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Suggest treatment to improve the white blood cell count | Patient: I am cold most of the time and my body temperature stays lower than the normal 98.6... Most of the time mine stays around 96. 4 and one evening it was 93. My blood profile lately showed a low white blood cell ct of 2, then it went up to 3.3. My red count was 4. Can u give me a clue as to what may be wrong? Doctor: hi,your white blood count is borderline low and same for red blood too. do you have any previous blood report showing values in normal range? a acute drop may be because of viral ailment you are suffering. but.. meet a hematologist if it persist. | 114,964 |
Suggest remedy for pain in the right heel | Patient: I have a pain in my heel. However, I have no visible lumps or bumps. I do exercise 5 times a week. This pain started about two months ago. I did buy Dr. Scholl s heel pads but I still have the pain. It is only in my right heel. My email address is YYYY@YYYY . Doctor: Your heel pain can be treated with exercises. Do calf stretching exercises on stairs. Do hamstrings stretching as well.Contrast bath with ankle and toe curling exercises is useful. | 134,898 |
What could intermittent abdominal pain with low appetite suggest? | Patient: i am a 26 year old female and i have a throbbing pain in my upper abdomen..i went to the er today and they said i have bronchitis but i know theyre wrong...sometimes it comes every minute and sometimes it comes every hour...i have no appetite whatsoever but my stomach is swollen and i constantly feel full Doctor: Hi.You may be right. But in occasional cases there can be a referred pain from the lower lung / pleura. You have to undergo X-ray chest and X-ray of the abdomen in the standing position and ultrasonography to determine the cause. Get another opinion of another Doctor to get a clinical diagnosis. and a prescription for the treatment . This can be due to gall stone disease or intestinal obstruction as the pain you are suffering from is of the nature of spams. | 89,245 |
What can cause chronic chest pain? | Patient: My friend has constant chest pain. In her sternum and has been advised to take this medicenes. ezact90mg. Been under treatment for a year and no improvement. Best of the doctors from mumbai and chennai have been seing her but no conclusion. She is being treated for tubercolosis as the tests show positive. Doctor: Hey there,Seeming at her case it looks like she might having severe gastritis due to anti TB drugs.You can hold treatment for 2-3 days, take OMeprazole and domperidome combination for now. then once she feels ok then we can start antiTB drugs again. | 74,830 |
What are the final stages of liver cirrhosis? | Patient: Good afternoon, I have a question regarding my father who is in stage for cirrhosis. He has been in stage 4 for several years now. He is going to be 69 on April 30. He is several symptoms happening that are described as the last day. His sleep cycle has been off for the about the last 2 weeks. He is sleeping all day and cant sleep at night. There is also some changes in his behavior the last week. Not anything aggressive just changes that are notable by my mother who has lived with him for 46 years and know when something is off. He has had a loss of appetite for about a week now. He is on 11 medications a day. His last ultrasound on his liver was over 6 months ago. He goes to the va so they failed to make the appointment when they were supposed to and scheduled it for October. Can you tell me what you know of the last stage. Any information would be greatly appreciated. I am just trying to help my mom and myself prepare for what we know is unavoidable for all of us yet still very hard to face at this particular moment. Thank you for your time. Doctor: Hi, This is a serious disease if cirrhosis is present and quitting alcohol is the most important thing that should be done. Also, medications which are hematotoxic should be avoided. This is necessary to prevent disease progression which is lethal in most cases. At early stages, it can be treated with these measures but in case of progression. Diet should be balanced and healthy and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on drinks with lots of sugar like sports drinks and juice. If there is viral hepatitis as the underlying cause then antiviral medications are required. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon | 52,341 |
What could be the reason for having on and off dizzy spells? | Patient: My child is 12 years old and for a few years now she has had dizzy spells on and off with being pale and just not feeling her self. She has been treated for acid reflux which I don t think she has. I m at a loss and I think her doctor is too. What could it be.? Doctor: Hi.... by what you Quote I feel that your 12 year old kid is having Vertigo. This is related to imbalance due to middle ear problem. This classically presents with imbalance on change of position or turning off and or tilting of head. I think that your daughter might require evaluation by an ENT surgeon experienced in managing paediatric cases.Regards - Dr. Sumanth | 172,018 |
What causes unexplained bruises on lower back? | Patient: Hi my 3yr old has had a small fine size bruise sometimes looks more like an indent on her lower back along side her left spine. She also has in the past had some brusing in her legs. I always thought it was from playing but now in concerned. Should I be? Doctor: these bruises are called petechiae/purpura.it may be due to platelet deficiency or due to vasculitis. get complete blood count and coagulation profile done. | 175,551 |
What causes shortness of breath after exertion,discomfort and pain in abdomen? | Patient: shortness of breath at times often after exertion but also sometimes after sudden movement, discomfort and sometimes pain in upper stomach area immediately below rib cage is associated with these periods of breathing difficulties. ex smoker but have not smoked for 8 years Doctor: Hi...it can be of cardiac origin or could be copd...better get an ecg and chest xray and show to a physician for proper evaluation and management...Dr. Ashish Verma | 92,297 |
Loneliness, torturing myself, confused, partner diagnosed with bipolar, highly qualified. Help | Patient: Hi! I'm a MD too. Brazilian, surgeon, professor and researcher, 45 years old, married. My husband is a vascular surgeon and bipolar diagnosed 5 years ago. I've been struggling to understand, help and "save" my married despite so many crazy things that I've been living the last years. Recently I've noticed that I'm alone, not working... torturing myself... I can't see how to recover my own life Doctor: Have you ever looked into therapy for codependency? A good therapist can help you to reclaim your life by using therapies that include CBT, empowerment. Reading books from Melodie Beatty such as Codependent No More, etc. may shed some light into your situation. The Bipolar partner can breach any boundaries you set up for yourself to be healthy and sane, learning coping mechanisms for that can help you set parameters as to what you may be able to accept or not for your own well being. | 211,814 |
Suggest treatment for sneezing and bleeding nose in a child | Patient: my 10 year old wakes each morning to sneezing and a bleeding nose. I have washed out nasal passages before bed as well as coating with olive oil. He also breaths thru his mouth verses his nose while he sleep. No Fever, mucus is clear once nose stops bleeding, eys burn and ears sometimes itch. Doctor: Hi...by what you quote I feel that your kid is having a moderate to severe persistent allergic rhinitis. In this the symptoms typically are like what you have quoted. But the reason for recurrent nose bleeds could be the habit of nose picking the dry crusts in the nose which needs to be curtailed. Eye burning sensation and ear itching could also be due to the same allergic manifestations.He needs evaluation and he may need to be started on intranasal steroids like Fluticasone or Mometasone which is the best approved therapy now currently. But before going ahead with the therapy he will require certain blood tests like complete blood counts/ Serum IgE and an imaging of the para-nasal sinuses.Regards - Dr. Sumanth | 173,691 |
Have cramps and bleeding, lower back ache, spotting. Next choice emergency contraceptive. What is the cause? | Patient: I took next choice emergency contraceptive 13 days ago, about two days after unprotected sex. About five days after taking it, I started spotting, which the following day became a heavy period with the most unbearable cramps I've ever experienced, and I have had heavy cramps and bleeding since I first had my period. Thankfully that only persisted for that day. But that was about 8 days ago. About 3 days ago, I had no spotting or bleeding whatsoever but started getting pretty bad cramps, as if it were the first day of my period or something, but there was no spotting or anything. Now today, which would be day nine of this period, I have spotting again, cramps, lower back ache, like my periods just starting. Usually symptoms of my period don't continue past day 3 or 4 of my period. This is technically day 9 and I'm having spotting and symptoms still. I guess it could be helpful to also mention that when I started this new altered period about 9 days ago, that day would have been day 19 of my normal cycle, had I not taken the pill and it alter my cycle. And I usually have longer cycles, 32 days or so, so if I had not taken next choice then I would be getting my normal period in about 4 days or so.I've taken next choice or plan b before, and nothing like this has ever happened. So I'm wondering, is this normal or cause for concern? Also just wondering what on earth could be going on with my body right now; I'm mainly confused. Doctor: Hello,I have gone through your query and understood your concerns. If you were my patient I will advise you for an ultrasound as it is very important step to take now. We need to rule out pregnancy first which is get aborted and it will be very important to consult a gynecologist for dilatation and curretage in that case. If not we must also rule out ovarian cysts which will cause severe crapms. I hope you will go for ultrasound soon. For symptomatic relief you can take tab.pause and tab.mefenemic acid Thank you | 225,524 |
Trying to conceive. Suffered miscarriage before. Taking vitamins daily. Medicines to be taken? | Patient: My fiancee and I are in the process of trying to conceive again after a year. I suffered a miscarriage last year. I have cut down to one cup of coffee a day and taking vitamins daily, but I believe some of the vitamins that I m taking (mostly to try to increase hair growth) maybe too much if I m trying to conceive and if possible to continue to stay on my vitamins during the time of pregnancy if I do conceive. I m taking 5000mcg of Biotin , 5000mcg of B-12, Super B-Complex, Prenatal Vitamins , Veggie Basic tablets, Zinc, and my thyroid meds. Is this way too much? Doctor: Hello Thank you for your query. Firstly, the cause of the previous miscarriage should be thoroughly investigated. It could be because of genetic causes, infections, hormone imbalance, uterine abnormalities or autoimmune causes. Without evaluating the cause, rushing into another pregnancy could cause further miscarriages. Also, fertility is more important than other issues right now. Yes, you are taking way too many supplements. Please stick to thyroid medications and folic acid. Take care. | 5,723 |
