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Q. What might be the reason for high ESR?
Hi doctor, My father is 72 years old. His ESR is 102. All kidney, liver and hemoglobin are in the range along with clear chest x-ray. Recently, he had right ribs and collar bone fracture. Also, he was diagnosed to have hemopneumothorax and chest tube was given for that. What may be the possible cause for high ESR? | Hello. I had gone through all the details posted. ESR is an acute phase reactant (erythrocyte sedimentation reaction). It suggests that there is something is going on inside body, but it does not localize the problem. Any infection, inflammation or low hemoglobin can cause raised ESR. I can have a look as some subtle variations you may not be aware of. As it is more than 100, it is better to do serum protein electrophoresis to rule out multiple myeloma. Kindly upload the reports and chest x-ray if possible and the search for the cause depends on history and symptoms rather than on investigations. Revert back with the reports to an internal medicine physician online --> | |
What is the treatment for a painful lump on the calf?
Hi, may I answer your health queries right now ? Please type your query here...I am a massage therapist with a client that complains of a lump below his calf-it doesn t hurt with running or jumping activities but is tender to the touch. I don t know if massage would even be tolerated and I am hesitant anyway. He doesn t recall a specific incident but it has been present for 10 days. Thoughts? Thank you for your time! | Hi, dearI have gone through your question. I can understand your concern. He may have some injury and it leads to hematoma formation. He should take analgesic plus anti inflammatory drugs. It will clear within few days. If pain remain persistent then x ray of that lical part is needed. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What does different blood pressure reading from each arm indicate?
Good day, my blood pressure is different from each arm, i have 120/100 in left and 130/100 in right, i am not feeling anythingm no symptom associated. I just woke up from night duty, i am working 12 hrs sometimes night shift and alternate with morning. I am only 24 years old with normal bmi. Should i worry about this? | Hello, Usually, there is a difference between blood pressure in two arms and in the same arm at different time intervals. The largest value is taken as reading. Diastolic 100 is not good. Usually, night duty staying awake increases blood pressure. If the diastolic is persistent above 90 mm then you need treatment. Avoid tea or coffee. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Varinder Joshi, General & Family Physician | |
What causes high blood pressure , vomiting and dizziness?
my husbands blood pressure spiked to 222/100something. He also vomited & was dizzy. Doc said he had low sodium & was dehydrated. Put him on nifedipine 30 mg. Told him to drink water to hydrate himself.. Is this wise if his sodium is really low? Can not see family doctor for another week | Hi. That would not explain the accelerated hypertension he had. Monitor his sodium levels. Continued nifedepine. Take care. | |
What to do for tooth decay?
Hi, my name is Lshaepriel Calaway from Atlanta, Ga and I am in need of some serious answers on this tooth decay. First is it carried thru genes because I thought it was just me but my 11 year old son has rotten tooth and are decaying slowly already just like mines. My tooth are soooo bad I can barely chew anything which means im not eating much and im losing way too much weight but the truth is I was just tooooo embarressed to go to a dentist at first and now since its me and my son I definitley need to get to a dentist ASAP but we have NO INSURANCE at all not even medecaid...what do I do doctors..please help me. thanks. | hI,Thanks for asking the query, Tooth decay is an irreversible process in which the bacteria of the mouth causes decomposition and cavity in the tooth, if not treated in time it spreads to the sensitive pulpal tissue causing toothache. I would suggest you to consult to a Dentist get a checkup and get the tooth restored, also get complete mouth scaling and polishing.After eating of sticky substances gargles.Brush your teeth twice daily.Maintain a good oral hygiene.Take care! | |
What causes mosquito bite like rashes all over the body?
Hi, i have these misquotes like rashes all over my body, they itch really bad, my daughter is now forming this, I went to the hospital he said viral infection, I went to the doc he said bug bites, not sure what it can be, mine is getting worst..I didnt have any more marks appear in a couple of days and now I have four new ones.. | HIThank for asking to HCMI really appreciate your concern, looking to the history given here I could say that this could be hypersensitivity reaction and this would get alright with the treatment given here "Tab Levocetrizine" 10 mg three times in day no need to worry about this, hope this information helps you take care and have a nice day. | |
Suggest treatment for avascular necrosis of hip
I have avascular necrosis of the left hip and was diagnosed when I was 13 mos sober. ye I saw a specialist when I was 14 mos sober and he said that it would probably grow back. Is this true? Also, my PCP, after getting the diagnosis thought that I had started drinking again, but I haven t. It upset me very much that she thought this way. I don t think she understands about the recovery process and I don t think she should have patients who have addictions. What do you think? Thank you. | Hello,The treatment depend on the avascular necrosis stage.In early stages , core decompression with or without bone graft is typically considered the most appropriate treatment.In late stages, characterized by collapse, femoral head deformity, and secondary osteoarthritis, total hip arthroplasty is the most appropriate treatment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Dorina Gurabardhi, General & Family Physician | |
What causes sleeplessness in a 9 year old?
Hi dr. My son is 9 years old and sports (Fencing) 3 times a week. Lately he get very warm when he is going to bed and for a couple a weeks becames more and he can t sleep so good. Do you have a answer for this? 2 weeks ago I tested his blood and everything is normal but I am stressed up please help. I am very worry | Hi Thanks for writing to Healthcare magic.I would request you to provide more details regarding the child. Like temperature chart, Dies he take enough water to drink, is he hydrated properly. Is he complaining of any bodyache? This would help me to assess case. | |
What causes sleep disorder and bags under eyes?
My nephew is two, still does not sleep threw the night and has bags under his eyes all the time. He also is still very oral , every thing goes in the mouth , he licks my wall , puts leaves and pine needles in his mouth any thing he touches it goes in his mouth. I think something is wrong. What do you think. | Thank you for posting your question.The number of hours of sleep that can be considered adequate for any child is usually individualized. It depends on the pattern that has been formed from the beginning, the diet that the child consumes, the level of activity the child has , the routine of other members of the family, the sleep conditions provided to the child in the house etc. Although sleep is also likely to be affected in any disease process going on in the body, if decreased sleep is a routine affair for the child then it is unlikely that it would be due to any illness. The process of ensuring good sleep for the child would be long, requiring continous efforts and patience. Certain tips that could be used include increasing the level of activity in the child, avoiding day time sleep as much as possible, giving a glass of milk before bed, giving a warm bath before bed, making sure other family members are asleep and lights switched off in order to provide an ambience to the child etc.Having said so, one cause that is often overlooked and causes sleep disturbances in a lot of children is obstructive sleep apnea. This occurs due to obstruction in any part of the upper airway due to either a deviated nasal septum/ tonsillar enlargement/allergy/cold/obesity etc. It usually manifests in the form of snoring and disturbed sleep at night and is considered if it causes day time irritation/lethargy or other system involvement. If it is suspected consulting a doctor would be advisable.Apart from this, the habit of eating unedible substances also known as pica could be due to deficiency or iron or calcium which may be corrected be giving supplements. | |
Q. My daughter has a throat infection, and cough. Please suggest some medicine.
Hello doctor, My 23 years old daughter is having a throat infection, sore throat, and cough from yesterday. No medications taken so far. | Hello. Did she develop a fever? If she did, then it indicates a bacterial infection mostly and hence antibiotics should be started. If she has only throat pain, without fever, I will advise doing saline water gargling (a pinch of salt in warm water), at least three to four times a day. That will help all the mucus to come out, and help in faster recovery. If she has developed fever with body pain, then it is better to give her Levofloxacin 500 mg once daily for five to seven days, depending on the severity. For fever Paracetamol or Calpol or Dolo 650 can be given after food. For her cough you can give Codeine syrup two teaspoons twice daily based on her severity. | |
Blood from mouth. Heavy fever and joint pain. Endoscopy is normal. Help?
Hi, One of my family member is having some health issue since 1 year now, she spits blood from her mouth , We have taken her to various doctors like : General physicians, ENT Specialists & Orthopedics , We also did the test & scans like : Blood test [twice], X-ray , UV-scan [twice] & Endoscopy , all the test result are normal & no doctor as if now is able to explain us from where the blood comes into her mouth & why. She feels the blood smell in her mouth & when she spits the blood comes out, initially the blood was coming along with the spit but from few days it seems to be the pure blood only. During this course she was facing heavy fever & recently she was also having the Joint pains with swelling. Apart from all this we are worried as we think that the blood should not come out the mouth for no reasons but all the doctors are assuring that she is normal & are confident that everything is normal as the Endoscopy result is normal. It is good to hear that she is normal but we would like to make sure we do everything to make sure she is completely fine [test or medicines] & the reason why the blood is coming out of her mouth. We all will be very grateful & thankful if you can help us in giving the right & the best guidance & advice. Thank you once again himansu | Hi, I feel that there should be some cause of bleed. In case your endoscopy is normal,it is unlikely that the bleed is from GIT.According to your history , it seems to me that the source of bleed might be from the respiratory tract. For that you need to get her chest X Ray, ESR,CBC,INR etc.She might need a invasive test like bronchoscopy to look for the source of bleed.Hope it helps. | |
Suggest treatment for 100% heart blockage?
my mother in law when to emergency room she was told had a minor heart attack she had 100% blockage the doctors placed one stent. Now the question is should she have more stents placed or have bypass surgery but the the surgeon suggest she needs more stents placed becuase her left artery is blocked the right artery is blocked and the middle artery is blocked but its not really needed. Is this the best decision to have stents placed or should she have bypass surgery? Her medical history is 61 year old african american, highblood pressure, and diabetes. | Hi, As you have mentioned about your mother in law-61 yr, Diabetic, Hypertensive, African-American. She had heart attack for which she must have underwent coronary angiography and subsequently angioplasty (stenting of 100% blocked vessel which is called as culprit vessel as blockage in that vessel is responsible for symptoms of heart attack and ECG changes) Also there are blockage in other vessels as you have mentioned there is need for revascularisation procedure either stenting or coronary bypass surgery. Either of two procedures will be selected depending upon1) age of patient usually in young patient stenting is preferred. 2)nature of blockage like in patients with long standing Diabetes there are usually diffuse blockages (long segment of vessel is narrowed) in such patients bypass surgery is preferred over stenting. 3)Number of blockages more the number bypass is preferred. 4) Other comorbid conditions. 5) Duration of hospitalizations usually less with stenting. 6) In case of Calcification of vessels bypass surgery is preferred. | |
Can i reduce the dose of 'acitrom' if INR is raised?
my mother is taking acitrom from last 6 years , daily she was taking 5 mg/day for controlling the pt/inr to 2.5 now she is in oman from last 6 months , after taking this dosage her pt/inr level is going up to 5.5 & some time blood coming from nos now we reduced the tab to 3 & 4 in alternative days \ is any problem ?pls help | Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. High INR increases the risk of bleeding and most of the times, internal bleeding can be critical.2. If the INR is maintained between 2-3, with reduced dosage, its ok.3. However, discuss with your health care specialist and also get your INR checked twice to avoid laboratory errors, as 2.5 to 5.5 is a massive difference and other medications may be contributing to variations.Hope it helps.Any further queries, happy to help again. | |
Will Susten tablet help in conception ?
