help if there are no side effects from it. | Hello, Some amount of anxiety is necessary for performing good. so, we should not try to just eradicate it alltogethre. But yes, excess is bad. there are many ways to overcome it--1. Try to speak in front of many people when ever you get an opportunity, try first doing this while sitting, it is easier to do it sitting than while standing. 2. do it not only in front of like minded people but to others as we'll, this will help you.3. you may practice deep relaxed breathing five minutes prior to performance, this will help to distract frightful thoughts and also help you become calm.4. you should always have trust in God, the supreme power ...without an ounce of doubt, this is the best remedy. You must unstand ( every artist is sensitive enough to understand this ) that : fear creeps from uncertainty, and doubts. so, once you eradicate the doubt and anxiety by giving yourself to the supreme power, there will be no fear what so ever...so, built trust in God, he has given you this art so it is upto him to take care of your performance...not yours...this will help you bloom..5. you may take etizolam half an hour prior to performance, this reduces anxiety without giving sedation. A dosage of 0.25 to 0.5 mg should be sufficient enough. It will be wise to try this out once or twice before the day of performance and check its effect on your body...everyone is different in world..Wish you best of luck!Dr. Manisha GopalMD Psychiatry | |
Suggest treatment for enursis
I have a son who suffers with enursis. We have used the usual methods of the alarm and desmopressin. It has been suggested to me to look at his diet and foods which he may be intolerant to. Please could you offer some advice on this and am I able to get any food allergy tests carried out anywhere. Thankyou | Hi.... I have just gone through your query. There is no evidence in medical literature that enuresis is related to food allergy. Any specific food will not induce enuresis in an otherwise normal kid. I do not think for this reason you need to take up a food allergy panel testing. You are already on treatment for enuresis for which you can continue the same. I again reiterate the fact that enuresis is not related to food allergy.Regards - Dr. Sumanth | |
How to improve on the platelets level post chemo for colon cancer?
Father in law diagnosed with stage III Colon cancer. One lymph node involvement. Tumor successfully removed and followed by chemotherapy. Chemo finished in August. Since then platelets have not recovered. They are stuck in the 90,000 range. In the meantime CEA levels have increased steadily. Last CEA count was 25. Pet scan negative. What do you think? Colonoscopy scheduled for and the month. | Acording to ayurveda pls give him papaya leaves juice 15to 20ml daily two times and give him fruits that will improve | |
How can a broken blood vessel under the knee cap be treated?
How do I treat a diagnosed Broken Blood Vessel under my knee cap.. Happened mid December. Much discomfort and pain until the end of January. I thought it was over and yard work Wednesday 4/12 caused swelling and much discomfort. I am talking Volterian but does not work to relieve discomfort and swelling. I think it is the Dec. Injury effecting this . The knee I an speaking about had Partial Replacement 3 years ago | Hello I have studied your case,These symptoms could be due to vascular occlusionColour Doppler may help in diagnosis.CT angiography will be helpful.You need to immediately consult your treating doctor and do required investigations.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
What causes pain in the arms after inserting metal plates?
my husband had surgery on his right arm due to a car accident about 6 years ago. he has metal plates inside and they don t usually hurt unless he lift something really heave. The last 3 days he has developed a pain right on that arm and he hasn t lift anything heavy. My question is, could it be the actual plates? what could cause this pain? could it be an infection? | Hello, It is due to inflammatory pain after the procedure. Nothing much to worry and it will settle by itself. As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Why is a 9 year old child wear diaper without parents knowledge?
HELP! I found my nine year old in a diaper this morning. hes is potty trained and has been since he was 3. Why is he wearing them And hiding them from me. I didn t yell at him for I am concerned. what do I do ? let him keep wearing them? Or punish him? sincerely Carllotta | Thank you for posting your question.First of all Carllotta, the issue may not be as serious as you think it is. For all you know your son might have just laid hands on a diaper lying somewhere and slipped it in place of his regular underwear. If that is not the case then there is a probability that he might be bed wetting, most likely at night. In any case, I think talking to him calmly is to only logical option. You may ask him calmly in a non accusing tone why he did that. Also if your find out that he has been wetting himself, then a proper medical consultation should be taken. However the first step would be to find out the cause for his altered behavior which can be done by a open two sided conversation. Whatever the cause is can be dealt accordingly.Neither allowing his altered behavior to continue nor punishment would be an appropriate response.If you have any more doubts do write back. | |
What causes tremors in the left arm?
Trying to find out why my left arm jerks sometimes when I m doing nothing. I do have a LOT of arthritis in the neck, severe, and I also have mini seizures for which I take meds. I never lose consciousness, and only once was anyone but me aware that it happened. Can you read me, or am i supposed to enter this somehow. Oh, am I supposed to pay ? Lol. If so, then I ll get out of here now, and sorry for your time. | Hello, Consult a neurologist and get evaluated. We have to look for possible causes like Parkinson and thyroid related problems. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
What causes elbow soreness and swelling with pain?
I have soreness, some swelling, slight discoloration at the inside of my right elbow where it meets the bicep area. I have had this condition since last Saturday. It started early during a family golf scramble, and since I did not want to quit I kept on playing, trying to ice it down with the hopes it would not get too bad. On the following Sunday I could hardly use the arm. It seemed to get a little better for the next couple of day, but now it is bothering me even at night when I am trying to sleep. At times I even feel some pain close to the wrist when or after I use the arm to lift something. Would this be a strain or pulled ligament, tendon, .........?? | you likely suffer from medial epicondylitis: flexor tendons of your forearm and hand got inflamed at their elbow insertion after the golf session. rest (most of all!), ice and local nsaids should help you. pain however may last several weekd | |
What to do for the low hemoglobin count?
Hi, I'm 39 years old and since I remember my hemoglobin has been a little lower than normal between 7-8. I've taken iron almost all my life, have had my thyroid checked and results are normal. When I fail to take iron I notice a have a headache. I used to take 65mg but sometimes a take 2 pills of 65 mg which makes me feel better.Is there a particular test I can have to see why my body is not producing sufficient Iron or if I am producing sufficient iron why is my body not absorbing it? | Hi, dearI have gone through your question. I can understand your concern.You have iron deficiency anemia. You should take iron rich food like jeggary, dates, green leafy vegetables, dry fruits etc. Oral iron like ferrous sulfate or injectable iron like iron dextran is helpful.You should check your serum iron and ferritine level and ultrasound abdomen to search for the cause of bleeding.Bleeding is the most common cause after nutritional deficiency.Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health | |
Any suggestion to treat amoebiasis?
Hi My daughter is having amoebiasis for 1 month and 1 week now, she's on metronidazole for 2 weeks she is taking 5ml every 8 hours. After 14 days her stool is still watery? It seems that metronidazole does'nt effect on her amoeba. What other medicine could help or cure my daughter's amoebiasis? | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Yes, it seems that the amoeba are resistant to the metronidazole.Alternative medication to the metronidazole is Tinidazole. You can take it under your doctors guidance.Once the infection is at healing end you can take diloxanide furoate. This is luminal amoebicide and can clear the remaining parasites.Please maintain the good hydration by taking ORS it prevent you from dehydration.Please maintain good hygiene that will prevent you from such a future infection.Hand washing is the effective barrier that can prevent you from further future infection.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | |
Suffering with mental disorder, always under fear, low self confidence. How can I cure it?
Hi, I am 36 years old and I fell very scared and i loose my self confidence. I am suffering this mental disorder from last 12 years. And I consulted many psycatrists at first i feel better after their treatment but after some period there was no response from medicines and injections . Is there any way to be cure. can i gain my confidence back. | Hello. There are many conditions in psychiatry which need more than just medicines and you may be having one of them. Your depression may be secondary to some personality problem you are facing and you need specific intervention for that. You need specialised therapy , tailor made for you along with medication to get full benefit. Usually these therapy are expensive and long term. You can not get instantaneous benefit and you have to follow the advice of therapist religiously. But I m sure if stick to it you will be able to come out of it and can feel a confidant person and get in life what you want Take care | |
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 --> | |
How should PCOS, irregular periods, cramping, intercourse bleeding and clotting be treated?
