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Can nicotine patch cause erectile dysfunction? | Patient: I am a 6 foot, 165 pound, 26 year old male. I have been a smoker for 8 years. 8 days ago I started using the nicotine patch and since then I have had trouble sustaining an erection. I stopped using the nicotine patch yesterday and decided to quit cold turkey but I am still having trouble sustaining a erection during sex. I never had trouble with this when I was a smoker. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Nicotine patch doesn't cause erectile dysfunction. It could be due to your withdrawal from nicotine. Your body will experience some adjustment problems when you are about to wean off from a substance like nicotine. Nothing to worry much and you will be fine in couple of days. Do not restart smoking. Hope I have answered your query. Let me know if I can assist you further. | 195,410 |
What is the cause and treatment for alice in Wonderland syndrome? | Patient: hi i am the father of a 15 year old daughter and am at hospital as we speak they have told me she has aiws alice in wonderland syndrome i am freaking out and had no treatment for 5 days for her the last 2 days some what better but today anger rage uncontrollable can you help clear my head or with any suggestions need help! Doctor: hi AIWS occurs usually as a side effect of some disorders like Migraine, Mononucleosis or Temporal lobe epilepsy. Most important to prevent this disorder is by having regular sleeping habits and avoiding foods aggravating it like dark chacolate,spicy diets.n Please consult a neurologist for further work up to find the cause.Hope it answers your query. | 174,110 |
Suggest treatment for shortness of breath, anxiety and headache | Patient: client is female, aged 54 YO, complains of shortness of breath, anxiety,headache, investigations done blood sugar is normal, what happens if TMT is positive but the patient have no complain of blood pressure, diabetes, her sugar level is normal, cholesterol is 204 mg% Doctor: Thanks for your question on Health Care Magic. I can understand your concern. TMT (trade mill test) can be positive with normal blood pressure, lipid level and sugar levels. Positive TMT is suggestive of coronary artery disease (CAD) Stress and anxiety are independent risk factors for heart diseases like CAD. And risk of CAD is high in post menopausal woman (54 years). So your client should be evaluated for CAD. So ask her to consult cardiologist and get done Coronary angiography to rule out CAD. If there is obstruction then she will need stenting or bypass procedure depending on the angiography report. Hope I have solved your query. I will be happy to help you further. Wishing good health to your client. Thanks. | 25,532 |
Suggest treatment for prominent bone on the skull | Patient: I shaved couple of months ago of my head and noticed that back of my head on left side is bone is big. I been to doctor he said its normal, nothing to worry,but its better to get second openion ,so i been to my family doctor he said the same thing ,no need to worry, but today i noticed that behind my left year bone is a little bigger than the left, What to do. Doctor: Hello!Thank you for your question on HCM! I understand your concern. I agree with your GP in the fact that there is really nothing you should worry about. These are normal physiological variations of bone structures. I would say that nobody is perfectly symmetric. Some it is normal to have some bigger bones, some asymmetric bumps etc. If you have any other symptoms like aggravating headache or nausea I would recommend a brain CT scan to rule out any meningeoma( tumors of the brain surface layers), which can cause modifications of the head bones. Hope to have been of help!Greetings!Dr. Abaz Quka | 145,143 |
Suggest treatment for prostate enlargement | Patient: HELLO SIR MY DAD IS 65 YERS OLD HE IS AN DIABETIC PATIENT BUT I JUST WANT TO INCRESE THERE HB AS SOME TIMES BEFORE THERE HAVING PROBLEM REGARDING PROSTATE PROSTATE ENLARGMENT BUT THIS TIME IT IS NORMAL SO I CAN NOT EVEN EVEN THEM SERIODS SO MY REQUESTT TO YOU IS TELL ME SOME NATURALLY REMIDE THANKS Doctor: hello, hope that your fathers diabetes is under control, having said that i would like to know if he is on any conventional medicine for the prostrate enlargement? And also has a scan been done? first of all i would advise a proper investigation and depending on the results i can help you furher.regardsDr Aditya | 202,294 |
Is high blood pressure be related to flares from Sjogrens syndrome? | Patient: I am 59 year old female. I have sjogrens syndrome. I had lupus like symptoms and have been prescribed plaquenil .I have recently had dizzy feelings and pressure in the head. My blood pressure (110/66) recently climbed to 160/80.I was prescibed 1 tablet (20 mg).a day of olmetec plus (5 days ago) but still have the same symptoms. What do you think? Could the high blood pressure be related to flares I get from Sjogrens ? Doctor: yes the flare up of sjogren syndrome is associated with rise in bp ..as you are taking olmetec plus which is good choice for bp ..it will decrease bp slowly to normal limits ... | 19,326 |
Can MX3 cure gallbladder stones? | Patient: My son is suffering recurring pains due to gall bladder stones(1.5cm diameter,ultasound diagnosis). He detoxifies using freshly extracted juice for almost 2months now. Is there a particular case that MX3 helped an individual with the same problem? Thank you. -Worried Mom.( YYYY@YYYY ) Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. MX3 has compounds with antioxidant, anti-bacterial, anti-fungal, and anti-tumor activity. These are found in a lot of studies. Also it has antioxidant effects. It doesn't have effects in dissolving gallstones. And to be honest,other studies needs to be done to determine the the long term effects in humans.For the gallstone problem that your son has I would recommend Ursocol (Ursodeoxycholic Acid). It might help dissolve the gallstones. It works by decreasing the production of cholesterol and by dissolving the cholesterol in bile so that it cannot form stones. But before your son starts this kind of product, he needs to check up with your family doctor first. He needs to do an ultrasound of his abdomen, to see if the walls of the gallbladder are normal, or thicken, liver enzymes etc. Also he use this diet to help his liver to not form stones:-fresh vegetables and fruits-plenty of water-normal exercise-avoid alcohol-diet in low fat like fish, grains, olive oil etcHope I have answered your query. If you have any other question, feel free to ask me.Regards,Dr. Endri Katro | 53,446 |