Iam trying to conceive for 3 to 4 month .... doctor gave me fertiliy tablet for 5 days .......during my 25 th day she gave me Susten tablet for 10 days ...whether it will help to pregant? | Susten is not helpful in getting pregnant some doctors give it to the women trying to conceive during the 2nd half of mentrual cycle emperically to overcome any potential progesterone deficiency so that If a pregnancy do occur, the chances of it being lost by progesterone deficieny can be minimized . | |
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. | |
What causes tiredness in a child?
Hi, my 12 year old son is tired all of the time... just lacks energy. We started homeschooling 6 months ago per his request... he is advanced academically and this works well for him. He has friends he see, plays sports, doesn t seem depressed. could this be puberty? He gets 10 to 12 hours sleep. | HiWelcome to the HCMI understand your concerns but don't worryIt seems to be due to pubertal changes. Ensure a good healthy diet and plenty of fluids. Also, some exercise and outdoor sports will be of help. Rule out anemia by hemoglobin levels.Take care | |
Feel large mass in lung while breathing deeply. Should I seek medical attention?
hi I m a 13 year old female, and for the past 5 months I ve been swallowing large amount of food down my windpipe. I ve noticed that when I breathe in deeply it feels like there s a large mass in my left lung.I wanted to know if this would be harmful to me anyway, or do I need to go seek medical attention. | Hello First i would recommend you to do a chest X Ray for evaluating your lungs.Discuss with your doctor for this.Regards Dr.Jolanda | |
Need to undergo drug test. Taking vitamins, cold liver oil pills, exercising will help to clear test?
Hello, im currently about 145-150lbs at roughly 6ft tall so im fairly skinny but muscular, i am a heavy weed smoker but i havent touched or been around it for exactly 10 days now and i have a drug test coming up, if im taking multi vitimans and cod liver oil pills and start sweating by exercising will i be able to pass a test within the next week | HIThank for asking to HCMIt is very much obvious that if you are taking any narcotic drugs then why to worry, but if you have taken any narcotic preparation in recent days then the chances of detecting it in serum level is most likely, the effect of it can not be eliminated with any other drugs, take care, live life decently. | |
What could itchy armpit with rashes/lumps suggest?
Hi, may I answer your health queries right now ? Please type your query here. My left armpit has been itchy for 2 or 3 weeks now. My right armpit is just fine. there is no rash or any visible sign of infection. The left armpit is also slightly sore to the touch and at times feels like there is a lump in it. Is this something that I should have checked out further by my family doctor? | welcome to Health care magic.1.Yes, You need to see your doctor. As the present condition might need a course of antibiotic course or depending on the size and condition of lump a small incision and drainage might be needed.2.The possibilities are inception of the hair follicles ( carbuncles / furuncles ) and superficial rashes could be due to the underlying infection.3.Recommendations - avoid shaving for some time, use trimming it will help in healing process.4.Try to keep the area dry and hygienic, avoid itching. Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. | |
Can TB be completely cured and what are the precautions for that?
My wife aged 32 got the chest Xray and is diagonised as having TB. Firstly Xray showed kochi's lesson and after a week the xray showed pnneumonic consolidation; later one week the chest xray revealed kochi's lesson means she is TB possitive. Now we are asked for a medication level 3 to be continued for 12 months by the physician. Will TB be complely be eradicated and can we have the se during this medication. And what all precatuitons be taken now. | Hi. I can understand your concern. Any organ can involve with TB.Pulmonary TB usually presents with chronic cough more than 2 weeks duration, loss of appetite, loss of weight, evening fever.If you are having pulmonary TB and have not taken treatment for TB before, then you will require 6 months of anti-TB medicines. Along with that you will require nutritional supplements. If taken regularly your TB will be cured.Don't worry, she will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
Q. Is it advisable for TIA patient to take turmeric and blood thinning medications?
Hello doctor,My amazing 67-year-old dad who runs 10 miles a day just had his first TIA. The hospital did an array of tests and did not see any sign of it afterward but they are sure that is what it was. He and my mom are changing their diet and I am researching supplements. They are changing his blood thinning medication so I am not exactly sure what he will be on. But I read that one should be careful in taking turmeric and blood thinning medications.However, it would be great for him to be on turmeric because of the other benefits. What precautions would you recommend when it comes to this supplement and preventing a stroke? Any other supplements he should get on right away or talk to his doctor about? | Hi. I would like to bring into your notice that he should avoid turmeric as well as Fenugreek seeds in diet, as they have blood thinning potential. However, the potential is low, but can get aggravated by blood thinner medicines. As far as diet is concerned, he should completely avoid fast food, oil, alcohol, and smoking. A regular walk should be done, but make sure it is not done during cold seasons. I do not recommend any supplements. You may ask your doctor to add Vitamin B12 and Vitamin D to his prescription. Make sure he takes his medications regularly and get his check-ups done regularly. | |
What causes pressure and discomfort in lower left abdomen?
71 year old female. Pressure and discomfort in lower left abdomen, radiating down thigh. Doctor diagnosed diverticulitis and ordered liquid diet for a few days with flatly and cipro. But blood word and cat scan didn t show that. Doctor said it might be a mild case and to continue with medication. That was 3 days ago. Have gone onto soft foods now. Feeling no better. What could it be and what should I do now? | Hi ! Good evening. I am Dr Shareef answering your query.If you happen to eat from outside, please avoid it to prevent any chances of an intestinal infection. If I were your doctor, I would advise you for a stool test for ova and cyst and treat the same if positive. Urine routine/microscopic test with culture sensitivity if need be is a vital test to be done in your case to rule out a silent UTI. A normal CT scan of yours excludes any other intra abdominal patholgy at present. Your treating doctor anyway must have clinically examined your abdomen while prescribing medicines for you.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. | |
Back pain, swelling, took medicines, no relief. What could be the cause?
Hi, On Friday my mid-back started to hurt on the right side of my spine . The length of the pain would be about 4 inches along my spine. Since Friday, it has gradually gotten worse to where it is swollen (to the right of my spine on the mid side) and hurts to move in any way. At first, I tried heating pads but they didn t seem to help. Ice seems to feel good on it when using it now. The only thing that takes the severe pain away is Tylenol but when it wears off the severe pain comes back. I m not aware of anything that would have caused this. I was doing physical activity on Wednesday and thought it could have been related, but I didn t feel any pain in my back until Friday and since it has gotten worse I m unsure it is just a muscle pull. Any thoughts to what I might have or what might help? Thanks | Consult a doctor preferably spine specialist and don`t treat yourself and yes rest till then | |
What are the side effects of prolia?
I have had high radiation treatment for cancer, and as a result bone density has gone down and I have had a stress fracture T-12 in my back. I am considering reclast or prolia. The side effects concern me in prolia as I have many problems from too much radiation and chemotherapy, plus underactive tyhroid caused by chemotherapy. | hi,Thank you for providing the brief history of you.First we need to know what cancer you had and how was the treatment planned. Due to chemotherapy and radiotherapy there will be possibly loss of muscle strength and also the bone density. But its not a matter of worry as we can regain back all the possible benefits with later approach. You can discuss the same with your physician.Undergoing a balanced diet, nutrition, Sun bath, Calcium supplement etc will surely help further. Also for good absorption of all of the above you need to perform the regular exercises which will include - aerobics, strength conditioning, weight bearing exercises, etc.By undergoing a meeting with a qualified physical therapist will help further to put more inputs to the various protocols to help you in balancing the close normal functions.Also, the time may be a factor here, it may not be short duration but a longer one will surely provide the help to you.I have seen many with the same issues and have worked out based on the medical reports and we could achieve back the bone strength. But we took a pretty fair time.RegardsJay Indravadan Patel | |
What causes a fever with a rash?
8 month old granddaughter keeps getting a fever up to 103.7 and it will go down as low as 95.7 but the doctors can t find anything wrong with her and tell my daughter just to give her motrin and tylenol. She also has a rash, but the fever won t go away. | HiThis sounds like a strep infection if not viral and I would consider giving her a course of antibiotics | |
How to deal with hypertension?
DIAGNOSIS : Hypoxic ischemic encephalopathy MCA-PCA watershed zone infarct Systemic hypertension #neck of femur left, #shaft of femur left with multiple metatarsat #2, 3, 4, 5 HISTORY: 42 year old male, was admitted in West forte hospital Thrissur with history of RTA on 03/06/09.On 04/06/09 under went surgery under GA fort fracture of neck of left femur,shaft of left femur and multiple fractures in left foot (2,3,4,5).Post operatively patient was kept on ventilator for occasional oxygen desaturation. On 05/06/09 morning while preparing for extubation he had an episode of bradycardia and desaturation, hence vetilation continued. On 06/06/09 he developed an episode of AF, which was managed and patient was extubated. Initially patient obeyed commands but gradually his conditions worsened and became not able to respond verbally.CT Brain showed Traumatic SAH. He was continued on oxygen inhalation. Hence he had no significant improvement MRI Brain was done on 10/06/09, reported as normal. Hence came for further management. CLINICAL EXAMINATION: HR-84/MINUTE, BP-140/70 mmHg GCS: 6/15 PUPILS: PEARL Not moving limbs Extensor posturing to pain Upper limb reflexes-brisk B/L INVESTIGATIONS: Date: 12/06/2009 Potassiun; serun :3.68 mmol/L Sodium serum:145.5 mmol/L Date:11/06/2009 D-dimer;semiquantative-plasma :0.8 mg/L Triglycerides serum:166.05 mg/dl Cholesterol VLDL: 33.0mg/dl Cholesterol LDL serum: 118.3 mg/dl Cholesterol HDL serum: 30.8mg/dl Cholesterol total serum: 183.0 mg/dl Urine Fat globules: NEGATIVE PT [Prothrombin Time with INR]- Plasma: 15.5/14.60/1.07 s HIV – Emergency Screen: 0.05 Anti HCV –Emergency Screen: 0.02 0 HBs Ag Test- Emergacy Screen: 0.22 Urea – Serum: 60.2 mg/dl Creatinine;-Serum: 0.81 mg/dl Protein total serum: 6.2 g/dl MRI Brain: Edema and symmetrical altered signed intensities (bright on FLAIR,T2)seen in the precentral gyri which show restriction of diffusion in DW sequence. Altered signal intensities (parieto-occipital region) involving gray and white matter seen which are bright in FLAIR with diffusion restriction. Rest of the parts of cerebral hemispheres appear normal. Ventricles are normal in size. Sellar,suprasellar and parasellar regions appears normal. Brain stem and cerebellum appear normal .Evidence of a thin subacute bleed seen along the posterior aspect of the flax cerebri. No other intra/extraaxial bleed is seen. IMP | These changes are usually permanent but with time some defect may recover to some extent. Patient can be shown to speech therapists so that speech recovery can be fastened. | |
What causes a light colored rash on my chest and shoulders?