Suggest treatment for chronic kidney disease due to diabetes | Patient: hi, my mother is suffered from cronic kidney disease because of diabetis. she also get problem in her eyes. please tell me that how could she overcome. which food should suggest for her. i did not say properly in english so have such communication problem. i'l be thankfull to you sir for your kind reply. thank you, jolly pramanick. Doctor: HelloThanks for query .Based on your statement your mother has 1)Diabetic Nephropathy.2) Diabetic Retinopathy .Please consult qualified Nephrologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Renal Function Tests 4) Retinoscopy by a ophthalmologist .Further treatment will depend upon result of these tests and final diagnosis.as regards stage of her kidney disease ,She should be under observation of a qualified Nephrologist and should have following diet 1) Low salt less protein diet 2) Avoid sweets and sugar 3) Water intake 3 liters per day .4) Diet rich in vegetables5) Proper control and monitoring of diabetes .Dr.Patil. | 47,313 |
Skin rashes in children, Aveeno cream, Eczema ? | Patient: My grandaughter is 3 years old & I noticed a severe rash on her legs & buttocks when she came to visit yesterday.....A raised pimply like rash on both of her buttocks..and raised patches on both of her legs..She said it does not itch so we ruled out poison.he She also has a severe raised path on one her her wristes which will not go away...Her father was treating the rash on her wrist as eczema with Aveeno cream as prescribed by her pediatrition, but only sees her every other weekend..... Doctor: Hello sir. Your description of the rash suggests it could be id eruption or Henoch-scholein purpura (HSP). Both the conditions have got definitive treatment and it would be advisable to establish the diagnosis after consulting a dermatologist as soon as possible. The raised patch on her wrist could be dermatitic (eczematic) or fungal infection. The latter is known to precipitate id eruption. If she has associated joint pain and abdominal pain, then she could be having HSP. The third possibility that I can think of is papular urticaria but the rash in this condition is invariably itchy. | 16,336 |
Abdominal pain, moved to lower right side, nausea and diarrhea with the pain. Why ? | Patient: hello, i am a 27 yr old female and have had abdominal pain for 2 weeks now. It started suddenly around my belly button and is a very sharp pain. the pain comes and goes lasting anywhere from 1/2 he- 3hrs. the pain has now moved to the lower right side and i have nausea and diarrhea with the pain. when the pain subsides i have no other symptoms. I had an episode like this about 9 mo ago and after a normal CT scan , untrasound and blood work i was diagnosed with constipation . I dont want to go to emerg if its just that again, but the pain is really bad and i have alot of diarrea so i dont think i could be constipated. should i go to my family dr? the ER? or just wait another week or so and see what happens??? please help! Doctor: hi.the pain what you have described is very typical of appendicitis which starts at umbilicus (belly button) and goes to right iliac fossa ( right lower abdomen).this type of pain may be very sharp and may be associated with nausea, vomiting, fever and sometimes diarrhoea. since the pain is now 2 week old it might have gone to subacute appendicitis. other possibilities are colitis, Meckel's diverticulitis. your previous episode seems to be a different one. so my advice is get yourself examined and investigated by a surgeon as early as possible to come to a diagnosis and treatment accordingly. hoped i have helped you. | 94,960 |
How to treat a bruised foot? | Patient: Hi, I recently dropped a board on the top of my foot about ten days ago. It is still a little swollen and has a sore lump on top, also bruised down to my toes. I can walk without too much discomfort. I am a 71 yr old women. I appreciate any information you can give me :~) Thank you Doctor: Hello, An x-ray is Advised for safety to check out any bony injuries. First I will tell you to rest, do icing if you aren't diabetic, use crepe bandage and keep the feet elevated over the pillow. This will help to reduce the swelling and the healing will be optimum. Also, I will advise you to do simple hot water fermentation and in water simple ankle and toe movements to regain muscle strength and range. Slow and low-intensity exercises have been found useful in recent research studies. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | 123,085 |
Is MRI showing stroke need neurologist s visit as emergency? | Patient: My sister just had an MRI and was told she has had a stroke & needed to see a neurologist ASAP. The Drs. office she is associated with is booked as many of them are on vacation. I am trying to find a Dr. in the area for her that will work with her primary & does not think he/she is God Doctor: Hi,Thank you for posting your query.I have noted the details. The emergency to see a neurologist depends on the patient's symptoms as well as the MRI findings.If the MRI brain shows an acute infarct (fresh blood clot), then, an emergency consultation is required, as stroke treatments are time-bound (they do not work after certain periods of time).If there is acute-onset weakness of arm or leg, language dysfunction, headache, facial droop, etc,. then, again, she should see a neurologist immediately.If the above are not present, then, she can see a neurologist as per appointment.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/ | 147,902 |
Trying to conceive, prescribed duphaston and clomid. When to take these medicines? | Patient: Hi ..my husband n i are trying to have a child . I was perscribed by my gyno to take daphaston 10mg (2tablets per day for 10days) then to use clomid 50mg (2 tablet per day from 3rd cycle to 7cycle). Does that mean i have to use clomid at the 3rd day of using daphaston or 3rd day of my period? Doctor: you start the clomid on the third day of your period, not the third day of the duphaston. good luck! | 4,488 |
What causes elevated heart beat post stent implant? | Patient: YESTERDAY DAY MY HEART RATE AT REST WAS 132 I HAVE HTN AND JUSST AHD A STENT PUT IN 7 MO AGO FROM A RUPTURED ABD ANEYURISM. eVER SINCE THEN MY HEART RATE IS HIGHER AND SOMETIMES IT FEELS LIKE IT IS COMING OUT OF MY CHEST. WHAT SHOULD I DO? Doctor: Hello, I passed carefully through your question and would explain that your symptoms could be related to tachycardia or possible cardiac arrhythmia. For this reason, I recommend consulting with your attending physician for a physical exam and some tests: - a resting ECG and cardiac ultrasound - complete blood count for anaemia - thyroid hormone levels for thyroid gland dysfunction - blood electrolytes for possible imbalance. An ambulatory 24-48 hours ECG monitoring would help investigate for possible cardiac arrhythmia. A low dose of beta blockers could be needed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | 17,466 |
What causes hyperventilation and severe tremors post intake of Ativan? | Patient: I AM TAKING ATIVAN 1 MG 4 TIMES A DAY. I AM ALSO ON TIZANIDINE 4 MG 3 TIMES A DAY. I AM ON WELLBUTRIN 300 MG 1 A DAY. I TAKE TWO TRAZADONE DAILY 100 MG EACH. I AM ON GABAPATEIN 600 MG 3 X A DAY. THIS COMBINATION OF MEDICATIONS HAS WORKED FOR FOUR YEARS. NOW I AM EXPERIENCING EXTREME ANXIETY ALL DAY. THE ATIVAN HELPS FOR ABOUT AN HOUR AND THEN I START HYPERVENTILATING AND SHAKE HORRIBLY. COULD SOME MEDICATIONS HAVE STOPPED WORKING? I AM ALSO EXTREMELY SAD AND DO NOT THINK WELLBUTRIN XL IS WORKING ANY MORE. PLEASE HELP ME. THANKS XXXX Doctor: Hello, Extreme tremors and hyper ventilation are due to receptor activation at acetyl choline pathway as there are multiple medications are going on which are known to interact with each others at central nervous and peripheral nervous system. Kindly discuss the same with your treating physician and get dosage adjustment with or without change of any molecule. Till that time, drink plenty of liquids and avoid further intake of any anxiolytic medications. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best. Regards, Dr. Bhagyesh V. Patel, General Surgeon | 85,669 |
What does high urea value in kidney function test indicate ? | Patient: Recent blood test indicate all kindney function test values are normal except fot urea reading high about 7.6.What is the indication Doctor: Welcome to HCM!I have gone through your query and you have a high reading of urea, while other kidney function test are normal.Usually, high urea levels are indicator of kidney disease but a lone findings needs to be evaluated further.It would be good if you can repeat the kidney function test again, even then if you get the same results, one needs to investigate further. So, first recheck the finding, may be from a different laboratory, and later If required, you should meet the urologist/ doctor for a thorough evaluation of urinary system.Hope the reply helps youFeel free to ask more questionsDr. Manisha Gopal. | 49,598 |
Took a dose of sudafed. Had disorientation, heart palpitations, hallucinations. What is wrong? | Patient: I am a 39 yo female who is 5 0 and weight 110 lbs who recently took a dose of Sudafed12 hr. extended release for the first time. When I went to sleep, I noted a strange feeling of disorientation, heart palpitations, and possible hallucinations. Needless to say, I do not like the side effects I am getting. I am tired and want to go to bed. How long will I expect to feel this way? Doctor: Hello........ Sudafed is pseudoephedrine which has been documented to produce the above side-effects-disorientation, palpitations and perceptual abnormalities. The half life of the drug is 10-15 hours which means the drug might take a maximum of 60-70 hours i.e 3 days to be completely washed off from your body. You might expect the drug effects to last 1-2 days. You can report the adverse effects to your doctor and avoid the drug in the future. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist | 212,829 |
Mild shoulder blade pain when inhaling. Mildly asthamatic. Suggest | Patient: Hi, I have a slight pain in my left sholder blade when i inhale deeply. oddly if i push my left sholderblade outwards and inhale deeply the pain is almost not there at all. I have no shortness of breath and no cough. i do suffer with mild athesma. symptomes have benn lasting for around 6 weeks now. many thanks in advance. Doctor: it MOSTLIKELY PIN TOWARDS MUSCULAR PAIN RATHER THEN LUNG INVOLVEMENTS YOU CAN APPLY PAIN KILLER GEL OVER THE PAINING AREA ADD LIQUID ANTACID TO COUNTER REFLUX INVOLVEMENT IF YOU FEEL ANY DIFFICULITY AFTER 2 WK YOU SHOULD CONSULT YOUR DOCTOR | 104,205 |
Suggest remedy to avoid pregnancy after breaking of condom during sex | Patient: i had contact with my partner yesterday night ,condom suddennly ruptured i dont no whether genes entered my body or not im afraid of pregnancy now what should i do to avoid pregnency. im 23 years old 162 cm height, 65 kg weight and i already aborted once due to unplaned pregnancy. Doctor: Hi, thanks for writing..If you are on your fertile period, that is 8-18th day in a 28 day cycle, you are likely to conceive. So you can use an emergency contraceptive pill within 72 hrs of unprotected intercourse.CuT insertion within 5 days also prevents implantation and can give contraception for 5 years.Hope I have answered your query.Feel free to ask doubts through http://doctor.healthcaremagic.com/doctors/dr-dalia-muraleedharan/68596. Good day | 224,468 |
What is the treatment for a small lump in the head? | Patient: About four months back I hit my head and got a slight concussion. About two months ago I started noticing a small lump where I hit my head. The lump grew a bit bigger and a few more appeared as well. I ve been getting migraines a lot and I never got them much before. The lumps don t cause pain but when I touch them I can definitly feel a lot of pressure and they are pretty hard. Any suggestions? Doctor: Hi,Welcome to HCM.Based on the facts you seem to suffer from Inclusion dermoid with fibrosed Hematoma at the hit site in the head.Or could be sebaceous cysts with acne,or could be dercums lipomatosis.These need to be ruled out.Remedy-USG and CT study of the skull would resolve the ambiguity in diagnosis.Consult Physician to investigate cause of Migrain.Avoid spicy/non-veg food / avoid alcohol,smoking,tobacco,if any.Hope this would resolve your anxiety and would help you to plan further treatment with your doctors.Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS | 62,413 |