What does the following follicular study report suggest? | Patient: Hi I have undergone laproscopy .both the tubes were ok. Than doctor suggested for clofert for 5 days and continued the folliculr study.my cycle is of 32 to35 days.. On 20th day et was 11 mm Left O 21×16 Pod mild fluid On 23rd day Et was 10 mm Left O 21×16same as of earlier e thick walls likely corpus luteium Pod mild fluid On the same day doctor asked me to take susten 200 tablets night and morning for 10 day. But after 3days of having it get itching on veginal area and watery fluid is comming out now a days. My last period was on 8th jan. Please suggest are these positive symptoms of expectation or need to get checked. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Clofert is a medicine that is given to promote development of follicles to a mature state and ovulation to occur. It usually takes 3-6 months for the action to take place. Ovulation is expected to occur once the follicles (little fluid filled sacs within which eggs develop in the ovary), reach a size of 18 - 36 mm. In your report there is a suggestion that the follicle reached the size of 21 mm, which is good. Fluid in the Pouch of Douglas (Pod) is also suggestive that ovulation might have occurred. This usually results in release of fluids along with the egg from the follicle. That the corpus lute was seen and reported also supports that ovulation (egg release) occurred. The thickness of lining of the womb (et) usually increases under the influence of progesterone. It is expected to reach up to 16 mm towards the end of menstrual cycle. Having a sufficiently thick endometrium supports the seating or nidation of a fertilises egg and its growth as a healthy, viable pregnancy. Your doctor advised Susten, which is progesterone, to develop this thickness which was shown to be just under at 10-11 mm. An increased vaginal discharge - as long as there is no symptom of infection should be normal. Since you are reporting itching as well, it might be worth getting yourself checked with your doctor for infection.All in all the report is satisfactory. Wish you all the best for ongoing treatment. PS: Just wanted to remind you that it is important to have your partner investigated as well when undertaking investigation and treatment for infertility. Hope I have answered your query. Let me know if I can assist you further. | 40,492 |
Tightness in throat, chest, headaches, pain between shoulder and spine, blocked ear. History of asthma. Causes? | Patient: Hi. I am 35 years old. I have suffered from asthma most of my life, but over the last 2 years I have reduced my weight from 110kg to 76kg. My asthma reduced almost totally and I use a pump only once every few months (before several times a day). Recently, I have felt a tightness in my throat (like a blockage) and chest, had some headaches , pain between my left shoulder blade and spine , and slightly elevated heart beat. I also have some dizziness (which might be caused by a continuous blocked ear). Could everything be linked to my asthma or could it be linked to the ear itself? I am know I am partially panicking and this does not help. Thanks Doctor: IT IS BLOCKED SINUSES YOU GET XRAY PNS DONE AND THIS WILL TELL YOU CAUSE IT IS PART OF ALLERGIES YOU CAN START WITH TAB METROGYL 200 MGM TWICE A DAY FOR SINUS INFECTION TAKE MONMTAIR FX TWICE A DAY APPLY NEOSPORIN H EYE OINTMENT IN THE NOSE AND EAR TWICE A DAY NO EAR DROPS NO STEAM NO BRUFEN,PCM,DISPRIN,ASPIRIN PUT SEA WATER IN THE FORM OF DROPS TWO DROPS AT NIGH EACH NOSTRIL DOIO 3 WEEK MERAN TIME GET XRAY AND POST | 105,299 |
Suggest consequences with high bp levels | Patient: Hi, may I answer your health queries right now ? hey, i got TSH 7.8 last year doctor suggested me thyronorm 25mcg i took for month adter three months igot tested the tsh level is normal in range again after 3 months i got tested again it is in normal in range without doctoe consult i stop the medicine any thing happened please suggest and one more thing i have B.p. in starting stage but i would not take medicine regularly anything will happen please suggest.Please type your query here... Doctor: Hello!Welcome on HCM!I passed carefully through your question and would explain that thyroid dysfunction and high blood pressure, are chronic disorders, which can lead to serious consequences if not treated properly. Thyroid dysfunction can lead to central nervous system dysfunction, cardiac arrhythmia and also high blood pressure. From the other hand, high blood pressure can lead to chronic changes of the arterial walls, causing thickening and narrowing of the blood vessels with an increased risk for stroke and heart attack. So, I would strongly encourage you to maintain your blood pressure under control. Some tips to maintain a normal blood pressure naturally would be: - reduce salt and caffeine intake- try to lose some pounds if you are overweight. - perform a lot of physical activity (yoga, walking, etc.). Hope to have been helpful!Wishing good health, Dr. Iliri | 20,690 |
What causes stomach cramps after taking birth control pills? | Patient: I had unprotected sex in November. My "period" was late that month and in the days before my period I was experiencing a lot of discharge, white or clear in color, with no odor. I did end up getting what could have been a period, but was abnormal for me. My period for December was similar, and in January I started birth control. Since I started birth control I've had constant cramps which I hadn't experienced when I used the same birth control last year. Could I be pregnant? I'm almost 20 years old, 5'3", and 150 pounds. Doctor: Hallow Dear,If your periods were not normal for continuous two months (I believe they were scanty), and you are suspecting yourself to be pregnant, you should get your pregnancy status confirmed. In fact birth control pills should not be started unless pregnancy is ruled out. Please get pregnancy test done on the overnight first morning urine sample. Along with get ultrasonography also done. If your pregnancy test reveals 'no pregnancy', no worries. However if the pregnancy test is positive and the ultrasonography shows empty uterus, you have to consider the possibility of pregnancy somewhere outside the uterine cavity (ectopic pregnancy). Since your previous menses are likely to be scanty and had continuous pain in the lower abdomen, ectopic pregnancy possibility should be kept in mind. To diagnose an ectopic pregnancy, one has to be ectopic minded. If it turns out to be ectopic pregnancy, you will have to get admitted in hospital. It is an haemorrhagic emergency when it ruptures. Please report to your Obstetrician. If the pregnancy test is positive and ultrasonography shows gestational sac in the uterine cavity, you are having a normal intrauterine pregnancy. If it is unwanted pregnancy, you may opt for termination of pregnancy by medicines. It is safe and effective method for terminating pregnancies upto 9 weeks of gestation. If pregnancy test is negative and the uterus is empty, your stress is over since there is no pregnancy. In that case, cramps in your abdomen could be attributed to increased acidity due to birth control pills. Proton pump inhibitor antacids like Pantoprazole will help you in this. If there is any type of pregnancy, please discontinue oral contraceptive pills till the further decision is executed by your Obstetrician. I hope this helps you for further management. Dr. Nishikant | 224,161 |
High SGPT and ALT test reports. What should I do next? | Patient: Hi, I have take a test on my liver function and the SGPT ALT was 55 and AST was 50 is that high? My cholesterol level was LDL 4.7 and HDL 1.5 total Cholesterol was 6.1. The test was done about 5 months ago and I have cut down my diet to be green. Taking barley grass in after wake up from bed, taking livasil tablet before bed my weight was down from 61 to 58Kgs. May I know what is the further advice on this? Doctor: Your liver enzymes are not alarmingly high, but these are definitely abnormal and you should get a full check up by a hepatologist, to make sure you do not have any other underlying liver disease. You should be tested for viral hepatitis (hepatitis A, B, C), autoimmune liver diseases, iron overload, and other causes of liver disease. Fatty liver is definitely a concern, and losing weight and controlling lipids usually helps. Avoid alcohol. | 59,282 |
