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What is the cause of an abdominal pain? | Patient: I have been having a pain in my right upper abdomin for the past two months that is progressively getting worse. I work in a lab and had a cbc done with an elevated neutophil count, AST and ALT. Should I be concerned about possible liver issues. I do not have any jaundice. Doctor: Hi! Good evening. i am Dr Shareef answering your query. The investigation reports shows the cause to be of infective origin with an elevated neutrophil count. If I were your doctor, after a detailed physical examination, I would advise you for an ultrasound whole abdomen and a CT if need be for proper evaluation of the intra-abdominal viscera. Further management would depend on the reports of the investigations and examination findings. Till then, I would advise you for a proton pump inhibitor, bland diet, and an anti spasmodic if the pain is unbearable.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | 91,431 |
Is blood platelet count of 108 a matter of concern? | Patient: About two years ago I started becoming fatigued and my platelet count began dropping. It has gradually become lower, now 108, and the fatigue is at times debilitating. The doctors do not seem concerned but I can no longer perform the activities that I used to. Is the 108 platelet count a concern? My white count remains slightly low around 3.80. My primary concern is the platelet count. Doctor: Hello, If you are symptomatic in my opinion you should have further examination. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Esmeralda Sera, Oncologist | 114,302 |
Can you suggest home remedies for a hard lump on the right buttock cheek? | Patient: I had a small pea size hard lump on the right buttocks cheek for the past 2 years. it did not hurt so I did not think anything of it. Yesterday it became the size of a quarter hard with red skin around it. It is now painful when i touch it or sit on it. Any home remedies you can advised me? Doctor: Hello, It sounds like an infected atheroma. It should be excised surgically. There are really no home remedies to do this. Hope I have answered your query. Let me know if I can assist you further. | 60,789 |
Is rash on thigh a cause for concern? | Patient: Should I be concerned that I have a rash on the outer portion of both thighs? Before I saw, a nurse this morning the rash itched badly. The nurse applied anti itch cream on both thighs. As a result, the rash now burns and has provided very little itch relief. Doctor: Hello,Thank you for posting on HCM.It seems you are suffering from Tinea, a kind of fungal infection..In my patients of Tinea, I usually recommend proper course of oral anti-fungal drugs like Fluconazole for few weeks.Apply anti-fungal cream containing luliconazole or sertaconazole over affected areas twice a day.You can additionally use antifungal dusting powder containing clotrimazole during day time and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistaminics for itching as required.Maintain hygiene over those areas and avoid wearing tight undergarments.Hope your queries are resolved and wish you best of health.Thank youDr Hardik Pitroda | 14,747 |
Suggest cure for jaundice | Patient: hi i am 1st year medical student. recently i had a urine report which showed 3-4 /hpf epithelial cells and 1-2/hpf pus cell. stool report: presence of mucus,and undigested food particles. i have jaundice with no proper diagnosis. email: YYYY@YYYY Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I canJaundice is usually sign of certain liver disease and high bilirubin value. Causes of jaundice vary from non-serious to potentially fatal. Levels of bilirubin in blood are normally below 1.0 mg/dL (17 µmol/L) and levels over 2-3 mg/dL (34-51 µmol/L) typically results in jaundice High bilirubin may be due to liver diseases such as cirrhosis or hepatitis, infections, medications, orblockage of the bile duct In the developed world the cause is more often blockage of the bile duct or medications. Blockage of the bile duct may occur due to gallstones, cancer, or pancreatitis. Medical imaging such as ultrasound is useful for detecting bile duct blockage.Treatment of jaundice is typically determined by the underlying cause. If a bile duct blockage is present surgery is typically required, otherwise management is medical.[Medical management may involve treating infectious causes and stopping medication that could be contributing. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. | 53,521 |
Suggest medication for a sore rash under my breast | Patient: Hi. I have rash under breast. Dr. Said it was yeast infection . Prescribed fluconazole but have not taken it yet. Last night areola sore to touch under nipple and feel hard lump. Same today. Also taking omeprazole for acid reflux. What should I do? Doctor: Hello, Its very common to have yeast infection under your breasts, groin and underarms. You must treat it with oral and topical anti-fungals. Along with oral Fluconazole also start applying Ketoconazole cream twice a day for 7-10 days. Also use a mild Hypoallergic soap for washing your body. Hope I have answered your query. Let me know if I can assist you further. | 13,673 |
Various diagnoses of lymphoma, non-hodgkins lymphoma and leukemia. Any suggestions? | Patient: my mother has been in the hospital for 16 days, they first said she has breast cancer, then they said Lymphoma, then they said Non Hodgkins Lymphoma, now saying she has Leukemia - they keep saying they are 95% sure but then come back and say they were wrong, do you have any suggestions for me as to what to do from here? We are in Richmond, Virginialisa Doctor: Dear, First we need to have full history and examination of the body report. Then a blood picture with peripheral smear examination to arrive at some provisional diagnosis. if she has a lump or swelling on any part of the body a fine needle aspiration biopsy report. This will definitely give a diagnosis. I think your primary physician will definitely do the needful to arrive at final conclusion. The differant diagnosis conveyed to you must be provisional on the basis of simple general physical examination. Lymphoma, Hodgkins or non hodgkins or leukemia is confirmed only by biopsy.Truly,Dr. j. Ticku | 158,193 |
Degenerative disc disease, thecal sac compression, displacement due to posterior and posterolateral disc herniation with osteophytosis. What does this mean? | Patient: I am Nazibullah, age 38 facing low back and leg pain that goes down to my foot on the right. here is my MRI report. Findings: Lumbar lordosis is slightly straightened with normal vertebral alignment. On T2 weighted images lumbar discs are hypointense due to disc desiccation . Focal T1 & T2 hyperintensity with trabecular thickening at L4 vertebral body. Small Schmorl’s nodes are seen at the superior end plates of D12, L1 & L2 vertebral bodies. Anterior corner of L2, L3, L4 & L5 vertebral bodies show T1 & T2 hyperintensities which may signify degenerative signal change. Degenerative end plate changes are noted at L5-S1 level as evidenced by T1 & T2 hyper intensity signals from the opposing vertebral end plates. Remainder of the vertebrae show normal marrow signal intensities Visualised part of the cord appear normal in signal characteristics and morphology. Imaged pre & paravertebral soft tissue appears normal At L5-S1 level: Disc height is reduced. Broad-based posterior & posterolateral disc herniation (Extrusion) with mild posterolateral osteophytosis are causing corresponding thecal sac compression, both lateral recess and bilateral neural foraminal narrowing marked on right and right S1 nerve root compression and displacement. Spinal canal is stenosed. Impression: Degenerative disc disease. Thecal sac compression, both lateral recess and bilateral neutal foraminal narrowing marked on right and right S1 nerve root compression and displacement at L5-S1 level due to porterior & posterolateral disc herniation (Extrusion) with mild posterolateral osteophytosis as stated above. Please reply and advice me in these resect to my mail; YYYY@YYYY Doctor: Hello, Your symptoms are because of the nerve root compression in the right side, as is evident in MRI report. You need to get evaluated by a neurosurgeon for and he will assess for any other neurological deficits. After that he will advice whether you need to undergo surgery or you can be managed by medications alone. In any case, physical therapy and medications for pain will be helpful in conforting you. Strict bed rest also is advisable for about 15 days on a hard bed. Good luck. | 151,446 |
Suggest remedy for fluttering in the chest | Patient: Are there any natural remedies I can use or take for PVC...Had an echocardiogram today and other tests. Halter monitor tomorrow. My chest is feeling fluttery a lot of the time. I am very anxious in general and know that this can contribute to it. Is it possible for them to stop? They started a week and a half ago....... Doctor: HIThank for asking for HCMI had gone through the history and information given here, PVC could be due to heart disease, like ischemia, electrolyte imbalance, second it could be due to some drug like digoxin, treatment given for reperfusion, apart from these it could be physiological like exercise, pregnancy, hormone changes.The underlying cause of PVC matters the great and it is being taken care accordingly, it can not be managed with any natural remedies, but with underlying management it may be corrected. hope this information helps. | 20,002 |
What could be the cause of the raised TLC count? | Patient: hi, i am 36 years old, couple of day ago I i test my blood CBC. It shows TLC count 17000 (Normal range is i think 4000 to 11000).I am concious to see that. apparently I have no kind of infection or have t gone through any surgery in my life. what could be the cause of this raise. Doctor: Hi, dearI have gone through your question. I can understand your concern. Your total count is high. You may have some infection or some other cause. Please send me report of differential wbc count. So that I can help you further. In most of the cases it is due to infection. So don't worry much about that. Just be relaxed. 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. | 114,796 |
Dry skin, feel itchy. Severe white and black head. Using Evion cream. Best product to use? | Patient: sir, iam 34 female married with one sonmy skin was oily in my younger years but since a year or so i feel dry and sometimes itchy too. this year my skin feels real dry and itchy specially my cheeks and forehead . i have severe white heads and black heads too. iam using evion cream and how can this help me. does scrubbing help?? what else should i do? how should i treat my skin . please do help me!! which are the best products i can use for my skin day and night. Doctor: Hi, Use a mild face cleanser(like cetaphil)instead of regular soap and a moisturiser like (elovera/cetaphil/venusia/ efatop PE lotion etc) to hydrate your skin. Do not use hot water to wash your face as it robs off moisture from skin. Similarly do not scrub or exfoliate much. Get your whiteheads and blackheads extracted from a dermatologist and if the need be apply an anti acne cream (like treclin or nilac a etc ) over your blackhead/whitehead prone area to prevent further recurrence. Hope that answers your query. Take care. | 9,563 |
Suggest treatment for albumin in urine and weakness | Patient: sir my father 40 yrs old is having high traces of albumin in urine we had gone to docters but it is not helping us .he had 3 operation of kidney due to xecisive stone in both kidney in past. know he is feeling weakness a docter told us to do culture test but he is not ready to do. sir give me a good solutions for this Doctor: HelloThanks for query .Your father who has undergone three surgeries in past for kidney stone and now has 3 + albumin detected in routine urine analysis .The presence of 3 + albumin is an alarming signal suugestive of chronic kidney disease due to damage due to repeated episodes of stone disease and needs to be investigated .Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Renal Function tests .4) Excretion of protein in 24 hours sample of urine .Further treatment will depend upon result of these tests and final diagnosis.Dr.Patil. | 47,218 |
