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Experiencing difficulty in walking due to swelling & bruise on the shin area | Patient: About 6 months ago I fell down and my full body weight landed on the front of my shin against a raised platform. My leg swelled up so I had an x-ray done but was told to just rest the leg. Around 3 weeks ago, after starting an exercise programme, the area of my shin that was bruised and swollen, began to bruise and swell again and appeared red & hot to the touch. My doctor said it was called Erythema nodosum and carried out blood tests. These have all come back negative to anything serious but my doctor has now discharged me. Is this something that will now just keep inevitably occurring when I exercise? Also, over the past few days walking has become difficult on the same leg due to a raised, red sore area on my big toe (similar place to a bunion but VERY painful)....could the two be linked? I am 29 years old. Doctor: Hi I have gone through your description and noted about the blunt injury on your led where you had no fracture. There is a strong possibility that you have damages the muscles in the area which have not healed. The second possibility is that you may be having gout ( increased uric acid in the blood) which will explain the painful swelling on your foot( big Toe). I suggest you get S Uric Acid and MRI Leg to assess the causes of both. In the meantime you can start any painkiller to relieve you of pain. | 131,969 |
What causes spotting during a pregnancy? | Patient: Hi, I am currently around 4.5 - 5 weeks pregnant which was confirmed with my first positive pregnancy test one week ago today. I have been spotting brown and light amounts of red blood (not heavy at all) for over 10 days now. I'm concerned that I am miscarrying this baby. Any help and advice is much appreciated Doctor: Hi Spotting for 10.days it's not good. Get one ultrasound scan to conform the viability of baby. | 221,675 |
Why is my follicle not rupturing even after injections? | Patient: Hi, I am 30 years old, and trying for baby since 3 years. Today is my 16th day. Did my follicular study on day 15th, the follicle size 2.2x2.4 but it is not ruptured still. I took 2 rupture injections on day 12 and 13th ? any reason why the follicle are not getting ruptured. Doctor: The hormone responsible for the rupture of follicle rupture is Luteinizing hormone (LH).The size of your follicle is adequate for rupture.It is difficult to comment because I don't know the name of the injections you have taken for rupture. Mostly it seems to be Inj. hCG (human chorionic Gonadotrophin).This can be case of LUF Syndrome, ie, Luteinized Unruptured Follicle Syndrome also known as " trapped egg syndrome". Though it cannot be confirmed by 1 cycle only.The syndrome is seen in females with endometriosis and Polycystic Ovarian Syndrome.It is a rising cause of cases of unexplained infertility.However the treatment part does not changes much so you should not be worried much. Increasing the dose of hCG is one option which can be tried. The ultimate answer is IVF, ie, In Vitro Fertilization. Take Care. Stay Healthy. | 42,641 |
How can fever and cough in an adolescent with asthma be treated? | Patient: My 14 years son had fever and cough.he has asthma not on regular inhaler.he has taken antibiotics.fever reduced but not cough.This time he does not have any rhonchi or crepitations in the chest.His coughing sound is loud and only sometimes with mucus.Which cough syrup will be better for him? Doctor: please see your child needs antibiotics as combination of amoxycillin clavunate as tab augmentin 325 mg two timesplus steam inhalationand cough syrup syrup asthakind or asthared or piriton one tsp three times all these for 5 days if you have any further query then you can come back to hcm i will definitely help you and guide you appropriatelywith regards dr varinder joshi | 162,416 |
Suggest treatment for wheezing and breathlessness | Patient: Hi I am based in the UK, I have been to see my gp and I m going for a lung function test on Monday but I m freaking out The last couple of months I ve been trying to combat a fairly sedentary lifestyle by Performing more CV exercises and weight training sessions , but lately during my cv sessions I ve been getting very breathless , sweating excessively , having a wheezing feeling in my chest , and getting upper body flushes akin to tingles/pins and needles , a tightness in my chest that all subsides after about a minute or 2 rest , my work seems to have been doing something right as my resting HR now sits below 60bpm and my recovery time is very short compared to when I started, but this is starting to distress me I don t smoke I don t drink and I ve recently lost a good deal of weight when I wasn t huge to start with . I ve no infection that im aware of ,blood pressure is good ,but now sometimes the simplest exertion can create breathlessness . Also (I believe is unrelated to this but is a problem running concurrently) I have a large lump on my leg that from excessive reading seems to me to be an anterior fascia hernia , but I m also showing signs of compartment syndrome in right lower leg , any advice greatly appreciated ! Doctor: I think the lung function will help as it will let us know the answer to your wheezing. If the lung function turns out to be negative then i would suggest you go ahead and do a post exercise spirometry whereby we will know whether u have exercise induced asthma.As far as anterior hernia goes that needs to be operated as early as possible to avoid any complications. | 81,669 |
What causes dizziness and tight feeling in heart? | Patient: Hi...I felt slightly dizzy in the beginning while sitting on my pc...and then after no more than 5 mins, i felt heart being tightened.It felt as though someone had grabbed my heart by their fist.Is everything okay with me or do i need to get my heart checked?...Plz reply quickly Doctor: Hello and thank you for using HCM.I carefully read your question and I totally understand your concern. I will tray to explain you something about chest pain.A typical heart chest pain does have some characteristic. Heart pains are usually retro-sternal chest pains, like tightness, squeezing or heaviness. They might irradiate to the neck, both arms and jaw. They last from 5 to 20 minutes. Usually they exacerbate during efforts.So, if I was your treating doctor and as you are experiencing chest pains i will recommend a full heart chek up like an electrocardiogram, a cardiac echo-cardiogram and a strees test to exclude heart problems.Hope I was helpful. Wish you good health.Best regards. | 25,427 |
What are the home remedies to regain the complexion of the face? | Patient: hello doctor..im a 22 yr old female student..my conplexion on face is brown but other parts of the body is fair..is it natural or had i got tanned..but if i got tanned it shoud hav reduced by using sunscreen but it still remain..can i knw few natural remedies to get good complexion and any creams. Doctor: **1. In best Interest it will be wise to see a Dermatologist for proper evaluation and management, prior to appointment you can/may incorporate following guidelines:. wash your face with Besan and luke warm water after coming from outside (best natural bleaching agent), removing excess sebum and dead skin cells, and acts as a deep cleanser.i. Use fresh vegetables and fruits, stay hydrated (drink 10-15 glasses of water/ day)ii. Avoid: Sugar (in any form), caffeine, cheese, oily-spicy-dry-fried food, chocolates, cakes, iodized salt, soft drinks.iii. Avoid exposure of the skin to severe climatic conditions.PS: because Skin & Nervous system has a common Embryological origin (thus acting as an initiating or aggravating factor), thus treatment will be directed towards "Psychosomatic Treatment" by concerned Ayurveda Doctor.. You may ask for Prescription Drugs, maily: aloe vera cream, kumkumadi oil, khadira arishta,saariva assav. | 214,758 |
Suggest remedy for chronic cough | Patient: hi, i have been smoking cigarettes for 3 and half years. I used to smoke around 5 to 6 filter cigarettes per day. Since one month i stopped smoking. Main reason for stopping was cronic cough. The cough has not stopped even after one month of stopping and it produces little phlem. I also have a stuffy left nose since one year. Recently i had undergone spirometry and lung x ray, and both were normal. I am not clear whether the cough is from brnochus or Upper resipiratory system. Please clarify, thanks Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have symptoms of chronic cough which is due to upper respiratory tract infection leading to bronchitis/ granular pharyngitis. Need not to worry. It happens once a person quits smoking. I would suggest you to do warm saline gargles and take steam twice a day. Avoid use of sharp and spicy food substances. Avoid cold carbonated beverages. Your symptoms will resolve in 1 week. if symptoms keeps on persisting you should consult ENT specialist and take proper treatment. You should get X-ray chest done along with pulmonary function tests. Doctor may prescribe antibiotics amoxicillin or penicillin at least for 5 days along with decongestant.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | 31,466 |
What causes semen to come out when passing stool? | Patient: Hi, may I answer your health queries right now ? Please type your query here... Hello Doctor, i had addiction of masterbation but now what the problem i am facing is at the time of passing stool siemens come out as well.which is making me really very very disappointed.It happens on the interval of 8 or 15 days when i feel sex.Please help me out. Doctor: Hi,The fluid of sex organs and tiny glands which are situated in the way of urine tube come out from penis. This is not semen. The smell of the fluid and consistency may be like semen. This comes usually while straining during defecation. This is very common thing and happens to 60 to 70 percent of men. This is not a disease or does not suggest sexual inadequacy. It does not need medicines. So, do not feel disappointed. You may read 'Dhat syndrome' on internet. Wish you best health.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chintan Raval | 196,679 |
What causes mucus in the throat and nose, watery left eye and chills? | Patient: I'm concern because I have a lot of mucus in my throat and nose. My left eye is also running tears. I take Zyrtec and sometime it help. Every now and then I get chills, I cover up and turn the heat up often. I thinking something is going around or do I have pneumonia? I haven't been to the doctor yet because I just had surgery. I have been sleeping a lot and just concerned! Doctor: Hello!Related your concern I think thi is a viral situation (flu). Usually after a surgery immunity is weaker and susceptible of virosis. So, if you get chills you should see for the fever and the increase production of mucus in your throat and nose is the response to the virus. Usually if a person have pneumonia should have a high fever, a lot of cough with green sputum and chest pain but in your case for the moment you don't have mentioned it, so don't worry. What I suggest for you is to use ibuprofen if you have fever, decongestionnant solution, saline solution,steam therapy, control for a surgical site infection and if this situation last more than 4-5 days meet a doctor to see for a post viral complication.I hope my answer help you.I wish you a quick recovery. | 29,914 |
Effects of EDH | Patient: my sister fell down from stairs and she was fine. after some two hours she started vomiting and was bit little drowsy, we went to our physician and he advised CAT scan of brain. it said EDH and my sister became more and more drowsy. we were asked to go to neuro center where they said its life threatening and needs an emergency surgery. they did and after 2 days my sister was discharged. is EDH so dangerous Doctor: it is the injury that is dangerous a simple fall also can cause this. you need to be very careful about this as it will bleed inside it is not visible also. only CT scan of brain can find it so you need to get the CT scan of brain as soon as possible and consult neurosurgeon immediately | 152,371 |
Pain under the rib cage after hitting with elbow, diabetic, correct weight. Reason for the pain? | Patient: I have a pain on my left side under and to the right of my lower rib cage. It feels more inside rather than just the rib. I fell about a week ago and I think my elbow hit the ribs. I am 61 years old and am pretty good health not over weight. I do have type 2 dieabeties no other problems except for derm problem. What is internal in that area of the rib. Also it hurts when I bend over. Doctor: Hello dear,The pain is of musculo-skeletal origin.Kindly take analgesics like Diclofenac+ apply muscle relaxant gel.You can also apply ice over the area.The pain will take some time to relieve.If it still persists, kindly get X ray of chest done to rule out any fracture.There is no need to worry, you will be fine.Wishing you a good healthTake care. | 92,702 |
Could having food poisoning in anyway prevent the non-estrogen birth control pills from working? | Patient: I'm freaking out I take a non estrogen birth control pill. I have a normal period every month and this month it was only 3 days and a couple days ago I noticed changes in my body. For the heck of it I took a pregnancy test and it showed positive right away. A few weeks ago I got real bad food poisoning. Could that have prevented my pill from working like it should? I really do not want another child I'm stressing out so bad. Doctor: Hi dear there are chances that pill may have come out during food poisoning so I advise you get in confirm through ultrasound regarding pregnancy and then you can use mifepristone if its intrauterine pregnancy..usg confirmation is must and tab has to be taken under the observation of gynaecologist..hope this will help youTnanks and regardsDr.Sohil Takodara | 223,883 |