Hi Doctor, I am 28 yrs married woman. I am married for last 2.5 yrs. Now me and my husband wants to plan for a baby. But last january, my doc said I have PCOS, after doing scans. Intially for 3 months doc suggested me to take Yasmin tablet for 3 months as prior to that I had irregulr periods. Then I stopped taking Yasmin after 3 months on her suggestion and started taking folic acid twice a day and letoval tablets once daily from the 2nd day of my periods for 5 days, from last 2 months. My cycle is regular now but I get crampings and feel like vomiting during my periods 1st and 2nd day. After my each cycle when me and my husband intercourse, everytime I bleed heavily with some small and big clots as well. Day by day its incresing and becoming very dissapointing for us.Sometimes I suffer from a bad lower back pain starting from my periods date and it continues for 10-15 days. Even my white discharge is not white now a days, its brownish or wheatish in colour, but no foul smell. Could you please suggest on this? | Hi dear, I have gone through your question and understand your concerns. Bleeding after intercourse should be properly evaluated, as it can be caused by the local lesions in the cervix and vagina, including cervical cancer.Regular brown discharge is also not normal.I will suggest you to consult an OBGYN specialist for proper examination, investigations including pap smear and treatment accordingly.Hope you found the answer helpful. RegardsDr Deepti Verma | |
Suggest treatment for lumps and masses on arms with migraine
Hi,i have numerous lumps,squidgy masses on my arms,legs stomach,all seem to be pressing on nerves,severe pain on touching some,hands numb and tingly,migraines that don t go away with imigran and occasionally feel like lightning streaks up one side.last one was 10days solid.Hands have been left weaker and legs very stiff.get restless legs often and can t sleep.amitriptiline made this worse. I am 49 yrs,5ft and well in the menopause,(sterilised at 33 ,hysterectomy at 41) due to large fibroids. Sister has a plexiform neurofibroma,mum had lumps,don t know what,died age 62.Her sister was 60+when she died of huntingtons disease. I have had tinnitus for years,and all problems getting debilitating . Help please? | HI,Dear,Welcome to HCM.Based on the facts and data of your query,you Seem to need -treatment as following suggestions-Get FNAC biopsy of one of these old and new tumor lumps.Your Migrain needs seperate attendance from Physician and need not be related to your multiple lumps you have.Dercums Lipomatosis-which is hereditary multi-tumor disease or Neurofibromatosis-which is again a hereditary multi-tumor disease with neuralgic pains in few of the tumors is mostly the possibility-based on the facts of your query.Surgical Excision of those painful and pressure causing lumps-is the only way out,as all these are mostly benign tumors.If any of theses lumps increases,it again needs excision and needful treatment from Surgical Specialist.You should not worry till the Specialist confirms it.So don't worry till that time.Relax and forget about it and enjoy the life as it is.Migrain would go immediately.Second opinion from your doctor on this would help you to plan treats in future.Hope this would help you to resolve your sever anxiety and migraine.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!! Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS | |
How to treat lump below jugular vein?
I have had a lump below the Jugular vain and above the collar bone for over a year now. I had a biopsy a year ago which showed lymph node cells and regular cells. The lump is still there, and hurts after strenuous swimming and weight lifting. I has been suggested to remove the lump instead of re biopsy and ultrasound to make sure it is not something bad or more serious. I am worried that if it is removed, what are the risks to surrounding nerves in the collar bone area? I do not want a numb arm, hand etc. Still young. Should I just continue monitoring the lump yearly with expensive biopsy and ultrasounds or take the risk and remove it?? thank you | Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Presence of lymphoid cells in a swelling indicates it is a lymphnode.2. As there were no malignant cells seen, not to worry. As the swelling is large and located at location, where the arms move around during swimming and weight lifting, it will be painful due to the mass movement.3. Excision of the swelling will improve the symptoms. As it is not related to any nerve or blood vessels, no risk of numbing of arm or hand is present. It would be simple surgery. Getting excision would be the best option for now.Hope it helps.Any further queries, happy to help again. | |
How can chicken pox be treated?
Hi, i just got chicken pox and i am an adult. The first 2 days i had severe bodyache and i didnt know about my infection. My nephew was around me at home the whole day, and he never got it when he was a kid. Today is the 5 th day after my bodyache do you think he can be vaccinated today and if its useful now? | Hello,As per your clinical history is concerned, please take a course of antiviral [Acyclovir] and discuss medication [an antihistamine] for itching and give the kid only antiviral now and this will lessen the severity of the disease.For prevention in future, discuss with your doctor about chickenpox vaccine (Varivax).Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Uday Nath Sahoo | |
What causes fluttering/twitching sensation on the right side of head and is it dangerous?
I am a 33 year old female who has recently been experiencing a fluttering/twitching sensation on the right side of my head, above and behind my ear. Almost feels like a muscle twitch. Lasts for a few seconds to a minute, completely painless, just feels weird, happens at any time during the day, doing anything. What could be causing this? Is it something that could be serious? | In my opinion nothing seriousCan be caused by stress cold and fatigue you can simply ignore it , it will go away within few daysGood Luck | |
Suggest treatment for chest pain while breathing
I have had a sore throat since yesterday, no fever. This afternoon I started with some pain around my right lung. It hurts to breath in and touch. I do not have a cough and I am not congested. It hurts to move around and it is going up my right shoulder blade. | Hi welcome to health care magic...According to your history you have chest pain on moving and on touching ...you dont have cough or any other respi symptoms...So suggesting most likely musculoskeletal pain....Take ibuprofen for 4 to 5 days...Sleep posture proper....Avoid strenous work...Rest done ....Hot compress can be applied over chest...Although no respi symptoms present, if in 2 or 3 days your condition not improved then chest x ray done for rule out respi causes like bronchitis...Take care...If congestion occurs with cough then consultation to doctor necessary..Dr.Parth | |
Could discharge of blood through penis be due to cancer in prostrate?
my husband has been having blood in his urine for over a year now and blood discharge from his penis after urination. family doctor has recommended a urologist but we don't have the money and no insurance. what are the chances this could be cancer of the prostrate or bladder? | Hello, Uness you consult a surgeon and undergo various tests, diagnosis cannot be done. Even to find out the basic problem you need physical investigation. Therefore I suggest consulting a surgeon for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. K. V. Anand | |
Why am I having pain in my lower right back side?
Hello, I have a lower right back pain. This is the third time I have had it. It comes with dark, cloudy urine. I am currently working out 6 days a week for an hour and eating well. The last time I felt this pain was three weeks ago and it lasted 7 days. I dont have a physician right now, for he retired last year. I don't want to get pushed around from one doctor to the next. Please help. | Hello,I had gone through the case and found that it might be pain of renal stone or urinary tract obstruction.So immediate go for ultrasound of Kidney urinary bladder region and urine test.After getting the correct diagnosis take proper treatment.It is curable and hope my answer will be effective for you.Thanks | |
Suggest remedy for a kidney condition
Hi, I am Santanu, Male, 32, 84 Kgs. I have a pain in my back that I think is associated with Kidney. Experiencing this for last 6 months, since I started losing weight from 103 kgs. This is a dull ache. A certain numbness. Have it in both sides. more prominent in my right kidney than the left. Had done a blood urea and a USG. both came normal. that was 4 months earlier. I have been drinking 5-6 litres of water. But the discomfort has not disappeared. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Having lower back pain on both sides is hardly due to renal condition. In my opinion you are having a muscular pain rather then renal pain as all your renal profile is normal. I would suggest you to take a muscle relaxant along with a painkiller with physiotherapy this pain will reduce. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest alternative for sylimarin capsules hepavit
My question is...what medicine can i get here in ireland because i run out of my sylimarin capsules hepavit...they do not have hepavit here...i have congenital hepa b and my doctor advised me take it especially if i am drinking wine...i dont drink a lot but on social gathering only but i want to maintain my supplement...please help... | **1. patient with chronic hepatitis need specific treatment with Interferons. [consult with Hepatologist]2. Partner must be Immunised before marriage [medically suggestible pre-marriage tests] if unmarried3. silymarin is a hepatic protective agent made from extract of milk thistle seed which inhibits toxin uptake and stimulates cell regeneration,also protects against nerve damage and abnormal brain aging. If it is unavailable there try finding with 'Silybon' online, you can purchase/order directly from the site.4. . Adequate bed rest.. fat free diet,no oil,ghee and fried foods. plenty of sweets,sugar, sugarcane juice. boiled water for all at home. all hepatotoxic drugs should be stopped [consult your doctor for exhaustive list]5. According to Ayurveda the condition falls under 'Raktavaha Srotovikara', thus hepato protective drug like bhumyamalaki,Manjistha, katuki, bhringraja, Koshaphala, Kushtha is/are good for shaman [palliative] purpose.PS. These drugs helps prevent replication of HBV [hepatitis B virus] thereby preventing viraemia. [ [ Syrup Liv 52, Livomyn, and/or Cirrholiv: has all the said ingredients in it and thus acts as Hepato protective | |
What causes dizziness and left sided abdominal pain?