Can I take Benedryl 2 weeks before surgery? | Patient: I forgot to ask my Dr. about taking Benedryl 2 weeks before surgery. I am having sinus surgery at the end of April. I know I am not to take blood thinners, such as aspirin or ibuprofin, but what about my nightly dose of benedryl for my horrible allergies? Doctor: Hi,Yes. You can safely take Benedryl before your surgery to relieve your symptoms. Regards ,Dr K A Pottinger | 96,876 |
Suggest treatment for rashes and itchiness around the scrotum | Patient: I HAVE RASHES AND ICHING AROUND MY SCROTUM.THE PROBLEM PERSISTS FOR LAST 15 DAYS.DOCTOR PRESCRIBED ME AN ANTIFUGAL CREAM WHICH I AM USING BUT THE RASHES HAVE NOT VANISHED COMPLETELY.PLZ ADVICE. I AM 30 YEAR MARRIED MALE WITH HEIGHT 5 FEET 3 INCHE AND WEIGHT IS 60 KG Doctor: Hello dear,The symptoms as mentioned in your post suggest that you might be having fungal infection (Tinea) in the groin region.Management includes:1. Keeping the area dry & avoid too much exposure to water or sweat formation.2. Antihistamine preparations like cetirizine to reduce the itching sensation & provide symptomatic relief.3. Application of topical antifungal cream like Clotrimazole to tackle the causative organism.If symptoms still persist or aggravate further, then it will be better to consult a Dermatologist & get a proper examination done to find out the actual cause.So that appropriate management steps could be taken.Also avoid wearing tight undergarments & trousers...as it will cause sweating & predispose to fungal infections.Wishing you a Good Health.Take care. | 201,817 |
What causes chills if i take sugary drinks? | Patient: hi i have a really bad buring in my urine what can help me go to sleep cause i can t sleep cause the chills. I am 16 years old, and weight 150, i have also noticed this happends when i have sugary drinks. I don t know why but its been coming and going alot. What should i do? Doctor: Hello, I suggest you to check the level of sugar in blood and make urine analysis. Also avoid sugar drinks. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician | 121,589 |
29 year old with enlarged liver after gall bladder surgery. Biopsy showing hepatic and central venous dilation. Swelling in the breast. History of lymphadenopathy | Patient: Have a enlarged liver at 20.4 as a29y/o f. Post gb surgery. Biopsy done finds hepatic and central venous dilation. No elevation in liver function tests . Now have began to have swelling in right breast (significant) along with lymph nodes palpable in armpit , groin , and hx of mesenteric lymphadenopathy . No other health hx before this. No stones in gb. Please help I am being sent from doctor to doctor from specialist to next. An idea of what I may be facing here would be helpful. Doctor: Hi and welcome to HCM,thank you for your query.it may indicate 2 most common diseases. first one is some systemic infection so you need to rule out all possible microbiologic causes. Second one is rare but possible: malignant disease and certain blood tests should be done to rule out lymphomas and other hematologic diseases. I am sure you ll find the exact diagnosis soon so that treatment can be started.Wish you good health. Regards. | 58,287 |
Is Calpol advised for infants in case of abdominal pain? | Patient: Hi doctor, my eight month old son has had griping stomach ache all day. He has been crying nearly all day which is very unusual for him.He has a slight temperature. I have given him some calpol and gripe water in the last hour. I did give him some fish (cod) in cheese sauce last night and wonder if that is the cause. It was well cooked and was still in date. I would appreciate a reply please, thank you. Doctor: Hi....I cannot reassure you that the food item which you have given him is not the reason for his stomach ache. As per available literature, non vegetarian food including egg should not be given till 12 months of age. Sometimes animal proteins do not go on well with tender infantile gut.You can give Paracetamol in the appropriate dose for tummy ache.Hereafter I suggest that you wait till he completes his first birthday, before feeding him non vegetarian.Regards - Dr. Sumanth | 163,984 |
Sex with someone who has AIDS, Syphillis and Hepatitis C | Patient: I made a bad decision two years ago and found myself having a one night stand with someone who has AIDS, Syphillis and Hepatitis C. I've tested negative for Syphillis and Hep C. I've also gone and had an HIV/AIDS test 5 times and tested negative. Am I still at high risk? Doctor: tw years and still tests negative how can some one test positive after two years, lucky you have escaped, make sure next time you dont repeat the same. | 60,695 |
What causes short term memory loss? | Patient: Over the course of a week, there has been three incidents where I couldn t remember small pieces of information. In the first, I had taken a water bottle out of the fridge and drank some of it but within thirty minutes I couldn t remember if it was mine. Another incident occurred where I had taken my charger out of the outlet and placed it on my bed but within five minutes I couldn t remember where it was, and spent a good 15 mins looking for it before finding it... not because I remembered where it was but because I look in enough spots for it. And then finally, just today about thirty minutes after getting home, I was going to feed my dog but then couldn t remember if I had already since getting home thirty minutes ago. My concern is that I feel these incidents may be connected and apart of a medical issue but at the same time, I feel like it s too early to tell for sure. Should I contact a doctor or wait to see if the problems become more frequent? Doctor: Hello,In my opinion, it is important to know your age, medical issues. -Go for neuropsychology testing. -Check out vitamin b12 levels, thyroid function, blood sugars, lipids, hemoglobin, and renal functions.-Do brain exercises sudoku, crosswords.-Moderate exercise and diet.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Gayathri | 204,629 |
Why the sternum and breastbone are hurting when coughing and breathing? | Patient: hello, on saturday i was on a funfair ride and i was bashed around quite a bit..since then my sternum/breastbone has been hurting, especially when i either cough/breath in/make any sudden movements. do you have any idea what i may have done to it? thanks. Doctor: Hello,It looks from your details that most probably you may have strained your joints around sternum. Do not bother do following to have relief:- Avoid lifting heavy weight.- To warm fomentation with help of water bag around chest.- Take a mild analgesic like advil for relief. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon | 120,127 |
Suggest treatment to control blood pressure | Patient: Good Morning, I have been seeing my GP each month for the past 3 months, because my blood pressure was 190/110...he told me to purchase a monitor, & has increased my medication. My reading has now dropped to 136/80 (which I know is good....my pulse is 80, so I am wondering what a perfect PULSE READING IS, for a 68 year old lady? Thank you, Jeanette Hennessy Doctor: Hello Jeanette! Thank you for asking on HCM!I am glad to congratulate your for the excellent achievement, regarding your high BP management. You doctor seems to have found you the right treatment scheme, that fits to you, and obviously exerting a good safety profile.I just would like to advice you, that keeping high BP under control is usually well performed (with doctor prescriptions), but remains to your will and determination to continue the permanent fight against this silent killer (as is ordinarily called high BP).Periodic medical check ups would guide you to the better BP management (as BP is everlasting changing and dynamic vital parameter, and potential side effects may arise form drug therapy).Hope to have been helpful to you. Greetings! | 28,253 |