Does a toddler with cough and mild fever require medical attention? | Patient: My 2year old son has had a cough for quite some time now and lately has become quite wheezy. I've noticed he breathes quite fast. From yesterday he's been quite weak and appears pale at times. This morning has woken with white saliva and fever. It is the weekend here so no doctor, should I take him to the hospital? Thank you Doctor: Fever with cough and cold, or respiratory infections, commonly due to viral causes, is pretty common in children of this age. Wheezing is common. But drooling as exhibited by salivation, indicates a more serious ailment. I would not insist you to wait. Please take the child to a hospital with pediatric facilities and get the child investigated. | 178,239 |
What does fever, blocked nose, fatigue with chesty cough mean? | Patient: Hi, may I answer your health queries right now ? Please type your query here...hi my boyfriend is 23 years old and since friday he has been sick, has a temperature, blocked nose, tiredness, bad chesty cough, has had the shivers and has a been sweating badly do you have any idea what it could be? Doctor: Hi Dear ,Welcome to HCM.Understanding your concern. As per your query have fever, blocked nose, fatigue with chesty cough which is due to severe upper respiratory tract infection. You may have lung infection or bronchitis. Need not to panic about it. I would suggest you to start with course of antibiotics and anti-inflammatory drugs. I would suggest you to consult ENT specialist and get it examined. Doctor may order blood test , throat swab test or virus culture test. You should get an x ray of the chest and pulmonary function test done. Doctor may prescribe antibiotics ( amoxicillin or penicillin ) at least for 10 days along with decongestants and mucolytic agents. Go for complete blood count and platelet count to rule out any thrombocytopenia and any hidden systemic pathology. Avoid taking cold beverages. Do warm saline gargles with pinch of salt water. Take expectorants. Steam inhalation is very effective for you. You should avoid hot, sharp and spicy foods. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | 31,920 |
Suggest treatment for hepatosplenomegaly | Patient: my one of the close relatives(30yaers old,not obese) told me that yesterday he knew from the diagnostic test that he has hepatosplenomegaly with fatty liver,but there is no sign of nausia,vomiting,but slight pain have occour in chest for some days.he take alcohol rare/occasionally but his father died form cirrhosis of liver,i want to know that is hepatosplenomegaly curable or not?he has a 4 years old daughter. Doctor: Hi welcome to health care magic....Here no need to become panic....First consult good physician in your area with keeping my answer in mind ....The infection like malaria , typhoid can lead hepatosplenomegaly.For that malaria rapid card test or PS examination done....For typhoid widal test...Second infectious mononucleosis or cytomegalovirus infection can lead such presentation.for that lymph nodes palpated with history for sore throat....Third rule out liver causes by liver function tests like bilirubin , serum albumin , PT etc...Fourth rule out hemolytic anemia and leukemia by peripheral smear examination ....if needed specific investigation done with HPLC.....I have given you best approach but physical examination and detail history will guide more specific investigation needed.Take care.Dr.Parth | 54,301 |
Done Laparoscopy, hysteroscopy. Had intercourse. Periods late. Chances of pregnancy? | Patient: Hi doctor. I had done my Laparascopy & hereroscopy in last week on my 11th day of period. and now i am late for 7 day. ( have relation on my 16th day to 20 day of cycle.) is any chanches of pregnancy? After laparascopy doctor told me that. it is succesful and removed fabrolids also all done which necessary. Done HSG test ( both follopian tubes are normal). pls reply. Thansk in advanced. Doctor: Hello thank you for your query. If you have had sexual intercourse around the time of ovulation, chances of pregnancy are definitely there, specially since the laparoscopy proved that the tubes are patent. As you are overdue by 7 days, please take a home urine pregnancy test to confirm your pregnancy. Whether positive or negative, consult your gynecologist, for further treatment. remain sexually active, and take regular folic acid supplements. All the best. | 5,687 |
What cause strain in my back? | Patient: Hi, I am 24 male with 173 cm height and 71 kg weight. I work as a software engineer which involves lot of sitting job. Also from past 2 month i have started going to gym. From past 3-4days i am feeling strain in my back,its like it is very stiff. Whenever i Sit down or bend i feel a kind of strain in my back ,however it is not pain, is this strain or stiffness only called as a back pain or is it different from back pain? And what can be the reason for it as i am just 24 and i am physically active as i am going for aerobics for last 7 months. One more thing just to inform,i have lost 16 kg in last 7 months with aerobics,can that lead to this strain? I have heard that if once this back pain comes it is lifelong. Is it true or can it be recovered fully? and what precaution should i take.? Thanks for your answer in advance. Doctor: Hello, As most desk jobs lead to RSI (repetitive stress injury) and due to which back pains are common. As you have done aerobics in the past this has helped improve the cardio respiratory functions and some lower limb muscle Strengthening. As you went to the gym this may have aggravated the back pain with some abnormal unguided and unplanned movement. I will advice to do core stability exercise, spinal muscle strengthening exercises, hip muscle strengthening exercises, lower limb strengthening exercises. Use the mat exercises and pilates rather any equipment. Post which you can start weight lifting and other activities at the gym. Usually, most gym injuries are ignored and not a proper principle of practice is implemented by the gym centres or the instructors. It's better to undergo the core stability and other exercises under a guided physiotherapist so the spine is stable and strong by which injuries are avoided. Also before performing any gym activities, it's better to do warm-up and stretching exercises so you can avoid injuries. Back pains are common but they aren't permanent. They recover if a guided exercise program is designed based on the individual. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | 123,009 |
What causes terrible pain in the testicles ? | Patient: Hi I wonder if anyone can help... I noticed whilst washing in the shower about 5 days ago, a sharp shouting pain in the tubes leading to my right testicle. Both testicles feel fine when I gently feel and squeeze them but just knocking the tubes near to them does hurt a lot. I notice it more further along the tube just before where the pelvic bone meets the groin area... Any idea what this is? An infection perhaps? Doctor: HelloThanks for query ,Pain in both he testicles is mostly due to infection of Epididymis (Epididymitis) Consult qualified General surgeon or urologist and get following basic test done to confirm the diagnosis.1) Routine urine test and urine culture 2) Ultrasound Scanning of Scrotum In the mean while take antibiotics like Cefixime along with anti inflammatory drug kike Diclofenac twice daily later on switch on to appropriate antibiotics as per culture report.Ensure to drink more water.Dr.Patil.. | 199,043 |
What causes pulsating and cracking sound above right ear? | Patient: I am a sixteen years old female, active and healthy as far as I know.What worries me is that when I lie down on right side I feel a spot above my ear pulsating.I sometimes hear there a subtle cracking(?) noise as well.These symptoms exist only in right side.What causes them? Are they symptoms of a brain aneurysm? What do you recommend me to do?Thanks very much Doctor: Brain aneurysm cannot be diagnosed on one such symotoms. Did you check your BP any time?. If further in doubt get a MRI brain done. | 145,599 |
Baby suffering from acid reflux, cow s milk protein allergy. On omeprazole. Screaming due to pain | Patient: Hi my baby is 4 months old and suffers from acid reflux and cows milk protein allergy, he is on omeprazole. The last few days have been horrendous he has been screaming and wriggling as though in pain with his tummy. I spoke to my hv today who said to try infant gaviscon along with the omeprazole but he is in pain I can t give it a few days to see if it works I m seriously considering taking him to hospital. Thanks. Gemma Doctor: you need to stop all milk and diary proteins completely even the mother need to stop and nothing made of milk and diary to be used even soap shampoo and creams after withdrawl the symptomps will go and treat sympatomatically till then'i have many patients like this dont add milk and diary till 2 more years as elimination is the treatment of choice at present age | 102,924 |
Type 1 diabetic. Had seizures, twitching. Solution? | Patient: My boyfriend is 34 years old and has had type 1 diabeties since he was 7 I believe. We have been together for about 2 years and never had any serious problems besides him feeling low once and awhile. In the last 2 months, he has had two seizures and if I would not have been there he would have died. I woke up from him twiching. What should I do? Does he need seizure medicene? I am just scared he may have a low while sleeping and just not wake up instead of having a seizure, which I wake up to the last two times. I need help??? Doctor: Hi, Welcome to HCM, Diabetes Type 1 patients need to be under constant supervision of Doctors. You as a care taker for him, you should also be aware and educated about his health issues. The most common cause for twitching and convulsions in Diabetic patients is Hypoglycemia. There are more chances of Hypoglycemia during midnight, and early hours. Hypoglycemia is more dangerous then hyperglycemia. I would say you immediately take him to Diabetes Specialist / Diabetes Nurse/ Physician or family Physician. If in case you do not have immediate access to the doctor, you do following 1. Monitor regularly his blood glucose level, six times an a day-before each meal ( breakfast, Lunch and Dinner) and two hour after meals. keep a recording. 2. Doses and type of Insulin Injection has to be determined according to the levels of Glucose. You may write us the dose, timings site and type of Injection Insulin he is taking, so we can advise you accordingly. 3. Best thing is that we should avoid hypoglycemia, but if it happens you should immediately give him Some biscuits, Lump of sugar, Juice Etc. followed by some food with low Glycaemic index. There may be some other reasons for Convulsions, which we have to look for, if the problem persist even after tight control of blood sugar. I have tried to give you some important relevant advise, though there are many more things to know and understand about Diabetes. Your boy friend and you need thorough counselling and education about it. Dr Hamdani 3. | 150,870 |
How can pain in tailbone while suffering from diarrhea or constipation be treated? | Patient: Hello, For a number of weeks now I have been experiencing health issues related to pain in tailbone region and across lower back (sometimes it is there and sometimes it is not). Also, I have had changing bowel conditions that are obviously not normal for me... ranging from what seems like constipation (albeit I went several times per day but the effort was not norm, also sometimes it felt like I had to have a bowel movement and couldn t) to current loose stool and diarrhea. It feels like the issue (pain) is coming from the bowels. So, I have been to the doctor (GP x 4, ER x 3) numerous times over the past few weeks so I will share the process so as to give you an idea where we are at. At this point (as of today), after you review the details below, I am waiting to go to a GI specialist however my condition is such that I am starting to really worry that each day I delay further treatment I am causing more damage to my body (condition and generally feeling of good health deteriorating)… 1) 4 weeks ago I visit GP for what appeared to be dark urine and or cloudy (vs. normal). Blood tests clear (tested for being anemic along with several other items such as potassium etc.). All clear for blood test. 2) Due to visit in item # 1 there were 3 urine tests. 1st came back with more blood red cells than normal (just barely over the 0-3 count considered normal as per GP discussion).Two additional tests (one each day for 2 consecutive days) all clear for red blood cells. Due to other visits to GP and ER in notes below I have had another 3 urine tests all clear (3 of the tests were just dips and 3 were sent for microscopic tests) 3) Due to visit in item # 1 sent for ultrasound of abdominal and chest x-ray (checked all organs except bowel and pancreas). All clear on both tests. 4) Urine issue cleared up without any treatment. Increased my fluid intake overall so this may be the corrective action. There was discussion with GP that I had kidney stones but none found. 