patient_message
stringlengths
22
2.5k
doctor_response
stringlengths
41
2.5k
dialogue_context
stringclasses
1 value
Suggest treatment for the red spot developed on my kids knee My 5 year old son fell a few weeks ago and grazed his knee quite badly. It started to heal nicely, except he keeps falling on the same spot and has opened up the scab a few times and now it seems a little pussie. We have been treating it with betadine but he seems to have developed red spots going up his leg and one or two on the other leg, what would you suggest, should I take him to the GP???
heal-scar-injury-heal-scar cycle can lead on to keloid formation and to be seen by doctor; red spots may not be related and may be due to betadine skin contact dermatitis.
Suggest treatment for absence seizures My family reports that I am having occasional episodes that sound like absence seizures. What I read says they are rare in adults and I am 62 y.o. female. I have a history of anti-depressant use and my daughter has heard that that may be associated with these.
Hello!I understand your concern. Absence seizures are rare at your age but may happen. I would recommend you do an EEG which is absence seizures has a typical pathern and also a brain MRI to rule out any lesion of the brain like tumors, stroke etc which can cause absence in this age. If the diagnosis is absence I would recommend treatment with lamotrigine which is well tolerated at your age but not 100% effective in absence. It also has a stabilizing emotional effect. If it doesn't control seizures other drugs I would recommend to you are valproate and ethosuximide which are first choice for absence seizures. Antidepressants can cause seizures in the elderly but you have to rule out other causes.Hope to have been helpful!Best wishes Dr. Abaz Quka
What could red, itchy, painful pimples on buttocks of a child spreading to other parts of body and to others suggest? My 3 year old has been getting red itchy painful pimples on her buttocks that scar as they heal. They are now spreading to her upper thigh and back, and her 5 year old sister is getting them as well. Very random places and isolated, not groups. The pimples seem to dry up and heal within a couple of days, but then others appear in unrelated places. I,ve taken the toddler to the GP, he thought diaper related, but I don't think so now, as they seem to spread.
Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
Suggest remedy for puffed, closed eye in an infant after exposure to pepper? Hello. I ate a pepper last night and I think I may have gotten some on my shirt or skin and my 4 month old got it in her left eye while nursing. She is keeping her eyes closed and any time she opens it, it drains but her right one is fine but she chooses to keep them both closed. I washed her face in cold water last night and tried blowing in her eye. But this am she finally opened both eyes and the left one is not really opening all the way and a little puffy. Is there anything I can do or put in her eye to help her? Thanks in advance!
Hi, I have gone through your question and understand your concerns,You need to consult an eye doctor to rule out any injury to cornea , meanwhile do wash her eyes with plenty of water frequently , apply neosporin eye ointment in her eyes , do not let child rub her eyes . For pain and swelling you can give paracetamol drops .Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.*Always check for history of allergy before taking any medicine.Take care.•     DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that online users seek the advice of a physician who can perform an in-person physical examination
ALT levels highly abnormal. Given tetanus injection. What is the reason? Hello,I recently went for a routine physical. I was given an IM tetanus shot and blood was drawn for testing 30-40 min later. I was shocked when my test results indicated that my liver ALT levels were 248 (all other liver enzymes were within range). I am a healthy 34 yr old woman, married and monogamous, don't smoke, drink sparingly (on average twice a month). Could the intramuscular shot be the reason for elevated ALT?
Hi and welcome to HCM. Thank you for your querry. This isnt likely that antitetanus shot caused such ALT elevation, so dont ignore it and do further tests. At least ultrasound and viral markers. It doesnt have to mean anything but better be sure about this.Also ultrasound will see gallbladder disorders. Wish you good health.
How can painful dry socket be treated? Hi, I have had a dry socket now since the 1/02 I have been going to the dentist every 4 days or so to get the 'stuffing with clove oil' replaced. The dentist seemed concerned when he advised me that it is not healing effectively compared to what he is used too with his other patients. He cannot even offer me an estimated time of recovery, i still haven't been eating solids and the pain is still there, I have been on antibiotics for 2 weeks now. is this normal?
Hello,As per your query, you have symptoms of pain post tooth extraction which is not subsiding even after antibiotics is the probable case of dry socket and could be due to excessive tissue laceration and massive use of instrumentation.Need not to worry about anything. Do warm saline gargles. Maintain proper oral hygiene. Brush with super soft toothbrush very gently. Do betadine gargle as well. This can happen after extraction and take antibiotics course along with painkiller such as Ibuprofen to prevent pain and its radiating symptoms.Do not touch the socket with tongue. Eat soft food from that side and after cooling that. Drink cold water and have ice creams for faster healing. If your symptoms of pain keep on persisting visit dentist and get Eugenol dressing done in socket every day for around a week till naked bone formation starts.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harry Maheshwari
Cramps below rib cage, migraine, drank magnesium nitrate. Advice? I thought I had really bad menstral cramps .... I am 51 going thru Menapause. They started on Saturday. It is now Thurs. and my period hasn t started. Could it be something else? If I press my hands on either side of my rib cage below my boobs, it is really tender all the way around. I only had cramps reall bad about 9 months ago and they lasted a day. I had my usual 3 day migraine (Sun. - Tues.) and other menstral realted feelings this week, but what worries me is this pain is not going away, and my period won t start. I even drank a bottle of magnesium nitrate on Sun. thinking I was in pain because I had to go to the bathroom. Please give me your advice. I keep thinking this is my last period because each time is worse, but this pain is nothing to joke about.
Hello,This may be related to the menopausal symptoms.If the pain is severe then your reproductive system has to be examined for any pathological condition.A baseline ultrasound of the pelvic may be need.
What causes blood blisters on vagina ? hi I have small blood blisters ion the lips of my vagina. doctor said it caused by a bllod vein in my leg or something like that butI don t like the look and it makes me self convenient problems. will it go away.
hi how long you have? is it painful? you should consult dermatologist. if dilated blood vessel will there,laser can remove it
On last day of ovulation as per fertility calender. Will birth control pills be effective? I had unprotected sex with my boyfriend, he pulled out before ejaculation.. I took Next Choice roughly 45-60min after intercourse. What's making me paranoid is that according (checked fertility calendar) to my cycle I am on my last day of ovulation. I'm reading all these stories online that on or after ovulation the pill does nothing to prevent pregnancy. Is this true? Please help.
Hi, Thanks for the query. No, if you take the pills as per the schedule they can prevent the pregnancy irrespective of the period of menstrual cycle. So no need to worry. But emergency pill is having some amount of failure rate in general. So if you miss the period, once go for pregnancy test. Better to avoid repeated use of emergency pills. For more details you can ask me through: Take care.
What causes fever, aching muscles, red rash on chest, low platelets and high WBCs? Yes, sir... My 16 yr old nephew is healthy, but since Thursday he has had temp. spikes of 102. , aching in his chest and most muscles. A fine red rash on his chest. He was seen in a walk in clinic today and was told it was a virus of some kind...? His platelets are low and WBC s high. I don t have a print out, just a concerned call from my sister in law. He is complaining of shortness of breathe....I m a concerned aunt. Carol Wood, RN, MS
Hello,fever, muscle aches and rash probably points to a viral infection. This is not 100% certain diagnosis though. A thorough clinical examination is needed and perhaps more diagnostic tests. What's concerns me more is his shortness of breath. This symptom calls for immediate medical attention. I would have asked for X-ray, oxygen saturation (SpO2) and electrocardiogram right away, if I were his doctor. Another important test is C-reactive protein. I couldn't suggest a specific diagnosis with the provided information but the above tests can be very useful to exclude more serious conditions.I hope I've been helpful!If you need further clarifications, please ask and I'll be glad to provide them for you.Kind Regards!
What is the movable lump on the neck? I had a lump in my neck about six years ago. It is still there has grown slowly it is on my left side slightly Right of my clavicle I can move it slightly. It is probably the size of a marble it doesn't feel like it's connected to anything as if it's between my neck and my skin
HI.By the position you have mentioned and the duration - this looks to be a solitary nodule of the thyroid gland. Get this confirmed by ultrasonography and go for an FNAC to get the right diagnosis. Even a good clinical examination by a Good Doctor can give you a diagnosis. also go for the blood tests particularly thyroid function tests. You may need removal for the histological diagnosis to rule out a sinister problem .
What causes a small lump on the right side of the temple? I have a small lump on the right side of my temple. It almost feels like the vein is sore and alightly swollen. My left temple is sore also, but there is no swelling. I have not hit my head recently. The discomfort has been going on for about four days.Do you have any idea what this could be?
Hi,Good Evening.Thanks for the query to HCM.I studied it in depth and I understood your health concerns.-Treatment-for-sore Temporal-lump-1- Mostly it appears to be -Temporal Arteritis with Tender Temporal muscles -due to associated anxiety -spasm.2-Temporal arteritis is diagnosed by Arterial biopsy-where-Giant Cell arteritis is confirmed by HPR.3-Diabetes with Hypertension ? Intracranial Hypertension with Papillowedema may be causal factors in some cases and needs to be ruled out by Physicians / Eye doctor / and Neuro doctor.4-Discomfort is for 4 days -and hence MRI of the skull and eye check up with Arterial biopsy would fix the diagnosis of temporal arteritis in your case.Dont get scared and uneasy,but be cautious and act fast.Hope this would help you a lot to relieve the arteritis pain soon.Wish you fast recovery-and healthy life.Wellcome to HCM with more queries till you are satisfied.Have a Good Day...!!Dr.SAVASKAR M.N.M.S.GENL-CVTS,Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer,Asthma,etc,Rejuvenation therapy and Tissue failure -reversal therapies.