What causes back pain? | Patient: Since friday I have been experiencing Upper left back pain. when I turn my head both direction it seems to get worse or when I try to lay down. The pain seems most noticiable at night and it breath taking at times. what is wrong with me? I havent done anything to it. Doctor: Hello, Thanks for your query.The fact that your pain is occuring with movements indicates a muscle strain. Any strained muscle when stretched gives severe pain.I advice you to follow the below mentioned guidelines -* Give adequate rest to the involved muscle group and avoid any movement that causes pain* Ice packing once in every 2 hours over the affected area* Moist heat application to relax the muscles* Local application of muscle relaxant gel* Analgesic medications as neededI do hope that you have found something helpful and I will be glad to answer any further query.Take care | 110,523 |
How should I use trigestrel pill? | Patient: hi, i got the trigestral pill from my works surgery yesterday, im staring my period on the 7th i am a first time user the sister said that i should start the 3rd day of my cycle with the brown pill please advice the correct method of using the pill. could you please send to both work and personal adress regards and thanks Doctor: Hi,Trigestril is similar to the pill triphasil in action and the usage. The pill should be started on the first day of the mensus. The first tablet that should be taken should be from the first red tablet area. The tablets should be taken at roughly the same time daily and should be taken within 24 hours of the previous tablet. After the first tablet, you should continue taking the tablets in the order given by the arrows on the pills cover.http://home.intekom.com/pharm/akromed/triphasl.htmlThis above website gives a detailed explanaion of all the effects of triphasil pills. I hope this helps you.Dr Vineet | 225,881 |
Does shrinking gums indicate oral cancer? | Patient: I have6 dental implants 3 upper and 3 lower .My lower gum line has receded so much that my denture does not fasten to the implants and just floats. I need a denture adhesive just to keep it from falling out. Are shrinking gums a symptom of oral cancer? Doctor: Thanks for using Health care Magic.Read your query.Shrinking gums or receding gums as in your are not a sign of cancer.Yes,When a tooth is replaced with an implant, receding of the gums is a major concern. This leaves areas of root exposed and can be painful for the patient.Bone loss around the tooth will cause the recession,leading to the failure or a non lasting implant.I would advice you to visit your implantologist and get it reviewed foe bone loss and if possible you can for bone grafting and gum recession treatment and then check on the implants and maintain it well.Hope this was helpful and you have a good recovery.Thanks and regards. | 184,192 |
How long does cholelithiasis take to get cured? | Patient: my father is a diabetic patient . age about 46 years. he has symptoms like high grade fever, nausea and vomiting. report showing 46000 platelet count. he is diagnosed as dengue and typhoid fever. and the report says that he is also having cholelithiasis. As he is under treatment but there is no such improvement in his health. can u please tell me how much time he will take in recovery ? and what should we do so that he will recover soon ? Doctor: Hello Your father's low platelet count is due to dengue fever.He need regular monitoring of platelet level.He will be fine soon.He only need close observation.Findings also suggests gall bladder calculus.Medicines are usually not helpful in gall badder calculus.He should go for definitive treatment of gall bladder calculus.Definitive treatment of gall bladder calculus is surgical removal of gall bladder(cholecystectomy).You can plan operation after his recovery from fever.Get well soon.Take CareDr.Indu Bhushan | 56,001 |
What are the home remedies for chronic hives while having osteoarthritis? | Patient: I have cronic hives.I do have ostioarthritis .Been tested for Lupus.Negative for that.I get sinus infections easy and when I do I get hives around my eyes and mouth and back of my head and neck.I take meloxcam and singular and zertec. Any natural solutions. Doctor: Dear, i hv read your problem so here are some domestic remedies for u ~Ginger 2-5 gram with jagery orally.Mustard oil massageTriphala powder 1 tblspoon orally with hot water before sleeping at nit.Turmeric powder 2 gm with luke warm water and honey added in that water- blackpepper 1/4 tsf with 1 tsf of ghee is effective remedy. Or THE JUICE OF STEM OF tinosporia cordifolia ( guduchi) 10 ml with honeyIf u feel anything to tell, u can come back to me , ill be happy to help u. Thanks for ur query. Best wishes | 214,799 |
What causes elevated liver enzymes? | Patient: I just got out of hozpital went by ambulance because of extreme pain they found out my liver enzyme was 1017 where norma is 107. I dont have hepatits a-c; nor do I have chirrosis. What is causing this enzyme levels go up and down . I am 49 and i weigh 215 at 5''7. I am insulin dependent diabetic with high cholesterol and asthma and heart disease with ivf filter Doctor: Hi thanks for contacting HCM...You have negative report for hepatitis virus .So viral hepatitis excluded here that s good.....Now you have high cholesterol level.So just get your USG abdomen .....It might reveal .....-Fatty liver or -Gall stone -cholangitis etc.....For above condition less fatty diet needs with more fruits....Loose weight if overweight.....Junk food , butter , cheese and meat less.Exercise done.If still cholesterol high drug needs to be started.Let me know you alcohol drinking can affect liver and enzymes can be high.So Avoid it....If you have muscular problems or positive Cardiac history then also it can be high.If no cause still found then biopsy needed.Hope your concern solved.Take care | 54,250 |
Is darking & burning of skin common after cosmo skin peeling? | Patient: I am getting cosmo peel.I had my 4th session on sunday howeveer my skin has become very dark it seems that it has been burned and there is still a very slight burning sensation. My skin had never been so dark after the peel earlier. though the peeling has started. Is it ok? Doctor: Hello and welcome to healthcaremagicI would think that the peel was stronger this time as compared to last time OR it was kept for a longer time than before, therefore it may have acted more as compared to last time, thus leading on to irritation with resulting post-inflammatory hyperpigmentation.Cosmopeel contains Trichloroacetic acid (TCA) and is considered to be one of the stronger peels. The end point of cosmo peel is frosting and mild erythema, when the peel should be neutralized, immediately. However some times the peel can act more aggressively either because higher concentration is used or it is left for a little longer than the end point, thus causing more frosting and deeper erythema and later post inflammatory hyperpigmentation.I would suggest that you use a moderately potent topical steroid cream, twice daily over the affected area(flutivate cream) for a few days. This would facilitate the superficial dark, dead skin peel off and would also help in resolving post-inflammatory hyperpigmentation.Sun protection with a broad spectrum sunscreen is advisable to prevent sun induced darkening.Regards | 8,522 |