5) Pain started to build across back (kidney area, I suppose) over several days and became somewhat unbearable. Pain moved around back and sometimes was higher in back and very painful (different days = pain in different locations). Visited GP again and was given pain pills as it was stated that due to the tests done so far it would not be normal to investigate any further. I was sent to physio stating that a back issue could be present. Physio confirmed there was no evidence there were any issues with my back causing bowel issues (stated it was likely the other way around). They stated I had some posture issues which they could help with but were unrelated to my acute issues. 6) In the interim, while not prescribe by my doctor, I took some muscle relaxer (Robax Platinum) so I could function. Pills did relieve back pain. After 2 days or so taking well below the max dose allowed on package I became very weak, pale and had dropped heart rate (happened after dinner one evening). Went to ER and was put on EKG and had urine test. At visit to ER I have been off the robax for 12+ hours and ER doctor said vitals ok and the pills likely caused the problem (so, I never took another one). 7) Visited GP the next day she did some more blood tests which were clear (I know CBC but not sure what else was checked). 8) Pain increased over 2 days and at 11pm one night the stabbing pain in rectal/tailbone area was so back I went to the ER (could not sleep). I had a digital rectal exam done and was clear. Doctors were at a loss as to what was wrong and sent me home. I believe my age, being only 34, is impacting their decision. 9) I returned to my GP the next day who sent me for an x-ray of tailbone which was clear. 10) I went to the ER the following morning after another night of unbearable pain) and the ER doctor stated I likely had acute case of diviculitis and prescribed antibiotics (2 of them, taken together, for 7 days). I was also sent for a CT scan in 64-slice scanner and put through with and without contrast (IV). After reviewing the CT scan doctor reaffirmed it was diviculitis and stated “there isn’t a whole lot going on down there” (official report was non-specific inflammation) and said the drugs would wipe out any bug causing problems (albeit he still confirmed diviculistis on official report). They noticed some inflammation of lower colon and rectum but stated not significant. 11) With the antibiotics given the pain went away and I felt ok (although a bit lightheaded and nauseous – noted on documentation that this is side effect of pills). Also, while bowel movements had now close to the correct form they were very loosely formed. Also, the stool was close to black (not quite, but dark). Since this went away after finished drugs, and my reading side effects info on this drugs, I assume it was the pills and this did not alarm me. 12) Now that the drugs are done the pain is coming back, but it is nowhere near where it was prior to taking the pills. 13) I was called by my GP a few days ago who wanted to follow-up on CT scan. She stated that there was wall thickening and/or inflammation possibly showing a bit near the other end of colon (starting end) as well as the rectum/lower colon as stated by the ER doctor who ordered the CT. She stated further investigation required (required protocol). She was not convinced it is diviculitis. She also mentioned something about lymph nodes irritation by inflammation/wall thickening at the starting end of colon and mentioned this was more common with Crohn s disease but didn’t think I had this since this had come on somewhat suddenly. She stated that the CT report only stated “there may be” something showing on the starting end of colon (meaning there wasn’t much showing but there could be something, as my GP put it). Blood tests sent in to check for inflammation (I have not heard back). I was called 3 days after GP visit by nurse who stated I have been referred to GI doctor and they advised them (where I am being sent) it is urgent. When I questioned the “urgent” statement by the nurse and asked if something serious was now considered she stated “no, nothing like that” (same thing GP told me) . As I type this message I am sitting here with mild rectal/tailbone pain, recent onset of bloating (not severe or painful but noticeable – this is a new issue within the last 36 hours or so), back pain (lower and mid). Diarrhea has been issue for 2 days now along with some light coloured stools that are nor formed whatsoever (along with gas). I also feel quite sluggish (although not exhausted) and warm (mild sweaty feeling) but numerous checks for fever (home test) are negative (as have all checks at ER over the past several weeks). Unfortunately, it is true we start to really worry when it comes to our health and can over-think things. Having said that, I know something is definitely wrong and I’m curious if there is more action I should be taking immediately. There is much discussion online regarding cancer and that is obviously scary for a 34 year old that, up to now, has been quite health (6’0’ 185lbs). As a side note I am still able to do my evening run of 3.5km on nights when the discomfort isn’t too bad (went last night and will go tonight). I could not do any running prior to the antibiotics due to pain. Pain seems to be gone during the exercise (or due to all the work my body is doing to run it over-rides the pain, I am not sure how that works). I usually get in 3 runs per week in the evening. Any feedback on what I should be doing to get myself back to good health would be much appreciated. Doctor: Hello! Good day! I read your concerns thoroughly and will break down all your problems systematically--1. tailbone pain --anatomically, the rectum (lower colon), is directly sitting on the tailbone. Any inflammation in that area can cause discomfort or pain in the lower back, especially the tailbone (sacrum). However, there is also a possibility that it is a separate problem, since previously you have had lower back pains. Lower back pains can be caused by several problems-- most common is musculo-skeletal strain, other causes are kidney stones, urinary tract infection, slipped disc, scoliosis, impinged nerve. The best diagnostic to rule out spinal bone problems in your lower back is a plain Xray of the Lumbo-sacral area (AP-Lateral views), an MRI might follow if with problem noted in the Xray. 2. For your rectal pain, since it was already documented on your CT scan that there is thickening in the area, a sigmoidoscopy or a colonoscopy will give us a direct visualization of the problem, a biopsy of the inflamed/thickened area might also be a good idea to know the cause-- whether infectious, inflammatory bowel, auto immune, or cancer. 3. Diarrhea/constipation/bloating -- this problem is probably caused by the thickening of your bowels. The main diagnostic that can give us an idea of what is the underlying cause will be the sigmoidoscopy/colonoscopy.4. Sluggishness might be a symptom of dehydration secondary to your diarrhea. I suggest you take in a lot of fluids, especially after an loose stool episode, to replenish the losses.I hope I was able to answer your concerns. Goodluck and may you get well soon! | 107,558 |
What does frequent pain in testicles like being kicked mean? | Patient: i am a 20 year old male and for a little over a year ago i started having random testicle pains like i have been kicked there. the pains have gotten worse and more frequent as time has gone bye.. what could it be? i know cancer may be possibility but im hoping its something else that can be fixed.. and could i still be fertile if i am having these problems? Doctor: Hi, It can be caused due to orchitis, torsion testis and hernia. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist | 193,041 |
How to treat a rash insect bite? | Patient: Hi Dr :) I have this cool bug bite yet very irritating and its on my left wrist last week it looked like 5 dots forming a circle and one extra dot inside and to the top of that more bumps almost like impetago like rash ??? Any ideas what bug bit me ??? Thx JeN :) Doctor: Hi,It may be lichen urticatus. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to keep yourself away from insect. The condition is due to hypersensitivity to insects. Take a course of steroid in tapering dose after consulting the doctor. Apply mild steroid cream.Hope this helps.Dr.Ilyas Patel, Dermatologist | 12,965 |
Can anal worms cause white patches on face and anal itch? | Patient: Hi I am a male aged 43 and with normal health except for tickling at times at the edge of anus. Also, of late i have got light pale patches at the edges of my moustache that looks very odd. Some say it is due to worms. Plz suggest any medicine.Regards Anand Doctor: Hello Anand,Yes it maybe due to worms. You can take tab ALBENDAZOLE 400 m.g in this way-1 Tablet on Day 1 morning1 tablet on Day 2 morning1 tablet on Day 3 morning1 tablet on Day 7 morning.Also take a multivitamin tablet everyday for 7 days.This would kill the worms in your body and expel them. Do not scratch your anal area as you would be reinfected if the worms remain in your nails. Wash your hands with soap prior to any meal.Hope this helps ,Dr Arun A | 35,853 |
Suggest remedies for occasional vomiting | Patient: Hi doctor, I have a baby girl 2 yrs. Her weight was 1.3 kg at the time of birth but for last 6-10 months she started vomiting in the interval of 15-20 days. In this time she doesn t take any food nor water. If we want to give her forcefully she vomits. This continues for 2-3 days and after that she gets normal. Can you suggest me the problem with remedies Doctor: Common causes of such complaint are gastroesophageal reflux, food allergies, overfeeding, infections etc.Give fresh homemade food.Don't feed in large boluses.Don't let child sleep immediately after feeding.Give medications like domperidone and lansoprazole.If no relief, consult doctor and ask for investigations like USG abdomen, CBC etc. | 165,260 |
What could cause burning sensation on tongue and palate, earlier had similar problem along with white film coating? | Patient: I have a burning/stinging feeling on my tongue and roof of my mouth. Have had it before but my tongue had a white film on it and was swollen a bit. I was given a mouth rinse that they normally give to cancer patients. It went away after about a week. I don't have the white film or swollen tongue but do have the burning/stinging sensation.. Would like to get rid of the problem, not mask it by getting the mouth rinse again. Can you help me? Thank you...... Doctor: Hello, Thank you for consulting with healthcaremagic.Actually there are many causes of burning sensation in tongue-It can be possible that you are having some habit of tobacco chewing or smoking because of which there are pre- malignant changes present and these are causing this burning sensation.-or it can be possible that you are having some candidal infection thrush which is causing this infection.in first case you should start with some antioxidants like lycopene.in another condition you have to start with antifungal medication.Hope it will help you. | 157,176 |
Should Onabet Cream be used after itching and rashes have subsided? | Patient: Ho I m using onabet cream for 2 weeks on my scrotum and thigh surrounding scrotum initially there were red rashes and boils and itching now the itching has stopped the rashes have become less but in some areas it s still the same with rash , even my penis had pink reddish screen in some areas now kinda gone or turned pinkish . Should I continue to use the cream Doctor: Hello!I have been through your question. Related your concern I think is a good news that your symptoms are disappearing in majority of areas but based on your data ( in some areas is still the same)you should continue your course of treatment with Onabet Cream for 4 weeks or up, till 6 weeks, until your signs and symptoms of the infection have disappeared. Furthermore I suggest to wash your hands to prevent spreading the infection and do not get the cream into your eyes.I hope my answer help you.I wish you a quick recovery. | 29,896 |
Pain in the lower back and hip. Need immediate care? | Patient: Hi, I am having pain in my lower left back that goes around towards hip area. It hurts to touch. It is extremely painful moving positions (laying to walking, etc.). It is uncomfortable to walk. I had this pain about 3 weeks ago. It lasted a couple days then went away. Now it is back and worse than the first time. Thoughts? I don't want to go to ER if it is something dumb. Doctor: Hello, Thanks for writing to us. The pains that you have described are likely to be due to a muscular pain most likely caused by a wrong body posture. Taking mild pain killers and muscle relaxants will bring a short term relief. Regular exercise will be helpful to relieve the spasm.Doing hot fomatation and applying muscle relaxant gel will be helpful. Hope this helps you. Regards. | 112,593 |
Suggest treatment for dandruff and hairloss | Patient: Dr. Sahib, i am 32M from yamuna nagar.though there is no dandruff in my hair, yet i feel itching in front portion of my scalp. this itching disappears itself after total hairloss from that part. this itching proceeds forward and repeats the same. As result i have got bald on potion above forehead. the problem is still continuing with regular hairloss. also the roots of felled hair seems are very dry having no gummy fluid at root tip. I have neither any other health problem at all nor it is hereditary. i keeps myself fit an most times lives in pollutionfree rural area. what the reasons may be then and what is the solution for it,kindly advice me with your valuable suggestions. what is your consultation fee if i visits you at your clinic. either it will need any tests also. Doctor: hi there.1. your concern is seborrhoeic dermatitis leading to telogen effluvium.2. you can try SCALPE shampoo weekly twice,wash your scalp with soft drinking water.3. this will control your dandruff.4. for hair fall, you can try REVILUS hair supplements daily one after breakfastthis will help you. | 10,673 |
