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Any ideas for severe abdominal & pelvic pain and the need of shunt in draining spinal fluid from head to the abdomen? | Patient: hello, I have been having sever abdominal pain and pelvic pain. I went to the er where they did a ct scan. They said I had fluid in my pelvis but didn't see anything else. The did a pelvic check, std screening, and an ultrasound to check for cysts. This was almost a month ago. I am still having terrible pain. Also I just had a shunt put in that drains my spinal fluid from my head to my abdomen. Went to Neurosurgeon , they didn't think that the shunt had anything to do with the pain. Any ideas? Doctor: Hi. This is true that shunt fluid draining in abdomen is not the cause for pain. But Ct Scan showing fluid in pelvis means pelvic infection or PID ( pelvic inflammatory disease ).Sometimes this fluid can be pus also,which causes severe pain. You can start antibiotics after consulting your dr.along with anti-inflammatory drugs.If still not releived your dr. may take fluid from PID and then start treatment after proper culture sensitivity. Thanks. | 92,018 |
What is the treatment of leg pain and fatigue ? | Patient: i am having mild leg pain and fatigue for over 2-3 weeks. doctor suggested me some test like cbc,esr,calcium,throid test. given below are the abnormal result. Hb:11.2 PCV:34.3 MCV:76.4 MCh:24.9 ESR:51 all other Results are normal. Could you please tell me what is the actual disease i am having? Doctor: Hi, I have noted a mild anemia in your blood test, together with high ESR which is suggesting any inflammation in your body. Taking into account your symptoms of leg pain and fatigue, it might be due to arthritis. Arthritis tests should run further including (rheumatoid factor, ASLO). Depending on the tests results, should start appropriate treatment. For the moment, should take anti-inflammatory medicines you find over the counter, and take magnesium supplement. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Albana Sejdini, General & Family Physician | 125,122 |
What causes sore throat, fatigue and headache while treating sinus infection? | Patient: My son has been sick for 2 months. He had 2 cases of strep throat, within 2 months. (He apparently has had mono, but the doctor said it was not in last 3 months. Had blood test to determine this, along with many other abnormalities that could be present). When he got sick 2 months ago, his symptoms were sore throat, fatigue, and have now have developed into severe headaches, that come and go daily, fatigue, and nausea, sometimes with stomach pain. He no longer has sore throat. He has been on 3 different antibiotics, and just finished a 3 day zithromyacin 2 days ago. He had an MRI, a week ago, on his head , since he is having so many headaches. Nothing came of it, except that it showed he had a sinus infection, thus the z-pack antibiotic. Not sure what to do or what type of doctor I should have him see, for the symptoms he is still experiencing. Any advice? Doctor: Hi..Thanks for the query..Well sore throat, fatigue and headache can be seen when there is sinus infection and the cause is that sore throat can occur due to post nasal drip that can cause infection in throat and cause soreness and pain..Also headache can be due to pressure in the sinuses as there are large sinuses resent behind the eyes and forehead region..So the symptoms can be probably related to sinus infection or sinusitis..His antibiotics should be continued and along with it anti inflammatory painkillers like Ibuprofen can help..Use decongestant nasal spray containing Xylometazoline and saline nasal rinses.Doing steam inhalation and using a humidifier can help..Avoid air conditioned atmosphere and cold and spicy foods.Take sufficient rest..If the symptoms does not improve in a week you can consult an ENT Physician and get his reports checked along with a clinical examination..Hope this helps..Regards. | 29,318 |
Suggest treatment for chest pain with loss of appetite | Patient: hello doctor, i think i have a chest infection i had dizzy head with hurting eyes when i moved them, but thats gone now, now i cant eat well..loss of appitaite and my chest area/heart area is killin me like a sharp pain..like its litrally on fire its painful, need help! Doctor: HelloIt would be better for your condition to consult your doctor for probably further follow up.RegardsDR.Jolanda | 73,181 |
What causes overheating syncope, nausea, sleepiness, headache with diarrhea? | Patient: Dear Sir, dear Madam, This afternoon, I started to feel faint from what I believe to be overheating. I felt nauseous, sleepy with a subsequent headache. Afterwards, I even developed an attack of diarrhea. I have suffered from overheating in the past so I recognize the symptoms but diarrhea didn t occur back then. That s why I would like to know whether this might be a normal symptom which will eventually dissappear or I should consult a physician. Doctor: dear,I am suspecting condition of related to infection. Mostly gastric in nature.The symptoms resemble the syndrome commonly associated with infection.I suggest you to see a local physician as antibiotics may be required.regards | 143,996 |
What causes white discharge from the penis? | Patient: Hi doctor I am 26 yrs old from India. I had unprotected sex with 2 different girls in last 2 to 3 months. I realised itching inside my penis but no pain. Later after few weeks I find a white patch on the head of penis & also frequently little white discharge from the penis. I am circumcised from birth......I am worried so much. When I checked in Internet it says it s a sign of penile cancer.....plz suggest me where to consult & what is the treatment. Plz help me doctor m so much worried. Thanks. Doctor: Please relax, your condition is treatable. If you go by resources in internet, you will probably end up in wrong diagnosis. However, before going for treatment, keep in mind, unprotected sex is always dangerous, and therefore, do not indulge in such practices. You may see a dermatologist, who will do a clinical examination, do some tests, diagnose and treat. Adhere to the treatment. You will be alright.TC | 201,508 |
Denture which rubs incisive papilla. Denture adjustment suggested. Chances of carotid artery damage? | Patient: I have a denture which now rubs on the incisive papilla. Doctor said to get the denture adjusted. DONE. THAT pain is now gone. OK so here is the serious question: could that 3+ month irritation have done any damage to the carotid artery? There is now a small bump on the artery and neck pressure makes it really noticed. OR is the carotid artery issue just a coincidence? (YES, had a CT scan done and will be seeing a doctor about the scan in 2 days --- but I want to know.) thank you. fred Doctor: Dear friend.Thanks for sharing your concern.Arteries are deep seated while veins are superficial,therefore it is nowhere related.Irritation on incisive papilla can damage the surrounding capillaries,nerves and veins and thus causing inflammation and infection,but no damage to artery is possible.Therefore please do not correlate.it requires attention.The bump on the carotid artery should be well examined and treated for the cause.Hope it helps.Thanks.Take care. | 189,112 |
Frequent esophageal spasms, feeling of swallowing a rock, followed by intense chest pain radiating to the body, black out or seizure. Remedy? | Patient: I think I may have esophgeal spasms. I have had this problem for years on and off. Usually, it comes on when I feel like I have swallowed a rock while eating or drinking. My chest tightens up and I feel like i Cant breath or swallow. Each time it happens I have an unbearable, unbelievable pain in my chest that radiates basically through my body. Then I black out. At least 50% of the time I also have a seizure. When I black out I go ALL the way out and I don t really regain conciousness until the intense pain brings me back. It is awful and painful. These really bad spells happen about once a year with the swallowed a rock pain happening more often (sometimes I am able to stop the full on spasm and get control over my swallowing ). This happened 2 days ago and my chest is still really sore from the contractions/spasms. I don t have insurance so I can t see my doctor. I need to know if these could cause perm. damage or be a sign of heart problems or other problems. I dont know what to do about it. I black out occasionally because of other, unexplaine dthings too but they seem unrelated to my drinking/eating something and having chest spasms problem. I need help! Doctor: Hi You need to get evaluated for the seizures and you need to rule out oesophageal motility disorder. Mostly these two disorders are unrelated , You need to take a CT Scan Brain and an EEG to ruleout seizure disorder . To evaluate oesophageal motility disorder an oesophageal manometry and Barium swallow needs to be taken . | 151,537 |
Intense pain in the abdomen. High ALT/AST. Will removal of gall bladder help? | Patient: How common is it to remove a gallbladder with sludge? I have a lot of pain and high ALT/AST although these levels seem to be coming down. Pain is still very intense. No gallstones. I have had this pain for a very long time. "Attacks" in upper abdomen after eating in evening mostly. I am underweight, not able to eat a lot, and really struggling. I don't want to have a whole bunch more tests but just get the gallbladder out. Doctor: Hello,Although gall bladder with sludge doesn't need any treatment but if you have symptoms like pain,vomiting etc,then you should get it surgically removed.Best would be to get it removed laparoscopically.Thanks | 58,381 |
What does exhaustion and high heart rate indicate in ex-smoker? | Patient: i am unable to complete any strenuous taskslast month I gave up smoking. ever since I have actually felt much weaker and my heart rate keeps going up; and I can't seem to do tasks like run, carry things or even have sex I get exhausted and my heart rate is getting higher thanks in advance Doctor: HI, thanks for using healthcare magicCongrats on smoking cessation.The smoking cessation significantly reduces the risk of heart disease, stroke, cancer. Cessation is not normally associated with weakness and increased heart rate.There is likely another cause that needs to be explored via physical examination and blood tests.Blood tests would include a full blood count to rule out anemia and thyroid disease to check for low levels.May also need heart evaluation as well- ECG, echoI hope this helps | 27,672 |
What causes swelling in the ankles and legs along with inflammation? | Patient: I have just started getting my back adjusted by a corrective chiropractor. now my feet started swelling my ankles, and legs. it s like the toxins are leased into my bloodstream again but can t get out. and I m miserable. my feet are inflamed. this is my 2nd week going. Doctor: Hi, First of all it's sad to know what you had been going through lately. Based on the history you have shared, it isn't because of toxins etc but you need to have worked up for causes of tissue oedema including liver and kidney functions as well as heart echocardiogram. Urinalysis to rule out protien loss should also be done. Doppler ultrasound of lower limbs may also be needed to see any signs of blood flow obstruction. Diuretics may also be needed to decrease the swelling. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Saddiq Ulabidin, General & Family Physician | 125,106 |
How to heal insect or animal bite associated allergic reaction like pain and head congestion? | Patient: We were in ocean and suddenly something felt like it bit me in stomach. Shortly after started feeling joint pain in lower back, knees and elbows. Then instantly felt sudden head congestion. Like and allergic reaction to bite? I took Benadryl....now what? Doctor: Hello,Welcome to HCM,As you suddenly developed the symptoms of allergic reactions like itching all over the body following some bite, it may be allergic reaction to that.As you developed the hives immediately after that and reduced after the anti histamine drug, it may be a allergy to aquatics. If the symptoms are coming down nothing to worry, if the symptoms are increasing you have to consult to confirm whether you are having allergic reaction are generalized eczema.Thank you. | 102,467 |