What causes a lump beside the right ear with swollen eyes and jaw line pain? | Patient: I have a lump beside my right ear, as well, I have some swelling on the corner of my right eye. My temple feels tender if pressed and I have pain on the bottom right side of my jaw line, almost on my neck......just wondering what this might be please? Thank you Lenny Doctor: Hi,From history it seems that there might be having formation of stye or infection in opening of naso-lacrimal duct giving rise enlarged painful lymph nodes near ear and submandibular region.Go for one antibiotic medicine course for 3-5 days.Put antibiotic eye drops 3-5 times a day for few days.Ok and take care. | 66,020 |
What could cause soreness, bruise after recieving hydrocortisone shot for hives? | Patient: I received a shot in the upper arm for hives about a year ago. I believe it was hydrocordizone. It was red and had a good size lump. For many months after it would flare up the become sore, hot and swollen again. It still is sore and has a bruise still after a year. What could cause this? Doctor: Hi, Without an exam, I can only give general information. There are a lot of possibilities. if the stinger was retained, then there are a lot of reactions to it that are possible. And, re-exposure to something someone has had a reaction to can produce a reaction in the area of the previous exposure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | 85,223 |
Thalassemia minor, tired. Diet and precautions? | Patient: Hi, my child is thalesemia minor..he is 5 1/2yrs old now..he is getting tired very soon these days though he used to b an active child..cn dat b related to him being minor n since in a growing age so is starting showing such traits..n if its so wat am i suppose to do..wat kindda diet i shud follow for him n wat precautions to b taken? Doctor: Hello. Thanks for writing to us. Mild tiredness and weakness are commonly seen in growing age in thalassaemia minor. You need to minitor his hemoglobin levels so that any anemia can be corrected early. Giving him iron rich diet like green leafy vegetables will be helpul. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal [email protected] | 119,347 |
What causes low white blood cell count? | Patient: i have a very low white blood count - have gained weight in the last year. 55 years old, no period for the last two years; scheduled to see an oncology/hemogloban in a few weeks. My regular doctor referred me. All other numbers on my blood test are within range. Any suggestions on what the oncology/hemoglan doctor will be looking for Doctor: Hi, thanks for sharing your health concerns with HCM! Well, If I were your treating Doctor for this case of leukopenia, I would like to know serial WBC total and differential counts as well as other parameters of complete hemogram for at least last 3 months, before I could say a word...However to the best of my knowledge, I would come up with three possibilities in your case; these include: 1. infective of inflammatory: like some systemic viral infection / chronic liver/kidney disease etc !2. The second possibility is of bone marrow failure due to radiation, chemotherapy, cancer, myelodysplasia etc. ! 3. The last possibility is of reduced production due to specific nutrients, hypoplastc or aplastic anemia or just a sign of severe megaloblastosis!It is better to consult a hematologist or hemato-oncologist than anybody else! Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | 115,354 |
Should i go for surgery due to tilted patella? | Patient: Hello...I just got results of MRI of knee and I am worried about osteonecrosis and marrow anemia as I am not sure how they correlate to osteoarthritis of knee. I also has loss of cartalidge in two areas of my knee. Pain is constant and I also have a tilted patella. Am I looking at surgery.? Doctor: Hello,Osteonecrosis and marrow damage would have shown up on the MRI. They are not caused by osteoarthritis. Osteoarthrits is damage to the cartilage early in the disease and then later you can get bone spurs. It depends upon the extent of the cartilage loss whether or not it is time for a knee surgery. The orthopedic doctor can give you the best advice.Regards | 130,000 |
How can skin rash be treated? | Patient: I have a rash on my inner thighs near my vagina. It is also on my vagina and my anus. I have treated it for thrush and used various nappy rash creams but it is still itchy. I have also just had hand foot and mouth disease but had this rash before I got hfmd. Doctor: Hello,Thank you for posting on HCM.It seems you are suffering from Tinea cruris and corporis, a kind of fungal infection.I would suggest you to consult your dermatologist for proper management of the condition.I usually recommend proper course of oral anti-fungal drugs like Fluconazole or Itraconazole along with anti-fungal cream like luliconazole for local application at bedtime. You can additionally use antifungal dusting powder containing sertaconazole 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.Kindly spare some time to rate my answer and drop your valuable review at the following link:https://urldefense.com/v3/__http://doctor.healthcaremagic.com/doctors/dr-hardik-pitroda/67169If__;!!Mih3wA!SBzm6_kI6hCZ58EPH6N_05MFfiPbxWXT0a2TJCdFQObRWm5mV5ur7hW9rW0j8A$ you require any further assistance in future, you can reach me directly through the above mentioned link.Thank youDr Hardik Pitroda | 14,687 |
Suggest treatment for severe pain below the ribcage | Patient: A 40 y/o male presents severe pain on his left side and back below the ribs. He describes the pain as spreading to the lower abdomen and groin and comes in waves that fluctuate in intensity. He has painful urination and brownish foul smelling urine. He reports a persistent urge to urinate and urinating more often than usual along with nausea and vomiting.what is he diagnosis with Doctor: Dear PatientYour symptoms indicate infection in or around kidney on left side. The basic way to proceed is to get urine examination done along with USG o kub region. Kindly discuss your findings so that we can discuss on treatment. | 137,411 |
Trying to conceive, follicular study done, follicle ruptured on day 20. Taking susten vt 100 vaginally. Am I infertile or progesterone deficient? | Patient: hi doctor, we r planning for pregnancy.so went to a gyn for a follicular study.on 20th day after my periods she said that follicle got ruptured and prescribed susten vt 100 to be taken vaginally for 15 days.does that mean that im progesterone deficient or infertile.i went only for a follicular study otherwise im normal and i have regular periods Doctor: Hi, According to ur follicular study the ovulation has occurred a bit late. Progesterone supplements are a must for patients being treated for infertility as they help the endometrial formation and gets it ready for the foetal implantation. If u don't conceive u might rrequire ovulation induction next time. Don't wory Byeee | 44,443 |