What does white matter disease in anterior frontal lobe from MRI suggest? | Patient: I had ab MRI brain that was normal except for a single punctate focus of white mattter diseasein the anterior frontal lobe I have several problems , physical and mental. Some of the physical symptoms zre: falling UP stairs, tripping over my own feet, numbess in hands and fingers, severe elbow, neck and back pain as well as many fatty tumors on my legs. Mentally I am ready to explode and can not stand myself. I have terrible anxiety, depression and I also think i am manic depressive. Doctor: Hello. I have been through your question and understand your concern.None of your describing symptoms is really related to the MRI finding, which is really common and situated in a region where does not really cause anything special. Among all these problems you are facing, at least you should be happy for a normal MRIHope this helps. Please feel free using MHC again | 145,109 |
Does Melacare have any alternative? | Patient: hi this is sudha 24 F i am using melacare from past 3 months ithere was improvement in my face,but i got information from my friends tha tit causes cancer and effect the skin was it true.i wan t an alternative fairness cream which dont have any side effects. Doctor: Hello and welcome to healthcaremagicThe cream (melacare) that you have been using is a drug combination of a potent topical steroid (mometasone), tretinoin and hydroquinone. It is a prescription product. Dermatologist's commonly prescribe them for facial hyperpigmentation/ melasma.It won't cause skin cancer, however, it is not meant for regular use and should never be used without a dermatologist's advice and in any case not for more than 2-3 months since the steroid content of this cream can cause various side effects like acne, photosensitivity, skin thinning and telangiectasia and facial hair growth (hirsutism) which is specially troublesome in females.You should definitely stop using it any further.Rather I would suggest you to use a broad spectrum sunscreen, throughout the day and a skin lightening cream containing one or more of the following agents like kojic acid, glycolic acid, arbutin, liquorice, magmebsium ascorbyl phosphate etc at night. These ingredients are safer even if used over a longer duration of time.OR else you could also opt for a few peeling sessions from a dermatologist to enhance your skin. Glycolic acid peeling would produce the desired results of skin lightening, even tone and reduced pore size.Regards | 8,524 |
What causes high blood pressure? | Patient: my blood pressure is 144/94. I m a diabetic and I do take hbp pills. I have family members staying with me that won t leave. I feel like they are the one that keep my pressure up. I hate to come home after work. Do you think this could be part of my problem? I m fine at work considering I work with children. Doctor: hello, Stress can certainly increase the bp, as the reason for stress could not be omitted, we need to optimize the medicine. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If bp is persistently more than 140/90 mmhg, then medicine needs to be increased and bp should preferably be below 130/85. Regular exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile tested once.. If possible, try relaxation techniques like deep breathing and yoga to relieve stress. | 22,066 |
Is it safe to take Albuterex with BP medicines? | Patient: Hi, I take 1x ramapril 5mg tablet and1x 5 mg APO-Amlodipine daily for high PB, I want to commence taking Albuterex to lose some weight daily inconjuction with an aerobic workout, it has 100mg of potassium in it so I would be taking 200 mg a day, should I do this or go off my BP medication whilst I m using Albuterex? Doctor: Hi,It is not safe to take Albuterex while on BP medications. If Albuterex is taken along with Ramipril it will cause hyperkalemia (increase potassium levels in the blood). Hyperkalemia can cause muscle cramps, kidney failure, arrhythmia (irregular heart rhythm) which can be fatal.You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | 84,471 |
What is the difference of siphene and letroz? | Patient: please let me know the difference between drug siphene and letroz as i have consultted two doctors and one has advised letroz and other has advised siphene for ovaluation and to get folicular study afterwards i have been diagnosed with pcod and and had a missed abortion in june this year Doctor: Hello, Both of these medications help in inducing ovulation and hence used in the treatment of infertility associated with PCOD. Letroz works differently than siphene but has the same effect of stimulating the ovary to release eggs (ovulation). Siphene is a non-steroidal and ovulatory stimulant. It acts as a selective estrogen receptor modulator that helps in ovulation. Letroz is a non-steroidal aromatase inhibitor that works by decreasing the amount of estrogen produced by the body thus inducing ovulation. As compared with siphene, letroz is associated with higher live-birth and ovulation rates among infertile women with the polycystic ovary syndrome. Hence letroz is superior siphene as a treatment for infertility in women with the polycystic ovary syndrome. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali, General & Family Physician | 85,122 |
What causes numbness in right side of the face and ear? | Patient: Hi, last Thursday my arm started to hurt me and moved up to the shoulder. Then I started to feel numbness in my right side of face and ear, feels like when the anaesthetic from the dentist wears off. Today numbness still there but when I move my neck a certain way feels as though a vein wants to pop from the neck up to back of my ear. What could this be? Doctor: Thanks for your question dear first please mention your age and do iu have diabetes or hyperintension if so then there must be a brain related problem you should have ct brain plain to rule out acute stroke thanks | 142,688 |
Treatment of TB is going on. X ray done. Not able to diagnosed in which part the TB is. Any advice? | Patient: hi, my treatment of TB is going on from 9 months BUT doctors are unable to tell that TB is in which part. So please tell me. my reports are: x-ray : clear mantoux: positive (34*28 mm with 10 TU in 48 hrs) E.L.I.S.A. - IgM: 1.51 ESR 9 months before: 60 present ESR : 90 Symptoms i feel : joints pain, emptiness of head, less vitamin D 23 Doctor: Hi and welcome to HCM,thank you for your query.these findings cant reveal in what part TB is and you need to do some mor edetailed imagging tests such as mri or pet ct to verify tuberculsois source. These blood results indicate inflamamtion due to tb. Your symptoms are sign of systemic infection and you should continue with therapy but do those tests I ve recommended to verify how extended tb is at this point. Wish you good health. Regards. | 157,387 |
What causes swollen lymphnodes? | Patient: hello! i just had a sono today on above both collarbones large lump on both sides and swelling also in front of neck...dr said lymph nodes are swollen but he feels nothing to worry about, however is concerned about the enlarged thyroid. Can you please tell me what could be the cause of this? It has been this way for months now..not sure when it started exactly...lymph nodes also..thank you so much in advance...for your time and for your caring enough to be on call online. :) Doctor: HelloWelcome to HCMThanks for posting your query.I understand your concerns.Swollen lymph nodes and swelling in front of the neck gives a clue towards the infection in thyroid gland.I would advice you to undergo FNAC (Fine needle aspiration cytology) test of the swelling,to confirm the diagnosis.This test will help you to differentiate between benign and malignant swellings.Hope you are happy with the answer.Thank you | 36,286 |
What is the reason for loss of sexual drive and inability to attain full erection? | Patient: Hi dr my name is cyrus i m married my question be4 couple of months my sexual strenght was very good at one night i could do two three times sex with my wife even some time even four time also at one night but now two or three month a go my sexual strength decreased very much hardly one time that also my penis dont get hard even the shaft get strech but does not have the hardness which was be4 its like soft why plz help ? Doctor: hithanks for using healthcare magicNothing to loose ur heart this issue. This is sometime happens after marriage. it is normal psychological issue. When u want sometime, we try to get it again and again. Initially u r getting sound erection before we were not tense about it, but now due to underline tension of lacking erection ur not getting sufficient erection. For few days u can try antidepressants. It would help u to get sufficient duration for sex and help u to decrease underline anxiety.Thanks | 203,632 |
What causes white colour on tongue and soreness? | Patient: My son had a mild fever and was vomiting 2 days ago and now he is complaining that his throat is soar. When I looked in his mouth his tongue was white. Is his tongue white do to dehydration or could it be thrush? He is also complaining that his throat is soar. Doctor: Hello,Dehydration and thrush are definite possibilities. It is very imortant to keep well hydrated. Try only small amounts of liquid taken often( at 10 minute intervals) when nauseous. Try to replace electrolytes. Dehydration can be very serious if persists and cause stress to the entire body. Vomit is very acidic and irritating to the throat and mouth. Repeat, long term episodes can erode enamel.Thrush will need an anti-fungal treatment such as the prescription medicine Nystatin. Rinse with warm salt water. Keep up good oral hygiene. Make sure to be cleaning tongue. Try to keep up balanced vitamin intake especially vitamin B complex. Anti-inflammatory medicines, acetaminophen or ibuprofen, if tolerated, can reduce discomfort. The antihistamine, Benedryl, also is an anti-inflammatory medicine. Maintain proper nutrition as best as possible.Make sure you have thoroughly treated your son's condition. Did you have a diagnosis? Some conditions such as strep require an antibiotic which can disturb the balance of the normal oral bacteria. Thrush can be a typical response. oral compications with systemic viral and bacteria infections are common.Thank you for your inquiry. I am available to assist with additional questions. I hope your son is feeling much better and hope my answers have been helpful. | 185,106 |
What causes chest and shoulder pains with tightness and heart palpitations? | Patient: Hi Dr. Narasi.. Im a 25 year old female and i have been having chest pains and shoulder pains. I think most of it comes from me panicking and i have been stressed lately. When i eat, drink, or sleep it calms down but when i wake up it starts hurting again. Its been like this for 3 days now. I took some antacid and it seems to be helping. My chest doesnt feel the same but it still has like this cold sensation and hurting right in the middle of my sternum. It kind of feels like i popped a bone in my chest right in the middle. Is this normal or should i seek medical attention. I went to ER in june and doctor stated that I was not having a heart attack but it sure feels like it and it is scary so i panick and my heart beats fast, i feel like i can breath, my shoulders and chest feel tight but then it goes away. Help me if you can. Doctor: Thanks for your question on HCM.In my opinion you are having anxiety and related GERD (gastroesophageal reflux disease) mostly.But better to rule out cardiac cause first for your symptoms.So get done ECG to rule out cardiac cause.If ECG is normal than your symptoms are mostly due to anxiety. Anxiety can cause GERD which cause central chest pain with burning.It can also cause palpitations (rapid heart rate).So better to avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on it. You may require anxiolytic drugs to relieve anxiety. Don't worry you will be fine. | 81,310 |
