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Is it possible to increase height naturally? | Patient: I would like to know some information regarding increasing height. I am 22yrs and my height is 163cm. Is it possible to increase my height naturally at this age without high antibiotics or surgery? I think my leg and hand muscles are firmed in position and hard. As I weigh a lot, that again reduces my height. I would be really grateful if you could please help me out with the same. Doctor: Hai,As bone growth will stop around 22 to 24 years of age.because skeletal maturity will be attained at this age.As you are 163 cm genetically if your parents fall in the same category. no further significant height will be gained naturally.No medicine will help in increase your height.as from your quote your bone become firm so no further growth can except.thank youhave a healthy life. | 214,524 |
Suggest medication for removal of black spots due to intake of medicines for pemphigus vulgarius | Patient: Good Evening sir, I was suffering from pemphigus vulgarius disease for past 20months.... Taking medicines (Def cot,cellcept ,ocid,shelcal)... If I stopped the medicines it cause pimples again.... My parents are suffering lot.. The cause of the medicine made me looking fat... Mainly the black spots are causing me unhappy every one is asking what is this... so i need your suggestion regarding this treatment... suggest a crem which will remove this black spot... pls sir...... Doctor: Hi, Dermatologic conditions are hard to discuss without seeing them. BUT the pemphigus can cause black spots by a variety of reasons scar, scabs, sticky skin, infection and knowing which is occurring is quite hard without being able toe see the black spots directly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | 84,715 |
What are the symptoms of potential pregnancy? | Patient: I am on birth control (pill), and had unprotected sex. Here's the thing, I was only on the pill for 7 days and for 7 of those days I was taking Amoxicillin, and forgot my pill on the 8th day. My period was due 6 days before I had sex. I am a day late and had spotting of a redish/brown color today. It has stopped completly now. Could I be pregnant? Doctor: Hallow Dear,There are few issues in your query which need clarification to you. Let me explain one by one.1. If you miss just one pill during whole cycle of birth control pills, the effect of the pills remains and they do not fail. So the chances of pregnancy are almost nil due to missing of one pill.2. On 6th day of the menstrual cycle, there is no egg present for the fertilization. The egg is released (ovulation) 14 days prior to next expected menses. The egg has life of 24 hours while the sperms are active for 72 hours. Hence a period of about one week around the day of ovulation is the fertile period. Unprotected sexual intercourse in the fertile period is most likely to result in pregnancy. Your intercourse was far away from fertile period. 3. There only one method by which you can reliably detect pregnancy just one day after missing period; and that is Beta hCG test. This test can diagnose pregnancy even few days before missing period. The other home pregnancy tests which are performed on urine are reliable 8-10 days after missed period. Earlier, they may give false negative results. 4. If you had diarrhoea after Amoxycycline (which is a common side effect of this antibiotics), there is a chance that pills could have got expelled before complete absorption and then the pills may fail to offer protection from the pregnancy. I hope this helps you. Dr. Nishikant Shrotri | 220,139 |
What causes persistent back pain long after back injury? | Patient: I am age 93 and I have shrunk to about 5 feet 8 inches and 160 pounds. I do not smoke or do I drink alcohol. I do have a bad back because I hurt my back about 15 or 20 years ago lifting something that I should not have done. (I am hard headed or at least that is what my wife tells me). At one time I was about 5 feet 11 inches and weighed about 190 punds. I still work as a sales rep (for myself). my address is YYYY@YYYY . thanks, biged Doctor: Dear patient At your age osteoporosis is very common. Vertebral compression fractures are common finding on spine Xray. You might have got your vertebra fractured few years ago. Loss in height is explained by multiple vertebra compression fracture due to osteoporosis that leads to reduction in vertebral height and kyphosis. This leads to loss of overall height. You might be walking with curved and stiff back. This leads to imbalance and there are increased stress on your back and back pain. So this is related to your age and nothing more can be done. Start calcium supplements like tablet shelcal ct twice a day for long time. Take tab diclofenac 50mg twice a day sos for pain relief. ALL THE Best. | 108,331 |
Can there be a recurrence of Meningioma? How can it be diagnosed earlier? | Patient: Sir,Greetings of the day to you. my mother, 70 years old was operated in November 2010 for meningioma affecting D8 and D9 in the spinal cord. Now, she has the following symptoms: Difficulty in walking straight and steady: tends to fall towards her right. so, she walks touching the wall to her right. Drags her right leg on the floor while walking. Feels heavy in the right lower leg and unable to move it as freely as left leg. But no numbness in general but only when she gets up in the morning there's a little bit of insensitive feeling for sometime and becomes alright after massaging for sometime.Impossible to sit down and get up using her heels due to severe pain in the right knee cup and moderate pain in the left knee cup while folding the legs fully trying to sit down.No pain in the lower back while sitting on the chair or walking; but severe pain while bending forward at a particular level whereas no pain while bending forward completely.The ortho said that the pain the knees is due to initial stage of arthritis and has prescribed medications. And the pain in the lower back is due to the surgery done in the past and that can treated with some exercises after treating arthritis.Sir, I would like to know from your good self whether there is a chance of recurrence of meningioma. Is surgery the only cure? For, she has become bedridden for almost four months before the last surgery due to delay in diagnosis. And now, I would like to do the needful in time - before she becomes bedridden like last time. I will very grateful to you if you can guide in this regard at the earliest. Doctor: Hi,Thank you for posting your query.I have noted your symptoms. Based on them, we need to exclude a recurrence of the tumor.Yes, meningioma in the spinal cord may recur in some cases.The diagnosis can be confirmed by doing a MRI of spinal cord.Surgery is required if the recurrent tumor is big, otherwise, in some cases, radiation therapy is also useful.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/ | 148,251 |
Are delayed periods and feeble UPT result the symptoms of pregnancy? | Patient: i had an spontaneus abortion nov 2011 now palaning for a baby since long i had meprate 10mg from 19th to 25th day of my cycle as prescribed by my doc my LMP was 5th Nov i am having 27 days cycle. M y periods are still due also UPT is showing very feeble result. How should i prooceed please guide Doctor: Hi, I think you should do a repeat pregnancy test after 24 hours. If feeble, then go for a ultrasound to rule out any tubal pregnancy. sometimes baby gets implanted in tubes and it also can show feeble line in pregnancy test. So, it is a serious problem. Don't delay to contact a doctor. Hope I have answered your question. if you have any other query I will be happy to help.Regards Dr khushboo | 1,855 |
Suggest treatment for severe lower abdominal pain | Patient: Hi, I had a CT done of my pelvic area. I had a hysterectomy in Nov. 2014, and have had lower left abdominal pain since. The CT says there appears to be either an atrophic uterus or prominent cervix. They were both removed with my hysterectomy. My female Dr has ordered an ultra sound. I am very confused and not getting an answers. My family Dr. Said it is fluid in my pelvic area. I have not personally spoken with my female Dr who did my surgery, she reviewed the CT , and ordered an ultra sound. Doctor: Ideally after hysterectomy, there should be no atrophic uterus or prominent cervix. Hysterectomy is usually removalbif uterus with surrounding structures.Ultrasound has been ordered to re assess the success of procedure done. | 86,390 |
Suggest treatment for persistent cough in a child | Patient: Hi doctor my baby is 11 months old he is having cough and cold since 8.5 months I have given asthalin zyrcold viscodrill aziwar coughware kid everything but it will go after giving then once again come after some days. now once again doctor has prescribed him levolin budecart nebuliser and renelt syrup and montair granules once in a day for 25 days why the cough is coming frequently kindly tell xor anything serious Doctor: Hi...Thank you for consulting in Health Care magic. Greetings from Chennai.By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever?If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing and I suggest you meet a paediatric pulmonologist who is near your place.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | 175,874 |
Suggest cause and remedy for poor memory | Patient: Hon ble Doctor, recently my son is going to fail his memory, his age is 13 years and reads in Class - VIII, he forgets his lesson, so, I want to check up him for the same at Nimhans Hospital, Bangalore, please know me when I will come to meet with you? I live in West Bengal. Doctor: Hi, memory can't be improved by medicines. You should get the child examined by a psychiatrist to evaluate IQ levels. Take care. | 167,455 |
What causes lack of orgasm while having sex? | Patient: hi im 25 and my boyfriend is 34! he was a virgin when i met him! we have been having sex for 7 months now! but not once did he orgasm! at first i thought it would pass! but now im not sure! i suppose we will never be able to have kids! whats wrong with him! we try for hours until he gets to tired and we give up! Doctor: Hello,It may be due to retrograde ejaculation. For further assessment he may require cystoscopy, ultrasound abdomen after urologist consultation. Further treatment mainly depends upon the underlying condition. Still use contraceptive measure sos. Hope I have answered your query...Let me know if I can assist you further.Regards,Dr Shyam kaleFamily and general physician | 192,648 |
Is IUI procedure advisable when diagnosed with endometriosis cyst? | Patient: Hi. I am 32 years old. I have endometriosis syst measuring 3.5mm. It was initially 5.2mm but i took oral contraceptive for 3 months and the cyst has come down to 3.5mm. I am trying since 1 year for pregnancy but not successful. Doctors ask me to go for laproscopy but I don t want to get operated. Can i try IUI? Doctor: Hello,Thank you for your query. Endometriosis is a devastating problem for those who want to conceive. It can destroy eggs and scar the tunes. Hence time is of vital importance. I recommend :-as you wish, you can try Iui. However success rate is low. -try iui for 2 cycles, then other options and treatment need to be considered. If you have just one cyst, you may conceive. If many cysts or big cyst, laparoscopy helps in reducing its effects on the hormone levels and also helps to assess the condition of the fallopian tubes.-a hysterosalpingogram (hsg) can be done to check for blocked tubes (a complication in endometriosis). This is where they inject a dye and x-rays are taken it see of it comes out through both tubes (proving patency). It takes 10 minutes. This can help get rid of small blocks too and facilitates conception. -try to maintain a healthy lifestyle and diet. Take folic acid supplements. Check thyroid and hemoglobin levels. Hope this helps and you conceive soon. Wish you good health | 40,687 |