.the last week I've been feeling a rush over my face and tongue, I'm really light headed and dizzy almost passing out. I'm2 or 3 weeks pregnant. What do you think it is? I'm also getting a abdominal pain in my left side almost like a kidney infection. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * As far as my clinical experience is concerned, the dizziness and left sided abdomen pain seems to be early hormone changes from the underlying pregnancy. * Kidney infection should be associated with severe loin pain, dysuria with or without fever or other systemic features, which can be easily differentiated from lab tests and clinical findings. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for chronic kidney disease
HELLO DR. I AM CONCERNED ABOUT MY MOTHERS HEALTH AS SHE HAS BEEN DIAGNOSED WITH CHRONIC KIDNEY DISEASE WITH GLOMERULAR FILTERATION RATE AS 21 AND SERUM CRETININE IS 3.2 .ONE MONTH BACK THE SERUM CRETININE WAS 2.4 AND A WEEK BEFORE IT WAS 2.9 AND NOW IT IS 3.2.SHE HAS HIGH B.P 130/90 AND SHE WAS ADMITTED IN HOSPITAL BECAUSE SHE FAINTED.SHE USED TO HAVE MUSCLE CRAMPS AS WELL.WHAT WOULD YOU SUGGEST TO LOWER DOWN HER SERUM CRETININE AND WHETHER THIS IS THE STAGE FOR DIALYSIS | DEAR USERTHANKS FOR WRITING AT HIMI UNDERSTAND YOUR CONCERNI HAVE SEEN MANY PATIENTS OF CKD.. THOUGH THE TREATMENT OF CKD BY MEDICATIONS ALONE IS DIFFICULT BUT MEDICATIONS HELP TO MAINTAIN A CONSTANT LEVEL OF SERUM CREATININE..BUT NOT IN ALL PATIENTSKIDNEY TRANSPLANT IS THE ULTIMATE TREATMENT BUT IF NOT POSDIBLE DIALYSIS HELPSABOUT YOUR QUESTION REGARDING WHEN TO DO DIALYSISIT IS ASSESED BY YOUR NEPHROLOGIST DEPENDING ON CLINICAL SITUATION AND NOT ON CREAT LEVELSUSUALLY IT'S DONE WHEN YOUR NEPHROLOGIST SUSPECT METABOLIC ACIDOSIS, IF OEDEMA IS NOT GETTING TREATED WITH MEDICATION, IF THERE IS INCREASE IN CREAT NOT CONYROLLED BY MEDICATIONI SUGGEST THAT YOUR MOTHER AVOIDS EATING FRUITS AND ALSO TALK TO YOUR NEPHROLOGIST HE CAN HELP YOUHOPE I ANSWERED SOME OF YOUR QUERIES.. YOU CAN MESSAGE ME FOR ANY OTHER CONCERN | |
Are tight chest pain and dizziness a cause for concern?
I have had really tight chest pains, I cough profusely, and I've been dizzy. I went to my doctor and he implied that I have an upper respiratory infection. However, he said he would like to see me again in a few days. I should add that I did get x-rays done. Is it bad that he wants to see me back? Or is this just a procedure? | Thanks for your question on Healthcare Magic. I can understand your concern. Yes, these symptoms are definitely a matter of concern. By your history and description, possibility of pneumonia or bronchitis is more. So if you are not improving with routine medicines forward upper respiratory tract infection (URTI), you will be definitely need chest x ray to rule out pneumonia and PFT (pulmonary function test) to rule out bronchitis.. This is the reason why he called you for follow up and plan for chest x ray if not improving in symptoms. So don't worry, if you are not having feeling good or symptoms worsen then immediately consult him. You may need higher antibiotic and inhaled treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
How can I increase sperm quantity?
Hi Sir, I am Mohan 23 years old. I have spermed up for 7 years staring from 2007 to till now. I am student with rank holder. But now on wards I don t wanted to such things. My question is that, Will it effect to my remaining sperms during giving birth after marriage. What I should do now to strong and increase my sperm quantity. Please reply as soon as posible. | HIThank for asking to HCMI can understand your problem I think you are under the wrong impression, did you send you semen for analysis, if yes then you have to see the total number of sperm in that, of this is low then this need to be considered and if you have not dome the test then you need not worry about this, hope this information helps you, have a nice day. | |
What causes nose bleeding while on diabetes medication?
Just had a heavy nose bleed in one nostril and a slight bleed in the other, my nose has stoped but I can feel blood in the back of my throat, it feels like it’s clotted, I was asleep at the time of the bleed. I,m 54, male have high blood pressure for which I’m taking medication and haven’t missed any I,m also stage 2 diabetic again taking medication and up to date with it, I’m slightly over weight. Regards | Hello,A nosebleed can be caused as a simple reason as minor trauma, dry air, medications or upper respiratory tract infections to more serious diseases such as blood, immune system disorders or tumors. A nosebleed may be anterior (90% of cases) in which the bleeding happens to occur from frontal blood vessels or posterior (rare and serious) - blood comes from the back nose blood vessels. Majority of nosebleeds are benign and do not require further evaluation if it is not recurrent, mild, stops on its own in a short time (15 minutes). For the single, mild nosebleed episode you do not need laboratory evaluation. But you should get your blood pressure monitored by home blood pressure monitoring as well as get blood glucose level controlled. Uncontrolled blood pressure along with diabetes increases the risk of nosebleed. You were in lying position when the nosebleed happened, probably the blood flow toward the back of your throat and formed a clot. If you experience recurrent nosebleeds or nosebleed does not stop within twenty minutes, a large volume of blood is coming out, you feel dizzy or tired you should immediately seek medical help. When you experience a nosebleed try to stop it by pinching your nose above your nostrils for 10 to 15 minutes. You should sit or stand and lean forward (never lie down). You may place an ice-pack to your nose. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Malik | |
What causes spotting during pregnancy?
Hi. I am about 9 - 10 weeks pregnant. I had some spotting this morning. Doctor said my cervix is closed. They did notice my HCG level went down a little bit. I read when the plecenta takes over this can be normal. Is there anything I can do to better it? Spotting has stopped too. I am O- as well which may be causing it. This is 2nd baby. With my 1st I never spotted. Babys heartbeat was 150 =) | If you are o negative then first go for ict test. If it's negative then injection anti D 300ug Im is needed. Beside that bed rest , Inj hcg 2000iu Im and progesterone orally or vaginally. Go for usg. | |
Suggest treatment for allergic bronchitis
Hi doctor. My son is 5nd half year old.he is suffering from allergic bronchitis from last 3yrs.he is taking regular inhalers budecort and now foracort.at time of excessive cough along with inhalers he take nebulizers with asthalin or levolin or dulion along with antibiotics and other medicine as recommend by doctor. Can his problems be cured by aruvedic treatment as we are not sure with the cause of his allergic cough. | Symptoms described by you suggests that he has a allergic tendency as you rightly pointed out . But if his requirement of nebulizers is more than twice a week then his medication needs to be stepped up and try to asses if there are any triggers for the same and avoid it. This can be done through allergy skin testing. Which will identify the triggers and avoiding which may control his allergy. Frankly speaking I am a allopathic doctor and I donot think there is a cure for allergy but yes can be controlled and at a later age it may settle. | |
What causes painful red spots on the scalp?
my 6 year old is complaining of pain from a small red spot on her scalp. It almost looks like a mole. she has not had any injury, and the spot has been painful for a few weeks. it looks to be nearly in the same spot that she had a strawberry hemangioma as a baby. is it possible for that to come back? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. hemangiomas are not known to recur. This is unusual. I suggest either you upload an image here for me to see and guide you or consult your dermatologist please. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Please revert back to me with images so that I can guide you better. Hope I have answered your query. Let me know if I can assist you further. | |
What causes abdominal pain, nausea, flatulence, chills and shoulder blade pain?
