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Q. Operated for cervical cancer. Explain about the current stage of the tumour ? | Hello Doctor, My mother was operated on 18th July for cervical cancer (Wertheim's Hysterectomy). The operation was successful and she is fine and recovering. After the surgical biopsy, they declared it as stage 2B. Further we sent her slides to the laboratory for review and there they found the left parametrium free and right parametrium with few tumour cells that are non-reactive. The report states, "right parametrium show few tumour cells, however no reaction is seen against these tumour cells, thereby interpreted as floater". Can you please throw some light as to what do the above statement means in the lab report? What impact does this statement make in relation to the staging of tumour? | Hello. I went through the reports and my opinion is as follows: Diagnosis is that of squamous cell carcinoma of cervix, moderately differentiated, non-keratinizing type. Your mother has undergone Wertheim's hysterectomy, also called radical hysterectomy. This is the surgical procedure of removal of the womb along with some of the surrounding structures. Tumour cells, at any location induce inflammation. They are foreign cells, so some amount of inflammation will be found around the tumour tissue. During the time of taking bits of tissue for histopathology reporting, some tumour sections stay back in the sectioning area. These can attach to other areas and can present as tumour tissue. These are called as floaters. Parametrium is the fibrous tissue that separates the cervix from the bladder. The above mentioned tissue is found in the right parametrium and hence interpreted as floaters. Also during sectioning times, tissue overlapping can occur. Here the tumour tissue is attached to the parametrium, thereby being interpreted as parametrium invasion and hence changing the stage of the tumour. Unless tumor cells with surrounding inflammation are present, they would be floaters. Here it is only an overlap. Lymph nodes are not involved. So further treatment will not be necessary. Consult a surgical oncologist online for further follow up --> |
What should be taken for a week old cold and flu? | Hi I have had a cold or flu for 6 days, fever spiking at 102.5, loss of appetite, terrible coughing, mostly unproductive and raspy except in morning when the product is green and sticky, i have some edema in my lower legs and around my neck and fluttery feeling in my chest | well u must take antiallergic like tab. citrizine 25mg 1 daily at bed time or we fr 5 days . tab paracetamol sos. tab. amoxiciling/clavulanic acid 625mg thrice fr 7 days. also take soups, blacks tea , honey and boiled egg. keep yourself away frm dust and cold |
Suggest treatment for a lump on the back | my husband has a large lump on his back we have not squeezed on it but it has now become sore like a pimple I looked at it it has a small red spot like a pimple I reminds me of a lump mom had on her back that when squeezed there would be white smell stuff when i feel the lump it feels firm he has had it for four years and it really has mot gotten much bigger, when he showed to the doctor he was told not to worry but if it began to hurt he would send him to somelse the lump is about two inches long what type of doctor should he see | Hi,Welcome with your query to HCM virtual Clinic.I reviewed all the details of your query,in context of the of the large lump on your husband's back.Based on the facts of your query,You seem to have infected Sebaceous Cyst,which though firm/soar and existing there for 4 yrs without any increase in size,has been confirmed by your doctor as not emergency problem as off now.This ambiguity in the diagnosis by your doctor,indicates confusion in its assessment and to resolve this I would suggest Second Opinion from ER Surgeon,who would confirm its cause and diagnosis by physical examination and by USG if need be and would treat it in the best possible way.So you need to have Second Opinion from Er Surgeon.Hope this reply would help you to plan treatment with your doctors and resolve your worries.Will appreciate writing excellent review comments to help the needy patient visitors like you at HCM.Welcome any further query and information in this regard.Good Day!!Dr.Savaskar M.N.M.S.Genl-CVTS |
What causes itchy, lumpy swelling on my knee area? | i fell 2 wks ago hurt my knee had very bad bruising an swelling on knee an area around to the back of my knee went to er an took xrays no bones broken thank god but now bruising better but the area around my knee lumpy swollen an numb an itchy an warm to the touch. | Hello, The changes in the local skin after the fall has made the area itchy. Should keep it well clean. Apply analgesic cream locally. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Albana Sejdini, General & Family Physician |
What causes severe headaches and bump after a neck injury? | My daughter (8) was jumping on a trampoline and injured her neck - diagnosised by dr with strain. Shea was doing repeat flips and landing on her neck. She has full range of motion but has been having severe headaches and a bump developed. We had a dr. check her out and he perscribed rest and motrin for a couple days and to check in after two days but I am worried | Hi.... in such a case what you need to know are the danger signs of head injury. I will suggest you the red flag signs or danger signs of head injury so that you can be on the look out and if these are not there you can be rest assured. Danger signs include - continuous vomiting, loss of consciousness, seizures, double vision, bleeding from the ear nose, weakness of any part of the body. If these are not there you need not worry about your kid.Regards - Dr. Sumanth |
Can periodontal disease cause headaches associated with migraines? | Can periodontal disease cause headaches associated with migraines. I noticed that I started having terrible headaches that make me dizzy and nauseus since I was told I had a gum infection. My gums are still sore and I feel pounding every now and then. | Hello,Periodontal disease can include infections that spread. Your system can react with these symptoms if the infection is severe. I do not know the extent of your periodontal disease or treatment provided. Are teeth loose and moving? Have you been placed on medications and have you ever had an allergic reaction to similar medications? Do you have habits such as grinding your teeth? Headaches and migranes can be associated with grinding or clenching your teeth. Often your bite needs adjustment with severe periodontal disease. I would suggest you discuss your symptoms with the dentist that diagnosed your periodontal disease.Toothpaste for sensitive teeth and fluoride rinses can help reduce soreness. You must keep up good dental hygiene. Warm salt water rinses may soothe healing tissue. Proper nutrition and hydration are important. Diet considerations may include a softer diet with reduced acidic, alcohol and spicy content. No smoking. Reduce irritants to your tissue. Pain and anti-inflammatory medications often help with discomfort and healing with periodontal treatments. Your dentist may prescribe a prescription rinse to assist healing and comfort.Thank you for your inquiry. I am available to answer additional questions if you provide additional details on your periodontal condition. I hope you find this helpful and will feel better soon. |
Suggest treatment for diaper allergy after surgery for hirschsprung s disease | my son is nine month old he has been suffering diaper allergy from three month of old after surgery due to hirschsprung s disease | HiWelcome to the HCMI understand your concerns but don't worry. The most likely reason for your child's symptoms is diaper rash or yeast infection. You may use siloderm or Rashfree ointment for relief. Keep the area dry by regular change of nappies.Hopefully it will be of help. Take care |
80 year old, suffering with severe back pain and body ache. Can methycobal injection be prescribed? | Goodafternoon sir, My question is -one of my my patients having aged 80 years.She is suffering from Sevre Backpain and Bodyache,they r nt interest to do further Rx for it only want relief.Can i prescribe Methycobal injection 500 mg Alternate day or once in a week for 4 inj. for leg pain etc.after test dose oor directly. can he take 500 mg at this age and i doubt whether i precibe for 500 mg instead 500 mcg. What will happen if test dose is not given? please clarify sir. | hello... methylcobalamine has no analgesic property...so it would not give any pain relief |
Can I take amoxycillin 1000 mg as I have undergone a endoscopy ? | i am 40 years old ,done endoscopy ,diagnosed diffiuse gastrisites and h.pylori positive,treatment rabeprazole-d 20 mg,amoxycillin 1000 mg, clario-500 twice daily. can i take this? | hi..welcome to healthcaremagic yes u can go ahead with those medications..u are supposed to take it for 6 weeks or so..make sure u take it regularly |
Are rashes a side effects of Amoxicillin? | A dentist decided that I need a root canal, and asked me to take Amoxicillin before the procedure. On the 4th day (last night) after I started medicine, about 10 minutes after I took the required does, I developed a rash and itchy feet. I put cortisone on the affected area and felt better and went to bed. After one night sleep I still feel that the rash area are itchy. Should I stop taking the medicine or should I continue? Thank you for your expertise! | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems to be delayed allergic reaction to the antibiotic and rashes and urticaria is a common side effect of antibiotics like Amoxicillin..You should stop taking it and take anti-allergic medication like Levocetrizine or diphenhydramine [benadryl] for relief from allergy symptoms.You can continue to apply steroid ointment as well as calamine lotion can be soothing..Consult your treating dentist and explain your immediate symptoms and he can advise you to take other antibiotics like Clindamycin, Cephelexine etc..As you are indicated for root canal treatment and you have already taken 4 days of antibiotic now you can get root canal treatment initiated as 4 days are enough for reducing the infection considerably..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. |
Having noticed spotting after the removal of copper T | I have removed my copper t four months ago andafter thati had no periods for amonth and the next two months i have had spottings only for two days. I am foty six and my pregnancy test is negative what could be the reason my email is YYYY@YYYY | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After removal of Cu T bleeding may occur. But you noticed spotting after a month. Well, it can be due to drop of progeterone level. Watch out spotting or bleeding may occur for 5 days & in some cases for a month. No worries, if your pregnancy test is negative. But, if you have any discomfort & do not get regular periods, visit your gynae to have CBC done for anaemia & investigations to rule out pelvic inflammatory diseases, endometrial biopy, etc. Eat healthy, do regular exercises, avoid addictions. Take care. Regards, Dr Nupur K |
What could blood pressure of 98/55 and an angiogram of 50% blockage indicate? | My husband s blood pressure usually is 136/80 give or take. Last night I noticed his hands were cold and arms clammy the back of his neck was very sweaty. took his blood pressure and it was 98/55 any thoughts. he recently had angiogram and 50% blockage but nothing recommended as yet. | Hello,Brief Answer: Your husband has symptoms and signs of low blood pressure that needs treatment.Explanation: My opinion is that low blood pressure accompanied by symptoms and signs like sweating and dizziness is important to deal with. First measures to increase blood pressure to normal readings is essential. Then investigations to determine the cause is important. Angiogram with a coronary artery disease may be a cause of low blood pressure if there are chest pain symptoms. Fifty percent of blockage is a general term that needs more details. I suggest my patients the following; good hydration, revise treatment and doses and modify accordingly.Conclusion: I suggest you check with your physician.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Mahmmad Gamal |