How to get rid of front sticked teeth's? | Patient: My 12 year old daughter is really self conscious because her top two front teeth stick out really bad. She always says she is ugly, and she gets bullied alot at school. She gets called names like 'goofy' and 'bugs bunny' and she hates it. She has to get braces in 2 years but she says she can't wait that long because she is really sick of how she looks. Is there anything I could do? Doctor: Thank you for your query.I can understand your predicament. Orthodontic treatment is the right way forward, taking any other treatment will lead to unnecessary time wastage. The dental treatment will take its time, in the meanwhile just try to council her about it and let her meet other kids who have undergone such treatment and are now satisfied and confident after the treatment. | 183,160 |
What causes cramps on lower back? | Patient: SO i have these horrible cramps in my lower back and I went to use the bathroom and a big clot, between nickle and quarter sized, came off of the tissue..and i was wearing a regular tampon. This happens every time so i just wonder if that s normal or not. Also, i cant seem to stop gaining or lose weight since i had my baby 3 years ago, no matter how much I exercise or eat right, so i want to know if the two might be connected Doctor: Dear- thanks for using our service and will give you my medical advise. Sometimes , if you have heavy menstrual period,you can have some clots or blood getting out although you have a tampon. You want to make sure that this is not a problem having your regular pap or cytology test with your doctor.The back cramps are coming from your menstrual period , some women are more prone to others , but is considered normal, unless it is a new problem . The problem with weight could be secondary to alterations in the hormones as hypothyroidism , so I suggest to check blood levels of TSH . You can go to your regular doctor for that and he/she can order the blood test.I hope that my advise has been helpful.Dr.Sara | 107,724 |
What is the painful lump under my ribs? | Patient: I had severe coughing spells with allergies. Felt a excrutiating ripping pain in my left back. Now I have this large mass or lump on my side just below my ribs that feels squishy when I press it also aches when I cough or lie on it. Also that side of my ribs has a noticeable gap from the other side. Almost feels like a rib is missing. Doctor: Hi.Thanks for your query and an elucidate history.This is obviously a lump , may be a hematoma. The gaps can not really be known why they have occurred.All the findings should be confirmed by a CT scan. And the treatment will necessarily depend upon the findings. Severe coughing can cause akk this.You need to be investigated for x-ray also by blood tests. | 69,546 |
What is the other option than operation to treat chalazion ? | Patient: hi, i have a chalazion on my right eye for 6 months now, i became so frustrated since i have been doing warm compress 1 month after this chalazion came out. ive asked the doctor 2 weeks ago to just remove it surgically but he doesnt want to because he said its red and inflamed. is that a good reason?and why? please help me understand.thanks! Doctor: Suggest surgical removal under cover of antibiotics | 9,087 |
I am planning to take abortion pills, is it safe or not ? | Patient: I had sex before 1 month. now I m pregnant. I want abortion . I am planning to take abortion pills(misoprostol). is it safe or not ? can I get this pill without any doctor s prescription ? Doctor: Dear Sanal Thanks for choosing healthcaremagic Actualyl Misoprostol is a medication registered for use to prevent gastric ulcers. Misoprostol also induces uterine contractions that often used off-label as abortion pills for pregnancy termination. Studies have demonstrated that Misoprostol can be used to terminate pregnancies of any gestation. 0 - 12 weeks ( less than 63 days of pregnancy)= vaginally of 800mg repeated up to 3 times at 6 or 12 or 24 hours intervals or 800mg orally (sublingual) at 3-hour intervals * around 70% women have complete abortion within the first 12 hours * around 80% have complete abortion during the first 24 hours * around 95% have complete abortion within 48 hours But it may take up to the 72 hrs for complete abortion Out of 100 failure rate are 5-8 % But i suggest you conctact you nearest gynaecologist It is not good to abortion ..why dont you want to give birth...Think about it Thanks | 97,913 |
What causes abdominal pain and palpitations? | Patient: I am feeling pain in my left side of lower abdomen for past few days.from past two days I am feeling some palpitations too on my left side.my periods were due on 17june that is today but have not started till yet.am I pregnant.i am worried why am I feeling pain and palpitation Doctor: Hi.Get an urgent ultrasonography done as this can be pregnancy related / may be a tubal pregnancy or so. Urine Pregnancy test may not become positive so soon. This suggestions as per your history, | 91,129 |
Have lupus. Will climate change affect lupus? Side effects of cellcept? | Patient: I live in the US and have lupus. I intend to move to Mumbai for a couple of years. I am concerned about the climate of Mumbai affecting my lupus, though? Is there any knowledge of how a more humid and hot (sunny, compared to Georgia USA) climate would affect my health? And how good is lupus care in Mumbai? (availability of drugs like CellCept, how proactively are side effects from drugs monitored, how quickly is a flare diagnosed, etc..?) Doctor: scientifically, climate does not really affect the disease, however patients generally feel that a particular climate suits them better. mumbai has a huge rheumatology setup, and there shd be no difficulty in procuring drugs. | 83,001 |
Trying to conceive, unsuccessful. Blockage in right fallopian tube, anteflexed cervix. Treatment for infertility? | Patient: Hi, I have been trying to conceive for almost 3yrs now. I have been to a fertility specialist, and a test done, found out that my left fallopian tube is open, but have to repeat the test, in order to find out if the right fallopian tube is open. Also, I have an Anteflexed cervix , with all said, will it be impossible to conceive? Thank You Doctor: Hello, thanks for using HCM. There are many causes of infertility and tubes being open is not synonymous to being fertile. However, even if its just one tube that is open and if it is histologically good, they will be a very good chance of conceiving provided there is no other underlying cause of infertility. You should see your gynaecologist so that more tests should be done to rule out other causes of infertility which could be ineffective sexual exposure, ovarian dysfunction, hormonal disorders, antibodies against sperms etc. For the anteflexed cervix, you could stay in a Mohammed position for a couple of minutes each time after an intercourse; this could help provided there is no other underlying cause. | 43,662 |
Could red and brown discharge be a result of taking orsythia birth control? | Patient: Hi my name is Jennifer . I've been on birth control Orsythia for about 9 months now. Haven't had any problems up to a couple days ago. I'm having sort of a dark brown reddish period and i'm only on my second week of active pills, i should not be getting my period just yet. Doctor: Hello mam, in my opinion this is probably the ovulation bleed which you are experiencing. But still do a urine pregnancy test which if negative there is nothing to worry, keep taking your pills and wait for this discharge to stop. | 224,923 |
What causes chest pain and pain in shoulders? | Patient: I have had chest pain and pain in my shoulders for close to 3 months now. I have had a colonosopy and endoscopy and both were ok. I had a ekg and ecocardio gram and it was ok. I have never smoked, but when I put my symptoms in on some internet sites, it says I could have everything from broncitus to lung cancer. My gp is convinced that it is anxiety. Im not. If it was anxiety, would that make my chest and shoulders hurt all the time? Doctor: Hello, The chest pain can be related to anxiety. Another possible cause can be rheumatoid arthritis. I suggest checking the rheumatoid blood level for further evaluation. Meanwhile, I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using magnesium supplements for muscle relaxation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dorina Gurabardhi, General & Family Physician | 121,759 |
How to rule out lump in breast? | Patient: I am 30 years old & have just checked my breasts for lumps & they seem to be fine. However I have just noticed a purple coloured mole/freckle on my right breast ??? It was not there before & I am a little concerned as I have never had a purple mole before & I no I defiantly didn t have a mole of any colour there before Doctor: hi.it is best if you consult with a doctor for physical examination and clinical evaluation regarding your concern. a mole could be benign, but others have the tendency to be malignant. physical examination and a possible biopsy, if needed, will be of great help. to rule any breast lesions for your age, a breast ultrasound is suggested. if there are lesions found, a consult with a general surgeon is best for evaluation and interpretation of results. other diagnostics and management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye | 61,784 |
What could be the nodule found in the kidney? | Patient: my father just had an MRI done and they found a Nodule on his kidney 17mm. Also his kidney is functioning at 11%. Please advise if the nodule can be cancerous. He is 70 years. We were told by the nephrologist that he is close to getting dialysis. However, we are also worried about the mass found in the MRI if its cancerous. Please advise. Doctor: Dear patient,you should refer to an urologist and make sure the radiologist indicate some hypotheses. Nephrologists can be a good reference point, but the recommendations to do just observation or to perform a biopsy or a partial/complete nephrectomy can be made only by the urologist. | 46,150 |
Suggest treatment for spondylolysis in a kid | Patient: my son is only 5 years old and he is diagnosed with spondylolysis and the doctor said its nothing to worry about and he will see him next six months. Im concerned the six months going to waste and i want to help him heal cause he is very active child. Do you think the doctor should have started him with something? Doctor: Hi,Spondylolysis is caused by repetitive microtrauma in growing child which is very active. As your doctor said it will heal without any medication. So as he said no need to worry at all. He is a growing child.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Hazan | 166,719 |
Can Ketoconazole cream be used again for recurrent pityriasis versicolor? | Patient: I have ketoconazole cream from 2007 that I used for my pityriasis versicolor ( I have lighter colored spots on my chest and upper stomach). It went away for a couple years, but came back. Can I still use that cream? If not I still have 1 refill on it can I still use that or do I have to go back to the doctor? Doctor: Hello,Thank you for posting on HCMThe condition you have described is called Pityriasis versicolor, a superficial skin infection caused by a fungus.I would recommend you take short course of oral antifungal drug like fluconazole as advised by your dermatologist.Apply ketoconazole cream twice a day over the white patches regularly.Use shampoo containing ketoconazole and selenium sulfite for rinsing daily.Maintain hygiene.Hope you will get fine soonThank youDr Hardik Pitroda | 11,482 |
Is there any treatment needed for the pasty bowel movement? | Patient: my son is 3 months old. i switched his formula from Similac Advance to Babies R us's version about 2 weeks ago. My question is this...is it normal for him to have a pastey grayish bowel movement? he eats well with a couple spit ups a day, but nothing to cause me concern. Doctor: Thanks for following up. Your baby does not receive breastfeeding, he eats formula and you change feeding, that's why color of stool changed to gray, it is normal, it will be like as adult , because child is growing. Pasty consistence is normal in his age, he doesn't have constipation.That's why don't worry. Feed baby every 3hours or when he demand, don't give him pasifiers. Do massage and sunbathing every day.Grow quicklierDr.Svetlana | 175,239 |