What are the foods to be taken while having kidney/gallbladder stones? | Patient: Hello doctor, my husband has kidney and gall blader stones and he recently had a very severe attack. Now he is ok but we are planning to get surgery done asap.Kindly let me know if sunflower oil, chapatis made of wheat, foods like rice, rajma, potatoes and maida (white flour) are ok for him. Should I give him chapatis made of bajra instead of wheat? Doctor: Hello Welcome to HCM, sorry to know the status of your husband. Gall bladder stones are of more concern than kidney. But again depends on size. Most important things to be noted. 1. There are different causes for gall bladder and kidney stones. 2. Size and function matters in the management. Need further details. 3. Both are not a major problem and can be effectively managed, so don't worry. 4. And there are various management strategies for kidney stones but for gall bladder stones, best treatment is cholecystectomy which means removal of gall bladder. All the food stuff that you have mentioned have no propensity for gall bladder or renal stones. So chill. The most important cause of gall bladder stones is due to super saturation of bile juice. Most of the times we have no control over it to avoid. And kidney there are few things to avoid. 1. Drink lots of water, around 4 litres daily 2. Avoid junk food, high salt intake. 3. Reduce meat consumption if any. Hope this helps and you are welcome to ask any further queries. Take care. | 46,290 |
Bad contusion and bleeding in hip after falling on ice. Can the injury be permanent? | Patient: I slipped and fell on ice yesterday as I was walking on the side walk towards my apartment home, I remember taking 3 or 4 steps and it happened so fast that I smacked the ice really hard and it effected my left knee and left hip, I went to E.R. the pain was really bad, I was crying and could barely walk on it. X-rays showed bad contusion and was bleeding some on left hip and I guess nothing on the knee even though its aching really bad today. It is possible that this hip injury could be permanent? Doctor: No it is not permanent but i recommend another x ray after 1 week as some crack fractures only show up on x ray 1 week later Good Luck | 131,148 |
Is there a natural cure for asthma? | Patient: Hi! I've been struggling for 2minths now with my cough. I see 3 doctors now. The last doctor told me I have pneumonia with asthma, so he gave me cefuroxime,montelukast and duavent for neb. I think the meds has an effective result,but sometimes allergens trigger my asthma. WhAt else can I do? I am also doing natural remedies such as carrot juice. Doctor: Hi welcome to HCMI have gone thru your query and can understand your concern regarding your struggle with your cough . Dear it is outcome of our faulty life style and food habits For your info Every day, we are bombarded with mental stress and toxins in our environment and in our food which is why detoxification is such a critical process IS HINDERED ,toxins will build up in your body eventually causing acidity and toxemia & weaken immunity , so we fall prey to diseases every off and on ,requirs modification .Gulping on only medicines will not cure unless you modify your lifestyle and food habits .Include regular healthy diet as fiber,vitamins minerals ,cheeze, milk , supplements full of antioxidents , in natural form --fruit ,green veges , lemon juice with warm water and salt and pepper before meals , coconut water , ginger ,garlic , Aloe vera juice 30 ml + Amla juice ,Turmeric powder a level spoon + almond oil+ honey , a Tspoon with hot goat's milk ,at bed time, all will help boost your Immune system & alley your pains gradually with required work out ---- To detoxify your system , do regular walk, and increase your activity level. Exercises from head to toe & Yoga postures , Dhanurassan ,Bhujjangassan , Vajjarassan pranayam -- deep breathing , which open up you airways-,alley affctions & inflammations anywhere and give resistance fron diseasesAvoid processed foods carbs , sugar , fried ,fast foods , Tea , coffee ,alcohol and smoking , stress , sleeplessness and Constipation all will produce biochemical and metabolic conditions in your body that will decrease your immunity.So avoiding is definitely the first step in the right direction to detoxing the body, boosting the immune system .Always remember, if problem persists , please see your doctor / professionalHope this helps solves your query .Take care .All the best .Get well soonDon't hesitate to come back in case of any further query . | 99,351 |
What causes pain after lower cartilage piercing? | Patient: 2 days ago I got lower cartilage peircing. I ve been cleaning it regularly and have not had any redness it swelling. All I have had is a little bit of pain when my hair gets caught or if I lay my head on that ear. Well as I was turning the earring as I m supposed to do, I noticed a portion of the cartilage was numb. Is that normal? Doctor: Hi, Pain is quite common after body piercing. You can take simple analgesics like ibuprofen or Diclofenac for pain relief. Also apply local antibiotics like Mupirocin over the affected region. If there is any redness or signs of infection, you have to consult a physician immediately and get evaluated as cartilage is a delicate structure and it is very much prone for infection. Hope I have answered your query. Let me know if I can assist you further. | 215,840 |
What are the chances of getting cancer when having lump in breast? | Patient: i am 14 years old and i had surgery done on my breast last june because i had lumps in my right breast. i went back to the docter on 1/23/12 and they found a another lump in my left breast and wants me to get another mammogram. is there a chance that i got brest cancer? Doctor: Hello dear! Breast cancer at your age is quite rare. So you need not think of that first. What was the histopathology report of the breast lump for which u underwent surgery last time? Anyhow for the lump now, best is to proceed with a mammogram first and then an FNAC test. That should give you your most possible diagnosis. | 156,133 |
Suggest treatment for severe pain in my upper right arm, wrist and right side of my neck | Patient: I've had this horrible severe pain in my upper right arm, wrist and right side of my neck for the last 4-5 weeks. it feels very heavy and a times feel like shooting pain and/or chills kind of sensation on the right side of my head. I also feel as though some times my hearing is distort or get that hard sharp pitch when everything is so quiet?; when I feel like that I get sudden panic attack or anxiety. my ears also get extremely hot and read. My right hand gets very cold and purple and heavy. These symptoms have been going on and off for the last 4-5 with the exception of the sharp pain in my arm which is very constant and at times I am even unable to sleep because of it. Please help me understand what is wrong with me and what should it do. it is affecting concentration at my job and interfering with the enjoyment of my personal life. Doctor: HiYou arrange for a cervical collar and wear it in daytime continuously.Take Myoril tab 1 BD and Ace -proxyvon tab 1 BD for 5 days. Use broad arm sling to support affected arm.Get in touch with an orthopaedic surgeon and have MRI neck and shoulder done for diagnosis of cause and further management | 131,505 |
How can groin and abdomen swelling, pain, bruising be treated? | Patient: hi,doctor. i attended my g.p. on 23/11/10 with severe pain and swelling in the left side of my groin area, which my g.p. described as "pipe shaped".i am scheduled for an ultra sound scan on 03/12/10. however the pain and swelling has spread to my whole abdomen, and today i noticed almost black coloured bruising at my pelvic area. should i consult my g.p. again or just wait for the scan? Doctor: Hi ! Good evening. I am Dr Shareef answering your query. Although it needs to be physically examined to arrive at a diagnosis , from the history alone, I would advise you to visit the ER of a nearest hospital at the earliest possible to rule out an obstructed inguinal hernia with a possibility of a strangulation resulting in the bruising around that area. It might not be possible to advise you any medications at present for this problem.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | 87,607 |
What is the long term prognosis for Atypical Meningioma? | Patient: Ok, What is the long term prognosis for Atypical Meningioma? I have had 2 craniotomies for atypical meningioma in both 1999 and a further recurrence in 2004! Following the recurrence in 2004, I had Stereotactic Radiosurgery in 2006. I didn t remain tumour free and had a further recurrence of 2 new tumours in 2011! Subsequent SRS followed....which leads me to now? I ll bet you can t give me an honest answer!!! Doctor: Hi, I'm not sure what to exactly make of your statement "bet you can't give me an honest answer!!!" but the BEST and most truthful information I would share from available data on the subject is that few studies on this topic that have looked at in terms of LONG TERM recurrence rates. However, suffice it to say that it is in fact quite high (48% after 10 years). Atypical meningiomas (AM) do recur after resection..unfortunately, that is their nature, and the use of radiation therapy and surgery does not ELIMINATE the HIGH RISKS of recurrence. In fact, the data shows that increased numbers of stereotactic surgeries with high recurrence rates tends to shorten survivability of patients. It is not clear whether this implies FEWER surgeries should be performed as recurrence occurs and patients get older or if it is the simple ongoing recurrence of the tumors that leads to shortened survivability and that surgery itself is not the factor driving this statistic. You've not mentioned the symptoms you get when there is a recurrence since not ALL meningiomas need to be resected just because they are present. Surgeons may be willing to go on and remove them but in the face of the last statistic I mentioned, my approach for any patient with AM who has already had at least one STEREOTACTIC resection with or without radiation therapy is to consider repeat surgery ONLY IF the recurrent tumor(s) are causing impossible symptoms to occur that cannot be treated or controlled by any other means. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist | 140,903 |
Severe vomiting after eating. Food allergy? | Patient: Hi, I have been vomiting about 2 hours after have eaten rice and beans with salasa at. moes and chipolte. Twice at moes and once at chipolte. Also after hummus twice and last night after chips and salsa. i am tginkinh i must be allergic to either soy bean oil or cilantro or something. Does that sound possible. I am allergic to cashews. Doctor: ANY ONETHING OR EVERY THING IN THIS FOOD MAY BE DEVELOPED FROM THESE THE ALLERGY CAN DEVELOP AT ANY AGE AT ANY TIUME WITH ANY FOOD YOU GET SPECIFIC ANTIBODIES FOR THESE FOODS TESTED IN YOUR BLOOD SERUM YOU CAN ADDOTHER FOODS TO WHICH YOU SUSPECT THIS WILL CLEARLY INDICATE THE FOOD YOU ARE ALLERGIC TO IT CAN BE SINGLE OR MULTIPLE ALLERGENS OR FOODS AFTER THE TEST YOU CAN GO FOR DESENSITISATION THERAPY FOR FOODS TO GET CURE FOR FUTURE | 103,949 |
How to increase my follicle size? | Patient: Hi Doctor.. I am in IUI phase now and yesterday was Day 15th and still my follicle size is 11.5 and one follicle.I was taking Humog 75 iu since 26th June and yday I had been advised to take humog 150 mg.Please suggest how to increase my folliclesize. Doctor: HIWell come to HCMI am not very much sure that there could be something that could increase the size of follicle because this is all depends upon the hormone level and just not a single hormone plays the role, hope this helps. | 42,232 |
Suggest natural ways to reduce cholesterol levels | Patient: I have just been told that my LDL is 123 and my HDL is 34. I am 72 and never had Cholestol problems before. I also have stomach issue gasparephis and can not eat the food s that is suggested to lower my Cholestol. I do not want to take meds to low my Cholestol, I suck on ginger balls most of the time to help with my nauseau and other stomach issues and I using too much ginger balls? I need protein, however due to the gasparesis I cannot digest protein well. Any suggestions? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Have a healthy diet low on fat and oils. Avoid fried and bakery items. Do regular exercises, Swimming is the best. If it’s not controlled with lifestyle modification drug therapy may be needed. Hope I have answered your query. Let me know if I can assist you further. | 18,721 |
Suggest medication for a lump on the breast | Patient: Hi there - I am hovering over going to the doctors about my brats. They seem to be more swollen, and they're very lumpy, especially underneath... there so lumpy i can't tell if it's a group of lumps or somethingelse, or just the tissue. But one seems to be more sore than the other.That one be my smaller breast. I don't really check, and had the underneath lumpiness for a while, but my partner seems to be noticing.. which he didn't before. I look forwardto an answer. Doctor: welcome to Health care magic.1.The lumpy ness what your boy friend feels may be just a fatty / glandular tissue in the breast seems like lumps.2.Cyclical lumpy feeling also seen during the periods due to ductal changes.3.First self examine, and see your doctor and let the breast get examined and ask for a ultrasound breast ( will help in exact content of the lump, its source and extensions )4.Depending on the findings, if lump is there - an FNAC - fine needle aspiration cytology might need.5.A simple hormonal treatment might be enough in cyclical pain and lumpiness in the breast.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. | 68,646 |