Is it normal to have swelling in face and top lip after a jaw surgery? | I had jaw surgery in June of 2009, the doctor that did it said that it could randomly start swelling for a couple of months, and it did. But I woke up this morning and the entire right side of my face as well as my top lip was swollen. Is this normal? | Hi,Thanks for posting the query, Pain, swelling, fever, are common after surgery, you dont worry about the symptoms as they will subside after some times by its own, you just follow the post surgical instructions given to you properly, take complete course of antibiotics and analgesics, take multivitamin suplements, take lukewarm saline rinses and get the condition checked by the Dentist periodically.Hope you find this as helpful,Take care! |
What causes heat and pressure on the feet? | feet over heat when sitting or laying down makes concentration impossible sleep comes best early in morning I feel blood pools in my feet creating pressure and generating heat mentioned earlier ice water help briefly symptoms are getting worse Michael | Kindly tell me your ag & sex?This is burning feet syndrome, often associated with diabetes or other metabolic disorders.Multivitamn tabs.1 OD along with other neurotropic medicines ( gabapantin) will help you.You may contact me again if needed. |
What causes dry/ acidic mouth & throat with heavy chest? | I'm A 37 year old male and am being treated with pegintron and ribavirin for hepatitis c.The last few days my mouth and throat have been really dry and acidic feeling,and it feels like I have a heavy weight on my chest and and frequent head aches.Do you know what this might be? | Hey Hi,You are taking antivirals for Hep-C, Well according to me it could be gastritis related to drugs you are taking. Have any antacid tablet for same, drink plenty of water. |
Q. My herpeSelect Elisa IgG score is 3. 3. Could it be false positive? | Hello doctor, I met with a girl a few months back. She had been rubbing her vagina and then put her finger in my backside. She said she was clean but hard to know. After about three months, I got tested for STD panel and came up negative with everything including HSV 2 except for HSV 1, which came up positive. However, the test used was herpeSelect Elisa IgG, which I read is known to have false positives. My score was 3.3. I read if the score is less than 3.5 then it could be a false positive. A week later, I retested using herpeSelect immunoblot, which is supposed to be more accurate and tested negative for HSV 1 and 2. However, for the past three months, I am having itching in my backside, which could be due to sweat and anxiety. Do I have anything to worry about or trust the latest results that I have no herpes and put this to rest? | Hello. 1. The manifestation which you are saying are not of herpes, they normally present as grouped vesicles on an erythematous base. 2. Herpes has an incubation period of five days, it means symptoms would have to develop within five days of infection. 3. Your test are absolutely normal and you do not have to worry about it. 4. If you would have any vesicular eruption which is extremely painful, then you would have chances of herpes, so go for Tzanck smear and DFA (direct fluorescent antibody) test for it. 5. Always indulge yourself in safe sex practice because herpes genitalis caused by HSV 2 (herpes simplex virus) is an incurable condition. |
Suggest treatment for masturbation addiction | hey doctor i am from Pakistan and i have been masturbating for about a year or more i am having all the problems associated to masturbation along with the back problems. i am getting very weak and dont feel like doing anything i used to be a very creative person and intelligent but now i feel pretty numb. my reflexes were very strong but now i dont feel nothing. whenever i masturbate i no longer get to the high point. i kind of like start masturbating and the ejaculation comes instantlyy i am becoming pretty pale. i tried leaving masturbation for 2 months and i was successfull but hardly any recovery | Hello,Thanks for the query,Masturbation is a totally normal thing.You dont need to loose confidence, it is not a disease.Your symptoms are not due to masturbation.Just relax, masturbation is not going to harm you.Neither it is going to affect your sex life after marriage,Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link. you good health,Thank you |
What is the remedy for the rashes which are spreading? | I have a allergy all over my body. This allergy has big phokas all around my body. I think this allergy is caused by dirty water I used to wash my hands. Moreover It is increasing in speed rate. Any suggestions, plz give me. I am really in difficult situation. (I am 18 years old.) | HI, thanks for using healthcare magicAllergic reactions are treated by avoiding future contact with the source if possible and medications.The medications normally include oral antihistamines, topical steroids and in more severe allergic reactions systemic steroids.I hope this helps |
Suggest treatment for mrsa | Hi I am 29 Year old, living in Dubai as per the last report from the MRSA test, I have MRSA bacteria in my body, the first swelling i had on my nick and its start to be bigger during the days, after 3 days I went to doctor, he gave me antibiotic after some days I back again with increasing the swelling then he make ultrasound to make sure its not hear growing wrong, and its not. then Dr. decide to make small operation and remove the pus. and take the pus to the Lab and come back to me after 3days I have MRSA, we start medication with shampoo and he took swap after 10 days and as per the report its gone. after two moths i had another one on my face, same thing we have done operation again and take it out and get the report again MRSA, What should I do? please help. thanks | HELLOwell come to HCMas i understand your query if u cured then ok otherwise go for pus culture and antibiotics sensitivity test because your body did not respond that particular antibiotic. i dont know what antibiotic u taken otherwise vancomycine is durg of choice .regards and take care |
What ointment to apply on waist rash? | I have a rash around my waist at the level of my belly button. When I went to see my family doctor, she told me it was a waist rash. She made a appointment for me to see a dermatologist, however, the secretary called me to day my appt. is only in 4 months as the doctor is out of town. What over the counter product do I use in the meantime (cream or something else)? | Hello. Thanks for writing to us at healthacremagicI will keep a possibility of Tinea corporis/Fungal infection. Fungal infections are quite common at this site/waist line.Classically fungal infections presents as annular or circular patches with raised, red margin, central clearing and variable scaling. Itching is a prominent feature in fungal infections.Since your appointment with your doctor is too far away, I would suggest you to try an OTC topical antifungal e.g clotrimazole 1% cream, twice daily at the site of the rash.A fungal infection in should respond remarkably well to topical OTC antifungals. However, if the condition does not improve as expected I suggest you to review it with your dermatologist.An OTC oral antihistamine e,g cetrizine 10 mg once daily will provide you symptomatic relief from itching.Regards |
Is there any home remedy or other remedy of flat moles? | hi I am 19 years old and I am a girl and my problem is that I have flat moles on my face i have tried a lots of cosmetics and also a skin therapy but i did not get results.Moles are on my nose and around the nose. so is there any homemade and other remedy of flat moles. | Hello, Welcome to HealthcareMagic Please do not try any such home made remedies on your face. Garlic, tincture iodine etc are irritants and may lead to scarring which will be very difficult to treat. Moles are not any pigmented lesions which can be removed by lightening creams or home recipies. These are collection of melanocytes which have to be surgically removed. There is no medical treatment for this. Consult a dermatologist for various options. |
What causes a lump on lower back? | Hi, I have a lump on my lower back. I thought it was a pimple so I tried to pop it but it does not pop, just really hurts, especially when my book bag is on it. I believe I have experienced a bump like this before on my back. Would you happen to know or have an idea to what it might be. | Hi,It would be difficult to make a diagnosis without examination. However, this may be a sebaceous cyst or possibly a lipoma which is a fatty lump. If your book bag has be pressing on it, it may have caused some inflammation. I suggest you see your doctor for examination and further advice. Regards,Dr K A Pottinger |
What causes lump on frenulum after getting tear? | Helloo. My boyfriend tore his frenulum about three weeks ago now, but it wasn't the first time. However, it has healed very differently this time. Quite a considerable lump has formed on his frenulum where the cut was. It's not hard and it quite pliable. I suggested that perhaps the cut was a lot deeper than we thought and theres now a pocket of blood, but it doesn't look purple. Maybe its abnormal scar tissue that needs fixing? However, after feeling it had healed we had sex last night and it is now inflamed. So I'm thinking sex was a mistake so soon. He didn't pull the foreskin back for a week or so after the cut so could that have affected the healing process. Some help would be awesome as I think he's starting to panic a little. Have looked in my anatomy books and there doesn't seem to be anything on torn frenulums. Anyway, thank you =) | Hi, It can be due to scar, if pain remains severely, you must do surgery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist |
What is the episode of popping in heart followed by raised heart beat? | hello, just a query, i just had a very fast heart beat and made me dizzy, the best way i can describe it is my heart felt like it had a little pop and then came a really fast rush of a heart beat and made me feel dizzy, it only lasted 5 seconds or maybe less i was sitting down at the time, is this something i should be concernd about or not. thanks rob | Hi welcome to the health care magic The rapid heart beats and dizziness should be of concern and you are advised to rule out any cardiac cause if present like arrhythmia or ectopic beats .. For that work up done as follow... -Auscultation -Tread mill -EKG -2D ECHO if needed If no cardiac cause present investigate with HB estimation to rule out anemia If still no cause identified than it can be believed as to be due to anxiety induced.... Take care Consult physician for examination with keeping all this in mind |
What to do for dust allergy? | Hello doctor i have a friend here who is suffering from a very severe case of dust allergy. He's had his tonsils removed when he was a child and that proved to be a mistake as his doctor says. When he was 11 years old, he suffered an allergic attack and he was hospitalised. He lay in coma for 2 days. His doctor says that he has extremely low resistance and another attack like that may prove fatal. Now he is 19 years old. He gets very high fever frequently, like once in 2 weeks, and a bad cold almost every day. He gets small attacks often. These are seemingly caused by nothing, they are always sudden. He can't stand in even a mild dusty place without coughing continously for 30 minutes. He has a high eosinophil count of 13% and his doctor has told he cannot be cured unless he builds his resistance. He's been a weak chld since birth. He takes evening walks and eats fruits to improve his resistance. He absolutely refuses to take up meditation as he believs its of no use, and nothing can cure him. I get scared now everytime he gets an attack cos he speaks like it might be his last breath. Please help. | I think he is sufferring from severe asthamatic attacks after inhalation of dust from air.No doubt he has low immunity. He should kept steriod and anti asthmatic drug inhaler always with him to use as emergency medicine. Take levocetrizine + montelukast tab once a day. |