What is the treatment for degenerative disc disease, spinal stenosis and fibromyalgia? | Patient: I live in Indiana and due to the new laws regarding Family practioners not being allowed to write over 60 pain meds per month I have been referred to find a Pain management doctor. I made an appointment and went to one yesterday and he treated me like I was a drug seeker and refused to even examine me other than to have me squeeze his fingers. I have been diagnosed with Degenerative Disk Disease, Spinlal Stenosis, a herniated disk, diabetes and fibromyalgia. This doctor went on to tell me that I didnt have anything wrong with me. Im not even sure he looked at my medical records that were sent to him by my GP. I have an MRI to back up my disc problems so I dont see how he could have the attitude he had unless he didn't bother looking. Anyway I have to try to find someone else but I'm now gun-shy as to how to go about it. The one I went to yesterday was highly reccomended but was a very big dissapointment. My question is how do I find someone to listen to me and not treat me like a criminal because I'm in pain and need medicine to deal with it? By the way I'm not a bum. I'm an educated woman that is employed as an insurance agent. I just happened to be in the wrong place at the wrong time in 1998 and was hit by a drunk driver. Doctor: HelloI am sorry to learn about your predicament. You deserve every bit to be listened and provided with best possible management. I suggest you to consult a psychiatrist who will listen you and help in pain management. very few people know that pain management is a part of psychiatry curriculum as well . He may prescribe you SNRI medicines like desvenlafaxine or Duloxetine to help in pain,anxiety and depression. Please be very particular in controlling Diabetes and if you can, start 20 minutes brisk walking.DR SAATIISH JHUNTRRAA | 148,094 |
Can pregnancy happen after having protected sex? | Patient: Hi Doc! Actually me and my girlfriend had intimacy on 11th August, she had her monthly on 10th. We had very good process of birth control, that's I used a condom-Durex. Is it possible if she misses out the period this time, then will she be pregnant? Doctor: Hi,Welcome to healthcare magic. I am Dr Ramadevi Wani. I will be answering your concerns today. yThe first week of the period cycle is safe. Having sex during that period, does not result in pregnancy. You have had sex on the second day of period cycle. So you need not worry at all. There is no chance for pregnancy. I hope this is helpful. Best wishes,Dr Rama | 742 |
Suggest remedy for pain in legs and back post surgery for herniated disc | Patient: Hello my name is Megan Beasley I had back surgery in feb to fix a herniated disc it went will but 2 months after surgery i begin to have new symptoms with pain in my right foot and still have severe pain in my whole right leg and light pain in my left leg I also have severe pain in my whole spine and hip and buttocks and my new doctor told me my MRI showed I had extra graunalation tissue from surgery im in pain and I cannot take narcotic pain meds because I have 6 kids all I want is to be pain free Doctor: Hi there, thanks for your question at HCM.2 months is quite ealry to comment on granulation tissue in MRI after a disc surgery. I would recommend you to wait for another 1 to 2 months if the pain is manageable.Any new pain in a different area after surgery needs further evaluation. Whereas since you say you have pain in whole of Spine and buttocks associated with the new associated pain I would suggest you to try physiotherapy , rehabilitation and back strengthening exercises over next 2 months. If you still have pain after that an MRI then can guide as to source of pain. An MRI within 3 months will show artifacts due to surgeryIf you start having new onset numbness or tingling sensation with unmanageable pain that would need earlier intervention.. Hope this answers your question. All the best.With regards. DR.SBK. | 216,945 |
What kind of medication should I go for sharp pain in chest? | Patient: HiI have gone for bypass heart operation six years agoLately i used to get pricking sharp pain on left and right chestPls advise whether i experiencing heart problemor its the heart muscles which given the painKIndly advise what kind of medication i needThanksRgdsRajendran Raman Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Since you had bypass heart surgery, we need to rule out cardiac cause first for your chest pain. So better to get done ecg, 2d echo and Angiography to rule out heart diseases. If all these are normal, than no need to worry for heart related diseases. Your chest pain is mostly due to musculoskeletal pain. So better to take painkiller and muscle relaxant drugs. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright. But first rule out recurrence of cardiac disease. Hope I have solved your query. Wish you good health. Thanks. | 79,340 |
How to treat an enlarged spleen? | Patient: i am 45. been alcohol free for almost 12 years. liver is functioning good..all the right levels. my problem is my spleen is so enlarged its affecting me eating bc its pushing my stomach. my platlets are 83..they were 61 at one time. the spleens getting uncomfortable. my liver doctor says removing it, i have a high risk of bleeding to death, but my regular doctor said to remove it before it ruptures. i agree with my regular doctor. which doctor do u think is right? Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.You should remove the spleen. Your platelets are low. Which puts you on risk of bleeding. But you can take platelet concentrate. This will increase the platelet count and your bleeding risk will decrease.Your low platelet is because of the enlarged spleen. This much enlarged spleen is at the risk of rupture. Even slight injury can cause rupture and life threatening injury to the spleen.In my advice you can take the platelet transfusion and than go for surgery.Once the enlarged spleen is removed you will be free from threat of the rupture.Till you go for surgery please avoid the heavy exercise and the thing which can cause injury to the abdomen.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | 34,325 |
Is a MRI needed to assess any further nerve damage? | Patient: I am in the process of getting 3 steroid shots in lumbar back for bulging disk, on the last shot they moved the needle to left side since it was side with more issues, since the shot, a week ago, I have had continued pain, worse than normal, and numbness in left leg when I use it as weight bearing leg. Do I need to have an MRI to see if further damage has been done to nerve? Doctor: Hello dear,Please accept my concerns for you.Yes, since it seems that your symptoms(pain and numbness) have significantly increased acutely after the steroid shot,a follow up MRI should be done to see the severity and extent of abnormality compared to baseline.I hope it helped. | 146,214 |
16 year old male with upper abdominal pain | Patient: I have pain in the upper left of my abdomen,it s like pressure and pain and discomfort. i ve had it for the past 3 months. its only relived by Burping or going number 2. But since this started,going number 2 has been hard. some days i can t and other i have diarrhea . shortly before all this happened i had chest pain and a very fast heart rate which resulted in me going to the ER late at night acouple days in a row and being hospitalized on the cardiac floor for about a week. They scoped my esophagus and said i had gastritis and a stomach ulcer. I took carafate for 3 weeks and thats when it all this started, When the pain and discomfort come sometimes my chest will hurt too. The pain will also be on my back under my left shoulder blade . most of the time when its happening i can t lay on my back cause it so uncomfortable, i m only 16 years old...please help Doctor: dear chrid why are you not cusulting your docter,your problm become very serious when you dont awere....it need some blood test and also a sonography of upper abdomen,.after that ,i will give you exect advise and treatment, go now for chelkup............ok take care | 96,015 |