Echogenic focus at the corticomedullary junction on both kidneys. Spotted ecoli in urine. On Salva. Suggestions? | Patient: my findings are. There is a 1.1cm echogenic focus at the corticomedullary junction lower pole of the right kidney with distal acoustic shadowing. on the left side, there is equivocal echogenic focus measuring 6.0 mm in similar location. what does this mean I also had a bad batch of ecoli in my urin and im on my fourth dose of salva Doctor: Hi,Ecogenioc focus with distal acoustic shadow indicates stones. Both being of size in which stones occur, I suspect them to be due to stones made of calcium of oxalate.regards, | 50,558 |
How long does it take to stop loose motion in 23 months old baby? | Patient: Hi, may I answer your health queries right now ? Please type your query here...my son is 23 months old , is down with lose motion from 8 days ,no blood had fever first 2 days now no fever,motions 3-4 a day,weighs 12 kg,having all water food everything possible, doc gave some antipasmodic, antifaculent, asked to wait,how long should i be patience.... Doctor: Hi...Thank you for consulting in Health Care magic.It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.Regards - Dr. Sumanth | 167,559 |
What causes high pulse rate and fluctuating blood pressure while taking medication? | Patient: My pulse rate has increased to 120bpm and my BP reading is fluctuating between 137/92 to 154/96 with my home BP monitor. I am taking low dose aspirin and medication for high blood pressure following a minor heart attack 5 years ago. I am also Type ll diabetic with Insulin. I am currently suffering a cold. My normal BP with Plavix was 120 over 60-80 until my when my cardiologist recently terminated the Plavix. These current readings are at rest. Thank You, Gordon Ferguson Doctor: Hello Gordon!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that these blood pressure and heart rate fluctuations could be related to the cold and inflammation. Painkillers can also raise blood pressure values. Plavix does not have any effects on blood pressure or heart rate. Anyway, the situation does not seem to be really concerning. Regarding tachycardia, I would recommend taking a betablocker. If after the cold, your blood pressure values still remain high, I would recommend increasing the doses of your anti-hypertensive drugs. Some tips would help lower blood pressure naturally: - reduce salt and caffeine intake- lose some pounds if you are overweight- perform a lot of physical activity. Hope you will find this answer helpful!Wishing good health, Dr. Iliri | 19,764 |
Suggest dosage for fever medicine | Patient: My baby is 6 months old and just got a Hepatitis B shot (this is the 3rd time) and she is having a fever (~38 celcius) for 3 days since. What should I do? Can I give her Triaminic™ Fever Reducer Pain Reliever Infants' Drops (this is what I got from my brother in USA)? and what's the dose, because the label says below 2 years old, check with doctors.Thanks,Worried dad. Doctor: Dear parent, yes you can give this medication to your child although it is not recommended below 2 years of age. but since the fever didn't resolve for 3 days then you need to give an antipyretic to treat the fever . the dose will be 2.5 ml every 8 hours. | 166,526 |
What causes itchy scalp and neck with swollen lymph node under the ears? | Patient: Hi, My seven month old gets really itchy at night particularly on her scalp and neck. She falls into scratching fits and cannot sleep. Her lymph nodes on the back of her neck and under her ears are very swollen. This has been going on for about 5 months now. Originally she had bad eczema and although switching formula put an end to it. The nodes are still very swollen and the itching is intense at night. What is particularly interesting is that benadryl doesnt reduce the itching at all. Doctor: Hi... I sympathize with the kid and understand your concern. The trick of the management is keeping the skin moist and never allowing it to be dry. For this oil massage and lotions like Oilatum will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses, they become better starting from 6 months.Oral anti allergic medications are shown to be very effective in this. The swollen lymphnodes could be due to eczema and scratching.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | 172,232 |
What does chronic micro vascular ischemia with empty sella signify? | Patient: MRI the comments is; no intracranial lesion found to account for the clinical symptoms and signs, no lesion of the optic chiasm is seen. There are periventricular white matter changes which are most likely to reflect chronic micro vascular ischaemia. Incidental empty sella. Could you tell me what the mean for me. Thank you. Carmen Doctor: Hi ,chronic micro vascular ischemia is age related changes and carries no significance. Empty sella is also incidental finding.If not causing any symptoms then nothing to worry ,Thanks. | 143,664 |
How to treat Chronic kidney disease and High BP? | Patient: Hi i am 65 years old i have a problem of ckd and high blood pressure as directed by Dr i am having these medicines (moxovas 0.3,tolo xr 50,sevcar400,dytor40,trinerve Lc,carnifer,cilacar10,rosuvit cv5,febuget40, now from 2,3 days my bloods pressure is getting low so what should i do at this time Doctor: Hi,Chronic Kidney Disease (CKD) is due to persistant underlying disease like diabetes, uncontrolled high blood presure, untreated kidney stones, rarely it may develop as a consequance to AKI (Acute Kidney Injury).Treatment of CKD is to prevent or to slow the process of deterioration of kidney function.It requires-1) Diet with adequate vegeterian proteins.2) Control of Diabetes, blood pressure, cholesterol.3) Avoidance of nephrotoxic food and medicines like pain killers4) Water intake needs to restrict if there is tendancy to retain water.5) Low Potassium intake (avoid intake of fruit and fruit juices, coconut water) in case there is potassium retention in body.6) Maintain calcium, phosphorus, uric acid levels under contol.7) Avoid smoking, alcohol. 8) Screnning for comlication on heart.Usually CKD associated with high blood pressure that requires multiple medicines to control.Development of low BP in patients of CKD with Hypertension indicate-1) Further deterioration of kidney function which leads to accumulation of drug for a longer in body due to decreased clearance by kidney.2) Overdosing of medicines.3) Development of Autonomic neuropathy as a comlication of CKD its self or its underlying cause like diabetes, hypertension.4) Development of other complications like heart.So it is advisable you to consult your doctor and get detailed clinical examination and investigations that may help in decision making -Complete blood count, kidney function test, electrolytes, calcium, phosporus, uric acid, urine examination including 24 hours protein level, ultrasound of kidneys.Modifiction of medicines is required.There might be impending Need for Haemodialysis which depends on-1) Amount of Urine production daily.2) Serum electrolyte mainly Potassium.3) Serum Creatinine level.4) Arterial Blood Gas (ABG) analysis which denote degree of acid accumaulation in blood.5) Signs of water retention like breathing difficulty, swelling over body, puffiness of face. | 48,113 |
How to get pregnant? | Patient: Hello Doctor, Hope you are doing good. My name is Chitra, 26 years old. From the time of puberty(which was 15 years back) I am having irregular menstrual cycle. And from the time I am under medication. Initially I was told that due to early age puberty my periods are irregular. And it used to be vast.. Either when I get my periods it will last for 15-20 days and when I stop it using tablet it will not come again for months. I have consulted around 4 doctors in this 15 years and found that I have PCOS and so far my period was not regularized and in continuous treatment. My Gynecologist said that many women have this issue and it will get alright for some once they get married and have a child. Now I am married for 4 months and I was under medication till last before month. I was having Duoluton tablet and my Dr. asked me to stop this birth control after 2 months of marriage and to start having Hyponidd for 6 months which will help me conceive. I stopped Duoluton last month and started having Hyponidd, but missed my period which was supposed to be on 18th May 2014. I even had a pregnancy test and it was negative. Unfortunately after marriage I moved to USA and couldnt have a personal consultation with my Dr. and also could reach her through phone only by next week since she is in abroad and not in India now. Now I am confused as to what would be the best treatment for me from now on that will help me getting conceive. I am also obese since I have gained so much weight before marriage due to computer job, heavy mental stress due to family issues and in addition with PCOS. Now I am a house wife and also away from mental stress and family issues and here in USA I am trying to workout atleast thrice a week in treadmill and cycling for 1 or 1.5 hours. But I feel difficult to reduce it now, still I am trying hard continuously. For sure I know reducing my weight will slightly help me. But apart from that what would be the treatment I should take further? Is that a personal consultation with doctor compulsory by this time and if yes which specialization doctor should I consult? It will be of great help to get an answer and I am worried if I will get pregnant and make my husband happy who loves me a lot. Thank you! Doctor: Answer: Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1 ) You need to get your hormonal profile done. 2 ) Take high fibre food along with diet and exercise.3 ) You need to consult an infertility specialist for proper guidance.4) It is necessary to see a doctor personally as PCOS is not a disease that can be cured with medicines alone.5) Do not worry. With proper and regular medications, you will be able to conceive.I hope this answer helps helps you. Thanks. Dr. Purushottam Neurgaonkar. . | 3,378 |
Manic depressive episode, wellbutrin, smoking cannabis leads to depression, sometimes blackouts | Patient: Hello, 6 months ago I had a manic depressive episode. I was put on Wellbutrin 300mg/day, it has worked well however I am feeling much better now and am starting to get back into social life activities. Being 18 and living in an apartment with 4 others we tend to enjoy drinking. My roomates smoke cannabis too however my phycologist told me that cannabis will depress my mood and flush out the Wellbutrin. However I do enjoy drinking and have been drinking about 4 times a week heavily. Sometimes blackouts occur, but drinking is what I enjoy to do sometimes. Of course my health is number one. What health risks are on the line when it comes to heavy drinking and Wellbutrin,, besides blackouts. Doctor: Hi Karl,Welcome to Healthcare Magic and thanks for your question...Wellbutrin is an anti-depressant medication given for depressive disorders. You have mentioned that you had a 'manic-depressive episode' six months back... I'm not sure what you mean by that - I'm guessing that you probably suffered from a depressive episode (maybe a Bipolar Depression), which is why you have been put on an anti-depressant.Now, most substances of abuse - cannabis, alcohol, tobacco, etc. can definitely interfere with psychiatric medication. This is because both of them act on the brain and hence they can interfere with each other's levels and effects. Cannabis, alcohol, etc. can reduce the absorption of such medication or hamper their action or sometimes even potentiate side effects.Secondly, these substances can independently influence and alter your mood / emotional state and thereby can sometimes, worsen the mood disorder itself. Sometimes heavy abuse can also cause new psychiatric problems. Alcohol definitely has effects on the mood and excessive use can even lead to psychotic symptoms (like hearing voices, seeing strange things, fears, false beliefs, etc.)I would strongly suggest that you control your drinking, especially because you already have a mood disorder and as you are on psychiatric medication. If you are finding it difficult to control your drinking habit, please don't hesitate to ask your doctor for help / suggestions.Wish you all the best.- Dr. Jonas SundarakumarConsultant Psychiatrist | 213,574 |