What causes recurrent hives and swelling after a bee sting? | Patient: Hi, my friend was stung about 8 times by some yellow jackets and got a severe allergic reaction to it (faintness, hard to breath, hives, swelling of the mouth). She was taken to the ER and they gave her an IV with some different drugs that I cannot recall. The hives and swelling went down but came back an hour or two later and she as given another IV. The swelling and hives mostly went away again and we were released from the ER. Now the hives and swelling have come back. Should we be worried? I read benadryl or clariten may help. Thank you for your time Doctor: HI, thanks for using healthcare magicThe use of anti histamines such as benadryl or claritine would help. It is possible that she have been given anti histamines at the hospital as well.Since the hives and swelling have recurred, she can consider a dose of one of these to help.They would be available over the counter.I hope this helps | 101,062 |
Should we continue radiation treatment for mouth cancer as there is still bleeding from the mouth ? | Patient: Sir , My father age is 65 year he suffering with mouth cancer with 3 rd grade we are also conduct operation and radiotheraphy before nine month but still today he is suffering with bleeding form mouth , Age : 65 male Medical history : stage three mouth cancer Operation conduct before Nine month Radiation taken Gifitine continue Till bludding from mouth is continue Doctor: dear sailesh, it seems to me that your father has not responded to RT well, there has been few cases of geftinib causing bleeding. get an evaluation done by an oncologist. | 159,868 |
Suggest remedy for dizziness and body shivering | Patient: Over the last two days I have had really bad dizziness. Every time I stand up I get extremely dizzy and my vision goes black. I feel a fussy feeling on the back of my . My arms and legs shake uncontrollably. I am only 27 with no serious medical issues and have never had this issue before. My blood pressure was perfect on Monday at my check up. This has caused me to fall over a couple of times and lasts probably 10 seconds and only when going from sitting to standing. Afterwards I have zero symptoms. Doctor: Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!Your symptoms are suggestive of orthostatic hypotension. For this reason, I would recommend you to measure your blood pressure values in sitting position and in standing up position. If there is a drop in systolic blood pressure more than 20mm Hg during standing up position, compared to sitting position, it would be indicative of orthostatic hypotension. In such case a Head Up Tilt Tets would help determine the diagnosis. Some blood lab tests (complete blood count for anemia, thyroid hormone levels, fasting glucose, blood electrolytes) are necessary too. Hope you will find this answer helpful!Best regards! | 141,915 |
What causes chest muscle enlargement in the elderly? | Patient: my father is 80 years old and has been taking this medicine for a prolong time, and my concern is that he is growing breast and complains of pain in that area... the breast are noticeable and recently he said he thinks they are getting bigger: His doctor told him he has to take this medicine for the rest of his life... Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Enlarged breast can be because of gynecomastia. Certain drugs, chronic liver disease and Hormonal imbalance can lead sometime enlarged breast. According to cause specific treatment given. Kindly mention name of drug that you are taking. Consult physician for examination. Hope I have answered your query. Let me know if I can assist you further. | 195,738 |
Is Prolifen effective in enhancing the chances of pregnancy? | Patient: hi, i had 2 times miscarrie,after that my dr sugges me Fertab 50mg from the 2nd day of periods n then she suggest me ovi f tab but both r no effected now im using Prolifen 50mg,plz guide me is that tab really effective?im so worride about my pragnancy plz give me some effective tips for pregnancy Doctor: Hi,I understand your concern. Both prolifen, fertab and prolifen contain clomifene citrate. It increase FSH and LH and cause maturation of ovarian follicle and induce ovulation. You can take it any one of above for 4-6 cycles under advise of gynecologist. After taking it go for USG scan and ovarian follicle study form 10th day.If ovarian follicle size will be 18-21 mm then it release good quality egg and high chance of pregnancy. If there is no rupture of ovulation, then you can use HCG injection to induce ovulation. You can also ask for tablet Metformin, Ovacare, Progesterone pill in second half of period: it support implantation and pregnancy. Avoid stress, take healthy diet, drink plenty of water, do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar | 2,659 |
High ESR levels, unable to stand for long, fever. Medication to control this? | Patient: good morning sir actually my father suffered with high level of esr .pls suggest how to control and what medicine is used for the treatment .because of this higher level of esr he always feel like having fever and also he is not able to stand for long time if he do this then he has to face legache .so plz sir suggest but to do ? Doctor: Hi. ESR is a blood test which reflects many underlying parameters in the blood, and is not a disease. There is no treatment available for elevated ESR, but the cause of the elevated ESR needs to be found and treated, which will reduce the ESR automatically when the underlying disease subsides. ESR is a non-specific test which can be increased in a number of conditions including infection, tuberculosis, malignancy, etc. So please get him evaluated as to why he has fever with elevated ESR and then get him treated for the same. I hope i have cleared your query. Thank you | 118,724 |
On nuva ring birth control. Stomach getting bigger, increase in breast size. Mild periods with cramps. Pregnancy chances? | Patient: I have been on the birth control nuva ring for almost 2 years now and here recently I have noticed my stomach has been getting larger and its tight. I have frequent urination, nausea, always tired, cravings, increase breast size and my breast are very tender. My husband and I quit using all other types of birth control except for my ring about 3 months ago. I still have my periods but I have been having painful cramps and I don't bleed that much, does it sound to you that I would be pregnant. Doctor: Hi, Thanks for the query. Sometimes nuva ring can lead to side effects like nausea, bloating sensation etc. If you didn't use it as per the schedule it may not give complete protection. Though some of your symptoms are suggesting pregnancy, just by symptoms we cannot confirm or exclude the pregnancy. So you better consult gynecologist and go for pregnancy test. if the test comes negative you can take symptomatic treatment. If the symptoms persist after this also you can choose some other method of contraception. For more details you can ask me through: http://www.healthcaremagic.com/doctors/dr-sree-gouri-sr/63429 Take care. | 226,188 |
Loss of appetite, nausea, frequent urination. Taking birth control. Negative pregnancy test. Due to pill? | Patient: Hello, I m a 30 yr old physically fit woman. I m experiencing a lack of appetite , nausea , frequent urination (getting up several times through night), and headaches. I started birthcontrol a little over a month ago. I wasn t great about taking the pill everyday, and I believe it threw off my period because it only lasted one day. I took a pregancy test 2 days later (I used protection), and it said negative, so I don t believe it s that. Is it possible the pill is creating these symptoms? Doctor: Hellothanks for your query.The symptoms described by you are attributable to birth control.They would have been better had you taken the pill sincerely.However, as you are not good with maintaining the schedule, it is better to substitute a different method of birth control.If you fail to have your period within a week, consult a gynec to rule out other reasons such as thyroid hormone disturbance, polycystic ovaries etc.All the best. | 225,616 |
What causes white bumps with tiny black dots on finger? | Patient: On my middle finger i had an outbreak of white to clear like bumps with tiny black dots right in the center of them. I ended up getting medicine for it and it went down but never fully went away. Only when i itch it does it start to act up again. Do you have any clue as to what it is? I thought it was a rare form of eczema and my dad thought it was scabies. Doctor: hanks for posting your query to HCM.Scabies usually produces sever itching more at night . I spread rapidly and cover most of the body part below neck .Eczema is a skindisease of chronic origin with slow progression manifest with itching and sometime discharge .you need to consult to dermatologist for making diagnosis and take appropriate treatment .take care . | 30,753 |
Suggest medication for fever | Patient: I am asking in regards to a friend who has recently come down with flu like symptoms. fever from 99.1-101.2 with ibuprofen, body aches, respiratory (stuffy, runny, sneezing). Today, he took Dayquil and his temp has been 96.0-96.3 all day. This is very strange and I am concerned. Doctor: Hi, to answer your question about your friend, it is ok to take Dayquil for the cold & flu. His fever has also subsided and that is good, not strange. It is nothing to worry about, though I recommend that if the fever lasted more than 2 days, get a Physician to see you physically and evaluate if any blood tests need to be done. | 32,044 |
Suggest medication used for lupus? | Patient: Which drug is used as first-line treatment for mild-to-moderate systemic lupus erythematosus patients? Options (NSAIDS, corticosteroids, immunosuppresants, *Bensylta (belimumab)) Ans. Is Benlysta (newly approved drug) used for treating patients in induction/maintenance therapy or both? Ans. Doctor: the first line drug in mild to moderate lupus may be nsaids, hydroxychloroquine, and some immunosuppressants like methotrexate or azathioprinebelimumab is useful both for induction maintenance in moderate severity lupus. | 82,805 |
What causes difficulty in breathing after discontinuing Foracort Autohaler inhaler? | Patient: I was using foracart autohaler 200 for 17 months from Jan 2016 to May 2017. Then I stopped taking it as it was not available in the market (Coimbatore, Tamil Nadu, India). I did not feel any difficulty after that stoppage till 15th July 2017. Now feel that I am suffering from respiratory problems which started after a climate change. Wanted to know if there is any harmful impact that could have been caused due to discontinuance of the medicine? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Foracort is having formoterol and budesonide. It is commonly used for allergic asthma. It actually controls the asthma and related lung symptoms. So when you suddenly stop it, your asthma becomes uncontrolled and started showing symptoms. Ideally, you should not stop it suddenly. You need to gradually taper it down to prevent symptoms. Sudden stoppage of foracort won't cause any adverse impact. You should restart Foracort 200. Continue it for 3 months. If symptoms are controlled then taper down to Foracort 100. Better to consult pulmonologist for taper down process. Hope I have answered your query. Let me know if I can assist you further. | 71,095 |
Have lupus, got rid of ecoli in urine. Severe sweating, nausea, headache. Taking prednisone. Reason? | Patient: I have Lupus ...I have just gotten over 10 months of ecoli in my urine w/many antibiotics ...now, my urine is very dark and reddsh....I drink 2-3 quarts of water per day, I have severe sweatting in day and especially in evening...twice this week I ve felt nautious in the evening with a headaceh....I take 10 mg. of prednisone per day...what could this be? Doctor: Hello, The immunosuppressant medication you are on for the lupus does not help with the infection. However, over 10 months of E Coli infection is very unusual unless there is a diverticulum in the bladder or some sort of anatomical abnormality that is harboring this bacteria. Cranberry juice has been shown to be very helpful in preventing recurrent UTIs. You also need a 9AM cortisol and 4PM cortisol test and may require a short synacthen test to ensure you do not have secondary adrenal insufficiency to explain the other symptoms. I hope you are on Vit D3 and Calcium plus bisphosphonates to protect against bone loss due to the steroids. Please get in touch with your Rheumatologist as soon as possible. Thanks. | 83,065 |