Hi, My wife is having following symptoms for last 3 days... Nausea, Gas and flatulence, Chills, Lower abdominal pain, pain between shoulder blades. She was diagnosed with small gallstone at the time of pregnancy, 1 year back. No Treatment done. Kindly suggest the course of action. | Hi.Thanks for your query.Read and understood the history about your wife.You mentioning since who long is she suffering and any other associate medical problems does she have would have helped me a bot.All the symptoms of nausea, gas. flatulence and chills, pain between the shoulder blades can be related to the diagnosed gall stone disease.But not the lower abdominal pain. Gall stones cause pain in the upper right side of the abdomen. I would advise her the following:Fresh ultrasonography of the abdomen.Physical examination and clinical evaluation by a Gynecologist and a General Surgeon can help to get a probable cause of all the symptoms. Test of blood- particularly for liver function tests, urine and stool.Once the proper diagnosis is made you can take her for surgery of the gall bladder and also see the lower abdomen on exploration by Laparoscopy and Laparotomy. | |
What causes bleeding from tooth?
MY GUMS AROUND ONE CERTAIN TOOTH JUST STARTED BLEEDING PROFUSELY OUT OF NOWHERE. THIS HAPPENED YESTERDAY WHILE I WAS JUST SITTING WATCHING TV. IT WAS ONLY FOR A FEW MINUTES THEN TODAY THE SAME THING HAPPENED INVOLVING A DIFFERENT TOOTH. WHAT MAY HAVE CAUSED THIS? | Brief answer:Gingivitis or Periodontitis.Hi..Can understand your concern..As per your complain it seems you have gingivitis that is infection and inflammation of gums or Periodontitis that is inflammation and infection when involves deeper tissues like underlying bone.In case of gingivitis there is inflammation of gums causing swelling, redness and bleeding from gums.At times when any one area of gums gets more inflammation bleeding can initiate from it.Or different areas may be inflamed and any region can bleed at any point of time.It can occur commonly in case of poor oral hygiene leading to deposits over the teeth which creates a constant source of infection leading to gum problems.There can be other underlying medical conditions which can cause gum bleeding are Diabetes, Pregnancy.Oral contraceptives intake can also cause gum bleeding in women.If the gum infection is long standing and ignored can lead to bacterial multiplication in the pockets which are formed between the gums on one side and jaw bone on other leading to damage to the bone and further infection goes deeper with bleeding and loosening of teeth..I would suggest you to see a dentist soon and get evaluated for the cause of bleeding and treatment can be based on the diagnosis.In case of gingivitis scaling followed by gum paint can be helpful.Hope your query is solved..Thanks and regards..Dr.Honey Nandwani Arora. | |
Cause for sudden and severe abdominal pain?
Hi.. I started taking ginette 35 last year, after few weeks I suffered terrible abdominal pain n was admitted in hospital for 10 days. Doctors did not know what happened, all tests were done.they just said large intestine had an infection. I started taking ginette 35 since last n have the same problem again..motion is green n black n terrible stomach pain. Not sure what is happening | Stop Ginette. Take antibiotic course. You may need an ultrasonography and colonoscopy if no complete relief from the medical managementGinnet may enhance the problem as it is a Hormonal preparation and has a direct effect on every part of the body , enhancing the infection or so. | |
What causes high platelet count in blood test?
My platelet count is in the 700,000 range. My doctor can t seem to find the reason for it as it keeps going up with every blood test. I would like to know what I can do to bring it down My doctor doesn t advise me to donate blood as it wouldn t solve my problem. | Hi, dearI have gone through your question.I can understand your concern.Your platelets count is 7 lakh/ cumm. It is slightly high. It can be due to reactive thrombocytosis or essential thrombocythemia. If it remains persistent high or if it increased further then you need further investigation like bone marrow examination and jak 2 mutation study to rule out essential thrombocythemia. Hope I have answered your question.If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you very good health. | |
Q. I am type 2 diabetic and my sugar shoots after wheat and carb intake. Why?
Hello doctor, I am a 44-year-old male. My height is 167 cm and weighs about 71 kg. I am a diabetic (Type 2) since 12 years. Family history: My father is a diabetic and expired due to cardiac arrest. I am currently on Humalog Lispro 100 insulin via medtronic pump. I take both vegetarian and non-vegetarian diet. My blood work shows: FBS: 116, HbA1c: 7.6, Uric acid: 6 Lipid profile: Total cholesterol: 227.9 mg/dl, Trigycerides: 444.70 mg/dl, HDL cholesterol (direct): 44.5 mg/dl, LDL cholesterol (direct): 94.46 mg/dl, VLDL cholesterol: 88.94 mg/dl, CHOL / HDL ratio: 5:12, LDL / HDL ratio: 2.12. Stress test report: attached. | Hello, Welcome to icliniq.com. I will provide you the outline of management in your case, however, actual changes in treatment regimen should be done after discussing with treating doctor. Firstly, your heart looks alright with no evidence of blockages, however, blood pressure is an issue which needs to be taken care of. You are started on Ramipril, but you should check it frequently at home as 2.5 mg alone less likely to completely normalize your BP. So if home BP remains elevated more than 140/90 mmHg after 2.5 mg Ramipril then it has to make twice daily. Next regarding sugar, it is not very well controlled especially post meals. Now I do not know whether you were tried initially on any medications or not, if not then medications should be tried. Now, Metformin is a basic and most important medication for it. So, you should discuss with your doctor regarding initiating it. Also, you will need add on drugs as Metformin alone will not be sufficient, which includes Teneliglipitin and Glimepiride which comes in combination of Metformin. If medications are not feasible at the moment, then dose of bolus insulin which is delivered with each meals should be increased by two units, in order to take care of post meals surge. So that you are able to have proper diet. Also, regarding pains, it is likely a neuropathy due to deranged sugars. For that, sugars should be tightly controlled and you will need supplements like Neurobion forte once daily. If this does respond to multivitamin supplements then you will need nerve stabilizers like Pregabalin, etc. Also, your triglycerides level is too much elevated, for that you need to have a healthy lifestyle like avoiding fatty oily foods. Have regular exercises like brisk walking for at least 30 minutes a day. This will also bring your sugar level down. Also, you will need medications here to control triglycerides like tablet Fenofibrate 145 mg bedtime daily for eight weeks. There are some issues and there is good scope for improvement. Also, you should undergo TMT(treadmill test) at regular intervals of three to four years. Also, considering your family history of heart disease, it is better you also undergo CT (computed tomography) coronary angiography once as it has got very high sensitivity and can tell us if even minute blockages and preventive medications can be started. I hope this helps. | |
Could the mucus and blood in stools be connected to fatty liver?
I am seeing a liver specialist next week for increased alt results, I had an ultrasound which showed mild fatty liver but they are still increasing. I have since stopped taking he pill which was the only medication I was on. I have also noticed mucus and blood in my stool, is that possibly connected? Oh and they think it is from pre-eclampsia which I had at the very end of two pregnancies | Hi there,Thanks for posting in HCM.Mucus and blood in stools indiacte colitis. It could be due to infection or inflammatory bowel disease.It is not related to fatty liver. They are two different entities.I hope that answers your query.Regards. | |
Could gum swelling with hardness be due to flu?
Hi, I just notice that my left bottom gum is swollen. I used my hand to feel it and it'd really hard. I had an operation slightly above the gum area where my 2 back teethe were removed due to cyst infection 15 years ago. Right now, I am still recovering from flu and cough. Can this be a side symptom of my flu? I'm just worried if my cyst reoccur again. Should I be worried? | It may be a recurrence of cystic infection but since you have been asymptomatic for 15 years after its treatment chances are lesser for that, you may rather suspect an infection due to some other adjacent tooth, it is not due to cold and flue. To be sure i would suggest you to get it examined at the earliest and also get a radiograph of that region to be sure of what it is rather that delaying it and causing it to increase further. | |
How to get rid of the pain caused by a red spot on my penis shaft?
I am a 16 year old who's still a virgin and hasn't done anything sex related what so ever. I have a big red looking spot on my penis shaft and after some research think it is an ingrown hair. I haven't shaved down there but I'm worried and it's painful to touch. Even just contact with it hurts. Can you please tell me how to fix it and get back to normal in as little pain as possible please. | HI, thanks for using healthcare magicIt is possible that it may be an ingrown hair. You could consider the use of warm compresses to encourage blood to circulate to the area, this would also help with pain relief. In addition, the area should be kept clean with a mild cleanser or anti septic lotion.The application of a topical antibiotic may also be helpful as would the use of an anti inflammatory pain killer such as ibuprofen, cataflam or aspirin.I hope this helps | |
What causes left sided pulsating pain with dizziness?