What causes shoulder blade pain during a pregnancy? | Patient: i am 33 weeks pregnant and for the past 2 maybe 1 an a half weeks i have been getting an annoying pain just under my right shoulder blade, like i need to click my shoulder blade or something, is this referred pain ? Do i have anything to worry about? Baby is moving lots still! Doctor: Hello dear,I understand your concern.In my opinion the pain under shoulder blade can be due to muscular origin or gastritis.Avoid spicy and oily diet.Take antacids.Also some type of non specific pains are common during pregnancy which subside spontaneously.Take panadol for pain.Apply hot fomentation and local irritants.Nothing to worry.It will subside.Best regards.... | 220,916 |
How can toothache be treated? | Patient: My son is taking methadone and his teeth are giving him problems. They ache and he has had to have some pulled then another tooth will begin to ache. The dentist has prescribed antibiotics where he lives but he wont be home until next week. Can this be dangerous to wait that long? Is this a common problem? Can you suggest a website that people actually write their experiences with methadone on??? Doctor: Hi..Thanks for the query..Yes, Methadone can be a cause for decaying of teeth but as an indirect effect..This is because Methadone can cause dry mouth leading to reduced saliva production.As saliva plays an important role in continuous cleaning of teeth therefore in absence of optimum amounts of saliva there can be increased decaying of teeth due to reduced flushing debris from the teeth..Waiting for a week under antibiotic cover is fine and you need not to worry about it but you should get the cause ruled out and work on it..If it is due to dry mouth then chew sugarfree chewing gums..-Drink plenty of water.-Avoid regular mouthwash and use specialized mouthwash that are formulated for dry mouth patients like Biotene..-You can also instil artificial saliva drops..-Suck tart candies as it also stimulates saliva flow..If does not improve consult an Oral Physician and get evaluated..Hope this helps..Regards. | 180,843 |
Any suggestion for having fibromyalgia, connective tissue disorder and MS? | Patient: I HAVE BEEN SUFFERING FROM FIBROMYALGIA FOR A VERY LONG TIME. TEN YEARS AGO I TESTED POSITIVE FOR MS AFTER LOSING VISION IN ONE EYE FOR THREE DAYS AND RECENTLY I WAS CALLED TO MY DOCTORS OFFICE AND I WAS TOLD MY BLOOD TESTED POSITIVE FOR CONNECTIVE TISSUE DISORDER. I STOPPED TAKING ALL MEDICATIONS BECAUSE NOTHING SEEMED TO GIVE ME ANY RELIEF FROM THE VARYING TYPES OF PAIN I EXPERIENCE. I WAS TOLD DURING THE EARLY YEARS AFTER MY FIBROMYALGIA DIAGNOSIS THAT I WAS A HYPOCHONDRIAC AND NOW I DONTKNOW WHAT TO THINK. I CANT FAKE BLOOD TESTS. WHAT DO YOU BELIEVE IS MY DIAGNOSIS. I WOULD JUST LIKE TO FEEL SOME HOPE. Doctor: Hi Fibromyalgia is a common disease and as of now , There is no definite cure. The treatment is directed towards reducing symptoms only. In my opinion , since now that you have been diagnosed with a connective disorder , I am sure your doctor will find some way of relieving your pain through medication. At present you can start on analgesics , muscle relaxants + anti oxidents. | 131,354 |
What causes pain in lower abdomen with dull ache in testicles? | Patient: Im a 44 year old male. Have been having aches in my lower abdomen for past 2 weeks. Pain is not too bad but increases slightly when I sit. Have been to doctors and no lumps or swelling have been found. Aches initially went into my testicles as a minor dull ache, now stomach feels a little odd. Not very painful, just very weird. Stomach feels almost warm inside. Stools and urine are both fine. Pain almost goes when Im working (physical job) or walking. Have had course of antibiotics to no effect. Any ideas would be gratefully received. Am very worried. Does not feel right at all. Doctor: I would suggest u to undergo a urine analysis to look for urinary tract infection and a scrotal usg. would also suggest to wear tight undergarments and don't let the testis hang down. further treatment if associated with testicular swelling or not. | 90,632 |
What causes recurring high fever in child? | Patient: my brother is 10 years old , its 6 days he is suffering from fever it ranges betn 100 to 102 but whenever paracitamol is given the fever vanish away but again come back after 8 hrs , we visited doctor even cleared the malria n typhoid test , m worried doc Doctor: Hi,Thank you for asking question on health care magic.Recurring fever may occur due to host of causes.It is not possible to commit any diagnosis without physically examining the patient and do further investigations.Better consult your pediatrician to arrive at proper diagnosis.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics | 179,880 |
What causes CSF leak from dura after undergoing spinal decompression and dura repair? | Patient: hi I have had 4 back surgery in 9 months one was a CSF leak I had a severed dura he surgical repaired it. I dont have any hardware had 2 microdisckectomy at L5 S1 had a really bad hernation with s1 nerve compression then had a open spinal decompression at L4 and L5 for spinal steniosis and facet hypothefey then the dura repair 3 weeks after.a spine doctor told me in the xray he just did he said I am all bone on bone and he can see fluide so he thinks i still have a slow leak from my dura which was repaired almost 4 months ago could he really see all that on just a xray? Doctor: Hello, X-rays may give general information about your condition and collections of fluid may be suspected.However, a spinal MRI is an examination far more accurate than others.Discuss with your Doctor for these issues. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical | 140,038 |
What causes smell from nose of a child? | Patient: My 3 year old son has a bad smell coming from his nose, I thought It was his breath but I ve brused his teeth and tonge and got some childrens mouth wash and still the smell is terrible, it is so bad that you can smell it as soon as you walk in the room. I finally figured out it was coming from his nose and he has had a cold and so I m not sure what the problem is but I feel terrible for him.. Doctor: Kindly check for sinusitis or atrophic rhinitis. There can also be any foreign body in the nasal cavity. Kindly consult ENT doctor for it. | 165,116 |
What would happen if TB test will injected? | Patient: what would happen if TB test was injected Doctor: Hello Thanks for nice query. In montoux if drug gets injected it is harmless If infected fluid gets injected then it is harmful & can produce problems. ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and trouble free speedy recovery” | 151,983 |
Mammogram done, mass found. MRI showed cystic mass on uterus. Should I be worried about cancer? | Patient: I have a history of ovarian fibroids , once was hemoraghic , but dicipated. 2 years ago i started mammograms, for right breast pain, and rarely, leakage. They have found a mass, but I was reassured, again last year, that it is non growing, encapsulated, and most likely benign . When I didn t ike that verbage, the doctor stated I needed to relax, it was just a mass, not cancer. .... I recently fell on ice, and injured my back. The MRI this week states that they accidently found : partly imaged complex appearing cycstic mass anterior to retroflexed uterus . This is incompletely evaluated but measures about up to 7.7 cm in long axis. it effaces the superior aspect of the bladder . Am I right to be freaking out? Should I be worried about cancer? Does this mean imenent surgery? Doctor: Dear Ma'am, Sorry to hear about your condition but I am glad that you are seeking medical attention for the same. Firstly the breast mass does appear to be benign by your description and you just need to regularly follow up with your doctor regarding that. The complex cystic mass which was discovered recently on MRI needs to be evaluated further and you need to visit a gynecologist for the same. The decision for surgery would only be decided after evaluating the nature of the cyst. Hope you get well soon. | 159,149 |
What causes radiating pain in ribs to chest? | Patient: I went to the chiropractor a week or so ago b/c I had a pain that went from right side of my ribs and wrapped around to my chest. He said that my right side was messed up pretty good. I still feel this same spot on my back. It hurts to push on it. I dont know if its a knot or a pinched nerve. What can I do to make feel better? Do you apply heat or ice to something like this? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely. So follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise.2. Avoid movements causing pain. Avoid sudden jerky movements. 3. Sit with proper beck support. 4. Apply warm water pad and ice packs alternatively. 5. Take painkiller and muscle relaxant drugs twice daily after food for 5 days. Don't worry, you will be alright with all these in 5 days. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 74,036 |
Does TB get fully cured after taking Akurit-4 and Lovosil-B? | Patient: Sir, i was living with my friend who was suffering from TB. and before few days i was suffering from cough and i had taken medicines but it has not any effect. later on i check whether i am suffering from TB. and doctor told me that i am suffering from TB. now i am taking medicines like AKurit-4,lovosil-B, MIT'S Linctus Codeinae Co. i want to know that whether i will be cured by taking this medicines(6 month)? and another question is that "am i affected by my friend"? Doctor: Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* Every TB treatment is planned according to its stage as per the standard guidelines of WHO .* So you will be surely cured for the same , do not worry and continue medications as per the doctor`s advise .* So far as reason is concerned as you had contact with your friend , it is more likely ( not proven ) that you have contacted TB from him as it is air borne in respiratory ailment .Hope this clears your query .Welcome for any further guidance .Regards dear take care . | 74,320 |
Suggest remedy for pain in buttock | Patient: Hello. I m concerned about my body. Everytime I wipe my butt it really hurts. It feels alittle swollen bone or some sort as misplaced itself I m not quite sure nor what the pain is coming from. It happened out of no where and it is worrying me because it s very painful. Thankyou. Doctor: Hello, Cannot say in your particular case, without directly examining but these symptoms can easily come from an infection that is deep inside the buttocks. This is a very bad place to get an infection and is difficult to get the germs out. Certainly, it is a reason to have the area looked at soon and to see if there is something that could be operated upon to remove an infection. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist | 215,248 |
What causes pressure on chest and shortness of breath? | Patient: Hi, my name's Devvin. I'm a 21yo wm with no real pretanent medical hx & (-) smoker. In overall good health and I workout everyother day via running. I've been having slight SOA for the past few months with a few episodes of C/P throughout that period. The SOA has been associated with a tightness in the base of my throat but in the past few days the tightness has gone away but been replaced with a pressure on my chest causing SOA but no other Signs and Symptoms. I'm a paramedic so I've been able to rule a few things out on my own. My pressure is usually around the high 120's systolic, HR high 60's strong & reg Resp. equal but slightly labored. I'm clear bi-lat in all lobes with no demish anywhere. NSR on a 12-lead with (-) ectopy. It usually gets progressivly worse throughout the day with occasional transiet periods of all around relief. I've got a fair amount of stress in my life but nothing more than usual. I drink ALOT of soda, usually around 3-4 bottles of Mt. Dew or Dr. Pepper everyday. I've cut down drastically in the past month or so and replacing my soda with Vit. D milk. I love my spicy foods and by spicy I'm talking Habaniro's. I've never had this issue before in my life and it's got me kinda worried. When I think about my SOA it really freaks me out & it takes me a while to calm down(Freaking out usually exacerbates the SOA). I'm not really sure what's going on. Doctor: Hello,As per my clinical experience, this issue seems to be anxiety the manifestation of underlying stress condition. Recommended undertaking lifestyle modifications with dietary measures to combat the issue.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Bhagyesh V. Patel | 71,541 |