I have a light colored rash on my chest and shoulders. I've had it for four days now, and it does not seem to be getting any better. There is no explanation.... no new foods, lotions, etc.... and it doesn't itch. No cold symptoms either. At what point should I see a doctor? | Hello dear,Welcome to healthcaremagic.I have read your query and understood your concern.Such light colored asymptomatic rash can be due to many reasons like P. versicolor, P.alba and many more.I will advice you to visit your dermatologist at the earliest so that condition can be controlled in its initial phase before it spreads and involve the other parts of body.Or if possible you may send pics of the lesions so that i can actually visualize them and come to a conclusion.Stay healthy. | |
Is taking Postinor-2 effective to avoid pregnancy?
Had my be ejaculate close to my vaginal though there was no penetration then after 5hours, I took Postinor 2 and i happen to be ovulating when it happened, how effective is Postinor 2 that I consumed worked and prevent from pregnancy? and what is the indicator to know if it worked | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.1. There need not be complete penetration to cause conception. Deposition of semen or the pre-ejaculate on the vagina is sufficient as the sperms can swim efficiently.2. Use of emergency contraceptive pill within the stipulated time interval, like you have done, offers very good protection. Even if ovulation had occurred, the pill effect makes fertilization difficult and if there is chances to happen, makes implantation difficult. 3. You can expect withdrawal bleeding a couple of days after the intake of the pill. Your next natural period may get delayed by a week or two and if you do not see a period even after ten days, get further help.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shanti Vennam | |
What causes joint pains and breathing difficulty?
I have a history of pericarditis, pericardial effusion, pleurisy, pleural effusion all of that within 3 1/2 months starting in 2007. Sed rate at it s highest was 200, wbc at it highest 24500, positive for anemia, pos protein in urine, neg ana. Never diagnosed with anything and ruled out fmf, cancers, all the usual suspects. Was told probably inflammatory process likely due to autoimmune. I am still having symptoms, severe joint pain in knees which just started 3 months ago, still difficulity breathing a couple times per week (but lungs are clear) last anywhere from 20 minutes to 4 hours, now smelly foamy urine. Any ideas? | Respected Sir, hi I evaluated your query thoroughly.This relates to the decline in inherent respiratory effort drive due to microalveolar level changes not detectable in any of the tests along with anemia which is major concern.*Joint pains are different related to articular surfaces erosions or frictions or calcium and other elemental disorders.*Smelly foamy urine is directly indicating urinary tract infection.All measures you have to carry out at home are :-- maintain Hb level by high iron diet with Iron capsules or syrup.-- maintain your hydration levels with plenty intake of boiled water, coconut water, lemon juice, tea , coffee, butter milk etc.-- deep breathing exercises and YOGA for 30 minutes are a day is compulsory for you.-- avoid smoking / alcohol consumption if doing .-- light exercises at home with regular mor walking in fresh air for 20 min.-- keep BP , Blood sugar , cholestrol level , blood counts (which may require to consult family doctor if raised)under control.Hope this clears your queries.Thanks for using Health care Magic and reading my answer.RegardsWishing you a fast and speedy recovery from the same.Take care, bye dear. | |
Q. What causes frequent urination in a child?
Hi doctor, My question is for a child: 6 years, female, 22 kg. Symptoms: has frequent urination during day 5 minutes- 1 hour starting from about a month ago, if she wakes up at night she will go pee; she is diagnosed with pollakiuria and cystitis. The symptoms started with gradually more and more frequent urination. She has no pain when urinating or during a medical examination of the lower/higher abdomen. Stool is normal consistency with a frequency of 1-3 days. Other medical condition: General condition is okay, she has constant small pain around the belly button since she was little, unconnected to what she eats, time of the day or stool/pee; she is used to ignore it; she has a light form of vulvitis meaning it gets red and starts scratching so in order to fix this we use a dermatologic creme recommended by a dermatologist: Cicalfate; before bed each day, we wash her and use the creme; and the skin returns to a normal aspect if we keep using the creme; we tried other cremes as well, mostly they work but if we stop the treatment it starts inflammation again. There is no kind of liquid or secretion from vagina. | Hi. The child has only day time frequency. If she wakes up, then she voids. This is very significant history. This means there is no organic disease. A diseased bladder will lead to frequency day and night. No constipation, normal urine examination, normal ultrasound findings. Such frequency is transient behavioural issue. Do not pay attention to her demand to pass urine. Neither positive nor negative response. Stool habits are important, avoid constipation. During this transient period of symptoms: may give tablet Oxybutynin 5 mg extended release after breakfast. If persistent symptoms repeat urine analysis (no need of culture if no significant pus cells/ leukocytes). | |
What causes abdominal and back pain, nausea, vomiting with jaundice?
Hi Dr. Williams I came to see you today because I have been having some severe abdominal pain that came on suddenly. I have been feeling really nauseated and a few days ago I was vomiting a lot. I get jaundice and when the pain is intense it just doesnâ??t stay in my abdomen it radiates to my back. I have tried a few exercises or positions to see if they can help with my pain and what I have done was get in a sitting position or I would just adjust my knees upward. I have an idea as to why this is happening to me because I have been drinking for the past 12 years and it is more than 4 alcoholic beverages a day so I do believe that my excessive drinking is the cause of all these problems. Can you give me your thoughts as to what you think this could be? | Hi,From history it seems that there might be having problem with your liver as you got severe pain, jaundice and severe nausea.You require ultra sound of liver with Liver function tests to know the problem in liver.This problem is definitely due to your drink habit for long duration of drink and more amount of alcohol.Consult gastro-enterolgist and get examined.Ok and take care. | |
Suggest treatment for high blood pressure
I am a 40 year old female and have have some mildly high blood pressure readings over the past couple years. I am not over weight and fairly physically active. My reading can vary quite a bit but my systolic is usually 120-135, my diastolic can be around 84 up to 95 at times. I read and have gotten some conflicting recommendations if I need BP meds, it seems that systolic is the number of more concern, is this correct or is that just for older adults? Since I am young I would rather not be on BP meds if I do not have to. Are any supplements recommended besides reducing salt, diet, exercise, all these things I have already done. Thank you for your answer! | Hello, After going through your medical query I understand your concern and I would like to tell you that definitely lifestyle modification like low dietary salt, moderate exercise can keep your blood pressure healthy. Keep noticing your blood pressure, if after lifestyle modification your blood pressure is more than 140/90 then only you need medication otherwise continue with a healthy lifestyle. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Tooth pain due to tooth abscess. Prescribed Augmentin and Metrolab. Can I take Diclofenac?
I am having severe tooth pain because of tooth abscess inside two teeth with crown. Doctor advised to take Augmentin and Metrolab before proceeding for root canal . Also given diclofenac potassium tablets as pain killer. but even after two courses the pain is not subsiding. can i take diclofenac after 4 hours from the previous take? | Hi, Thank you for the query. Tooth abscess presents with severe radiating pain and has to be drained adn rootcanal treated. This treatment is followed with a course of antibiotic and analgesics. Diclofenac potassium should be taken every 6to 8 hours , every 4 hrs is not advised as it will lead to gastric irritation , heart burn. Hope this helps you. | |
What is the cause for pain in the right rib cage when i breath heavily?
Hi i have a cold for three days and tonight after my dinner my right rib cage hurt when i breathed heavily i would like to know how i could deal with this because it went away after about 30 minutes of laying down. Some people said that my chest is congested but im really not that sure please help me thanks. | Hello, What I feel with the history that, there will be nothing but the congestion in the chest. If you get the same incidence of pain again please do think other wise and get a physician opinion. Because usually with chest congestion people almost give once in a while similar complain and making then under diagnostic procedures is not good all times. Still, for your safety and peace of mind, you can opt for one x-ray which can reveal the clear picture of the lungs. For chest congestion please use some steam therapy and do a regular breathing exercise. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
What causes diaphragmatic breathing?
Hello, I have noticed that in the last 10 days, my son keeps taking deep breaths (about every minute or so) more so when he is sitting or relaxing. I also monitored him during sleep and he doesn t have any problems. He doesn t seem to get winded after playing, but sometimes he seems a bit melancholic. I talked to my pediatrician about it and she said that it could just be a tick. She didn t suggest any exams. Your help would be greatly appreciated. | Thanks for your question on HCM.In my opinion it is a bit of tantrums and ticks he is doing. He is absolutely fine and taking normal breathing in sleep. This suggest absence of any organic pathology. And points towards ticks and tantrums.It is normal in children. And subside itself with time. So no need to worry much for this. Better to keep him engage in activities and games. | |
Depression, stressed, paranoid about future. Treatment?
I've been feeling depressed lately. Basically, my parents have gotten a divorce lately. I've been so concerned of my future with my boyfriend and ending up like them that I have almost forced him to promise to stay with me. I have these moments of on and off sadness. I feel happy one moment and right when my mind is clear, I think about things that bother me and how i'm always worried that now my boyfriend will leave me. I'm too afraid of my future now and i've lost all hope in things. My grades have fallen and I can't bring myself to care. I haven't been hanging with friends as much, i've been trying to avoid my house. I have so many feelings as well since my mom left my dad for another guy. I am mad and angry at her but i'm too afraid of my own mother. I can fight with my dad but I can't bring myself to talk to my mom like that because she basically scares me. I know I shouldn't want to disobey but I can't bring myself to ever break rules because i've been actually afraid of my mom for years. Oh god, i'm ranting. Well, there's more to it, i'm losing friends and such but does this sound like anything to you? Like am I just stressed or is this actually a depression? | Hi friend, Welcome to Health Care Magic This is a clear case of Depression. You need psychiatric assessment and assistance - both drugs and counselling will be necessary. As it is situational ('reactive'), chance for recovery is excellent. You should not allow others' conduct to influence your conduct... Take care Wishing speedy recovery God bless Good luck | |
What causes extreme exhaustion, photosensitivity and headaches?