My brother is having a pulsating pain that sometimes is quick single thrust, sometimes several really fast pain stings , sometimes it hurts, sometimes just irritating. The pain is on the left side, starts about breast level and goes up under the armpit and down halfway down his left side. The sharper pain is just in front of his arm-pit area. He has been dizzy all day as well. This has been happening most of the day. He is 55 years old, 5 6 , not overweight, play tennis for excercize. He just worked an all-nighter 2 nights ago but had a good nights rest last night. His work is not physical labor, but high-stress because of all the controls he has to keep in perfect balance for his job. Any suggestions would be appreciated. | Hi, He definitely need an urgent evaluation including ECG and further tests to rule out cardiac issues. Hope I have answered your query. Let me know if I can assist you further. | |
What ointment should I use to treat melasma ?
Hi, Is there any ointment or gel which contain mixture of tretinoin, hydroquinone and cortison in Indian markets? I want to treat Melasma(small dark patches ) on upper side of elbow joint and upper part of my back.Why does this happens? | Hello, Thanks for posting your query. Melasma is increased melanin secretion in certain areas due to exposure to sun. It can also occur in pregnancy. It is usually seen in the sun-exposed areas of the face like cheeks, forehead, nose etc. A-RET-HC is a cream available in India. It is from Shalaks Pharmaceuticals. As it is a prescription drug, please ask your dermatologist regarding its use. Regards. | |
Why has loratadine not subsided itching on body while suffering from diarrhea?
3 years ago, i started getting really itchy, its all over my body and its driving me crazy. The doc has prescribed an antihistamine medication (Loratadine). this drug help calm me just for 4 days, and after that my body will start itching again. (Doctor told me i m dermogram because of skin sensitivity against rubbing stuff). plus, I ve recently been suffering from chronic diarrhea from 4 mounth ago, and duration of diarrhea may take up to 2 weeks. either i have Mild headache and impaired vision. i have 28 years old and I goto over 10 dermatologist, but I had seen no solution offered. i carrying out some Tests like: -HIV (3 times) Neg. -HBs ag Neg. -HCV Neg. -CRP Neg. -RPR Neg. -Parasitology (several times) nothing seen. -Colonoscopy nothing seen. -Endoscopy nothing seen. -C.B.C Specefication: WBC: 6000 --- RBC: 5.43 --- HGB: 17.2 ---HCT:47.5 Please help me :(((( | Hi,I can understand your concern for itching on body while suffering from diarrhea. It is difficult to make a exact diagnosis of your condition with your current history. For what exact condition you were prescribed loratadine and in what exact dose you are taking it.In general loratadine is a very safe tablet. If I were your dermatologist then would have you to increase the dose of loratadine. It can be increased from 1 tablet to 2 tablets and upto 4 tablets if the itching is not controlled. The only precaution you must follow is not to touch, pinch pop or squeeze any of them other wise it can get infected and can cause complications.Take care. | |
Severe abdominal pain and sweating after taking mini pill. Numbness in the fingers spreading to wrists. What is happening?
This morning I had a cup of coffee and took my mini pill, I then went to the toilet and emptied bowels. Within 5 minutes I had severe stomach pains and started to feel unwell , I laid down where then I started to sweat all over, I was in extreme pain . My fingers started to feel numb and this spread up to my wrists. I took two pain killers and tried to eat a biscuit , I was told to sit up and after twenty minutes in subsided although all day I haven't felt right have had no more pains or numbness. | hello, mild dyscomfort are common when taking pills. besides many other pathologies could explain your syptomatology. so, please i think if your symptoms persist or recur, you should see a doctor for investigations. thanks. | |
How can I make my wife's sister understand that her sister is married ?
It is a problem with my wife sister aged 14. She love my wife. now she is want that my wife should live with. daily she cry become upset. she is also not ready to go school even. she only want her sister back. what should i do for this | Hi, Such problems can arise when the sisters are very close to each other. The younger sister is probably unable to accpet the reality that her sister has to leave her some day or the other. It could be her tender age or her dependent personality. Ensure full family support for both and try consulting a psychiatrist for further assessment. | |
What will happen when a needle poked from a cancer patient?
Hi! My dad has cancer and is going through quemo for the 2nd time. I was giving him an at home shot since he just got back from the hospital and he needs to get the meds for 10 day. I poked myself with the needle when I was capping it. What will hapen to me? | Dear Friend.Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.Infections like HIV, Hepatitis B and C can spread through needle contact injury, not cancer.You need not worry for contracting cancer.But yes, you should get your father's HIV, HBsAg, Anti HCV Antibody, and in case he turns out to be positive, you would require treatment.This is my personal opinion based on details available here. If you still have any query you may please ask me.Stay Healthy. Dr Anshul Varshney , MD | |
How effective is the Agriflu vaccines against H1N1 and what are the side effects?
are there reputable studies that prove the agriflu vaccine actually reduced the incidence of h1n1 or any other flu strains?? who did the study---the makers of the vaccine or unbiased third party. what are the chances of getting the flu NOT taking the agriflu vaccine ( percentage) and what are the odds of getting flu with the vaccine taken?? I notice a long list of possible side effects and want to be comfortable it is worth the risk. also, is there thimerosol in the agriflu vaccine. | Actually H1N1 influenza virus is known for antigenic mutation (antigenic drift and antigenic shift). There are vaccines available for H1N1 like agriflu. You can get vaccinated if there is any endemicity of influenza in the community you live in or you are travelling to an area known for having influenza. Though there are some side effects, but they are only mild and the vaccine is safe and efficacious. | |
Suffering from lower abdominal pain, started after the abortion, unable to conceive. Suggestion?
Hi, i am 27 years old. i started having problems with my lower left and right abdominal pains, most of the time my lower right hurts bad. It all started in 2008 when i was 4 months and i had an abortion , after aborting i had sex after a week. I am having sharp pains and at times i think i have appendix. i went to see a gynocologist telling me that my pelvic is inffected..... my fiance and i have been together for 5 years now and i can t bear any children.... PLEASE HELP ME. um scared i dont know what to do.... what is really wrong with me?? | Hi welcome to Health care magic forum. Thanks for calling H.C.M.F. Most probably you are suffering with pelvic inflamatory disease, because it is followed by an abortion. You must be having leucorrhoea, brown and smelling discharege,or dysmenorrhoea(pain during periods). After 5 years also you didn't have pregnancy, and you had an abortion so you must be having P.O.C.D. and after abortion you must have developed infection. You never had appendicitis because the in that case the pain will be only on right lower side and the pain is acute, an requires an immediate medical help. I advise you to consult a gynacologist for diagnosis and treatment. Wishing you an immediate and complete recovery. Best regards. | |
What prevents from closing the mouth and drooling?
have a daughter of 7 years but cannot close her mouth, because of that saliva comes out and always she is drooling, but when she sleeps closes the mouth well, i took her her to ear and nose and speech specialist, but the doctor said nothing is wrong, what could be the fault. | DearWelcome to HCMWe understand your concernsI went through your details. Your child closes her mouth when she sleeps. Usually the opposite happens. Children often open their mouth while asleep. In this case, it is very clear that your child do not have any organic or physiological problems.Growth, development, behavioral changes etc takes place due to constant training provided by parents, friends, society, school etc. In this aspect your child needs training. Tell your child to close the mouth and keep it closed. Make the child understand the consequences. use the methods of rewards and punishments. Your child should learn to keep the mouth shut. Through training child should learn.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. Why do we have pain after deep tissue massage to tight calf muscle?
Hello doctor,I was suffering from minor Achilles tendinopathy and visited a physiotherapist today to get it checked. During the session, he performed some deep tissue massage on the calf (which was very tight) to relax it, which was very painful. After the massage, I experienced sharp pains while walking (which was not there beforehand), and when I brought this up with the physio, he said it was normal because it was the first time I had gotten deep tissue massage on that area.I have been icing the calf and resting, and while it has gotten a little better, it still hurts to walk. I have my exams tomorrow which I have to get to and other events on the weekend where I have to be (and will involve walking). I am worried about how I can see as I cannot walk at all. Is it normal to experience such pain after deep tissue massage to tight calf muscles, or did I sustain some injury (say a muscle strain or something similar) and need to get it checked out? | Hello. I read your concern. Sometimes, usually, they try to break the trigger points, and it would have caused discomfort. The technique itself is pro-inflammatory techniques and will induce some more inflammation so that healing happens. So do not worry. Now, I request you to ice your calf frequently like once in two hours for 15 minutes as of now and stretch it properly things should settle down fast. Tomorrow morning you might feel a lot of stiffness in the calf, do not worry as you have to stretch your calf gently and roll your calf over a foam roller or if have somebody ask them to massage it for few seconds. Things will be fine. You can walk without pain. I hope this is helpful to you. Kindly revert in case you need any further information in this regard. | |
Suffering from urticaria, dust mite allergy, mulberry plant allergy. Taking levocitrazine. Remedy?