Noticed tears in the tendons of my rotator cuff. Could this be side effect of taking nexium? | hello my name is joann I have been taking nexium for a long time .I have tears in the tendons of my rotator cuff could this be a side effect of taking nexium for so long .since it causes magnesium and vitamin B-12 and calcium to be depleated from you body? | Nexium contains esomperazole which dnesnot caues tear to the tendons. Tendons tear may be inflammatory or traumatic. MRI should be done after cosultation of orthopaedic surgeons. |
What do small bumps on the roof of the mouth indicate? | I just had a tooth extraction on Thursday (4 days ago). The pain is still there, but getting a little better. My main question is, on the same side that my extraction was I now have small bumps all over the roof of my mouth in addition to the painful and swelling gums. Should this concern me? | Hi..Thanks for the query..Swollen and painful gums along with bps on roof of mouth are all appearing to be due to Infection at the extraction site..So it is better to get a clinical examination done by your Dentist..You can be advised a course of antibiotics like Augmentin ( Amoxicillin and Clavulanate Potassium) along with anti inflammatory painkillers like Ibuprofen..Also gargle with antiseptic mouthwash like Chlorhexidine..Hope this helps..Regards.. |
I want a cure for acne oily skin and remove the effects of stains, please help | I want a cure for acne oily skin and remove the effects of stains and holes from the face I m female, I am 25 Snpeani of oily skin and pimples on the face of the top filled with white liquid Log in, and I have some brown spots and the effects of drilling. Previously, my skin is very normal for 4 weeks, suddenly became my skin greasy. Can you help me necessary medicines. | HI.......I I M ALSO SUFFERING FROM THIS PROBLEM FROM 1 YEAR BUT NOW FROM 2 MONTHS I HAVE SEEN A LOT OF DIFFERNCE ON MY FACE I USED TO HAVE ALL MY FACE WITH PIMPLES BUT NOW I CAN HARDLY SEE A PIMPLE ON MY FACE........U SHOULD ANY SKN PURIFIER DAILY BEFORE GOING TO BED N EAT 1 MINOZ TAB 50 DAILY N WASH UR FACE WITH HIMALAYA FACE WASH TWICE DAILY.FEEL THE DIFFERENCE IF IT WONT WORK I DNT THINK THN ANY THING CAN WORK THN,,,,,,,,,N ALSO U CAN USE HONEY WITH MILK ONCE IN A WEEK FOR 15 MINS,,,,,,DU REPLY ME THN...INSHALLAH IT WILL WORKOUT....THANK U. |
Have seizures, coughing up blood. Diagnosed as pneumonia. Need to test for diseases other than TB? | My niece recently started having seizures about 6 months ago. She has had about 4 since they started. She went into the hospital saturday after having a seizure now she is coughing up blood and being tested for Tb. They also said that she has pneumonia. Now they are concerned that she has an enlarged heart. Is there any disease that they should be testing for besides TB? | Hi, It seems that your niece is suffering from seizure disorder .There are many causes of seizure which has to be evaluated.Seizure can produce sudden contraction of smooth muscle of trachea and bronchi with increased secretion which can cause aspiration pneumonia. Tongue bite can cause blood stained secretion from mouth. Enlarge d heart itself can cause blood stained sputum secondary to pulmonary edema. She requires, chest Xray, 2D echo and CT scan brain.She needs to be treated by team of doctors neurologist, cardiologist and chest physician or family physician |
Can I get pregnant while having mild PCOD? | I have a mild pcod I am planning for a baby for last one yr but I consult my gyno 2 months back then I come to know abt this .I am taking chrominac a ..should I able to conceive or not .my age is 32 I have a 5 yr old daughter that time I concevie naturally.. | Hello dearI understand your concernYou have mild PCOS and pregnancy is possible after taking proper treatment.I would suggest to take treatment under the advise of the gynecologist.You can continue chrominac as it decrease the insulin resistance.Along with that you can also ask the doctor:Progesterone pill in second half of the period : to regularize the period and for hormonal imbalanceClomiphene citrate can be used to induce abortion and maintain fertility.Avoids stress, take healthy diet, take small frequent meal and avoid excessive sweet in the dietDo regular exercise and loose 10-12 % body weight if you are obeseHope this may help youContact further if follow up neededBest regardsDr. Sagar |
What does cut on foreskin of penis after having sex indicate? | yestarday i had sex with my girlfriend and after the act i notice a small cut on the foreskin of my penis , im not circumcised, it doesnt hurt ,but its red.im worried , is it an std or just a possible strech marck ?.igot a bunch of strech marks around were the cut is . its my penis maybe growing , im 22 yrs old can it b possible ? help me out please | Hello, It could be a minor trauma due to undue stretching.It is not at all a sign of STD. It there is any signs of infection, you can apply topical antibiotics like mupirocin for faster healing. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain |
What causes persistent headache, backache and abdominal pain in a child? | Hi my names gemma my daughter is six years of age.Last year we had her eyes tested because she was suffering with headaches but they said there was no! concerns. usually she is a normal child mis-behaving extra but recently shes bin suffering with headaches, backache, belly ache and sleeping more than normal. could it be coeliac disease? her grate-grand had something he suffered with,, not quit sure what its call? but he had too change a bag near his intestines. | hi , a complete physical exam and detailed history is helpful in her case , non specific symptoms like headache , back pain and abdominal pain are associated with variety of illnesses and possible vitamins and minerals defficency .celiac disease will cause symptoms of decrease weight and growth being low for age , persistent diarrhoea or some of patients diarrhoea which are not present in your daughter's case , which make it very less likely blood tests for cbc to exclude anemia , thyroid function test to exclude hypothyroidism, blood chemistry and BUN is helpful I hope this helps with the answer |
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 --> |
Suggest remedy for tremors post TIA | My boyfriend had a Tia stroke August 16th. In which he discharge himself ama 3 days post stroke which affected his mouth/speech,left arm and right leg. He has regained movement all but partial facial mouth/speech.But now he has very visible signs of head tremors. Also, his hand tremors have become (he did have minimal hand tremors previously. Stroke 4 years ago) very dilibitating. Affected writing and eating ( hands) etc. He refuses to see a neurologist. So very concerned. Any and all information will be gratefully appreciated. Thank you, Denise A Palmer | First of all plz mention his age and should have MRI brain with contrast to see if there is a lacunar infarts in the brain or other abnormality developed after Tia thanks |
Can there be any sperm in pre-ejaculation ? | Hi, I'm 16, 5'3, 96lbs, female. I was wondering, I know that some sperm stays behind from a previous ejaculation and can come out with pre-ejaculation. But, if you have never ejaculated before, could there be any sperm in your pre-ejaculation than? | Dear user,Thanks for writing to HCM.I can understand your concern about query regarding the presence of sperm in preejaculate.It is not so that preejaculate is due to remaining part of previous ejaculations.Pre ejaculate may contain live sperms irrespective of the age and number of ejaculations.It may be there in the first ejaculation also.Regards. |
Having grayish lines on teeth. Previously had severe stomach pain. Concerned? Suggest | Hi my 4 yr old Grandson was having servere stomach pain last summer and also had chalky looking bm .Now im finding out we may have been exposed to toxins from gas well fracking.He has been away from this area for about 1year and seem fine.I have been having health problems and my Daughter just noticed grayish lines on three of his teeth that were not there yesterday.Should we be concerned? | Hello, Thanks for writing in. The greyish lines appeared on the teeth may be due to exposure to toxins. Please do visit a dentist and get scaling done if necessary. Since your grandson is at the age of 4 years,and affected teeth are milk teeth which will shed after 2-3 years,no need to be panic. Use soft bristled toothbrush to clean his teeth daily. Train him to maintain oral hygiene well. If the stains aggrevats,tooth whitening procedures has to be done. Hope this helps. |
What are the symptoms of asthma? | I recently took a z-pack for possible pneumonia or bronchitis. I wasn't where they could take an x-ray. I still have a cough and a wheeze when I breathe. Is this asthma? I also have shortness of breath. Especially when I walk for any distance. Is it something worse? | Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. If this is your first episode of wheezing/breathing difficulty, then you should not worry about asthma at present. It could be a bronchitis or pneumonia due to infection also.2. If you have such episodes in past, it could be asthma or some other lung disorder. 3. I usually suggest my such patients spirometry with post-bronchodilator reversibility testing which is useful to diagnose asthma and other lung disorders and also measures lung capacity. X-ray is not very useful to diagnose or rule out asthma.4. As you get shortness of breath after walking some distance, it should be a concern for you. I would suggest you to consult your physician and get examined to identify the possible cause. He may suggest you some tests also which may help.5. I would like to know more about you like your age, other symptoms (if any), nose symptoms, any allergies, other medical conditions, other medications, etc. It will help to know more about you as well as to make suggestions more specifically for you.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards. |
What causes herpes? | Hello :) I had Rubella as a kid(3 yrs old) I've never had any signs or symtoms and have had protected sex except when married (Over 10 yrs ago). Now I go to the Doc for My First Yeast Infection in My Life and they want to tell me that I have trichomonas and herpes??? Can rubella make you pop positive for a herpes culture done in Your Docs office? | Good day and thanks for your question. Rubella can not make you positive for herpes, they are 2 different viral infection and not related. The herpes could be as a result of a sexually transmitted infection. Hope it helps. Thank you. |
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 strong shivers like cold in children? | Hello My daghter is 8 years old and lately she started making some strange movements with her head or shivering like she is cold. When I asked her if she had cold she said that she doesnt have it and that she can not controll the shivering. I contacted our doctor and she things that this is quite common for kids of her age and that it will go away eventually. Nevertheless I have the feeling that it is getting worse. What can that be? | Hi, the main point to understand here is that your child is saying that she is not able to control the shivering. I think there is a high possibility that these are seizures. I suggest you to do EEG and MRI brain of child to rule out seizures. I wish your child to be healthy soon. Take care. |
Suggest best methods for IVF? | HiMy husband 30 and I 27 miscarried in November. I am wondering if it is possible to use his sperm and my eggs fertilized and then place back into me? If so are there any specific things required for this to be done or is the available for anyone?Thanks | Dear Ms, yes it is possible .you will receive an ovulation induction that will stimulate your ovaries to produce multiple ova. then on the day of IVF these oocytes will be aspirated from you. then your husband will produce a semen sample by masturabtion . then sperms will be taken from your husband's sample providing that he has motile sperms in his semen. these sperms will be used to fertilize the oocytes . fertilized embryos will be transferred to your uterus after 3 or 5 days from the oocytes aspiration |