Am T-Cell Lymphonia Cancer patient. Checking on HCT in blood. Taking fish oil. Will this help in reduction of HCT? | Patient: Hello, I'm a T-Cell Lymphonia Cancer Person, my Doctor is constantly monitoring my blood profile, checking on my "HCT" in my blood, and I cannot go over the number 45 % or I end up having a Phlamboita ? I started taking a fish oil over the counter several week ago and my levels went from 47% to a 40.2% ?? Is this the only reason it has lower itself or what ?? Doctor: Hi, T cell lymphoma has got several subtypes. You have not mentioned the specific one. Fish oil is rich in docosahexaenoic acid (DHA). It has got some role in cardiological diseases other disease like Parkinson Alzheimer etc. There are some opinion regarding its immune boosting effects but not proved yet. Some studies also have tried to find additive effects of fish oil with cisplatin based chemotherapy but no definite conclusion is there. Relation of fish oil with lymphoma treatment is difficult to say at this moment. | 158,600 |
Suggest treatment for chest pain near left armpit | Patient: Hi i'm 27yr old male, a little overweight and i smoke, i have been having chest pain for about 2 months now, normally below the left nipple, like a stabbing, also pain under my left armpit and above my right nipple, i am being treated for acid reflux but have noticed my symptoms are worse when i don't poo, sometimes i dont go to the loo for 3-4 days, could this be a possible cause for this? Doctor: Hi There Yes after reading the details provided by you its highly likely that the pain is most likely due to gaseous distension due to your irregular bowel habit. Smoking also leads to constipation and irregular bowel as well as increases the risk of coronary artery disease, stroke, lung cancer and many more life threatening diseases.Acid reflux also causes chest pain and it's aggravated again by smoking.The best remedy for all your discomfort is you should stop smoking first completely and you see the improvement within few days.It's also advisable that you should follow healthy lifestyle habits like going for daily morning walks for 5 days a week, avoid junk and canned food, include good amount of green leafy vegetables and fruits in your daily diet.For your constipation I would like to suggest that you should take hot cup of milk before sleep as it will work as a laxative and help clear bowel in morning.Also consult your doctor personally and get an EKG done to rule out any cardiac abnormality.For acid reflux you can take some proton pump inhibitor for 15 days once a day 20 mins before breakfast. I wish you good health | 21,582 |
What is the cause of a droopy eyelid? | Patient: My left eyelid is droopy and my left cheek is very puffy. I have degenerating disc in my neck and when in pain it gives me a headache and sometime radiates down my hip or leg. Could this cause the eyelid and cheek problem or do i have a bad sinus infection. i was just told by a co-worker that my lip droops a little on my left side. my cheek is not painful nor numb. what could it be? Doctor: Hello!Welcome on Healthcaremagic!Your symptoms could be related to a sinus infection or a cranial nerve damage. In my opinion, this clinical situation is not related to your cervical spine problems.For this reason, I recommend consulting with your GP for a physical exam and a sinus X ray study, coupled with a complete blood count for sinus infection. If these tests result normal, I would advice consulting with a neurologist for a physical exam. A brain MRI may be needed. Hope you will find this answer helpful!Kind regards, Dr. Aida | 142,128 |
Can a dogs bite develop into a rash? | Patient: I was bit by a dog about 30 hours ago. The bite broke the skin on my shins where it occurred. I noticed just recently that an itchy rash has developed on my left arm and right shoulder blade. I've never had a rash like this before. Could that be related to the dog bite? Doctor: Hello. Thank you for writing to usI suggest a possibility of either a drug rash Or a rash due to anti-rabies vaccination.It is unlikely that a dog bite would result in a rash at a distant location.Most likely it is either a drug rash to an Oral antibiotic Or pain killer that you may have been prescribed.Another alternative is that it could be a rash to anti rabies vaccination.I suggest you to visit a dermatologist for a confirmatory diagnosis.An OTC oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching.Topically you may use a soothing lotion e.g calamine lotion, twice or thrice daily.Regards | 14,418 |
What does red rashes on legs,arms and chest with low grade fever indicate? | Patient: my one year old son has developed red splotchy skin on his legs, arms chest, and lower part of his face. he recently(10 days ago) got all of his 1 year shots including rmr. could it be a reaction to these? he also has had a low grade fever, 100.1 last night and 99.8 right now. Doctor: Hi...I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other exanthemas which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use Hydroxyzine at 1-2mg/kg/dose (Maximum 10mg) every 6th to 8th hourly for 7 days. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it.Regards - Dr. Sumanth | 172,756 |
Suggest remedy for pain in arms | Patient: I woke up and had a shooting pain in my right calf when I put weight on it. through out the day the pain has gotten worse, and is now a throbbing pain from my calf to mid thigh. I am also experiencing shooting pains in my left leg and right arm when I move them a certain way or put pressure on them. Doctor: Hi, Thanks for your query. Shooting pain could be due to arthritic changes or nerve compression. Xray or MRI will be helpful in diagnosing the condition. Hope this helps you. Warm regards | 137,291 |
Is CT scan necessary to detect kidney stone or will X ray help? | Patient: Hi, GP suspected that my dad might have kidney stone. And he ordered him to get a CT scan done. My question is... is CT scan necessary to detect kidney stone? Would X-Ray and/or ultrasound not be sufficient enough to determine kidney stone's existence, position and size?Thank you so much for answering my query Doctor: Hi, Plain CT scan without contrast is the investigation of choice for renal stone disease.Ultrasound is operator dependent and there is lot of interference form bowel gas and sometimes difficult to localise the stone, and same goes with X ray too.However if the symptoms are very obvious for stone disease ,ultrasound is preferred for sheer simpility,economical and lack of radiation exposure.I go with ultrasound and then order for CT if required. | 48,779 |
How can the exact date of conception be determined? | Patient: Hi. My due date from my lmp is 2 days off of my ultrasound. It's 2 days later. Does that mean I ovulated later? My ovulation date is 14th or 15th. The ultrasound is dating on the 17th. On the 17th I took plan b after intercourse about an hour after. Was i already pregnant or did i get pregnant from the intercourse on the 17th? Doctor: Hello dear,welcome to Ask a doctor service. I reviewed your query and here is my advice. Plan B is highly effective so you must have been pregnant before.The ultrasound is highly reliable in determining the pregnancy age.Hope I have answered the question. Let me know if I can assist you further. | 218,347 |
What can be the cause of shoulder pain? | Patient: ive had shoulder pain for about 10 months now which goes down my arm to my hand some days its fine but other days i can hardly lift my arm and putting a coat on is not easy i have also noticed i have a hard lump on my collar bone near my shoulder blade was just wondering what thisw could be? Doctor: **1. initially seek an opinion of orthopedic surgeon, it might be possible that your range of motion/movement, might be/is compromised.2. shoulder pain can occur independently due to over exertion [strain], overuse [tendonitis] or due to certain disease state[rheumatoid arthritis, diabetes, over active thyroid], thus examination becomes necessary.PS. further testing may be required like plain X-ray, [revealing narrowing of space or damage to bones], MRI [reveal details of shoulder joint] and blood tests [ to rule out any inflammatory conditions]3. since collar bone fracture is one example of shoulder pain [as there is hard lump on collar bone in your history], so it could possible be example of pinched nerve pressing on the nearby structures.4. In Ayurveda we treat frozen shoulder on the line of Avabahuka:. Initially dry heat. . successful and result oriented prescription is:I. vatakulantak ras, rasraj ras,panchamrit lauha guggulu.II. rason sura,dashmoola arishta.III. erand pakIV. Lehsun ksheer pak. avoid eating spicy, fried, pungent and oily foods. [The aim of the Ayurveda treatment is to bring the vitiated vata in equilibrium. The most popular kerala therapy is pizhichil, you may ask an experienced Panchkarma Doctor about the same] | 214,695 |
How should one use Piclin syrup? | Patient: Good Morning, I am 76 ears old and going abroad (from Germaby to India) I always have a little constipation problem for a while. I hot this Piclin Syrup but there is no information how to use it. Would you kindly let me now? Thank you. Kind regards - Ingrid Doctor: Hi, Get 2 teaspoons of syrup after lunch and dinner. Drink plenty of water. Contact again to adjust your dose according to response. Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr. Tanmoy Roy, General & Family Physician | 85,731 |
What causes throbbing pain in heart region? | Patient: What could cause a very mild throbbing pain in the heart region, just left of center of chest. It throbs about as often my heartbeat and on a scale of 1-10 it is probably a 1-3. Sometimes it's a little sharper than others and has been occuring about 2 hours now. Could it be heartburn or gas? I've never felt this exact mild pain before? Doctor: Hello!Welcome and thank you for asking on HCM!Your symptoms could be related to inflammation. Is the chest pain triggered by deep breathing or body movements? This would be indicative of a musculo-skeletal pain. In such case ibuprofen and acetaminophen would help relieve the pain. I would recommend trying taking these drugs first. If the pain persists despite these painkillers, I would recommend consulting with your doctor and performing further tests: - a chest X ray study- a resting ECG- complete blood count, PCR, ESR for inflammation. Hope to have been helpful!Kind regards, Dr. Iliri | 20,660 |
Had kidney stone laser surgery, pain, urinated dark blood, right kidney painful. What should i be doing? | Patient: I just recently had kidney stone laser surgery and I am on pain pills every 4 hours. I just woke up and urinated dark blood and my right kidney is very painful. I have been drinking lots of water and usually the pain goes away in about 20 minutes. The last time I had a stool of any significance was about 5 days ago. What should I be doing? Doctor: Hi, First thing for you to do is consult your urologist. You have not mentioned how recently your surgery was done. If it is less than a week possibly it is post operative pain. The fact that u are passing dark urine suggest there is bleeding from urinary tract. The clots must be blocking your ureters and causing pain. Check if you are having fever. Get complete blood count done. Consult your urologist immediately. Also you are constipated. If you are not eating properly then that could be the cause. | 49,777 |
Which is the best exercise post mri of lumbar spine? | Patient: Recently i taken mri of lumbar spine impression as follows Annular tear with minimal posterocentral disc protrusion at L5-S1 level causing thecal sac compression. No significant neural foraminal narrowing seen. But i have pain in left knee (backside) which extend up to left foot , but sLR test which raised up to 80 degree only small pain which occur in the leg , sitting and standing for long time pain which is generate from left hip extend to left foot .......... recently i consult a ortho doctor his advice to take pregalbin - m which is the best excersise .......... how live with out pain .ran,m,.ssa Doctor: Hello, There is an only minor disc bulge and there is no compression or stenosis of nerve roots. Nothing much to worry and exercise and symptomatic management will be enough for your case. Posturing exercises and physiotherapy can be helpful to reduce pain intensity. Pregabalin is required only in case of severe pain. Exercises like standing extension and Half cobra stretches ( which can easily learn from the internet) will be effective. Sit-ups and squats must be avoided. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | 121,552 |