I have been having issues for years with exhaustion, can sleep for 12 hrs and feel like i never slept at all, photosensitivity, headaches and migraines twice a year tat end up with me in the hospital because i cant speak open my eyes and tears run down my cheeks for extended periods of time, jaw pain, extreme joint pain, i get heart palpitations, anemia, i am always freezing( it could be 75 degrees and i am just ok not sweating like everyone else), when i am in the sun i get a very itchy rash everywhere the sun touched me and it doesn t go away for days, no matter what i use or take my acne never really goes away, i have trouble focusing, and i get depressed for no reason at all. do you have any ideas as to what this could possibly be? I have been to doctors around where i live but i live in a very rural area and they are baffled. | Too much sleep is a known risk factor for severe headaches. Your symptoms are very similar to what a person with migraine headaches may experience. You should be seen by a headache specialist and have a full metabolic workup implemented to check issues such as your thyroid gland function, adrenal function, and other metabolic issues that could cause imbalance and eventual migraines. Please write me at: www.bit.ly/drdariushsaghafi if you would like to further discuss your concerns. You may be suffering from additional problems involving DYSAUTONOMIA and migraine headaches may be just one manifestation of your problem. Please rate this as a 5 STAR encounter. | |
What is the treatment for symptomatic focal epilepsy in a 8 year old?
My Son 8 years old now(DOB 14.07.2003). He had major jaundice after one week of birth and hospitalized for 26 days and treatment was given like phototherapy At the age of 0.6 years we have notice minor seizure and was having Valprine 100 mg.since then till the age of 3 years. Last episode of seizure happends at the age of 1.5 years. After 3 years we stopped valprine as per doctor advise. His CT San of the Head at the age of 1 year says :- ?focal Oedema in the high right parietal region. At the age of 1year 6 month, MRI done it says:- B/L hyperdense area in parieto-occipital region. C/w sequelae of HIE. After 1.5 years episode, he had again fits in Jan. 2010 at the age of 6 years the as per doctors advise we have started giving valprine 150 mg then valprine 200 mg, then valprine 300 mg. and as the attack was again happening and as per doctor advise now we are giving valprine300 mg morning & night plus Lavera 250 mg morning, 300mg night plus lametec 25mg/ (half morning & half night). Even now once in 15 days he is having minor fits(like unconscious for few sec). EEG dong at the age of 6 years shows :-This awake EEG is abnormal. Abnormality in the form of Recurrent generalized spike and wage discharges, sharp wave discharges seen throughout the record. Background showing S/o Symptomatic Gen Epilepsy Syndrome. The again EEG done at the age of 7 years (09.06.2010) shows:- Abnormal awake record showing right hemispheric slowing with right occipital epileptiform discharges consistent with symptomatic focal epilepsy. Kindly help us. He is going to normal school, problem of understanding, writing, hand eye coordination etc. now. Still continuing Valprine(300mgx2), Lavera (250mgx2) & Lametic 25mg daily. My email id: YYYY@YYYY | eg:don't warry at all but take all does regulary to avoid The attack about learning don't warry it's a normal child but will take treatment all live and follow byEEGno side effects on concentration don't warry | |
Suggest remedy for an internal bleed
My friend is in the Hospital and says Blood tests state she now has an Internal Bleed. She was diagnosed with CHF the other day and she is obese and has sores on her back calves. They ve put her on antibiotics etc, but she is on different medications for various reasons. Gravol, anti-depressants, Tylenol and seizure meds etc. Wondering if these meds have anything to do with her Internal Bleed. She seems very ill, will she pull through this, can they do anything for an Internal Bleed? | Hello and welcome to HCM,Congestive heart failure and medications prescribed to you are probably not the cause of internal bleed.Internal bleed can occur due to internal injury.Spontaneous internal bleeding can occur due to reduced platelet count or deficiency of coagulation factors.Thus, you need to consult your primary healthcare provider for clinical assessment and prescribe these investigations- complete hemogram, platelet counts, bleeding time, clotting time and other coagulation tests- prothrombin time (PT) and activated partial thromboplastin time (aPTT).In case any of these investigations are abnormal, you need to consult your hematologist for further management.Thanks and take careDr shailja P Wahal | |
What causes severe pain in the abdomen and lower back?
Severe belly and lower back pains. They come and go. Feel kind of like menstrual cramps but not exactly. Started overnight Saturday night and got bad Sunday morning. I finally got back to sleep for several hours and was 95% better Sunday afternoon. Woke up at 11:30 pm and spent most of the next 6 hours wanting to throw up but managing not much more than dry heaves. Slept for a few hours and was mostly OK until it came on fast and hard 2 hours ago. I ve thrown up just a little. It hurts so bad. Heating pad is helping a little but it s not big enough to cover all the pain. Is it just viral? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It can be due to urinary or intestinal infection. Anti spasmodic like Drotaverine can help. I hope this information has been helpful for you. | |
Suggest treatment for lumps on the neck
For the past 8 years (approx) I have had 6 small lumps on my neck, 3 on each side. They are nearly identically located on each side, one on it own and two together. None of them cause any pain, discomfort or are sore to touch. Now, 8 months ago I discovered a small lump near my groin, I dont how long it was there before that because I actually never checked there. It is quite small and hasn't changed size. Now, about 4 weeks ago, just above my adams apple, to the left I got a small lump and the outer skin on that area because sore to touch, that has cleared up and now, I am left with a painless lump, which seems to span withways, about a cm. Painless to touch and hard to find unless you tilt your head right back. I could jusy be getting overexcited, I dont know. As a child I suffered very bad with ear infections once or twice a year and had gromits and my adnoids done. For the past 2-3 years my lifestyle has been quite unhealty due to stress and have been consuming a lot of alcohol. | Welcome to health care magic. 1.The history and symptoms and lumps locations suggest - enlarged lymph nodes at different locations.2.The enlargement of the lymph nodes can be due to any infective / inflammatory process any where in the body. Also seen in presence of any malignancy. Also in lymph nodal pathology itself.3.So i would recommend to get start with ultrasound of neck that will help to assess the lumps its nature and where its coming from and where all its extending to. At the sam time any pathology causing the symptoms.4.An abdomen pelvis ultrasound will help to assess internal glands status and organs evaluation.5.So suggest to get an appointment and find out the cause get needful investigations done and treated accordingly. Good luck.Hope i have answered your query.Any thing to ask do not hesitate Thank you. | |
Suggest treatment for microangiopathic ischemic disease
have a hx acoustic neuroma on rt. 1996. x2 surgery. and small piece of tumor still present and unchanged. lately tingling hands feets and around mouth. which thought was from steroid that had been on for uri. and had larygoscope showed rt side vocal cord paralysis. had recent mri neuroma unchanged but again considered was chronic microangiopathic ischemic disease. can you explain microangiopathic ischemic disease to me and if it is something to worry about or could this be causing the tingling and also forgot to mention have had chronic headaches for a long time too? | HelloMRI findings suggests chronic microangiopathic ischemic changes( due to compromised blood supply).These are generally due to involvement of small blood vessels.It is generally due to condiotions like hypertension,diabetes mellitus,altered lipid profile etc.So,you may need clinical correlation and screening for these conditions.These are not very serious findings and it only need treatment of underlying cause.Get well soon.Take Care | |
Having terminal cancer along with severe headaches and double vision. Can morphine help?
My husband has terminal cancer(base of tongue and going towards the brain) He is getting severe headaches,now he is on two 5 mg. patches and has been for (third week now-just replaced the two today) He is getting double vision and am worried : is it the cancer in the eye area? Or the morphine? Hard to say I guess? My main concern is he was sensitive to narcotics in hospital during radiation and chemo last year- but seemingly is O.K. with morphine now in patches,,I was wondering if by chance he can't take morphine what would be the equivalent? | HIThank for asking to HCMI am really sorry for your husband's health, it could be metastasis, that might have affected the optic nerve, I would advise you to give him simple analgesic any NSAID at this stage this may help him according to his clinical condition giving potent pain killer is not advisable, this could cause respiratory depression at this stage again when the pain threshold achieve the plateau then the intensity of pain will be reduces automatically, this is natural and physiological phenomenon, take a good care of your husband, have nice time. | |
What causes receding of the gums till the dentin?
Hi, I'm 19 and I noticed today that I have what looks to be a small hole--maybe 1.5 mm across, plus maybe a tiny one that might forming between the next pair of teeth to the left--in the gums immediately to the left of the piece of skin stretching from my lower lip to the teeth in the lower front part of my jaw. A few months before this all I'd noticed was that my gums were receding a little to where I could see the dentin, especially on my lower canines, and I've been using a softer tooth brush since then. Can anyone tell me what this might be from and how I can fix it? Thanks. | Hello!Thank you for posting here.This can be due to poor oral hygiene.You did not mention your normal hygiene status.Also, how is your teeth positioned.Irregularly placed teeth can be a cause.Do not brush hard.You did the right thing by changing to a softer tooth brush.Brush gently.Maintain good oral hygiene.Apply gum tone gel on the gums.If your teeth are irregularly placed, crooked i mean, this must be corrected first.Gum recession at your age is not very frequent.You are 19 and you must adopt health oral hygiene routine.Get scaling done every 4- 6 months and floss daily.Concentrate on the lower teeth, also on the inside while brushing and flossing.Regards. | |
Should I be concerned for small stones and collapsed gall bladder?
Hi, I've had an US today to see if I have gallstones, the doctor who examined me found a couple of small ones but also said my Gallbladder is collapsed, please can you tell me if I should worry. I know I have to make another appointment with my GP but the waiting time is making me anxious. | HiI have gone through your complaintsYour sonogram report says that collapsed gall bladder with couple of gall stones.nothing to worry unless you develop jaundice , severe pain at right upper abdomen & fever.if you develop any of these symptoms please consult Doctor immediately.as you are saying small stony there is possibilty of coming down to bile duct causing obstructive jaundice.gall bladder stones are well visualised when it is distended.best is go for scan in fasting.before night avoid fatty meal.Thank uBest regardsVasundhara | |
Suggest medicines for ring worm infection on the thighs
Hi,i am a 22 year old female; I got a ringworm infection on the inner side of my right thigh 4 months back.i have been self treating it with Flucort - C (fluocinolone acetonide & ciclopirox olamine) since then.I had shown symtoms of disappearing in the first month but then it came back and spread circularly further. There are multiple rings of a total diameter of an inch and a half on my thigh.is there any other effective medication which I can use? | FLUCORT -C CONSIST OF STEROIDS.DO NOT USE FOR MORE THAN A WEEK.YOU CAN TRY.COTRIMAZLE CREAM & POWDER LOCALLY.OR MICANOZOLEOR FLUCONAZOLE.APPLY TWICE A DAY.KEEP THE PART DRY.USE ONLY COTTON UNDERGARMENTS, CHANGE TWICE A DAY.AVOID HUMID & HOT OTHERWISE REOCCUR.IF NOT CONTROLLED .CONSULT YOUR FAMILY DOCTOR.HE WILL PRESCRIBE YOU ORAL MEDICINES FOR A MONTH OR MORE.ANY QUERY, ASK AGAIN.WE ARE HAPPY TO HELP YOU.FEEDBACK TO HCM | |
Is tingling sensation at the thumb’s tip after an injury a concern?