Suggest remedy for lump on chest in a child post an accident | Patient: My daughter is 4 years old and she was riding her bike inside the house she hit the wall and when she went forward the bar Handelof the bike then hit her upper right chest and now it seems to be bruising and has a bump which is now getting bigger. What should I do? Doctor: hi.based from your description, the lump could be secondary to the trauma she recently had. it could only be an inflammatory reaction, wherein swelling ensues and will subside eventually in a few days time. fibrous tissue formation may also be occurring especially on the area that was injured, hence the appearance of the bump. a consult with her doctor is best for clinical evaluation. observation and analgesics may be given for now. if the signs and symptoms persist for more than a week, diagnostics (such as xray) and management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye | 61,758 |
Scheduled for kidney removal, failure in earlier attempt due to drop in O2 stats, suggestion of medically induced coma. Is it necessary? | Patient: My Mom (age 62) is going to have her right kidney removed because of a possibly cancerous mass less than 7cm, but near the vein . This will be the second attempt because last month when she was about to go under general anesthesia her O2 sats dropped too low and the docs cancelled the surgery. They admitted her and did tests over 6 days. The next step is to do the surgery but under a medically induced coma . We are concerned about her being in a coma and want to know if this is a common practice for kidney removal. I have seen a lot of information about induced comas for brain trauma, but nothing for kidney surgery. Is this necessary? Mom does have asthma and high BP but her health is fine otherwise. Thanks for your help. Doctor: Dear Madam/ Sir, welcome to HCM. Surgeries are usually done eithet under local anaesthesia, regional anaesthesia or general anaesthesia. I suspect you mom has been advised the last option (which is what you refer to as induced coma) which is the norm. Now a days kidney removal is done through key-hole surgery (laproscopy). This is minimally invasive and recovery is quick but patient still needs to undergo the procedure under general anaesthesia.I am sure the anaesthetic will do the needful before putting your mom to sleep. Best wishes | 49,907 |
What causes chest pain? | Patient: I have been having chest pains after going to bed and have gave up on laying down. now that I've been upright the pain is a little better. I have noticed when I take a deep breath there is a stronger pain in the chest area. I'm thinking this is heartburn, but never had anything quite like this. Any advice? I'm 37 years old about 6' tall and 210#. I did have a stent put in about a year and a half ago. The pain is different though. Doctor: HelloThank you for askingYou explain that you had a stent a year and a half for this pain.The fact that the pain is better in upright position and worsened in lying down i don* t think it is related with cardiac problem.Better to do achest X Ray for any lung problem .It it is normal may be this pain is with stomach origin,probably reflux.But however an EKG should be done for the heart.For the stomach you shuold be careful with the foods,no spicy, not eating late at dinner,and to lose a little weight.Wish you good healthDr.JolandaPulmonlogist | 75,340 |
Acute lower abdominal pain after dancing. Advise? | Patient: I am a fifty three year old female w. an acute onset of pain in the r. lower quad of my abdomen. The pain began after I was dancing for about two hrs so I thought it was joint pain however, it has persisted making it difficult to walk or even sit up. I am afebrile and there is no tachycardia or hypotn. I am reluctant to go to the hospital because I work there and do not want to go if this is nothing. My stools are soft and formed and I have no pain or burning w. urination. I am stumped! Help please. Doctor: Hello and welcome to HCM,Pain in the lower abdomen may or may not be related to dancing.Physical exertion can cause muscular pain but pain associated with vuscera or internal organs is unlikely.Lower abdomen is a broad area. It encloses reproductive organs like ovaries, fallopian tubes and other abdominal organs like intestine, appendix, rectum, etc.An ultrasound of the abdomen needs to be done to look for any mass lesion causing the pain.But before that a through clinical examination needs to be done.You will need to consult your doctor for that.Thanks and take careDr Shailja P Wahal | 93,406 |
Suggest treatment for viral fever and vomiting | Patient: My daughter 5.8yrs is suffering with viral fever for the last 2 days, she is not eating anything today in the morning she vomited forcefully & some blood granules were found. Dr has adviced lanzol jr, is it something serious or it occasionally happens with children. Doctor: Helloviral fever with a forceful vomiting is a matter of concern in childrenyou should immediately consult a paediatric doctor for examination and a battery of tests like hemoglobin CBC ESR CRP or csf analysis if need beyour can give her syrup acetaminophen with cold sponging for feverhope.this answers your questionplease feel free to ask for more clarificationgood luck | 34,622 |
Could stomach pain be due to the side effect of taking lanzol? | Patient: My daughter is 8, she has been advised to take Lanzol Junr for 2 weeks. For last 2 days she finds stomach ache after she takes the tab. Is this a side effect? She in general has facing this problem for last 2 days. Even she was advised to take Rantac MPS which dr. now advised to stop. Doctor: Hello,Lanzol does not cause stomach pain as a side effect. On the contrary, it helps in treating the stomach ache due to the reduction of the acid in the stomach. I suggest to use Lanzol in the morning before breakfast. I also suggest to avoid food that can trigger the stomach pain.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | 83,539 |
What causes lump on the neck with pain? | Patient: Hey, there my name is mark. I'm 14 and i live in New Zealand. Today i have noticed, a lump on the right side on my neck above the muscle on my back close to the shoulder. It is firm to the touch but hurts please tell me what it could be? Thanks alot. Doctor: HiWelcome to hcmMostly it is lymph node. It requires biopsy after clinical examination by surgeon. It can be nonspecific or tuberculosis or cancer spread. According to it treatment is required.Regards | 66,203 |
Suggest pain relievers with codeine for pain caused by scoliosis | Patient: Hello. I have mild scoliosis in 2 parts of my back that was just diagnosed and I am age 49 (done bearing children and have had a hysterectomy). My dr. has me on 4 tabs of (300/30) Tylenol 3 1 time a day. I also have back spasms. The tylenol 3 does not seem to work and I have to take more and more and I am concerned b/c of the high dose of tylenol. I used to take Vicodin and I would take 1-2 a day and I was fine. Am I stepping backward by asking my dr. to prescribe me less of a higher dose vs. more of a lesser dose of pain med. I have tried tramadol, meloxicam, you name it. The codeine is really what seems to make the difference so that I can get through the day without being in terrible pain and having to stop and put on heating pad for an hour. Any recommendations of a pain reliever that has codeine but you don t have to take in super high doses and doesn t contain dangerous amounts of tylenol? Doctor: hi. For back spasms I suggest a muscle relaxant for example Flexon MRTo answer your specific question u can take Panadeine.However I should warn you u should not take it for more than 3 days continuously as it can cause addictionsAlso since Flexon MR does have pcm don't take the 2 together.If Flexon is unavailable try LoraineSuggested dosage:1 tab of Flexon MR in the morning1 tab of Panadeine at night | 107,332 |