What does multiple healed ulcers mean in an Ultrasound scan report of abdomen ? | Patient: Age - 53 Yrs, Height - 160 cm,Weight - 45 Kg,BP - 120/74, Pulse - 72, Pain in stomach since 2009, Stomach size incresing, U/S Report - Ascities, Stool discharge - 4 -5 times daily,Urine Colour - deep Yellow,Glocose Fasting - 68 mg/dL, Creatinine - 0.70 mg/dL, AFP 35000 ng/ml, Liver Panel Screen : SGOT(AST) - 398 U/L, SGPT(ALT) - 115 U/L, ALP - 222 U/L, Bilirubin(TOTAL) - 6.89 mg/dL, Bilirubin(direct) - 4.67 mg/dL, Protein total - 8 g/dL,Albumin - 2.40 g/dL, A : G Ratio - 0.43, In Urine Pus Cells : 5-7 WBC/HPF, Epithelial Cells - ++ (in fair numbers), HEMOGRAM : Hb - 12 g/dL, Packed cell volume - 33.8 % Leukocyte Count, total - 5.94, RBC - 3.37 MILL/MM3, MCV - 100.3 fL, MCH - 35.6 g/dL, RDW 16.9 %, Platelet Count - 100 thou/mm3, Diff % Leukocyte Counts:Segmented Neutrophills - 68. 7 %, Lymphocytes - 13.6 %, Monocytes - 12.5 %,Eosinophils - 4.90 %, Basophills - 0.3 %, Diff.Absolute Leukocyte Count: Neutrophil - 4.08 thou/mm3, Lymphocyte - 0.81 thou/mm3, Monocyte - 0.74 thou/mm3, Eosinophills - 0.29 thou/mm3,Basophill - 0.02 thou/mm3, Westergren - 92 mm/hr. Duodenum : Bulb - Multiple healted ulcers seen and second part is normal in Upper GI Endoscopy Doctor: Dear kamlesh, thanx for joining HCM u r suffering from MULTIPLE HEALTED ULCER n liver disorder it is due to ur in proper medication and seems u r alcohlic go to gastroenterologist not any other.thanx | 95,197 |
Suggest medicine to reduce tooth ache | Patient: 9 days ago I had 4 lower teeth pulled # 27,28,29 &30. I've had a lot of pain in my chin bone to my ear on right side. Went back to Dentist yesterday to have stitches removed and told him about the pain and he said it was normal. I have only 5 teeth left to be pulled. He is telling me the only way my mouth will feel better is to let him pull the other 5 now. I can barely handle the pain now. I'm currently taking ibuprofen 800 mg 3 times a day. Although it doesn't take all the pain away. Doctor: Hello, Thank you for consulting with HCM.This kind of pain before the removal of tooth, is definite because infection. But the pain is not so severe after removal of tooth.It can be possible that other teeth which are present may also be infected.Better once you ask the dentist to go for x- ray, as it will show the area of infection.Hope it will help you. | 186,327 |
Had astrocytoma brain tumor removed. Had radiation therapy after surgery. Getting seizures, numbness in one side of the body. Reason? | Patient: In 1985 I had a astrocytoma brain tumor which was removed. Following the crainiotomy I had 30 radiation treatments. About 10 years ago, I began having petit mal seizures, which my doctor said are caused by the scar tissue from my operation and radiation therapy . After trying every anti epileptic medication I am currently on Felbatol and Onfi. In October I experienced a different type of seizure becoming basically numb on 1 side of my body. I went to the hospital: One of the doctors said I may have had a stroke and another said I suffered from Todds paralysis . I went for an MRI and my friend who is a doctor said the results sounded like a stroke they saw a new white spot on my scan. My corrodoted arterty test came back ok and the EKG they did in the hospital was normal. I just went for both tests again. Doctor: Hi, Thank you for posting your query. It is good to note that you have no recurrence of astrocytoma, after surgery and radiation therapy, nearly three decades after the initial diagnosis and treatment. Your current symptoms are due to a small stroke, as per the new MRI. Treatment is mainly with blood thinners such as aspirin. In addition, any risk factors such as diabetes, high BP, cholesterol etc, should be looked for and treated, if present. Wishing you good health, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist | 150,946 |
Convulsions, taking antiseizure drugs. MRS shows gliotic lesions. History of grade 11 tumor. What does this mean? | Patient: Hallo! my brother was operated on to remove grade 11 tumor last year, then went through several sessions of raiotherapy. lately started experiensing severe convulsions every 2 weeks, the last one was Fri last week where he had three in hourly intervals despite being on antiseizure drugs. MRS showing gliotic lesions.What does this mean? Doctor: Hi, welcome to HCM. Main cause for convulsion is gliotic area in brain. It means area which is damaged due to old pathology and it is now being shrunken in size. It leave multiple signals to brain cells, which are not cordinated . It causes seizures. It may be due to radiotheraphy. Also if there is residual tumor left then it may also cause convulsions. You need to consult operating surgeons and take proper advise for the same. Thanking you. | 151,131 |
What causes sickness in stomach and vomiting for 2 months? | Patient: My 6 year old Grandson has been sick to his stomach and vomiting for about 2 months now. He fell and bumped his head a few months back and I am wondering if this could have something to do with it. Also his white blood count is a little high and he keeps running a fever on and off, sometimes as high as 104. Doctor: he might be having lactose intolerance. or milk protein allergies.. better do one stool examination for lactose and reducing substance, esr, and absolute eosinophils count's.. if any allergic to milk protein,these test will be positive. | 164,486 |
What causes intermittent loss of memory with misshaping of mouth? | Patient: Hi Sir, My sister is getting symptom of paralysis. In the past 6 months, we have observed 4 to 5 times. She is getting misshape her mouth and losing memory for 4 – 5 seconds. But, she is coming to normal lateron. What could be the problem? How to go about it with regard to investigations. Please advise. Doctor: Hi, welcome to our site. I am Dr Saumya Mittal, MD.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryI think what she may be developing are episodes called TIA- transient ischemic effect. these are minor short duration episodes where the symptoms like stroke usually happen and improve very quickly- usually within the hour. This condition usually is a factor that suggests that a stroke may happen very soon. She needs to be evaluated as soon as possible by a neurologist. If on examination, the neurologist is of the same opinion, we may consider further testing like1. lipid profile2. fasting blood sugar3. blood pressure4. carotid doppler 5. echocardiography6. ecg7. MRI with MRA brainthese are the basic test suggested.I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.Please do understand that some details could be extracted from a detailed history and examination.Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.Dr Mittal.Consultant Physician and DiabetologistJS HospitalEx Apollo Hospital, DelhiEx Kailash Hospital, Noida | 146,901 |
Why do I pass motion, have hot/cold sweats and vomit all together once every 4 -6 months ? | Patient: I m male, 55 yrs, 6 1 tall, 225 lbs, I had stomach pain and felt like something of marble trap throught intestinal tube that make me sit on toilet seat and poop...at the time make me sweat (heat/later cold) all over and sometime vomits... and it was last about 1/2 hour to get pooping (gray/green color) 3 times and everything back to normal...it happen every 4 or 6 months...no medicine involve...maybe it seem part of cycle waste that need to be flush every once awhile. Doctor: Hi Mark,Welcome to HCM.As you said it may be body's mechanism of cleansing itself.But it will be a good idea to visit a Doctor, and get a thorough examination done, along with blood, urine, ultrasound examination as well as stool examination, to satisfy ourselves that every thing is Okay.If indicated, colonoscopy may also be necessary to be perfectly sure. | 95,358 |
Why does blood pressure increase during evenings while having transient ischemic attack? | Patient: Hi, in october my dad had a TIA and ever since he has been on blood pressure tablets and has monitored hia blood pressure throughout the day. From these results it is noticeable that his blood pressure increases to around 160/90 every evening yet during the day it can be around 134/80...any idea why this is? Doctor: Hi thereYes some patients do have evening rise of their blood pressures and that can be very well taken care by adjusting the antihypertensive medications. As your dad already had a TIA so it is important in his case to get his bp meds adjusted asap. And if he smokes please try to curb this habit.Good Luck | 21,955 |
Pain in front tooth, small filing needed. Due to stress or infection? | Patient: Hi Can you help? I have a pain in my top front tooth , I went to a dentist two years ago and he said i need a small filling in this tooth and from then on I have had pain. I have been back five times to him also another two dentists and I am told there is nothing wrong. My mother passed away at the time I had the filling so one dentist said it was stress . Doctor: Hi, if the filling was done without a proper cavity preparation, which could be by two ways- one, if the carious structure was not cleaned up properly, it leads to caries spreading underneath. Secondly if there is pulp exposure while deep cavity preparation, it leads to persistent pain after the filling. Please take an ray and go for a root canal treatment to get rid of the pain. you may need a crown also if there is discoloration. Take care! | 190,619 |
Suggest remedies for swelling and pain in limbs with spinal cord TB | Patient: I am 73 yrs old women diagnosed with Spine cord TB after three months doctor stopped other medicines except R Cinex 600.But now a days I have severe swelling and pain in my hand and foot.I am kidney patient and heart patient also.I am taking i tab of Zyloric daily pl suggest Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have some kidney problems or inflammation due yo hyperuricemia. You should continue your treatment for tuberculosis. Investigate for kidney function test and serum uric acid level. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 116,812 |
Abnormal d dimer test. What are the chances of it being a blood clot or worse? | Patient: Hello, Today I received results from a d dimer test that came out at .58 (.4 being normal). What are the chances of it being a blood clot or worse? I read that this may be an indicator for something severe like cancer? Can the levels of d dimer indicate the likelihood of it being something severe? What are the chances of it being a fluke in the blood test? Doctor: Hello and thank you for sending your question.We use the d-dimer Test as a guide if we have clinical suspicion for a possible blood clot. In your case there must have been some reason which caused your doctor to order this blood test. I imagine your doctor has considered other testing for blood clots such as ultrasound of the legs or possibly a CT scan of the chest. It is extremely difficult to predict the probability of a blood clot with a mildly elevated test results which you have reported. What needs to be done is clinical correlation which means your doctor needs to consider the test results and the possibility of additional testing to rule out possible blood clots.This blood test has no validity in diagnosis of cancer so this result cannot be correlated to any cancer diagnosis.i would encourage you to discuss this test result with your doctor and review your current symptoms to see if your doctor thinks additional diagnostic testing is needed.Thanks again for sending your question.Dr. Galamaga | 118,804 |