How can severe pain in the fingers while suffering from osteoarthritis be treated? | Patient: I have a little bit of ostoarthritis which usally just makes my fingers hurt. Recently I have been getting pain in my whole hand, wrist and muscle up to my elbow. I take diclofenac which doesnt work to good. Its getting harder to work and my doctor doesnt seem to have any answers for me. Any ideas for relief? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You need a stronger pain killer like Tramadol along with calcium and vitamin D3 supplements. I hope this information has been helpful for you. Regards, Dr. Praveen Tayal | 127,586 |
What is causing severe abdominal pain? | Patient: Hi im 5 days until im due i have had a show and ive been in discomfert latley like perios pains and cramps but last night i felt alot off pain like my stomach was contracting i finally got some sleep and woke up this morning and the pain has esed off and i still have the pain just no tighting could you help? Thanks Doctor: HI. Please go for an urgent ultrasonography. There is a possibility of a tubal problem . There can be other problems too. | 91,196 |
What causes anxiety and mild agoraphobia? | Patient: have sevre anxiety, i cannot drive a car, i am on disability due to my emotional irreluulations and mild agoraphobia, my anxiety has recently started taking control of my body to the point where i have to lay on the ground and wait for all my muscles to sieze spasms, ive had 2 heartattack at the age of 18. and i feel like these are all sympotms of a bigger problem, i need help before its to late. Doctor: HiThanks for using healthcare magicI think, you have agoraphobia with panic attack. In that case, you need antidepressant with low dose benzodiazepine. You should consult a psychiatrist for proper management. You can also try some relaxation exercise like JPMR or deep breathing exercise. That would help to control the symptoms. In case, you need further help, you can ask.Thanks | 209,149 |
What causes red spots all over the body of a child? | Patient: Hi my one year son had a fever for 4 days, when I took him to the doctor they said he had strep throat, he was given antibiotics for 2 days and now he has red spots all over his body and it seems to be getting worse, they are not blistery and don't seem to be itchy. What could that be from? Doctor: Hello,Fever with four days with rashes is usually a presentation of viral exanthemas measles. It is associated with acute respiratory infection (ARI), gastric upset. It has a course of one week, sometimes require antibiotic treatment. There is nothing to worry about rashes, it doesn't require any treatment, will resolve in a few days spontaneously.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sachin Kumar Agarwal | 163,496 |
What makes me vomit out when ever i eat crab, lobster and shrimp? | Patient: For many years now, I have assumed that I am allergic to crab, lobster, and shrimp. When I was little, my family would go out for crab legs and then we would go get ice cream (I would order chocolate). When we got home everything was fine until early in the morning, around 3am, when I would throw up. At the time we thought it was just the mixture of the shellfish and the ice cream. Then, when I was around 10, I went to a wedding where I ate some shrimp, and proceeded to throw up. That was when we decided that I was allergic to shellfish. However, the vomiting is the only symptom I have ever had and I am wondering if I really do have an allergy to shellfish or if something else is causing it, and if it is treatable. Doctor: HiIf you were allegic to crab, lobster, shrimp then you must have developed some allegic reactions like itching, redness etc, on consuming itAs you do not have such symptoms Try taking anti emitic drugs atleast hour an hour before taking the same and eat well cooked and fresh lime and do gently walking for 10-15 minutes after thatyou may get relief from your symptomsWish You Good HealthRegardsDr Sridhar K | 99,086 |
What causes high WBC count in blood in a child? | Patient: Hi can u pls tell me 12 year old high wbc Wbc 15.9 Neut 11.4 Mono 2.1 Looking at these results would u think bad infection or glandular fever or something more like cancer. He is being sent for more tests to check for glandular fever but he was born with immune problem and had a BMT for 11 years ago. Thanks Doctor: Hi welcome to HCMI have gone thru regarding high WBC count in blood in a child . I can understand your concern . Dear, your doctor is right to send your son for more tests to check for glandular fever , as he already has history of immune problem & had BMT. It is usual thing to be done to just repeat the blood work in a few weeks to make sure that the count is under control .For your info ,There are a few different causes of an elevated white blood cell count. Since the white blood cell are involved in fighting off infections in the body. Doctor orders routine checkup blood work that comes back with a high white blood cell count ,this typically just means that your son has just gotten over some viral infection (like a common cold) In rare cases, a high white blood cell count can be a sign of a serious problem, most typically a blood cancer like a leukemia or a lymphoma. Even though this is not at all common, this is the reason that your pediatrician is being cautious and checking additional blood work. It will be important to followup closely with them to make sure that everything turns out normal and , if not , the right treatment can be given at right time . So you need not worry , cooperate with your doctor .And If feel any doubt instantly consult another doctor for second opinion . A balanced diet containing essential nutrients - fiber, vitamins,minerals, antioxidants as , curd ,Omega 3, flax seed , oranges , coconut water , Aloe era juice +Amla juice and regular physical activity and Deep Breathing- Inhale- Hold -Exhale - Hold 10 -20 times ,all help strengthening immune system and assure healthy life .Hope this helps solve your query .Take care , All the best .Don't hesitate to get back if have any further query | 114,716 |
Does radiation therapy to eliminate cancerous cells in prostate bed have side effects? | Patient: I had prostate cancer and subsequently had surgery (prostectomy) in Jan. 2005. Since then my 3 month blood tests results were 0.1 to 0.2. However in the last 6 months my PSA has risen to 0.3. My doctor feels that I should have 6 weeks plus of radiation to elimate the cancer cells located in the prostate bed. I am concerned about having this radiation because of the potential side effects. What is your advise! Doctor: Good morning. Side effects of radiation therapy can be pain in that area, heaviness, diarrhea lethargy etc. These are mild and go away with time. But you need to undergo radiation so as to increase your survival.regards | 153,144 |
What causes a hard painfully swollen abscess on the rectum? | Patient: Hi I ve done warts something that almost looms like abscess on my rectum when i eat to much chilly or spicy foods it becomes sore and it was to close when whenerve I pass the stool wht should I do sometimes it becomes hard swells and very pain ful too.and I got a wart on my vagina that won t go away Doctor: Respected user , hiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* Causes of the same are - bacterial infection of peri anal skin - inflammation in warts - infected hemorrhoids - acute fissure with secondary infection - ischiorectal fossa abscess - fistula in ano - boil - others* Confirmation of the condition require thorough clinical examination by expert consultant surgeon Hope this clears your queryWelcome for any further assistance Regards . | 61,404 |
What causes bone marrow asperations and fibrosis in a 18 month old? | Patient: my 18 month old son got suddenly severly ill he s had 2 bone marrow asperations one found fibrosis of the bone marrow and 15% blastomas that show traits of lukemia but not high enough percent to be classified as lukemia I didn t know there were different types of blastomas and that blastomas in themselves mean cancer what all exactly could I be looking at besides lukemia and other cancers please list everything from genetic disorders and diseases fungal bacterial viral nutritional diseases and disorders I wouldn t ask except to me so many things have the same symptoms as he s shown which are lethargy reduced apetite weight loss low platetlets low white and red blood cell counts petichia and at the start had a hive like rash if someone could narrow down the possibilities without the run around and give me a list of everything and the symtoms of what it could be it d be appreciated thanks Doctor: Hello,Low hemoglobin, low total leukocyte count (TLC), low platelets with blastoma in the marrow, my first diagnosis is leukemia. Other possible causes are aplastic marrow due to a viral infection like Epstein–Barr virus (EBV), hepatitis b,c, bone marrow tumor, vitamin B12 deficiency.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sachin Kumar Agarwal | 162,246 |
Could husky voice in 4 month child be hypothyroidism? | Patient: I am taking altroxin bcs i was diagnosed with hashimotos syndrome after 2 months of delivery, my baby is now 4 months old and suddenly he develops a husky or hoarse voice.. i was yesterday with him in a mall and maybe it was a bit cold..Should i worry about him developing hypothyrodism or somthing similar?? Doctor: Hi, By what you say I feel that the possibilities here are that it will be a viral illness or could be a congenital laryngomalacia or excessive cry induced hoarseness. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | 161,527 |
Suggest treatment for onset of pain in left leg and thigh | Patient: I am a 56 year old female. 5 4 and 118 lbs. I have quick onset of pain in left leg from mid-thigh to mid-calf. Seems to hurt more often when lying down than when walking. Only other symptom is a place on my right side near my left should (about the size of my hand) that really hurts sometimes but not continually. Seems to be worse when I sit a computer for a long while or when I stand or sit in one position too long. Any advice? Thank you so much. Jen Doctor: hi,thank-you for providing the brief history of you.As per your symptoms it looks more of a disc degenerative disease in the spine - cervical and lumbar. By which the symptoms are arising.Getting a thorough clinical examination and MRI of cervical and lumbar spine will help understand the extent of nerve root compression.Treatment Physical therapy like Therapeutic ultrasound therapy, TENS therapy and exercises has provided 99% success rate in the health recovery path of patients with Degenerative Disease of disc in my clinical practice.Regards Jay Indravadan Patel | 216,670 |
Suggest treatment follow up for staph infections | Patient: My son developed a staph infection after a pectus bar implant. He was given a course of antibiotics and then had another surgery. The incision site opened back up and was once again diagnosed with staph. His Dr. did not culture either time and has always said it looks good My son now has to have the bar removed due to the infection spreading to the bar. What is the recomended follow up for staph and how often should it be tested to ensure the staph has been cleared up? Doctor: Hello, Thank you for your contact to health care magic. I understand your concern. If I am your doctor I suggest you Staphylococcus aureus is very notorious strain known as Methicillin Resistant Staphylococcus aureus, which resistant to routinely prescribed drugs. I suspect the same in your child. You can get tested it in the laboratory. You can use mupirocin to clear such strain of bacteria. After treatment swab from such a patient must be clear to declare patient as a free from bacteria.I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you. | 38,038 |
What causes numbness and tingling in arms and fingers? | Patient: I had blood drawn a week ago and when the needle went in my arm I had a sharp pain run down to my finger tips and my arm and fingers went numb and tingly but still hurt. Ever since then my arm and wrist hurts if I stretch it or move a certain way. It gets tingly and numb sometimes and sometimes feels cold inside my arm. It is really uncomfortably . Should I be worried? Doctor: hello....the needle seems to have hit a nerve....start exercising,visit a physiotherapist in your area until you get to see your primary care.....please do not take this easily as this may lead to some irreversible damage if delayed hope this helps you | 134,665 |