Suggest remedy for lungs problem Hi, I am a 63 year old female. I have been sarcoidosis of the lungs, lymph nodes and. bones. I am on 10 mg of prednisone , 6 tablets of methotrexate weekly and remicade every 5 weeks. I have been having pain on my right side just under the rib cage. My doctor performed liver function tests which came back normal. He has also ordered an abdominal ultrasound and upper GI with intestinal follow through. Should I still have these tests when liver function panel is ok? Other meds I am on are furosemide, fosamax, hydrocodone, celebrex, gabapentin, enalapril, metoprolol, vitaminb12, carbamazepine, crestor, duloxetine, folic acid, prednisone, dexilant, sulfamethoxazole
Thanks for your question on Health Care Magic. I can understand your concern. Yes, you should definitely get done these tests to diagnose your condition. Sarcoidosis is inflammatory disease affecting almost all organs. Normal Liver function tests don't rule out liver disease. We need to looked at liver parenchyma, bile duct, gall bladder etc. So ultrasound abdomen is must for all these details. Sometimes gastritis, stomach related other problems, intestinal infection etc can also cause similar symptoms. And to diagnose these, upper GI scopy and intestinal follow through are needed. So my suggestion is to get done ultrasound, upper GI scopy and intestinal follow through to rule out internal abdominal pathology. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Q. How long should my husband and I wait to try for a baby if we did cocaine? Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
What causes itching and hardening inside breast? Am a man aged 62 and have been having a problem with my breast. Its now 2years with this problem. my breast hardens and itches on the inside and then after 4days, its bursts on the side next to the nipple and pus comes out for 3 to 4 days. and this happens after every 2 to 3 months. i have undergone tests and operations but nothing is getting solved. please help or do you have an idea what it is?
Hello Thank you for trusting HCM Don't neglect nipple discharge in this age. Have you had gynaecomastia??? Most common cause for nipple discharge is underlying malignancy or it may be simple abscess. Consult your surgeon immediately he will examine and treat you accordingly.
Would chest infection cause difficulty in breathing? Hello recently I have been feeling I havnt been able to draw a deep breath and have been having worried feelings astho somthing is wrong, at first I thort I had a chest infection due to shallow breathing but I don't have a cough but I do smoke so am wondering if it is anxiety attacks.
Thanks for your question on Health Care Magic. I can understand your concern. Yes, chest infection can cause breathing difficulty. But possibility of chest infection is less because you are not having cough or fever. Since you are smoker, possibility of bronchitis is more. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis but 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). First of all, quit smoking as soon as possible. This will help you a lot. Don't worry, you will be alright.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
What causes abdominal & back pain? I m a 40 year old female having severe left side abdominal pain which also causes back ache. Can I know the reason? My doctor has asked me to take ultra sound of kub suspecting it to be a kidney stone.he has given me urikind tablet for 2 days. could u pls advice me
Pain in the right/ left side of the abdomen ( called the lumbar region) can be because of kidney stones, USG KUB can detect it, depending on that the treatment can be initiated if the stone size is bigger (if there are no stones in the kidney, then complete abdominal scan will be helpful). Hope I could help you. Thank you.
What could constant lightheadedness and off balance with brain scan and ear test being normal suggest? I HAVE had light headness for over a year ,daily. IT has progressively gotten worse and prevents me from doing simple activities in the house and outdoors, even taking a walk requires constant stopping because I FEEL OFF balanced weaving to the left and right. I Have had a brain scan ,a 24 hr.B.P. monitor and been seen by an ear specialist .Every result was negative. I WISH TO CONTACT ADOCTOR WHO is knowledgable about head manipulation that may help relieve this overwhelming symptom
Hi,Welcome to Health care magic forum. The reasons for the light headed ness could be hypertension,high or low blood glucose level,internal ear infection, or ischemia of the cerebrum. I advise you to consult a neurologist for diagnosis and treatment. You may need to have a C.T.scan for diagnosis. I usually prescribe to my patient with such symptoms ranitidine,cinnerzine,till the diagnosis is established. Wishing for a quick and complete recovery. Thank you.
What are side effects of Shafair ayuvedic soap? Good evening doctor, my name is anusha. im hvg dry skin but no acne problems it is clean but im using mysore sandal from past 3 years sometimes like 3-4 days i used to change other soa but it does nt suits..today i brought SHAFAIR ayuvedic soap..shall i use this any sideeffects? pls help me
HIWell come to HCMI really appreciate your concern, first of all the main reason behind the soap is to clean the dusk, oil from the skin and not for any disease, unless some medicated soap is there with particular ingredient, else for the skin it need to be managed accordingly with medicines alone, hope this information helps, take care and have a nice day.
Should i continue taking flagyl tablets for psoriasis due to red spots? I have been diagnosed to have psoriasis. The doctor has prescribed Flagyl 400mg tab daily and Absolut Cap daily one each. On using Flagyl I found red spots all over my body. Should I continue. On the other hand, a general Physician has prescribed Montek Lc one daily and Deflacort 30mg half a tab daily. The dermatologist has asked me stop tablets prescribed by the Generalo physician, but the lesions still continue. Pls help. My age is 49 and i am a Male.
Hi, Cannot say in your particular case and the red spots are hard to comment on without seeing them. Association with a new drug makes allergy to it something that comes to mind but it can be coincidence. Itching and hives make allergy more likely and more likely to be a drug reaction. Drug reactions are either mainly where the drug contacted the body or all over. Flagyl is pretty common to cause this reaction and anti-allergy medicines such as montek and deflacort would be a treatment for this. There's a lot of other psoriasis treatments. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist
what causes pain in the lower middle part of my abdomen? I am having pain in the lower middle part of my abdomen. It hurts horribly bad when I press on it, bend over or even try to get up from a sitting position. I have had a hysterectomy and a bladder sling a couple of years ago so I do not have a uterus, or cervix. I so still have my ovaries though. It also hurts when I use the restroom and bare down for any reason.
Hi ! Good morning. I am Dr Shareef answering your query.From your history, it seems that you have got some kind of infection in your abdomen which could be related to the ovaries, and the space surrounding them, or could be a urinary tract infection as well.If I were your doctor, I would do a general clinical examination of yours with special attention to the abdomen, followed by some routine blood tests like a complete blood count, blood sugar, a urine routine/microscopic test followed by culture sensitivity test if need be, and lastly an ultrasound of the abdomen with special attention to the pelvis. Further management would depend on the report of the investigations. Till that, I would advise you some anti inflammatory drug, a proton pump inhibitor, and an anti spasmodic if needed in addition for the pain.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. Wishing you an early recovery. Dr Shareef.
What can be the reason for vomiting and diarrhea in child? 11 year old has had diarrhea since last Wednesday 12/14/11, carrying a low grade fever since, the diarrhea stopped over that weekend, then started back up on Monday, Gave him imodium and he did not have but one bowel movement, then this monring he is vomitting and diarrhea at same time. No one else in house has been sick or got it yet. Not sure what is going on with him. .
Hi dear,I had gone through your question and understand your concern. He has gastroenteritis. It usually causes by bacteria: E.coli,Salmonella, Streptococcus, St.aureya, Shigella and etc.I suggestOflox-OZ 1/2 tablet twice after meal for 3 days.Enterogermina 1 sachet twice for 3 days.ORS 1,5 litre every day.Wishing your baby speedy recovery
Having scars due to recurring acne. Took medicines, no relief. Solution? Hi dr I have acne last 5 year but I take dematologist treatment andl acne problem solve but in between sometime this problem occure and leaves a scars on skin and now a day again same acne again prevent on face and its a red spots that are inner side the skin hard type and also pain after few day its made white pimple then leave it spot on skin I m so worried about it bcoz already have scars on skin
Hi there, It seems like you are having Nodulo cystic acne. This type of acne is usually resistant to the conventional medications and treatment. So I would say you are a candidate for Isotretenoin therapy,this is Vit A derivative and proven to be very helpful,but you need to go to your dermatologist because this medication is not suitable for all people and you have to be reviewed before staring the therapy. Regarding the scars,I can understand your concerns,here again I would say there are many options but you need to see a dermatologist to give you an option which best suits your skin and can have the maximum results, I hope you can understand my point. All the best.
Suggest treatment for walking pneumonia I have walking pneumonia, was give to medicines Azithromycin Tabletss, USP and Methyiprednisoloe and an anxiety medicine colnazepam, my cough is still bad and I can not breahe, or it feels like I can not breahe. COUGHING until i puke and feels like my chest weighs a ton....is here anything I can do for rest?
hi,Welcome to HCM,Coming to your query, considering your symptoms it would b worthwhile to get and Xray if symptoms are more than 2 weeks also this cough is known to b there for 2 weeks post treatment in walking pneumonia. If Xray is normal then you might require some inhaled Bronchodilator with steroid inhaled to resolve cough.
Bedridden with gioblastoma. Unable to eat anything except popsicles. Organs have started to stop working Hi, my father has gioblastoma and is now bedridden. Hasn't eaten except for Popsicles in a week. We give him meds through a feeding tube. We only use the tube for the meds(steroid and seri quill). His organs are starting to shut down. Is he in pain? He can't talk or move except for one arm and hand very slowly. I was trying to have my mom start morphine but she is hesitant. He moans if we move him at all.