What causes white growth on the penis? | Patient: As my son soon to be 10 year old son started to shower yesterday he noticed a white seed like item on his penis. He was able to remove it easily and it left a divet in the skin right at the area where the head of the penis joins the shank. What is this and should I take him to the DR.? Doctor: This is a viral infection molluscum contagiosum. Manual expression of pearly lesion cures the lesion so dont worry. This ds can spread from one person to another. | 166,033 |
What does a positive test for ANA mean? | Patient: Question about test positive for lupus Las February in my check examinations test in all the exams I got 2 thinks that let me think about, I got a ANAs positive a exam for Antibody antinuclears and I got my creatine in the upper limit of my levels in urine, this week I will get my 6 months exams, if it will positive for ANAs again I will got lupus? if I will what should I do? thanks Doctor: hiwhat do you mean by positive? what are the levels? do you have features of lupus, why were you investigated for lupus?lupus low titre can be present in normal individuals, without any meaning.see a rheumatologist to confirm it | 82,866 |
What causes chest pain upon inhalation after an ablation procedure? | Patient: I had an ablation procedure 5 days ago and was confined to bed for 13 hours without being able to move. Recovery was more difficult than it should have been. Today I am experiencing a sharp pain in the upper right portion of my chest upon inhalation (sniff, cough, laugh also causes pain). I have had a persistent cough that has resolved and now this. Any insight? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Get a chest x ray done to rule out any complication arising out of the procedure. Also it could be just GERD which will benefit from antacids.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | 78,710 |
Can seizures be caused due to anaemia? | Patient: I m 44 white, have anemia but wonder since 2003 been having seizures and panic attacks and meiners disease. In 2008 diagnosed, but wonder If my seizures are related to being anemic. Was told catemenial seizures.. but no doctor says seizures related to anemia.. have had heavy periods since 13 Doctor: Seizures are usually not related to anemia in the broadest sense of the term. However, some micronutrient deficiencies can rarely be associated. But, your doctors are mostly true. However, it would be interesting to know what is the cause of your anemia that has persisted for this long. Do keep us posted. | 114,472 |
Diagnosed with hepatitis after suffering grand mal seizure, terrible ankle pain. Could this be gout ? | Patient: Hi there, I was just released from the hospital after suffering a grand mal seizure and then consequently being diagnosed with alcohol is hepatitis . I have stopped drinking (the wake up call was dramatic, I split my head open and needed 18 stitches), but in the last few days have been experiencing terrible ankle pain. Luckily, one side seems to be getting better, but the other is so bad I am using a wheelchair around my apartment. I have several friends who think this is gout , but I think it relates to the liver . WHat do you think? Doctor: Dear Trevor, liver has very important role in many biological processes. Your symptom could be related to your hepatitis problem but it can also be a problem for itself. I dont know the degree of your liver failure, but there are at least 2 factors which can effect on your ankles. The first one is a higher possibility of infection and second one is a Hypoproteinemia. Those two disorders cause swelling and infection of any part of the body including ankles. Also I ll mention some condition which are not related to the live: tendinitis, arthritis, stress fracture, rheumatoid arthritis and gout of course. You should checl your urates blood level to rule out gout. Check your liver function frequently and forget the alcohol...it can also worsen your epilepsy. Wish you good health, Dr. Ivan Romic (Rominho) | 59,712 |
Suffering from headaches, severve stomach cramps and feel like sick after eating | Patient: headaches 2/3 a day,severe stomach cramps lasting 15 to 30 mins 5 times in 3 weeks,trouble sleeping and sick feeling after eating . Doctor: chronic dispepsia stomach | 95,941 |
More acne breakout after various cosmetic techniques. Should I first treat acne? | Patient: i am using isotretinion for three months, i had microdermabrasion in the second month, and in the 3rd month i had derma rollar,,,but my skin is getting worse day by day,,,,their are more acne breakouts on my neck ,,,these are cystic acne ,,,,,my acne course is of six months,,,,my two sessions of derma rollar has left,,,,so my question is should i control my acne first and complete the medication of sixth months,,,,and then i should go for further procedures like derma rollar etccc ???????? my name is rania ali.....age 25.....height 5-1........weight 55 kg Doctor: Hello Raina. Yes, it is best to control acne first and then go for other procedures. Also isotretinoin delays healing of skin, so it is best advised to treat acne foremost. Hope this helps Dr. R.P. Gupta | 7,663 |
What causes swelling in index finger? | Patient: I have had swollen index finger for just under a week, appears to be starting from my knuckle. If I look at the back of my finger ie on the palm side of my hand there is a white flush visible under the skin on the 1st third of my finger so down to the knuckle joint. I cannot put pressure on finger eg cannot use knife to cut food etc if I accidentally bang finger, pain is excruciating. Can you help? Doctor: your symptoms are suggestive of tendon sheath infection and warrant immediate clinical examination and appropriate management. The results can be more damaging if you ignore the same. I would suggest you to consult a doctor at the earliest | 131,771 |
What causes swelling in the collarbone? | Patient: I had chest and clavical x rays done but they didnt give a reason why I am swollen on one side of my collarbone. It feels like a bone right below my neck. It was always flat feeling where both side meet but now one is sticking out and up about 1 inch. No pain really just if I keep touching it. Doctor: Hi, It can be a benign swelling like an osteoma. Even long standing lymph nodes can also present like this. Anyway better to consult an orthopedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. | 126,991 |
What could be the lump on right side of neck? | Patient: Lump, right side of neck, 1 1/2 inches below skull, 2 1/2 inches from right ear towards spine, size is about a kidney bean. feels deep, hurts to touch, feels as though my hair is getting pulled in that area. I am 43, male, neck surgery (lamenectomy) in 2008.Notice 3 days ago, seems to be getting bigger, more painful. Recent bad acne on scalp. Doctor: It may be a lymph node which is has become prominent due to mild infections. Please take a broad spectrum antibiotic course like tab. Amoxycillin and clavulanate 625mg three times a day for 5 to 7 days. For pain relief you can take pain killer. Hope you will get well soon. | 65,327 |
What causes occasional short-lived back pain between the shoulders blades? | Patient: I am having occasional searing pain in my back between the shoulders blades. I can feel it coming on. It lasts for no more than one minute or so and then completely disappears. I've had maybe 15 or so episodes of this over the last 3 months or so. Doctor: Hi i am Dr Ahmed Aly thanks for using healthcaremagic site ,I had gone through your question and understand your concerns .. In my point of view it could be a muscular spasm due to overused muscle ,shoulder joint , heavy lifting OR it could be due to nerve compression of your cervical spine vertebrea which is more likely to accompany your past 3 months of pain episodes . For now i recommend avoiding vigorous movements , provide good sitting and sleeping postures , painkillers when needed , hot massages with topical gels , muscle relaxants will be effective if not i suggest MRI and Xray to exclude cervical herniation and visit your physician for proper management .Please click THANK YOU and consider a 5 star rating with some positive feedback if the information was helpful. Hope the above information helps you,Any further clarifications feel free to ask. | 107,428 |
Is a dog bite dangerous? | Patient: My dog bite me on my thigh but teeth were not into my thigh i was wearing a jeans so only a scratch was there n a tiny spot of blood came out bcause the skin was scratched .. So is anything dangerous ? N i guess 3 years before my dog got his last treatment like injection n all ... M worried what to do its a month now ..!! Doctor: Hello, Thnx to contact us. If I am your treating doctor I would like to advice you that injection given three years before was not working right now in your dog that is was I feel. The dog is I think your pet dog and it is in front of you. So there are no question of worry. Because after a bite of 10 days or so if dog ran away than you think of rabies virus in the dog. But even for safety purpose I advice you to take rabies shots under your treating doctors consultation. If you have anything else to ask please contact me. Thanx. Dr. Arun Tank | 38,579 |
What is the suggested medication for prostate infection? | Patient: I have been diagnosed with a prostate infection. I have been on and off antibiotics for almost a year. I have pain in my penis and sometimes my lower abdomen. Recently they found ecoli in my sperm. I was given penicillin for 15 days, and again was found with ecoli in my sperm. I just was given an MRI for my pelvic around, and it found nothing. My belly button is an inward, but it is now an out or a soft lump underneath it. I bleed two days over a year ago while urinating. I have had blood word, they have found nothing. I sometimes get severe pain inside my anus. Any ideas? Doctor: Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that do culture and sensitivity of the infected sperms. Take treatment according to sensitivity report. It is likely to be a closed space infection so radiological correlation along with treatment is necessary.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic. | 37,829 |
How to relieve dizziness and fatigue due to MVR inspite of medication? | Patient: Dear SirI am female age 26 married and have one male child. 3 months back i got severe chest pain,dizziness,fatigue.When we meet Doctor said that you have MVR mild and recomended to take Betaloc 25 mg .Though after taking medicine also i am suffering from chest pain,dizziness,fatigue.Pl.help me Doctor: Hi,Actually mild mitral valve regurgitation can't cause such symptoms. About 50% of healthy adults have mild mitral valve regurgitation and it is not a pathology. I would advise you to check if you have1. costochondritis2.spine problems3. carotid artery problem4.vasovagal problems5.anxietyWishing you good healthIn case of further questions don't hesitate to askRegards | 27,136 |