Liver test reading | Patient: Hi, when i took my liver test(ALT) reading is 55 U/L...actually the readinfg should between 0-40.so wat i can i do to reduce the count from 55 to below 40 Doctor: 1. ALT (alanine aminotransferase) which was previously called as SGPT (Serum Glutamic Pyruvic Transaminase) is much more specific in hepato cellular disorders than AST and indicate damage or injury to liver. 2. ALT is exclusively found in the cytosol and is found elevated in hepatic necrosis due to any aetiology like viral hepatitis,toxin or drug induced hepatic injury) 3. ALT values are compared with other tests such as bilirubin value,Alkaline phosphatase to determine which type of liver disease is present, please tell about the reports (if an)?? 4. Lifestyle changes is/are required: avoid any addiction,drink plenty of water and fresh juices along with fresh green vegetables and fruits. 5. brisk walk regularly helps in reducing the count. | 98,005 |
What causes pain on left side of the mouth? | Patient: I have pain on the left side of my mouth. All my teeth upper and lwer hurt but mainly my tw front teeth feel sore and its swollen underneath the left side of my nose. I also have a bump on the roof of my mouth that hurts and when I push on it it feels like my front left tooth is going to explode. I am in so much pain . Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have painful front tooth and swelling on roof of mouth dont worry there can be formation of periapical pathology or periodontal problem. Do warm saline gargle two - three times a day. Consult dentist and go for investigations IOPA Xray done . If there is periapical pathology then go for Root canal treatment or Apicectomy , or if there is periodontal problem then go for Scaling and root planning. Hope this will help you. | 186,840 |
How accurate are ultrasounds at predicting gestational age? | Patient: the first time I had sex with my girlfriend was 83 dags ago and the ultra sounds pictures shows the age of the foster (babe) 89 dags. and that means thereare 6 dags lost I mean I didn't have sex with here at that time, and I am really in doubt about being the father. I need an advise if the ultra sound can make mistakes about giving the exact right age. hope to hear soon from you best regards Doctor: Hello,I have gone through your query and here are your answers: firstly, the age of any pregnancy is determined clinically from the first day of the last menstrual period. Secondly, the gestation age in sonogram also is determined on the same basis; a pregnancy detected one week after the missed period is considered as 5 weeks gestation, counting from the last menstrual period. So, based on this, it is more likely that YOU are the biological father. There can be a variation of 3-4 days in a very early pregnancy in a sonogram as this is the period when the age of a pregnancy can be determined most accurately. Hope your query has been clarified. | 221,115 |
How to treat the premature ejaculation and the decrease of sperm count? | Patient: hi i am sufferng from dhat syndrome for past 4 years ad my sperm count is also very low. due to masterbation i am suffering from premature ejaculation. i am lean and gets tired. i am 28 years old and i want to marry now but i am afraid of marrying because of the above reasons. plz help me. Doctor: HelloI appreciate your concernI will definitely help you in best possible way if you can answer my these questions presence of any medical or metabolic disease Do you smoke or consume liquorYes, you can be get married and be a father of child first of all it needs to rule out any organic cause for low sperm count and non motile sperms, by treating the underlying cause , healthy sperms can be improvedIf it fails to increase, than artificial insemination and other artificial reproductive techniques can be used.Ask him to have good balanced foodmultivitamin and minerals supplementsyou should avoid smoking and alcoholexercise regularlyHope this answers your questionBest wishes | 199,381 |
Is 4 year old the right age for heart surgery? | Patient: Hi doctor, My son(4 years old) has got a hole in heart as told by famous doctor after many consultations, as per the doctor suggestions it has to be operated.what might be the cost of operation in bangalore ? and is it right age to operate on 4 year old boy ?.. Doctor: Hi, cost of operation would be around 6 lakhs, and this is the appropriate age to do surgery. In my opinion, you should go for surgery. I hope this has helped you. Wishing your child good health. Take care. | 171,361 |
Pain in the head, confusion and ear pressure. Reason? | Patient: hi ive been having pains in my head on and off for about ten years.Its like someone is sqezzing my brain.Sometimes i get mild confusion with them.Something as simple as swallowing can bring it on.ive had brain scans but everythings fine. Sometimes the pain moves around.it last for a week.When it starts its very severe and when it goes away its like something has is being drained from my brain.I have also noticed when its gone i have terrable inner ear pressure .I also have tinnitus dont know if their linked. Doctor: Hi,Thank you for posting your query.The symptoms are suggestive of migraine.Since you have frequent episodes, it may be better to start preventive medications, such as beta blockers, topiramate or divalproex.For relief of symptoms, you may take diclofenac or ibuprofen tablets.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected] | 150,085 |
Is tetanus injection required after a rusty nail injury? | Patient: Hi, i'm 19 155 lbs. And 5'9, and today I scratched my hand on a rusty nail, the scratch BARELY bled. Not enough to run down my hand, and the spot that actually bled was VERY small, I went inside and washed it out with hand soap. should I need a tetanus shot? Doctor: HiWelcome to HCM.I appreciate your concern for the rusty nail injury.A puncture wound doesn't usually cause excessive bleeding. Often the wound seems to close almost instantly. But this doesn't mean treatment isn't necessary. The rusty nail injury you sustained can be dangerous because of the risk of tetanus infection.If you have't had a tetanus shot in the past five years you need to take a booster dose of Injection Tetanus toxoid within 48 hours of the injury.Hope this answers your query. | 33,541 |
What causes lumps on the testicles? | Patient: Hi. I noticed a little lump on my testicle about 5 mm in diameter about 5 weeks ago. It is raised but not painful and hasnt changed much in size since. 2 days ago i developed a lump on the crease between my leg and anus and scrotum. It is about 3 cm long and 1 cm wide. It is raised, under the skin, hard, red and slightly painful. Should i go see a doctor? Doctor: Hi,Dear,Thanks for the query to HCM .I studied your query in depth.I feel concerned about it.In my opinion you are suffering from-Furuncle / folliculitis of scrotal skin.I would advise to go to ER doctor to avoid further risks.Hope this would solve your query.Please contact again and I would love to attend your queries promptly.Have a good time. | 64,743 |
What could severe lower abdominal pain, with nausea indicate? | Patient: My boyfriend has had a searing pain in his left lower abdomen for over 5 years. Some days it's minor burning and other days it's intense and nauseating. He's been to several doctors, had dozens of tests including x-rays, ct scans, ultrasounds and colonoscopies, He had a hernia repair in that area and the surgeon looked around and found nothing. After the surgery, everything went back to the same symptoms. He is frustrated and doesn't know what to do next. Got any suggestions? Doctor: Hi.Thanks for your query.Read the history about your boyfriend, surgery of hernia not giving relief to the searing pain in the left power abdomen; CT Colonoscopy and all tests are negative. This makes me think differently:He may have IBS- Irritable bowel syndrome, or some Sensory problem related to the spine, intervertebral disc syndrome or so on. Get an opinion of a Gastroenterologist to discuss about these points and get started on empirical treatments. Also advisable is a second opinion of a Neurologist and MRI if the spine, Intravenous pyelography to see any ureteric problems . | 87,202 |
Could raised, infected, bruised and hard vein on thigh just be superficial blood clot? | Patient: I hit my thigh very hard on the edge of a metal piece on a trailer. Did not pierce skin but was excruciating. A few days later the whole greater saphanus vein became infected, raised, bruised and hard. I have since been to ER and found it was superficial blood clot. I m jut wondering why it s raised and hard and why it still hurts after almost 2 weeks. I elevate regularly and use heat pad. I m on 500mg naproxen. Any info you can supply would be very appreciated Doctor: Dear patient Where is the swelling? If it's lying on outer aspect of thigh it's not great saphenous vein as it is deep and lies on inner aspect of thigh. So first of all we have to confirm diagnosis. I would like to advise ultrasound and venous doppler of your thigh to confirm diagnosis. If it's superficial blood clot only it will take time to disappear. Even if it's thrombophlebitis of superficial vein swelling may persist for months. Visit radiology center nearby you and get it done. You need to consult vascular surgeon with report. All the best. | 138,607 |
What causes numbness on the lip and chin after having novocaine for dental work? | Patient: I had dental work done day before yesterday on my bottom back left tooth. The novocaine wore off as is normal. Then yesterday after noon my lip starting feeling strange as though the novocaine was kicking in again. Today and all of yesterday my lip and chin is numb and tingling. What happened? Doctor: Hi,Suggestive of Novocaine induced neurotoxicity. Based on the history you seem to be suffering from perioral numbness apparently caused by the local anesthetic Novocaine.I advise you to apply a warm compress to help increase blood flow to the affected area, gently massage the affected area, always wash your hands before and after massaging and rinse your mouth with warm salt water.If symptoms persist then a follow up visit is recommended to rule out nerve damage or an abscess.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | 84,045 |
What is the soreness and painful socket after teeth extraction? | Patient: Hello, I got my 2 bottom wisdom tooth taken out about 3 and a half days ago. My left side is just sore but my right has a slight pain. I've kind of been using my tounge to just feel the hole but not using it to go deep in the hole. Also my right side hole is bigger than the right and it's bleeding lightweight. Do you think I have a dry socket? P.S. I smoked but I was careful and did it out of my nose instead. Doctor: Thank you for your query,Complete healing of extraction socket takes about 3-4 weeks to completely heal. Please do not disturb your socket when it is healing. The extraction is just like a wound in your body and if you keep disturbing the wound it will not heal, same way let the socket heal natural way, by feeling the hole you are disturbing the clot formation and subsequent healing.Dry socket is usually formed when the clot formation is disturbed which leads to pain, soreness and foul smell in the mouth. P.S. During smoking also when you inhale the smoke it reduces the moisture content in the mouth which may lead to dry socket. | 183,379 |
What could cause restricted head movement? | Patient: Hello, at the end of last week I woke unable to move my head. With my hands I had to lift my head from my pillow. I guessed a nerve was trapped and visited my GP that morning. He prescribed Ibuprofen, Co-Codomol and Diazepan. I took them for approximately 36 hours until nerve released. 5 days on and my neck is still stiff, my back aches I feel completely tense, every bone aches (went shopping with inconsiderate friend yesterday), However, 2 weeks ago my neck began to feel stiff and my breathing slightly difficult prior to this. My neck, I concluded, is the result of using the telephone at work incorrectly. I have rested and slept as much as I can and now avoiding demanding inconsiderate friends. Please, what can I do that does not involve taking medication? Doctor: Hello, It could be a cervical spine related problem. As a first line management, you can take analgesics like Paracetamol or Aceclofenac for pain relief. If symptoms persist you can consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | 124,761 |