Hi,This is a very difficult question to answer but there is a possibility that your father may be in pain. Morphine would be the appropriate drug if this is the case.I suggest you have him assessed by a doctor with expertise in the area who will be in the best position to assess his level of pain.Regards,Dr K A Pottinger,MBChB FRCA
What causes white stain on penis of a child? my 5 year old son has peed the bed twice in the last four days and when i changed his underwear he had a white stain in the front where his penis would be. i took him to the doctors and they told me it could be to much protein in his urine. Could it be something else?
DearWe understand your concernsI went through your details. I suggest you not to worry much. The details you are giving may not be enough for a correct diagnosis. But from the look and feel of it, the white deposit could be protein. The protein and minerals (including salt) comes out of urine, creates a whitish remnant when the liquid base dries up. That could be the white stain.Hope this answers your query. Available for further clarifications.Good luck.
What could be the cause of excessive aggression? My wife is too much aggressive and talks in a very bad languages and also give abuses which a person can't lolerated at all. She refues to go the doctor and say that she has no problem . In this situation what should I do . Her behaviour with all members of my family is very bad even with her daughter and sons.
DearWe understand your concernsI went through your details. I suggest you not to worry much. You are supposed to know about your wife much better than anybody else. If she is arrogant and abusive, and don;t listen to anybody, and refuses to visit a doctor, then you should make her motivated to do something which she likes to do. Recharging and prioritizing her mind and priorities can definitely help. Let her go for a job and enjoy.If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
Trying to conceive for 3 years, low motility and sperm count, undergone IUI. How to improve motility? hi Doc, we trying for pregnancy since 3yrs. my hubby s sperm count and motility are very low during these years, like 20 - 45 mill/ml and 5% active motility, 5 - 40% non motility . His age is 30yrs & weight is 62kgs and underwent hernia surgery 3yrs back. earlier upto around 2yrs he took spermotil tabs and coQ tabs but it didnt help.Now another doc has advised to take Maxoza and increased the dose of CoQ. and after using it for 3 months he took semen analysis test yesterday and to our bad luck there is no improvement. results are : volume - 1ml, Count - 28mill/ml, actively motile - 5%, sluggishly motile - 20%, non-motile - 75%, abnormal - 65%, pus cells- 8-10 / hpf, RBC - absent. I have undergone IUI twice but all in vain. what to do doc. how can he improve his motility quickly. plz reply.
Hi,Welcome to HCM.Sperm count & motility are affected by many factors including genetic causes. Like our height, color, sperm mptility is also genetically determined. If there is no obvious cause (like varicocele, hydrocele, infection) & if it has not responded to supportive treatment, motility is less likely to improve with treatment. Better option is to go for 3-4 cycles of IUI with pooled semen samples followed by ICSI if not successful.Wish you good health.
Does Fertyl 50 mg help to conceive? we are trying for a baby since one & half year and made all the required tests for me as well as for my husband, everything is fine, but i din't conceive. now my doctor has adviced me to take fertyl 50mg from the 2nd day of my period for 5 days, it this helps me to get conceive this month, pls answer me
Hi fertyl tablet is given to increase size of your eggs and it definitely increases the chance of pregnancy. What you can do is to get ultrasound done to see if your eggs are growing or not. Ultrasound will tell you the exact time of ovulation and then you can try naturally around that time. You can try with this medicine for 6 months. Hope I have answered your question.
Suggest ways to lower AST levels I need to lower my ast,alt before my bllod test in 12 days. It happened before over 2 years ago and I stopped drinking for 3 weeks and all was normal. I was very sick at the last time and only 109 lbs. till they dignosised I had Barrette,s esphogus diease. Now I am healthy at 129 lbs. I do drink but also only wine sparkling water because acidity is to much. Will not drinking for 12 work at not drinking before my blood test,,,,,,,,,
Hi,I understand your concerns and I will explain what needs to be done. Usually, for a liver to properly heal itself, and enzymes to get back to normal needs around 30 days to 60 days or even more without alcohol. Twelve days without alcohol, probably will not help to lower ALT/AST enzymes at normal range. Here are some advice to help your liver heal,your liver enzymes get back at normal. - Eat fresh fruits and vegetables-have plenty of water- Normal exercise like yoga, or walking to the park 3 or 4 times per week- Have a low fat diet and alcohol free. But since you drink, then a cup of red wine is the best option. Red wine has a lot of antioxidants that can keep your heart at shape. Just try to not abuse since you had Barrettes esophagus.Hope I have answered your query. If you have any other question, feel free to ask me.Regards,Dr. Endri Katro
Suggest treatment for severe cough , cold and chest congestion in a child Sir my child is of one and half month old.since last week my entire family is suffering from cold cough.so now my child had also some problem.he is not sleeping properly through all the night.have a slight cough and also breathing with mouth.also his chest is giving a sound while breathing.so recommend some good medicines and precaution s for him
Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you should consult neonatologist for your child. He is only 1.5 months old. In this age, immunity is low and possibility of lower respiratory tract infection (LRTI) is more. He might have contacted infection through family members. So don't give medicines without consulting neonatologist in 1.5 month old child. Get done clinical examination of respiratory system and chest x ray if needed. He may need antibiotics, antihistamines, inhaled treatment in appropriate doses according two his body weight. Hope I have solved your query. Wishing good health to your son. Thanks.
Suggest treatment for itching, burning and tingling body with pins and needles I am having problem of itching in hand and feet an also burining , tingling sensation of pins and needles all over my body and am suffering a lot . can you help me with the knowing me the cause and the medical stream which would help me . Should I contact dermatology or neurology. I had earlier contacted dermatology and he took all tests but the report were normal and he just gave me anti allergy medicines. pls help me
Hello,The symptoms seem to be related to peripheral neuropathy. I suggest using a painkiller such as Gabapentin to relieve the symptoms. If the symptoms continue, you should see a neurologist for further evaluation.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
What could have caused the rash during sleep? Last night, I woke up around 4 AM and noticed an inflamed red patch of skin on my arm, roughly an inch and a half long by an inch wide. I thought i had just been scratching in my sleep and ignored itNow, I've just woken up, and the red patch has turned into two lines of nearly perfect squares. It is REALLY bizarre looking. It appears as though they might stem from a bug bite, but I was wondering if anyone has heard of this kind of thing.
HIWell come to HCMChances of Viral infection may be likely this could be "herpes" keep the skin lesion under observation for any changes, till then this can be managed with "Diphenhydramine lotion" if this does improved then this need to be clinically examined, hope this information helps, take care.
What could be the reason for heavy sneezing in the morning that is causing abdomen pain? Dear Madam, My wife has a regular period of 28 days. It is 28th day today she had a mild light discharge of bleeding. She is very sensitive to allergic conditions. We had intercourse from 9th Day to 16th day, she use to sneeze a lot usually after getting up in the morning. But today after the discharge at around 3 PM in the afternoon, she sneezed a lot and seem to have a little pain in the lower abdomen. Then after some time she does not have the pain. We a very hesitiated to take any antihistamines like, Levo cetirizine/ cetirizine/ loratadine, which ENT doctors have prescribed. We a yet to take a HCG test. Will this sneezing cause any problems. Can you pls advice us....
Hello sir! Your wife seems to be suffering from allergic rhinitis as suggested by the morning sneezes and response to anti histaminics..... its 28 th day , so she may have uterine cramps , the cause for her abdominal pain - characterstically intermittent as you have described . These two conditions are not related as such ... but continuous sneezing can stimulate uterus due to increased abdominal pressure during sneez .... such conditions require treatment withTab. levocetrizineAnd selective COX 2inhibitors - CELECOXIB For highly symtomatic rhinitis , beclomethasone nasal spray can be used ....Thank you :-)
What causes an open wound in the stump? hello, i have a painful spot on my stump from something rubbing down there, and i have been putting up with a sinus infection for about 6 days which is also painful on and off, i was wondering if this is a good time to go. the spot rubbed raw is open and i am very pron to infections.
You're describing a sinus which is a fibrous tissue track that is being filled with pus or secretion that is the time when it's painful and the pain is relieved when it's emptied...You have to be examined by a surgeon
Q. Please explain the poisonous effect of phenol ingestion. Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
Suggest treatment for diaper rash My son is 2 years old about to be 3 in February. He s been complaining that his peepee hurts for 2 weeks. I kept looking all around for a diaper rash but there was nothing. Then I noticed that at the tip of his penis it was a little blue. Do you know what this could mean?
Hi, It may be due to contact dermatitis due to some new clothes. You can apply pure coconut oil or zinc oxide cream for that. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rajmohan, Pediatrician
What can cause sudden fever and backache in a child? grand daughter was just taken to ER. She was fine all day, running around, then got quiet and fell asleep. Woke up crying with fever, said her back hurt and apparently she did something weird with pulling her chin towards her chest. She was in a pool all afternoon. She also only has one kidney.
Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further.