Why do I have bad dreams about death and strange objects? | Why do I have bad dreams about death occouring and a man standing next to my bed watching me sleep a very strange men with a grin on his face smiling back at me , Death in every dream I don't want to think I'm going crazy I see strange shapes objects at night in the shadows watching me sleep | DearWe understand your concernsI went through your details. Please understand dream is usually a phenomenon which nobody explain until now. Many research are going on. Dream analyzers could explain some dreams. According to popular interpretation, dreams related to death or suffering could come to people who has guilt feeling about any wrong deed they did in their past. Yours could be such a case. In any case this is not a medical or psychological explanation. Take care.If you require more of my help in this aspect, please use this URL. sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. |
Sperm release problems, ejaculation of small amounts, low pressure. Cure for condition? | ive been facing some problems with sperm release for about one month. Before, when my sperm ejaculate it goes for a long distance with a high pressure and a big amount. Now, when my sperm ejaculate it only goes for a too short distance not even more than 5cm with a low pressure and short amount of sperm. why is that happening, and how can i cure it and become like i was? | DearWe understand your concernsI went through your description. I suggest you not to worry much. You should not worry much about such things. Ejection length depends on just one factor, and that is the viscosity of the semen. If the viscosity is less, or semen is watery, it ejects for a long distance. If semen is thick, it is sticky, it travels lesser distance.Along with age, the quantity of semen and viscosity decreases. Emotions, anxiety, stress, fatigue etc are also other factors. Bur there will not be any problem for the effectiveness of semen. I sincerely advice you that you have nothing to worry.Hope this answers your query. Available for further clarifications.Good luck. |
Need treatment for paranoid disorder | A highly intellegent 16 that was attending an advanced schooling program started to begin acting inappropiate with classmates: laughing at unusual times, staying up for long periods of time, drinking lots of caffiene and no sleep, when he was getting ready to have his pictures taken for school he could not emotionally take it and crawling into a fetal position and began crying, paranoid with classmates | Hi,The behaviour of the person described by you is highly suggestive of a psychiatric disorder, most probably some psychotic condition. However, for a definitive diagnosis he would need complete evaluation with more details like duration of illness, aggressive behavior, etc. It would be advisable to consult a psychiatrist for the same. Investigations like brain scanning may be needed to rule out any organic brain lesion.Assuming he might be suffering from psychotic disorder, he would need treatment with anti-psychotics like risperidone, olanzapine, etc. Hope this information was helpful. Best wishes. |
Am i 'damaging' myself mentally by participating in BDSM? | i have been involved in BDSM for about half my life (i am 39 now and i have been in the scene since the age of 18). i have had good as well as bad experiences. i am well aware of the bias towards this scene from a mental health perspective. i know that if i seek out therapy / psychiatry, it will likely become an issue of contention and i know that i will be asked to "give it up". my questions are:what are the chances that i will find someone who will accept my choice to be in that community and be willing to provide therapy in spite of my status within it?Do you, as a mental healthcare professional, believe that i am "damaging" myself by participating in this lifestyle?i may have more questions depending on the answer i get.thank you,amber | DearWe understand your concernsI went through your details. I suggest you not to worry much. i think you are confused with the same problem you say you are comfortable. Your life style is what you are satisfied with. Please go ahead. Nobody can question you. They (others) can guide you, advise you, in so many ways. That perception is theirs. Your perception is what you are satisfied with. Your confusion about "what shall the world say?' is creating problems for you. I am sure. Why such a conflict? If you are satisfied, healthy, and want to live like this, do it. Who is stopping you. once you do it, your mental trouble shall ease. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. |
Suggest opinion about spreading of infections from teeth | Hello, I had a root canal on Friday morning. But my dentist couldn't finish it because it was infected. Yesterday I was in so much pain I couldn't stand it. So I called my dentist and he had me meet him at his office and he re-opened the hole in my tooth and let the infection drain out through my tooth. Then he filled it back in again. Now today the pain and swelling has been gradually getting worse. The swelling and pain is now up around my eye and into my forehead. I'm on 2 different antibiotics. I'm on Flagyl and Augmentin. I started those 2 this morning. Should I go to the E.R. in case the infection spreads to my brain or will I be ok? Thank you. | HiWith the description i assume you have an upper teeth infection and looks is a dentoalveolar abscess or periapical abscess actually your dentist would have left it open for draining of pus but he has closed the canal i believe.You are on antibiotics and still the infection spreads so fast to the orbital or eye area it needs an immediate dentist attention.Infection does not spread to brain so dont worry.Make sure the tooth root tip or apex is not in maxillary sinus. But don to forget to seek attention from your dentist.Sometimes it may need extraction of the tooth if there is any cyst or granulomas.Hope this helpful. |
Suggest remedy for heart palpitations | I have heart palpitations and my blood pressure went up to 150/90 and as a rule i have low blood pressure. I took a herbal calming tab called removit recommend by my doctor. Stopped taking the meds and blood pressure has come down but still have the heart palpitations. What should i do? | Hello!Thank you for asking on HCM!I read carefully your question and understand your concern. Your symptoms seem to be related to anxiety. The fact that your symptoms were relieved by remotiv is another in argument of this cause. But, as your palpitations are persistent, I would recommend consulting with your GP for a careful physical examination, a resting ECG and some blood lab tests ( complete blood count, thyroid hormone levels, cortisol plasma levels, kidney and liver function tests, blood electrolytes, etc), to exclude other possible metabolic causes. An ambulatory 24-48 hours ECG monitoring and a cardiac ultrasound may be needed if suspicions of a possible cardiac arrhythmia are raised. If all the above tests result normal, I would the main reason of this symptomatology would be just pure anxiety. In such case, I would recommend you to consult with a specialist of this field to help you manage anxiety. Psychotherapy or an antidepressant may be helpful. Hope to have been of help!Best regards, Dr. Iliri |
Suggest treatment for cyst/mass in kidney | I was told today that I have a complex cyst or a mass on my kidney...the cyst has doubled in size in the last 10 months...I was told that either an MRI or biopsy would probably be done...have an appt. with urologist in July...Is this always something that has to have surgery...sorta scared | HelloThanks for query.You have been detected to have complex cyst in your kidney which has increased in size over a period of last 10 months .Considering the increase in size and being complex in nature one has to rule out any malignancy .This can be confirmed only by histopathological examination of a tissue from cyst by doing FNAC (Fine Needle Aspiration Cytology) .Further mode of treatment will depend upon the histological diagnosis .Dr.Patil. |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
What causes weight loss, low appetite and sleeplessness? | I am a 55y female PMR, type 2 diabetic started on Trulicity one year ago started loosing weight gradually. To date I have lost 60 pounds no appetite can not sleep have been going through a break up have had multiple anxiety attacks and have been tachycardic on and off. my concern is my muscles I carried a case of soda yesterday and my biceps feel like I was at a gym for hours for the first time. | Hello, Your symptoms could be related to an electrolyte imbalance or any other metabolic disorders. I would recommend performing some tests to investigate the possible underlying causes: - Blood electrolytes for possible imbalance- Vitamin D levels for possible deficiency- Thyroid hormone levels for possible thyroid gland dysfunction- Complete blood count, PCR, ESR for inflammation. An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Ilir Sharka |
Suffering with depression, OCD. Is it safe to take effexor with prozac? | I have been taking effexor xr for about 5 mmonths it works very well for depression although the down side is hair lossl i t does not however work with my ocd adn i was wondering if i could take both these drugs to tacke these two problesm i.e. prozac for ocd and the effexor for anxiety and depression many thanks Arria can i take effexor and prozac to treat anxiety problesm and also prozac for ocd the former is working real well for me but i still need to address my recurrent ocd | hi, OCD is one of the long term problem and itself can induce depression when the symptoms of OCD increase. or there could be separate depressive episode due to some thing else. and Prozac is a very good drug for both and OCD and depression however at different dosages, so its up to your psychiatrist to adjust the dose of prozac so that it can control both the symptoms together rather than taking 2 drugs.. |
Does blood in the throat because of a fall after tonsil removal need medical attention? | My daughter had her tonsils and adnoids takes out a week ago she tripped and fell hit her nose and it was bleeding it stopped coming out her nose but it fresh bright blood in the back of her throat. I don t want to be a paranoid parent should I take her to hospital | Hi,Thank you for asking question on health care magic.Slight bleeding from the operation site is common for 1-2 weeks.If the bleeding is profuse you need to take her to hospital.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics |
Can urinary tract infection result in a false positive pregnancy test? | So I've taken at least 5 at home pregnancy test. They all came out positive, then I went to the hospital to confirm it and their test came back positive as well. Then they tested for any infection in my pee and I have a uti, can that affect you to get a false positive pregnancy test | no it has nothing to do with the pregnancy test.. uti is very common in pregnancy u should take amoxil antiboitic and loadz of fluid and take care of your personal hygiene. |
Is there any surgery for the dark skin around both sides of nose ? | hi doctor, I have dark skin on both sides of my nose it looks very dark compared to my skin tone on my face . have applied ointments but no improvement on that is there any surgery i need to undertake to get it cured? | Welcome to Healthcare Magic Good Day You probably have seborrheic dermatitis. Is your skin oily as well. You need to consult the Dermatologist to examine you first. there are skin whitening creams containing Hydroquinone available. But first eat fresh fruits and vegetables to tackle vitamin deficiencies which can cause pigmentation, drink plenty of water for proper blood supply to skin. Avoid pressing, rubbing and damaging that area. Visit your Dermatologist as earliest as possible. |