Hi. I have got urticaria from last one year and its not going away. I am taking levocitrazine every 48 hrs to remain symptom free. The itchings starts from head and than back arms hands and eventually whole body. I couldn't find any aggravating or reliving factors. I also have dust mite allergy and mellburry plant allergy it causes sneezing and water from nose. Kindly help me with my urticaria. | YOUR ALLERGY IS INVOLVING SKIN URTICARIA IS ALSO ALLERGYTAKIN ANTIALLERGIC AFTER 48 HRS IS NOT SOLUTIONYOU CAN CONSULT ALLERGY SPECIALIST DOCTOR WHO CAN DIAGNOSE THE CAUSE OF ALLERGY FOR FOODS GO FOR ELIMINATION AND FOR POLLENS GO FOR IMMUNOTHERAPY THIS WWILL COVER BOTH ALLERGIES URTICARIA AND SNEEZINGTILL YOU CAN USE THAT ANTIALLERGICTAKE NON OILY NON GREESY NON SPICY FOODLOT OF WARM WATERAVOID MEDICINES LIKE PARACETAMOL IBUPRUFEN CALCIUM VITAMIN IRON DIET SUPPLIMENTS AND MULTIVITAMINSNON TOXIC SOAPS SHAMPOO OILS CREAMS OINTMENTS AND BODY APPLICATION MATERIALS LIKE HENA DYES ETC | |
Is a black dot under the nail a symptom of diabetes?
Hi Im a 39 y/o female & I noticed during my last pedicure a small black dot under neath my middle toe nail...I m very freightened because I work at a nursing facility & I know a black dot ( necrosis)usually deals with diabetes/ poor circulation.. There s no pain/ swelling to the are & it has not grown in size... | hi therethank you for using HCMThe black dot on toenail is not a definitive sign for diabetes, so u should not be scared of it. It can appear due to multiple causes like sometimes because of trauma, sometimes it occurs due to bacterial or fungal infection, or in a very small percentage it can be a reason for skin cancer.But since for the ist time u hve noticed, if it has not change its size or colour or there are no visible changes on your toe nail you do not need to be worried as it seems to be harmless.if u think it to b a complication of diabetes and feel anxious,the best advice I can give you is to get a test of your blood sugar fasting.if result is normal, stay relaxed and enjoy your life.hope this answer is helpful.kind regards | |
Suggest remedy for fungal infections on hips
Hi, i have been diagnosed with fungal infection on my hips. i was on Flucos and propyzole for a month. However the condition has not improved. Infact its spreading. Its been enough of living with the Fungus. I wanna say good bye to it as soon as possible. Please suggest. | use ointment clotrimazol on the rash. make sure u wash ur hands after touching the rash with soap.wear cotton garments and make sure there's enough air circulation to the affected area. please avoid sharing towels or other clothing with friends/family. | |
Does calcium and vitamin supplements intake cause heart ailments?
I saw a report on the danger they are finding in taking Calcium and Vit D supplements, in terms of heart disease. What is your feeling on this subject? I was put on Calcium/Vit D, as my mom had severe osteoperosis. My email is YYYY@YYYY . Thank you | Hello , Supplementation of Vitamin D and so forth calcium has beneficial effects on the heart and not vice versa as you read , if you have deficiency of vitamin D. However over supplementation of Vitamin D ( normal range 30-75 ng/ml can cause increased calcium levels which may increase the blood pressure , cause unfavourable remodelling of heart and kidney damage. So its just important that you supplement vitamin D only if deficient and not otherwise or just keep on monitoring the levels every 6 months . Regards Dr Priyank Mody | |
Q. I get weird thoughts. Do I have paranoia?
Hello doctor, Everyone gets those little paranoid thoughts but mine have gotten a lot worse and a lot more frequent over the past four months. I constantly feel like people I know are talking about me or someone is trying to kill me/hurt me. I also get other weird thoughts like, what if the bus tips up, what if there is a bomb in here? This stops me from going out, and I cry a lot over it. Nobody I know has ever experienced it and they do not know about it, so I do not like talking about it because they may think I am just weird. When I am home alone or not, doors and windows have to be locked and shut so nobody can see inside the house. If I want to go out, I have to be with an older person (parent) or a group of friends. I went out for the first time past 8 o' clock at night the other day and it really frightened me. I have woken up in the middle of a panic attack twice. Please help. | Hi. The symptoms you have described are indicative of obsessional nature and the behavior is compulsive because of fearfulness. From the brief description, it is not possible for me to decide the category of disorder. But I can tell you that it is not normal and unlikely to go away without the help of a mental health specialist. You are right in saying that you are suffering fromparanoia but to me, it seems it is secondary to this fearfulness. Having said this, I can assure you that this condition can be treated with the help of antidepressants and antipsychotics or psychotherapy or both. Most of the individuals respond slowly to the prescribed treatment. At the same time, I would like to inform you that you are not responsible for these symptoms. They just can happen to anybody. You need to talk and discuss your issue in detail to a psychiatrist online after which we can decide the exact diagnosis and a plan of treatment. | |
Suggest treatment for pain near right shoulder blade area
hi, when i straighten my back, i feel a cracking sound, (similar to cracking your knuckles) its not everytime i straighten, maybe once every half hour or so, its beginning to hurt. somedays it will hurt alot and some days it will be fine. Its next to the right shoulder blade area of the back | Hi, thank you for posting.I have gone through your query and I understand your concerns.I think that you suffer from vertebral column arthritis. To confirm the diagnosis you need:1. Vertebral column X-ray.2. Fibrinogen test.3. Complete blood count.4. Urine test.The treatment of this disease contains non steroidal anti inflammatory medications. Massage is also recommended.Consult your neurologist.All the best.Dr. Behar. | |
Missed dosage of Femedette. No period, pregnancy test negative. Had unprotected sex
I missed 3 pills roughly half way through packet I'm on femedette pill I took 2 and carried on as normal I bleed for 3 days after missed the 3 but like I said carried on taking rest as normal plus took extra week from new packet it's been a week since taking last pill and still no period I took a test yesterday negative but did have unprotected sex in the 3 days | Hi,I think without taking advice of your doctor you have taken this medicine by your own.This is very risky and it seems that there is hormonal imbalance due to way you have taken tablets.This is the reason you did not get period.Wait for 2-3 days, if you did not get period, consult your doctor.Now onwards never go for self medication for hormonal medicine without consulting your doctor.Ok and take care. | |
Is having a tonsils removal surgery safe during pregnancy?
I m 19 weeks pregnant and am due to get my tonsils out in about two months.I have suffered from bilateral quincies in the past and it runs in my family I also have constant tonsil stones .It has taken me 8 years to finally get a referral and a date for surgery and if I cancel I have to redo all of it again and it will take longer now that I m older i don t know what to do should I risk it and get surgery as I can be in pain for another 8 years and everyone is just telling me to cancel but I m not willing to give up my chance to finally be sore throats free | You can undergo surgery . But be cautious about the antibiotics you are given during and after the procedure.Amoxicillin, Cephalosporins are safe during pregnancy. Fo pr pain relief paracetamol is safe during pregnancy. | |
What could cause heaviness at the point below bypass surgery?
Sir, after a by pass surgery was done on me in the month of August. 2011 now whenever I eat anything I feel heaviness at the point below where cut was made. Also I feel heaviness whenever I start walking. In other words I have to wait for a while and then start my walking.Please advise accordingly. Regards-vijay suri | dear patientby history it is looking like angina...you must avoid walking after meal...you should consult cardioloist for these symptoms | |
Suggest treatment for thrombocytopenia
Hello I wanted to ask I was rushed to the emergency room upon last week thursday and I was diganosed with thrombocycopenia and they were unable to fine the cause they told that my count has droped from 700,000 below a 100,000 and I been exspercing weakness been very tired and bad heah ackes I wanted to no what should I do or should I be worried? | Hi, dearI have gone through your question. I can understand your concern.Your platelet count is low. There are many causes of low platelet count like viral fever or malaria. Treatment depends on the causes. You should go for completed blood count and peripheral smear examination. It will help you to find the cause. Then you should take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
What is the treatment for broken ankle with severe pain?