What causes elevated levels of SGOT and SGPT? I am 40 yrs,my L F T Test result showing that my sgpt and sgot 107 and 130.2 or three pegs alcohol consuming twice in a week,I am consult a physician and he prescribe to take Levolin S capsules morning and night for three months.Is there any side effects for this
HelloIncreased SGPT indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes etc.It may be due to alcohol intake in your case.SGOT is non specific and it increases in many conditions.You may need few more investigations like lipid profile,viral markers and ultrasound of abdomen.I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It helps in regeneration of liver cells.You should avoid alcohol completely.It is must for your recovery.Levolin S contains Levosalbutamol and it is usually prescribed as bronchodilator.Get well soon.Take CareDr.Indu Bhushan
Does a sore left jaw and a left-sided runny nose indicate sinus infection? I have a sore upper jaw left side of my cheek. My teeth hurt. The roof of my mouth hurts, again only on one side, two days ago I had sore teeth, but not today at all. I ve had a headache for three days but not today and today I noticed my nostrisl on that side would start running from time to to. I m thinking a sinus infection. Please help. Carmen
HI, thanks for using healthcare magicIt is definitely possible that you have a sinus infection involving the left side of the face.Most infections are viral though bacterial and less commonly, fungal infections are possible and occur as well. A bacterial infection would cause a prolonged fever along with a smelly discharge.Treatment for a sinus infection involves the use of anti histamines and decongestants (both oral and topical) eg zyrtec d, allegra d, claritine d, benadryl d.Example of topical decongestants include otrivine and normal salineA pain killer such as ibuprofen or paracetamol can be used to help the headache.If the symptoms do not improve or they are severe then you should see your doctor for assistanceI hope this helps
Q. I have been suffering from intermittent low back pain. Is it sciatica? Hi doctor, I am having severe pain in the lower back, more on the right side. I am not able to bend front and my right leg is aching continuously. I am suffering from back pain for last 6 to 7 years and sometimes, it is severe. I had to take bed rest for a week, but I had never taken any medicine. A few months ago, I had the same kind of pain because of lifting a bucket full of water and that time I had taken medicines. Ultracet twice in a day, Dolonex Rapid 20 mg once a day and Myoril 8 mg once a day. Now, I am facing the same problem for the last few days and since yesterday I am taking the same medicines. But, the pain has not relieved completely. Please tell me the appropriate medicine and any test if needed. One more thing I want to know is can this be a neurological case? Is it sciatica?
Hello. MRI scan lumbosacral spine. 1. Mechanical backache. 2. Lumbar intervertebral disc herniation with paravertebral muscle spasm. 1. Tablet Myoril 4 mg twice a day. 2. Tablet Ultracet twice a day. 3. Local application of analgesic gel over the affected region and heat therapy for low back pain. 1. Avoid bending forward, lifting weights and any exercise at present. 2. Avoid sexual activity till resolution of pain. For further information consult an orthopaedician and traumatologist online.--->
Suggest treatment for spinal headache and back pain Hi, I am a 64 year old lady. I have had a morpine pain pump for 8 years at 8.59 mg day. Was doing great until my 2 physicians moved out of stat and have a new replacement which removed the pump on Oct 1, since he does not believe in the pump. I had no choice. Since I have a spinal headache,diarrhea 25-28 times a day with vomiting, cold, clammy dizzy, severe back pain awful sweet smell comes off of my skin. Unable to sleep for 49 hours and absolutely misserable. Today he ordered 25mcg fentanyl one patch every 3 days plus compazine. He just told me I had to tough it out. Do you have any suggestions it is very hard to take care of myself when husband is at work. Thank you so much. Donna
hi Donnai can nderstand your depend on morphine pump and finding hard with switch over....but it is well documented that fentanyl patch is equally effective and dosing has to monitored for optimum level of relief.cause of diarrhea may be diagnosed by a gastroenterologist and treated according to cause, only maintain good electrolyte and water balance with plenty of fluids intake.spinal headache may be rrequiring a review by a neurons specialist, usually cerebrospinal fluid examination and CSF pressure has to be measured and tap is donebest wishesregards
Q. Kindly tell the treatment for recurrent cough and fever in a 5-year-old. Hi doctor, My 5-year-old boy has a cough for three days and today he has a mild fever too. He also has a runny nose and watery eyes. Last month also he had a viral cold infection. Can you please guide me what should I do? I am giving him honey. And he gets sick so much. And he has a runny nose almost all the time. I think he has rhinitis allergies. But I am not sure.
Hi. Please continue giving honey to the child as one tablespoon twice a day. You can also give the honey in warm milk to provide a soothing effect. You can give Panadol for the fever. However, with regards to the child falling ill recurrently with a cough, cold and fever, it seems more so like a hyperreactive airway disease. We may need to start the child on Montelukast for a few months and see the change.
What causes dizziness and spinning in child? Hi I Am A 14 Year Old Female And I Have Been Having Dizzy Spells. They Make Me Feel Like A Am Shaking And Spinning. I Also Black Out And Can Not See Anything. My Legs Tend To Get Weak And I Have A Hard Time Keeping My Balance. All Though I Do Not Fall Or Faint. These Spells Usually Last Around 30 Seconds To A Minute And Arent To Bad. But Lately They Have Been Pretty Bad And Have Been Going On For About 2 Minutes. I Am Getting Scared And Have No Clue To What It Is.
Please go to your GP or Paediatrician to get yourself assessed. Of special importance would be your heartbeat, listening to your heart by sthetoscope, your blood pressure in sleeping and standing posture, your blood sugar, both fasting and 2 hours after a normal meal. If all these are normal, more tests may be needed, depending on your examination findings.Dr. Taher
Is heating pad recommended in case of pulled chest wall muscle? I was in the er last night diagnosed with a pulled chest wall muscle . I was given muscle relaxers and Percocet and 24 hours later I am getting no relief from these meds at all . I have used a heating pad but now I seem to be getting either palpitations of spams . Help!
Thanks for your question on HCM.Pulled chest muscle needs following treatment. 1. Avoid heavy weight lifting.2. Avoid strenuous exercise.3. Avoid movement s causing pain.4. Avoid bad postures during sleep.5. Take painkillers and muscle relaxant. 6. Wear chest belt so that movement of affected area is minimized.7. Hot water pad application.So no harm in hot water pad application. Also try other things mentioned above.
Does latent TB cause infertility ? Hi, I m 29 years old and trying to conceive since past 1.5 yrs. Got mantoux test positive (18X15) but x-ray was normal. Shall I start treatment for latent tb in order to conceive? All other reports of me and hubby are normal so does that mean the latent tb is not letting me conceive? What should be my next step if I wish to conceive asap?
Hi; welcome to HealthcareMagic Just based on positive mantoux test it is not advisable to start with anti-tuberculous drugs.You need to get investigated for extra pulmonary TB that is TB in any other part of your body like abdominal TB;endometrial TB;or Tb of any other organ.To confirm you can do a Immunological test of TB IgG ;&IgM ;a recent addition to it is TB Gold which is a confirmed test to diagnose TB.Get the test done & if positive then after consulting your doctor you can start medicines if he prescribes. Hope this answer is helpful. Thanks
Can i get pregnant? Mam I got married 3 years still I didn t pregnant egg growthing is normal my husband sperm also normal but 1st time I miss my period 8days to check pregnancy test I m pregnant but i was aboated used tablets after aboating I suffered by right side abdominal pain with right side buttock pain and thigh pain now I consulting gynagologist doctor they told my endometrium small size 6mm can u tell me I get pregnant or not its curable ah
Hello thanks for writing to HCM.Sorry to know you had a miscarriage. Endometrial thickness normally varies with the menstrual cycle and ultrasound monitoring is needed to see its growth. A thin endometrium is deterrent for successful implantation. You need a comprehensive workup as to the cause of the thin lining eg. scar tissue in the endometrium.I would suggest you consult an infertility specialist at the earliest,who can guide you and see if the endometrium responds to treatment. Hope this is helpful. Do not lose hope.All the best.
Had pain in tooth and also a lump. No medication taken. What can this be? Hi, so I jad braces before when I was around 14. And when I got them taken off I felt that my left canine tooth would sometimes hurt a little and would hirt a little more durong the winter time. Today it started hurting out of nowhere and felt that there's a lump next to my nose that wheneverI touch makes my canine tioth hurt hhorribly, what can this be I am terrified because I do t want to get my tooth removed!
Hello , Thanks for writing to us. The pain associated with canine tooth after orthodontic treatment is due to dentine hypersensitivity. There is chance of wearing of enamel during orthodontic appliances are inserted. The lump may be arised due to abscess formed from periodontal infection. I would suggest you to get a thorough clinical evaluation by your dentist. Thorough scaling has to be done. Sensitive teeth has to be restored using tooth coloured filling material. Use desensitizing toothpaste and interdental toothbrush to clean your teeth. Maintain good oral hygiene. The lump has to be curetted and drained. Take care.
Q. Why do periods get delayed after first time sex? Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
What causes constant fatigue and depression? Ok hi lm LOIS 63 yrs old I am no good .Meaning I m tired all the time ,I know I am depressed ,I care about nothing .I could just lay in bed everyday and do nothing.I have been married 49 years ,I have a wonderful husband who loves me dearly.H e does everything for me and the house.There are no money issues or anything to make me this way.I am on Meds ,but I cannot pull my self out of this hole I m in.
Hello,In my opinion, it is important to rule out low hemoglobin levels and thyroid dysfunction. It is very important to run, to keep out the electrolyte abnormalities. Antidepressant-like Escitalopram drug is also beneficial.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Gayathri
Why is my son having swelling after being treated for dental abscess? my son 5 years old and is suffering from dental abcess sue to extensive caries. the abcess heals had haled slowly over the last few weeks with regular washes and dental medication. unfortunately with the permanent filling, the swelling is back kindly suggest.
Hello and welcome.Thanks for sharing your concern.please do not get worried about the recurrent swelling in your child's mouth.just ask him to do warm saline rinses and give the required dosage of antibiotics.As in children due to multiple caries it is difficult to create complete aseptic field and do root canal treatment.Therefore you can see your dentistand get the older filling removed and get the RCT redone.This should help.Thanks.Take care.