I injured my thumb a couple of weeks ago by crushing it. The nail bed blead a lot and it has stopped many days ago. My thumb is black and blue now. My question, the end of my thumb tingles a bit but I can still feel everything with it. Is this a cause for concern? Secondly, will I probably loose the nail? I assume it will grow back at some point. | Hello,Yes, you may lose the nail. It depends upon how bad the bleeding under the nail was. The tingling should resolve. You probably damaged a nerve but it should heal up without treatment as the bruising and swelling resolvesRegards | |
What causes crampy bowel movements with loose stools during pregnancy?
hi, i had constipation till 6th month of my pregnancy but as soon as I started with 7th month of pregnancy i occasionally find crampy bowel movements leading to loose stool. I am currently in 27th week of pregnancy. Is there anything seriously to worry about it. | Heel dear,I understand your concern.In my opinion the constipation is routinely seen in pregnancy.The crampy bowel movements might suggest infection.Take bland nutritional diet and avoid spicy and oily diet.Take good adequate fluids upto 3 litres per day to avoiddehydration.Take proboitics.If not subsiding consult doctor to rule out any infection and appropriate treatment.Best regards...Dr Srilatha | |
What causes upper abdominal pain?
Female, 26 years old, 5 4 tall, 125 lbs, I upper abdominal pain, in the middle and a little bit to the left, for 6 days now, it is constantly there, but it does not hurt when bend a little bit forward or lying flat on my back, it hurts when I sit up straight or lay on my left side. I have no other symptoms. I do not smoke or drink. And I am not pregnant. | HelloUpper abdominal pain may be due to many reasons like acidity,gall bladder calculus,liver pathology,renal calculus,musculoskeletal reasons etc.You need clinical correlation and investigations.Investigations include routine hemogram,random blood sugar,liver function test,ultrasound of abdomen.Upper GI endoscopy can be done if needed.Ultrasound of abdomen can exclude many conditions.Treatment depend upon findings.Get well soon.Take CareDr.Indu Bhushan | |
Suggest remedy for a red lump on the breast
I noticed a red lump type thing on my breast yesterday and it's still there. It's about an inch and a half wide..it doesn't itch or anything and is really raised a whole lot and when I press on it the redness disappears almost completely and reappears once I let go. I think there is a small limp underneath right where the spot is..should I go to the doctors to get it checked out? I'm 17 | Welcome to Health care magic.1.The history given by you suggest presence of cystic structure in the breast.2.Infective cause ( abscess) excluded due to absence of pain or tenderness.3.So the possible cause could be breast cyst, Ductal ectasia ( dilated ducts) and finally mass could not be excluded.4.You need to see your GP, let it get examined and ask for an ultrasound breast to characterise the lesion.5.Ultrsound will help to evaluate the nature of the lesion ( solid, cystic,ductal), its source and where it is extending.6.Depending on findings further steps like - FNAC in mass lesion ( fine needle aspiration cytology), Fat, ductal cyst lesion followup necessary. Good luck.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. | |
Q. I have acne breakout and scars on forehead. What has to be done?
Hello doctor,I had a really bad acne breakout and scars and it was just on my forehead two months back. Then I just had another one about two weeks ago, on my forehead again. It is not mostly just dark acne scars and I want to get rid of them. My skin also turned from combination to dry on my entire face. My forehead is a little bit itchy sometimes and so are my eyelids. | Hi. I have been through your case. Well, acne is common in your age. Drink plenty of water and juices. Avoid fast food and chocolates. Even then you may have frequent relapses which are precipitated by stress, periods, and cosmetics. For daily routine healthy skin, do the following: First, use only this. If still, your dryness would not go away then we need to go on steroids, not now. For more information consult a dermatologist online --> | |
Q. Will my husband's heredomacular degeneration affect my children?
Hello doctor, My husband is suffering from heredomacular degeneration. And I am pregnant and have one daughter. Will this problem also affect my unborn and daughter? Kindly suggest me. Someone told me it is a genetic disease. | Hello. Heredomacular degeneration refers to a broad collection of diseases which affect vision by causing problems in the macular region of the retina. Some of these diseases are known to have a hereditary predisposition. The pattern of the precise inheritance can be known if you can provide details of the eye examination and the exact diagnosis made. Coming to the question of your daughters, I am afraid they too are at risk. The best way to deal with the situation is to have regular visits to your ophthalmologist, preferably a retina specialist with a decent setup of retinal diagnostic equipment. Home monitoring: The best time to do this would be while they are watching TV or doing some work requiring visual attention, attention is required if they may object to closing one eye/ go very close to the TV/ hold books or mobiles very close to their eyes. Children need at least one ophthalmologist visit a year to screen for and pick up problems at the earliest. The earlier the problem gets detected the better is the position we will be in to prevent irreversible problems. | |
Suggest ways to gain body weight
Hi, may I answer your health queries right now ? Please type your query here...hello doc. my son is 13 months old and weighs 9 kg. he looks quite weak and underweight. Can u please suggest something to make him gain weight. He is an active baby otherwise. | Hi.... first of all be reassured that a kid weighing 9kg by 13 months is within appropriate range.I take this opportunity to tell you certain scientific facts and relieve your distress -1. An active is a well kid even if she/ he is not eating well.2. Development of a kid is as important as or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents we need to be more patient and feed than less quantity but more aliquots per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause drowsiness.Regards - Dr. Sumanth | |
Suggest medication to treat a lump inside the belly button
Hi, my husband has a weird black/brown looking bump inside his belly button, and we re trying to figure out what in the world it is. It looks a lot like a blackhead that s huge and coming out, but he said it kinda hurts when he messes with it. I don t think it s anything that needs to come out, but it s really odd looking. Any ideas? | Hi,Dear,Welcome with your query to HCM.Studied your query in full depth of its details.Reviewed it in context of your health concerns.Based On the facts, You mostly seem to suffer from-belly button with ? infection of the old granuloma underneath,as it pains when moving the belly button.The ugly look is giving worry to You.Remedy-Would be regular care of the belly button with cleaning and oil smearing would reduce the tender feeling in the belly button.This would reduce the ugly look from non-attndance of it and would also reduce the unwanted and disturbing tenderness or soreness of the belly button.This would also reduce the handling from repeated handling which causes its infection by repeated trauma and bruises.Antiseptic creamAnti-inflammatory drugs Motrin Antibiotics if need beGood hygiene and cleaning of the belly button would go along way in reducing the nuisance caused from belly button.USG /CT and / Contrast study of the belly button to rule out any other cause leading to such complaint like Vitello-intestinal patent duct / urachal cyst /etc.Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.Welcome any further query in this regard,which would be replied in next session.Good Day!!Dr.Savaskar M.N.Senior Surgical Specialist | |
Suggest remedy for abdominal cramps
My 79 year old mother has had 15 episodes within last 2 years where she suddenly has severe lower abdominal pain/cramping coupled with severe nausea, vomiting and sometimes diarrhea. With these episodes she always has severe diaphoresis and has passed out completely during 3 of these episodes. History of rheumatic fever as a child and has aortic stenosis and benign functional murmur. Her last episode was June 21st. Please get back with me at your earliest convenience. Her episodes are getting worse in intensity and frequency.Terry Hunter | HIWell come to HCMYou said your mother having this complain since last two years, if you have not done any test then it is advisable to get done some important test like CT abdomen, routine blood test, for the symptoms she can be given Tab Dicyclomine and Acetaminophen three times in day, hope this helps. | |
Suggest treatment for scabies infection
so i've been infected with scabies from my girlfriend who had it to , shes doing her second treatment tonight and it already looks like its going away but mine has spread to alot of places .. i did m first treatment bu theres also a rash on my thigh from it , but in bumps almost i just want to know if its bites from the scabies or a rash from putting to much stuff on it because after my treatment i put on tea tree oil . could take pictures to show | thanks for posting your query to health care magic .you can send me picture of your lesion .first you should confirm your diagnosis weather it is scabies or some other infection . I wanted to know also what medication you have taken so far for this problem . If proper treatment is not taken, scabies may get infected secondarily and in such cases along with treatment of scabies you need to take antibacterial infecion also .you can contac to dermatologist for making a diagnosis and taking correct treatment .thanks .feel free to contact .Dr.M.Purohit Infectious disease specialist. | |
Suggest treatment for partial sacralization causing back pain while sleeping
i m 21 year old. and i m suffering from lower back pain whilw i m sleeping. aft lying down to the bad my pain start with in 10 min.. i consult doctor and found that partial sacralization. and treatment is contious from last month. still i cant get relif. really is a fustrating..any treatment u suggest.. | Hi,Welcome to healthcare magic.After going through your query I think your You are suffering from chronic backache. Treatment of back pain is back exercises and analgesics (diclofenac 100mgSR). Sometimes vitamin D deficiency is the cause so get your vitamin D checked .If it is low then vitamin D supplementation(Bon DK 60K weekly with milk) can be taken. | |
Can any online doctor help me with the following results?
Enterobacter colocae in urine culture test positive for my 5 month old baby..History- he has high grade UTI 2weeks before,antibiotic taken as treatment,the urine culture report done that time show no organisam,performed 2usg and obseved evything fine | Hi...Enterobacter cloacae is a normal commensal in our intestinal tract. Usually when this organism is grown in the urine culture it is advisable to repeat the urine culture in a more sterile way by a catheterized sampling. If there is no fever and vomiting then it is unlikely to be urinary tract infection. I suggest repeating a urine culture by a catheterized sampling.Regards - Dr. Sumanth | |
What could be the cause of increased heart rate?
I just woke up and when I was simply turning over in bed, my heart started beating fast and kind of hard. It slowed back down after a few seconds, but it still does that with any physical exertion unlessI've been working at a steady pace. What can cause that? | Hello, I would like to have more information about you and the symptoms, however If the same kind of symptoms occur at exertion and you are above 50 years of age, diabetes, hypertensive, obese, bad lifestyle or any other risk factors for heart disease, I will request you to get a Treadmill stress test done, as the symptoms you describe fits into stable angina. If none of the risk factors are there and you are in your 20-30, but not used to exercise, the symptoms may be due to just a bad dream you don't remember and need to build exercise tolerance. Regards Dr Priyank Mody | |
What causes tender lump in right hand side armpit?
I am an 18 year old male. 6ft tall and mixed race. I have recently, within the past week found a small but tender lump in my right hand side arm pit. I wondered if you could relate whether this was due to somekind of hormonal catalyst. Or something more concerning? Should I be contacting my GP? | Hi.Thanks for your query and an elucidate history.Of course , contact the GP. Simple test::: you can do yourself.IF the lump is moving freely along with the skin, this is boil or a small sebaceous cyst. IF it is deep seated and not attached to the skin- this is more likely to be a lymph node. Either of the lumps may need a treatment with antibiotics and anti-inflammatory medicines. So visit a GP. | |
Suggest remedy for hair loss during recovery of dengue fever
Hello,I am recovering from Dengue fever since May 30th. I had the fever for nine days as high as 104.2 and I was hospitalized for 6 days. My ANC was at it lowest point 450, platelets 80,000, low potassium of 2.0, abnormal liver function, and BP lower than usual but stable throughout at 100/60. Everything has returned to normal but I still have fatigue on most days and find that I have to be careful with activity levels. I started experiencing mild hair loss about a week ago. I am afraid that it will get worse and do not know if anything can be done to prevent this. Please advise. Thank you | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history you are having telogen effluvium, my treatment advice is - 1. Take good nutritious diet full of green leafy vegetables and milk. 2. Take an iron supplement and vitamin B12 supplement. 3. Other treatment options are topical Minoxidil and mesotherapy done by a dermato-surgeon. Hope I have answered your query. Let me know if I can assist you further. | |
What causes white bump on clitoris?