I was on hydrocodone all last year and since I broke my ankle I ve been in pain once off pain meds! I have to travel this week so I m scared of not walking. My ankle is still hurting! However my previous MD is not up here in Michigan where I moved. Otherwise I would have contacted him. Dr s extremely limited here! | Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you should consult orthopedic doctor for your ankle pain. You broke your ankle before 1 year and still getting severe pain if you stop your painkiller. This suggest that either there is poor healing of fracture or there is nerve impringment (nerve in between two fracture segments). So consult orthopedic doctor and get done clinical examination and MRI of that ankle joint for the diagnosis of above mentioned possibilities. You may need re surgery for proper fracture healing. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
How to reduce stomach after sigerian operation ?
gudmng! i got sigerian operation 5 months back. my stomach is big, how could i reduce it & get normal | Hi Welcome to HealthcareMagic After 5 months of a c section , one can start normal exercises of abdomen and pelvis like floor exercises ,pelvic exercises ,stomach exercises, cycling , aerobics and yoga.These days specific post pregnancy exercises are also demonstrated in a fitness class. But before doing this, i advice you visit your gynec and get the permission after examination. Follow a good diet, brisk walk, drinking lot of water will help you a lot Wish you good health | |
How to stop heavy bleeding due to use of birth control medication?
I have pcos and recently have been on my period for several months. My dr put me on birth control for 1 month and then started me on tamoxifen and dexamethason. My period is getting heavier instead of stopping and now I am really concerned because when I changed my tampon and wiped I had a large clot that was dark brown about 1cm thick and 2 inches long. It was also about the consistency of a wet cotton ball and had a secondary clot inside of it that was about half the length and a little thicker. I am having severe cramping that is getting worse. I cant get in touch with my dr at the moment so any info would really help. | Hello,I have gone through your query and understood the concern. I would like to know why your doctor suggested Tamoxifen and steroid. Your symptoms suggest that you are experiencing metropathic cycle. The clot could be a discharge of endometrium as a whole. You need further evaluation which includes coagulation profile, blood counts, hormone profile, urinalysis and sonogram of the pelvis preferably in the trans-vaginal route. Maintenance of a normal BMI and regular exercise is also important. Supplementary therapy is also needed to aid in the treatment. Styptics are needed to control the bleeding; hormone courses may be necessary to check the bleeding and set the cycles on track. Metformin is of help if insulin resistance is detected. Hope your query has been answered. Take care. | |
Can i take Topomax 25mg for hair fall?
I have been on Topomax for about 1 year. In July my hair started falling out. In August my Neurologist reduced my dosage from 50mg to 25mg. After two months my hair was still falling out, somewhat less. I stopped taking Topomax six days ago. I have had a headache for the past four days. Is this a normal adjustment? Can I resume taking 25 mgTopomax today? I'm not able to contact my Neurologist. Thank you | Hi,You may continue topomax. The hair fall is telogen effluvium. There may be so many other causes like vitamin deficiencies,mineral deficiencies, anaemia,stress,anxiety, thyroid dysfunction or any other internal disease. Consult the Dermatologist for the perfect diagnosis. You may take biotin containing tablets,iron preparation, multivitamin cap,vitamin E ...etc for long time. And avoid stress and anxiety.Take care of scalp hygiene. Do meditation,yoga and exercise. Take healthy and nutritious food.Hope this helps.Dr.Ilyas Patel, Dermatologist | |
Lower back pain. History of herniating discs. Is it related to kidney or liver?
I have had mild and at times, severe lower back pain . I injured my back at age 30, herniating discs and thru doctors found that arthritus set in 12 years ago. Usually I have episodes when it will incapacitate me for 2-3 days. Now I have severe pain and aching in my lower back just below my waste that had gotten severe for a week or two but it has not truly subsided for a month now. I am worried maybe it is related to kidney or liver . I do not have medical insurance and I cannot afford to see a doctor, Please advise. | Hi, It seems you had previos history of trauma and lumbosacral disc.Present low backache is related to same lumbosacral disc.you need to consult your neurologist for same and get evaluated including MRI spine.It is unlikely to be liver because liver symptoms involve R) upper abdomen.unlikely to be kidney , as such patients have more of loin pain and urinary symptoms. | |
What causes tenderness in the lower abdomen?
I had kidney stones a couple years ago and yesterday I started have a lot of pain on my right side both in the front and back - the back it seems to be about the waist level midway from the spine to my side - the front seems to be again about the waist area but maybe a little lower - both areas are even tender to touch and hurts when I stand up and sit down - it really hurts to bend over as well - could this beginning kidney stones again? | Hi, As you say it indicates there is a possibility of kidney stones and pain from which radiates to the backside. Let me tell you a few questions: Do you feel nausea, fever? Is there any pain in the thigh region or testes? Is your bowel ok? Is there any problem in urination? Let me know so that you can be precisely guided well. I hope you will update in feedback. You can also get an appointment with a physician where examination can be carried properly and accordingly cause can be precisely identified and managed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Soheel Hussain Zargar, Dentist | |
Does a pilonidal sinus re-occur after its surgical removal?
Hi, im from Malta and around 2 months ago i had a surgery to remove a pilonidal sinus which was after stitched with a drain connected to remove excess fluids. Around 3 days ago i woke up feeling some pain in that area and now the area is red and swollen and i feel pain when i sit. Will it come back? I am currently in Germany, I moved here around a month ago and have no health insurance yet, therefore I am scared of what might happen. Is there something I can do to make the recurrence not happen? | Hi, Usually, it does not, if the whole of the sinus track is exposed and lay open is done.But it can if the entire length has not been excised. As per your symptoms, there might be a local infection at the surgical site.You can take antibiotics like Amoxicillin.NSAIDs like Advil will reduce the pain and inflammation. Avoid pressure on the site.If the symptoms continue, see a general surgeon. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. AJEET SINGH, General & Family Physician | |
Suggest treatment for foreskin infection
Hi Dr i am having problem with my foreskin. I am married and i was having a good sex life but from last few weeks i had seen that my foreskin gets too tight when i have erection and also small cracks gets developed on foreskin. Although there is no problem in retraction of foreskin but during erection i have pain and irritation on skin. Also i had been applying dettol hand wash to clean off the foreskin regularly but after this problem i stopped using it an applied Neosporin for three days and some how i got relief but again when i applied dettol hand wash the same thing started again. Pls help me. | Hi, Thanks for posting in HCM. I have read your description and understand your concern. It appears that you could be having inflammation of the skin underneath the foreskin, which might be slightly edematous and thus causing tightness during erection. Kindly stop using Dettol handwash to cleanse the area. It would be better if you use mild antiseptic solution like Savlon twice daily to cleanse the area. After drying, apply Neomycin with Hydrocortisone cream over the affected area. Also, take anti-inflammatory medication Tablet. Ibuprofen twice daily after food. Kindly abstain from sexual activities till the symptoms subside completely. Also, make sure to use appropriate lubricant while indulging in sexual activities. Gradually, your symptoms should subside and be back to normal. Hope the information provided would be helpful. All the best. Regards, Dr. Ashakiran.S., MBBS., MD. | |
Suggest treatment for the pain caused by a fall on the butt
Hi Im a 55 year old female. I slipped and fell on my bottom three days ago. The pain was bad but it seems to increase day by day. I tried all antinflamatories but it eases the pain just a little and then it comes back worse than ever. Strangely enough the worst pain is on my right side. Down my right leg and into my groin. The nights ar the worst. I cannot get up or change positions. Its really very sore. Did i do much damage? Thank you so much. Magdaleni | hi,thank-you for providing the brief history of you.as you mentioned you had a fall on the hip and the pain is persistent on right side, I suspect it to be a soft tissue Injury for which taking an MRI for the lumbar spine will add-on some understanding. Also, the pain you are facing down the leg from the hip it looks pinching of nerve due to soft tissue Injury. Also, try performing some core stability exercises, pelvic floor exercises, spine Strengthening exercises, gluetus Strengthening exercises and lower limb as a whole Strengthening exercises. Usually 99% of the cases recover with exercise. Also as you mentioned your age as 55 and female, you need an additional calcium supplement which can be fullfilled by either of it - milk, curd, medicine etc.with the grace of God I wish you a speedy recovery | |
Suggest treatment for excessive hair loss
Hi sir, can i use Tugain without any consultant of dermatologist ,as i am loosing my hairs .its falling down...i usually saw broken hairs on my ears and neck some times.. please advise the best possible solution with prescription of hair oil, medicines etc | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Tugain usually takes a minimum period of 6 months for its response. So please patient. You can use Hair serum along with Tugain. But, my advise is to consult your Dermatologist and follow his instructions.Hope I have answered your query. Let me know if I can assist you further. | |
Is Cephalexin prescribed for swollen gums and infection?