What could sharp pain in stomach and chest mean? I get the same sharp pain but in different parts of my stomach or chest area. The only way I can really explain it is it's like getting a small charge of electricity and the only way to get rid of it is to take a deep full breath. When I was a child this happened maybe once every couple of months. I am now 21 and this happenes up to 5 times a day and is now mostly right in the center of my chest. What could this be? And does it have something to do with my asthma?
HIWell come to HCMI really appreciate your concern, if are having Asthma then such symptom could be due to this and this is because of bronchial constriction this could be more prominent if it is associated with Hyperacidity and stress, in my opinion all the three condition need to be treated properly, then you would be fine and free from the symptoms, hope this information helps, take care.
What causes severe back pain mainly in the left side? I have pain in my back mainly the left side and in July was in hospital for a few weeks with Pericarditis and pneumonia. Just been to my GP and was given a letter for the hospital. My BP was ok 120/70 and my pulse was 99. Have this for about 4 days now and have also been having sweats especially at nigh, the bed is soaking in the morning. I have just started a new job and cant be taking time off. Any suggestions on what to do please.
thanks for posting your query. As you have mentioned keep a constant check for your pericardittis and pneumonia. backache with left side pain could be due to compression of left nerve roots in lumbar spine region. proper neurological assessment is requiredd. Start with the medication for backache in form of muscle relaxants and pregabalin with methycobalamin. avoid forward bending and heavy weight lifting. Avoid anxiety. Be relaxed. Start back extension exercise. MRI to be done if needed. Get well soon . Take care. Send further query for your follow up
Does passive smoking or inhaling candle smoke cause wheezing and burning? Hi I have intermediate CLL. Blood wk looks good but have low gamma globlin. watching for 3 mos. I am noticing wheezing and burning in lungs 1 wk maybe and slight running nose. I have a recurrence of skin eruption showing up now on buttocks cheek always in same area. but have no herpes or other contagious decease re: bld wk. decided to takek acyclovir today. There are smokers in building and my apt seems to fill up with smoke; i lit a candle and i may be answering my own question the candle bothers me. What do you think? This is a non smoking facility but mgr says she can t refuse smokers as long as they don t smoke in room. just fyi Thank you, JIll
Hello dear , hiWelcome to Healthcaremagic.comI have gone through your concern in depth .* Passive smoking is definite reason for this issues of wheezing , burning .* Inhaling candle smoke affects if more closer , in a closed room .Hope this will help you .Regards .
Is general anesthesia advisable during chest congestion? i am a 56 year old female and will undergo a gastric sleeve bypass in two days. i am in good health with no major problems other than my weight. i have a slight cough that started yesterday with no production of sputum. what will happen if there is chest congestion and i receive general anesthesia?
Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. My opinion- IN the given situation, You seems to be having-GERD with acid reflux induced Cough from vagal irritation. Possibility of Chest-Congestion with slight cough you have is very less as there is no sputum with it and as doctors have checked and cleared you for the Gastric Sleeve bypass-in 2 days. Do's Suggested- In case you happen to have chest congestion-your Surgery would be cancelled by anaesthetist / surgical team, till its fixed and treated. X-ray chest after clinical lung check up by Physician would verify and would treat it, if its there. Other causes of Cough with no sputum,needs to be verified and ruled out, before giving any treatment. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link- Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS
Suggest treatment for infertility dr. i did a masterfasion for a 10 years . now i am 30 yrs old . i have no child.when i check with the doctor tells you have no active cells in semen and have more dead cells and pus cells how can i get child and is it possible and how long to take medicine pls answer me
HIThanks for posting your query to HCM . I don't think your problem is due to masturbation . First of all we need to find out what is the cause for your Problem . For that I need the complete report of your Semen Analysis . Kindly Upload the report . There are some conditions ( for example Varicocoel ) which when corrected your Semen will become normal . But there are some condition ( for example Maturation arrest ) which can't be treated . But today the technology is so advanced that even if one sperm is healthy you can have a child . Kindly upload your semen analysis report . Also if not done earlier get Semen Culture test and Ultrasound Scrotum .
Stomach pain, ankle pain, shortness of breath. Has tendonitis. Are they related? i have an 11 year old daughter that has been complaining of stomach pain on and off for the last year. her ankles cause her a lot of pain. she was told she has tendonitis, now the other ankle is bothering her. she also complains of shortness of breath. are the symptoms related? should she have some lab work done. her ankles have been exrayed and nothing showed up.
Hello, Thanks for the query to H.C.M.Forum. Pain in her ankle joint was due to RHEUMATOID ARTHRITIS & now pain is in the other ankle joint. This is an indication ( pain in other joint) that your daughter has rheumatoid arthritis. Now your query is that she has trouble in breathing ( short breath). History of illness is somewhat clear. Begin with strep throat in first phase , that passed due to carelessness. 2 nd step was involvement of joint and 3 rd step was involvement of heart ( breathing ). Now please consult a physician at once and get in blood examination for C B C, E S R, Rheumatoid factor, echo of heart, dopplers of heart, to rule our any further damage. Good luck . Dr. HET
Suggest remedy for rashes in skin My daughter 15 yrs old had her eyebrows waxed for the 1st time and they are raw and red, looks like the skin was peeled off. She is on topical acne medication and we didn't know that waxing should never be done while on this medication until now. How can she treat?
Hi, I would recommend you to apply topical steroid antibiotic like neosporin ointment and cortisone cream on the affected area twice daily for 8-10 days. This will help in resolving your problem. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist
How to treat intervertebral disc prolapse? Hello sir, This is Sundar (from Chennai), i have Interverbertal Disc Prolaspe problem from the month of june and was under an ayurvedic treatment at the month of august for 21 days till now taking medicines regularly given by them.After that i took scan but there is no change in the report but i dont have back pain for 1 month. Just before three days back it started paining continuously. I have attached the scan image along with this mail scan taken on 22 Aug 2011.I dont know what to do finally,please give me some suggestion.send the replay as soon as possible this is urgent. Scan observation: L4-5: There is a loss of disc hydration. Diffuse annular bulge with posterior central disc protrusion and minimal inferior migration noted causing significant spinal canal compromise indenting the descending nerve roots AP diameter at this level measures 0.3 CM. There are bilateral neural foramina narrowing indenting the exciting nerve root.
The changes in your spie are going to remain. They may in fact increase. The only way to fix the changes partially are via surgical methods. In view of the fact that ayurvedic medicines helped you, i think surgery is not yet needed. What i think you need to do is learn physiotherapy exercises for your back. Performing them may actually make you feel better, and eventually help you remain drug free, at least as long as you do physiotherapy.For greater details on information on treatment, kindly upload the film of the mriBest of luckDr Mittal
What causes headache when playing football, hotness and night sweats with controlled asthma? my son is an active football playing 9yr old he recently complains of headaches at practices and his body becomes very hot he also has night sweats he does have asthma but is controlled and he has played three years with asthma just the last two weeks has he ever complained or had these issues
Hello,Welcome to HCM,Main predisposing factor for bronchial asthma is exposure to dust.As your son is having asthma he should very careful.The symptoms will aggravate on exposure to irritant like dust.As he is having fever, headache and night sweat it might be due to invective agents in the body.Playing football requires lot of energy and lot of fluid will be lost during playing, loss of fluids and electrolytes in sweating may also leads to your sons symptoms.He need to hydrate himself properly during playing and be careful regarding dust induced asthmatic attacks.Thank you.
Headaches with dizziness. Taking paxil for migraine. No sinus. Ear nose throat irritation with asthma. Help? I have been experiencing headaches with dizziness for about 6 mo. Dia. Migrane I am currently taking 10mg Paxil and 5mg Xanax daily. My Neurologist gave me a presc for amitriptyline. I am already on an anti-depress / anxiety med that works. I actually think I have sinus/allergy symptoms. Went to ENT specialist. All is normal & healthy. MRI & blood work came back normal /great. Ear-nose -throat irritation with asthma my self - diagnosis I have a dog & two cats. Non smoker -menoposal 50YR w/ high stress job & marriage.
hello dearthanks for your query at HCMear , nose throat irritation can be due to dust and pollution,sometime pet animals can cause allergy.1 drink plenty of water2 avoid cold things like ice creams, cold drinks3 drink slightly hot water4 avoid pollution and dust5 take tab levocetrizine 5 mg in the night that will decrease allergic symptoms.hope i solved your queryregards
What causes breathlessness with arms and legs flaying? Hi, may I answer your health queries right now ? Please type your query here...My grandson in not quite 3 months old but occasionally he will awake from sleeping and he acts like he is gasping for breath. He even flares his arms and legs like he can t breath. Once we pick him up and calm him within about two to three seconds he starts breathing again. What could cause this?
Hello, He must be examined by a doc. specialized in chest in the first place to exclude any asthma and also chest X ray is recommended. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Salah Saad Shoman
Is there any side effects from taking regestrone tablets for delaying periods? Hi I am 44 yrs age lady wanted to delay my periods since going to attend a marriage. Chemist has advice me to take regestrone sandoz tablet. I wanted to know are there any side effects like headache,uneasyness etc since i will be taking it first time ?
Hello, There are some side effects related to the use of Regestrone. The most common side effects can be: - Enlargement of breasts - Stomach discomfort and pain - Trouble sleeping - Acne eruptions - Facial hair growth Hope my answer was helpful. If you have further queries feel free to contact me again. Regards, Dr. Dorina Gurabardhi, General & Family Physician
Suggest treatment for left side chest pain I Have been having chest pain on the left side of my chest. Today is the third day and it gets worse when I eat. It almost feels like I can feel the food in my chest. I took heart burn medicine and it didn't help at all. I went to walmart and took my blood pressure and my blood pressure was 130/84 which my blood pressure is ALWAYS 90/60. I am 27 years old.