Suggest treatment for painful legs and groin pain after an injury | about 8 days ago I had gone outside to warm up and stretch before going out to walk -- I was on a deck (wood) and wen t to do a side stretcha nd the leg I was leaning toward slipped out from under me. I am almost 50 and have never done any full split in my life -- well it was about a full split. In the beginning I walked it off -- but felt pain down my legs -- not too much in groin - but almost immediately there was pain -- like a pull in my low back all the way across top of buttocks. now that pain has subsided with rolling on a tennis ball and ice and advil -- now pain and discomfort are mostly in left glutes and down left side of left leg. Currently rolling on a tennis ball two times a day and ice - or heat a couple times of day --- thanks for advice | Hello, As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persists better to consult an orthopedician and get evaluated. An MRI scan is required in severe cases. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician |
Q. Does Entocort intake cause severe anemia? | Hello doctor, I am a 62-year-old female. I was diagnosed with collagenous colitis following colonoscopy biopsies. I started on Entocort, three days later I have severe swelling in feet and ankles. I am fatigued the next day. On the seventh day, I had swelling of lips and a strange feeling in the throat. I called the doctor and he stopped the medication. My blood report shows: Hemoglobin - 3.6 g/dL, RBC - 1.38 million/mm3, Iron - 11, Saturation - 3. Fecal stool sample postive. I went to the ER, I was given two units of blood. My hemoglobin raised to 7.5 the next day. I was discharged. Endoscopy was performed and my biopsy report is negative. I had minor stomach inflammation. My next bloodwork shows Hemoglobin - 8.1 g/dL, RBC - 3.05 million/mm3, Iron - 51, Saturation 12. Vitamin B12 - 648. Immunoglobulins A and G are pretty low. Gastroenterologist says need to do small cap endoscopy to see if there is bleeding in the small intestine. My new stool sample results are not back yet, but stools have not been dark. What other tests need to be done to determine the cause of anemia? List the possible that medication caused anemia since I had such a severe reaction. Current medications: No prescription, only supplements. Vitamin D3, CoQ 10, Methyl B12, and Curcumin. | Hi. Entocort (Budesonide) is a corticosteroid. It is very unlikely to cause anemia, especially to the extent that you had. What was your hemoglobin prior to the colonoscopy? If it was near normal and then dropped to 3.6, that would be a huge drop. If you had gastrointestinal bleeding leading to such a huge drop in hemoglobin in a short span of time, I would expect that you would have noticed the blood in your stool. Minor bleeding over longer periods can lead to anemia, and in those cases, serum ferritin (a storage form of iron) would be low. Acute blood loss anemia usually does not cause serum ferritin to drop. Did you have a serum ferritin level done along with your other iron studies? If the serum ferritin is less than 15, it is almost definitely iron deficiency. Iron deficiency is either due to dietary reasons or blood loss. Dietary iron deficiency is rare in developed countries. So, blood loss has to be ruled out. If no obvious reason is identified on upper GI endoscopy or colonoscopy, then small bowel pathology has to be ruled out by capsule endoscopy. Other reasons for a rapid drop in hemoglobin would be hemolysis (where the red blood cells are destroyed for various reasons). This would be diagnosed by tests like: 1. Peripheral blood smear 2. Serum haptoglobin 3. Direct and indirect bilirubin 4. Direct Coomb's test 5. LDH (lactic acid dehydrogenase). Please attach any reports you have with you. That may help me give you a better answer. |
Gum injury, hole formed in the middle of the superior labial frenulum. Chances of bacterial infection? | hello? hey, i accidentally slid my gum down a wood and the wood slid up from the front of my teeth up to my gum towards the superior labial frenulum. Now, there s a hold in the middle of the superior labial frenulum. Will that cause any medical trouble? I m more concerned with a potential of infection from accumulation of bacteria might occur. | Hello and welcome to HCM This kind of injury with a foreign object requires prompt treatment to prevent infection. You need to consult a surgeon for clinical examination of the wound. If it is an open wound primary closure under local anaesthesia is needed followed by course of antibiotics and analgesics. Since the wound is in the oral mucosa, it will heal up fast. So don't delay in visiting the surgeon. Thanks and take care Dr Shailja P Wahal |
Q. Can you explain the reason behind burning sensation of gums? | Hi doctor, Whenever I eat spicy food, I feel some kind of irritation, burning sensation and pain in my gums. I do not have any cavity in my teeth. I got scaling done 2 years back. Once I stop eating spicy food, the pain fades away in few minutes. I would like to know the reason behind it. Please advice me the preventive measures as well. | Hi. Hurting of gums while taking spicy food might be due to the following causes: 1. Gingivitis (swelling and inflammation of the gums) - Swollen gums may be painful and may cause burning sensation and pain while taking hot and spicy food. Gingivitis occurs due to either plaque or other debris accumulating around the teeth and gums. Also hormonal changes occurring during menstrual cycle can cause swollen and painful gums. Any medicines taken for medical issues like hypertension, epilepsy, etc., also cause gum changes and swelling. 2. Any ulcers in the mouth will get hurt while taking hot and spicy food. Ulcers might occur due to faulty tooth brushing techniques, usage of toothbrushes with hard bristles, stress, sharp tooth hurting the tissues, any dental appliances or ill-fitting dentures. 3. Any abscess related to infected tooth might also hurt while taking spicy food. But, you have mentioned that you do not have any cavities or teeth issues. Have you been examined by a dentist regarding this? 4. Any impacted tooth (teeth that remain unerupted due to inadequate space inside the mouth or remain inside the bone itself) may develop swelling of gums around it. When the opposing teeth impinges on this swollen tissue while taking spicy food it gets hurt. 5. Hypersensitivity reactions may occur to certain foods. This might cause swelling, reddening and burning sensation of the mouth. This may occur due to some food additives. 6. Habits like smoking and usage of tobacco products may also cause burning sensation while consuming spicy and hot food. 7. Dental procedures like scaling (cleaning of teeth) might cause minor tissue injuries. These hurt and cause burning sensation while taking hot and spicy food. But, this heals in 4-5 days after cleaning. In your case, this might not be the reason, as you have undergone scaling before 2-3 years. 1. Get dental scaling done, if you have any plaque or calculus deposits causing swollen gums. 2. Get your oral cavity examined by your dentist, for any ulcers, abscesses, infected teeth and impacted teeth. 3. Also get checked for any sharp teeth and any dental appliances or ill-fitting dentures. If found, sharp teeth have to be trimmed and reduced, and ill-fitting dentures and dental appliances have to be corrected immediately. 1. Kindly make a note if you develop any gum swelling, redness or bleeding gums during your periods. 2. Use toothbrushes with soft bristles for brushing your teeth. Also follow the proper brushing technique for brushing your teeth. 3. Make a note whenever your gum hurts and what foods hurt your gums. Check if any food causes the same issue repeatedly. In case, if that food contains some additive that causes hypersensitive reaction, then you may have to avoid that particular food in future. 4.Quit habits like smoking or usage of other tobacco products (in case you do). For further information consult a dentist online.---> |
Q. Is surgery the suggested treatment option for breast cancer in situ? | Hello doctor, My mother is 68 years old. She was just diagnosed with breast cancer in situ. The medical team says it is not aggressive. The hospital in which she was treated already did a biopsy on her breast. I read today that biopsies can actually open the door to cancerous cells and allow the spread. Also, her surgery is already scheduled for this week. I also read that surgery at such an early stage may cause more problems than there was original. I read an article online. I do not know how reliable it is? Also, in my place, doctors follow a protocol, they will not offer anything but the conventional way which is surgery, no alternative treatments are suggested. What is your advise? | Hello. I have gone through your reports. (attachment removed to protect patient identity). As far as I was able to understand, the lesion is a high grade (microcalcification and necrosis). Though I had to use google translation. What I am going to tell you is as per recognized and approved evidences it does not include newer theories and understanding which are though upcoming have not yet come in clinical practice. High-grade DCIS (ductal carcinoma in situ) increases the risk of invasive cancer. What above article has mentioned regarding mortality being the same in DCIS patients and normal individuals is not totally correct. The study which showed mortality of three percent, these patients were treated and it is not sure whether the similar mortality is due to treatment or nature of the disease. The medical community is clear that some DCIS are low grade and may not need treatment and thus have removed DCIS from premalignant. But high-risk DCIS increases risk of having invasive component which might be missed just by biopsies. There is some evidence that we can avoid RT (radiotherapy) in low risk group, but none of the mainstream studies have avoided surgery. The use of hormonal therapy is to avoid recurrence. Now the above article mentions that it does not change overall mortality. But this is due to the fact that we usually detect recurrences earlier and treat them before progressing to advanced stage. If we have not then there is a chance that some of them will progress to aggressive disease. Regarding biopsy there is enough evidence that it does not increase the chance of cancer spreading. These are just hypotheses. Also, it definitely does not affect overall prognosis. Lastly, being from a medical background I do not have an idea regarding natural treatment. Though I would say that all these are just hypotheses and not proven things. As per my idea, she would need a breast conservation therapy plus radiotherapy, and endocrine treatment depending on the final biopsy result. DCIS. Wide local excision, radiotherapy and endocrine therapy depending on the final report, hormone status and invasive component. Six monthly mammography. |
High SGPT levels and triglycerides. Taking robusar. Further medication? | hi doctors my name is rizwan and i am 23 years old i have 2 problems one is sgpt which is 90 to 100 before 4 months and triglyceride's 227 i.am using silver twice a day for 4 months and rosubar 20mg for 1 months but i still have problem today i took test again but the problem is same what will you rcommend for me i am worried about it becouse i.am.going to australia after few months so i will have to take medical please help.me... i.am non.smoker and non.alcohol user.. | Hello, luckyy, Thank you for contacting HCM with your quiery. You are a young man and have abnormal liver enzymes and elevated triglycerides. I want you to make sure that other causes for elevation of liver enzymes have been ruled out such as Hepatitis B, C or E that can cause chronic hepatitis. There is also "Metabolic syndrome " in which combination of obesity (Increased abdominal girth) , elevated lipids, fatty liver on ultrasound and abnormal glucose tolerance like Type-2 diabetes. You have been on Rosuvastatin for 4 months. I am not sure if you had a baseline liver tests before you started this drug. All statins can cause liver enzyme elevations and can in some cases cause serious liver damage. I want you to look into this possibility. If you are overweight , try to lose 10 lbs by dietary measures and excercise. Limit fatty,greasy or fried foods. I am glad that you don't smoke or drink alcohol. I suggest you start taking Vit-C 1000 mg.,Vit-E 800 i.u. daily and a good super B-Complex vitamin daily. You can also take Nicotinic acid slow release pill daily that would bring down triglycerides and increase HDL-C. I wish you the very best. |