What could cause viral throat infection with green colour inside throat in a child? | Patient: I took my 2 year old son to the walk in centre yesterday & he has a viral throat infection, today I've tried looking in his mouth to his resistance and from what I saw they looked green, I only got a glimpse so was hard to see for spots. Should I take him back to walk in centre? Doctor: Hello. I just read through your question.Viral throat infections are very common in this age group. Typically they last 7-10 days. If the symptoms worsen, or persist beyond 7-10 days, I recommend getting re-examined. Otherwise, there is no need to be overly concerned. | 175,502 |
Blood in stools, green or brown flakes, weakness. History of bladder cancer surgery | Patient: My husband had bladder cancer surgury the 20th of Sept. (he is 72 years old) It was a very successful sugury. The blood in his urine cleared up ..then about 4 days later he became sick having diarrhea ...(after eating susage and beans) the blood came back in his urine and he had dark black flakes in her BM s...I called his doctor that did the bladder surgury and his nurse said she would talk with him ..she felt like the bleeding was caused by straining..and felt it would all clear up..she went on to say...she would call back if the doctor felt different. No Calls. His regular doctor, in the mean time, had given him Diphenoxylate-Atropine (10/2/12) for the Diarrhea.. He had taken Pepto before this ..which didn t seem to help..that much.. His energy became a little better and the BM s almost stopped..the blood continue to come..just pink...He felt like he was getting alot better...his energy level had gotten better..even started running a few short errands... then two days ago the BM s started again. . Today (this morning) the blood has almost stopped...but he continues to go to the bathroom..with these green sometimes black/brown flakes ..not much at a time..but alot of trips to the bathroom...He is beginning to get weak.....and is just eating crackers and coke.. Thank you so much for your time !! YYYY@YYYY Doctor: Dear Ma'am,Sorry to hear about your husband's problem. The greenish flakes and blood in the stools could be due to the pain killers he must have received after bladder surgery. This must have lead to some gastritis and bleeding, which can present with the same features. This problem will stop on its own but it is better that he meets a gastroenterologist.Hoping for the best. | 158,199 |
What causes excruciating pain in the neck? | Patient: I was stung several times after disturbing a wasps nest one week ago. I had a afalactic shock and ended up in hospital. Had antihistamine drip and cortisone drop. After 3 days I had an excruciating pain left side back of neck. Doc gave me cream antibiotic yesterday. I am in agony! Can t move my neck. Tingling pain! Doctor: Dear sir /madam Based on your description Probably you are experiencing inflammatory reaction for the sting. Do you have any history of fever. I would examine your neck for range of motion and give rest for a week for inflammation to subside, and some muscle relaxants, ice foment action and some analgesics and review in a week. | 128,192 |
Is long lasting vomiting,diarrhea and fever sign of stomach virus? | Patient: My son just turned 3. He has been sick for 4 plus days.It started Friday night with vomiting and diarreah about 6 times through the night. He vomited once on Sat. Morning and slept all day moaning and groaning. He ran a low grade temp throughout. Sunday he was not himself and by Sunday night he was doubled over with stomach pains and had a lot of diarreah and vomited once. He has continued to have diarreah and just wants to sleep or lay around. He refuses to eat but has been drinking adequately. I have given him simethicone and tylenol. It is now Tuesday and he has a low grade temp and is still just laying around. Is it usual for this to last this many days and do you have any suggestions on treatment? I took him to the dr yesterday and they said it was a stomach virus. thank you Doctor: viruses causing diarrhoea usually dont cause vomitting except causing secondary viral hepatitis. this seems to b a case of acute gastroenteritis which is usually self limiting. in this u need nothing to do except maintaining water balance of body and symptomatic management | 167,279 |
Was a responsible child. Now acting weirdly. Took a treatment of Larium. Is it Catatonic symptoms? Treatment? | Patient: We have a son who has shown unusual signs for some time....this past four years. He has studied at university, is very talented musicically , and is very athletic and physically fit, but has shown some extremes .He is 28 yrs and had been working with GNS Science in field of Geo Physics. He seemed at times disorientated in the latter 6mths out of his working for 2yrs there. We were very concerned and made inquiries after concerns where our son was doing bizarre things like running for hours late at night or deciding to experiment with physics problems etc to excessive hours etc or seemed apprehensive . Also lacking insight in some situations where things are appropiate or inappropriate. In the past he had always been very courteous, responsible, sensitive to needs and people's situations. So this was quite out of character and most unlike him, and made us realize something wasn't right with him. After making iquiries at his workplace we also realized he had had treatment Larium ( Malaria innoculation ) by his GNS Science Co as part of a prerequisite in case of posting in Indonesia. We wondered if this could have triggered some of the behaviours now evident which point to possible Schizoprenia especially Catatonic symtoms ( stationary in one position for lengthy periods) social withdrawal at times,explosive reactions, fear of cellphones , Internet, and not wanting to communicate or enter into any decisionmaking. We have observed a deterioration and isolation, intolerance to light , curtains always drawn, repetitiveness and routine etc, Because of the Privacy Act we are not informed by his Dr or Psychologist and so we asked for a referral to privately have an assessment of his Mental state. He is receiving some help from Psychological counsellors but we would like to see someone who could advise us on how to help our son recognize his need for specialist medical help as we also want to minimize areas of inaccurate diagnosis. We are his parents and have been supporting him and caring for him but feel very shut out in helping for his recovery plan. It seems that the System is happy to allow his condition to continue for years while we know that the longer this situation is left untreated the greater the damage can be to our son's health. Please can you advise what we should do . and possible harmful side effects Doctor: DearWe understand your concernsFirst of all let me assure you that there is nothing wrong if a man who is wholeheartedly doing his studies and is so concentrating that he is mistaken as catatonic. Visit any professional colleges and you will find at least 10% students like your son and they would be toppers. It is also common that parents don;t like these. They want their child to be active, social, lovable etc. Second. Have you talked to your son about this? If not talk now. If yes,what is the outcome. Let me know.I consider this as normal now. Mind you, You cannot judge your son as schizophrenic or catatonic because you are not trained in that area. Now a days people sit and play video games hours together without interruptions. Will you call them out of world?Please take your time to assess the situation. | 212,030 |
Suggest treatment for itchy bumps on earlobes | Patient: My son has an itchy red rash on his earlobes. It's been here for 2 weeks. 3 weeks ago, he had rash on lower right leg. Looked like poison ivy. Doctor said contact dermatitis, given hydrocortisone 2.5% 2x a day with Bactroban ointment. A week later, rash spread to all extremities including earlobes. Went back, given prednisone 6.5 ml 2x a day for 5 days. The rashes on extremities are drying up but his ears are still red with some small bumps, very itchy. Hydrocortisone does not seem to work. Also giving him Benadryl. Also, same itchy bumps are also seen on his cheek. Doctor: Hello, Your son's symptoms seem to be related to contact dermatitis. I recommend using Calamine lotion for local application. I also recommend using Loratadine daily. Cool showers can be helpful. Hope my answer was helpful. If you have further queries feel free to contact me again. Regards, Dr. Dorina Gurabardhi General & Family Physician | 13,047 |
Severe pain in abdomen, left shoulders. Feel tightened. Cause for this symptoms? | Patient: I have got this pain like 6 times already in the.middle upper abdomen it hurts when I breathe stretche after I eat a lot it feels like tightness and if.I touch the.middle of upper stomach between breast bone upper abdomen its tender and I have pain in left shoulder please help what.does these symptoms mean. I m a 25 year old female Doctor: Dear sir/madam, i think that your symtpoms are caused by dispepsia. it means that you heave some stomach disorder and most common are gastritis, GERD and hiatal hernia. Your symptoms ate typical for these disorders beacuse eating causes bloated stomach which irritate phrenic nerve( causes shoulder pain especially when you take a deep breath. So you should do gastroscopy and stomach biopsy first to rule out diseases i ve mentioned. For treatment try to change your diet, avoid alcohol, coffee and spicy food, also lose some weight, it might be helpful. You should ask your GP about taking some anti acid medicines such as pantoprazole or antacides. Wish you good health, DR Ivan Romich | 94,609 |
Can itchy and dry skin on thighs and mons pubis indicate fungal bacteria? | Patient: I am 21 year old female not sexually active. I have an itchy mons pubis and itchy skin on my thigh send hips around my groin region. This is accompanied by dryness. This is present since last 2 weeks.There is hard lump on mons pubis which is red and painful only on touch. Please suggest if it's fungal or bacterial and what should I use. Doctor: Hello and welcome to HCM, The itching you are experiencing may be due to dryness only. Keep the area well moisturised, but not too humid. The hard lump on pubis though, indicates a bacterial infection, mostly staphylococcus folliculitis. I'd advise you to take oral antibiotics like XXXX for 5 days. Apply warm compresses over the skin.Hope it helped. | 9,481 |
What does a faint bruise on nose of an infant indicate? | Patient: this evening I noticed a faint bruise between my 10 month old eyes over his nose. I don t recall him falling today or crying out while playing. I am concerned about it and plan to wake him up in a few hours to check on it. but I was wondering what else could cause it if he did not fall on a toy or bump his head on something. He also wears a helmet to reshape his head so he should be extra protected. The helmet was off for about an hour when I noticed the bruise. Doctor: HelloMost of the time bruise in this age occurs due to unnoticed trauma. Spontaneous bruise without any trauma can be there in some clotting disorder. I would suggest you to check his body for any other bruise mark and if you did not find any.,you may observe the baby. If you notice any increase in size of bruise, appearance of any new one or repeated bruise without any trauma please consult you pediatrician for proper evaluation to rule out any clotting disorder.Regards | 165,586 |
Whom to visit for low grade fever, blurred vision and fatigue? | Patient: HI, I have been running a low grade fever (99.5-100.5) every day for the past 5 months. Also having bad headaches, eyes burning, blurred vision, muscle aches, and fatique. I thought that I was having chronic sinus infections but al of those tests cam back negative. CBC normal. Did have mono many years ago. Dont know what kind of doctor to see. Doctor: according to your complaint you should contact your family physician first. there are many possibilities of reasons of fever loke malaria, thyphoid, upper respiratory infection, kochs' infection etc. for that detailed investigation is must. | 98,990 |