I've taken Cephalexin, 500 MG, 4 times a day for 11 days now. Persicibed by an oral sergeon for swollen gums, infection. Suppose to go under and get some teeth extracted in 6 days. My problem, it's Sat. after midnight, can't talk to my Dentist till Mon. My jaw is still swollen, painful, cant hardly eat, so still have infection, is there a stronger anti-biotic he an give me? Have taken med faithfully every 6 hours, swelling seems to move around alittle and swelling goes down then is back. Getting lots of sleep too. Thax for wasting my time while I'm in such pain, nothing was ever mentioned about $ for an answer, till the very last click. Your just another scam on here. | Hello, Welcome Thanks for consulting HCM, I have gone through your query, you have swollen painful gums , Dont worry you do warm salt gargle two - three times a day, Do Chlorhexidine mouthwash twice daily , Take antibiotic Amoxicillin 250 mg three times a day for three days One tablet Metronidazole twice daily for 3 daysOne tablet Vitamin B complex once daily for three daysHope this will help you Wishing you good health. | |
Can cancer be spread by blood to another person?
My ex-boyfriend had a kidney cancer. He had some blood in his urine and we had a sex. Can this type of cancer could be spread because of the blood? | Are you crazy?? I hav enever heard of anything happening like that. Usually cancers are not contagious unless it runs in your family. Anyawys..all the best..get a doctor opinion done for this. | |
What is the treatment for lumps at the bottom of the testicle?
I have only started checking my testicles recently . Anyway I keep finding these two small lumps at the bottom of my testicals . There is one lump at the bottom of each one. They are not on the testicals seem to be separate. And seem to be connected to veins . I can only find them some times on a warm day or when I am in the shower . Anyway some information would be fantastic thanks . | Hi ! Good evening. i am Dr Shareef answering your query.The description of yours of the lumps seemingly connected with the vein could be a bilateral vericocele (dilated veins) which is not uncommon in young adults specially in those who stand for prolonged periods of time. However, they are not very clear cut lump as noted by you. This could be some kind of benign cyst connected to the testes. It might not be possible to give you an exact diagnosis without clinically examining you and so I would suggest you to consult your family physician or a general surgeon who after a clinical examination of the lumps could tell you what exactly they are and the way these should be treated.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
How to treat a person who has frequent flashbacks and flinches when touched?
My friend has something wrong with her psychologically. I don't know what it is. She has flashbacks, some worse than others. When she's in a flashback, she'll flinch if you try and touch her. One of her triggers is if she gets startled by people, like if someone come | hithanks for choosing healthcare magicKind of symptoms you are telling is towards post traumatic stress disorder. it could be due to some underline stress which is triggering such response. she needs immediate psychiatrist consultation. Thanks | |
Should we try to save an amputated, infectious and failing kidney patient?
patient with toes amputated, infection returned, vascular disease, diabetic, kidneys failing, frail condition, family chose not to have more surgery, withdrawn all helping medications, only giving pain medications, withdrew insulin pump, no feeding tube as patient can no longer swallow-Should more been attempted to preserve this life, or slowly killing patient as it appears "merciful" | Hello!While it is hard for me to comment without knowing the specifics in this case it is a classical medical dilemma care givers face the world over. If the patient is not very old ( above 80 yrs) my view is to give it everything you've got- the full gamut of medical, surgical & supportive therapy and then let the 'body' decide what it wants to do - stay on or go.Best of luck! | |
Is there any chance of infertility after taking unwanted 72 pill?
is there any chance of infertility after taking unwanted 72 pill for emergency based?? i have taken two pills consequently 12 hours after first now my periods are delayed. is this delay only for this month or for coming months too?? after how long my periods would be normal? | Hi,I read your query and I understand your concerns.Following is my reply:1) There is no chance of infertility with this drug.2) It takes about 15 days for cycles to be normalLet me know if you have anymore questions.Regards,Dr. Mahesh Koregol | |
Q. How to overcome premature ejaculation using ayurvedic medicines?
Hello doctor, How to overcome premature ejaculation? Can I use any kind of ayurvedic spray during intercourse? | Hello. The best medicine for premature ejaculation is regular intercourse with a shortened period of foreplay. Also, avoid long gaps between coitus (sexual intercourse). We never suggest any type of spray, lotion or oil application during intercourse because it might harm your genital organ. But, ayurvedic oral medicines may be taken. Capsule Stresscom, two capsules to be taken twice daily with milk in the initial phase. For severe and chronic cases, other medicines are added depending upon the condition. | |
What causes elevated triglyceride levels while suffering from diabetes?
my husband 41 yrs old.he is diagonised high blood sugar(300)...high triglycerid is 750 just 10 days back.he is taking metformine hcl 500mg once in a day,atorvastatin 20mg half at bedtime,Glimepiride 2 mg 1tab everyday...and he is monitering sugar level everyday twice. today his sugar level 108 at empty stomach ,118 at evening after dinner. My question is that 1) which medice is for triglycerid? and is triglycerid level high bcoz of sugar?and what should be the next step to reduce his suger and triglycerid level? 2) does he need any cardio check up,ECG? | Hello,Ezetimibe drug is to be added to Atorvastatin drug for triglycerides. Atorvastatin dosage is to be increased to full 20 mg tablet instead of half. Triglycerides are due to disturbed carbohydrate metabolism in diabetes.To reduce triglycerides, please restrict alcohol, sweets, and fast fatty food. Also, do a morning or evening walk at a moderate pace.Yes, all diabetic patients should be assessed for cardio status by blood pressure checkup, ECG, chest x-ray PA view. If some problem detected, then do stress echocardiography.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Varinder Joshi | |
What causes tightness in roof of the mouth?
tightness in roof of mouth that can be relaxed consciously, but then tightens again. Seasonal allergies. age 58, great health. Weight 120, height, 5'3" exercise regularly, blood pressure low, take no medications but several supplements.Similar problem a few years ago when doctor tried wellbutrin for management of hot flashes. | Helio, Seasonal allergies cause stress to the oral environment. Breathing through your mouth can dry out tissue. An allergic response such as post nasal drip can irritate the throat and roof of your mouth. Breating in with force in an attempt to clear your throat and sinus is particuariily drying to the throat. Try an ant-histamine for relief. Benadryl has antiinflammTory benefits. Warm salt water rinses are soothing as well. Keep well hydrated and avoid irritants. WTch out for an acidic diet. Even too much citric acid in orange juice can irritate the mouth.You report being healthy and I will assume you are up to date with your routine dental exam and cleaning. You should rule out a any dental infections. Think of any changes recently made to your diet, habits or products used. Possible reactions to preservatives are possible. You can try to look for triggers to help with a diagnosis. I can provide more suggestions if you inude more details and description. Keep in mind hormonal changes can affect your tissue health and cause changes in tissue quality.Thank you for your inquiry. I have tried to be helpful in giving you ideas to investigate further and some siimpler methods to reduce your discomfor. | |
Have allergies, cramps in limbs, finger and hands. Taking prednisone, lipitor, atorvastin. Suggest?
I want to know the side effects of prednisone that I'm taking for allergies. I don't know if my atorvastatin is causing my feet and leg cramps and also my fingers and hands. I have a call in to my doctor. It's now keeping me up at night and happening during the day. He changed me from 80 mg. of lipitor to 80 of atorvastatin and since I've been using it, I have now had severe cramping. I only slept 2-l/2 hours last night. | PREDNESOLONE IF TAKEN FOR LONG TIME CAN CAUSE THESE THERE ARE SIDEEFFECTS OF PREDNISOLONE AT EACH SYSTEM HEART LUNGS EYES SKIN MUSCLES AND EARS AND NERVES AS YOU TAKE LONG TIME THESE SARTING APPEARING ONE BY ONE ATORVAS IS CHOLESTROL LOWERING AGENT WHICH GIVE THES EFFECT ALMOST NIL SO GET CHANGED YOUR PS AND SHIFT TO SAFE ANTIALLERGICS IN CONSULTATION WITH YOUR DOCTOR |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.