Greetings. Welcome to HCM and thank you for your question. I understand your concern. Clearly, you were preoccupied by this new event or sensation you were experiencing. In various stressful situations, both physical or psychological, heart rate and blood pressure are parameters that increase.Your age is not very consistent with a coronary artery origin of this pain (i.e. a blockage within the coronary arteries - arteries that encompass the heart as a crown, hence the name, and supply the heart muscle with oxygen and important nutrients). However, angina is more like a squeezing or heaviness felt in the mid-chest which radiates to the throat and jay, and left shoulder and left arm, starts on exertion, is not related to the food intake, and is relieved when the exercise is ceased. I am assuming you are an active and healthy 27-year old, so this kind of pain would be sensed by you during moderate physical activity. There are other origins of this kind of chest pain. And if it is food-related, then the highest probability is that it has a digestive tract origin. I would recommend you a consult with a gastrohepatologist (digestive tract and liver specialist) to further examine whether this pain is coming from a possible oesophageal spasm (the tube that connects the pharynx with the stomach) or it is coming from an abnormal process in the stomach or the early part of the small intestine. An upper gastro-intestinal endoscopy may be required for properly assessing these issues. I hope I was of help with my answer. Kind regards, Dr. Meriton
Suggest an alternative to Frisium Hello Doctor! My son is almost 6 years old he is a CP child and suffers with fits every two months or so. He has been taking topamax 25mg twice a day and frisium at night. Frisium is not available in market. his last fit was yesterday. Now he is feeling anxiety and has mild fever not sleeping properly. what should I do. And what is the best replacement of Frisium? Kindly advise. Thank you.
Hi You can take Clodus(Zydus Cadila ) or Zac (Orchid Chemical ) or by salt name Clobazam.Hope you find this in marketthanks.
What causes back pain and throbbing headache during 30 weeks of pregnancy? Fell backwards, flat on my back, and hit my head hard on a declined driveway of dirt. I m 30 weeks pregnant, 2nd pregnancy, and 25 years old. It s been about an hour, my back and neck are very sore, with a throbbing headache. Light ringing in my ears off and on. No bleeding/spotting or stomach pain. Can still feel babies movement- looking for a professionals opinion. Thank you in advance.
Hello dear,I understand your concern.In my opinion the headache might be due to injury over head.It is good to know that you dont have any symptoms like pain etc.Take panadol for pain and take bed rest.As you dont have pain and fetal movements are good the pregnancy might be normal.Dont worry.If any untoward symptoms develop consult doctor.Best regards...
What causes a cyst under the armpit? I have a cyst under my armpit. It protrudes approximately 1/2 inch from the skin and is approximately 1 inch across. It has been getting worse for about 5 days now and I went to see a doctor yesterday who prescribed an antibiotic. Today it is significantly more painful. Should I go back to the doctor or will the antibiotic run its course within a few days?
Hello,Armpit lump may be due to cysts, infections or irritations caused by shaving or antiperspirants.There are various causes of armpit lump: Bacterial infections Viral infections Lipomas Allergic reactions Some cancerous conditions, etc.Usually it is harmless and as you mentioned you are taking antibiotics for the same, you can continue the antibiotic and you can also take pain killer to alleviate the pain.And if the cyst increase in size or becomes more painful or pain radiates to any other site, you need to consult your doctor, otherwise it will be under control in four to five days.Hopes this helps you.Thank you.
Which is the best medicine for major depression and generalized anxiety? Hi.....I have been diagnosed with major depression and generalized anxiety disorder. I tried 4 ant-depressants but all made me slightly manic....I also tried trileptal and one similar which made me very aggressive.... now I have been just taking ativan as needed and think my depression is creeping back in... have been off meds for 3 months... when weaning , I felt pretty good on 5mg Paxil... should I go back to my psychiatrist and ask for that? What would be good since nothing works?
Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Paxil is a very good drug for anxiety and depression, and I use it as a drug of choice. Although 5 mg dose is on the lower side but it can be gradually increased. You should visit your psychiatrist. The fact that you had improvement earlier with paxil suggest that there could be improvement with paxil even now. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
Suggest treatment for scar tissues i last month i had a plate and 5 screws removed as a result of surgery I had in January on a fractured wrist and even though I have been doing hand physicaltherapy several times a week, I developed scar tissue(adhesions) My wrist is still very stiff;I do not have alot of range of motion in my wrist and I would like to know if the scar tissiue can be broken up and how?
hiThere is no need for break of scar tissue.Just go o exercising but NO massage of wrist.Consult your surgeon, there may be other cause for limitation of movement whch can be seen on MRI/x ray of wristbest wishes
Suggest treatment for troubled breathing Hi, name is Gabriel. Ive had trouble breathing through my nose for about six months and been using afrin to help me breathe. I went to my Dr. and stoped using it ablout a week ago. Ive been using nasonex and some antibiotics that she gave me. I can breath a little better but it has to be forced. What can i do to be abble to breathe again through my nose again.???
Hi I think that your doctor is an ENT specialist. Did he do to you nasoscopy? It is for exploring the nose internally. May be you have a septum deviation of the nose which don't let the air to enter freely in the nostrils or adenoids too.And these two other situations need some further medication to do.Thank youDr.JolandaPulmonologist
What could bile duct cancer with itchy discharge suggest? My sister-in-law has been told that she has a small amount of cancer in Bile Duct. She has been very itchey & a discharge ( dark in color). They did a MRI, also. She also has a week heart & came home from hospital a couple of months ago with a monitor & defib. Before she goes for surgery on Monday, she has a appointment with her cardio doc. She is 70 years old. What do think of all this? She has a touch of dementia. He {husband} does not understand what doc is telling him.
Thanks for your question on Health Care Magic. I can understand your concern. Bile duct cancer causes obstruction in the billiary system. And this can lead to obstructive jaundice. In obstructive jaundice, bilirubin will rise. And excess bilirubin deposit in skin and gives yellowish tinge to skin. It also irritates skin and cause itching. So better to get done bilirubin level If this is raised than your sister in law needs urgent surgery to release obstruction of Bile duct. Hope I have solved your query. Wishing good health to your sister in law. Thanks.
What causes foot pain when diagnosed with osteoarthritis? I have been diagnosed with osteo arthritis and have degenerative disk disease....I am 60 and female....I walk 5 or 6 times per wk and my feet have started hurting mostly on top and in arch....I have tried different walking shoes and nothing seems to help
Hello,The symptoms you have described are typical of foot strain or plantar fasciitis. It typically occurs when you start exercises like walking in the initial few days. You have already changed your footwear, but still, I would recommend you to use footwear insoles or cushions like silicone insoles to decrease the pressure on your foot.Soak your both feet in lukewarm water for 15 minutes twice daily. You can apply any pain relieving gel for pain relief. I also would recommend you to avoid climbing stairs and to walk on plain surfaces.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Santosh S Jeevannavar
How soon can pregnancy test be done? Hello Doc, I have been planning for a baby. I have a proper 26-27 day menstural cycle. My husband and myself tried for baby twice during my fertility week. I have missed by periods by 3 days but pregnancy test shows negative, Can there still be a possibility of me being pregnant ?
Welcomewait for 3 days more. then repeat urine test again to confirm your pregnancy.if you have still doubt, sonography will help you.thanks
What causes the abdomen to twist? Hi, may I answer your health queries right now ? Please type your query here... yes my son just had major surgury because come to find out he has a hole in this diapram and a hernia on his stomach and then 1/2 of his stomach popped threw the diapram then twisted in to a figure 8 i was wondering if you would be able to tell me how this happens?
Hello Hernia is result of protrusion of organ or fatty tissue from natural opening due to weakness of the area or opening. These opening normally exist in the body but either due to weakening of muscle at opening or due to high pressure near the opening cause protrusion through opening.This is surgical case and can e easily cure by surgical intervention.Hope this is clear to youThanks Dr Ratnesh
What are the symptoms of potential pregnancy? Hi, for the last couple of weeks I ve been experiencing major and minor cramps. I ve also have had some really bad mood swings, and headaches. All I really know is that my period started October 28. I had sex on November 7th, and ovulated on the 10th. I ve also missed a period. Could I be pregnant?
Hi dear, I have gone through your question and understand your concerns.Delayed periods, cramps in lower abdomen, and mood swings are the symptoms of early pregnancy.I will suggest you to get a urine pregnancy test done to confirm the diagnosis and get appropriate treatment.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma
What causes hearing of loud voices in head? Okay I used to deal with this as a kid almost every night from the ages of 4 (was the youngest that I remember it happening) till about 12. And ever since then it only happens every so often but usually at nighttime.But I hear really loud talking in my head that is super fast and I can't really understand or I can't make out what is being sAid, and I can't stop it. It gets the point were it kind of makes me sick to my stomach and makes me dizzy.Like I said I don't deal with it every night anymore but every so often I do and it is just unbearable still. If you could help me out if be great full.
Hello(Looks like schizophrenia but a variant if you have been telling everything correctly).It usually responsd to olanzapine 2.5-5mg or more may be needed. take at night.if there is any problem please feel free to mail me at gopal.neuropsychiatry@gmail.com. .I will try my best to help you as this is an unusual presentation but of coursse tretable. Donot worry, start meds.It will be goos to get An EEG and MRI Brain also.Dr. Manisha GopalMD Psychiatry
Q. I have been vomiting for past three days and feel nauseous for certain food. Also, I have loose bowel movements. Why? Hello doctor,I am a 23-years-old female. I have been vomiting for the past three days and also having loose bowel movements. I sometimes cannot stand the smell of certain foods. I find it very easy to fall asleep.