Are ear and tooth pain indicative of a sinus infection? | Patient: Severe ear pain ,upper and lower tooth pain on rt. side...no pain on left side. Comes and goes during day ..does not interfere with sleep! Had bad sinus infection in Dec. took round of antibiotics went to dentist and he could not see dental issues on rt. side YYYY@YYYY Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain pain in ear along with upper and lower teeth pain only on right side that is severe and comes and goes throughout the day can be related to nerve related pain as in case if it is due to sinus infection it does not generally effects lower jaw or lower teeth..It seems to be due to nerve related issue and can be due to Trigeminal Neuralgia..It occurs when the Trigeminal nerve is either taumatized or gets compresses with artery or any tumour etc..I would suggest you to consult an Otolaryngologist and get evaluated and a thorough clinical examination and MRI scan of sinuses can help in diagnosis and treatment can be done accordingly..In case if it is not due to sinuses then you will be referred to a Neurophysician and get evaluated and a thorough clinical evaluation and MRI scan can help in diagnosis and in case of Trigeminal Neuralgia you can be advised neurotic pain relievers like Carbamazipine, Gabapantin, Baclofen etc..In case if there is no improvement with medications surgical treatment like Microvascular Decompression, Balloon Compression etc can help..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | 181,464 |
What could the tugging near armpit indicate? | Patient: Hi, I feel a tugging near the armpit, it is also internal. I can feel it when I sometimes stretch my arm out or when I just move my arm. It sometimes feels numb and it hurts a little bit, like a small sting. There is no major pain though, well, not yet anyways. Doctor: Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, you need to screen yourself, getting an MRI of the cervical spine can definitely help identify the cause, so take care and consult your doctor for this and get treated.I hope that answers your query. If you want any more clarification, contact me back.Thanks | 137,544 |
What causes palpitations and anxiety? | Patient: ramipril,my husband is 5"7 weight now about 227, after losing about 35 lbs. has come off ramipril , after taking about 3 1/2 wks. previous on metformin, for about a years . he is 59 yrs . He has had many of the side effects , but the anxious, nervousness and racing heart come and goes mostly at night and in the morning . How long should this be lasting he is on no medication now. thank you, Doctor: Ramipril has no effect on the heart rate, my recommendation would be for a Holter monitor to evaluate the symptoms of a racing heart. | 23,854 |
I had taken placentrac 1 amp injection for cyst in my ovary & i again developed acidity that I had suffered for 2 yrs & cured before | Patient: sir i am 34 yrs old i am suffering from sever acidity since 2yrs my doctor was investigate me but all investigation has come normal then he started cap amoxycillin 1000mg two times daily,tab clarithromycin 500 mg two times daily, cap omeprazole 20 mg empty stomach two times daily, i got some benefit from that medicine but i had some other gyn problem for which i shown to gynecologist she told me i have cyst in my ovary for which she adviced inj placentrac 1 amp alternet day i had taken two dose but after taking this injection i again developed acidity problem does any connection between both medicine, does this injection is effective for my disease, does this tab cure my acidity give me some fair idea about that Doctor: I dont think that the inj has any direct cause for the acidity to return esp since you are already taking the medicines for treatment of that. Simple ovarian cyst is usually treated with oc pills.Please consult your doctor again. | 95,812 |
What causes pain in right lower ribcage ? | Patient: I am experiencing pain in my righ lower ribcage which is induced by twisting or bending. This has been ongoing for 8-10 weeks and followed a severe upper respiratory virus. I have also been experiencing asthmatic like breathing symptoms but these have been mild. Any thoughts? Doctor: Hi ...First here your pain can be by twisting.So it could be muscular strain.Second it could be as part of constitutional symptom of viral flu....Rest done.Avoid bad sleep posture.Avoid strenous exercise.Avoid heavy weight liftHot compress applied...If congestive symptoms more then levocetrizine or other suitable decongestent given..If asthma like allergy suspected do auscultation and spirometry test.For that nebulization need by levosalbutamol plus budesonide.If nasal blockage felt additional steam inhalation taken with eucalyptus...Tale care.Dr.Parth | 77,068 |
How to treat chest pain and shortness of breath? | Patient: Having chest pain and shortness of breath. I am 28 yrs old. I went to Urgent Care. xray showed a spot on the lung. Practioner said take no more Tylenol for pain so as not to mask symptoms. suggested either pneumonia or blood clot. I am not coughing. rx d Azithromycin for 24 hrs. If no relief go to the emer room. What do you think. I am a normally healthy non smoker. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you should consult pulmonologist and get done CT thorax with Contrast. Because spot on chest x ray can be due to pneumonia, cyst, fibrosis, blood clot or early malignancy. CT thorax will give you exact idea about size, shape, margins and content of the spot. And all these characteristics are important in the diagnosis. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. | 80,063 |
Suggest remedies for pulled ligament in my hip | Patient: A year ago I pulled the ligament in my right hip. Just recently it is causing pain. I can be walking and it would give out or I get shooting pains right at the top of my leg. It does not hurt when I am sitting, just walking. Should I use heat or ice? Is there any excercises that I can do to help. Doctor: Hello, Regarding your question, it seems that there is little chance that you get ligament derangement in your hip. There are high chances that you either have piriformis syndrome or a prolapsed intervertebral disc. in your lumbar spine. Get MRI lumbosacral spine with MRI hip done to know your exact diagnosis. Till then, 1. avoid forward bending or weight lifting 2. give hot fomentation to the affected part twice a day 3. use a lumbosacral belt if you have it 4. take tab gabapentin with nortriptyline. Exercises what you should do depends on your exact diagnosis so don't do any exercise before your MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopaedic Surgeon | 125,086 |
Suggest treatment for pain and numbness in foot after sprain | Patient: Hello! I sprained my foot about four days ago as I was coming down the stairs. I did not hear any popping noise or feel any severe pain. Just an instant aching and my foot became very stiff and hurt to stretch it. It never bruised and has had barely noticeable swelling. My main symptom is that I was instantly unable to put much weight on it. In the last four days it has gotten much better, I can stand on it, put a little weight when walking but still am limping just a little so that I don t over due it. It still has a faint ache and a lot of the time when im sitting I notice it feels cold and a little numbness in the arch of my foot. Just wanting to make sure it is healing normally and that I am not missing a problem...I have never sprained my foot before or broke anything so I am unsure of the way it would feel. Thank You Doctor: Dear patient You have got twisting injury to your ankle and it's mostly sprain. Sprain usually heals with rest and protection in brace. You need to apply crepe bandage to your ankle and foot for 3 weeks and keep it elevated on pillow. Avoid putting weight on involved ankle if possible during this period.Take tab diclofenac plus serratiopeptodase combination twice a day for pain relief. All the best. | 138,884 |
What causes yellowish watery stools in 6 month old? | Patient: my 6 months old is having watery yellow motions for past 4 days...he does not appear to have stomach pains since he does not cry ...he does not have any fever..he is breast feeding normally too... what can be the reason then for his watery motions Doctor: Hello, I have read carefully your concern and i'll try to give you my best to clarify your doubts. Well, newborns and infants fed with breast milk generally have yellowish or greenish stools, and a almost liquid consistency and of an explosive nature. This type of stool is usually performed after each breastfeed and should not be confused with diarrhea, neither for its frequency nor for its consistency, since they are completely normal.This phenomenon is called "false diarrhea" and differs from true diarrhea in that the child maintains a good appetite and gains weight adequately. It is due to an intestinal reflex called "gastrocolic reflex" that tends to decrease in intensity as solid foods are incorporated.So it is completely normal for it to make feces of that color and consistency. If your child has any other changes such as fever, increased stool frequency, foul-smelling or bloody stools, or abdominal pain as colics, I recommend that you take your child to the nearest doctor for a thorough physical examination and necessary tests and indicate the appropriate treatment if necessary.I hope I have been helpful to you. Regards, Dr. Valentina Romero. | 164,788 |
Suggest cure for a hole in the heart | Patient: I am going for an ablation of the atria {?}. I have a heart murmur and have recently been diagnosed with a significant hole in my heart. What is "significant"? I have rythym problems and a murmur. Guess I still have Afib. can everything be healed with an ablation? Will I need a pacemaker? I feel very tired almost all of the time, can't do even short walks...My heart feels tired in the chest area. Sometimes the slightest "scare" will cause my heart to tremble with fear. Doctor: you have murmur and significant hole ..significamt means large size and major disturbances it is causing in cardiac parameters...it need surgery ...now radiofrequency ablation is used to destroy the accessory conduction pathways ..it is used in drug resistant arrhythmia cases as atrial fobrillation as in your condition... | 19,501 |
What could cause chest pain with immobility? | Patient: my bf is a truck driver and he came home saying he was changing a tire on a semi and he heard a loud pop in his chest. he is hurting now, has limited mobility, hurts when he moves his torso. there is no bruising on his chest or his back. what could be the possible injury?( i rubbed him down, front and back - massaged him) Doctor: Hi thanks for contacting HCM...Here your bf having musculoskeletal pain ...First if ribs are tender to touch then it could be costochondritis like inflammation of costal cartilage ....Second possibility could be rib fracture ....For which chest x ray useful ....If above two condition not present muscular strain could be problem...Here are few advise.../hot compress over chest useful./avoid posture or movement causing pain/proper sleep posture /ibuprofen 200 mg daily two times for five days taken..../rest done for few days/physiotherapy helpful for strain Take care ...You can consult physician with keeping this in mind....Dr.Parth | 76,033 |
Stool test result came as pus cells 2-3/HPF, what does this mean ? | Patient: I had a stool test done and the result came as pus cells 2-3/HPF and bacilli and yeast cells present cysts , ova and RBC Nil what does this mean Doctor: He'll.Welcome to HCM forum. Your report seems to be normal.Nothing is to be done.Thanks and good luck. | 95,455 |
What causes recurrent trembling and pain in the thumb and index fingers? | Patient: I work for a electricaln utility company and have been using hand tools for 28 years. Repetitive motion mostly, nut drivers and screwdrivers, and have trembling issues when I go to use a pen. It hurts to hold it, and my thumb and index finger are uncontrollable so writing my signature is a major undertaking. Is this symtoms of carpel tunnel. I have been heavy handed with my tools, bacause my trade required me to be, and at 62 years of age, I am feeling the results. Doctor: Hello,Thank you for using healthcaremagic.I read your question and understood your concern.It looks like the signs of carpal tunnel syndrome.I would recommend you to do a EMG examination which will confirm it and if positive you may consider surgery to correct it.Dr. Selmani | 129,143 |
What is the treatment for lower back pain? | Patient: ive been told i dont hav a wee infection but im still wee a lot and have a little grumbly pain in my lower back to the left side of my of side yet not when i wee but when i do wee i wanna keep going almost pushing myself to wee more yet there is no pain during it ? Doctor: hiYou may see a physician/urologist.It could be some infection in urinary tract/kidney.An ultrasound for kidneys and urine tests, culture are needed and complete blood counts too.your doctor may give anti-biotics and urinary anti-spasmodic accordinglyfrequency of urination,pain in side of back are related maybe to infection.however, a physical check up of spine and back may also be required to rule out other causes best wishes,regards | 108,446 |