Hi , i recently just got off my menstrual cycle and notice a small bump white bump on my clit area. This morning when i got up it got bigger i took a hot bath with Epsom salt before going to work. When i went to the bathroom at work white stuff came out of the bump and now its bleeding from me trying to squeeze it myself. Is this due to wearing tight jeans or something way worst ? | Hi,From history it seems that due to period there might be having lack of proper local hygiene leading to some skin infection giving rise lump and some irritation.Clean local part with plane water and apply antibiotic cream for 2-3 days.Keep local hygiene clean and dry.Ok and take care. | |
Why does my leg become cold after the therapy?
Had knee arthroscopy and excision of medial plica 2 weeks ago. Just started PT four days ago and am finding that in the evening when resting, both in sitting and laying down positions, the leg gets cold from the knee down. There is no swelling or pain in the calf or foot. It is just cold. Could this be from the movements involved in the therapy? | Hello, This has nothing to do with surgery or therapy. You start using crepe bandage and see if things improve. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Anuj Gupta, Spine Surgeon | |
What causes degenerative back disease?
I have Degenerative Back Disease (as the "umbrella diagnosis") inclusive of 7+ seperate diagnosis, such as but not limited to, advanced/ severe spinal stenosis, advanced facet hypertrophy, Sciatica, etc.. My doctor has prescribed me Baclofen for the severe spasms and Sciatic issues ive been having. I want to know specifically whether Baclofen will show up on a 10-panel drug screen as a Benzodiazapine (sp?) I am asking bc unfortunately I made a dumb ass mistake & drove drunk & now Im on probation & the bottom line is that Im crippled, in pain (legitimately); however, will not risk getting into trouble. Please take note that all other medications and conventional methods have been exhausted in my case to help alleviate the pain (e.g. neurontin, 3Xs phys therapy, weight loss), so Im not asking about any suggestions; rather just info. | baclofen with Alcohol (Ethanol)Moderate Drug Interaction is reportedUsing baclofen together with ethanol can increase nervous system side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with baclofen. Do not use more than the recommended dose of baclofen, and avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medication affects youDepending on dose, if high dose used then it may be seen even upto35 hours in urine, in normal doses 5-6 hours is a half life.With alcohol its effects are prolonged.However do not worry and consult your treating doctor for further advisebest wishes, | |
Am i depressed or just stressed?
I dont know if I`m depressed or just stressed, I can`t sleep unless i`m dead tired and I just dont want to do anything, when i do wake up, I dont want to go out, I dont want to talk to anyone. Eating a lot more than usual. I was just off for a week, the whole time, I couldn`t do anything except think about my life, or think about work. I dont know what to do, or who to talk to. | Hi, I read your query and can understand what you might be going through. The symptoms that you have mentioned are suggestive of depression.I would advise you to seek a psychiatric consultation for the same. Thorough evaluation will be needed and accordingly treatment with anti-depressants might be started. Current lot of anti-depressants are safe and very effective. You can also start exercising daily, which will also help you overcome your current situation.Hope this information was helpful. Best wishes. | |
Have sneezing, allergies and asthma
I have a question about nasal congestion - I sneeze all of the time and my nose runs a lot and my nose itches a lot. I have sleep apnea and use a cpap machine. Sometimes I wake up in the middle of the night because I have to sneeze and my nose is running usually when this happens my whole day will consist of sneezing & runny nose. Also sometimes I hear a whistle in my chest. I do have a history of seasonal allergies (I don t remember sneezing this much) and asthma (brought on by the seasonal allergies) Please advise - Thanks! | Hi,From history it seems that you might be having allergic rhinitis and now you might got allergic asthmatic bronchitis as well.Take some some respiratory anti-allergic medicine like Montelukast, levo-cetrizine for few days.Put some decongestant nasal drops.Use nasal inhaler if required. Avoid dust or polluted air.Ok and take care. | |
Acanthosis nigricans, homoeopathic treatment gives no relief, fungal infection, dark patches on arms and back
hello doctor i have been undergoing homeopathic treatment for acanthosis nigricans . however even after 9 months of homeopathic treatment i have not yet achieved the desired result. as the doctor said it was fungal infection and prescribed me silicia powder and homeopathy pills for the same however it has made little difference. i have dark fold blotches on my back, arms, and elbows i am not overweight i do not even have diabetes. kindly advise. | 1. Acanthosis nigrican (AN) is usually found in body folds and is associated with diabetes, obesity (both are ruled out in your case), but also with hormonal disorder (hypothyroidism,problem with adrenal gland) or with use of drugs which have high high doses of niacin/steroids,. 2. were your hormonal profile,USg done? and whether there is any history of use of above said medication? 3. people with acanthosis nigricans are at risk of developing diabetes, so check your blood sugar level regularly, and also for any Cancer? 4. has anyone in your family suffered from this problem or from diabetes? 5. complete blood count, endoscopy,x-ray may be required to exclude cancer as a cause. 6. as told by the doctor to be a fungal INFECTION, it's totally wrong, neither it's an infection nor its contagious. 7. because AN is usually involved with change in skin color, no definite treatment is directed toward it, your health care provider has to look for any underlying disorder. 8. because it occurs on neck,elbow,hands,they can be a concern of embarrassment, self consciousness and probably low self esteem, thus medicated oils and lotions can be applied to lighten the marks. 9. treatment will depend upon the cause after further evaluation by your Physician, till then eat healthy,exercise regularly, and remain calm,cool and stress free. | |
Reason for coughing sputum?
I have been coughing up thick yellow to gray sputum and blowing my nose constantly which varies from clear to yellow. This has all been occuring since my car accident in august. I dislocated c3 with fractures to c3 and c4 and a locked faucet. I had acdf surgery after 2 days of traction. I have a incomplete spinal cord injury.. neurogenic bladder and bowel as well as all the other perks of an Sci.. just wondering if the issues I'm having are related to post intubation or due to me not being very mobile. I walk with a walker. I'm also suffering from low blood pressure my husband who is a nurse takes it a few times a day and it's usually 80/40 and this is on midodrine which I take tid | Your low blood pressure and productive cough need to be evaluated promptly. I would be concerned about a pneumonia or severe bronchitis. This could be related to your limited immobility. A bad infection like pneumonia can also result in low blood pressure. You don't mention how much your breathing was affected by the injury, but I would be concerned that you have not been able to take deep enough breaths to keep your lungs well aerated. This could lead to pneumonia. So I recommend you go to the Emergency Room and be examined for these possibilities. Hope this answers your question. | |
How can bumps be treated?
i have some type of zid on the back of my head it hearts when i touch it and that bumb is hairless, but i picnhed it already and yes lots of pus came out of it i took ice and had for like 5 minutes, what do i do now? thanks for helping i need help please | Thank you for query.It may be due to bacterial infection.Clean the area with warm water twice daily. You can apply topical antibiotics like Fucidin or T-bact, and take analgesic like brufen.you may need oral antibiotics .see that there is no friction or irritation. if it does not subside consult dermatologist else you can send the photo directly to me with the details i will be able to help you.DR Bharatesh D Basti Dermatologist. | |
Need medication for staff infection on leg
Hello, I am so frustrated with a staff infection I have in my leg. Since 2009 I visited the ER and now have an antibiotic resistant type of staff. I have tried several different natural remedies and still can t seem to kill off the infection. The first time I went to the regular doctor and had to return for a total of 3 visits and over 100 antibiotic pills before it cleared up. The second time I got the same infection, I went back to the same Dr. and they gave the same antibiotic that took over 100 pills to clear my infection the first time. I figured I would try to kill it off with natural remedies so it doesn t continue to return. So far nothing I have tried has been able to get rid of it and I have been suffering with this infection for over 6 months now. Have you been able to recommend other remedies besides the antibiotics that are not really working anymore? | Dear Friend.Welcome to HCM.I am Dr Anshul Varshney. I have read your query in detail. I understand your concern.First of all you should know from where are you getting this staph infection.Also, get your blood sugars checked.Get Culture and sensitivity of that area to know which antibiotics would help you.This is my best opinion for you based on available details. If you any have further query, please ask me.Stay HealthyDr Anshul Varshney, MD | |
Suggest remedy for severe pain in knee
I have a left knee that will at some point need to be replaced due to bone on bone. However, at this point within the last week I have severe pain behind my knee running into my calf when sitting in a chair at my desk and pressure hits in a certain spot on my lower thigh above the knee. | try strengthening the quadriceps muscle and hamstrings. along with it try gluteus strengthening exercises too. meantime if the symptoms of pain increase visit and orthopedic specialist. | |
Chest pain, cold sensation in chest, throat pain, giddiness, pulling eyes. Best medication?