Why am I having upper abdominal pain at night? | Patient: stomach paini have upper abdominal pain really bad that goes through my back and always happens at night. it lasts a few hours but is never caused by spicy food or alcohol. what could it be and how do i make the pain stop when it happens? iv tried zantac and prilosec already. Doctor: HI. You need to have a proper diagnosis as a first thing to do .Go for :Upper GI endoscopy , Ultrasonography. Treatment will be accordingly. The pain is only at night and goes through back- can be chronic pancreatitis or lymph nodes as a second diagnosis. | 91,368 |
Does the blocked left branch affects fertility treatment? | Patient: I'm 45 and was just told an EKG showed a left bundle branch block. I was also told it was absolutely not life threatening, but I need to see a cardiologist. My husband and I are undergoing fertility treatments and I'm worried how this heart condition affects that. Doctor: Hello there LBBB is not heart threatening but is definitely pathological and the reason and cause must be foundSo go get your husband tested It may turn out to be benign tooHope that helps | 24,818 |
Suggest treatment for severe leg cramps | Patient: My husband has severe leg cramps in the calf with muscles visibly rippling & contracting. He is 58 years old, diabetic. Daughter massages then hot bath helps, but still in pain. He has had off & on for years, but getting worse. I recommended he contact his doctor and may have low Potassium or Magnesium levels. Doctor: I think he got crmps in usually after midday and especially in night.If it is like this just try one multivitamin tablet along with calf stretching atleast 4 to 5 time a day 10 rep hold the stretch for atleast 15 sec.Do this stretch 4 time a day and especially its must before going to bed.Definitely it will help him a lot. | 137,485 |
What is the minor rash on my upper thigh? | Patient: hello,I've had a minor rash on my upper left thigh for three weeks. I have to look close to see it, but a few small red areas can be seen. sometimes it itches, most of the time it doesn't. it has looked the same since i first noticed it. any ideas? thanks Doctor: Hello. Thanks for writing to us at healthcaremagicI will keep a possibility of fungal infection/tines cruris.Involvement of Inner thighs and folds is classical of tines cruris. It may be unilateral or bilateral.Itching is a feature in fungal infections.I would suggest that you may use an OTC topical antifungal e.g clotriamzole 1% cream, twice daily for 2-4 weeksAn OTC oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching.If the rash does'nt respond as expected Or if it worsens, you may visit a specialist dermatologist for a review.Regards | 14,556 |
How much Warfarin can be given to a child suffering from low INR? | Patient: My doughter is 10year hold. Her INR sometime is lowest 1.85 and sometime high. she already done replacement valve last 4 year. The doc said she should increase warfarin 4mg. But at national heart Institute they said cannot take more take 4mg for the children. what your advise. Doctor: With warfarin INR up-to 2.0-2.5 is acceptable(ACC/AHA 2008 guidelines 2-e for aortic valve and 2.5-3.5 for mitral) ; | 168,981 |
Suggest treatment for low BP while on Edarbyclor | Patient: I am taking edarbyclor, I recently had knee replacement. My blood pressure was steady but know it seems to be low like 90/60,108/62,102/60. When I first started using this drug I would get a little light headed my doctor told me to stop using amlodipine and everything was ok. Can you tell me why I am getting lightheaded again Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The likely cause for light headedness is likely a lower bp readings only, which is due to your current BP medicine, Edarbyclor. So should request your doctor to lower the dose. Hope I have answered your query. Let me know if I can assist you further. | 18,234 |
Suggest remedy for lumps on head | Patient: I am a 55 years old Black Female about 5 5 and 200 ilbs. For the last 6 months or more I have intermittently had lumps to appear on my forehead about a nickle to a quarter size in diameter and protuding out. Satruday morning I woke up with another one on my forehead it went away by nighttime without any heat or cold compresses. I have high blood pressure and have had high readings lately (192/85 and 214/102). The Doctor once said it is the way I sleep and fluid is going to one side. Can you tell me what I need to do or what kind of Doctor do I need to see to figure this out? I have to go out in public like this and come to work with people staring at me too. I now have a permanent line or mark on my forehead from these lumps. I am cuurently vey stressed. Doctor: Hi,Good Evening.Thanks for the query to HCM.I studied it in depth and I understood your health concerns.-Treatment-for Recurring-lump on head-1-These recurring lumps on head are mostly Chronic Menopausal Urticaria.As these are leaving marks on the forehead-they may indicate the Menopausal Psoariatic Urticaria, and needs following treatment-a-Tb-Fexofenadine for anti-pruritic action with less sedative effect.b-Tb-Steroids-if hives are very aggresive with angio-neurotic oedema.c-Tb-anti-eosinophilic drugs like Di-ethyl Carbimazine(DEC)d-Antihypertensives with diuretic supplementse-Tb Alzolam-to reduce your anxietyf-Vitamine supplements.g-Dipsalic cream for face-psoariatic lumps to prevent marks on the forehead.Good dietary habits to reduce the histaminic reaction would help you a lot besides the above treatment.Hope this would help you a lot to relieve from your forehead recurring lumps with -Menopausal Urticaria-/HIves.Wish you fast recovery-and healthy life.Wellcome to HCM with more queries till you are satisfied.Have a Good Day...!!Dr.SAVASKAR M.N.M.S.GENL-CVTS,Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer,Asthma,etc,Rejuvenation therapy and Tissue failure -reversal therapies. | 64,273 |
Suggest treatment for restlessness in legs and feet | Patient: I often get the butterflies in my stomach sensation, but in my legs and feet. This usually happens late at night, when I m in bed, and it wakes me up, and then does not go away. I am Type II diabetic, non-insulin dependent, hypertensive, with ESRD and on dialysis. Doctor: Abnormal sensation in your feet may be related to your comorbid conditions of diabetes and renal dysfunction. Most likely you may be having neuropathy and require nerve conduction study for proper evaluation. Some pain modulation may help you. Rest treatment requires strict control of your diabetes and hypertension. May God bless you. | 145,781 |
What causes calf cramps post ankle reconstruction? | Patient: I am just over 4 weeks post ankle reconstruction and have a knee to foot cast. For the last 48 hours I have been experiencing extreme calf cramps. I can t relieve it with painkillers and am hydrated. Sometimes it hurts when the foot is elevated, other times it is when the leg is down. There seems to be no rhyme or reason to it. Is it normal and how can I alleviate it? Doctor: helloYou may try doing clenching of calf several minutes several times a day and active toe movements and quadriceps drill also under a physiotherapists supervision, it will help. take calcium and vitamin E supplements also alonwith neurobion forte tabs.So engage a physiotherapist to initiate this exercise and once learnt, may practice many times by self throughout waking hoursbest wishes | 134,766 |
How to get rid of small, reddish purple lump on knee? | Patient: I have a small redish purple lump about the size the head of a nail on the back of my right knee. It doesn t bother me when my knee is slightly bent at rest, but I feel it when I straighten my leg or am on my feet for a bit. What is it and how do I get rid of it? Doctor: Hi.A small reddish purple lump about the size the head of a nail on the back of your right knee, feeling it on straightening the leg or when you are on your feet for a bit. This can be due to a part of the Varicose vein or an hemangioma.I would advise you to get a clinical evaluation by a General Surgeon and undergo tests of Color doppler with high resolution to get an appropriate diagnosis and treatment. | 65,400 |
What causes infertility? | Patient: hi! my husband and i have been trying for a baby for 9 months. His semen analysis it s normal and my hormones came back normal except form tsh 5.47. I am ovulating every cycle but it seems that we cant get pregnant. Could high tsh cuase problems with conception? Doctor: HIWell come to HCMAs I always say that the pregnancy is more natural phenomenon than the physiological one because some time even every things are normal still conception does not happens, in my opinion keep trying do not loose the hope, and do not try any medicines, hope this information helps. | 42,233 |
What causes red spots and sores on penis, scrotum, palms and soles? | Patient: 39 year old male - just discovered red spots/sores on the head and shaft of my penis as well as my scrotom. Round with a small crater in the middle, varying sizes. Also have red spots on palms and soles of my feet: dark red, raised and hard on palm, lighter and more rash-like on feet. Help! Doctor: Hello Dear User, Thanks for using our service.As I always say, Physical evaluation is needed in order to give an exact diagnosis. However given those symptoms, here is a conclusion about them.It can be:1. Secondary Syphilis: is a sexual transmission disease, caused by Treponema Pallidum, characterized by fever, rash Cutaneous multiform , iritis, alopecia, and severe pain in the head and joints. I encourage you to evaluate yourself looking for lymphatic nodes affected, near genital area, and be attentive to any other symptoms.I strongly recommend you, to do a VDRL test and FTA test, in order to confirm this.2. Contact Dermatitis: Some irritant substances, can produce this type of lesions, however, it is a non common patron, because of distribution. Unless you had contact with an irritant substance in all your body.In any case, this conclusions must be confirmed with studies and you should visit your specialist (dermatology or Clinician), to have a physical evaluation, with adequate anamnesis (interrogation), and for evaluation on laboratory tests.I hope to be giving you helpful information.RegardsDr. Nieves Romero. | 30,437 |
How to find out date of conception? | Patient: Hi,i m confused my periods came on 11th July 2010,i had unprotected sex on the 18th July and on 24th July a condom was used but broke so i took Postinor 2 and started bleeding on the 25th-27th July. I again had sex on 1st August and i m now pregnant but not sure when it happened. Please help. Did an ultrasound on 22nd September 2010 and my due date was 1st May 2011 but i also told the doctor that my LMP was 25th July because thats the last time i saw blood. Doctor: Hallow Dear,You had taken Postinor 2 after the intercourses on 18th and 24th of July. So the chances of pregnancy resulting from sex on those days is very minimal. It is due to the Postinor pills, you got additional bleeding on 27 July. Considering your due date as 1 May, the LMP would be around 24 July. You say, it was 25 July, which also fits into this calculation. In that case your date of conception has to be somewhere near 8 August. However, a week to and fro is possible. The Ultrasonography calculations are based on the size of the baby and not on the LMP; hence there may be variation of about a week or so. I hope this clarifies your dilemma. Dr. Nishikant Shrotri | 221,551 |
What causes severe headache when diagnosed with stage 2 malignant melanoma? | Patient: my sister was diagnosed with stage 2 malignant melanoma this time last year. a mole was removed from her scalp and the doctors thought they had removed all of the cancer. however, she has been complaining recently about severe headaches. yesterday, she started bleeding badly from her lips and her heart was raising. she went to the ER where she was admitted to the hospital for more tests. all tests so far just showed irregular heart rate but no clogging or true heart issues. is there any connection with her cancer history and this sudden bleeding and heart raising. she is a 48 year old white female of average weight. Doctor: Hi,Thanks for writing in.Melanoma is a cancer of the skin ans usually appears as a mole. It is grouped as an aggressive cancer and should be closely observed for appearances elsewhere in the body even after surgical treatment.If your mother is having severe headaches then she must get an urgent CT scan or MRI scan brain done at the earliest. There have been patients with spread of cancer to the brain and in many cases it is malignant melanoma that has spread to cause headaches.The bleeding from lips might be due to a different cause and her general blood counts need to be checked. It is suggested that she gets a brain scan done and should there be any finding then it must be discussed in detail with the oncologist and treatment started as early possible. Please do not worry. | 154,815 |
What causes partial numbness in face after a root canal treatment? | Patient: my wife just had a root canal.everything went well except that night the right side of her face started going numb. it is still that way a day later.should she be worried? her dentist said it should be better in a few days.any ideas? we are scared.... Doctor: Hello, I've gone through your query. The effect of the anesthetic usually wears off within 2-3 hours after the procedure. With what you have described i feel that it is definitely a complication. it could be a parasthesia (an abnormal sensation). I feel you should consult another dentist regarding this. Please don't delay any further thinking it will resolve on its own. | 181,604 |