Hello. If sexually active, it might be due to pregnancy. Get a home test to rule it out. If not pregnant, then, could be acute gastroenteritis. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. Tasectan (gelatin tannate) to stop loose bowel movements. Probiotics to stabilize intestinal flora. Follow the BRAT diet (banana, rice, apple sauce, and toast). Take plenty of fluids, especially plain water with ORS (oral rehydration solution) to replace the lost fluids. If cannot stop vomiting and cannot take anything, go to the ER as might need to receive intravenous replacement therapy.
Can sinus tachycardia cause heart disease? can sinus tachycardia cause heart dissease. im an only child im 36 and 4 months pregnant, i was diagnosed with it 4 years ago but had few attacks. since being pregnant it happens more often, at least once a week and more if i feel stressed. my father died of heart dissease, he was in his late fortys when he was diagnosed with angina, in his fiftys he had 3 heart attacks, at sixty he had a tripple heart bypass but passed away 2 years later.. his both parents died of heart dissease and so did his 1 sister and four brothers. ive seen a cardiologist recently but was told it was normall sinus tachycardia and the pregnancy has triggerd it off.. im nervous about the birth of my baby incase i have an attack of it during labour and it puts me or my baby in danger. what are the chances of my sinus tachycardia turning into heart dissease in a few years time.
DEAR USER,THANKS FOR CONSULTING WITH HCMI UNDERSTAND YOUR CONCERN.. BUT SINUS TACHYCARDIA IS NORAMLY SEEN AND IT WONT CAUSE YOU HEART PROBLEMSHOWEVER IF YOU COULD TELL ME YOUR WEIGHT, YOUR RECENT LIPID PROFILE AS I THINK YOU FAMILY HISTORY OF HEART DISEASE GOES IN FAVOUR OF SOME UNDIAGNOSED FAMILIAL CHOLESTEROLEMIAWAITING TO HEAR THE REPORTS FROM YOUHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS
Suggest treatment for cut on the knee Yesterday, i slipped and fell while walking, and scraped my knee pretty badly. I wanted to know if i should continue to go to indoor tanning? I had went several times already before the injury, but am concerned now if there may be some side effects to tanning while i have this cut. Please give me some advise on whether i should keep going or wait until the cut heals to continue my tanning sessions. Thank you.
you need to give some rest as well as medication for the injury you sustained on knee joint as it is the weigh bearing joint. Take anti-inflammatory and vitamin c .When the joint is painless you can continue actively with all your activities.....tc care.
Is throat dryness normal while suffering with dental infection? hi I've a dental infection that I've been dealing with. Anyway, I believe it's caused me some anxiety. fOR A WEEK I've had a fear of eating. I feel I can't swallow. I have this fuzzy feeling in throat - dry throat. I find myself constantly swallowing. is there a medical condition or is this mental
Hi,As per your complain throat dryness when having a dental infection can be due to mere anxiety while in case if you are constantly breathing through mouth then it can also give you a dry throat. So in case if you have tooth infection then you should just relax as there is nothing to get so anxious and suffer from side effects and it will be better to consult a Dentist and get evaluated and an x ray of tooth can be done.You can be advised a course of antibiotics and painkillers followed by treating the tooth with root canal treatment or extraction of tooth depending on the condition of the tooth.Hope this helps. Let me know if I can assist you further.Regards,Dr. Honey Arora
Q. For how long should I take Kalachikai powder to overcome PCOD problem? Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
A normal delivery or c-section, which one is advisable? Hi Doctor, I am a 30 weeks Pregnanat woman. My age is 30 and I am diabetic too. My diabetic got detected on the 8th week of Pregnancy. I have history of missed abortion to. At the very first my Triglicirides avule were quite high , my doctor asked me to take Ecosprin-75 and I am still continuting the same. My age os 31yrs. Should I go for a normal delivery or a C- Section ? Which one is good for me and my baby ??
Hi,Neither your age, diabetes, history of missed abortion or high triglycerides make you a candidate for Cesarean.You should definitely try for a normal delivery, and only if some problem arises for the baby or you during labour will the obstetrician be considering a cesarean.Is your diabetes in control, are you taking insulin for the diabetes?If so ,when was your last growth scan of baby done, and in what centile was baby growth. Sometimes with uncontrolled diabetes the baby can put on excess fat around its neck and shoulder area and cause a difficult delivery .These things will be kept in mind by the obstetrician at the time of delivery.Also if you are on Insulin, it is likely that your Obstetrician will advise Induction of labour at 38 weeks .Hope this helps.Regards.
What causes loud snoring in an infant? My daughter is 22month old. For about 3 months she have been snoring very loud followed with foam from saliva. Her brething is very erratic. When she exhales its like puff. Even her lips pop with the foam too. She wakes up afew times a night. Any position she lays in the samething occurs????
Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for your daughter as follows:1. Common cause of snoring at this age is nose obstruction or obstruction somewhere in upper respiratory airway.2.If she has repeated cough-colds, I would think of nose obstruction due to long standing allergic rhinitis and would prescribe him combination of levocetirizine and montelukast. In that case, I would also suggest allergy testing.3. However, if she does not have repeated cough-colds, I would first suggest her to get examined by an ENT specialist who will examine her nose passages from inside (if necessary) and would identify the cause of snoring.4. As her sleep is disturbed due to snoring, it is suggestive of obstructive sleep apnea and hence should be evaluated to identify the cause.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish your daughter the best of the health ahead.Thank you & Regards.
Could stopping intake of cerazette cause constant anxiety? anxiety hi, I stopped taking cerazette 4 months ago and ever since I ve had daily anxiety which I m struggling with. I ve have about a month off work because I couldn t keep the symptoms under control, do you think cerazette could have been the cause?
Hello, Cerazette is an oral contraceptive that can produce mood changes in the long term which may persist after withdrawal sometimes. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.T. BALAMURALI, General & Family Physician
Pitikia, numbness in hand, left sided weakness, severe headache, high BP. CT scan showed no stroke. Prescribed iv hydolozine. Suggest i had a right stroke 3 weeks ago i think it was a lacunar stroke , friday night my left hand went numb headache severe and left sided weakness. i noted pitikia on top of left hand called and went to er where they did a ct scan that showed no stroke but my blood pressure thhat is usually 120/800 went as high as 197/102, they gave me iv hydolozine to bring down and sent me home all labs normal
Hello,Uncontrolled hypertension also has a risk of cerebrovascular attack(Stroke).You're a patient of CVA and you need to effectively manage your blood pressure.Consult your physician and regular check your blood pressure.Take medications for hypertension.
Why am I not able to masturbate after passing out the kidney stone? Hello sir, I had a kidney stone it passed through 3 days ago i was using flomax the medication and some pain killer after a week i tried to masterbated but i didn t ejaculate the semen and i am worried and i am still on medications for the next 10 days should i worry about it?
if you dont have problem to pass urine,your issue is unlikely to be caused by stone.if it was a stone impaction,urine flow also will be affected.are you married?if,what about during intercourse?stone impaction causing block for seminal flow is much unlikely to occure.hope you have cleared your doubt.
Is swollen red gums with swollen, painful glands in neck could possibly be due to having oral sex? I had oral sex with a girl four days ago. Two days after, I noticed my gums above my two front teeth were swollen. It is now a darker pink/light red and the swelling has spread behind my teeth. I also noticed a gland in my neck (left side, under the jaw) is swollen and painful to touch. Is this being caused by the oral sex and should I go see a doctor?
Hi,Thanks for asking the query,I would suggest you to get a complete examination done by the Dentist.At home take lukewarm saline and antiseptic mouthwash rinses.Maintain a good hygiene.this could be due to infection.Take care!
Q. Does the presence of beta-hCG in male indicate malignancy? Helo doctor, I am a male. I have discovered a lump in my right chest area, just below my nipple. It appears to be roughly 3-5 cm in diameter, movable against all surrounding tissue, and it feels smooth, even-shaped, and firm but not hard, rather elastic. No pain, no visible changes from outside. I am 49 years old and have the following established preexisting conditions like Hashimoto's, slight hypertension, migraines since childhood, and some allergies. I do have recurrent episodes of polyuria for many years that were diagnosed as stress-related some years ago after all differentials had been excluded. A blood panel ordered by my GP now returns a slightly elevated free beta HCG level (3.24 mIU/ml with a reference value of 3.0 for males). All other results including CBC are normal, PSA and AFP, as well as HCG are negative, sexual hormones panel is normal. I cannot detect any abnormalities with my testicles. I understand that any detected beta HCG in males indicates a malignancy. How worried should I be?
Hi. First of all, I must say you have written your history very well. What I searched and concluded is: 1. About your HCG (human chorionic gonadotropin) level, your b-HCG is raised while total HCG is normal. Get it repeated from some other lab, if still raised then proceed to step 2 and 3. 2. Get ultrasound scrotum (to see for any hyoechoic areas or area of calcification). 3. Get FNAC (fine needle aspiration cytology) or excision biopsy of 3-5 cm lesion below your nipple. I understand that any detected beta HCG in males indicates a malignancy. How worried should I be? To answer this question, I was just wondering why you got HCG done in first place as you were asymptomatic? Neither of the drugs you are taking does not interfere with this test (b HCG). You cannot just ignore and sit on it (if b-HCG is deranged), you have to find a cause be it faulty lab investigation itself.