Hi Doctor, I am having cold and dust allergy, from past 6 months i feeling little chest pain , cold sensation in chest, throat pain, giddiness and pulling eyes. So i have consulted fist neurologist and tried the medicine but dint help me fully. Then i thought the problem source might be with lungs and i consulted pulmonologist . He asked me to have the FCV test, where the result is Low vital capacity possibly due to restriction of lung volumes . here can you please suggest me the best medication for cure. | Hello, Cold (viral infections) plus dust allergy can manifest with all the symptoms you have described. Recurrent sneezing attacks can also make one feel giddy. Disturbed sleep due to dust mite allergy can also lead to several non-specific symptoms. If the neurologist and chest physicians have not found anything alarming, I would suggest you get either blood tests (specific IgE) or skin test that would reveal your allergies and according start the treatment. Smoking can lead to restricted lung volumes with air trapping known as chronic obstructive airways disease for which several inhalers are available. For allergy treatment, combined use of oral antihisamines and nasal sprays will help overcome the symptoms but should be used continuously for at least 2 months or longer depending on the sensitization profile. Thanks. | |
What causes fever with fatigue?
my 5 yr old son was looking a bit pale and run down before bed this evening. We didn t think anything of it due to the fact that we had friends in town and he played with their kids all day. At bedtime, he complained he was called. My wife checked for a fever and his temp is actually lo...96 F | hi..he looks pale means1. he is anemic2. dehydratedkindly answer to following questions1. how is he feeding?2. is he feel early tiredness?3. have you checked his hemoglobin level?96 F is normal temperature. give him daily 2 liters of waterregards- Dr.surendra.h.s | |
Q. 14-year-old has low back ache, fatigue and mild fever. What could be the reason?
Hello doctor, My 14-year-old son is complaining of a low backache. He has fatigue and low-grade fever. Hemoglobin is 12.7 but ESR level is 43. | Hello. A low backache in children at this age associated with low-grade fever and ESR 43 could be due to: Abdominal and urological ultrasound is highly recommended. Discuss this with his caring doctor. For more information consult a general practitioner online --> | |
Had annular tear, nucleus leakage,lumbar spondylosis. Had lumbar facet rhizotomy. Explain
Hi. I had a grade 5 annular tear in L5 with nucleus leakage 5 years ago. I recently had my 3rd Lumbar Facet Rhizotomy . Diagnosis is Lumbar Spondylosis w/o myleopathy. I have SI pain which keeps being dismissed. I saw one neurosurgeon after an MRI 2 years ago. He said nothing could be done except for a fusion. Im a 43 yr old female. I did not want that and he did say I am too young. The pain physician I see has not offered any other treatment. I feel like they are just band aids . Im looking for some different answer/explanation. I tore the disc shoveling snow in Nov of 07. I saw a chiropractor who did decompression work on the disc. I have problems with the disc now slipping. Any advice would be appreciated! | Hello. Thanks for writing to us. Since you have a persistent n spite of taking pain medicines regularly, surgery or the local steroid injections in the spine need to be considered. You can also get some muscle relaxants prescribed from your orthopedician for relief. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com | |
Will topomax cause hair loss?
Hi does topomax cause hair loss (thinning hair)? I was on it five years ago for migraine and most of my hair but unknown to me, I also had stage 3 thyroid cancer. I was treated for my cancer and anemia and have my hair back:) Once again, the doctor wants me on topomax for treatment of severe migraines. Hence, my question- was it the thyroid cancer, or anemia that caused the hair loss(almost baldness) or was it Topomax? Thank you kindly! | Hi and welcome to HCM. THanks for the query. most probably this was caused by thyroid cancer but topomax may had some small effect on it too.Wish you good health. Regards | |
Q. What is the reason for repeated mouth ulcer in a child?
Hi doctor, My son is 4 years 9 months old. He is a healthy kid with normal weight (17 to 18 kg). But, he often gets a mouth ulcer. It is quite often like once in two months mainly in his buccal mucosa and inner corner of the lip which touches the primary canine. This hurts him and so he avoids food. I used to apply Dentogel on his ulcers. My question is, what is the reason for this repeated mouth ulcer? Is he deficient of any vitamin? Initially, I thought it could be a traumatic ulcer. But, it gets repeated once in two months. Sometimes, he gets three or four ulcers together. I am really worried. Please suggest what to do to avoid these ulcers. | Hello. Mouth ulcers in children of this age group are mainly due to vitamin and mineral deficiency. Sometimes worm infestation is also implicated in mouth ulcers. We will need to supplement the child with proper vitamin and minerals. Also, deworming should be done. CBC (complete blood count). 1.Syrup A to Z (multivitamin) 5 ml once daily for one month. 2.Tablet Limcee (chewable) (Vitamin C) one tablet daily for 15 days. 3.Syrup Bandy plus (Albendazole, Ivermectin) 10 ml single stat dose. Give home based nutritious diet. Avoid refined marketed products like the biscuit, chips, chocolates, cakes, etc. | |
Suggest treatment for unsuccessful IUI
Hi! I m monika and I have done 2 iui but not successful. I am very disappointed. My doctor says now, you should rest atleast 1 month, no medicine and no treatment .but I took 2 months to rest .After 2 months I had iui again, it is very painful for this time .My doctor prescribe me Naturogest and Duphaston tablets.Now I am worried about my pregancy .is it sure now I will pregnant and when it will seem . | Hi,Thanks for writing..IUI increases the chance of pregnancy by 20%. Except on the day of IUI have regular intercourse around the date of ovulation to enhance fertilisation of ovum.. Avoid stress. Have healthy food and practise yoga as stress can affect fertility.. Continue with duphaston for 10 days. Around day 21 get a hcg blood test to detect pregnancy.. Hope I have answered your query.. Good day | |
Could back pain, cold feeling and muscle twitches be due to paxil?
Back pain cold feeling inside Hello I just started taking paxil about a month ago.and I m beginning to experience weird feelings like the inside of my stomach and chest being cold, pain in the sides of my back, muscle twitches and heartburn could this all be related to the medication | Hi,Paxil can cause muscle twitching, spasms (which can cause back ache too). These are one of serious side effect of the drug.Please report to prescribing doctor for needful advise earliest. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Vasudha Jayant Athavale, General & Family Physician | |
What does mild nodular hazy densities infiltrates on left upper lobe suggest from x-ray?
hi i am 25 yrs old,5'5,and 54 kilos,.last april we had our anual pa, unfortunately my result turned out that suspiciuos lung density have seen in my xray so they required me to have an apicolordotic view. it turned out to be mild nodular hazy densities infiltrates my left upper lobe and ruled out to be ptb,,ptb class 3 as the doctor said. there is no history in our family with that sickness, but in my job i have a co employee who suffered from it,,my question doc is?how contagious i am at this point in time,how high is the risk that i can pass the bacteria?or what are the factors that can affect or to be consider so that i will be able to pass this. | Thanks for your question on Healthcare Magic. I can understand your concern. I have gone through the x ray report you have mentioned. This report is suggestive of left upper lobe infection. Most common cause for upper lobe infection is tuberculosis and pneumonia. So better to get done sputum microscopic examination to confirm this infection. This kind of infection spreads through coughing. Cough produces droplets and they can infect others. So better to wear mask when coughing. First 2-3 weeks, person is contagious through coughing. So better to start treatment as soon as possible. After 2-3 weeks you will not contagious to others. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Why I am unable to conceive second time?
Hi,I have a first child within one year after marriage. Now we are trying for second child from an year and my wife didn't conceived. I have done my semen analysis and below are the results. What might be the problem. Please suggest. Volume: 2.0 ml Viscosity: Normal Liquification: Completed at 45 min PH: 7.8 Total Count: 18.2 million / ml Motality: Grade2 % Motile forms: 40 Total motile sprem count 7.2 million /ml Morphology Normal forms: 60% Morphology Abnormal forms: 40% WBS: 4-5/HPF RBC in urine: Absent | Hi and thanks for your query.As per your report,yes the reason that your wife is not able to conceive may be your sperm count.Sperm count 18.2 million/ml is called oligospermia and is mild,because normal Sperm Count: 40 million / milliliter to 120 million / milliliter.Other semen parameters are normal.To increase sperm count you can try with some simple treatment as Profertil 2 pills per day for 3 months or contact with an infertility specialist,while you have one year that you are trying to conceive.All the best | |
Q. I have cold, cough and chest pain. What can I do?
Hello doctor,I have been very cold for weeks. I have a runny nose, my body hurts, I have a cough, and a few days ago I had chest pains that lasted some minutes. | Hello. You have caught a cold alright. Is there any fever? Also, is the cough productive? If there is no productive cough and no fever, then you probably have a post nasal drip associated with the rhinitis, hence a chronic dry cough. It could also be tracheitis, in which case you may need prescription antibiotics if it does not go away or gets worse in a couple of days. The episode of chest pain once was probably just from all the straining of respiratory muscles due to coughing. For now, if you do not have a fever or a purulent cough, just do the following: For more information consult a general practitioner online --> | |
How to cure red itchy rashes on chest and back after taking Mucinex DM?
I took Mucinex DM twice a day for two or three days earlier this week. For the past 3 days I have had a red rash that itches violently on my chest, lower back and thighs. Have used benadryl gel and have taken a benadryl at night ever since it started. I need to know what to do. I can't stand the itch and its starting to scare me. | Hi,It seems that you might have developed drug rash. As there is itchy rash after taking mucinex DM. You take steroid in tappering dose for two weeks. And you take antihistaminics like levocetirizine till itch is relieved. Apply mild steroid cream on the skin lesions. Avoid soap during bath. You may be improved. I hope you got my answer.Thanks.Dr.Ilyas Patel MD | |
Suggest medication for dry cough
i have a chronic dry cough and have never had an egd, I have never smoked and i am rarely around smokers. chest x-rays show on signs of lung problems . I drink milk twice a day and other diary products. could this be a symptom of esoinophilic esophatitis | Thanks for your question on Health Care Magic. I can understand your concern. You are having chronic cough, so possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest treatment for memory loss
I have been experiencing short periods of confusion...starts out as sort of deja vu but then i feel confused and like i don't know what really happened and it's like i'm trying to remember something but i don't know what? It makes me panicky when this happens.30 years old. about 140 lbs. 5'4". One 4 year old child. No health issues that I'm aware of. | hi., These kind of experiences happen to all but if it very frequent you need professional help.First common cause is drug abuse. If you 're using any drugs or certain long term medications can cause this. So stop taking illicit drugs. Contact your physician if taking any medicines. Certain seizures or epilepsy can present similarly. This will get relieved by medicines.Certain stressful situations can lead to these. So try handling stress properly or equip yourself with better coping skills by help of a psychologist.If you feel low, anxious with low energy and negative thoughts/worries, Depression or anxiety disorders could be a cause. Rarely these occur without any specific cause called as Depersonalisation-Derealisation disorder.Mediations like escitalopram fluvoxetine will help in all later cases. So Please visit a psychiatrist for proper diagnosis and treatment. | |
Swelling and pain in arms and chest after bitten by wasp. Suffered anaphalaxia. Prescribed antihistamine
i have had a severe reaction to wat we believe are horsefly bites so swollen hard hot big area around bites on arm and chest my arm is in alot of pain as is my chest have had antihistamine administed at A&E and all day i suffer from anaphalaxia wen stung by bees wasps and peanut allergy is the severe pain im experiencing down thru my arm into my hand normal | Hello, Horsefly bites are nasty and the local swelling and redness you are experiencing is quite normal. The venoms between horsefly, bees and wasps do differ and therefore not everyone gets anaphylaxis to horsefly stings even if they are allergic to bees and wasps. Antihistamines (cetirizine 10mg twice daily) for a week and local application of a mild steroid cream will help. If the area is infected, you will need a course of antibiotics something like flucloxacillin. Thanks. | |
How to overcome the injury in the right hand?
I hit my right hand on the corner of a car door, initial pain shot thru but it has been hurting most of the day even after took ibruprofen. It is a little swollen and a red in spot where I hit it, have movement but it feels stiff on the pinky side of my hand. | Hi, I would suggest you get an X-ray to ascertain that there is no minor fracture, then the treatment changes. If there is no fracture then we expect a recovery with painkillers and local heat/ Ice in about 10 days unless it is a severe injury. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Gopal Goel, Orthopaedic Surgeon | |
What is the significance of Mifegest?