Can severe back pain cause diarrhea? | Patient: I m having a lot of low back pain and leg pain so badly that I am having trouble sleeping. It comes and goes so I assume it is just normal aging back pain or a herniated disk. But now a new seemly unrelated system has developed. I have diareha for the last five days. I started tthiking the two are related. what do you think? should I be concerned? Doctor: diarrhea is usually not related to back ache ... treat the diarrhea and back ache separately! but sometimes severe diarrhea can lead to back ache due to excessive straining or explosive diarrhea! | 107,102 |
Suggest medication that can be taken with Percocet | Patient: I m a 68 year old farmer with lots of arthritis. Already had a TKR, have OA in both ankles, other knee getting shaky, bursitis in both hips, carpal tunnel both wrists, OA both hands, and need a new shoulder joint. During rehab for my TKR they also showed me exercises to help my shoulder, and it helped a lot. Only thing is at night the pain can be pretty severe, but okay during day. My othro DR. was giving me Tranadol plus Percocet.. Gov. Wolfe (Pa) passed a new tough drug law because of opioid mess. So my Dr. on last visit cut me off from not only Percocet but Tramadol too,and tells me just to start taking OTC drugs. I have been a patient at Ortho since 2013, and all of a sudden, despite knowing my history, just abruptly did this and said go to my GP for drugs, great specialist not helping me... I would take one 50 Tram twice a day, and never more than a 1/4-1/2 of a 5MG Percocet, only twice did a take a whole tab out of a 50 count script. The combo worked and let me sleep. The Dr. was such a jerk, last visit he only gave me Tram and said no Perc, just double the Tram. Then when I called for refill of Tram he said no more just the OTC. I m not a doctor shopper nor an addict, just a worn out farmer looking for pain relief. I ve read that 90 million people take Oxy, most must have real pain and not be druggies. So , the big question is what to sub for Percocet??? I just want to work a couple of more years then retire. The meds made this possible, now I feel like I m being punished for always following directions and using these drugs properly. As my GP said, a lot of cut off people will probably seek out illegal drugs like opium! Sounds like a great plan for harming a lot of innocent people! What do you think, and what non-opioid combo would be a effective? Thanks for advice Doctor: Hi, Without an exam, I can only give general information. Frankly with wear and tear, the opiates aren't all that great and aspirin like drugs are about equally effective and equally dangerous in different ways. Celebrex has some strength advantages but people vary a lot and Naproxen and ibuprofen and regular aspirin (but you need to push the dose on the Ibuprofen) are all sometimes the best. If it's really bad there's pain management and frankly, addiction treatment centers although that has loads of problems. Yes, people going onto the street is the "third wave" of the epidemic. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | 215,299 |
What can cause tremors in the hands during physical activities? | Patient: I have a problem with my hands shaking all the time and it is uncontrollable. they worsen when I am very emotional or when I do any physical activities. it has made me very self-conscious when I am around other people. I need some advice on where I should start and what possible steps to take in finding out what the problem is. Thank you so much for your time and any information or advice you can give me. Doctor: Hello, Nervous sweating is a very common problem and it takes some courage to overcome it. 1. You need to be positive and don't think of anything or negative results when you talk to somebody. 2. Take psychiatric help- there is no harm since some medicines are available which can help. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Gopal Goel, Orthopaedic Surgeon | 125,913 |
What causes tingling sensation in head and arms? | Patient: The anti inflammatory or analgesics have not worked so I am at a loss as to know what to do. Since about last April I have been getting splinter like electric shock feelings in my head from the left side of the cranium to just behind the left eye. This is closely followed or sometimes comes together with electric shock spasm feelings on upper or lower right arm. What can this be please? I have MS and had an MRI scan done last August which revealed two lesions on the brain stem. I would dearly like to fly out to the States to see my 89 year old stepmother who s health is beginning to fail badly. Would the air pressure in a plane affect the MS or lesions? Doctor: Hello dear, I have gone through your question and understand your concerns As you have multiple sclerosis diagnosed and have brainstem lesions, the current like sensation over face and limb may be explained by tract involvement. You can travel by airplane. The precipitation of ms symptoms usually occurs in hot exposure. Rest precautions and treatment to be continued as advised by your treating doctor. Hope you recover early. Wishing you good health. Regards Dr Neeraj Kumar Neurologist | 144,951 |
Is Duloxetine safe instead of Gralise for nephropathy in the foot? | Patient: I am currently taking Gralise 1800 mg nightly before bed to help with Neuropathy in my foot caused by nerve damage from an injury. My new doctor wants to switch me to Duloxentine 30mg. I have read the side effects and am a little anxious to start it. I am to take this along with my Gralise until this has time to get into my system(1 month). Should I take this at night along with the Gralise? It just says to take once a day Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.The interaction risk of these 2 drugs is moderate that means not high but also not low. If you take these 2 drugs at the same time then you have increased risk of side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. In order to decrease the chance of these side effects, I suggest you take the pills at different times.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Edvin Selmani | 129,432 |
Can ejaculating on panties cause pregnancy? | Patient: my boyfriend and I were essentially having sex, however we didn't have a condom so I kept on my underwear. My only concern is that they were very thin sheer fabric and he ejaculated while in me. Later he fingered me and may have had cum on his hand at point. I am very worried but woke up the next morning with my period. Should I take plan B? Doctor: Hello dear,I understand your concern.In my opinion there is no chance of pregnancy as you got the period.The intercourse was done the day before period which is a safe period.And once the period occurs the chance of pregnancy for that cycle becomes nil.So there is no need of any plan B.There is no chance of pregnancy unless a unprotected sex is done in unsafe period of next cycle.So relax.Practice safe sex with condom.Best regards... | 221,645 |
What does this MRI report indicate? | Patient: My MRI of the lumbar area showed 2 disc bulges. One between the L4-L5 and another between the L5 and S1. Also mentioned was disc desiccation from the T12-L4 levels. I don t know what this means. ALso mentioned was mild facet arthrosis from the L4-S1. What does this mean? I am 30 years old female. THanks. Doctor: Hello, The radiologist's interpretation is that your spine is showing some minimal initial signs of an osteoarthritic process. Nothing to worry about because actually, disc bulges can be found in up to 40% of MRI's of spines for which NO COMPLAINTS at all are present. I'm assuming you got this scan because you have some back pain. Disc bulges can possibly contribute to pain symptoms but it depends on what those symptoms are and what the neurological exam shows. DESSICATION simply refers to a "drying out effect" which will happen as you get into your 30's, 40's and beyond. So again, normal process of aging on the spinal column and its components. Facet arthrosis is another way of saying that you have a little "wear and tear" on the connections between the vertebral bodies of L4, L5, and S1. Again, mildly arthritic types of changes. This MRI does not demonstrate anything to worry about. With this type of picture I would likely recommend back exercises to strengthen muscle columns, encourage stretching movements (yoga, ROMWOD's, static stretching), and I wouldn't take anything more than an OCCASIONAL Tylenol for pain after a workout or other physical labor if the back is hurting. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist | 140,099 |
How to improve mental stability? | Patient: Hello Doctor, I am Roma, 23, single and working. I come from a gujarathi family but born and brought up in Maharashtra. I am writing to you to seek help for my brother and parents. My brother and parents are having a strained relationship. Brother is 31, married and works in US. Parents (mom aged 55 and dad aged 59) stay in Dhule, Maharahtra. Dad is a physician (M.D., M.R.C.P.) and mom is a housewife. Brother has developed a feeling since childhood that no matter what he does, his parents are never happy with his achievements and they donot love him. He says that they have always pointed out only the negatives in him and never ever appreciated any of his poistives. He recalls many trivial incidents from his schoollife to graduation to current, wherein he thinks his parents never appreciated his success. Also he feels that MomDad try to micro-manage things ( as they want every small thing to happen as they want only) and donot appreciate independent thinking. (Though I know that mom dad have always been very proud of his achievements. It s just that their way of expression was way different from what brother expected). After his marraige, there have difference between his wife and parents. Parents feel that their son should take their side. But brother does not feel that right. Mom Dad are of a very traditional outlook. And this might be also because of the kind of society thet live in. They think they are always right. They think that after going to US and after marraige, their son has changed a lot. They think that their son is arrogant and not matured to the level expected. So now the case is Mom Dad are sad that their only son is being good to them inspite of they having been do so much for him all life. And brother is sad because he feels his parents have never been happy with him inspite of all his efforts and he is now frustated by their behavior/expectations. The situation is not at all good for a healthy family. I know i should not interfere in these conflicts as that would just tear me apart. But having know both the sides, feel a moral responsibilty to try to solve situations. Though they always all tell me not to worry about these things. Hence i want you to help them sort out things.Can u help here? The problem is brother is here for diwali right now and is going back to US on 10th of this month. So there is not much time. Would it be possible for you to have some phone-discussions and email conversations with all of them individually or on conference call? thanks Roma Doctor: Hello roma,I agree that you face a very difficult situation within your family. Just to make the environment better, your parents as well your brother has to make efforts. Your parents should understand that their son is a grown uo now and has the capacity to take independent decisions. So they should try and not judge or interfere with him.On the other hand, your brother should also take pride in that his parents have worked for his success in life. They are his responsibility and he must work for their happiness.Hope the situation gets better.I would be pleased to help you further if i can in any way.Thanks. | 206,982 |