Is fibroid removal surgery necessary here? | Patient: Hello Doctor Greetings! I am 27 yrs old Weight 62 kgs height 156cm .I have PCOD and also have a fibroid of size 2.0 cm x 1.6 cm. I am trying to conceive for the past 2 years. I have had one miscarriage in the past and got D&C done for it.The reason stated was that the fibroid had complicated the preganancy and resulted in missed abortion. Now after about 8 months, the ultrasound shows a cystic degenerating fibroid. Do i have to think about undergoing any fibroid removal surgery? I have been trying for about 8 months to conceive after i miscarried but did not end up in good result. My gynaec even doubts that this fibroid may be blocking one of the fallopian tube after seeing the u/s report Kindly help Doctor: i think you should go for fibroid removal first as it is causing miscarriage. go for it after two months try to get conceive. i wish you will be mother soon. take care. hope my answer is helpful to you. | 42,157 |
IUI resulted pregnancy with fluctuating HCGs. 2 sacs with no yolk, previous IUI unsuccessful. Any other treatment ? | Patient: Hello, I have a healthy 5 year old and am TTC a second. I has an IUI which resulted in a Trisomy 18 Pregnancy. After that loss I had another IUI which resulted in a pregnancy with low and slow rising hcg s, and two gestational sacs at the 6w3d ultrasound . Both measured 3mm with no yolks. My questions are: * is it still possible to have a healthy viable pregnancy? * what should I suspect as the cause, assuming both died at the same time, 4w 5d? I can t find other examples of twins being behind by exactly the same amount. * what tests if any should I run before my next IUI? * is there an infertility treatment that would boost my odds of success? Thanks!! Thank you! Doctor: Hi, Welcome to HealthcareMagic Yes it is still possible to have healthy viable pregnancy. It appears to be due to genetic defect( chromosomal disorder). You have not mentioned your age . Risk of trisomy 21,18 and 13 increases with maternal age ( > 30 yrs ). For prophylaxis you can start tablet Folic acid daily at least 3 months before conception. Maintain healthy diet. Avoidance of smoking and alcohol is advised . Once you are pregnant it would be ideal to undergo first trimester screening ( 11-14 wks) for major anomalies by doing a blood test and ultrasound. Take care. | 44,365 |
62 years old, have lower back pain. Advised operation. Prescribed Ace Proxyvon. Suggestions? | Patient: I am 62 and I suffer from lower back pain in L4,L5,L6 region. Six months ago I was advised operation by the Neuro surgeon. However my physician has advised against operation. The pain is acute and was advised Ace-Proxyvon whenever I experience acute pain. I also use a heat pad that helps and use a Lumbar Belt. Please advise Doctor: Hi, thanks for using healthcare magicAce proxyvon is a combination analgesic medication that contains acetaminophen and aceclofenac. Your options are continued medical management or surgery.The decision to have surgery or continue medication and therapy is up to you, you have final say.You should consider the pros and cons of each treatment option, it would be important to determine why you GP does not agree with the surgical option and discuss his or her concerns with the neurologist who might be able to give better insight.I hope this helps | 112,760 |
Suggest remedy for rashes due to drug allergy | Patient: I am suffering from Drug allergy . Whenever i take anibiotic or painkillers I get rashes immediately all over the body. My query is how can doctors treat me incase if i go for any surgery in future? is there any solution to recover from this drug allergy Doctor: HIWell come to HCMThis may be fix drug reaction and this is noting to take with surgery if this is to be done then once you give the history of fix drug ration then you will be taken care of this and no need to worry about this, fix drug reaction needs antihistamine treatment if ever happens such reaction, and better to avoid such drugs, hope this helps. | 14,680 |
Sudden anxiety, paranoid of slipping on floor, feeling of slipping foot, falling sensation. Reason? | Patient: I have just recently over the past 3 weeks became paranoid of slipping on the floor. Anytime I come off of the carpet on to a floor I feel anxiety and walk like a baby. I tell myself just walk, but then I think my foot is slipping and have a falling sensation that makes me gasp when I know I really didnt slip. It is really affecting me and I don t know what is causing it. Doctor: HIThank for asking to HCMThis could be sleep disturbances (Insomnia) the reason of insomnia are wide but the main causes are socioeconomic disturbances, and these brings the anxiety and depression first, you are the only person better knows the reason of it, you only can find out the solution of this, it is not hard or difficult you better can do this, meanwhile try alprazolam 0.5 mg at bed time it will bring the sleep if every thing fails then you can think about the psychiatric help, have nice day. | 211,486 |
Can I take Celexane for heterozygous factor V leiden? | Patient: I have heterozygous factor V leiden and am about to take a 5 hour flight so have been prescribed Clexane injections 40mg. I have just started menstruating and am now worried that I should not take the injections. Please help as information found so far in my internet searches have not been clear. Doctor: Hello, There is high risk of excessive menstrual bleeding while you ate clexane. However, it will not be a problem. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | 83,561 |
Is the recurrence of seizures possible during the second conception? | Patient: hello mam .i am 31 years old with 7 year old son.during my first pregnancy i got high bp from 7th month.i delivered him at the start of 9 th month..i got fits twice after delivering him normally....there was little negligence of medicines on my part...can same happen to me if i go for second chance Doctor: HI, Thanks for asking. I have read & understood your concern. Actually there is possibility of high blood pressure & toxemia in following pregnancy BUT it can be successfully prevented by careful medical check ups & investigations for maintaining normal blood pressure, normal urine , blood parameters in pregnancy./ taking blood pressure medicines regularly & keeping it in normal limits through out the pregnancy/ follow ideal life style in pregnancy. So you can plan for next pregnancy with a normal blood pressure, good health ,good Hb% before getting conceived. Wish you all the best. Thanks. | 219,378 |
What causes dizziness and anxiety? | Patient: for years every now& then I get very light headed feel like ..i cant focus& anxious i have been taking atenol &cipramel.it still happens& lasts for 3to 4days.my blood pressure is 117 78 64.i have been on this medication many for many years.can u help with some advice.thank you. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Diziness and anxiety are caused basically due to anxiety disorder and anxiety is the result of hormone / chemical imbalance in your body. You are not alone in that case. Almost percent of the world population do suffer from anxiety disorder. The medicines you are having are perfect. Researches proves that medicines alone cannot cure anxiety disorder. Along with medicine you should practice psychotherapy techniques to streamline your life style and meditation and yoga techniques to calm your mind, body, streamline your metabolism and thinking style. Please consult a psychologist.If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to over come your problems.Hope this answers your query. Available for further clarifications.Good luck. | 205,941 |
What are the withdrawal symptoms of Paxidep? | Patient: I am taking Paxidep cr 25 from the past 2.5 months as I was suffering from Anxiety neurosis. Initially it was for 2 months and then after 1 tablet a day alternatively. On 2nd sept 2011 i finished with my 2 months regular schedule of taking the tablet after that I was taking it alternatively till today however I think I am developing withdrawal symptoms of this tablet. May I know what are the withdrawal symptoms of this medicine ? Doctor: HiThanks for using healthcare magicElimination half life of paroxetine is 21 to 26 hours and in that case, if you stop it immediately, it would take 4 to 5 days to come out of body. You have anxiety disorder and current symptoms, could be due to relapse rather than withdrawal. In that case, you should consult your psychiatrist and restarting it. In case, you need further help, you can ask.Thanks | 208,993 |
Can erection problems be related to high BP? | Patient: Dear Mr. Doctor, I am having High BP but daily taking pills for BP & having Sexual Problem fist of all erection problem my penis are smooth & weak erection well take time one hour and above. After erection when having sex with my wife within two or three minute water comes out. But I consult a Dr more then 10 times but no use. Please tell me how to solve my problem I am waiting for you replay Moulana Abdul Kalam Azad Saudi Arabia Doctor: Hi, dearI have gone through your question. I can understand your concern. It may be due to your antihypertensive drugs or may be due some other local cause or psychological. You should consult sexologist need counseling. Early ejaculation is very common problem. It is curable. Consult your sexologist and psychiatrist, 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. | 115,862 |
Only one tooth on the bottom front. Noticed a large white bump on lower top of gums. Hurting to touch. Suggest the cure? | Patient: my 13 months old preemie son, corrected at 10 months, who only has 1 tooth on the bottom front starting to poke through. I noticed on the lower top of the gums towards the back, he has a large white bump. It looks like a pimple. I don't think its teeth cause those teeth wouldn't grow for awhile yet but I noticed that when I touch it, it hurts him. please help! Doctor: Hello,The gums may have ulcerated due to injury or intake of some allergic foods.If there is no chance of eruption of teeth,please do visit a dentist and get a thorough clinical evaluation done.Apply dologel on the affected area.Always wipe or rinse your baby's gums after every feed.Maintain oral hygiene well.Also make sure that you are cutting the nails of child regularly to avoid injury by nail scratching .Take care. | 188,255 |
Why is my child being fussy and sleepy? | Patient: have a question... my daughter had a cold and she has been fussy and sleeping a lot and she has been getting cold sweats and for the past 3 days shes been making weird sounds like high pitch gasping sounds any idea on what it could be im about to call an ambulance her dr wont see her until 345 today Doctor: Hi Dear welcome to the HCM,Baby is suffering with Respiratory tract infection.steam inhalation and nebulization with bronchodilator will relive the symptoms.antihistaminic with decongestant medicine also to be given, But still evaluation with pediatrician is important to get the exact diagnosis and proper management.Hope the query is answered.thanks | 174,735 |
Why am I having chemotherapy sessions? | Patient: hello, i just had a double mastectomy with following reconstruction. I have spacers in and just had 1 fill so far of 60cc. I am now facing chemo. My tumor was her2 positive but stage 1 and only 1 cm. My nobes was clear of no cancer. Why am I having to have chemo (6) sessions? Doctor: Any breast cancer 1cm or more in size needs systemic therapy. Your tumor is Her2 neu positive which makes it an aggressive tumor. Since You have not mentioned, I presume the tumor to be estrogen and progesterone receptor negative which rules out hormonal therapy. So the systemic therapy in your case has to be chemotherapy to kill any residual or circulating microscopic tumor cells which may not be visible on imaging at present.I hope your query has been answered. | 156,479 |
What are the suggestions for stage 4 colon cancer? | Patient: My husband has colon cancer and has had since 2010. He has been through chemo, surgery at stage 3. It is now stage 4 and he has now gone through a trial. He had quit that as he started bleeding. A beign mass was in his colon which did not show up on the CT scan. He has floaters throughout his omentum and now we are wondering what the next step is. We go back to the trial doctor next week. Doctor: Treatment of stage 4 colon cancer consist of palliative chemotherapy along with targeted therapy.I would suggest u do colonoscopy and also do CT scan of whole abdomen.Blood for CEA test is also suggested.K ras mutation test can be done in biopsy sample.If K ras mutation is wild type then cetuximab a targeted therapy along with chemotherapy is suggested.Adding targeted therapy to chemotherapy increases median overall survival in stage 4 colon cancer patient.RegardsDR De | 156,375 |