I m 31 yrs old having a one and a half yr old daughter. Missed my period this month and checked after 10 days of the scheduled date, confirming pregnancy. Consulted my gynaecologist the same day and she gave me the medicine mifegest stating two tablets to be taken today and 4 tablets to be taken after 48 hours. Kindly brief me up regarding what all exactly will happen during this so that i can be mentally prepared for it. | Hi, mifegest is given to soften the cervix and it is embryotoxic also. You can have bleeding after taking this or may not be. 4 tablets given to you is of misoprostol which will initiate the uterine contractions and you will have abortion after that. You can have heavy bleeding along with pain after 4 to 6 hours of taking it. Bleeding can persist for few days. You can take some pain killers for that. Hope I have answered your question. Regards Dr khushboo | |
What causes pain in the shoulder & chest?
Okay, last night I went to bed and it sort of felt like I had a pulled muscle in my right shoulder right below the shoulder blade. I had a little pain in my chest, but thought it was only my shoulder. This morning I woke up and about 10:00 it started hurting worse and the pain has now spread to my other shoulder and up the back of my neck. It also hurts in my chest really bad, especially when I cough. I am running a slight temperature. What can this be? | Hi There After going through your query I understand your concern.I would like to tell you that muscle pull can trouble you for couple of days with localized tenderness but your symptoms are suggestive of myocardial ischemia too as chest pain radiating to both arms and neck. you need immediate medical attention to evaluate any cardiac emergency.Kindly get an ECG and Echocardigraphy done and consult with a Cardiologist.Hope to have been Helpful.Kind RegardsDr. Navneet Bansal | |
What should I do to conceive when I have irregular periods and hypothyroidism?
Hi,I'm trying to get pregnant for 2years now but i'm facing irregular periods.Can u please suggest me what to do? my age is 28 now and i'm having my regular checkups. doctor told me that i have hypothyroidism and gave me thyronorm which i'm having for the last 1year.But nothing is happening.I'm also trying during my ovulation period,every alternative day but no result.Please help. | Hi,In the current scenario, you also need to get tested for other associated hormonal imbalances and also regular ovulation since you have irregular cycles. Also, patency of the tubes should be tested for and so is the male factor. A trans-vaginal sonogram to see the condition of the ovaries and the uterus is a must. Maintenance of a healthy weight, regular exercise, proper diet and mental status are also essential for conception. Once the cause is defined, management would be very easy. You may need ovulation induction or Metformin. Hope this helps. | |
Suggest treatment for TB Lymphadenitis
Hello, I am 29yrs old female with weight 43kg & height 5.4. I developed TB Lymphadenitis over left supraclavicular region in sept 2012. Did FNAC which showed occasional AFB & kochs. Consulted the physician. he started me Rcinex EZ, Leon 500mg od & benadone. After completing 6months regime he told me that there is a residual node of 2x2 cms which is not to worry about. but there was no weight gain at that time, weight was as it is. but in again sept 2013 i had bleeding PR with severe anxiety. Showed to surgeon , he examined me & told there are 1st degree piles. I also asked him about that node, He told me to consult Physician again. The other Physician told me that u have taken inadequate treatment since the node is still there. Again done FNAC which suggested necrotising lymphadenitis favouring kochs. Again started akt with akurit 4 3tabs daily before lunch. After completing 2months. the physician said that the size of the node has not reduced then he shifted me on line 2 which included strepto 0.75mg daily IM, Ethomid 250mg BD, Rimactazid 750mg & Lcin 750mg after lunch. I developed severe gastritis,nausea, vomitting, tinnitus, metallic taste & was unable to take food or even aroma of food. Lost again 2kg weight in 15 days.It came down 41kg. My life became hell at that time. then consulted other PHYSICIAN who calmed me & told not to worry about. Only take Rimactazid for 4 months & forget that u had tb. please tell me whether i am going correct??? it is almost 10 days now i have shifted to rimactazid, feeling ok but i just developed slight tenderness over that node since 2 days.. what to do??? my parents are looking for my marriage.they are also too worried. please help me out.. i don't want to die... | I can understand your worry..Lymph node may remain enlarged even after complete treatment and it does not require treatment til it completely settles..A doctor needs to complete the course of TB and stop it if patient has no symptoms , no weight loss etc...FNAC of node will show necrotising lymphadenitis for many years even after treatment..Now as you have started treatment already its better to complete the course for now..If u want to confirm the presence of Tb disease you should go for excision biopsy of the lymph node i.e. Complete removal of the node and do TB culture of the excised node.. If the culture is positive then treatment should be given as per sensitivity report and if the report is negative then you should stop worrying of persistent TB disease.. | |
What are the consequences of using expired KY Jelly tube?
Please tell me if there are any negative consequences if I were to use a KY Jelly tube that expired in 2009. I m at v4karin@ WWW.WWWW.WW If you type KY Jelly on the subject line, then I ll open the email. I never open email unless I know the sender. Thank-you for your kind consideration. Karin | Hi,It is generally harmless unless the KY is dried up. When used even after its expiry KY jelly usually does not cause any side effect but local side effects like pain, rash or irritation leading to inflammatory response in individuals who are allergic may occur. Unless you experience burning or itching with it, it is likely to be just fine. If it bothers you or your partner, discontinue it.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Need medication for swelling that has occurred at the sight of injection
My husband had a routine single needle injection to withdraw blood for routine blood sample last Saturday late morning. He experienced some swelling at the point of injection in crook of right elbow. I had the same with no side effects. 5 days later he has extensive bruising and some discomfort. We live in Hong Kong and have previously had no problem with getting routine blood tests. What could have caused this reaction? | Dear Friend.Welcome to Healthcaremagic.Hi, I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.This is probably thrombophlebitis.If you could send me the photograph, i could give you a better idea.Thrombophlebitis improves itself. Usually no treatment is required.However, if severe, Thrombophobe ointment for local application can be used.This is my personal opinion based on details available here. If you still have any other query, you may please ask me.Stay Healthy. Dr Anshul Varshney , MD | |
Had craniotomy. Having headaches, fever, vomiting and lack of sleep. MRI showed hydrocephalus. Meaning? Second opinion?
Hi, my 1 year old son had a craniotomy and brain decompression surgery in March for a Chiari 1 malformation. He has been having bad headaches and can not sleep through the night since the surgery, he vomited every night for the first 2 1/2 weeks after the surgery also had fevers of 102 and RSV since the surgery. He had a regular MRI on april 1st that showed he has communicating hydrocephalus with 14mm. He had this past Friday had an MRI with contrast and the neurosurgeon called with the results last night. He said that the ventricles are still 14mm but he doesn't think he has hydrocephalus that he thinks he has a prominent ventricular system. What does that mean? and he said where they did the surgery still looks decompressed the fluid is flowing well there. Do you think I should seek a second opinion? | Hi,Thank you for posting your query.The surgery has been done well, however, your son has not had the expected clinical improvement.Large ventricles could be prominent ventricles without causing pressure effect on the surrounding brain parenchyma. However, then headaches and vomiting would not occur.Since his symptoms are persisting, you may take a second opinion just to be sure.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My email: drsudhirkumar@yahoo.com | |
How can i get pregnant while suffering from irregular periods?
hello sir i am suffering with irregular periods my last mense come on 19/05/11 till date i have not mense. and i want a baby because two years back i am married so can you tell me it is possible for me to concieve in this conditionand doctor prescribed me regestorne 5 mg for 3 days 3 pill each day this medicine help me or not in conceiving | HiGREETINGS You need to undergo hormonal analysis esply thyroid and prolactin along with ultrasound scan to rule out PCOD .These are the common causes for delayed periods. After that you can take treatment for fertility.Hope my answer helps you. Regards | |
Could the fullness of the abdomen after an IUI be a sign of implantation?
hi, i just did an icsi ivf. had 2 fertilized 1x 2 cell and 1x4 cell and bought transfered on day 2. I was given clexane inj 0.4 daily. The transfer was last Sunday (today is Tuesday).... and I feel my tummy bursting. Is this a sign of clexane or implantation. Friday 14th retrieval, Sunday 16th transfer of embryos. Yesterday I did a progesterone blood result and it came 190.8 nmol/L - doc said so far I am on the right track. What do you think? Opinion? And please can you let me know about this feeling that I feel too full and stomach and tummy feel like bursting. | Hi,I read your query and I understand your concerns.Following is my reply:1) These are not symptoms of pregnancy.2) Progesterone cannot predict pregnancy.3) Please get serum beta hCG to confirm pregnancy on given date.Let me know if you have anymore questions.Regards,Dr. Mahesh Koregol | |
Any ayurvedic treatment for black teeth and swollen cheek?
my child is 18 month old, his tooth are become black in colourin the upper front jaw,suddenly his cheek become swollen we discussed with dentist he advised to remove the affected teeth is it need to remove the teeth are is it possible for any other ayurvedic or siddha treatment. pleace our question | Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have small child with swollen cheek and discoloration of teeth , dont worry this can be due to carious tooth having Pus formation . As there is no any ayurvedic treatment you should consult dentist and go for restoration if possible , if cant be restored go for extraction of tooth. Hope this will help you. Wishing you good health. | |
How to cure seizure attack and auras on L UE?
I had a siezure attack 1 week ago and i can still feel the auras on my L UE as if im going to have another one, how do i get rid of it?it gives me trouble sleeping, im currently taking lamictal 150 mg at night and 100 mg in the morning, i had this attacks for 3 years now, was diagnosed w/ focal epilepsy 20 years ago | HiI understand you concern.If you had attack on medicines then need to increase the dose of lamictal or need to add some other anti epileptic drug to control seizure episode.Require proper neuro consultation.There are many drugs which can useful in your conditions.So consult and get well soon.Thank you. | |
Why am i having erectile dysfunction and premature ejaculation?
Erectile Disfunction and premature ejaculationI am 18 years old and have a very embarrassing problem I'd like to fix. I haven't been able to get fully erect for a long time and often prematurely ejaculate. I'm too embarrassed to go to my doctor about this. I'd there any over the counter medicine I can use to fix this or treatment? please help. I am looking for any solution at this point. | DearWe understand your concernsI went through your details. First of all, you should confirm yourself that you have this erectile dysfunction and premature ejaculation problem. You are just 18 and your sexual life might not have been even started. Even if it had started, your experience must be limited to few sexual inter courses. Within this short period, with some silly experiences, you cannot term yourself as having erectile dysfunction and premature ejaculation. Such tagging is gross mistake.Your knowledge about sex, sexual organs, erectile dysfunction and premature ejaculation etc are seems to in its infancy stage. That is the reason why you are anxious about it. Read and understand more. If you can, consult a psychologist for counseling. Just don't be anxious, because anxiety can worsen your problem.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. |
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