What causes thicker black skin on inside of cheeks? | Patient: HI, THANK YOU! GLAD UR HERE CAUSE THIS IS EMBRASSASING! HAVE PAD AN JUS RESENTLY I NOTICE MY SKIN ON INSIDE OF CHEEKS IS VERY BLACK SEEMS TO BE THICKER THAN NORMAL AND LOOK CRACKED IN SOME AREAS,, ALTHOUGH IT'S NOT HURTING ME IN ANY WAY// TRYIN TO FIND A ANSWER BEFORE GOING TO DOCTOR IF NOT NEEDED Doctor: Thanks for your query, I have gone through your query.The black color of the mucosa or inner aspect of the cheek could be a normal physiological pigmentation or increased pigmentation because of chronic irritation because of smoking.The thicker mucosa could be because of frictional keratosis or leukoplakia or liche planus or candidiasis. Consult a oral physician get the above said conditions ruled out.if it is frictional keratosis, remove the cause like sharp teeth by rounding off the sharp edges.If it is candidiasis then you have to take topical antifungal like candid mouth paint.If it is leukoplakia, you have to stop the habit of smoking and take antioxidants like capsule lycopene.if it is lichen planus then you have to take topical steroids like triamcinolone acetonide (0.1%) 4-5times daily for 1 week. I hope my answer will help you, take care. | 184,664 |
What causes pain in the right foot while suffering from diabetes? | Patient: Good Afternoon, At my last checkup I was told I had a borderline diabetes condition and was told it would be helpful to lose approximately 10 lbs for better blood tests results. In the past week my right foot has been throbbing the more I am on it. I have had to resort to wearing a shoe on my right foot around the house just to ease the discomfort. I do not have a pins and needle sensation in my foot more like a bruised throbbing sensation. Usually by the evening I am unable to put any pressure on my right foot. So my question is could I have diabetes nerve pain if I am not experience any discomfort at all in my left foot? Doctor: hi friend if your diabetes in borderline then you should go for very low calorie diet and do some easy step exercise which is very much easily manageable.good luck | 191,609 |
What causes water retention in body and increased heart rate? | Patient: I am under a doctors care, however, no answers yet. About 2 years ago it was like I hit a physical wall. Where I had felt young now I more then feel my age. I retain water and it gets harder to breath everyday (although my oxygen levels are normal). my resting heart rate keeps going up. It is over 110 now. I feel weaker and more tired daily. They have run tests and my heart seems physically fine. They just put me on beta blockers and more water pills. I have had Costochondritis for the same two years also, mostly over my heart. My blood diffusion is at 80 percent. I feel weaker and less able to function every day. I am so frustrated. Any ideas? Thank you, Bonnie Doctor: Dear Bonny,I would advise you to have thyroid tests done, also you will need to check serum electrolytes and the function of the adrenal gland.Hope I could help youYou can always come back with the results of the examinations and I'll try to help you furtherWishing you good healthRegards, | 25,941 |
What causes lower back pain on left side? | Patient: I m experiencing lower back pain on my left side. It started approx. 3 hrs ago. If I move around a little it will eventually go away but not completely. However, when I sit and stand back up the pain returns. Also, when I stand up straight it s painful. It fills as though someone has a fist in my back and causing pressure. Again, lower left side. Doctor: your symptom suggest that you have sever spasm of gluteal and lower lumber muscles that causes pain on standing. you need not to worry a lot. start analgesic such as ibuprofen , muscle relaxants and hot fomentation over painful area. take some rest. if pain does not subsides in 48 hours or increases even after analgesic then consult to you physician .Hope this helps.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | 107,917 |
Suggest treatment for smell allergies | Patient: sir,i am 48,male,i am affected smell either good or bad smell allergy by last 10 years,i consult ent ,other doctors,they give citrazin,levo citracin,i dinot like to the medicine,i wooried about the side effect,i want to get cure,daily i am sneezing two or three curchief in the morning upto 10 am,some time full day also ,kindly direct me Doctor: Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. I would suggest you allergy testing for common air-borne allergens like house dust mites, molds, pollens, insect proteins, animal dander (if you have pet), etc. As you have morning symptoms more often, I would first think of indoor allergens like house dust mites, molds and insect proteins.This will help you identify the substance causing allergies to you as well as to know the measures to avoid them.2. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over a long duration. Please note that Immunotherapy takes time to become most effective. It gradually reduces your requirement of medications.3. For symptom relief, I would suggest you combination of montelukast and levocetirizine which will reduce your allergy symptoms.4. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards. | 99,888 |
What causes fatigue after recovering from flu? | Patient: Had flu symptoms for about 6-7 days..now on day 10 symptoms gone but still have extreme fatigue..unable to stay on my feet for more than an hr. or so, just want to lay down..chest x-ray showed mild bronchovascular prominence and was prescribed an antibiotic. blood tests showed no abnormalities..If the fatigue a true result of the flu when will it cycle out.? Doctor: Hello,Thanks for asking a question at Healthcare magicIt is common to feel weak during and after a FluI suggest you to take sufficient restTake more fluids/fruit juicesYou take a multivitamin tablet for a monthAdd probiotics for 2 weeks that can help replenish the good bacteria in your gut.You will definitely feel better and get back to normal in a week or 10 daysThe course of viral infection differs in each patient.Hope this helps!Best RegardsDr Chaithanya | 30,846 |
What causes shadows on liver? | Patient: I recently had an MRI scan because of lower back and abdomin pain. I thought the diagnosis was going to be cysts on my overy/s (I had a hysterectomy 10yrs ago that left my overies). I was supprised when I received a telephone call to go to visit the doctors today. He said he was referring me to a liver specialist as the scan had shown up shadows on my liver. He said they were probably 'blood vessels' but they needed to check. What could they be? About 15yrs ago I had jaundice and I was told that they had found a 'spot' on my liver then but no treatment was needed as I was probably born with it. Doctor: HiProbably there shadows are hemangiomas. Hemangiomas are noncancerous colection of blood vessels. They can be present by birth and no treatment is needed if the patient is asymptomatic.Thank you for contacting healthcare magic. | 54,190 |
Suggest treatment for chronic cough | Patient: I have been suffering from cough for the past 20 years. No allopathic medicine works out. Only some home medicine cures the cough that too only once. The same remedy does not have any effect the second time. All tests have shown everything normal. Once I get cold, immediately cough starts, and continues for four five months though cold gets over in a week. Please tell me what I should do to get rid of this problem permanently. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.In my opinion, you are mostly having asthma or bronchitis.So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis or asthma but it will also tell you about severity of the disease and treatment is based on severity only.You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 73,640 |
Slight discomfort like jabbing with needle while urinating after taking alcohol. History of blood test showing issue with liver. Connected? | Patient: When I drink alcoholic beverages, I get a slight discomfort while urinating. Not so much a burning, but like someone taking a needle and slightly jabbing. I do drink plenty of water and along with other liquids where I have no urination problems. And my doctor did notify me about an issue with my liver through a recent blood test. What can be the issue and how do I rectify this situation? Doctor: Hi, it appears to be the alcoholic fatty liver, may lead to cirhosis, and there will be gastric hyperacidity, with alcohol and it may lead to acidic urine. So i advise you to avoid alcohol, spices, junk foods, and oily foods. thank you. | 58,791 |
Suggest treatment to control BP level | Patient: I take 150 mg of atenolol and 10 mg of hydrochlorothiazide each day. My doctor recently put me on 10 mg Lisinopril/hctz in place of the hctz I was taking. My blood pressure dropped to 102/62 and I felt weak and had no energy as well as other side effects so I stopped taking it and started back on the hctz I was taking before. I still have a terrible cough from taking the Lisinopril. My blood pressure fluctuates so much that some times it is in the 120/80s and then this morning it was 150/92. I can't seem to get it regulated. Any suggestions? Doctor: Sir, cough with lisinopril is known of, a better alternative is ARB, ie telmisartan, valsartan, olmesartan. The combination of this drug is better with HTZ, in terms of neutralisation of side effects and optimisation of benefit. The fluctuations may be due to shorter half life of lisinopril (12hrs), off the drugs I suggested telmisartan (half life 24 hrs) would help us eliminate cough and fluctuations Regards Dr Priyank Mody | 27,853 |
Could BPH be the cause for calculi in kidney? | Patient: my dad had high grade fever with chills, 4days back,he is hbsag positiv,when investigated had 1.1lakh platelet count,elevated total,unconj bilirubin, raised sgot ,sgpt slightly,CUE SHOWING showng pus cells,rbc,granular casts,albumin.usg scan showng BPH GR!,lt kidney low calyx 7.8mm calculi,rt kidney 3 calyx small calculi,no hydronephrosis in both kidneys.we put him on antibiotics analgesics.fever subsided,serum bilirubin came down to 1.9 prevsly it was 2.9.previosly 6mnths back wen he got loin pain was investigated found 7mm calculus in lt mid ureter wit mild hydronephrosis,he took few medicines for that.is BPH cause 4 all tese calculi?wat would be the treatment/ Doctor: high grade fever plus chills plus increased bilirubin may be due to cholangitis( bile duct inflammation) or acute hep B hepatitis.BPH is not significant because there is no hydroureteronephrosis. tendency to recurrent calculus formation should be investigated by analysing 24 hrs urine calcium, Uric acid , oxalate and citrate estimation. | 46,593 |
What causes sharp pain in the lower abdomen? | Patient: I am 43 yrs old. M y stomache has become extremely bloated. I had back to back periods last month and my period is now a week over due. I have been getting acne cysts in my hairline. I also gained a few pounds in the last week. Also, I have been getting a pinching pain in my lower abdomen and under my left ribcage. What could this be? Doctor: Hello I can understand your concernAt this age this could be perimenopausal symptoms which most ladies faces near menopauseIn my opinion you should consult a gynaecologist for examination and a battery of tests like hemoglobin and hormonal or nutritional assessmenthave plenty of fluids multivitamin supplementsHope this helps you good luck | 86,610 |
Suggest me treatment for chronic hives as allegra is not working? | Patient: I have had chronic hives for five months. I went to my primary care doctor in December, and she suggested that I see an allergy doctor. The allergist basically told me to take Allegra, but it has not helped very much. It is very incapacitating. Are there doctors that specialize in hives? Doctor: Hello.Thank you for asking at HCM.I went through your history.As you are having hives for 5 months, I would call it "chronic urticaria".There are many causes of chronic urticaria - physical factors like excessive sweating, contact with hot/cold water, undue pressure over body parts, sun exposure, etc. There are other causes also like some infections, thyroid disorders, some drugs, etc.If Allergra is not working with you, personally I would suggest montelukast and levocetirizine in the morning and hydroxyzine before going to sleep. If this does not help, I would suggest you to consult an Allergist who will advise you some tests like CBC, ESR, thyroid testing, urine and stool examination, allergy testing, etc. Usually it's allergists or dermatologists who are trained and experienced in managing chronic urticaria.Actual treatment will depend upon the cause of your problem. As general measures, I would suggest you to wear loose, comfortable clothing and avoid tight or woolen clothing. I would also suggest to avoid excessive sweating producing activities.Hope this will be helpful to you.Wish you a fast recovery and the best of the health.Regards. | 101,302 |
What causes stool with greyish spots? | Patient: Hi, my daughter is 3 months old. She was born with RH-incompatablity and i was told if her stools are ever brown or gray to take her. but, i recently j strted feeding her ceral in her bottle and her stool last night n this morning was gray-ish in spots. Can rice ceral do this or should i take her to the er? Doctor: You should not give cereals to the baby in 3 month of age. Complimentary feeding should be started at 6 month of age. | 165,983 |