What causes severe pain in the chest? | Hello My name is ebony and I m 21 years old . For the past months or so I have been having really bad chest pains ; as if someone is stepping on my chest with a boot on . My heart has irregular beats , one minute it s beating fast next minute it s so slow I can feel it like it s about to stop any minute ; times it feels like my back has sharp needles in it and I can t move ; I ve been to the hospital plenty of times my EKG is different everytime but yet they don t know what s wrong . I m very scared for my life . help please . | Thanks for your question on HCM.In my opinion you should get done holter monitoring. Holter monitoring is continuous recording of ECG through out the day (24hours recording). So that exact events ee can see. You may have arrhythmia. And holter monitoring is the best tool for evaluation of it.If this is normal than you should go for coronary angiography to rule out coronary artery disease. So better to consult cardiologist and discuss all these. |
What prognosis can be made from the MRI report stating heterogeneous appearance of the bone marrow? | My Hip MRI reports states Heterogenous appearance of the bone marrow is seen probably related to red marror hyperplasia and chronic anemia. Less likely but important consideration would include marrow infiltrative process such as myelofibrosis. What does this mean? | Hello, The heterogeneous appearance of bone marrow does not conclusively indicate anything. It can happen due to many causes that can be confirmed only after FNAC. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon |
Suggest remedy to stop habit of chewing multani mitti | H I am chewing Multani mitti (backed in kadae till good smell)1/2 kg in a month,I do not have any problem,but i want to change this habbit.tell me some homeopathy medicine plz.i regularily doing yoga.doctors advice me for calcium bt no relief.waiting for your reply.I am seperated having a 7 yrs son.by profession HR. | DearWe understand your concernsI went through your details. I suggest you not to worry much. Multani mitti contains high amount of minerals. If you are crazy about multani mitti, and if your body urges for it, then there could be some mineral deficiency in your system. You must get yourself checked for mineral deficiency and get expert treatment accordingly. Otherwise, this is also just another habit which your body has no urges. Mental dedication is enough.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. |
Is olmark suggestible for proteinuria due to SLE of kidney? | Hello sir, My sister ( 37 yrs) was detected with SLE two yrs back March 2010,at that time she wasnt passing urine,she had abdominal pain and was vomiting. Her creatnine level was 6 at that time.She had rashes on her face and arms.ANA test was positive and kidney biopsy confirmed SLE.She was put on dialysis ,at the same time they detected the blockage in the intestine also.Ileostomy was done and stoma bag was fixed,she was given the treatment of immuno suppresents and ENDOXIN,her condition improved and the creatnine level came down to 1.5, but she continued with the problem of proteinurea and high blood pressure, her albumin level was still 1 ,so it took 6 months to again join the intestine .Protein leakage was +++ in the routine urine test.Her creatnine level was stable between 2 to 2.5 for two yrs ,problem of proteinurea continued ,now it is at the level of ++.and her BP also remain at the higher level.Now the problem is that her creatnine level has reached 4 ,had a problem of Ascites also 250cc of water is removed last week, test of water is normal.As her TLC level came down to 3.9 dr has stopped MYFORTIC ,but he has prescribed OLMARK 40mg .Do you think that is ok? | yes, It can help to prevent protein loss from urine,but this should be avoided if creatinine is more than 4 |
What causes difficulty to breath while taking bath? | I am 15 years old and whenever I go to shower I find it very difficult to breathe as my chest tightens and I fell as if I m going to fall over. This, without fail, happens every time I have a shower. This never happens at any other time. Please help, it s quite a pain to be unable to shower, washing my hair in the bathtub is quite difficult hehe. | Hi..Do you have problem when you are bathing or do you have problem when you walk for three stairs of mild jog. ?If that is the case get yourself examined by a physician..With the minimum details you provided I cant come to a conclusion and basic physical examination and some blood workup is necessary..I suspect thyroid issue and anemia..How is your diet..? Do you have ajy addictions?Express this to your parents/guardian they will help you..Take care.. |
Can taking glimasave M1 increase my bilirubin level? | I am on Glimisave M1 since April 2013. Bilirubin level (total) has increased to 1.9 which I noticed recently. I am a social drinker, drinking frequency once or twice in a month and maximum 180 ml at a time. Can the medicine cause the increased bilirubin?RegardsRajan | Glimisave m1 doesnt cause rise in bilirubin. Please dont stop your antidiabetic medication. However get a detailed liver function test in view of your bilirubin rise. I would also advise to abstain from alcohol.in meantimeRegardsAnupam |
How to strengthen my ankles? | hi, I do Silver sneakers classes 3-4 times a week. I'm in pretty good shape for 70 and of normal weight. When we do balance exercises and I stand only on my right ankle, it starts to burn. This has been an issue for a long time. The only other ankle issues are that occasionaly my ankles turns totally inward and I can fall. My ankles (and wrists ) are very small. Is there a way to strengthen my ankles? | hello, thank you for using healthcare magic.I read your questions and understand your concern.I think you can strengthen your ankle muscles by doing what we call proprioception exercises with the physical therapy guide you can step on a board which stays on top of the ball and try to keep the balance. Also you can use the rubber bands and do exercise against resistance by pulling up and down your foot. I wish quick recovery .Dr. Selmani |
Suggest treatment for abdominal pain and vomitting | Hvi, may I answer your health queries right now ? Please type your query here... Hi Iâ??m very worried about my husband by a process of elimination we have concluded that he may have a problem with his pancreas although he has undergone many tests that donâ??t show anything. â?¢ When he drinks alcohol not very much maybe 5 beers the following day he is very sick he vomits up to 20 times very strongly almost projectile and it is acid, this varies in strength and colour. It takes him 2/3 days to recover and leaves him very weak he worries about the effect it has on his head as he suffers with pain from the force of vomiting and has strange dreams in the following days. Also he worries about the effect the strength of the vomiting has on his heart as it leaves him so weak â?¢ We think it is the pancreas because he has pain in this area on the left hand side at the back high up opposite the liver. He also suffers pain in the area above the stomach. He attempted to have a camera investigate the problem but the camera could not pass they attempted 4 times and gave up, surely this indicates some kind of blockage? When he is well enough to eat again, if he eats for example soup he is left with a burning sensation inside. â?¢ This whole situation leaves him feeling very sad sometimes even depressed I think itâ??s not knowing what is causing it and he worries about his health I really want to help him sort it out hope you can help . Should you need any further clarification please do not hesitate to contact me. Regards Catherine | Hi, your husband couldn't digest alcohol thats why he vomits violently thereafter. Many of people does have this kind of problem. You have to avoid alcohol or keep it minimal. Try pantop 40 and emset for vomitting. Did he went through endoscopy. what kind of camera you are talking about. Please elaborate. Liver or pancrease problems can be better diagnosed with blood reports and if needed CT SCAN. For burning sensation after meal take Pantop 40. You can go for endoscopy also. |
Suggest treatment to stop narrowing canal and joint disease | I have spinal degenerative changes are noted with disk osteophyte bars at C5/6 and c6/7 levels which, together with the facet joint disease, cause mild spinal canal narrowing and touching the spinal cord at C5/6 level. what treatment do i need to stop norrowing canal and joint desease? | helloFor minimal spinal canal narrowing, conservative treatment may be advocated unless the osteophytic encroachments are producing nerve radiating pains unabated by neck exercises, physical therapy and cervical collar and anti-inflammatory drugs intake, that your treating surgeon may consider decompression surgery and or fusion in addition to osteophytes excision, so consult a spine surgeon or a neurosurgeon and get complete physical evaluation donethanks |
Could tight chest causing pain while moving and breathlessness be due to overdoing swimming workouts? | having chest pain. saw my doctor yesterday and she said i over did it during a swimming workout. My chest feels tight and i have a hard time moving around without it hurting my and leaving me a little breathless. This has been going on since Friday. It is the lining of my chest and lungs?? | Hi, I had gone through your question and understand your concerns. With such presentations in my clinic, I would first rule out any serious cardiac or chest condition by doing chest x ray and ECG.I also prefer receiving muscle relaxant and topical massage cream to relieve intercostal myositis. |
Suggest remedy for heart palpitations after being bitten by dog | I was bitten by a dog and 6 days later, my heart began to have palpitations. This has continued, principally when I am at rest, particularly when I lie on my left side. Very annoying and it makes me feel as if I am not long for this world. I have catastrophic insurance only and I am unemployed, thus going to the ER would send me to the poor house. | Hi there,Causes of heart palpitations are Hyperthyroidism, Anxiety, Stress, Anemia, Heart Diseases to name a few. Dog bites can cause rabies infection, but this is rarity these days because of immunization but still cannot be ruled out. If the dog was behaving in a strange way it could have carried a rabies virus. Still I do not think your palpitation are due to rabies as its incubation period(time since infection to the symptoms) is 1 to 2 months. There is a classic feature of rabies i.e. Hydrophobia(Fear of water). Still you can get a Rabies Vaccination done. Your Palpitations could be from other reasons as indicated above.Thanks |
Why do I have electrical sensation in my right shoulder and arm? | I am an avid runner. I have noticed at times while running at a comfortable pace a tinge almost electrical sensation along the front of my right shoulder and down my my right arm. It happens and that s it. What could be going on? Is it my heart? A pinched nerve of some-kind? | Hello,Your symptoms are suggestive of a pinched nerve. Another possible cause to consider, would be a bulging disc in the cervical vertebral column. For this reason, I recommend performing a cervical spine MRI study and nerve conduction studies. Anyway, nothing serious seems to be going on!Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist |
Is circumcision advisable for the non retractable foreskin? | hey i need to get circumcision...i am 21 yrs old from chandigarh...n my fore skin does not unfold....when it is fully erected my foreskin does not get fold....where can i get diz surgery done...n wat will be d cost like ??n who is d best doctor to consult for diz...??? | Hello, As per your history, yes it is advisable. For non retractable foreskin, you can undergo surgical intervention after surgeon consultation. In case of infection, you may require antibiotics after consultation. Don't try to retract foreskin forcefully. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician |
Can I get pregnant with non penetrative sex? | Hi. My boyfriend and I made out and then he humped me i was down to my mesh underwear and he his cotton boxers. I dont remmner seeing any spots on his undewear but i was scared a pregnancy might have been able to take place so I took the the plan b pill around 53 hours later. Is there any possibility I may be pregnant? | Hello dear,I understand your concern.In my opinion there might be no chance of pregnancy in your case.There are chances of pregnancy when semen is ejaculated inside or over the vagina during the fertile period.As nothing such happened you need not worry and there was no need of emergency pill.The plan B is effective if taken within 72 hours of unprotected sex.You have taken it within 53 hours.Dont worry.There is no chance of pregnancy.Relax.But plan B might delay the period.I want to suggest you to restrict plan B to real emergency situations but not for frequent use to avoid complications.Best regards... |
What causes pain in arms and losing strength and have a pinched nerve in neck? | About six months ago my son felt like he got a pinched nerve in the back of his neck. he suddenly started having pain in his arms, and his voice got hoarse. His voice is still hoarse, and it s like he runs out of air when he talks. His right arm has loss muscle mass and he can hardly grip anything with his right hand. He is rapidly losing strength in both his arms but especially in his right one. | you need to do EMG of his right arm muscles,that will confirm the cause as there are many reasons that could lead to hoarseness of voice with arm weekness |
What causes painful teeth? | Hello my name is Ashley, and I'm having problems with my teeth I haven't been to the dentist since I was 12 I am 22 now its not insurance problems I have insurance I'm very terrified but my teeth hurt so bad and I have a piece of my gum hanging what should I do? | Many things can cause pain full teeth like cavities,infection of gums(gingivitis) etc.I think its best you consult you dentist to rule out the causes |
What causes presence of granules in semen? | hello doctor.. i am Male34 i dont drink or smoke.. 6ft height overweight .. i have been observing n number of granules in my sperms they are thick like jelly i am worried..as i am planing for a baby. is it normal.. or something to be taken seriously.. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your main concern is regarding infertility in your case and you want to check whether your semen is normal or not. So it's better to investigate with Semen analysis report to check your fertility and to check your sperm count and sperm motility. If your semen report is showing enough sperm count and motility and morphology normal sperm then no need to further worry. Hope I have answered your query. Let me know if I can assist you further. |
What is the medication for Fibromyalgia and Connective tissue disorder that does not affect the platelets? | Hi, I have a combination of Fibromyalgia and Connective Tissue disorder and suffer with both muscle and joint pain. My rheumatologist has tried several anti-inflammatiorys , but they cause my plaletes to go down as I also have ITP. What is a good RX that can take that doesn t affect the platelets but helps with PAIN! | HiYou may discuss with your rheumatologist if he's tried lyrica or gabapentin, methycobalamin or B12 and Tramadol for pain?Physical therapy is mainstay of treatment.It is said omega3 fatty acids from fish oils, papaya , pineapples reduce inflammation in tissues.fish oil rich mackerel,tuna fish are good.papaya built platelets. |
Suggest treatment for breathing difficulty and nasal congestion | Hello Doctor My child is of 2 months he has the problem in taking breathe and has some sound in the nose. we are giving nose drops otrivin but also it seems that it has not cured and also we are giving sporidex drops readymix from the past three days. Please suggest me to overcome this problem. | Hi....I will not suggest using either otrivin or sporidex ( there is no rationale of using antibiotic here). Try normal saline nasal drops or spray 4 times daily in both nares. If it is severe try to change posture during sleep; like side ways or prone. If these dosen't work seek an ENT consultation. |
What causes painful blister at tooth extraction site? | My daughter age 16 had wisdom teeth pulled on June 16 and she recovered well. Four days ago we were on vacation and she was complaining of some pain (rated it a 3 on a 10 point scale). Tonight we are home and now she is complaining about a blister near the lower extraction site. When I looked in her mouth it looks like a blister, puffy, punish white near the extraction site on the gum, near her cheek. Should I be concerned? | Hello and welcome to HCMi have read your query and understand your concern. as you mentioned its more than one month since the wisdom tooth extracted.by this time the extraction should have healed.in some case of more traumatic wisdom tooth extraction slight pain is normal and it can take more time to heal.blister can be due to some other reason also.if i were your treating doctor i would advice you to use a chlorohexide mouth wash.for pain oragel can be applied to the affected area. usually it will subside within 4-5 days .if the problem persist or increases i would suggest you to visit your dentist.hope this ans your query. take care.RegardsDr. Shesh |
Kidney stone of 4mm. Is it safe to undergo drip to dilute urine and flush stones in private clinic? | I'm suffering from Kidney stone Problem from the last one week.After Taking Scanning of Abdominal Pelvic, it showed a 4mm Stone in Right Kidney. Our Family Doctor is Continuously Monitoring the Development and assured me that the stone will vanish after due medication.Further, one of my friend is Asking me for saline infusion of 2-3 bottles (glucose drip) with other prescribed injections infused there in, so that continuous hydration would help keeping the urine dilute and actually may help flush out small stones. Is it safe to Undergo drip in Private Clinic under supervision of the Practicing Doctor ! | Welcome to HCM.Flush therapy is helpful but it depends upon location,size of stone.Flush therapy is always helpful for stone up to 7mm. but stone should be in the urinary tract.If stone is in the kidney than it will be less helpful.You have to be watchful for back pressure,also go for RBS,S.creatinine before flush therapy.Drink more water and keep in touch with your doctor.Also go for stone analysis and 24 hrs urine investigation to know the type of stone so there will be specific guideline of diet management to prevent recurrence. |
How to cure breathing issues during weather changes after jaundice and chickengunea? | I'd jaundice and chickengunea two years back. I have been having breathing issues since then. They come up and aggravate in weather change or a week before my periods. It makes it really difficult for me to breathe or perform any activity. It's accompanied by a mild yet persistent headache. | thanks for your questionin my opinion possible causes can be-bronchial asthma- bronchitisyou need to consult a Pulmonologist who can examine you and investigate regarding the respiratory issue in my patients I usually conduct a spirometry and a peak expiratory flow rate which can lead to a diagnosis and if it's an obstructive cause some inhaled drugs may be started as per your pulmonologists opinionthanksfeel free to ask more questions |
What is the cause of foul smelling urine? | My 22 month old daughter started having these foul and fishy smelling pee..she also cries everytime she make pee pee. I took her to the Ped. They did a urine check and it came back negative for infections. They sent it to the lab for further analysis. We waiting...what do you think is happening. | Hi..there are certain inborn errors of metabolism which can cause this type of symptoms. But as you have not quoted any other major problems in her till now - I don't think you need to worry about it.I suggest you need to go ahead with a urinary screening for inborn errors of metabolism.Regards - Dr. Sumanth |
What causes frequent urination in kids? | my 3 yr old son has been saying that he has to go pee every 5 minutes but nothing comes out. He has been tested for UTI and diabetes and both were negative. I do not know what to do this is driving us mad. He sleeps all night without wetting the bed and has been potty trained for over 6 months. Any ideas why he is doing this? | Hi,This could be because of 2 possibilities:1. If his growth and development are good, then it could be strangury.2. If his growth and development are not appropriate 0, we need to work up for renal tubular acidosis.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sumanth Amperayani |
What is the good way to avoid pregnancy? | I am Going to marry in this month,my partner is 6 months younger than me,and now i am 24 yrs old.we both are decided to postpond our baby for 1 year,is it ok to have safe sex with condoms during this 1 year...otherwise i will affect baby formation after 1 year??? | Hallow Dear,I must congratulate and compliment you for advance planning of your family. Safe period like traditional methods are not safe methods for avoiding pregnancy. Though in this era there are many contraceptive methods available, they can be grossly categorized into three main groups:1. Hormonal Methods: They include pills, implants, etc. 2. Condom like barrier methods3. Intrauterine devicesEmergency contraceptive pills should not be used as a regular method of contraception and should be reserved only for emergency situations. According to me, pills or condom should be best suiting for you to start with. Later on you may switch over to the other long term methods. I hope this gives you preliminary guidelines. Dr. Nishikant Shrotri |
What could cause mottled redness on inner thigh, relieved by hydrocortisone creams? | My 10 yr old daughter had developed a mottled redness on her inner thighs (been there for months, but seems to subside with hydrocortisone creams). It is now accompanied by pain in the inner thigh. Concerned because this is something that started with me at the same age and still occurs occassionally for me, especially during menstral cycle. My daughter has started developing, as far as puberty, but does not have her period yet. Is this a condition to see a doctor for or is this normal for some women? | 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)., |
What is the survival rate if cancer is in lymph nodes? | My 72 year old Mother has stage two breast cancers and a lump under her arm. She will have a double masectomy and we will find out if the cancer is in the lymph nodes. If it is in the lymph nodes what is the survival rate. How long can we expect for her to live? This is devastating. | Do not worry, with the current treatment options available, breast cancer is one of most curable cancer. Of course with lymphnodes the survival will fall down.Once the surgery is done the post op staging will give a better platform for estimating the survival more accurately. Your oncologist will surely answer your query better after the surgery. |
What causes burnt plastic smell from stool? | I have a 6 1/2 month old baby and for the last week her poops have had a burnt plastic smell. She is our first baby, so I don t want to be annoying to our pediatrician. Earlier today when I called to say that she has had diarrhea with a very strong burnt plastic smell to it and they were not concerned with my complaint because she just had her first 2 teeth break through. Looking online, for adults it could be a sign of crohns, but I couldn t find the correlation with teething either? | I am really unable to understand your smell description, as I have never come across such a description in my 28 years of experience as a Pediatrician. I think the simple way out would be to get the stool tested at a laboratory and then visit a Pediatrician with the results. A foul smell emanates as a result of infection. Dr. Taher |