Lower abdominal pain, blood in urine, nausea, bloating. Any ideas? | Patient: Greetings, A friend of mine just texted me. Her partner - male 40's, suffering lower abdominal pain, blood in urine, nausea and bloating. (Pain is mobile, coming on and off, in left side, then moving to front). Some back pain as well.Should he be admitted for a kidney panel? I'm thinking IBS or UTI. But I'm not an MD. Doctor: Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. Your friends partner male 40 yrs, suffering from lower abdominal pain, on left side and then to the front some back pain also, blood in urine, nausea, bloating. It appears to be the urinary tract infection or stones in the urinary tract,if the pain or is in the lower abdomen. If the pain is in the upper abdomen it could be of kidney as well. I advise you to consult a urologist for diagnosis and treatment. He may need to have M.R.I.besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards. | 93,561 |
How to avoid loestrin mediated side effects? | Patient: age:19 height: 5 7.5 weight: 145I started taking loestrin 24 6 months ago, and I ve experienced some bad side effects: migraines, worsened acne, weight gain, irregular periods, decreased sex drive, and tiredness. I m planning on switching to a different pill and was wondering which will be best? Doctor: Hello,No form of birth control is free of side effects, but the IUD (intrauterine device) seems to have the least noticeable ones. That's what makes it such a popular option among women of all ages. An IUD is a tiny device a doctor puts into your uterus to prevent pregnancy. It has lower side effects.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | 83,341 |
Suggest remedy for swelling in tonsils after a cough attack | Patient: Hello one of my tonsils has been swelling up its not really any different color but i can see these red lines on it possibly vains they look like scars, no bleeding no sick feeling, had a small coughing attack the night before i noticed it from food i ate Doctor: Hi thanks for asking question.You have two possibilities.1.First most likely cause is acute tonsillitis.In which throat pain with slight difficulty in eating can occur.Amoxyclav like antibiotic needed for it.2.Second it can be posterior pharynx wall infection or inflammation.The pharyngeal wall will be congested in such case.Drink boiled water daily.take semisolid diet with more fruit juices.Avoid smoking.Do salt water gargle two times a day.Steam inhalation is helpful.Eucalyptus and peppermint useful in relieving respiratory soreness.If still your symptoms worsening then chest x ray , laryngoscopy like investigation needed according to physical examination.Wish you good health.Dr.parth | 77,498 |
How to ease the swelling and pain in an injured wrist? | Patient: I was hit by a line drive on my wrist in softball out in the outfield two days ago. (3-21-14) It is very swollen where the ball had hit me and almost unbearable pain everytime I barley move my arm. There is also some bruising. I have elevated and iced. I was wondering what else I should do and if it could possibly be a fracture. Doctor: mostly a strong contusion that needs as u did rest,ice ,elevation.and the use of some anti inflammatory and anti bruising creams and gels. | 131,654 |
What causes abdominal cramps and tender breasts while on Vyvanse? | Patient: 27 healthy. Vit d deficient; taking supplements. Vyvanse 40mg prescribed for adhd. I am on oral bc and have been consistent give or take an hour/two here and there. I do not know my last ovulation. My last period was around Jan 27th. February my breasts became tender as normal and then I thought I had my period. I only bled for 3 days and it was so light that I could have gone without even my liner. Another thing I would like to point out is that typically no matter how light or heavy my period is my breast tenderness seems to go away almost immediately as soon I start bleeding. My bleeding, as mentioned, has stopped. I still have tender breasts. My period was due to start a few days ago, however, my days do seem to lag a little later and later and with February s short month I don t doubt that my period could possibly be due to start later- I tested negative- my pathetic period came and went a few days before my real period was due to start, and took none of my breast tenderness/swelling away. I ve also been experiencing minor cramps leading me to believe my period was soon to start [was hoping I was just the lucky one to get two periods back to back] and now am experiencing a twitching? Spasm? Bubbly type of feeling? Doctor: Hi and thanks for question. vynase it sells cause abdominal pain as side effect in many pt. but in your case u have menstural irregularity also so it might be also the cause of that. so first consult gynecologist for menstural irregularity and if it started after vynase start , stop it and start methylphenidate for treatment. along with consult psychiatrist near by u. thanks | 205,066 |
What causes palpitations and coughing? | Patient: Hi I am 22 years old and have noticed I get palpitations that I can feel in my throat they almost start making me cough. I have gotten blood work done and also an EKG I am very healthy and everything comes back fine. Could you tell me why I am getting these? Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern.You shoud not worry,its nothing serious.As you describe,my opinion is that we are talking about extrasistoles.This are electrical impulses that generates from different parts of the heart different from that of a normal sinus rhythm.This couses an ectopic heart beat that you feel like a skipped beat or as a palpitation.There are different reasons that may generate extrasistoles.From simple emotional stress to anemia, hyperthyroidism ect.If you tell me that you have done your blood analysis than we have excluded anamia.I will recommended you to sample your thyroid hormons.Hyperthyroidism may cause extrasistolic beats.And of course a holter monitoring.Your electrocardiogram might be normal becouse extrasistoles are random but a holter monitoring gives a full monitoring of 24 hours to see your rhythm tendency.At mean time avoid coffee and caffeine products because they exacerbate your simptoms.My opinion is that you should not worry.Sometimes only a simple stress can couse this extrasistoles and in young age this are quite normal.I hope I was helpful.Take care and wish you good health. | 26,665 |
Suffering from Hepatitis B | Patient: I am a patient of Hepatities B and my % is 6.33% but at present i have not fever ,yellowish skin,urine problem,any ache,vomiting ,diohirea etc. I am using the medicine Adfovir prescribed by one M.D of my district Mr.jasamudin.so what i have to do now. Thanks regads shatrughan (patient) Doctor: Dear Shatrughan,thanks for query.continue the medicines as advised.Take proper rest and diet as advised.Please vaccinate all your contacts with hepatitis-b vaccine.Ask your doctor for it.Be careful about this hepatitis b in future also.Please be in touch with your doctor on regular basis and do not drink alcohol.buy,wishing you a speedy recovery. | 96,025 |
What causes swollen and redish lump between toes? | Patient: Concern: Foot pain Personal Information: Male, age 54, 240 Lbs, Type 2 Diabetes Symptoms: Started with a cyst like feeling ball between 1st and 2nd toe on left foot. Minor redness started to appear at the toe line on the top of foot, accompanied by minor foot swelling. This redness was rashlike and itchy at first, but not rash or itchy now, just red. The skin between 1st and second toe became dry and peeled off (healed - no open wound) - ball under the skin is still there though. On a scale of 1-10, foot pain is about a 5 (today), but can vary from day to day. This is not athlete s foot, and I don t think it is gout either (not that painful). The redness now extends 3/4 of the way up on the top of the foot. Top of foot, including 1st and second toe are swollen, as well as the bottom of the foot. Circulation in the foot is fine. The redness turns purple when it gets wet. These symptoms have gone on for about 3 weeks. Any idea what could be causing this? Doctor: Hi,From history it seems that there might be having some infection following something bite.Due to having diabetes infection spread fast giving all these problems.Consult your doctor as soon as possible.You might require one course of antibiotic and anti-inflammatory medicine courses for 5-7 days.Clean local part with antiseptic lotion and apply antibiotic cream locally.Ok and take care. | 63,012 |
Suggest remedy for pain on ribs | Patient: I have a pain on my right side under my ribs , not in the middle but toward the right .when I press on it its a sharp pain. hurts more when sitting up. also very puffy like blooded, also a lot of burping, free nausea. Happens after I eat. I had a salad with grilled chicken also a taco with grilled chicken, cheese and light avocado sauce. ate at 6:30pm n still free bad. What is the problem?? Doctor: Thank you very much for contacting healthcare magic. Bloting of stomach may cause pain over this area.Abdominal ultra sonography is helpful for diagnosis. Physical examination and history give exact idea. Avoid gaseous foods and more fatty foods. Drink more water per day. Consent a physician for further diagnosis.. Take care.Thank you. | 216,489 |
Is a fracture or concussion a possibility post injury behind the ear which has turned black and blue? | Patient: my grandson hit his head behind his ear towards the bottom on a metal table he was about 10 inches away from the table he cried no vomiting he has crawled laughed seems ok its black and blue.i am not afraid of concusion however ,,,could he have fractured bone? Doctor: no need to worry.. theirs no sign n symptoms of fracture.. . blue black discoloration will go on itself | 161,899 |
What causes severe vomiting in a child? | Patient: my 5 year old son vomits more frequently than normal. he does fine on whole, healthy foods. chicken, fruit, vegetables, etc... halfway into a slice of cheese pizza, he throws up. does he just have a sensitive stomach? should i keep him away from junk foods? Doctor: Hello. I just reqd through your question.It is possible he suffers from reflux. Greasy foods are know triggers of reflux. It can be treated. When it happens this frequently, it is a good idea to consider treatment. I recommend consulting with your doctor to consider treatment. | 176,436 |
Is it normal to have high BP while suffering from Gastric issues? | Patient: when ever i have found gas problem same time there is a blood pressure which reach 100/110 to 150/160 earlier i have start teblet mild but some doctor say me that u have not a BP problem but gas problem so continuos TABLETS OF BP NOT NECCESOR IT HAS OTHER SIDE EFFECT TOO PLEASE LET ME KNOW HOW TO COME OUT OF CONFUTION AND BP PROBLEM Doctor: As such if you have high blood pressure on frequent occasions you must take medicines .In almost 30% of cases it is silent.gastric complaints which you have may be due to hyperacidity and may not have any relation to high blood pressure .you may take pantoprazole 40 mg daily for 4 weeks for your stomach pain.And depending upon your blood pressure start medicine and titrate the dose In consultation with your doctor.your goal is to aim BP less than 140/90.medicines do have side affects ,but not every patient has it.your doctor would know all possible side effects so you should discuss with doctor and should not stop medicines .My best wishes. | 27,958 |