Suggest better treatment for fever | Patient: My 2 yr old son is suffering from fever for the last 8 days. The temperature goes down after taking paracetamol but temperature shoots to 101 -102 degrees after 6 to 7 hrs. He is put on antibiotics ( zifi) for the last 4 days, but his fever is not going. He has become very weak, not eating properly. Kindly suggest Doctor: Hi,As fever is since 8 days requires evaluation of his case.Go for complete blood testing, S. Widal for typhoid and routine urine check up.After reports your doctor will go for treatment accordingly.Give him light food and plenty of water.Ok and take care. | 169,735 |
Pain in the lower abdomen. Upset stomach. History of c-sections. Medication? | Patient: I had my cycle about a week and a half ago then Thanksgiving night I ate and became very sick my stomach and whole abdomen area were very sore and it all kinda started about a week ago I had pain in my left side where I think it was on my ovary but then it filled my stomach my abdomen felt so heavy and painful , I have been having bowel movements and gas and everything but nothing seemed to give me relief . I have had three c sections in the past . It was so bad I was walking around huntched over . Doctor: Hello! Thank you for the query. As you have had 3 abdominal surgeries, there is very possible that inside your abdomen you have a lot of adhesions. Such adhesions can affect intestines and cause bowels obstruction. This should be ruled out at first with abdominal X-ray. Your symptoms can be also caused by ovarian cyst, ovarian infection, diverticulitis, urinary tract infections, pregnancy (recent bleeding does not rule it out). It is advisable for you to have abdominal ultrasound, full blood work, urine analysis, pregnancy test, transvaginal ultrasound. Hope this will help. Regards. | 94,657 |
What causes painful burning sensation in right knee after injury while on Norco? | Patient: my wife fall on ice and pain start two days after she fell,pain starts in right upper leg ,after that is increasing in pain and burning sensation,she had already steroides shots and some therapy ,also she had x rays and mri done ,what i can do to relief her burning and pain in her right knee? she is taken now norco and using some burning cream that happen in two weeks all Doctor: hi,thank you for providing the brief history of your wife.since you mentioned MRI & XRAY are done you haven't mentioned which region and what was the conclusion given by the radiologist. you didn't mention either where the steroid was given. let's assume that your wife had injury in the knee and the treatment was directed towards the knee. so now as you say she is having burning sensation that may be due to the steroid dose which is at times common. the effect of burning sensation stays for 72 hours +/-. post that the burning sensation comes down and the pain is lowered. Since you are at home you can help her by giving icing around the knee joint and it will help her to an extent by desensitizing the skin texture.hope this helpswith the grace of God I wish your wife a speedy recovery | 134,322 |
What does "HBsAG-non reactive and HBeAG-non reactive" suggest? | Patient: Dear doctor my recent test result was Hepatitis-B surface antigen (HBsAG) - Non reactive- 250iu/ml, Hepatitis surface antibody (HBeAG)- Non Recative please clarify about my result weather my result positive or negative. Doctor: Hi,How are you? You need not worry about the test as the results show that you do not have Hepatitis B infection at present. Although Hepatitis surface antibody is not the same as HBeAG as stated by you in the question. Please clarify as these are two different entities. I would suggest you get vaccinated with hepatitis B vaccine to protect yourself from future risk of infection. Hope this helped and please do not hesitate to consult me for further clarifications - [email protected] | 57,144 |
Pain and swelling in back. History of c6 nerve root injury, tendinopathy, crohns disease. Suggestions? | Patient: I have pain and swelling in my back, upper right area. It is noticeably swollen. I feel very "anxious" as well. It has been like this for weeks. Swelling gets a bit better, then comes back. Had a MVA almost 2 years ago. c6 nerve root injury and tendinopathy and other Soft tissue damage to neck. I also have Crohn's with a previous Right lower hemi colectomy. I cant tell if this is crohns pain or something else. The swelling is a bother. Doctor: Hello. Thanks for writing to us. The pain in the upper back that you have is not likely to be related to the Crohn's disease. This is more likely to be a muscular pain. You need to have pain killers and muscle relaxants after consulting an orthopedician. 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] | 112,912 |
What are the symptoms of carcinoid tumor? | Patient: I have had several episodes of severe abdominal cramps that leads me to the restroom. But before I have a bowel movement I have severe cold clammy sweats, feeling of faintness. I honestly feel like I m dying. I read where someone said a Dr. mentioned a carcinoid tumor. I had an appendectomy in January and the biopsy showed a carcinoid tumor in the appendix. Is it possible for you to explain these episodes to me. Every time I have one I honestly believe I m dying. I should have known that you had to pay just to ask a question about your health!!! Doctor: Hi,Thanks for writing in.Appendix is one of the usual places where carcinoid tumor might be found.The most common signs and symptoms of appendix carcinoid include:(i) Skin flushing and redness of skin(ii) Facial skin changes like spider veins in nose and lip(iii) Diarrhea without reason(iv) Difficulty breathing(v) Rapid heartbeatYour symptoms are surely due to carcinoid in the appendix. Please discuss with your doctor and take treatment to prevent the symptoms. Injections of the medications octreotide and lanreotide may reduce the signs and symptoms of carcinoid which you are having. Please do not worry. | 153,995 |
Suggest treatment for insect bite | Patient: I have recently been bitten by an insect, i think horse fly. I was bitten yesterday eve whilst walking the dogs and today i have very red swollen area just below my eye. Its very painful and seems to have only what I can describe is a puss forming underneath the skin. What do you think? Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand..As per your complain pus formation at the site of insect bite can be due to infection in the region of bite leading to abscess formation and you need to take a course of antibiotics like Augmentin and metronidazole, anti-inflammatory painkiller like Ibuprofen, anti allergics like Levocetrizine and apply triple antibiotic ointment and steroid ointment over it..You can also do cool compresses over it..Avoid scratching it to prevent further inflammation and infection..In case if the condition worsen or there is no improvement in one week consult a General Physician and get evaluated and if it is an abscess incision and drainage can be done..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | 31,982 |
Which doctor to consult for severe traumatic brain injury? | Patient: how can I find a doctor that knows about severe traumatic brain injury? I got hit 4 years ago - died on scene - went to a great trama hospital - Tampa General - but even they don t know what to do about living with TBI - seems now I ve learned more than a doctor has about it. I was on life support and in a coma for a couple of months - died 3 more times there too.... know I got sent back for a reason - maybe to help folks understand about this..... just need help finding a doctor that can help me Doctor: Hi, I am Dr.Bruno. I have read your question with care and understand your concerns. Let me try to help you Question: Which doctor to consult for severe traumatic brain injury?Answer : You need to consult a Neurosurgeon Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care. | 144,124 |
What causes elevated values of uric acid and SGPT? | Patient: Greetings, I am 39 years of age / male / vegetarian (4 eggs a month) / otherwise healthy. I am of Asian Origin (indian) I would like to confer on following results: Total Bilirubin is 1.10 against a normal range of 0.2 to 1.2 Uric Acid is 6.80 against a normal range of 2.5 to 6.5 S.G.P.T. is 63 against a normal range of 5.0 to 35.0 Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You have elevated sgpt level but it is not raised two folds, hence no need to worry much. Your work up done is as follows:- rule out Celiac disease history, drug history- alcohol history - Cardiac failure history - USG abdomen- CMV like viral infection historyTemporary viral infection also can lead elevated liver enzymes USG scan might reveal fatty liver for which life style modification and exercise done with less fried food and more fruits.... Udiliv also prescribed for that If suspected than hbsag and Anti HCV viral marker detection can be done Your bilirubin and uric acid here not elevated to clinically significant level Take care Consult physician for examination and accordingly work up and clinical correlation.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Parth Goswami | 53,456 |
What causes release of strong odour from head after injury which was sealed? | Patient: Hello, my son cut his head about a week ago, and I ve noticed a strong door coming from the wound (it was sealed with medical glue at the hospital), it s very similar to basalmic vinegar. Is this a normal part of the healing process? Thanks! Heather Doctor: Hi,Thanks for writing in.A wound in the scalp if sealed then should be watched for any signs of secondary infection. A strong odor can be due to the medications and substance used to seal the wound. The smell might be strong but is never foul. If you suspect that the smell is foul and there is some discharge from the area of the sealed wound then please go back to the doctor and get the wound examined. Sometimes the wound can develop infection even after the skin surface is sealed. This happens in contaminated wounds and if there is an infection going on under the skin.If your son complains of burning pain, the skin over wound has become red and there is discharge with foul smell then please have the wound seen by the doctor. They will update you on wound healing and assure you on his condition. Please do not worry. | 145,561 |
Does taking Eliquis cause nausea, cold chills and sleeplessness in a COPD patient? | Patient: my husband is 82 and he has COPD and developed pneumonia in the hospital and had a short bout with abfib and I was wondering if the albuterol he was given caused the abfib, He never had any heart rythymproblems though he had a heart attack 42 years ago....due to high cholesterol and stress and he has no scarring. He has smoked for a good number of years and stopped smoking in 2002, He has had COPD for awhile even when we lived in Colorado and never had any problem breathing, He is on oxygen at night and is on eliquis because of the abfib. Seems like he is having side effects from that drug. He is freezing cold and it is 80 degrees here in Florida and feels some nausea and eye focus problems and has a difficult time getting to sleep. What tests need to be taken to get him off the eliquis. He was just taken off of diltiazem because of a rash and swelling of his feet. That is better and he is on tuprol XL please advise ! Doctor: HelloNo i do not think his concerns are due to Eliquis use.Probably you should discuss with his treating doctor of COPD for reevaluating him regarding.RegardsDr.Jolanda | 72,086 |
What causes stomach pain and green stools in a child? | Patient: Hi..my 4 yrs old daughter is suffering from stomachache on and off for several days with greenish poop, its not loose stool a little hard sometimes. She don t have any symptoms no fever no diarrhea or vomiting. She only complains of stomach pain lasted few sec then she wanted to poop. She remains active too. She has been drinking grape juice but my concerned is the stomach pain with green poop..thank you.. Doctor: Hi...Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment.Regards - Dr. Sumanth | 176,953 |
What could itchy anus suggest post sex? | Patient: I am a gay male and I have itchiness and burning feeling in my anus and penis. The tip of my penis is a bit dry as well. I have been tested for std and all came negative. I am wondering what else it can be? No rash, no redness, no blisters at the present moment. This all started after I had a sexual encounter, kissing, making out, touching, skin to skin contact and some brief oral sex (performed by me on him). There was not penetration. Can you please help me? I am stressing out. Doctor: Hello,This might be due to fungal infections and psoriasis as well. Do you have any sort of scaly lesions else where on your body? I suggest you to visit your doctor for your proper examination and treatment if needed. Till then keep your local hygiene clean and tidy. keep your self hydrated. Do not wear tight underpants and keep your self dry.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician | 192,262 |
How long does it take to recover after chemotherapy? | Patient: hi doctor, my mother aged 48 is diagnosed with aml with monocytic diffrentiation, she received chemotherapy and now the recovery period is going on, her wbc count is really low due to effect of chemotherepy, i want to know how much time it takes for body to recover from chemotherepy Doctor: Hi, Treatment can last for anywhere from 3 to 6 months. During that time, you would be considered to be immunocompromised — not as able to fight infection. After finishing chemotherapy treatment, it can take anywhere from about 21 to 28 days for your immune system to recover. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Monish De, Oncologist | 152,419 |