What causes sudden body stiffness with pain and tiredness? | Hi, my 6yr old girl who hardly ever falls sick got out of the pool after a short swim and started eating while standing and before long she looked stiff and was just groaning. In few seconds it was over though she looked tied. It took her 1515mins and she was back to eating and into the pool, should I be worried and why did this happen? | hi, body stiffness in a 6 year old child can occur due to calcium deficiency. it should also be differentiated from seizures. you should do blood test like calcium and Vitamin D levels. Hemoglobin levels should also be done. give diet rich in calcium. Based on above reports child should be started on calcium syrup. I hope this will help you. Take care. |
Q. My metal crown has become sharp and cuts tongue. What to do? | Hello doctor, I have a metal crown, and the metal has become pointy and cuts my tongue. What can I do? | Hello. I have been through your query and I can understand your concern. The metallic restoration or crown when placed needs to be in harmony with the occlusion or the bite of the mouth. However, sometimes with due course of time what happens is that the crown gets disharmonious due to the continued masticatory forces of teeth and jaw. Sometimes, even the fractured part of the metal crown makes it sharp. This might lead to discomfort or even sometimes impinging to the soft tissues. You do not need to worry as it can be treated by trimming the sharply pointed surface. I would advise you to have a visit to your nearest dentist and get the occlusion checked. He would either go for trimming of sharp point in order to relieve you or if there might be any other problem underlying the cause, he would rectify that so it might not happen in the near future again. I would also advise you to have good oral hygiene and brush your teeth twice daily and floss regularly. Also, make a routine dental check-up six months in order to maintain your good condition of teeth and be evaluated of any problem in the earliest. |
What causes swelling around nose and eyes? | My six year old son is swollen around his nose and eyes. He s had headaches for the last couple days. His nose is a bit runny. He s very miserable. Is it more likely a sinus infection or could he have possibly stuck something up his nose? What do I do?? | HI SEX YR OLD HAD NO SINUS INFECTION he had rhinitis which can cause swelling around neck and eye. U have to give antihistamic and decongetant for running nose. U give him saline nasal drop in him nose which can stop blocking of nosefor headache u give hi peracetamol 15 mg/kg wheneve he had headache |
Does traces of albumin in urine suggest kidney damage? | My mom is 64 years old and recently she has done urine test and it showed she has traces of albumin in her urine , 2 months back she has done urine test but during that time no traces of albumin were shown.My mom has diabetes but it's under control also she has blood pressure but she is taking medicine for that as well.We went to the doctore 3 months back beacuse she is having some problem with her digestive system.The doctor said it's because of gastric and he prescribed some medicine for her which she is still taking.The blood test was done and it showed she has anaemia and for that the doctor suggested to take iron tablets for 3 months.When 3 months back the urine test was done no traces of albumin was found but on the 2nd test traces showed.My concern is that is it due to the medicines and if anyone has traces of albumin in urine does that mean the kidney is affected ?Please reply me . I am very much concerned.- Annie | Hi traces of albumin in urine is not a danger sign. It could be due to stress,fever,exercise etc. But as she is diabetic, there is chance of damage to kidney. If urine albumin is more than 1+ persistently,it is a very early hint of diabetes related kidney disease development. Hence you should check urine albumin at least once in 6 months. All the best. if you have any questions feel free to contact me. |
What causes sneezing, lower side stomach pain with gall bladder removal history? | i'm 20 years old and i had a laparoscopic gallbladder removal 2 years ago. yesterday i had allergies which made me sneeze a lot and today i woke up and my right lower side if my stomach where my surgery was hurts whether i cough or sneeze could it be sore or could it be appendicitis? i have no other side effects just that it hurts when i cough and sneeze | hi.post-operative pain/discomfort, resolving spontaneously, can occur even after years of operation. if the symptom is persistent and you are bothered by it, it is best to do a follow-up consult with your surgeon, to rule-out any other condition which might be present. diagnostics (such as ultrasound and ct-scan, blood tests) and management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye |
What causes burping and upper chest discomfort? | I have been having to burp alot last two days. I felt like heartburn last nite, felt like some discomfort in chest area. My blood pressure is 157/68. Was lower earlier. I m concerned, as I am diabetic, haven t slept well last few weeks, as husband has health issue that is stressing me . I am taking a low dosage of blood pressure meds.10mg, lisinopril. I m having some sensation, not pain in upper chest above breasts. | Hello,I would like to explain that your actual clinical symptomatology may be related to several health issues.First of all, indigestion and possibly gastroesophageal acid reflux should be sought. Other issues such as esophageal spasm, hiatal hernia, and etcetera should also be suspected as well.As you have several coronary risk factors (diabetes, hypertension) you need to perform a cardiac checkup including a physical exam and several lab tests as follows:- Complete Blood Count- Resting ECG- Cardiac ultrasound- Cardiac enzymes (CK-MB, Troponin)- Exercise cardiac stress test- Liver and renal function tests- Blood lipid profileYou have to discuss the above issues with your attending doctor.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ilir Sharka |
Are there any side effects of taking Clindamycin? | A dentist has me taking clindamycin for an infection. I am allergic to Aspirin and Penicillin. The clindamycin makes me fell like I do when I am allergic to Aspirin. My wife made me take my blood pressure and it is reading a little high at 139/99 but it was normal yesterday at my dentist appt, I am 42 years old, 6'2 239 pounds. Should I stop taking the Clindamycin? | Hi,Thanks for posting the query, There are no such dangerous side effects with the drug, could cause mild diarrhae.If you are getting the same effects with the drug i would suggest you to discontinue the use, instead try with almox 500mg BD.Take care! |
Suggest remedy for persistent headache and pain under eyes | I have had a headache in my right side of my head in the temple area for 4 days it wakes me up in the middle of the night for the past 4 days pain under my eyes can t see light lot of pain when I try to focus myshould I go to the ER or just deal with it till it goes away | it's better you visit physician and especially when pain is severe. try some Analgesics before going to bed. |
How to treat urinary tract infection? | Hi Dr. a very good evening.I am residing in bangalore,and I am writing this for my son.He is 19 years of age and doing his B-Tech 5th semester. Dr., for the past six months he is suffering from urinary infection. And I have consulted him with many urologists, still he didnt get a complete recovery. His ultrasound report,blood sugar, uroflam test everithing is normal. During this period he gets high fever & severe head ache, so bad that he cannot move his head in any direction.I'm very worried about his head ache and other symptoms. He has taken many antibiotics .It didn't work it is recurrent now. Now, his Dr. has prescribed an antibiotic called urifast, daily two times for 14 days & then he has to take this tablet for 2 months, once daily and, his Dr. told him to take IVU X-RAY also.Dr is there any problem for taking this antibiotic such a long period.HIS IMMUNITY IS VERY POOR.Any weather change he falls sick.Pls help my son. Dr. his body wt is about 94 kg. | Hi dear, Thanks for choosing HCM. I have read your question well and understand your concern and i will do my best to assist you.There are few questions i would like to ask to better understand your case such as has your son lost weight recently? you said his weight was 94KG? has he lost or gained weight in the last 6 months? Does he have any history of Diabetes, Rhematoid Arthritis, does he take any medications that reduce his immunity? Now if i answer based on the information you provided. First of all, one thing you should know is that male Urinary tract infection are mostly difficult trace or manage compared to females, it's more likely to see a recurrent female infection than male.I don't know what made your doctor to treat your son with only antibioitc medications, if i was your Doctor i would consider admitting him to hospital so that i can take all necessary tests required, i would aslo consider treating him by giving him IV solution to help him rehydrate and IV antibiotics to better eradicate the pathogen, specially that he was sick for that long. the IVU test the doctor ordered is a good choice to look for any abnormalities in the whole urinary tract including kidneys. Here is few things i would do if you came to my Hospital, you can consider discussing the following with your Doctor.1.Admit to hospital immidiately, so that i can give IV fluids and IV antibiotics and run tests such as CBC, Urine analysis, Urine culture, IVU. 2. Since your son had reccurent UTI, i might consider doing some other tests to see if he has other commorbidities such as diabetes , Tuberclosis etc.3.Some patient that had reccurrent UTI might actually have something called Fistulas caused by a disease known as Crohns disease. Therefore if IVU shows normal results, i will refer him to Gastroentrology specialist to do Colonscopy.specially if your son suffers from diarrhea Crohns disease is an Inflamatory Bowel disease that causes severe abdominal pain and could lead to forming fistuala (holes between intestines and urinary tract) that might cause some bacterias from the Intestines to reach to the urinary tracts thus cause an Urinary tract infection. I hope you can discuss the points i mentioned with your current Doctor so they can consider it. Wish you all the best and i hope your son gets better soon . |
What are the side effects of using Viagra? | I am 56 years old ,I bought 5 100 mil. viagra. I took 50 mil. the first few times and wasn;t to impressed it wasn t real hard and was kind of painful. The last time I took it I took 75 mil and no change . And now my penis is bent upwards at the end quite badly when I have an erection,I stopped taking the stuff as soon as this happened ,this makes it almost impossible to have sex it is bent that bad ,what can I do ? | HIThank for asking to HCM I really appreciate your concern looking to the history given here I could say that "Sildenafil citrate" could cause Priapism this is the main side effect of this drug beside this this could create the positive entropic action as long as the heart is concern without the proper indication this must not be taken , take care and have a nice day. |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
What causes cough and weakness with hilar prominence? | I m finding weekness from the last 2 months , having cough from last 20 days, weight loss n loss of appetite but not able to diagnose the exact problem, took chest x-ray that shows 1) cough in the left lungs 2) right hilar is prominent?vascular? nodal. please suggest | Hello, I am sorry that you have been struggling with this for 2 months. A possible disease that is characterized by coughing and enlarged hilar lymph nodes is sarcoidosis. If your symptoms are typical, you many not need any further tests. If your symptoms are not typical however, you may need a further work up. The first next step would be a CT of the chest to evaluate the lungs and the lymph nodes. Based on this, bronchoscopy may be required. This is where a long tube with a camera and light at the end of it is inserted through the nose or mouth down into the airway to inspect the inside of the airway and possibly take samples of lung tissue or lymph node tissue. I hope you feel better. |
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