What causes trouble in taking deep breaths and chest tightness? | Patient: Hi im 21 and i am having troble taking a deep breath it feels kinda tight when i do this all started last night around 8pm i called ems and they took my blood my oxygen level was all good .. so i didnt feel the need to go to the hospital but today its the same so i did go to the doctor and he told me it was a chest cold but im not coughing please help? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.By your history and description, possibility of stress and anxiety related symptoms is more likely.So avoid stress and tension, be relax and calm.Consult psychiatrist and get done counselling sessions.Try to identify stressor in your life and start working on its solution.You may need anxiolytic drugs too.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 73,488 |
Recommend experienced doctors in treating PSP disease | Patient: My wife has been diagnosed with PSP disease about 5 yrs ago. I am currently unhappy with our current doctor because we have been unable to see her. The last three times we only were provided review by a PA. It seems that they have resigned to letting things just run their course and not trying to at least be interested in helping her improve. I will no longer accept only seeing a PA we need to see a doctor. I am therefore looking for a recommendation for a doctor in or area who is up dated on the treatment of this condition. any advice would be helpful Doctor: Hello, My recommendation is that you contact the Cure PSP society at https://www.psp.org/ for a couple of things. 1. Support information and local groups in your area for folks with PSP. This is a terrific group of dedicated patients, caregivers, and healthcare professionals. 2. Check for Academic Medical Centers in your area that may have doctors who are more on the cutting edge of research and treatments in the area of PSP. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist | 141,016 |
Can i get pregnant with HBV carrier state and how it can be curable ? | Patient: I have HBe Ag index (1084.46) and P time is Test-14.1sec, control-13.1sec, Index-90.34%, INR-1.1 what is my condition? can i carry child? I take Lamivir HBV 100mg. is it cureable? Doctor: Hi Welcome to HealthcareMagic. HBeAg positivity indiactes high infectivity.Though vaccination at birth can prevent the transmission of HBV to you baby , without vaccination you carry a 90 % risk.With altered bleeding times it is not advisable to have a pregnancy as risk of miscarriage could be there.More over , lamivir is not indicated during pregnancy. I advise you to wait till you are done with the antiviral treatment and once your bleeding times and liver function tests come to normal / near normal levels , you can plan your pregnancy. Take care. | 60,256 |
Could pleural thickening in the right lung have healed on its own? | Patient: in the last 20 years I have had numerous xrays and a ct scan that read positive for plueral thicking in the right lung. last xray I had , the doctor said that there was no sign of it. I did work with asbestos for ten years. quit smoking 25 years ago. so can it just go away? Doctor: welcome to hcm ...sir the pleural thickening goes away after many years ..usually asbestosis like pleural thickening develops over 15 to 20 years and it takes more years to go away as such exact no years can not be given for these thingsits good that your pleural thickening is resolved if you have any doubt you can come to hcm i will be more than happy to help youwith regards dr varinder joshi | 70,763 |
Suggest treatment for osteoporosis | Patient: My obgyn has recommended prolia injections. I am76, female diagnosed with osteoporosis I had a severe break of my left femur I have had bilateral knee replacement and I have serious back problems degenerative disc s and scoliosis . I m really afraid of the prolia injections for many reasons...HELP? Doctor: dear patient prolia injection contains denosumab which is recommended for post menopausal osteoporosis. denosumab has many side effects which needs to be monitored. but it is also very effective. I would advise you to undergo DEXA scan first to assess severity of osteoporosis so that treatment can be decided accordingly. if mild osteoporosis you need to increase calcium intake and calcium tablets taken orally. also bisphosphonates should be started weekly. for moderate osteoporosis start both calcium tablets containing isoflavones and bisphosphonates. for severe osteoporosis injection teriperatide can be started which needs to be taken for 5 to 6 months. thanks | 128,942 |
Are there special methods of breastfeeding babies with tracheomalacia? | Patient: Hi, may I answer your health queries right now ? Please type your query here...My grandson was born with tracheomalacia, he is 3 weeks old, he is being breast fed, he has gained weight from birth weight of 9 lbs to 10 lbs. During his feedings he grunts and pulls off the breast, he appears panicky. Immediately after a feed he spits up most of the milk. H eis also having wet watery bowel movements not typical mustard like breast stool. Has been seen by GP and a Paeds Resident ..not concerned because he is gaining weight.Are there special methods of breast feeding babies with tracheomalacia. Doctor: feeding baby who has tracheoesophageal malacia,, you can feed by keeping a nasogastric tube or oro gastric tube of size 6 and you can give feeds with syringe.. watch video in YouTube, inserting nasogastric tube in neonate.. or consultant your pediatrics resident who can help you in learning insertion of nasogastric tube. | 164,536 |
High SGPT level. Done hernia repair earlier. Is this caused by medication? | Patient: Hi Doctor, I have done Lever Function Test this week. Which shown SGTP level count 54 (Normal range given in report - 05-40). Rest SGOT , Bilirubin , Albumin are within parameter specified in report. Just to give some background I have undergone a Hernia repairy surgery one month back and was on pain killers and muscle relaxant medication due to large ceroma deposition in groin region. Please can you advice if this is serious, is it a temporary caused by medications, and how to cure it naturally. Please help. Thanks. Doctor: hi there, an isolated raised SGPT level and that also not much should not be a cause of worry. Painkillers can sometime alter your liver funtion test and stopping the medication will usually revert the enzyme levels back to normal. Follow anormal diet and do not worry too much about it . You can get your tests repeated after a month and if still there is some derangement then you may visit your doctor. till then relax and take carel | 59,700 |
Suggest medicine for constipation along with stomach pain | Patient: Hi my daughter is 8months old, approx. 17lbs. She usually does not have trouble with constipation but in the last several days she has. She has passed 2 very hard stools but still acts like she is having tummy aches and a difficult time having a bowel movement. Will Bonnisan work for her? Doctor: Hello,I just read through your question. You can definitely try Bonnisan. There is never a guarantee that it will work, but it certainly won't do any harm. If she is willing, you can try prunes and/or prune juice also.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Eric Goldstein | 166,745 |
Can homeopathy bring a solution to chronic kidney disease in a diabetic patient? | Patient: Hi doctor.My father is a diabetic but now a days his diabetis is coming on the lower side i.e. around 60-80.He has been diagnosed with CKD and advised for immediate dialysis.His Creat. is 8, BUN is 95 & BU is 205.His Age is 75 yrs.Can he be cured with Homeopathy.Thanks.Sudhir P. Doctor: Hello!Thank you for the query.No, he can not be cured with homeopathy. High blood sugar level has been destroying kidneys for years. It can not be reversed with any medicine either homeopathic or non homeopathic. The only treatment for him is kidney transplant. Till that, he will require dialysis.Hope this will help.Regards. | 49,412 |
How to prevent fungal lesions on body and in mouth? | Patient: hi Dr im 19yrs old, 2yrs ago i went on a camp nd when i came bck home i started getting fungal lesions ever since then i get them every single year around summer and they cover up my body nd i also get them in my mouth. there was a time where i was osolated for about a week because of them nd i could not evn eat solid food because they were sore now i need to know what i can i do to prevent myself from getting them again Doctor: Hi.Thanks for your query in HCM. I am Dr.Aliem, and I am pleased to answer your query.Fungal infection in the body, especially in groins, is a fairly common skin condition, especially among youngsters. It just goes off with the application of certain anti-fungal ointments or medicated powder. Whitfield's ointment is a time tested remedy for this. It is availabe in the pharmacy over the counter. But it causes the formation of a whitish layer over the applied area, which disappears in a short time. Better medications are available, please consult your physician or dermatologist. I have a few suggestions for you:1. Keep the area dry as far as possible. Especially, avoid getting wet with sweat.2. Keep the area cool.3. It spreads by contiguity. Avoid sharing clothes/undergarments.Fungal infection in mucosal areas, like mouth, may be indicative of some conditions which will suppress your immunity, like Diabetes. So please consult your physician, who will order some blood tests for you. If you have difficulty or pain on swallowing, an upper G.I endoscopy may be needed. Hope this helps. Feel free to send further queries if any. I wiil be glad to answer.Dr.Aliem | 35,331 |
Does strong heart palpitations related to heavy bleeding during periods? | Patient: I have had aggrivating heart palpitations for year or so now went to heart doc had a echo and a 24 holter and the doc said everything seemed fine now for last 11 days I've had horrible bleeding a box of tampons in a day and now the palpitations are really strong and shortness of breath my hemoglobin is at 10 as of yesterday could the 2 be related? Doctor: Hello,Most probably it's related to low hemoglobin. Blood loss further decrease your hemoglobin and may aggravate palpitations and shortness of breath. You should be iron supplements like Fericip xt or other, to raise your hemoglobin. Also, get bleeding treated from gynaecologist. Hope this helps you and get back if you have any doubts. | 21,294 |
What causes yellow tint in semen? | Patient: what does it mean when your seamen has a yellowish tint to it im 20 years old 6'4 255 pounds i went to a specialist about fore years ago about a testicular growth they sad that it wusent nothing to worry about but it had a possibility to be cancer i was suppose to go back for test but i dident cold that be some of my problem? Doctor: Hi,The yellow tint semen could be due to infective etiology like seminal vesiculitis or prostate inflammation. I suggest you investigate with semen culture to rule out infection. If you have any growth over penis than investigate with ultrasonography of testis first for primary work up. Kindly revert back with both above reports to guide you further. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | 193,723 |
Suggest treatment for seizure | Patient: I am 18 years girl. I hv got two seizure attcks at the gap of 6 months.I abeeen prescribed epilex chrono 300 three tablets per day...noticing growth of facial hair.It had been an 9 months taking this medicine three times a day.Is this growth a side effect of this or just a hormonal change as many females observe? Doctor: Hello Thank you for trusting HCM Dear abnormal hair growth can be possible with sodium valproate, but only <1%of people reported this problem. If your feelings abnormal hair growth consult your doctor he will advice alternative medicine to you. | 142,417 |
Suggest treatment for varicocele and low sperm count | Patient: Sir,my husband is diagnosed with varicocele .Semen analysis was done and sperm count was 30 million per ml.Though he is taking medicines as prescribed by a urologist for past one month,he is still having pain in his scrotum.He is also feeling unpleasant sensations and tirednessin his left leg.Will the problem be cured with medication alone?I'm afraid he may have to undergo surgery.Will th problem lead to infertility? Doctor: Hello, Surgical correction in the form of testicular vein ligation(TV ligation) is required. Consult a general surgeon and he will direct you accordingly. Nothing much to worry as it is a simple procedure and can be done in OP basis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain, General & Family physician | 192,626 |