Diagnosed with hypercholestrolemia. Liver test shows elevated ALT, alkaline phosphates. Due to fatty liver? | Patient: I have recently diagnosed with hypercholestrolemia with my cholesterol being 6 mmol/l. Trig 4.2. My liver enzymes are increased ALT 75 U/l. GGT 120. Alk phos 151. My age is 35 I m a smoker but don t take alcohol. Are these alterations in liver enzymes due to hypercholestrolemia or it suggest fatty liver or something else?? Doctor: Hello, zaraarshad, The condition called "Metabolic Syndrome " is associated with overweight, Type-2 diabetes, elevated lipid levels, and fatty liver in it's complete form. If you have these it is possible that your liver enzyme elevation may be due to mild fatty liver based on the levels of elevation. But you need to have a good ultrasound of the liver to find out the degree of fatty liver (Grades). In it's early stages, if appropriate measures are taken, your liver can be perfectly normal. Losing weight, controlling blood sugar,proper excercise, diet, and reducing the lipid levels. Having said that, there are a lot of reasons for enzymes to be elevated. Drugs, including over the counter ones, viruses such as Types-A, B,or C, Autoimmune diseases, some metabolic disorders, some genetic enzyme deficiency conditions, heavy metals, poison mushroom etc. etc. Start taking a good super B-Complex Vit. daily along with 800 i.u. of Vit-E and 1000mg. of Vit-C. along with a high protein diet. I wish you the best. | 59,710 |
What causes sperm color variation? | Patient: I have hard orange tiny grains in my semen. Only happens every once in a while. I have looked online and there are doctors(non-urologists) who say it might be blood(likely from the prostate). They are only slightly uncomfortable and are mixed withing the semen not particularily before or after but inside it. Only about two to three and of verying color from slighlty tinted yellow to full blown orange(like the water stuff from scabs that hardens..its color). I personally think it is aged old semen because I have no blood in my urine or any other symptoms. And the fact that there are stages with different colors to me significantly lowers the chance of it being blood. If it were blood I don't think there would be such drastic variations of the color. But I am not a doctor.I do have a testical that is lower thant the other and I know that is an increased chance to cancer. I also had a cyst a while back when I was fourteen (23 now) and I think there is one more again but it is near the tip not the testicles. I have been drinking a lot of tea lately but also water, I just recently(week ago) worked very hard in the california sun and was constantly drinking water and my urine was still yellow(normal color yellow). I eat pretty healthy, although I have been drinking lots of homemade sweet tea and a lot of milk. I used to get bloody noses a lot(randomly) as a teen but haven't since I was eighteen. Well that's all the relevant information I could think of. Doctor: dear Sir, it is normal to have one testicle lower than the other and that doesnt increase chance of cancer..as for the browinish color of semen it may be due to prostatitis so please get a pevic ultrasoundbto make sure.. | 196,852 |
Suggest treatment for transient ischemic attack | Patient: On Thursday I beleived that I had a TIA and would like to tell you what happened for to know why I feel that way. I was feeling out a form for a New Patient for a New Doctor. I did about 3 pages of questions when the 4th page started to get confuseing and I couldn t understand it. I turned on the TV and knowing the station that I watch I could not make sense of the right side of the screen. I put my hand over one eye & then the other to see if this was a visual problem of the TV. I received a phone call and could not carry on a conversation with her that made feel that something was going on. She wanted to come over but I said that I did not feel well and was going to take a Asprin (baby) and go to bed. On Friday I called her to ask what did she think was going on and she said that I was confused, not focused, and slurring. I have congestive Heart failure and my age is 74 young. I am feeling great as though nothing ever happened. Question: How long of a period of time do you have to now contact my GP? Doctor: Immediately. Tia are warning of impending stroke.ur levels of bp and cholesterol must be assessed .refer gp to prevent cerebral damage/paralysis. | 114,933 |
What do lumps in the breasts indicate? | Patient: I've soft mobile lumps in both breasts. I went for checkup and doc said its fibrodenomas. Now i feel dizziness. I also have found lumps for two days before under both armpits which are now not so painful as before. I also have a feeling of throat blockage for one week with is irritatibg but not painful. Today i am feeling dizziness since morning. What is it??? Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This is fibroadenosis with hormonal level changes giving dizziness and other systemic issues .Hope this will help you for sure .Regards . | 61,280 |
Trying to conceive, having regular sex, result negative. Irregular periods, headache, backache. Solution? | Patient: I got married on nov 12 2012 and since then we have regular sex but tests always show negative during this period my wife have nunerous problems like headache backache sensitivness of teeth and most important she is having irregular periods normally she would have period after 21days but now it comes after 30-40 days.please give us a satisfactory answer as we are very much worried about this. We both are 30years old. Doctor: Hello. Thanks for writing to us. The delay in periods or the irregular periods are suggestive of a hormonal imbalance. This needs a proper treatment after a detailed evaluation. You need to have frequent sex during the fertile period meanwhile. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Rakhi-Tayal Regards, Dr. Rakhi Tayal [email protected] | 5,822 |
Is it normal to have a rapid heart beat? | Patient: Hi, the last few weeks i hav been really tired ,weakness,even sometimes shortness of breath.i did a blood test and my doctor prescibe me with ferrous fumarate.i been diagnose in d past with rhematic fever too the last few weeks i feel my heart really beating like a heart race is it normal?? Doctor: Hi There After going through your query i understand your concern.I would like to tell you that palpitation or rapid heart rate is the common symptoms of iron deficiency anemia for which you were prescribed with Ferrous Fumarate. But you are prone to develop Rheumatic Heart Disease as in the past you were diagnosed with Rheumatic fever.Kindly get an ECG and Electrocardiography done to evaluate any underlying heart disease.Hope to have been helpful.Kind RegardsDr. Navneet Bansal | 19,570 |
Does chronic obstructive pulmonary disease cause back pain? | Patient: My mother has copd and lately has complained about back pain. She may also have additional lung issues but is refusing a pet scan saying she doesn't want to know. Are we facing signs of a more advanced complication. She is weak, on oxygen which she says doesn't really help. Doctor: Hi... Chronic obstructive pulmonary disease does not cause back pain. only way how to relate back pain with COPD is that these patients are more prone for lung malignancy , which if it spreads to spine it can cause back pain, but it is rare.SO I WOULD ADVISE,1.Meet an orthopedician and get x ray of back.2.Get a repeat chest x ray/CT to rule for malignancy and other problems3.If they have PET, she can go for it as it is non invasive. | 75,397 |
What is the cause for painful swollen gums while using retainer? | Patient: Hi,,, I'm using my retainer now for almost four months. This was adjusted last week and I noticed a little swolen in my gums. and now its getting bigger and sometimes it bleeds... What should i do? Its quite painful and uncomfortable. Your answer would be a great help. Thank you. Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, you are using retainers from four month, now as you have mentioned reatainer causing discomfort, dont worry , gingival problem comes in orthodontic treatment , You do warm saline gargle two - three times a day, chlorhexidine mouthwash 2 times a day Consult your orthodontist for retainer. Hope this will help you. Wish you good health. | 187,671 |
What causes red bumps on the inside of pinky finger? | Patient: hi. I have tiny red bumps on the inside of my pinky finger.....they look like little puss filled blisters. One is a pretty big blister. I thought I had poison ivy b/c I had a rash on my neck, so I went to the doctor and he looked at it and prescribed hydrocortizone which I ve been using 2x a day. But now I have this rash thing going on on my fingers.....I had scabies 10 years ago and it was AWFUL and now I m super worried and paranoid that I have it again! My boyfriend at the time (who is now my husband) also got it, but he doesn t have any of these symptoms now. Do you think this is what I have??? Doctor: Hi,This could be an abscess which requires surgical drainage. Hydrocortisone (Steroid) might not help. Moreover you suggested redness is spreading which I think is the spreading cellulitis surrounding an abscess. Scabies in the past is just a coincidence for me. May not be a recurrence now and they don't restrict to a single finger. Pus can be drained under a Finger block as a small day care procedure in the emergency.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Safarulla SH | 61,579 |
Left submandibular lymph node enlarged, sensitive, gums swollen, bleeding on flossing, sore throat. Cure? | Patient: about two days ago my left submandibular lymph node enlarged and became sensitive, a day later the gums on the left side of my mouth both upper and lower became swollen and sensitive, almost a throbbing. They also bled minimally with normal flossing when otherwise they would not. Today all those symptoms are still current only elevated a bit more as well as a sore throat seems to be forming. Again it is still primarily the left side that is being effected. Doctor: Hello,Thanks for writing to us.Lymph node enlargement may be due to spread of infection into tissue spaces.Get a thorough scaling done.Pus if present,has to be drained and curetted.Use chlorhexidine mouthrinses to gargle.Take plenty of fluids along with nutritious diet.Hope this helps. | 188,795 |
How can pain in the sartorius muscle be prevented? | Patient: I have s young horse and ride regularly. The other day I experienced a severe pain, similar to cramp in what may be my Sartorius Muscle. What can I do to help this and prevent it happening again? Doctor: Hi, It is due to the abnormal and excessive strain on your muscles.Avoid horse riding or modify your posture. You can take analgesics like ibuprofen or diclofenac for pain relief. Generally, the pain will settle in a couple of days and in case of persistent pain you can consult an orthopaedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. | 127,040 |
Suggest medicine for cold, cough and fever | Patient: Hello, my 72 years old father has fever of 101, cough, runny nose, headache, he is burning out but complains that he is cold. I called his doctor yesterday and she advised to give him tylenol since he is on plavix, isosorbide, atenolol, simvastatin and zetia. Can he take something else to help him Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your father have symptoms of cold, cough and fever which is mainly because of lower respiratory tract infection and it could be due to granular pharyngitis. It seems to be due to compromised immunity of body. Need not to worry about it. Symptoms resembling flu and normally takes 3 days for viral fever to go. Visit general physician once and get it examined. If cough is exaggerating go for chest X-ray, blood and sputum test of your father. If it is bacterial infection start with proper course of antibiotics. Till then give crocin 4 hourly. Acetaminophen is also effective and you can give that as well. Give your father proper rest without any discomfort. Give water after every few mins.Hope your concern has been resolved.Get Well Soon. Best Wishes,Dr. Harry Maheshwari | 31,667 |