Have diabetes. Have mental stress. Personal desire for negative events. Very emotional. Help? | Patient: Hi. I m quite young. But I ve always felt like I ve had a disease. I don t believe I m depressed, because I am very happy. But even if something small happens that makes me mad or sad, and I wish bad things will happen to me. I know that I will NEVER go through with anything, so thats good. But I kinda wish that something slightly bad happens, just to see what my friends & family will do. If they even care. I also think I have diabetes . But thats another story. I frequently feel like I m someone else, but myself, I fell like Im gonna make a difference in the world. I had bacterial meningitis when I was born, and I have a very low immune system . I ve always had migraines too. And I cry over almost anything. Please help. I scare myself. Doctor: Hi and welcome to Healthcare Magic. Thanks for your question... You seem to have an anxiety-related or a personality-related problem. Many of your symptoms are indicative of borderline personality traits. You will need a detailed psychological assessment to plan therapy accordingly. There are good psychotherapy / counselling techniques which can help you handle your emotions better. Please consult a psychiatrist in your area for help. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist | 213,203 |
Is a herniated disc surgery in the lower back necessary if backache is under control? | Patient: Hi, After reviewing my MRI scan report, Neurologist has advised me to undergo the surgery for herniated disc(L5S1) at my lower back(Lumbar spine) as soon as possible. Right now I am under medication(2-3 weeks) and observation. There is no specific date to undergo the surgery however if problem exacerbates then immediate surgery is required. After medication, my pain is little releived( out of min1-10max scale, I have the pain level of 3 only now as compared to previous level of 8),so do I need to undergo surgery or continue medication, considering continous medication may have other side effects. Thanks in advance for answering my question. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. No need for surgery, medicine and physiotherapy will help you. Avoid long term use of pain killers. I hope this information has been helpful for you. Regards. | 106,627 |
A dark bleeding bruise in the breast, is it normal? | Patient: I had a biopsy for breast cancer and it resulted in the breast having one dark bruise covering the under part and the top part consisted of flakey (sp?) skin that bled a rather allot and needed much dressing. This lasted for about four weeks. How normal is this? Doctor: HIWell come to HCMIf the would is infected then this need to be treated with antibiotic, fungal infection need to be ruled out, you have to stated the report of biopsy, if this is malignancy then this is not normal one and in such condition has to be taken care accordingly, hope this information helps, take care. | 155,544 |
Suggest treatment for testicles of uneven size | Patient: Dear Dr. - My infant son, 1 year old has a much larger left testicle than the right one. One paediatrician told us that it is a hydrocele and needs immediate surgery. Another Paediatrician perhaps mentioned it to be a hernia and also recommended immediate surgery. Should we show him to a urologist or general surgeon for a final opinion. Doctor: Hi, I had gone through your question and understand your concerns.Ultrasonography of Inquinoscrotal region can be done to confirm diagnosis.In case of hernia immediate surgery is recommended .In case of hydrocele if it is not large you can wait for another six months for spontaneous resorption . But if it is large and tense , it will not disappear spontaneously and surgery is recommended .If it is small and persists beyond 18 months , it should be repaired as it is unlikely to disappear spontaneously .For final opinion you should show him to paediatric surgeon .Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.Take care.• DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that online users seek the advice of a physician who can perform an in-person physical examination | 178,684 |
Suggest medication for severe back pain | Patient: Hey, So i went to the gym and played basketball and took some excedrin back and body pain reliever because that next day i was having back problems. about 2 weeks ago i start having back pains. sometimes they come when im sleeping or throughtout the day. they started up high now they are in the lower region of the stomach area. now i feel drowsey. any help? Doctor: You have not mentioned your age which is very important in case of back pain. As you are an active person I will advice you to take pain killer like akilos-p or biozobid-plus only when back pain is worse enough or disturbing your daily work. Apart from this you can take some calcium supplement like tab shalcal or tab toscal-gem once daily preferably in afternoon. You can do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advice you to sleep on a plain surface as it is very helpful in case of back pain. | 108,040 |
Suggest treatment for kidney stones | Patient: I was in the hospital for 8 days with double ammonia type a they said and at the same time I was passing kidney stones I had to have 4 units of blood while there. Now I am home but still weak and using oxygen at night but weaning myself from the oxygen, but my mouth is so sore on the inside and and my tongue is so sore I used some colgate Peroxyl mouth sore rinse and when I spit this out it looked like I had blood in what I spit out, what is going on here nothing has any taste to it so I am not able to eat right at all what can I use to get rid of the sorness in mouth and on my tongue and get my appetite back Doctor: Hi, Most small stones in patients with relatively mild hydronephrosis can be treated with observation and acetaminophen. More serious cases with intractable pain may require drainage with a stent or percutaneous nephrostomy. Treatment of nephrolithiasis involves emergency management of renal (ureteral) colic, including surgical interventions where indicated, and medical therapy for stone disease. In emergency settings where concern exists about possible renal failure, the focus of treatment should be on correcting dehydration, treating urinary infections, preventing scarring, identifying patients with a solitary functional kidney. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon | 45,612 |
Will i have a healthy pregnancy after repeated miscarriages? | Patient: Hi Doctor am called faith, till after I visited the doctor, I was counting knowing that am six month pregnant, when the doctor checked me, because of the experience she had she told me not six months. Scanner checkup reviled that I was 3 months and 1 week. She explained but I was not satisfied. Oo.. I experienced for the first 4 months bleeding twice each month, meaning they were 8 times in total (which I also explained to my doctor). And she told me yes I was pregnant but for those first four it was a Missed Miscarriage which I didn t notice but later conceived again and that is why am three months and a week old now. Thing is doctor will i have a health child?, with no complications. Am worried, because most people or articles show that I should not have had sex at least for some time (wait to have another child). Please I would like to know if my child will be ok and normal Doctor: HI, I understand your concern. It is possible to conceive the very next month after one complete abortion . IT's natural that you are anxious about your child's normality. If the usg sacn has reveled normal fetus at 3 months , please rest assured for a normal conception. Considering last times experience, you will be given hormone supplement for good fetal development. Please consult a gynecologist & start with treatment advised earliest. The USG scan at 5 months pregnancy would confirm the normal fetal development & absence of fetal abnormality. Thanks. | 221,635 |
What causes faster heart beats and breath smells like ulcer? | Patient: Supposedly anexiety....due to my bp droppin with out meds I stopped taking them until I see my doctor....that s my back ground....my question is my heartbeat feels very fast and hard to me but when its checked its fine and I feel very outta sorts also out of the blue my breath smells like my ulcer(heartburn belches) any ideas of what s causing these problems onset? Doctor: DearWelcome to HCMWe understand your concernsI went through your details. From the given description itself it seems to be anxiety. You will feel rapid heart beat, but if you feel your pulse the heart rate will be normal. That is caused by obsession. You should ask others whether they also smell what you smell. If they also says so, consult a dentist and then a gastrologist. Otherwise, just ignore it because it also is an obsession. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | 27,161 |
Suggest remedy for lump on arm | Patient: in the last part of 2013 i had scabies. i took my treatment and towards the end i got a bump on my arm that was different than the rest. It popped like a blister and had some yellow gooey pus come out of it. and it didnt go away for awhile. now it is just a hard lump. what is this? and how can i get rid of it? Doctor: Hi,It seems that due to having scabies infection on hand might gave bacterial infection on the part as well.This might have lead to enlarged axillary lymph nodes in axilla or elbow lymph nodes.Go for one antibiotic medicine course for 3-5 days.Ok and take care. | 67,208 |
Have eruption ernie disc in lower back and migraine headaches. Not much relief with celebrex | Patient: Yes I'm 51 years old I have 2 eruption Ernie disc on my low back , also I have a very bad Migraine headaches every day in my life but my lowe back it's to much, I take 100 mg Celebrex 2 times a day.and IC butal -acet-caff 50-325-40 for migraine but my back its to much pain full. Doctor: Back pain due to disc herniation has two components. One is nerve compression and other is back muscles weakness. I would recommend you to show to a orthopedics surgeon. I would recommend you to take pregabalin and methylcobal tablet. Also learn back extension exercises. For migraine show to a neurologist. | 111,699 |
Noticed a lump growing in the scar tissue and belly button area | Patient: I had a splenectomy 35 years ago and now sees to have lumps growing in the scar tissue and my belly button area. The one in the former seems to have grown larger in the past week and I see a tiny white pimple (for lack of a better word) on it. What do you think? Doctor: Hi.If the swelling has a pimple on it , it may most probably be an abscess. Visit a Surgeon to confirm or rule out what this may be . as there is a remote possibility of development of hernia. Discuss this with your Surgeon in detail and go for an ultrasound to see what this may be. | 70,308 |
On Depo shot. Missed shot. Had sex. Had little bloody discharge. Pregnancy? | Patient: Ok I have a question Im 19yrs old & I am on the Depo shot I was suppose to go take my nxt shot on the 22nd of may but missed my appt. Ive had sex with my partner & the next day I had a clear but a little bloodie substance come out of my vagina what does that mean? & if it could be pregnancy should i wait on my next shot til I find out that it isnt? Doctor: Hi.Thanks for asking in Healthcare Magic.The risk of pregnancy depends on how long you had been using Depot provera shots. If you had been using the shots long enough, then it may take atleast 2 months for the fertility to return back after you discontinue the depot shots, in which case, your chances of pregnancy is minimal. When the blood level of progesterone falls, it results in withdrawal bleeding and the spotting you had could be due to that. If you are doubtful whether the spotting is due to implantation bleeding, you need not wait and can rule out pregnancy through blood test which confirms pregnancy within 3 to 4 days after implantation.I hope this is useful to you. | 226,056 |
How can a pulled muscle in the calf area be treated? | Patient: My 42 year old sister was simply running for the bus 3 weeks ago. Suddenly her calf seized up. She felt like she pulled a muscle. After about 9 days it felt normal again. On Wednesday same situation running for her bus same leg her calf seizes up only this time, 4 days later her calf is inflamed and feels worm the touch in comparison to her other calf. I am concerned only because blood clots are predominant in my family. She s not going to see a doctor thinks that this is just a muscle spasm. Could this be a blood clot? She also has a condition that she was diagnosed with at the age of 19 called hypothyroidism and also has excema.. Doctor: Hello, A pulled muscle happens due to inadequate warming up before an exercise. She needs absolute rest and get some oral muscle relaxants and pain killers prescribed for relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon | 126,082 |