Suggest treatment for lump on left side of groin area I have had a hard lump on the left side of my groin for 2 years. When I first got it, I squeezed it, and it popped so hard, and all kinds of puss came out of it with blood. The doctor then told me it was an infected hair. It is purple in that area, and never really healed. Every once in a while it gets more swollen than usual, and when I squeeze it, it squirts blood out, but from a different opening that is further left than the purple knot. What is it?
Hi! Good morning. I am Dr Shareef answering your query. Even though it requires a physical examnation of the groin area and the patient as a whole, from your history, it seems to be persistence of some kind of chronic infection in the area. If I were your doctor, after a physical examinaton, I would advise you for a complete blood count, ESR, VDRL test, Blood sugar test, an HIV and HbsAg test, gram staining and cuture sensitivity test of the discharge and a Mantoux test. If the reports of these investigations come out to be inconclusive, I would consider a biopsy of the tissue for a histopathology and the final line of management would depend on the reports. Till then, I would advise you not to fiddle with the lesion, and take proper care of it with regular dressings and a course of broad spectrum antibiotics with an anti inflammatory drug to be advised by the treating docotr for a possible symptomatic relief.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
What causes pain in lower back towards the right having a history of asthma and high BP? i am 43 years old and i have pain in middle of my back towards the right. the pain intensifies when i swallow or take a deep breath. it also hurts more when i lay own on my back. i have a history of asthma and high blood pressure. its been 2 days.
Take calcium rich diet, u can also do light exercises under guidance of physiotherapist, using of lumbosacral support... walking under supervision of Physio doctor..
Are dizziness and very cold hands in the morning indicative of a possible stroke? Hello. I am asking a question concerning my father. He is 78 years old and had a sudden case of dizziness along with very cold hands this morning. He has had a previous stroke (2015) and are wondering if this could have been associated with that or even a heart attack.
Hello ThereAfter going through your medical query I understand your concern and I would like to tell you that first thing you should check his blood sugar levels , if it is low then kindly restore it , if not then go to an ER to rule out stroke.Hopefully this information will guide you properly.Kind RegardsDr. Bhanu Partap
Can the medicine, Xyzal, for chronic cough cause kidney problems? Hi. I have taken Xyzal for several years to control my chronic cough. it s the only thing that seems to work. However, in the last 18 months, my kidney GFR has fallen to 58, and stayed there. I have no other risk factors for chronic kidney disease---no diabetes, my blood pressure has always been normal, my cholesterol is within the normal range and I have no heart conditions. Could this low GFR be caused by Xyzal?
Hello, Xyzal do not causes kidney problem commonly, but it is mainly excreated through renal clearance so when kidney function is impaired it should not be taken or if necessary to take then in lower doses. So, most probably you have some asymptomatic kidney related problem before you started the treatment / may you are taking some other medication. consult your treating physician in detail.Thank you for consulting HCM.
Suggest treatment for frequent colds,snoring and breathlessness in a child My daughter is 10 yrs old, she has frequent colds from childhood and since her 4th year she has heavy snoring, some times she feels breathless and some times feels disturbed sleep. Last year when she developed same symptoms even it accompanied with headache for almost 45 days with light swelling beside nose (under the eyes-sinus cavity). Doctor has suggested oxymetazoline hydrochloride nasal solution USP (0.05%) for a week, and then to use triamcinolone acetonide nasal spray for almost 3 months + montelukast & levocitrizine hyrochloride dispersible tablets also for 3 months. We have used for almost 3 months but problem still persists.Please help me in my daughter's treatment and also advice me should i consult a pediatrician or a chest specialist.
Hi,Thanks and welcome to healthcare magic.It looks like allergic rhinitis.You may try ebastine syrup twice daily for 1-2 weeks.You have to exclude adenoids also.Better consult ENT specialist.Hope this answer is OK for you.Further questions invited.Dr.M.V.Subrahmanyam.
What causes sever pain in the legs from calf to ankles? I have a serious pain in my leg which is made worse when standing or walking. There is an almost constant pain on the outer side of the leg running from from midway calf to ankle. Pain recedes when sitting. Three blood tests an x- ray have disclosed nothing in fact shows I am really healthy. I think it is some exercise injury, pain killers ar no use, can you help?
Hello,I read carefully your query and understand your concern. The symptoms seem to be related to muscle pain due to overuse.I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. I also recommend using anti inflammatory gel for local application such as Voltaren gel. Cold compresses can also be helpful. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
Suggest treatment for difficulty in breathing my partner is 62 years old, overweight - especially large santa claus belly, and I have just learned he is taking propranolol (spelling) and seems to have a nearly impossible time achieving orgasm, although he is easily aroused, and is able to maintain an erection pretty long time. and he has dreadful sleep apnea -- I am used to the snoring but am afraid for him -- since he sounds as if he is gasping for air . he is also a former smoker, so his chewing a lot of nicotine gum and I noticed an advair inhaler in his medicine cabinet too. he does not like to talk about anything medical about himself. thank you,
HI, thanks for using healthcare magicIt is possible that he has retrograde ejaculation.In this instance the semen enters the bladder instead of going through the urethra during ejaculation.Sleep apnea can be concerning, it is caused by temporary closure of the airway. The use of a cpap machine may help him.His doctor may be able to refer his for assessment and treatment.The inhaler may indicate that there is a history of asthma or copd.You may want to discuss any relevant medical issues with him.I hope this helps
High ferritin count in the blood test. How can I lower the iron in blood? i have high ferritin count in my blood test 350, I eat super healthy food no meat but lots of greeen leafy vegetables like kale quinoa, nuts and dried fruits, I drink a few glasses of red wine every night, I am more of a vegeterian, I have stopped eating rice and gluten for the last 6 weeks, so my main food is salmon, vegetables, lentils chickpeas, eggs.how can I lower the iron in my blood what food should I eat do I need to stopdrinking red wine? please help
hi Ferritin is a test that makes people having anxiety but in our medical world it is the most useless test,cause it increases with any and every stress like fever, stomach problems, liver problems..very high levels in autoimmine diseases .... Ferritin concentrations increase drastically in the presence of an infection or cancer; this is necessary to counter the infective agent's attempt to bind iron from the host's tissue. The inflammatory response may cause ferritin to migrate from the interstitial space to plasma, elevating the serum ferritin level...high value of ferritin is 200....... it you want to see your iron status ...TIBC,total iron....anf forget about ferritin 350...... take care
Have intense back pain, heartburn, suffering from rosacea. Taking tetracycline, doxycycline. Is the medication right? Hi, I have rosacia and my dr had me take tetracycline for 2 months. Then he changed it to Doxycycline-Hyclate and I have taken that for a month and a half now. Just this past week, the past 6 days, I have had pain when I eat or drink anything. The pain is intense and radiates up my back a little also. Normally I would think this is just a bad case of heartburn, but I haven't had hartburn for 10 years. Ever since I had Gastric Bypass surgery. Is this from the medication?
too myuch of doxcyclinecan cause thisyou should think of taking these continuously from 3 -4 week i think get consultation with doctor to stop the antibiotics e tetra or doxy and change to some other till them use ppi agents in morninglot of wm waternon greesy non oily and non fatty foodsadd liquid antacids
What causes recurrent defecation with blood stains in stool of a child? My 8 year old son was suffering from recurrent deffaecation with blood stains stool. on 19th july 2014 he had stool examination which reveals of occultblood, mucus present ,pus cells 6 -8,rbc 12 -15 .At the same time sonography was normal .Doctor diagnosed prostitis and suggested tablets cefixim, Nitaxonit,penta prazole with domperidone ,reflora kids .my son has another stool examination on 29 july 2014 reveals normal results . But after a week or two again he is facing the same problem blood stains stool with recurrent deffaecation.what should we do ?n suggest
You should consider going in for a stool culture examination to see which bugs are causing the problem and to which medicines (antibiotics) are they likely to respond. Only after this you may decide about which drugs to give. On the other hand, if a culture cannot be done or is inconvenient, costly or not available, you can repeat a six day course of Cefixime only and see what the results are.Dr. Taher
What is the meaning of calculus present in gall bladder? good afternoon my liver is mildly enlarged measuring 17.8cm no focal alteration in echo texture. intrahepatic biliary radicals appears normal.portal and hepatic veins appear normal .gall bladder adequately distended .wall thickness appear normal there is a calculus measuring 4mm seen in the gall bladder can u send a fb message i am not getting through to my yahoo address
Hello Your findings indicate 4 mm calculus in gall bladder.Treatment of choice is surgical removal of calculus.Now a days,it is mostly done by laproscopic method and recovery is very fast.Findings also indicate mildly enlarged liver.It may be due to many reasons like hepatitis,metabolic disorder,obesity etc.You need liver function test,random blood sugar,lipid profile.You may need few medicines after evaluation.Take CareDr.Indu Bhushan
Black specks in urine with burning sensation. Type-1 diabetic and had kidney stones. Recurrence of stones? I am a male 43 and I've noticed for the past two days having tiny small specks like black pepper in my urine. I am a diabetic type one since age twelve, I have had kidney stones in the past several years back three times. I am presently having pain but not severe but it is like a burning sensation. Do you think this may be kidney stones again, the pain is different this time and I never noticed the black specks before.
Hi, as you describe it could be the oxalate stones of the kidney may be traveling through the ureter and desolved to some extent, and passed through the urine, and caused the above above symptoms. I advise you to consult a urologist for diagnosis and treatment , you may need to have an M.R.I. for diagnosis. Thank you.