A Spot in the Lungs, can u suggest what the exact problem is ? | Patient: hello doctor, A spot is detected in the lungs area of my mother her age is 55 years We have gone through various phase of tests, that are 1) X-Ray 2) CT -Scan Impression:CECT chest reveals hetrogenously enhancing mass lesion involving right lowe lobe with subcentimeter mediastinal lymphadenopathy possible mitotic in nature. 3)Bronchoscopy:Test is negative Now the doctor is suggesting for the CT guided biopsy Also We have gone through the MRI of head and the report is like this: Oblong ring enhancing lesion in the right fronto-parietal region associated with perilesional edema. the etiology is likely to be neoplastic and represent metastatis. But still the doctors are not able to conclude, what the exact problem is, they are now suggesting for biopsy can u suggest what the exact problem is ? weather we should go for biopsy or not? Is there is some better test which better then biopsy? Eagerly awaiting for your response Thanks Amit Doctor: Hi.. Metastasis/primary lung tumour and infective lesions such as granulomas(tubercular).. Hence a histopathological diagnosis is essential to determine the plan of treatment, since the treatment will not be the same for both these conditions.. So the biopsy is necessary.. Other test that include the blood counts, montoux tests are indirect evidences which can be useful, but not any where close to the biopsy.. Discuss with your doctor for more details... | 160,306 |
What is the treatment for mental illness and depression? | Patient: Dear sir, my name is Somenath Bose and i live in jabalpur, madhya pradesh. My problem is that my mother in law is have some mental problem. from last 4 years she used to tell everyone that i am a danger for my own 3 years old child. she always used to tell me or everyone that may be i will kill my son....or iam sexually harrassing my own child....she doesnt believe me at all. she thinks that iam a criminal and can harm my own family....i am very much tensed due to this behavoiur of her...kindly help me what should i do.... Doctor: Hi, Mr Bose,Thank you for writing to HMC.Considering whatever your mother in low is thinking is wrong then the symptoms you described look like false belief which in medical language is Delusion.the delusion may be a symptom of variety of mental disorder.One would like to know her behavior and belief about many other thing apart from relating to you.If she is otherwise fine than delusion disorder can be the possibility. Or if she also have other behavioral problem or thinking problem then one need to rule out possibility of schizophrenia which is not common after middle age.One more thing is her memory. if memory problem is present then dementia can also be the cause. Does she have diabetes or hyper tension? if so then chances of dementia due to lack of blood flow to her brain may be the the cause of symptoms. This all what i have discussed are common causes of false belief but it is not the complete list.Now the best possible way to get help is to visit Psychiatrist and trying to find out the cause of her symptoms. In this kind of symptoms Antipsychotic medicines usually helps but this should be given under care of psychiatrist only for best possible outcome.Hope you find this helpful.Regards. | 207,649 |
Abdominal pains on eating, lying on left side, had appendix removed. What could be the cause? | Patient: About a week ago, I went into the Er , and they said I had an execution, now the infection had nothing to do with my sharp pains. In jan, I had my appendix removed, so the pains on my left side couldn t of been that. Now, my pains feel worse, and it s only when I eat, and when I lay down. It s on my left side. I used the restroom just fine, but could I be backed up? Doctor: I am unable to understand you question properly but what I can gather is that you have had an appendectomy in Jan and now you are having left sided abdominal pains. First of all, the appendix is on the right side, so your pain cannot be explained because of the surgery. I would be able to answer your question better, if you let me know your age and whether you are having any bowel or bladder disturbances. | 95,049 |
How long could it take to recover from low iron level? | Patient: My iron level is 9 and serum 32 due to heavy periods and recent total colectomy with Jpouch.After starting iron supplements how long until I feel a difference.Im very tired and lightheaded.I also get dizzy and are experiencing hair loss.Ive been struggling through work.How many days will I have to miss. Doctor: Hi, its all depends on your hb level that how many days it takes to become normal.if you want to improve that faster then you can take injectable iron. First your iron will be used to make hb. Then it is stored.so ferritin level increase there after.take high iron containing foog like jeggary, Green leafy vegetables and dry fruits. | 117,935 |
Stomach pain, fuzzy moss like green stools. Not on any medication. Reason? | Patient: I have been having stomach pains for a while now sometimes they are there alot sometimes here and there and the last couple days my stool has been green. Today it looked like fuzzy moss like stuff all around my stool what does that mean. I don't take iron or meds that cause that and I don't eat green food and have not changed my diet Doctor: Hi welcome to Health care magic forum. Thanks for calling H,C,M,Forum. You have stomach pain, here and there, and your stool became green and fuzzy, You didn't use iron containing medicines or foods,or changed the food. You have described the disease very nice so that we can have a clear idea. Your problem appears to be the infection of colon, may be amoebiasis , irritable bowel syndrome, etc. I advise you to consult a doctor for diagnosis and treatment. I advise you to have a soft food like food with curd, bland foods like bread, etc. Avoid taking spices, junk foods, oily foods, and non vegetarian foods. Wishing for a quick and complete recovery. Best regards. | 93,610 |
What to do to get pregnant when having overactive thyroid? | Patient: i was recently told that I have an overactive Thyroid. I have been put on NeoMercazole and per bloka 20. My period is now 11 days early but im barley bleeding. Could you please shine some light on this so I knoow what is happening to me. My partner and I are looking to try for another baby next year, will this effect our chances? Thank you. Doctor: Hi, thyroid disorders can lead to irregular periods. So once the thyroid is under control, your periods will become normal and there will be no problem in conceiving. | 1,908 |
What could be causing severe pain in the arms while suffering from a cervical degenerative disc? | Patient: I have degenerative disk in my neck. For the last month or more i have been having extreme pain in my shoulders and down my arms. i cannot get comfortable laying down and wake up during the night with severe pain in my arms. its in the upper are area and sometmes it radiates all the way down my arms. Can you tell me what could be causing this? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your symptoms are suggestive of cervical disc prolapse at C4-5 causing pressure on one of the nerves, and pain in distribution of that nerve. I suggest pain killers, muscle relaxants and a combination of Pregabalin and Methycobalamine. Physiotherapy would be of great help. The diagnosis is by MRI and nerve conduction velocity tests. Thanks. | 127,237 |
Suggest treatment for rash on the back and stomach of a kid | Patient: Last saturday my 6 yr old son came up with a hive like rash all over his back and stomach. I called my doctor and he told me it is more likely to be an allergy and i gave him Zyrtec antihistamine. On Sunday he got no rash but in the evening i realised that his wrist and ankle were swollen and when he actually came to walk he was limping and felt discomfort. this morning his rash came out again so i went to the doctor he wasn t limping anymore and his wrist and ankle were hardly swollen. Doctor gave him Solupred for the ulticaria like rash. this evening around 6pm my son complained he couldn t walk and said his knees hurt when he tried to walk... he only had a very slight rash this time. What could it possibly be? Doctor: Hi.... by what you say I feel that this could be an associated angioedema along with allergy or urticaria. The other rare but still clinical possibility is HSP or henoch schonlein purpura. I suggest you get back to your pediatrician if the rash starts again especially in the lower limbs.Regards - Dr. Sumanth | 164,438 |
What is mild hepatomegaly and minimal pelvic ascites and its remedy? | Patient: DEar Doctor sir My daughter was 5 yrs old and suffered in jaundice in monthof feb -2013. In that time Total bilurubin was 2.0 .SGOT was 110 and SGPT was 437.Alkaline phosphatase 351. After 15 days it was tested Total bilurubin 0.7. and SGOT 35.0 and SGPT was 14.0 and Alkaline phosphatase was 200. But after 8 month some temes she is telling pain in stomach . after that I tested USG. Report told that mild hepatomegaly and minimal pelvic ascites. What is it meaning and what is its remedie. pl tell me. thanking you Doctor: Jaundice due to hepatitis A.is a mild illness.But can show such complications.at present no active treatment.observe.it should settle down gradually.repeat usg after 2 weeks. | 175,433 |
Why baby is not crying after birth? | Patient: good evening i m niraj from india. i have a baby of 1.5 days . he born at 3.40 am on 4 april 2011. since then he is not crying and others things r right i.e. breathing well . he is admitted in hospital since birth and no improvement . doctors r saying he is suffered from severe birth asphyxia. please help me ... Doctor: dear parent, I understand your concerns but if the baby suffered severe asphyxia at birth, this might have caused damage to brain cells if asphyxia lasted more than 6 minutes. damage to brain cells may lead to developmental delay. you should get a neurological examination for the baby | 166,578 |
What causes elevated heart rates while resting? | Patient: so i am a healthy 32 year old female. i workout at the gym on a regular basis. i also perform triathlons and other event races. i started wearing my heart rate monitor again and noticed my hr getting in the 190's. today i had a max hr of 230. i have noticed not during my workouts but afterwards that i am having palpitations and almost like a fluttering feeling. but during my workouts i feel great. should i be alarmed?? Doctor: Hello!Thank you for asking on HCM!Your symptoms may be related to anxiety. Anyway, I would recommend consulting with your attending physician and performing some tests to exclude other possible causes: - a cardiac ultrasound to examine your cardiac structure and function- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during the day- some blood lab tests (complete blood count for anemia, blood electrolytes for possible electrolytes imbalance, thyroid hormone levels for possible thyroid dysfunction). Hope to have been helpful!Kind regards, Dr. Iliri | 25,079 |
What is the treatment for back pain? | Patient: I ve been having a pain in my back, like near the shoulder..and I m guessing it s from always letting my son fall asleep and put all his weight into it. A couple days ago my son pushed near my collar bone I think it is? On the front side of my body, and where he pushed, all the pressure caused the pain in my back to occur...Idk this doesn t make much sense....it can be pretty unbearable. Doctor: Hello,The pain may be due to some compression caused by heavy weight, and needs clinical and radiographic evaluation. Meanwhile you may have symptomatic relief of pain with analgesics, topical linments, and not bearing heavy weight. | 107,857 |
How to control hemoglobin levels? | Patient: i'm 21 years old and is worried whether i need to take iron supplement. i used to have blood donation every 4 months. There are times when my hemoglobin level are 10.5, sometimes even 9.8. However, there are times when the level is normal(dont know the value, check with chemical solution). i felt strange for my frustrating hemoglobin level and dont know how to maintain it to the normal range. Doctor: Hi, dearI have gone through your question. I can understand your concern.You should not donate the blood if your HB level is below 12.5 or fluctuating hemoglobin level. You should go for peripheral smear examination and anemia profile. If you have iron deficiency then you should take iron supplements.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | 115,717 |
Can taking melanocyl for plc cause changes in vision? | Patient: Hi, I am Minella from India. My brother is suffering from a skin disorder called PLC. He has been prescribed melanocyl tablets followed by sun exposure for ten minutes post 2 hrs of consuming the pills. The dermat has advised us to conduct an eye test after a month before the next visit. Am a little concerned regarding this, as I checked on the internet that it might cause changes in vision. Can you please help me on this Doctor: Hi,Yes, it may cause changes in vision. The most common side effects of melanocyl include itching and skin redness. However sometimes it may also cause premature cataract and macular or retinal toxicity resulting in vision changes. This side effect can be prevented by using ultraviolet filtering glasses during treatment.Hope I have answered your question. Let me know if I can assist you further.Regards,Dr. Mohammed Taher Ali, General & Family Physician | 83,386 |
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