Is there a treatment for enlargement of penis? | Patient: Hi i'm 17 years old,male and my height is 5feet 4inch and weight is 52 kg,i'm looking not quite well...is there any free hand exercise to : increase my height up to about 5feet 6inch to 7inch? Is there Any hands free exercise to make the body shape well? And my penis size is 13 cm when erected,how can i enlarge it more? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Height depends on genetics. Your parent height determines your height. Having nutritious diet and good exercise regimen will boost your body shape and height. Avoid taking body building supplements as they might have steroid which will harm you and make you dependent on them. Penis grows with age. It grows till adolescent. There are no cream or oil which can enlarge size of penis. Products available in market can cause more harm than benefit. Its advisable not to fall for any of such things. To be noted size doesn't matter as only 2.5 cm i.e, 1 inch is what is required to stimulate female sex organ. Its more on how you perform. Have a healthy meal, avoid using substances and improve your knowledge about enhancing your performance. Hope I have answered your query. Let me know if I can assist you further. | 195,788 |
What causes extreme nervousness , high BP and sweating? | Patient: I need help with my A & P question. Here it is ....... Mrs. James appeared at the clinic complaining of extreme nervousness and sweating, saying that she could feel and hear her heart thumping when she tried to sleep at night. Laboratory testing revealed hyperglycemia and increased basal metabolic rate. Although she also proved to have high blood pressure, tests of thyroid function were normal. What is your diagnosis? What treatment should be used? Doctor: Hi,Welcome.Palpitations, thumping associated with sweating can be some abnormal tachyarrythmia (supraventricular tachycardia).To diagnose it i will recommend you to go for 24hr ECG monitoring called as Holter Monitoring. Also get a 2D Echo done to rule out any associated cardiac abnormality.Thanks | 20,530 |
Will a abdominal fenestrated stent cause edema in the calf? | Patient: I had surgery for AAA thru the groin area where they inserted a fenestrated stent. The incesion on the right groin area was larger than the one on the left. The incesion seemed to have adeeper swollen area. Now, ten weeks later , I have developed dependent edema in my right calf. (swelling, itching, and rash.) Does this relate? Doctor: Hi.. You have not mentioned since how long your leg has been swollen. If it is acute then deep venous thrombosis needs to be ruledout. In any case i advise you to go for an ultrasound scanning of your right lower limb. Kindly consult your treating physician and explain your problem before doing so. | 89,855 |
Suggest medication to stop loose motion in kids | Patient: my 3 months old baby is having loose motions from last 16 days. dr has asked to give enterogermina,mintonia,and antibiotic nutrolin b. reducing sugar test is positive. pus cells 15=20 hpf. what should i do. am giving all the medicenes on time but no affect. pls help me out.. Doctor: Hi,Thanks and welcome to healthcare magic.You history suggests that your baby is suffering from infective diarrhea .If you send the stool sample for culture and sensitivity ,the causative organism and appropriate antibiotic may be knownThere may be transitory lactase deficiency during diarrhea which resulted in positive stool test for reducing substances.Continue breast feeding as usual.Colimex DF drops 3-4 times daily for reducing abdominal pain.If the diarrhea continues you may temporarily stop Breastmilk or formula and replace with soya based milk like Zerolac for 2-3 weeks till the diarrhea subsides.Hope this answer serves your purpose .Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam. | 173,604 |
What causes breathing difficulty? | Patient: YES I WAS SLEEPING, AND SUDENLY I WAS AWAKE WITHOUT BREATHING THIS WAS HORRIBLE CAN YOU TELL ME WAS HAPPEND ALSO THIS IS THE FOURTH TIME IS HAPPENING, I CANT BREATHE MY WIFE TRY TO DO SOMETHING TAPPING IN MY CHEST, BUT THIS EPISODE LAST FOR SECONDS BUT I FELT I WAS DYING,I HAVE HIGH BLOD PRESURE BUT IS CONTROLED, AND MANY YEARS AGO I HAVE A SURGERY FOR CORRECTION MY SYNOSITIS IN MY NOISE. THANKS Doctor: HIThanks for posting your query to Healthcaremagic. Most likely you are having a condition called Sleep Apnoea. It is a condition where the air way gets collapsed during sleep causing choking . Most common cause for this is overweight but sometimes it can happen due to excessive deposition of fat around the neck . For the confirmation of diagnosis you need to get a test called SLEEP STUDY. If this condition is confirmed then you need to consult either a physician or a Pulmonologist . Depending on the severity of the problem you may be advised for only weight reduction or Weight reduction with oxygen treatment at night . Hope this information was useful to you. Any clarifications feel free to ask . | 81,854 |
Back pain, difficulty moving. MRI normal. Colonoscopy done to remove polyps. History of rectal pressure. Cure? | Patient: hey and thank you. i have had very bad back pain for 4 months. it has been debilatating. have been confined to my couch. well i have had an mri and drs can not find anything wrong. about 2 months ago i starting having really bad rectal pressure. it almost feels numb sometimes. i feel like someone is trying to cram something up there. i had a colonoskpy last yer and had 2 paulops removed. nothing help this pressure. help me Doctor: Hello. Thanks for writing to us. The feeling of pressure in the rectum along with a low back pain may be related to a nerve root irritation or a muscular spasm. Adequate bed rest with a combination of pain killers and muscle relaxants help in relieving the symptoms. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Praveen-Tayal Regards, Dr. Praveen Tayal [email protected] | 113,156 |
Stung be bee on earlobe, lump on neck below earlobe. Is it lymph node reacting to the sting? | Patient: Hello... I got stunk by a bee last week on my right earlobe . I believe it was a bee. It left the stinker on my ear. I pulled it out. A week later, i noticed a lump on my neck right below my earlobe. Is it lymph node reacting to the stink? If so, how long does it take for it to go down. My earlobe is slight swollen. Toni Doctor: Hi, Welcome to HCM, Lymph nodes act as a barrier. Lymph collected from any tissue have to pass through a lymph node before mixing back in blood. Whenever there is a infection/inflammation in the catchment area of a lymph node, infected lymph will reach to lymph node and lymph node will becomes swollen as a reaction. When your ear lobe will become normal, lymph node may gradually shrink to normal. Thanks for trusting Healthcaremagic and posting your query. Hope you found my response to your query informative and helpful. With good wishes, Dr.Chandra Shekhar Sharma | 105,428 |
Not able to concentrate, uncontrollable thoughts. Treated with setraline. Symptoms relapsing upon stopping medication. Need help | Patient: Hello doctor, Age 29. I was worried about get mad. These thoughts made me panic and couldn t concentrate on any where even tv program. I have consulted doctor he given me medicine called sertraline tablet. I was taking it past two years. I am not taking the medicine from past 4 months. Now the feeling started again slowly. Can you help me Doctor: As per details given by you, these uncontrollable and irrational thoughts which seem to bother you could be manifestation of Obsessive compulsive disorder. It is recommended to restart sertraline for an early control of these symptoms. It is also recommended that you should stop these medications gradually after consulting your psychiatrist. If you have any additional queries please feel free to raise them. | 212,940 |
Are there food restrictions post face injury? | Patient: hey, this is about my sister. she recently fell off the stairs an have a deep cut on her face. our parents keep saying that she can t eat eggs, seafood, soy sauce, beef and eggs or else the stitched scar will be obvious. is this true? she have no medical history. she s 10 and she s around 5 feet. and she s around 30kg. Doctor: Hi....THERE ARE ABSOLUTELY NO FOOD RESTRICTIONS FOR ANY SORT OF INJURY ANYWHERE IN THE BODY. No scar will be more obvious because of the food intake of any food.Regards - Dr. Sumanth | 171,229 |
How can painful peripheral neuropathy be treated? | Patient: I am taking Gabapentin 600 mg 3 times per day. I constantly feel tired and sleepy. I have a very bad temper and feel there is not a damn thing that can be done to relieve the pain in my feet from neuropathy. Any ideas? My email address is YYYY@YYYY . I am retired US Air Force and retired US Civil Service. Doctor: Hi, You can continue Gabapentin and if pain persists, you can try analgesics like Oxycodone. Psychological support is also a part of the treatment and you can try relaxation techniques like meditation and yoga also. Hope I have answered your query. Let me know if I can assist you further. | 126,893 |
Suggest treatment for the torn penis foreskin | Patient: While my boyfriend and I were having intercourse, his forskin tore a little and bled (not really bad...just a little). I was wondering how long it would take until it would be healed enough to have intercourse again. Also, is there anything he should be putting on it (like creams) to help it heal faster? Doctor: Hi,It seems that due to forceful act due to excitation, there might be having some injury to frenulum giving rise some bleeding.Avoid sex for few days till healing takes place.Apply antibiotic cream on the afftected part.Ok and take care. | 201,357 |
What causes red and white pimples after masturbation? | Patient: One thing I never inserted without the condom, before that i just touched a little part not completely also ..I used a condom I am not sure if that would be a problem. I observed after a day. It started as small tiny red and white pimples .. I observed it when i was doing regular masturbation. after masturbation the red pimple was hurting there was a pain when i touched it. Later slowly there are chaining into dots.... any idea about this Doctor: Hello,These red and white spots may come after masturbation or rough sex due to irritation.certain skin conditions like eczema, Fungal, STI's and balanitis could also lead to these spots. All of these conditions are treatable. All you need to do is maintain cleanliness of the area, drink plenty of water, don't wear tight clothes, use moisturizers to prevent irritation from dryness and avoid masturbation until recovery. You need to see a doctor if these pimples are not getting away with these remedies. you probably need some antifungal/anti microbial and steroidal topical cream as per your findings.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician | 193,277 |
What causes painful lump in shin after hitting it? | Patient: I hit my lower shin really hard two weeks ago, it was very painful, warm to the touch even so I took ibuprofen, iced it, and kept it elevated. At this point the swelling has gone away as has most of the pain unless I touch it or bump it. However I just noticed that there is a large solid feeling lump right above where my shin connects to my foot. Is this lump something to be worried about or will it just go away with time as the deeper levels of bruising heals? Doctor: Hello!Thank you for the query.This lump is most likely a hematoma. Due to recent injury blood vessels have been ruptured and the blood appeared in the soft tissues. Such blood collection, if its large enough, can not be absorbed without medical help.That is why it should be checked by a general surgeon. Soft tissues ultrasound should be done at first. If fluid collection will be confirmed, it should be drained.Hope this will help.Regards | 67,168 |
Red itchy rashes on back. Hands, feet, thighs have burning sensation. Pinched nerve? | Patient: I started getting rashes -red in color and in short horizontal lines on my back, mostly on my right side. the rashes come for no reason, but go away inan hour or so. Someimes they itch and burn . My hands, feet and thighs alos have some burning sensation sometimes. I checked mu sugar and it was less than 120. I took advil this morning, and so far no rashes, no burning or itching. Could this be a pinched nerve? Doctor: Hi, it appears to be an urticarial rash but its unilateral appearance suggests some other cause.I would suggest you to take levocetrizine 5 mg daily for 10 days and then look for recurranceif it occurs again investigations are required.take care | 15,619 |