Is there any problem in baby due to falling down? | Patient: My baby fell off the bed and land on her face on the floor. Its later in the day now (it happened around noon and it is 9pm now) and she was fine when it happened (cried for like 2 minutes and then went on with the day). She is starting to cut a tooth so it may be related to that. Should I take her to emergency and get her checked? LIke I said she cried for 2 minutes and then went on with the day like nothing happened. Doctor: If there are no episodes of vomiting, unconsciousness, abnormal behavior/activities, lethargy, large bruises etc. then you need not worry. As per information provided by you baby is absolutely fine and doesn't need consultation in ER. | 165,233 |
What causes lumps on the lips of the vagina? | Patient: Hi, I noticed a small bump in the wall/lip of my vagina (I have recently shaved)there is no head on it as if it was a boil or pimple etc. Last night i gently squeezed it to see if it was an ingrown hair - tonight it has almost tripled in size, it is not uncomfortable or painful until I touch it. I have no idea what caused it, or what it is and it s obviously scaring me as a possible cancerous lump (don t understand how it got inflamed overnight) Please help me, thank you Doctor: Hi,It seems that this might be friction bump or in grown hair infection.Due to squeezing the bump there might be having irritation and precipitating infection giving increasing of bump size suddenly.Go for one antibiotic medicine course for 3-5 days.Keep local hygiene proper.Ok and take care. | 67,207 |
Suggest treatment for ears pain and swollen glands while having mastoiditis | Patient: I was diagones with Babesiosis- malaria spread by a tick. During this infection my ears starting giving me trouble. One of the MRI's that i had said i have Mastoidititis. I have taken antibiotic treatment for both for months. I just stopped taking the antibiotics about a two weeks ago and the the ears pain and swollen glands have returned. This has been going on for two years now. What do you recommend me doing? Doctor: Condition lasting for a year is seems to be chronic granulamatous disease, what you need is to consult your doctor, he will do biopsy of the gland to find out weather your swollen gland is bcz of infection in mastoid or some thing else. Thank you . | 30,424 |
What causes pelvic pain and swollen neck and feet? | Patient: I found a lump on my biikni line last night. I have been experiencing pelvic pain, swollen neck, feet hands, and very bloated, i have gined five pounds in a week and i have barely eaten. I have back pain and am very tired. i am worried. I cant gt into my gyno till next week on wednesday, should i o to te hopsital now? Doctor: HI.Thanks for your query. You have to go to the hospital. The reasons of the symptoms can be ::Anemia/Hypoproteinemia/Kidney problem/ Heart problemThese can cause the swellings you have to described. This is not concerned with the gynecological problems. | 90,103 |
How long does blood clots take to heal? | Patient: Hi sir my father diagnos blood clot .he discharge and doctor says 6 month tretment .now he having bleeding .now bleeding was stopped.doctor said stop the acitrom for two days we do pt inr .after that we start acitrom .sir how much time it s take to cure this problem. Doctor: Hello and welcome to HCM,Formation of blood clots occurs due to abnormal activation of clotting factors and/or deficiency of anti-coagulants in the body.The disorder is managed by drugs that inhibit clotting.However, excess of this drug can cause bleeding.INR is an investigation which is performed to keep a check on bleeding.Thus, get INR done and consult your treating doctor.Bleeding can be avoided by keeping INR under check.Bleeding will get controlled within few hours of taking the drug and controlling INR.Thanks and take careDr Shailja P Wahal | 117,502 |
What could be the cause of swelling of arm? | Patient: swelling Occasionally I have swelling up my whole right arm, particularly just above my elbow. I ve had it on 3 occasions and several other areas with swelling such as the right side of my hand and forearm. What could be the cause of this? It s soft around a kind of tough area in the middle, I have itching and a little pain. Doctor: Hello, The swelling of the arm above the elbow can be due to a joint inflammation or bursitis or tendonitis. A direct examination is needed for a proper diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon | 125,243 |
What causes sever radiating pain on the left side of the body and severe headaches? | Patient: Due to pain radiating from my kidneys, I was sent for an ultra sound back in January. After the technician sent results, they referred to what they found as a nodule . I was sent to the imaging center the next day to get a CT scan complete with dye through and IV. In conclusion they found that I have a benign cyst & that I was to drink plenty of water.... My question is: Should I be concerned that it is something more? I have severe pain radiating from my left side (I know for a fact it is not muscular) that is worse at night/ upon awakening. Sometimes it is dull/throbbing and others sharp and painful. I have also been having horrible headaches in the morning, which started about 2 weeks ago. My Grandmother died of Pancreatic cancer in her early 50s. Doctor: Hi,benign cyst of kidney is not so uncommon.They some time cause severe pain but they require no treatment.One can use oral NSAIDS or opeiods at the time of pain.In my practice i find them quite helpful to my patient.If the size of the cyst is large and they cause severe pain effecting your daily activity then they ma require surgery.thanks | 152,968 |
Suggest remedy for abdominal pain | Patient: I am 52 years old and a very healthy person. In the last 5- 6 months my body has had some changes I don t like. Weight gain, water retention, so tired all the time, and now I have had my period for over 2 weeks, and the last couple months , also pain in my left side or whole abdomen. Doctor: plz get your blood glucose level checked,do a ultasonography of lower abdomen.and plz visit a gynacologist for your menstrual irregularity | 89,258 |
What causes continuous high temperature? | Patient: My daughter is 17 years old. For the last 5 days she has been running a high temp, aching joints, headache, nausea, tired, weak, dizzy, neck pain, etc.....Many other symptoms. We took her to our Dr. twice this week and today they ran several tests on her. The only thing that was off was that she has a low WBC. It was 3.5 and it normally runs around 7+. They did xrays, urine test, fle test, and blood tests. Everything else was negative, but the WBC, platlets, and neutrophils were off. Her temperature has been running around 101-102.5. Can anyone help me with this? Doctor: Hi, Since fever is continously present for 5 days, a high probability of typhoid and dengue fever is there. In typhoid also the TLC becomes less. I would suggest you to do typhidot Igm for typhoid and NS 1 antigen test for dengue. Give Paracetamol for fever and give adequate liquid diet to child. I hope this has helped you. If you have any more questions, i will be happy to help you. Wishing your child good health. | 171,374 |
Is varicoscele caused due to excessive masturbation? | Patient: HI,.CALL ME GIO,21 YEARS OF AGE..AND I'M INTO THIS VARICOSCELE THING RIGHT NOW,.WELL I'M SO CONCERNED WHETHER EXCESSIVE MASTURBATION REALLY CAUSED IT CAUSE I JUST REALLY THINK IT DID..AND WHAT DO I DO NOW? I'M JUST TOO SHY TO OPEN IT UP TO SOMEBODY ELSE COZ' I'M AFRAID THAT THEY WOULD JUST THINK OF ME ABOUT,...YOU KNOW,.THANKS... Doctor: varicocele is enlargement of testicular veins.the cause is unclear and it is not related to masturbation.so dont be panic.it may cause infertility,pain etc..kindly do sperm count to know about infertilty.thebest treatment is varicocelectomy.wear tight innerwear,use langod, to decrease the pain due to varicocele. | 196,233 |
What causes iron deficiency anemia? | Patient: Hi, I just turned 37. I have recently had blood tests which show very low iron levels and i was sent to have ultrasound on my lymnodes. Dr feels i may have nodules however ultra sound tech said all looks fine. Dr felt that i may have auto immune disease however various further tests and numerius check up/follow up appointments will be needed to pin point and rule out. With all of this, in the past few months i nave noticed that my feet (mainly left foot) and ankle area are swelling up.... so much so that my Mum noticed-- I have always bad quite thin feet/ankles despite my weight. My feet/ankles seriously make me look like i have cankles!! To which I am mortified. I am overweight and am not the most avtive person. A young friend of mine died from an aneurysm last year and also having burried 2 family members already this year I m in constant fear and a heightened state of anxiety that this could be some kind of silent killer. Any ideas on what is bringing on my cankles?? Thanking you in advance for your times and any insglt help tt woukd be much appreciated .......???? Doctor: Hi there, Looks like you have edema of lower limbs which is due to anemia. With correction of anemia this will slowly come down. Your anemia needs to be evaluated thouroughly. Once the cause of anemia if found, treatment is easy. Don't worry about cankles. It appears, your problem is pretty much treatable. Hope I have answered your question. If you have any further questions I will be happy to help. With regards, Dr. Girish Kamat | 114,547 |
What causes folliculitis? | Patient: I believe what I have as told by a doctor, is folliculitis in my genital area. I wasn't sexually active over summer and it went away, but with my new girlfriend it came back a few days after having sex. i don't want this to ruin my relationship:( i don't shave or anything and it doesn't matter if i wear a condom or not, it still comes back. i am 23 years old, 5'11 and 173 pounds no bad medical history Doctor: Hello,Welcome to HCM,Folliculitis is a group of skin conditions in which there are inflamed hair follicles which result in a tender red spot. It may be superficial or deep and it can affect anywhere there are hairs including genital area.Folliculitis is caused by a large number organisms,irritating substances, environmental variations, any anatomical defects and drugs.It is confirmed by cytology and culture.Identifying the causes is very important to treat the condition successfully.It is best treated with topical antibacterial clindamycin lotion and oral antibiotics like cephalexin for 5-7 days.Thank you. | 39,099 |
What are the dots on the gum line and roof of mouth of the baby? | Patient: Breastfed baby 5 1/2 weeks old, supplemented with formula 2-4oz a day. Noticed white dots on gum line & roof of mouth. At times tongue appears coated with white but hard to tell if just formula residue. What are the dots, should I be worried about thrush? Doctor: Hi Dear Welcome to the HCM,Oral thrush could be the possible reason.Apply antifungal mouth paint.Hope the query is answered.Thanks | 174,603 |
How can I confirm a tear in lower back? | Patient: It is my belief that I torn a tendon in lower back 13 years ago, I have recurring LB pain 5 days in duration, 4-5 times a year with low grade L4 rights side pain. I was told by two chiropractics that I have bi tropic facets L4-L5. All tests and neuro surgeons say my back looks good for a 53 yo. I believe I have facet sydrome and rotational instability,subluxation. What or who would you suggest. Bill Doctor: Hi, Welcome to HEALTHCARE MAGIC. MANAGEMENT OF chronic back pain is exercises ,analgesics(diclofenac) ,vitamin supplementation. Sometimes root cause of pain vitamin D3 DEFICIENCY. Checking of your vitaminD3 may be helpful.If low it can be supplemented. You can get your MRI lumbar spine done to get further information. I think my answer will be helpful to you. | 110,285 |