What causes light headedness and nausea after gum infection? | Patient: I have the feeling of light headedness & sometimes a light head & nausea. I have had problems with receding gums & infection in my gums, when I have an infection I get the same symptoms. I have just had my two bottom teeth extracted, however these symptoms still come & go. My bottom gum & chin still ache from time to time. I might add that I have MS. Doctor: thanks for your query, i have gone through your query. the pain in the gums and chin could be because of the gum infection. you have to get your teeth cleaned once for this. the nausea and light headedness is not related to the gum infection, it could be because of antibiotics taken for gum infection(if you have taken). consult a general and oral physician to rule out other possible causes, i hope my answer will help you. take care. | 185,746 |
Suggest treatment for excessive mucus secretion in the mouth | Patient: My daughter who is 6 just had her tonsils and adenoids removed on Wednesday the 14th of March so today is day 3 of post op. She has alot of mucus causing her to gag some and throw up once. Is it safe to give her benadryl or some form of cold medicine to help break it up or dry it up? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Unfortunately, cold medications have side effects. Furthermore, Benadryl is an antihistamine and is good for hay fever and itchy rashes. It is possible that your child has a lot of mucus because her throat still hurts and it is difficult for her to swallow the secretions from her mouth. I suggest throat lozenges, ice cream, popsicles, jello, cold drinks and Acetaminophen for pain. I hope this helps you and that your daughter will feel better quickly. Please return if we can be of help in the future. | 162,996 |
Diagnosed with sinus and infected roots of teeth, burning on the same side as that of teeth. Cause? | Patient: i started having sinus problems went to dr he xray said sinus infection and some infection ia tooth went to denists she said i had two jaw teeth that came out years back after chemo that still had the roots and they were infected and she took all roots out and gave me antibotics can that infection cause a lil burning sesation in that side of my head sometimes im on second day of antibotics Doctor: Hello,Thanks for writing to us.Burning post extraction of roots of teeth is due to unhealed extraction socket.Take complete course of antibiotics-analgesics.Swish with lukewarm saline frequently.Irrigate the socket with betadine and apply eugenol,lignocaine into the socket to enhance healing.Meanwhile,rinse your mouth after every meals.Maintain oral hygiene well.Avoid intake of spicy foods,smoking etc.Take adequate rest ,avoid stressful jobs.Hope this helps out. | 188,570 |
Suggest treatments for Plaque Psoriasis | Patient: i am 35 years old & a patient of plaque psoriasis of my hand foot for last three years and various dermatologist in west-Bengal are treating my disease but this disease is not completely cured. My question is this disease is curable or not.send me the good ointment name. Doctor: Hi,You said you suffer from plaque psoriasis on Hands and feet for three years. You consulted many dermatologist in WB. You did not get satisfactory result. You want to know whether it is curable or not.I can understand your anxiety for psoriasis. The disease you have is autoimmune skin disease. There is no exact cause. It may be precipitated by anxiety,tension, dry wheather,drugs,trauma..etc.So, remember, psoriasis is a controllable disease. It may relapse at any time.Methotraxate,acitretin..are the drugs used by many dermatologists. So, you consult dermatologist and have proper treatment to have control of psoriasis.Have patience for the good result.Thanks.Dr. Ilyas Patel MD | 12,350 |
What is the treatment for chest pain and high cholesterol? | Patient: I am 42 Female, with a hx of heart disease of my Dad's side. He had 2 MI's before age 50,and his brother died of MI at 48. I started having CP yesterday, feeling like someone is sitting on my chest. Today I woke up still with discomfort in chest, having a bad headache, got clammy earlier,and it feels like it's hard to swollow. I also have high cholesterol and started crestor 10mg about a month ago. I feel really tired and really tired. Worried I may be having signs of a heart attack. What should I do? Doctor: Hello Welcome to HCM.You symptoms like chest heaviness and clamminess in presence of strong family history of premature heart disease, point a suspicion to a cardiac event. Also you have risk factor of high cholesterol. Headache and swallowing difficulty may not be directly connected to symptoms of cardiac event but can be present as associated symptoms. I recommend you get checked up for the same. You should take a ECG, 2 D Echo and a cardiac enzymes test to see if there is any damage to the heart. IF ECG and 2D Echo show no changes and cardiac enzymes are normal, then you must do a stress test after 4 days when you do not have these symptoms. A stress test can help predict if you got blockages in your heart. Please do the above and revert back with the test findings. If all the above tests are normal, you still stand at a higher risk of heart disease than other people and you must undergo yearly 2D Echo and stress tests to detect heart disease early. Wishing you good healthRegards | 74,698 |
On contraceptive injection. Mild bleeding before going for the next shot. Why? | Patient: I was on the nuristerate contraceptive injection for a month and was due to go for a second shot but did not go,I got my regular period about 8days after due date to go get a 2nd shot and got another 3 more menstrual cycles a week apart and I got an abnormal light period a week ago and it lasted for 4 days which is abnormal because I usually bleed for 7days. What is wrong with me? Doctor: Hi,Your symptoms are more likely due to the hormonal imbalance induced partly by the injection and partly by the failure to take the due dose in time. The menstrual bleeding is a withdrawal bleeding and has taken the form of a polymenorrhoiec cycle. You have two options; either go for additional hormonal supplementation to correct the bleeding disturbance immediately through consultation of your specialist or waiting for a couple of cycles with regular intake of doses to see if the disturbance settles down on its own. Either way, you need dietary supplementation of vitamins and minerals. Hope this helps. | 225,640 |
Had brain stroke. MRI shows blood clotting. Difficulty speaking. Concerned | Patient: Hello doctor, my father was having brain stroke while he was traveling from delhi to mumbai and he admitted in kota hospital. he was there for 10 days and done all the tests including MRI. MRI shows that he has a blood clotting on the right side. Now he shifted to Mumbai and his condition is stable. Only my main concern for his recovery, he can't speak properly. But he can stand his own. Doctors advised to do some walk and take medicines. Please advice. Thanks, Prabhat Doctor: Hi Prabhat,Thanks for writing in.From what you have written, your father is on the way to recovery following a stroke for which he was earlier managed at a hospital and now you have shifted him to a new hospital where he is now stable but unable to speak properly.I would have like to know the MRI findings ans that could tell me the severity of the stroke. It looks like his speech area was affected. If he is standing on his own, he does not have any serious problem right now.All he requires is a consultation with a speech therapist, who will tell him how to regain his speech to its maximum possible strength by the use of vocal exercises.Wish him a full recovery.Hope this helps. | 149,902 |
What causes my heart to beat faster? | Patient: I had toxoplasmosis chorioretinitis and I have been taking 60mg of prednisolone for 2 weeks, then 50mg for 1 week, then 40mg for 1 week, and now I am at 30mg. I feel OK, but my heart beat is faster than usual and it feels weird. I dont know if I should worry, or it will go away when I reduce the amount of prednisolone a bit more...? Doctor: Hi, I understand your concern and would explain that your symptoms could be related to anemia. For this reason, I recommend checking complete blood count, in order to exclude this possibility. From the other hand, steroids can trigger anxiety, which is one of the most common causes underlying tachycardia. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | 17,395 |
What causes nose burning ? | Patient: My 5 year old son broke his nose about a month ago, it seemed to heal fine but this week he s been complaining that his nose is burning. It seems to come and go. He also has autism so it s difficult to get him to describe it much more than that, but this morning he was really upset about it. Doctor: Hello, I hope the advice I provide will allow him to enjoy the holiday season. The most common causes of nose burning: -too much dryness in the air -a food allergy -strong odors -dust or smoke -a foreign body (like a small toy) in a nostril -picking nose -rubbing nose with a rough cloth especially when he has a bad cold If the air is dry in your home, you might consider obtaining a humidifier. Saline nose drops (available over-the-counter) one-two drops each nostril if he will allow several times a day for nose picking and colds. If there is a foreign body, usually there is a yellow nasal discharge. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Arnold Zedd, Pediatrician | 162,281 |
What causes painful lumps on neck level in 2 year old? | Patient: My two year old has two lumps on the back of his head near his neck level with his ears, he saids ouch when I touch or feel them or press on them, do you have any ideal what they are and should I be concerned? I notice them about 3 weeks ago but he hasn t had a fever and his personality has been the same there about the size of a quarter. Doctor: Hi,From history it seems that there might be having enlarged neck lymph nodes giving lumps.This can be due to having some infection in surrounding area like scalp, ear or throat.If there is no acute infection he might not have symptoms like fever, pain or discomfort.Consult your doctor and get examined.Ok and take care. | 169,078 |
Out of metpure and olmesar which is effective in lowering b.p? | Patient: i am 21 years boy.Ihave hypertension since last 09 months.heartbeats also increases some times.Doctor advised to take metpure xl 50 which iam taking.other doctor advised to take olmesar-a as he is telling about side effect of metpure.bp 140/90.pl advise whether to take metpure xl50 once daily or olmesar A or olmesar A in morningand metpurexl25 in evening. report does not specify any disease.doctor says it may be due to anxiety.pl advise medicine which hasno major side effect.whether aaaaaabpawill come to normal w /o medicine later on. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Since you are young (21 years only), likely cause for your hypertension is stress and anxiety. So better to take metpure XL because it is having metoprolol (beta blocker). Beta blockers are first choice if drug for anxiety. Along with antihypertensive action, it also reduce anxiety and controls heart rate. So in your case, it is better to fake metpure XL. Along with drugs, you should also take counselling sessions. Counselling is very important in management of anxiety. So consult psychiatrist and get done counselling sessions. Once your anxiety is controlled, your blood pressure will also control and hence you may not need antihypertensive drugs. 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. | 25,045 |
What is causing mental problems like urge to shout and scream and hurt oneself? | Patient: hi m insha...age 21 yrs.....actually from a month onwards m having some mental prblms.....i feel like shouting n screeming vich i do....ven m alone i start crying n feel loke harmin my self....i get irritatd very much n get angry soon.....even ven the thing vich i want is not done i harm myself...last day i burned my hand in frustration...pls tell me vats happening with me n vat is d cause of these????? Doctor: Hi,I can understand your distress regarding your symptoms. Being more irritable and angry, feeling frustrated, crying spells and wanting to harm self are symptoms suggestive of depressive episode.I would suggest you talk to your family members and seek a psychiatric consultation without any delay. Thoughts of wanting to harm self should be taken seriously and immediately treatment must be instituted. You would respond to anti-depressant medications (escitalopram or sertraline). In addition, it would be advisable to start exercising daily. Talking to someone and expressing your thoughts can help you feel lighter. Alternatively you can start writing diary on a daily basis. Hope this information was helpful. Wish you a speedy recovery. | 209,280 |