Suggest remedy for inflammation of skin on the nose | Patient: I have an issue with the area of and around the nose. about 2 months ago, the skin on my nose started to become irritated & skin peeled off. About the time it would heal, the whole peeling process will start over again & again. I visited a local doctor who prescribed 1% chormotrizine cream. This did nothing towards healing this problem. My eyes are swollen & the skin on my nose, & around my nose is a bright red [inflamed] I have tried triple antibiotic cream, Neosporin & Equate antibacterial cream with no relief. Any help would be appreciated. David Smith Doctor: Hi, Does your cream contain a steroid? Creams containing steroids, if applied for longer period (more than 3 weeks) can damage the skin. So, please stop any over the counter cream. Other causes are bacterial or viral infection or an allergic reaction. I recommend you to visit your Dermatologist to arrive at a proper diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian | 13,814 |
What caused the high heart rate and high blood pressure? | Patient: last nite my heart rate shot up to 97 my bp went up to 159 over 109 I have had a valve replacement and stents put in my heart. I know I was in a full blowin panic attack after it got started but up till now ive been able to keep them at bay with thearpy. after awhile maybe 30 minutes things returned to near normal except for bp. I take meds for arithmias and high blood pressure. I was just watching tv but had a day full of hard work physical type. why did things hit so fast this time? Doctor: Hello .. As you are already valve replacement patient so u are prone for arrhythmia... Heart chamber size increases which also increase arrhythmia... are you on anticoagulant??? If you are having atrial fibrillation???Occasionally increase in heart rate is common ... But if frequent episodes then we can go for holter... more control of heart rate can be done with medication... Need to do echo for any heart leakage and working of valve... Good control of blood pressure is helpful... | 24,333 |
What are the symptoms and treatment for bipolar disorder and schizophrenia? | Patient: Question : Sir,i got 20 years old son studying in university, having problem since last more than 3 years. Having symptoms of bipolar and schizophrenia. Sleeping irregularly. irritated for small things. getting anger on criticism,spending continuously toilet & bathroom 3 to 4 hours.He is not associate with society and having no friends.always like to remain alone.Always trying to avoid the social gathering. Almost very slow in all activities like taking long time to wash the hand even eating the food lunch and dinner.He is having very abnormal life style.Always looking confused in all activities. and always avoiding to visit doctor for check up. please advise me urgently. Thanks. Doctor: hello user, i understand your concern. the symptoms that you have told indicate about abnormal behaviour but detailed evaluation is needed before putting a diagnosis ahead - as you mentioned that he is having symptoms of bipolar and schizophrenia ( however it needs detailed evaluation by professional ,as symptoms lists can be deceptive and overlapping . one more thing that taking bath for long , slowness in activities can also be part of obsessive compulsive disorder . all and all now a formal diagnostic evaluation is needed by a psychiatrist and you have to pursue your son for that - you can take help of any of his batchmate or relative like cousins , whoever is close to him - tell him that you are suggesting for his own good and that doctors can help . if he still refuses and persist to have abnormal behaviour you can take help of local mental health authorities , who will decide his suitability for involuntary admission and treatment as per the local law. take care | 205,534 |
Suggest treatment for a lump under skin after taking an injection | Patient: i injected myself in the side on my leg with 1.5ml of tesrosterone propinate 250mg (steroids) 5 days ago. after the injection there was a small lump and minor bruising at the injection sight. now there is a lump under my skin approximately the size of a golf ball. it dosent hurt and has not effected the proformance of my leg. Doctor: It seems that you wanted an intramuscular injection and ended up giving yourself a subcutaneous shot which has caused the drug to collect below the skin . This is because of slow absorption in subcutaneous tissue. Now it'll take time to get absorbed. But if the area turns red and tender or you develop fever then these are symptoms of abscess which will require drainage so keep a watch and if redness or tenderness appears , go see a doctor. | 62,562 |
Suggest treatment for hair loss and premature greying of hair | Patient: i'm 23 year old working man height 5 7" weight 60.... I 'm staying away from my home.... not gettin good quality food.. i'm facing problem of hair loss and hair greying.. is it possible to revert hair loss and hair greying???? should i go for vitamin suppliments??? Doctor: Hi, I would recommend you to take hair supplements like tablet Follihair and apply hair growth serum like Anaboom Anti Hair fall serum. You need to continue this to see significant results. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist | 10,064 |
Suggest remedy for cough with sputum | Patient: Sir my age is 42 years and weight is 83 kgs. I have no specific disease. I have productive cough for the last 3 months. x-ray of chest showed no active pathology in the lungs. sputum comes out often after getting meal or taking tea. wha the cause may and remedy please Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. You are having chronic cough (cough for more than 2 weeks) and phlegm (sputum). Common causes for these are lung infection and bronchitis. Since your chest x ray is normal, no need to worry for lung infection. So we should rule out bronchitis in your case. So Consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PFT (pulmonary function test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids. Don't worry, you will be alright with all these. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 76,063 |
Pain in the upper abdomen and nausea after alcohol consumption. What to do? | Patient: Hello, I went out drinking with my husband friday night and woke up saturday morning with a dull pain that turned into a stabbing pain in my upper abdomen , that would come and go throughout the day. I had to sleep on my stomach saturday night, because laying on my back made the pain much worse. Sunday morning I awoke and the pain was still bothering me and became much worse. Again, last night I had to lay on my stomach to go to sleep. I awoke this morning and the pain isn t the same, it s now turned into a dull achy pain. I ve also been very nauseous the entire time as well. Doctor: hi, The symptoms you are reffering to suggests a possibility of alcohol related gastritis which should get better with time and abstinence from alcohol.Also some antacids will help.Milk is also an alternative.however its also advisable for you to get a ultrasonography done to rule out a biliary pathology. All the best,Tc | 94,688 |
Suggest treatment for numbness and pain in hands | Patient: hi my name is fatima, i m 36.from the last 10 year i m having pain in my both the hands, from finger to wrist.and 24 hours numness in both hands. i cant hold a niddle also..as i hold niddle or a pen my numness starts,,,and also pains.plz suggest me wt i should do... Doctor: hithis pain & numbness can be due to various reasons like deficiency of calcium, peripheral neuropathy, electrolyte imbalance,variations in thyroid & sugar levels. or nervous weaknessplease check out for all the above said conditionsall the best, take care | 217,460 |
How to determine whether my 6 month s old s fontanelle is pushed? | Patient: I m worried that last night, while taking my 6 month old s shirt off, my thumb accidentally pushed on the fontanelle slightly. The baby isn t showing any signs of swelling or fever but has been cranky since last night. I m just worried I may have done some damage, even though I didn t push hard. Help...? Doctor: there is no reason to worry, damage to fontanelles need a serious trauma.. observe the area of his head only, if you find a swelling or redness then go to a doctor | 167,313 |
Does paleo diet cause elevated blood pressure levels? | Patient: I just took my blood pressure and it was really bad 131 over 81. I m a 52 year old woman. I work out 4x a week. I ve been on a paleo diet off 4 days on and average 3 days off every week. Could the diet be causing the high blood pressure? I don t have bacon, if that s what you re thinking. Mostly an egg with cheese for breakfast, salad with chicken at lunch and meat, 2 veggies and salad for dinner with a glass of wine...help! Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After going through medical query, I understand your concern and I would like to tell you that your blood pressure is pretty fine and not high. Blood pressure under 140/90 is good and paleo diet is a healthy diet. Carry on with this. Hope I have answered your query. Let me know if I can assist you further. Kind Regards, Dr. Bhanu Partap | 18,573 |
What is the percentage of curing heart troubles? | Patient: Hi doctors, i have a little bit questions in fact, i have a 22 years old cousin, diagnosed with hodgkin’s lymphoma,4th stage, and inflammation of the heart tissue & the heart valve, he’s taking his chemotherapy, my questions are: what is the percentage of curing since he have these heart troubles? secondly, he has been diagnosed with high potassium percentage in blood, is there specific foods can be harmful to him? ( we know about diary products and bananas, but he ate spinach and endives today so is it bad?) and my third question, he’s having a strange ammount of blisters in different sizes in his face ( and that’s from about 4 years) is this a sign of HIV?? its increasing very quickly these days and spreading along his face please i need to have answers because we want to help him as much as we can and to take care of him... thank you in advance Doctor: Hello,If you are a friend or a cousin has heart problems, and has Hodgkin's disease usually they are not related, and I cannot tell you the treatment for heart troubles unless you tell me the exact diagnosis. Some inflammation in the heart can be cured by treating Hodgkin's disease which is curable by radiation therapy.High potassium is a temporary condition and should be treated when it is present, but if it is a constant problem, you should look into checking your kidney problems, and also if you want to have a low potassium diet it should be avoiding tomatoes, and oranges banana and even apples.Pimples may be related to HIV if you have the diagnosis first you have to have the diagnosis established by your physician if you do not have HIV, then it can be either skin infections. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Amrit Singh | 20,498 |
What causes pain in right abdomen with pressure in anus? | Patient: hi I have severe pain in my right abdomen from the belly button over across my abdomen into my side it doesn't hurt as much when I sit still but it makes it almost impossible to walk as well as some pressure in the anal area I'm also running a fever of 101 it all came on suddenly last night I'm not sure what exactly it is if you could give me any ideas I'd appreciate it thank you Doctor: Hi.Thanks for your query.The most probable cause of pain in the right side of the abdomen along with pressure in the anus and now fever can be an intestinal infection; Enterocolitis.I would advise you the following:Get a 5-day course of an antibiotic and metronidazole. See the responseGet ultrasonography and tests of the stool , urine and blood done and get the further treatment as per the reports. | 86,755 |
What causes lumps on injured knee? | Patient: I injured my knee 2 months ago when a board with a rusty nail hit it and punctured the skin. I believe the nail hit the bone as well. It swelled up for one day but after that it went down and was fine. Today, after 2 months, I just noticed that a small (big knuckle sized) lump has developed in the same location. What would cause this lump to appear after 2 months? Doctor: hi.based from your description, it could be a fibrous tissue formation on the previous site of injury. it is similar to scar formation, only coming from the inside. it is best if you consult with a doctor, preferably a general or an orthopedic surgeon, for clinical evaluation. other tumor types must also be ruled-out. diagnostics (such as imaging and tissue biopsy) and management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye | 61,860 |