What causes shortness of breath,chest and arm pain? | Patient: chest paini was seen in the er the week of the ninth for chest pain and shortness of breath. i also had a picc line in that was removed on the ninth but was placed the eighth. about a couple mins ago i felt sharp chest pain when i got up walking around and when i was just.standing.i also felt it.when.i was sitting down but not as bad as when i was standing. i do sometimes get.pain n my arms at the same.time but not.this time. i did get tired any suggestions before i just run to the er and to add the top of my.leg has also been numb for a min now. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. By your history and description,we should rule out Pulmonary embolism and heart diseases. You had PICC line. This can cause Pulmonary embolism. And your all symptoms are seen in Pulmonary embolism and heart diseases. So better to consult doctor and get done 1. Ecg and 2d echo to rule out heart diseases. 2. CT Pulmonary Angiography to rule out Pulmonary embolism. If all these reports are normal then no need to worry much for major diseases. Sometimes stress and anxiety can cause similar symptoms. So avoid stress and tension, if you have. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | 78,326 |
Could allergies and hayfever be related to pain in sinus area? | Patient: I have pain (only) in my left sinus area that has gone on for some time. Thought it was a tooth issue but not so. Suspected tooth has been pulled (May 2013) and the pain is still there. X rays are not showing anything unusual. It's a continual irritating pain. It also causes the left eye to water and when I blow my nose it bleeds. I do have hay fever and other allergies. I have also had major surgery (2010). Tubes were run through the nose to the stomach durning recovery. I wonder if this may have something to do with what is going on. Doctor: yes if you are having allergy it may be sinuses also infected with allergyas in allergic sinuses more of mucus ids formed due to irritaion by allergens the pressure of mucus causes the symptomps you desxcribed you need to find the cause of allergy and treat accordingly by consulting specialist doctor | 102,119 |
Can a person with liver cirrhosis travel to another city for treatment? | Patient: Hi, my uncle has been diagnosed with esophageal varices and liver cirrhosis, he is also a patient of diabetes, the current doctor has given him medication for 2 weeks and then wants him to go for further tests. Can he travel (fly) to another city for treatment? he has also had problems of lightheadedness. Doctor: Hello and thanks you for your query. I am Dr. Rommstein and I will try to help you as much as I can with my answer.Yes he can travel,it won't have significant influence on his condition so if there is a need,he can do it.I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health. | 53,864 |
Is being HBSAB positive harmful in the future? | Patient: HI I AM SUHAS PATIL .I AM PHLEBOTOMIST ,BEFORE ONE MONTH WHEN I DRAW THE BLOOD FROM PATIENT ,NEEDLE INJECT SLIGHTELY IN MY FINGURE.THEN I DO TEST HBSAB WHICH COMES POSITIVE.PATIET IS HBSAG POSITIVE .I WANT TO KNOW POSITIVE HBSAB WII HARMFUL IN FUTURE.,YOU SUGGEST ME WHAT CAN I DO? Doctor: Welcome to HCM.Dear suhas , HBsAG positive patients need to follow up regularly with their LIVER FUNCTION TEST and HBV DNA load.You should approach to nearest gastroenterologist for further check up for Hepatitis viral markers to rule out avtive state. Patient can be asymptomatic for long time but he/should always be in touch with consult doctor.. HBSAG positive patients do not need treatment until liver function test impaired and Hepatitis virus DNA load increases.So i suggest you to be in touch with your doctor for further follow up.Thanx for query. | 116,838 |
Suggest treatment for reacurring kidney infections | Patient: hello i am in need of advise my 7 year old daughter has reacurring kidney infections the sample shows ecoli we believe this is happening from ibs with constipation. So this is her 7th one, the last one put her in hospital for 5 days on iv anti biotics . this time the dr perscribed bactrum prior to getting the ecoli finding, she was on it for 3 days with sever burning with urination, sever flank pain as well as 103-105 temps that were not easy to control even with meds. So on the 4th day the st called and said they needed to change her anitbiotic because bactrum has become resistant to ecoli and they put her on cipro 500 2 per day for 7 days , these are all gone as today is day 8. the fever has subsided some what but still sever flank pain and burning with urnination. She just dosent feel good, she is dizzy and has little appetitite, low energy, and overall just miserable. Please any advice??Thanks worried mommma in the NW! Doctor: A child with frequent urinary tract infections needs to be seen by a pediatric urologist. This is not a normal thing to happen and she needs additional testing to determine why she has these infections. I would be very insistent that your daughter be seen immediately by a pediatric urologist. Your daughter may have kidney damage or have a congenital abnormality of the bladder and collecting system. | 34,097 |
What causes cold,cough,fever and chest gurgling? | Patient: My 19th month old son has had a fever, runny nose, cough, girggling in his chest off and on since September. He has been in and out of the doctor since then and on an antibiotic several times up to 2 weeks at a time. His pediatrician ordered a chest x-ray last Friday and found a shadow around his heart. He is now having to go to a cardiologist for an EKG. What could be the problem? Doctor: Hello,Common causes for runny nose, fever, chest congestion, and cough are viral or bacterial infections, allergies to formula, etc. Heart diseases may cause cough and chest congestion. Since you are advised to consult cardiologist, he will rule out possibility of heart problems.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad | 165,414 |
Locked jaw after dental extractions. Knot in the jaw with severe pain. What to do? | Patient: I went to the dentist about a month or so ago to have 2 extractions done both back teeth and one on the right side and one on the left after the injection on the left side was done I went to Open my mouth and my jaw locked a few days later I couldn t open my mouth I went bak to the dentist and he gave me muscle relaxers that seemed to help me open my mouth, 2 weeks ago I noticed pain in my jaw again as a knot on my left side I told the dentist but he didn t seem to do anything but think I need to see an OS I forgt to say I disnt have the tooth on the left side pulled that day I need help I just want to be out of pain and find out why I have a knot Doctor: dear you suffering from trismus of jaw post extraction and this may be due to the needle injury caused during local anesthesia , it will take time to resolve you have to take some mussle relaxtants and go for physiotherapy .thanks | 190,484 |
Want to have baby, having unprotected sex. Done ultrasound. What can be the problem? | Patient: Hi, I am a healthy female married for last one year. we, do not use any precautions during sex and want to have a baby. We also visited our doctor, who advised for several tests on me. All tests were ok. even subjected to ultrasound internally to see egg condition and declared ok. what can be problem. With me or my husband. Doctor: Hi, Welcome to HCM, After going through your history,your tests are normal this is good, you have not mentioned about your husband he was also tested or not if not then he should be examined to see every thing is fine and apart from routine blood test his Seman analysis and Ultrasonography of abdomen and Scrotum should be done. If every test of your husband is also comes normal then you must know ovulation takes place 14 days before next expected date of cycle. There are kits in the market by which you can test ovulation and you can plan sex during those days to increase your chances of conception. You can take advise from your Gynaecologist if there is any need for any medicine. Wish you good luck. | 43,744 |
Is vaginal bleeding a side effect of relcer gel? | Patient: hello, does relcer gel has a side effect to the body when going to urinate and blood coming out from the virgina after urinating, although i just finished my menstral period last week tuesday(3rd of july 2012) ,saw my period on 30th, june 2012. please i need your help now. Doctor: HiRelcer gel is an antacid.It can cause nausea,bad taste in mouth,diarrhoea or constipation.Vaginal bleeding does not occur with the drug.Polyps or fibroids in the uterus can also cause bleeding. Thyroid problem, Hormonal imbalance,infection of the cervix, or cancer of the uterus can cause abnormal uterine bleeding. The above causes should be ruled out.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician | 84,080 |
Pain in groin, toe, arm and leg. History of brain trauma. Help | Patient: i had a brain trama when i was 19 that cuased me to have a stroke i have loss feeling on right side of body i can use it with no problem but the feeling has never came back, now 20years later i started having pain near my groin and spread to my buttocks on my good side , doc said it was siatica it took 5 month to go away but now i have pain in the bad side witch is my right side, it started with my right foot and i have toe pain, arm pain and leg pain on right side , this side has always been numb but now its really numb i have had a mri of my brain, neck, and spine all clear execpt a cyst in my sinus that doc said was nothing to worry about . i have had blood test a testical sonagram because that is were the pain started none of my doctors know whats wrong, the pain i have right now is on my numb side (right side) in my hand and foot kind of feels like i punched a wall or kicked a wall . i dont know if this has anything to do with it or not but i got actupuncture for the siatica , i dont know what to think anymore , pleas help Doctor: Dear that is a late post stroke complication,it is known that some time after stroke patient has pain at the deficitary arm and leg.it is recommended that patient do an ENG before starting NSAID to reliaf pain.Wish you all the best | 148,526 |
Is cold forehead during teething serious? | Patient: My daughter is 11 months on the 20th. She is teething but other than that shows no signs of sickness. She is just as active as she has always been with normal urine output. However tonight when I put her to sleep she felt cold and clammy on her forehead? What does this mean and should I be worried? Doctor: Hello welcome to HCMNo need to get worry. when teeth erupts child have saliva coming out of their mouth, they become restless at night, get cold and sometimes fever also.Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.wishing your child good healthDr Aamir | 178,597 |
Suggest medication for diarrhea and nausea | Patient: My2 year old has a viral infection that causes diarrhea and nausea. I think I may have it too. I have terrible body aches and chills, and diarrhea. I just found out I am pregnant last week. Is there any medication that is safe for me to take that will relieve my symptoms, but is safe to use during pregnancy? Doctor: none of drugs are safe at this point of time and you have to drink lots of water, butter milk with salt as well electrolyte mixed water, (pedialyte) | 169,005 |
What causes bone bruising on the palm and wrist after a fall? | Patient: hi, my wife fell last night when we were out and now there are two bones (one on each hand)popped out between her palm and wrist (maybe the lunate), there is no real pain but they are quite bruised. Will they got back to normal or does something have to be done? Doctor: Hello, I suggest to do an X ray for a better opinion! if you have lunatum dislocation it needs surgery. After surgery, the person will likely be required to wear a cast or brace on the wrist to help keep the wrist protected and immobilized. Once the cast or brace is removed and the pins are taken out, physical therapy is often required. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician | 121,721 |
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