CT scan shows mild, diffuse cerebral volume loss, small transcortical encehalomalacia in right frontal lobe. Suggestions? | Patient: I'm a 60 year old male. Had a CT scan and the impressions were: 1) Mild, diffuse cerebral volume loss. 2) Small transcortical encephalomalacia in right frontal lobe. Doctor ordered this test as I am "phasing out" and loosing track of time, slurred speech, falling down, and difficulty with if something really happened or if it was just in my mind. Thank you for any clarification you can give me. Doctor: Hi , it appears that the the brain has small trans cortical encephalomalacia, in right frontal lobe, and mild difuse cerebral volume loss. It says there is swelling of the coverings of the brain, and due to that there is decrease in the volume of the cerbral cortex, and hence the symptoms. Dont worry your neurologist will look after the condition, and you will be fine soon. Thank you. | 149,390 |
Lower back pain after a fall on hip. Have history of spinal fusion. Which part is causing the pain? | Patient: I fell on my hip but my back hurts. I called the doctor and told him I need a xray of my hip but I think I was wrong. Most of the pain is on my lower back on the right side. Is this the hip?I had a spinal fusion in March 2013. The pain is on my back below my waiste on right side. Is this the hip or what is the bone in my butt? Doctor: what is ur age??how much was impact/force of falling...whether u were able to get up urself...started walking...most probably u have soft tissue injury.take rest and analgesics..like ibu+para...or naposyn 2-3-times/daybone in butt is pelvic bone. | 112,223 |
What causes feeling of extra heart beats and acidity? | Patient: i have been having these episodes where i have extra heart beats also i feel like i have too much gas. i cant sleep well at night for the past 2 nights i feel a bit tense at night is this normal am i having an anxiety attack i had them before but this does not seem like one could it be stress? Doctor: I exactly don't know your age or sex .because in elderly male this may be initial symptoms of heart disease like Ischemic or failure.in any age or sex group may indicate valvular heart disease like aortic regurgitation. sometimes anemia or any high output state may cause it.in females of menopausal age these may be a normal finding. simple gastritis usually doesn't cause palpitation. psychogenic is a diagnosis of exclusion when any other possibility is ruled out.so better is to consult your physician. | 22,185 |
What is the treatment for severe thigh pain? | Patient: Hello, Two days ago, I was at a rehab facility to be evaluated for a job. I was told to squat. I did with now problem. Then the md had me go down on one knee and get up and repeated with other side. I then had to squat down and pick up 50 lbs of wait and out on a shelf several time. The repeat with 20 lbs. I did more squats in other areas of testing. My thighs were shaking and she told me I had muscle fatique. Since then I have had severe thigh pain with standing from a sitting position and vice versa. I even have pain in my thighs when I just move them in general. I haven t taken anything for the pain as it is intermittent. But it wakes me up at night when I move. I am sure I have strained the muscles. What would you recommend and about how long will it take to where it does not hurt to stand up, sit down or just stretch my legs. I have tried a hot bath to relax the muscles. The pain is non radiating. There is no redness, swelling, and is located only in the front. Doctor: Hello,Welcome to the magical world of health care, I went through your query, and your pain is muscular in origin, and coming from the sprained muscles due to your activity. Now first thing first,REST.Analgesics.Time to heal for 3 weeks.I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks. | 138,160 |
Suggest treatment for child suffering from bone tuberculosis in knee | Patient: Doctor, my 2 year daughter is having problem of Bone TB in her nee. From last 1 year her treatment is going on, but still she is having pain and swelling in her nee. If you require, i will provide or visit with her test reports and medicine details which are going on. Thanks in advance sir Mukesh Upadhyay 0000 YYYY@YYYY Doctor: dear userabout management of bone tuberculosis of knee you should follow simple steps beside medicical drugs that your daughter takefirst she should do breathing excercise that will increase oxygen supply and increasing oxygen supply affect metabolism of bone cells and help improvementalso physiotherapy and rehabilitations and movements of the muscles with regular excercise help improvement of the mobility and flexibility of the muscles that means she needs simple movement for improve circulationyou should assure of taking tb drugs as it is most important to assure complete course of combination treatment and discuss with her doctor about the sensitivity of the drugs as there are multiple regimn for treatment of tuberculosisi wish her healthy life | 163,830 |
Does prolonged dry cough indicate bronchitis? | Patient: My dad has clear lung sounds, but his bronchioles sound inflamed and the breath sounds are rough. He has a dry, nonproductive cough, no fever, no chills, no body aches other than chest pain from coughing so much. I'm thinking it's bronchitis but wanted to get a second opinion. Doctor: Hello, As you explain the situation yes this might be chronic bronchitis but he should do a chest X-ray and a Spirometry test and after having the results his doctor will advise him further. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist | 70,599 |
Suggest treatment for allergy and heavy breathing issues | Patient: My daughter is 4 and half year old .when ever she get cold it go longer she start heavy breathing ,allergy kind symptoms ,very fussy ,she is little and can,t explain she feel very sensitive,she was a colic baby .what should I do to keep her safe and less cold period and as she will grow ....is it will improve? Thanks Doctor: Hello.Thank you for asking at HCM.I went through your history. I think your daughter has allergic respiratory problem but I would like to ask more questions about nature of cough, cold, whether she wheezes, frequency of symptoms etc to know exact nature of her disorder.However, for allergic respiratory diseases, I would suggest her Montelukast whenever she develops symptoms. This will reduce her symptoms along with other medications prescribed by your pediatrician.If she is is having problems during any specific season, I would suggest to start daily Montelukast 2 weeks before the season and continue during the season. This will also reduce the number of episodes.I would suggest you to avoid exposure to dusts, smoke and air pollution as much as possible. Limiting foods that usually trigger her episodes will also help.Childhood allergic respiratory disorders usually can improve by ages of 6-8 years but it depends on type of allergy she has, her diet and environment, hereditary factors, genetics, etc. So it's difficult to predict most of the times.I would also suggest you to consult an Allergist who will suggest her allergy testing and help you identify what to avoid and how to.Hope this will be helpful to you.Wish your daughter the best of the health.Regards. | 101,336 |
Suggest medication for lower back pain due to spasm | Patient: I have lower back pain and my Xray shows that i have a straightened lumbar lordosis due to spasm. Pls what can i do since i cannot take any NSAID drugs, but i was given diclofenac sodium injection, tramadol and heat rub to use. But it is still paining me seriously if i bend down or getting up while sitting. Doctor: Hello, I see that you have already taken the proper treatment to relieve the back pain. I recommend to use this treatment as prescribed by your doctor. I also suggest gentle stretching exercises for relieve. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | 122,166 |
Suggest treatment for a lump appearing under the ear | Patient: My 8 month old son has had a low grade fever of 100.3 for the past two days, and last night we noticed he has a lump under his left ear. Nothing under right ear. He has had a cold for about 1 week and we went to the doctor on Thur. and they said he was fine, no ear infection or pneumonia; just a cold. Nurses hotline said mastoiditis, but he has not had any ear infections. Should I be concerned and take him to the doctor, we are going on a 16 hour car ride for vacation in 2 days. Doctor: Hi,Dear,Thanks for the query to HCM.I studied your problem in depth and I understood your concerns.You should be concerned for the lump below ear with high fever.Hence you should attend to ER paediatrician who would treat it for -Viral Mumps,to reduce fever and secondary complications of it-which would maintain progenicity of your son.This advise is based on the facts from the history you give.Hence I would advise you to check with ER Paediatrician urgently.So dont build up wrong concepts and create more psychic complications in you which would increase risks and costs to you.Hope this would relieve your problem.Wellcome for any more query in this regard to HCM.Write good resume and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N. | 63,643 |
Can meth usage cause outbreaks on face? | Patient: My niece went to the doctor for an outbreak on her face. They told her it was staph infection. She didn't tell them she is a meth user. Her son, 3 years old died last year from no know cause. He had numerous outbreaks of staph since he was born, but she never got any breakouts from him. My question is: Do you think she really has staph or meth outbreaks from the toxins, or meth and staph outbreaks? Doctor: Hello. Meth doesn't cause staph outbreaks so I'm certain it's staph. Meth actually doesn't cause any skin outbreaks | 30,275 |
What should i do for small bumps on stomach,chest, back and legs? | Patient: Hi i have small pink bumps on my stomach, chest, back, and legs. They do not itch, and are slightly raised. They average about the size of the end of an eraser on a pencil. They are pretty scattered on my body, but they seem to be spaces out, there s about 20 on my stomach and chest. What are they? How so I treat them? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some pustules or other skin lesions. You should go for biopsy and histopathological examination of one lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 66,544 |
All four wisdom teeth partially erupted. Now left teeth is causing problem. Untouched because of the nerve near it. Swollen. Treatment? | Patient: HI I have all four wisdom teeth partially erupted and are almost straight except for the lower left which is growing forwards and to the left pressing against the side of my cheek. I never even noticed the upper ones coming through except for a little pain when they broke the gums but the lower ones have hurt on / off for about 5 years. The right one has been OK for months but the left (that is growing abnormally) is causing problems. I got an oral surgeon to look at it 3 years ago and he recommended leaving it as the nerve is too near it's roots and will probably be damaged. Overnight the pain has got worse and my face is swollen like a gold ball and there is a rancid smell from the tooth and a bad taste. I cant see the dentist for a few days. Can I wait or should I go to hospital? Doctor: hi...thanks for the query...well.. the only option for lower left wisdom tooth is extraction... for time being do warm saline rinses 6-7 times per day... take proper course of antibiotics and anti inflammatory drugs... if possible visit dentist to get the affected area irrigated and cleaned up... before going for extraction, go for proper clinical and radiographic examination of all impacted teeth... consult any oral surgeon...if sufficient space seems to be available for teeth to erupt... then allow them to do so... operculectomy can be performed over them... if space doesn't seems to be available, go for its extraction...hope it will help you...take care... | 188,740 |
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