What causes bumps on leg and arms? | Patient: I am a 25 year old female..I don't smoke, exercise regular and eat pretty healthy also. I keep having small patches of chill bumps come up on my body. At first it was only on my right leg, but now it's it happens on my left leg and both arms. Can you please tell me why this may be occurring? Doctor: As per Ayurveda this us because of vitiation of Pitta and Kapha humors. In modern context it could be said allergy.To treat is and uproot, no drug is required. You may settle it at home by taking Turmeric powder + Neem leaves powder in 1:2 ratio and add Sugarcandy powder if not diabetic. 1 tsp of this mixture twice a day with water will see you addressing it almost in a week. For convenience , however, Cap Haridra ( its turmeric) and Cap Neem of Himalaya co. may be used. Sugarcandy separately.There is one more option in classical Ayurveda called Haridra Khand. This is a coarse powder capable of improving this allergy. But its traditional and little smelly and unpalatable a bit. But very effective. I prefer it for my patients.Hope you get relief. | 98,917 |
Suggest remedy for pain and swelling in thumb due to injury | Patient: Hi, my toddler daughter accidentally stepped on my 5yr old s thumb and it is now swollen and painful. It s now the morning after and we ve given him Calpol (paediatric paracetamol) again as he s still in pain and swelling hasn t gone down. The skin just above his thumb nail bed is peeling in tiny strips (he usually has this) which may be making the pain worse. Do I take my son to the doctor is is there something I can do at home? Many thanks Doctor: Is your son unable to move the thumb? Is there any specific point where it seems to be exquisitely painful, is the swelling getting worse, is the thumb cold, does it have poor circulation, is there a new break in the skin? If any of these are true he should be examined. | 178,751 |
What causes pain in upper back on the side after an injury? | Patient: Hi. Im a 23 year old white male. Im about 6'2" and 190 lbs athletic build. I fell about a week ago and landed on my right side/back. The right side of my back was bruised for awhile, but is almost gone. it still hurts a little. It hurts a lot when i sleep because i tend to sleep on my side. Might my rib be broken, if so what can i do to help Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.Possibility of musculoskeletal pain due to fall is more likely.Even if it is rib fracture, treatment remains same.So follow these steps for better symptomatic relief.1. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain.2. Avoid sudden jerky movements of chest. 3. Wear rib belt.4. Apply warm water pad and ice packs alternatively.5. Take painkiller and muscle relaxant drugs.You will mostly improve with all these in 1-2 weeks.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 73,688 |
Suggest treatment for pain during urination and fever | Patient: My father is 82 years old and in good health. Yesterday he had a fever (101) and experienced burning pain while urinating. He went to the ER and they stared giving him antibiotics via an IV. It's been 24 hours and his fever continues (101.7). He said he feels terrible. They just ordered an ultrasound of his bladder, kidneys and prostrate. What could the problem be? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your father might be suffering from urinary tract infection. Urinary tract infections are very common in elderly males due to bening prostatic hypertrophy which causes urinary tract obstruction which leads to stasis of urine in bladder and urine is excellent media for bacteria to grow. I would advise you to get his urine complete examination done along with ultrasound kidney ureter bladder and prostate. In the meanwhile keep him on oral antibiotics preferably from quinolone group. Thanks | 195,478 |
Should I be concerned with pinching pain from black spots on stomach? | Patient: hi , dr prasad . i have a question for u . i have some black spot on left portion os stomach . it does nt pain or anything . but sometime i feel like somebody just pinch me with a pin ,thts it . is there any thing tht i should be worried abt thnks Doctor: HI.Thanks for your query and an elucidate history.The lack spot on the abdomen on the left side with the feeling of pinching with a pin is suggestive of some sort of dermatitis.If this is long standing Melanoma has to be ruled out. I would request to consult a dermatologist for a diagnosis and treatment , and if said so you have to go for an excision biopsy for confirmation that this is not a Melanoma- Cancer can cause too much problem hence it is required to get a proper diagnosis . | 88,065 |
Is getting colon resection for carcinoid tumor ideal? | Patient: dr. my sister just had a right colon resection for a carcinoid tumor i april 2011 at the time she had 2 spots on the liver that were biopsied.had a ct scan 6 monthes later and has 3 areas onthe liver.she then had an ostreotide test done and just got results = 1 of the lesions is positive for carcinoid it is 1cm.What is your best recommendation now? i would appreciate you advise,thank you. Doctor: Thanks for your question on HCM. I can understand your situation and problem. But carcinoid tumours are very notorious in spread and recurrence. And liver metastases are very common.The treatment of isolated liver metastasis is surgical removal. It is known as metastesectomy.In this enblock resection of nodule with negative margin is done.So better to consult oncosurgeon first. And discuss all these. | 155,395 |
Had gall bladder removed previously. Having pain behind left breast at the back. Usually after meal. What could this be? | Patient: I have pain in my upper left side, behind left breast, in back around colon area. I belch a lot and pain usually comes after a meal. I have had all cardiology workup so the problem is not heart related. I had gallbladder removal about 11 years ago. I take nexium for acid reflux.Any suggestions as to what this may be? Doctor: Hi and welcome to HCM,thank you for your query.most common cases are stomach disorders such as gastritis or gerd but it may indicate pancreatic disorder as well so you need to rule this out too. So i suggest to do gastrosocpy and ct scan of abdomen first and then you can plan further tests if necessary.till that try to change your diatary habits first and see will it help.Wish you good health. Regards. | 58,268 |
Suffering with melasma, pigmentation, temporary relief with melacare. Permanent remedy? | Patient: hi, i am male 28yrs, i am suffering from like melasma and pigmentation (blackness like butterfly around side of nose ) doctor gave me melacare cream to apply, after a few days it was cured but the problem is when i stopped it comes again, so i was applying once in a 2 days from 5 years i want permanent cure for this what should i do...please help me Doctor: HI THANKS FOR CHOOSING HCM melacare cream contains hydroquinone,that help in improving the complexion,by peeling the outer layer of skin and bleaching exposing sensitive layer underneath it this cream may make your skin dry do use a moisturiser use a sunscreen lotion when you go into sun use this cream only at night not encouraged when you have pimples apply mild soap it is better to avoid such creams ,the benefits are temporary try to go for natural remedy like neem or tulsi paste try to rule out other reasons of melasma in men like hormone imbalances, family history application of mustard oil on face exposure to sun certain medications etc Do not use products such as soap, after shave or lotions that irritate your skin, because they may cause the melasma to worsen. After the melasma clears up, continue wearing sunscreen to help prevent it from reoccurring. HOPE I ANSWERED YOUR QUERY FEEL FREE TO CONTACT ME FOR FURTHER QUERIES THANK YOU | 11,916 |
What could be the slowly growing bump on head? | Patient: I have a small bump on my head. I have had it for a few years now and when I first noticed it it was about a fourth of a inch now it s been about 3 yrs and it s about a inch in diameter. It s not painful but it s slowly growing. Do I need to get it checked out since i ve had it for so long or is it something I don t need to worry about. I mean I have been putting it off for so long i don t want it to grow anymore but i m nervous of what it could be Doctor: Hi ! Good morning. I am Dr Shareef answering your query.From your history, it does not seem to be something to be scared about. In any case, if I would have been your family physician, I would have referred you to a general surgeon for a clinical examination followed by a FNAC and an excision biopsy if considered appropriate by him for a definitive diagnosis. Further management if any would depend on the reports of investigations of all these tests.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | 70,211 |
What is causing the pain in my right rear? | Patient: Pain from my right rear from what I was told is my sciatic area.I have degenretive disk, desease as well stenosis of the spine. I don t believe the pain is from the the spine alone, I have so much pain trying to get out of bed or up from a chair, and puting any weight on my right leg. help! Doctor: Welcome to health care magic. Going through your query you are unable to put weight on your rt leg so one should exclude rt hip fracture . so get xay rt hip joint AP and LATERAL VIEW to exclude it. Another cause can be compressive neuropathy due to stenosis leading to weakness of limb and unable to put weight. This is confirmed by MRI OF SPINE.Hope it will be helpful. | 110,342 |
Is it safe to drink alcohol after recovered from jaundice? | Patient: I'm 20 yrs old and weigh 68 kgs, I'm down with jaundice and am still to know its cause.I wanted to know how severe it is because i feel alright, nut only have a heavy feeling in my stomach. No extreme fatigue nor fever. Also i have a few dinner meets and parties in the month of august. Is it safe to drink after a month of recovery? Doctor: Assalamo alaikum.Thank you for posting query at HCM.insufficient data.cause of hepatitis / jaundice not mentioned.Alcohol should be strictly avoided if your Liver enzymes (ALT; AST) are 2 to 3 times the upper limit (means>100). its better to let your liver enzymes return to normal and then you may continue drink once in a while.however, better to avoid alcohol.your also adviced ingest green vegetables, fruits daily.avoid junk food and cold drinks. if any further questions, feel free to ask.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik | 54,374 |
What are the remedies of rash all over body in 10 year old child ? | Patient: My 10 year old daughter has been sick with strep, ear infection and sinus infection. She was first given Zithromax, but when she went back and was diagnosed with ear infection and sinus infection, she was given Omnicef, Phenegren and a steroid. In the last few days she has developed a rash all over. At first it itched, but now she said it hurts. You can't see the rash very well. I took her to Doctor: It may be part of her infection or a drug rash. She will need an anti-allergic medicine. Phenergan is also an anti allergic, so the dose may need to be revised by your doctor. Stopping all other medications may need to be considered, for which you must consult your doctor. | 174,854 |
Suggest treatment for kidney stone | Patient: Hi, Doc, I am 23 years old. I have a stone which is 9mm in my right kidney. it is in upper part of my kidney. I took mother tincture medicine. Now the stone fall down from kidney. I had an X-ray, and minimal water was seen inside kidney. It is very painful. I need your help Dr. what is your prescription. Thanks in advance Doctor: stone fell diwn from kidney and little water in kidney and intense pain...all this us that your stone is in ureter and there is hydronephrosis ...now if stone is in lower part of ureter ..it may be pulled down and your problem will decrease ...but first go to general physician and get ultrasound done then stone location will be known ...it is surgical emergency .donot ignore | 46,021 |