Suggest remedy for cough,sore throat,fever and headache | Patient: i've had a cough for about a week now. It would hurt whenever i swallowed. Then the cough went from dry to having phlegmn. Now my sinus hurts and i have a runny nose & MAJOR headache (i think its a sinus infection). But my runny nose & phelgm go from white/yellow (from nose) and lime to dark green and hard when i cough them up. What's worse is i lost my voice and i get lowgrade fever every now and then. What can this be? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query cough, sorethroat , fever and headache is due to upper respiratory tract infection. Need not to worry. I would suggest you to take antihistamine Levocetrizine along with anribiotic Levofloxacin. Avoid intake of cold carbonated beverages. Visit ENT specialist once and get it examined. You should go for blood tests. Get X-ray chest done along with pulmonary function tests done to check extent of infection and start treatment. You should do warm saline gargles. You should take nasal sprays as well. Use mist himidifiers in room.Hope your concern has been resolved.Get Well Soon.Best Wishes, Dr. Harry Maheshwari | 32,114 |
What causes frequent urination after masturbation? | Patient: Hi, please help. I masterbated two nights ago. The next morning I felt a constant need to unrinate and I felt agitated and uncomfortable. Last night, I didn't get to sleep because after every two minutes I felt like I need to urinate, but when I went to the toilet I would only urinate a little or not at all. I do not get a burning sensation and it does not hurt when I urinate either. PLEASE HELP ME! Doctor: Good day and thank you for being with healthcare magic!You may have swollen prostate because of the ejaculation. Just drink plenty of fluids, vitamin c and abstain from ejaculation for 7-10 days and you will be fine. If it persists or worsens you might need to do a urine analysis to rule out infection. | 192,587 |
My heart feels heavy. Does that indicate a flu symptom? | Patient: I haven t been feeling well for a couple of weeks. I went to doctor 5 days ago and got Zpack for sinus infection. However, I suspect I have flu, too. My heart has been feeling like it is heavy or working hard to get rid of whatever I have. I feel like I have had too much caffeine. ( no jitters,though) Is this normal with the flu? Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion it is not flu.It is because of over amount of caffeine. Caffeine causes heart to work more vigorously.Flu never affect heart in early stages. It only affects lungs.Flu causes fever of high degree, body ache, difficulty in breathing.This all symptoms are absent in you so you are not having flu.You can go and check the blood pressure of yours. If it is higher or your are feeling chest tightness there is need to visit to ER immediately.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist. | 36,323 |
Suggest treatment for severe cough in a 3 years old child | Patient: Hi. My kid is 3 years old. Suffering with cough (Wet and Thick) for more than two weeks now. Cough is intermittent and once it start it stays for 5-10 times coughing. Also there is chocking of nose but Nose is NOT running. After 15 days now there are some symptoms of ferver and bodyache thats worrying me. Medication in consultation with Physician(for 10 days now):- Cetrizine 1 time at night and mucoilite (for cough). However No relief so far. Can anyone suggest way forward!! Doctor: Hi, your child probably has lower respiratory tract infection and that's why he is not getting relief. In my opinion, you should give antibiotic like amoxyclav 5 ml three times a day for 3 days along with the drugs you are taking. However, since this is a prescription medicine, i advice you to meet the local doctor to confirm the diagnosis. Take care. | 170,721 |
What causes excessive yawning when having atrial fibrillation? | Patient: I was rushed to the ER about 3 weeks ago with an atrial fibrillation. I had collapsed in the lobby of my building. I have bouts of excessive yawning every once in a while. I yawn about once every 10-15 seconds and this can go on for a couple of minutes. I get lightheaded and hot. This has happened in the past, but I didn't really think about it until my A fib episode. Could these be related? Doctor: HiExcessive yawning could be associated with congestive heart failure but not specifically with atrial fibrillation | 24,937 |
What could cause chest congestion? | Patient: My wife's palms and feet became cold suddenly and she was feeling congestion in her chest. Her blood perssure was normal (80-120) (she is 41 yrs old) but pulse was about 83 at that time. The symptoms subsided after an hour and again the palm and feet become warm. She is nomral now. Please advise. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Sudden Sweating of palms and feet, chest congestion etc are characteristic symptoms of heart diseases. So better to first rule out heart related diseases in her case. So consult cardiologist and get done ecg, 2d echo and stress test (trade mill test). If all these reports are normal then no need to worry for heart diseases. She is 41 years old. So she is approaching menopause. During this period, women tend to develop hormonal imbalance and this can also cause similar symptoms. So get done hormone levels to rule out hormonal imbalance. She may need hormone replacement therapy (HRT). Don't worry, she will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks. | 24,660 |
Continuous pimple. Prescribed zyclin, persol. How long will the scars remain? | Patient: I am 35 year old, I nevr had any pimple till two months before. now one after the other on my face continous pimples . now have consulted skin dr, have preseribed zyclin and persol gels with cetaphil cleansing. after a week its reduced but please tell me how long shud I use and the scar and the marks will it go? what should I do for this Doctor: Hi, At your age pimples could have occurred due to hormonal problem/ facials/ cosmetic use/ particular medicine intake. Firstly the cause should be ruled out. As you have mentioned that the prescribed creams are suiting you well, kindly continue with it. As far as scars and marks are concerned, you can take chemical peels, microdermabrasion, micro needling sessions or can apply pigmentation reducing creams too. For the same your scars and marks need to be analysed and then only a proper treatment can be advised. Take care. | 7,516 |
On depo provera, had light pink spotting on wiping post sex, brown discharge after urinating, negative pregnancy test. Is this normal? | Patient: I am on Depo Provera , I have had 2 shots so far...last saturday my husband and I had unprotected sex and the next morning, after I wiped, I had light pink blood on the toilet paper. Since then I have had brown discharge after urinating. Im worried I am pregnant, although I did take a test my 2nd month on Depo because my husband and I had unprotected sex 2 weeks after my shot, the test was negative. Are these symptoms normal on Depo or should I take a test and schedule and appt with my doctor? Doctor: hiiii,Welcome to HCM.You have taken 2 shot of Depo Provera so far.You did unprotected sex and got pink blood in the next morning.Now you present with brown discharge after urinating.It is not fresh bleeding.So possibility of pregnancy is almost nil and Depot is an effective contraceptive method with failure rate 0.3 HMY.So don't be much worried.It is probably due to effect of Depot and it causes irregular vaginal bleeding,delayed period,nausea & vomiting,spotting,abdominal pain,psychological upset,headache,wt changes etc. particularly in first 6 months of use.One more concern that it may causes prolonged infertility after discontinuation of Depot.So periodical check up is mandatory and consult with your doctor.Be well. | 225,104 |
What causes difficulty in breathing, skipping heart beat when having asthma? | Patient: I am having difficulty breathing; i am a 62 year old with asthma. I have given myself a treatment and have used my inhaler twice. I weigh 144 and am 5ft. 4i/2. no history of heart trouble, but yesterday my specialist told me my heart was skipping every other beat. Doctor: HI, thanks for using healthcare magicIf you have used your inhalors and additional treatment and still short of breath then it would be best to consider visiting your doctor for an assessment.You may need steroid therapy and also require additional nebulisations. This would be the best option.I hope this helps | 101,144 |
Suggest remedy for virus infection with stomach upset | Patient: Hello my Grandaughter is 7 years old and diagnosed 2 weeks with a virus she had 101 fever and uspest stomach, fine after a few days now she has had a low grade fever 99.4 usually coming on in the evening and also tonight is complaining of headache and dizziness??? she is normal weight with no underlying health issues what should we do?? Thank you Doctor: Hello,Welcome to HCM,As your granddaughter is having viral infection which is causing all these symptoms. Most of the viral infections are self limiting and it will subside by itself. If the symptoms are persisting and recurring, she may requires lab investigations like CBC and urine routine examinations.As her weight is normal to her age nothing to worry, it will come down in due course of time.For her symptoms I would suggest her to follow1.Oral Paracetamol, to reduce the fever.2.Give diet rich in proteins.3.Give her multivitamins to boost up the immunity.Thank you. | 39,069 |
Can I get pregnant by using spermicide during sex? | Patient: Hello!! Hope you can help me. Im 19 years old. On saturday 26 Feb , i have sex with my Boyfriend (I was on my 7 day period) We have sex only using spermicide , at night this satuday ive use Progestogen-only pill . Can i get pregnant? Pleaseeee need your help!!! Doctor: Hi, I think you can't get pregnant by contact while you are having periods. So, don't worry about it. Hope I have answered your question. Regards Dr khushboo | 1,179 |
What causes sciatica like pain in leg after undergoing disc removal? | Patient: Hi, I had disectomy 2 years ago L4/5 the disc was removed completely. The past 3 weeks I have had problems walking and it feels a little like sciatica but my left leg is so painful and i think it maybe considered claudication. I am worried that I may be more at risk from spinal stenosis because of my history? Doctor: Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!I agree with you on the fact that your symptoms could be related to a spinal canal stenosis. For this reason, it is necessary consulting with a neurologist for a careful physical exam and performing a lumbar spine MRI study to exclude this possible disorder. If this test results normal, I would recommend performing a Doppler ultrasound of the leg vessels to exclude possible peripheral arteriopathy, which may mimic this clinical situation. Hope to have been helpful!Best wishes! | 142,016 |
Suggest treatment for polycystic ovary | Patient: Doc, I am Mrs. Chatterjee, aged 38, married abt 3 yrs don't hv any baby. I hv gone through lot of tests, which shows there is no prob in my fallipine tube and Uteraus. The prob is I am having Polysystic Ovary and overweight. Local Doctors asked me to go through IVF, pls suggest me wht should I do Doctor: Hi welcome to healthcaremagic.I have gone through your question.You have polycystic ovarian disease PCOD. As it cauae andregen excess, insuli resistance, small follicles which dont mature.So pcod can be treated with medicines,1 control diabetes with medicines2 stimulate ovary with drugs like clomiphene.3 reduce weight, avoid cheeze, fatty diet.These steps help in conceiving.So coonsult gynecologist and discuss these measures.Hope i answered your question.Would be happy to help you further.Take care. | 41,784 |
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