What causes empty sella syndrome? | Patient: I have Empty Sellca Syndrome ,and I weight 280 , to much for a 5 2 frame. I have had 4 brain surgeries. 2 Nasopharx. 1 Microdcompersion which I had a Brain stroke during the surgery, On the brain stem. 1 Gama knife surgery. I am still in extreme pain . I have NF1 also . I am 53. back in Jan I had a mild heart attack. Can I every lose weight. I try but can t. I now have a heria. Doctor: Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query.Empty sella syndrome is atrophy or compression of pituitary gland.As this syndrome is common in obese females(as mentioned above that your weight is 280)...i would like to advice you kindly get regular exercise and consult your nearby Endocrinologist.Hope this may help you. Let me know if anything not clear. Thanks. | 144,275 |
Having delayed periods, headaches, nipple tenderness, nausea, heartburn after having intercourse during ovulation period. HPT negative. When to test again? | Patient: Hi, My menstrual cycle is normally 26 days and we are trying to get pregnant. My period is two days late and I've had headaches, nipple tenderness, minor nausea and constant heartburn. I've tested the last two mornings and have gotten negative results. What can I take for the heartburn and when should I test again? We were sexually active 18 days ago around the ovulation window. Doctor: Hi.Your heart burn can also be due to anxiety. Don't worry.Since you want pregnancy,wait for 1 week and get a TVS (internal scan) done to confirmthe things.For the time being take some antacid liquid and don't eat spicy.For headache, Paracetamol is safe.Good Luck. Thanks. | 4,568 |
What causes bulging up of veins on forehead and mouth foaming? | Patient: My mother in law had a laprasopic knee surgery a few months ago. Last Friday she wanted her asthma pump but it could not be found. She wanted her abruteral machine on but we did not have any medicine for it. Her veins on her forehead started to pop out. She started foaming at the mouth. We called the ambulance and rushed her to the hospital. As they was about to go take her down for a cat-scan, her heart stopped. What caused it? I thought it could have been a blood clot. Doctor: hai,thanks for using HCM.She has had an acute attack of asthma or exacerbation,which when not taken timely action has various complications related to the lungs & the heart.this can cause raised pulmonary arterial pressures with reciprocation changes in the mean arterial pressures,co2 variations & intra cranial pressures.this frothy discharge is due to pulmonary oedemalaparoscopic surgery few months ago may not be related to the present problem.the other cause can be due to pulmonary embolism,or any thrombi/clot in the coronary vessels due to the displacement of the emboli,or if she had a post operative deep vein thrombosistake care | 100,527 |
What causes dizziness, lower heart rate and sweaty palms? | Patient: i am 45 and recently i feel dizzy, accompanied with sweaty palms, a sudden need for a bm and low heart rate. every one thinks it is my anemia . i don't think so.My hemoglobin is 9.5. My doctor has ran some tests and all were fine to include tyroid. l weigh 185 and i am 5'7. Doctor: Hi,Vasovagal synchope has no association with increased heart rate. Increase in heart rate during stress & exertion is normal. But during episode of such palpitation & pounding get a ECG done.ThanksDr Sameer Maheshwari | 23,208 |
What causes pain on lower right side of abdomen? | Patient: hiI have been having pains on the right side of my lower abdomen.gone to hospital 2ce and treatted of an infection ,but the pains are still reoccouring.i feel pain when i press the area and also after intercourse.i have one child 2 yrs tht i got thro c section.28years of age and about 5.5 cm tall.what coud be the problem? Doctor: Hi Thanks for posting your query. Depending on the site of pain I think you might be having either Appendicitis or Pelvic inflammatory disease or Kidney stones . I advise you to get Ultrasound Abdomen pelvis and Urine routine test done and revert back . | 89,728 |
What precautions should be taken while suffering from a UTI? | Patient: My wife and I , age 68/68, have sex once a week and she has had a UTI three weeks in a row. We are both disease free and very clean and healthy. I have read online that younger and older (>65) have about the same sensitivity to E.coli infections and clear rates with smx/tmp Rx. She dislikes taking medicine. Is the sex the problem, or could it be something else? Should we use a condom until she is free of the UTI? We don't want to give up lovemaking, but we don't want her taking antibiotics every week. Your input is welcome. Doctor: Hello,This is probably related to her menopausal status. As dry vagina can get traumatized and has low protection barrier to common vaginal organisms. Thus she needs to have a gynae check and evaluated for hormonal replacement therapy.This presents as the urge to pass urine frequently, vaginal itching and vaginal discharge. Also, you need to get your urine culture and prostatic fluid examined for Trichomonas vaginalis and treated.Usually, the docs will treat the males with Flagyl drug {Metronidazole three times a day for 5 days} without testing as this is very common. Lastly, rule out diabetes.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jaydeep Nanda | 28,849 |
Need medication for mouth ulcer | Patient: My Mother was suffering from Mouth Ulcer. I gave her Metronidazole (400 mg) , twice in a day for a week. She was relieved from the mouth ulcer and pain. But after one week she is again complaining for the same problem. What drug should i give to her ? Doctor: thanks for your query, i have gone through your query, the ulcers could be aphthous stomatitis or herpetic ulcer or traumatic ulcer. consult your oral physician and get it diagnosed first. for reducing pain you can take topical anesthetic and analgesics. no need to take metronidazole. based on the diagnosis or identification of the cause we can treat accordingly. i hope my answer will help you, take care. | 186,553 |
Diagnosed with bile duct cancer. On chemotherapy. What is your opinion? | Patient: My sister in law was just diagnosed with stage 4 bile duct cancer. She just went through with a hysterectomy because they thought she had ovarian cancer, she hadn't been holding anything down since being sent home from surgery and was taken to ER where they ran tests and told her stage 4 bile duct. They want to treat with chemo staying this week for 6 weeks. The cancer has spread to many places already. What can we expect, YYYY@YYYY Doctor: Hi and welcomet to HCM. I am sorry about such serious disease. This is obviously terminal stage and one of the worse cancers. Unfortunately prognosis isnt very good, it is always hard to predict , but you have to do everything you can including chemo which can prolong life expactancy for 3-6 months. Usually 1 year survival is found in less than 5%. She can benefit from palliative treatment of pain,nausea nad fatigue. Everything else isnt in your hands. WIsh you good health. | 158,848 |
What is the lump on the base of my son's skull? | Patient: My son age 7 has a lump on the base of his skull behind his ear the size of a marble. He says it is sore to touch, and I have notice one coming up at the other side too, although it is smaller. He seems healthy, but has been tired recently. Should I take him to the doctor? Doctor: Hello!Welcome on Healthcaremagic!This lump in this region could be a reactive lymph node related to a pharingitis or inner ear infection. For this reason, I recommend consulting with his pediatrician for a careful physical exam and some blood lab tests (complete blood count, PCR, sedimentation rate). Hope you will find this answer helpful!Best wishes, Dr. Aida | 142,294 |
Strained lower back, popping sound on lifting something heavy. Taken advil, hot water bath. Cure? | Patient: Hello. A week ago i strained my lower back , it was quite painfull , i took advil and rested in hot tub all weekend on monday all was good at work. Today i picked up a ladder and felt a pop In my lower back . There was pain but not as much as last time I now have noticed a click in that spot when i lift my right leg forward To waist level with knee bent down... Doctor: Hello. Thanks for writing to us. The click that you have noticed could be due to crackling of a joint which is a harmless finding. If it is associated with any pain then it needs to be examined and investigated to rule out any bone injury. 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-Praveen-Tayal Regards, Dr. Praveen Tayal [email protected] | 113,328 |
What could be the cause of pin pricking pain in back? | Patient: I have a sharp, pin prick-like sensation in the same location from time to time recently in the upper left part of my back. It s not constant but it is in the same spot. I had my wife look at it and she did not detect anything unusual about it. I thought it might be a splinter from something but I don t remember doing anything in the area of my back that would cause this type of pain. I was involved in a severe industrial accident where I ruptured the quadriceps tendon at the kneecap on both of my knees. I have painful neuropathy in my toes due to that. Any suggestions as to what s causing the single pin-prick in my back and what to do about it? Doctor: sharp pin prick sensation in back is commonly myofacial in origin. Take NSAIDS with muscle relaxant and hot water fomentation for up to 1 week. If not relieved visit your pain physician, he will examine you and probably a trigger point injection will cure you. | 110,750 |
Is pleurisy related with severe chest infection and cough? | Patient: Hi, have had a chest infection and pleurisy, am on antibiotics and infection seems to have cleared up although right side of chest still hurts when I cough. tonight my right side feels uncomfortable and seems a little puffy/swollen, could this be to do with the pleurisy? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, possibility of pleurisy is more in your case. Most common cause for pleurisy is lung infection (pneumonia). Since you are already suffering from severe chest infection, pleurisy is likely in your case. Pleurisy will gradually resolve along with chest infection. You can take painkiller and anti inflammatory drug (paracetamol or ibuprofen) for symptomatic relief. Get done repeat chest x ray after 10 days to see whether pneumonia is improving or not. Hope I have solved your. I will be happy to help you further. Wish you good health. Thanks. | 74,133 |
What do you suggest if a 10 month old child has fever, runny nose, cough that won t subside with Tylenol? | Patient: Hi, my ten month old daughter has a fever that will not subside with Tylenol, she also has a cough and runny nose, also a little congested. The doctor we had seen said it was a virus that could either lead to pneumonia, strep throat, ear infection, or it could be a cold. Either way he advised us to treat the symptoms, but the Tylenol he prescribed for her is not working, she still has a high fever leaving her whole body to be really really burning up. What do you suggest? Doctor: Hi,It seems that she might require one course of antibiotic syrup for 3-5 days.Give her some decongestant syrup or drops.Consult your doctor and get examined.Ok and take care. | 177,405 |
Suggest treatment for severe withdrawal symptoms while on paxil | Patient: i have taken paxil for three months first 20 to 40 then my doctors tried an experement on me they wanted me to stop taking paxil 40 to 20 to 0 each a week apart. i had severe withdrawl and is still having withdrawl they want me to start back on it starting with 10 i dont like this med at all what do you do? Doctor: Hello Paxil is paroxetine and is a SSRI drug. You were on 40 mg per day and the dose halved in a week and then stopped in next one week. Abrupt stoppage of drug over just two weeks has caused the withdrawal syndrome. The medicine should have been withdrawn over 4-6 weeks to prevent withdrawal syndrome. Doses should be decreased about 20% per weeks and should be stopped after 6-8 weeks. Due to withdrawal syndrome the doctors have advised to start medicine again with low dose of 10 mg per day. This is a good option to prevent more withdrawal symptoms. If you don't want to take medicine then you can stop the medicine when your withdrawal symptoms improve. Hope this helps you.Thanks | 206,538 |
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