Can a cyst in left breast be cancerous? | Patient: I was diagnosed with a cyst in the left breast 2 years ago. I have recently had a mammogram and ultrasound. the new radiologist does not think this is a cyst and wants me to have a needle aspiration biopsy to check for cancer. I am getting a second opinion and having another ultrasound done first. A cyst cannot turn cancerous right?? Doctor: Thanks for your question on HCM. Breast cysts are usually benign in nature.But can turn into malignancy in future. Though the chances are very less, but possibility can not be denied. That's why follow up mammography is always indicated for early detection of cancer.So new radiologist might find something unusual in cyst appearance, so he order needle aspiration to rule out early malignancy. So in my opinion you should get done Needle Aspiration to rule out malignancy. | 155,522 |
What can be the lump on the tip of my neck? | Patient: Hello! I woke up this morning to find a lump on the tip of my neck under my chin (almost like and Adams apple) it seemed tender and a bit painful if touched or messed with. It almost seemed like I slept wrong. To give some info, I do smoke. But I'm young 23yrs old and never had any severe illness. I sometimes would get tiny swollen glands on the side of my neck which would go away. So I'm a little shocked to have woken up to a decent sized lump. Of course my main worry is cancer or tumor.. But it wouldn't pop up overnight ? So my question is what should I do? Doctor: Hello this is Dr.Subhadeep.thanks for the opportunity to help you.the swelling you have described at the tip of the neck which has come overnight can be an abscess cavity due to some boil or fur uncle or even it can be due to enlarged sub mental group of lymph nodes due to some infection.as you told that u r a smoker so this can also happen during chronic throat infections as chronic cough or chronic bronchitis.the things which you should have elaborated are:1.are you presently suffering from any current throat infection2.is the lump painful and associated with fever?3.can u send me a photo of the lump.that will be invaluable.?4.how is your oral cavity and oral hygiene.any gum infection,tongue ulcer,ulcers over the palate?5.any tonsillitis or throat infection currently?first take a course of antibiotics and anti inflammatory and analgesic course for 7 days as given below.1.tab Moxikind-cv 625mg1-1-1x7days2.tab rantack 150mg 1-0-1x5days3.tab zerodol-sp 1-1-1x5 days4.tab chymoral forte 1-1-1x7days.if the abscess localized a simple incision and drainage is enough. if the lump regresses or disappears then it means that it was due to some throat infection.if the lump still persists then you should do a CBC withE.S.R, Mantoux test, x-Ray neck and x-ray chest,USG neck and most importantly FNAC or even an excision biopsy may be confirmed.if FNAC or Biopsy suggests T.B then ATT has to be started.if the diagnosis is non specific lymphadenitis or sotherwise.necessery treatment can be given.let me know if the consultation was beneficialregardsDr.Subhadeep | 68,774 |
Suggest remedy for extreme cramping in right upper abdomen | Patient: Hi, I am getting extreme cramping/ charlie horse feeling in my right upper abdomen (feels like my liver contracting/ cramping) everytime I try and do sit-ups. The pain is so bad that I have to stop working out and it feels as if an organ inside of me is tightening/ knotting up. It's under my right rib cage area. The pain only comes when I do sit-ups. I am a 34 year old female. Need to lose weight. Enjoy a few glasses of wine 3-4 times throughout the week. Worried that it's my liver?? Doctor: hello,1) if you experience this pain associated with excercise then probably it is muscular pain which you may feel sometimes due to vigrous excercise 2) if this pain occur spintaneously and associated with food intake then you might have stone in bile duct which block the bile duct and produce cramp like pain3) stone in bile ducts are mainly secondary to gall bladder stones of which small stone nigrate into bile duct from gall bladder4) to rule out condition proceed evaluation with liver function test and USG abdomen. If size of bile duct is increased on USG abdomen (indirect indicator of bile duct obstruction) then you might require MRI with MRCP of abdomen.5) if USG abdomen couldn't find any abnormality theb you should proceed with CT scan abdomen in case of persistent abdominal pain | 53,840 |
Cause for slight bulging on the right side under the rib cage? | Patient: Fifty year old male with slight bulging seen in the mirror on right side under rib cage. I m slightly over weight 5 10 205 pounds it s belly fat but the bulge is just on right side. I take allopurinol, half tab of 300 mil and my creatinine levels are a little high. What s your first thought? Swollen liver, great big tumor or one kidney FUBAR Doctor: Hi. My first thought would be a lipoma (benign fat tumour, soft and painless), but a thorough examination by a doctor to exclude other intra-abdominal tumours is a good idea. Hope that answers your question. | 129,208 |
Infertility, unable to produce sperm. Had cyst removal done. Have epididymitis | Patient: I am 36yr male, and married 6 yr back. I am suffering from infertility and not abale to give semen for test. 2 yrs back i have go through TRUS scan and found cyst at urticle and got tranuthreal opreation and removed cyst. Now also i am not able to give sample. i visited several doctors and no one started treatment for fertility without semen test. Last month i again scan scortm and impression is Bilateral Epiditics.My fertilty will be improved or not pls tellme Doctor: hello thank you for writing to HCM 1. As you are unable to give a sperm sample, you should meet a urologist and see if they can give you some medication after you are examined, that might help with erection and ejaculation. 2. You also will require some blood test - hormone profile to see if its normal 3. Sometimes you can have a retrograde ejaculation and this can be identified and you can diagnose the same with a specialist 4. As the recent scan shows epididymitis - you will require antibiotics and treatment for the same hope to have answered your query wish you all the best dr nandita thakkar | 44,046 |
My 26 year old daughter has an enlarged lympnode on her neck & diagnosed with castleman's disease | Patient: hi and thanks my 26 year old daughter was diagn with castlemans disease . she has an enlarged lympnode on her neck which they did a biopsy the doctor is sending her for a ct scan of the body to make sure its only that one . question why would they not do a pet scan (only doing a cat scan ) ? Doctor: FDG (the medicine used in PET scan) uptake in castleman disease is modest. No large scale studies have established the role of PET-CT in castleman disease. PET scan combined with a contrast CT can be done in this condition, though it is not obvious if addition of PET scan will add significantly to the treatment of the patient. | 159,826 |
Suggest treatment for a painful lump on the anus | Patient: I have had a pea sized growth on my anus for a couple of months that i can remember, it is soft and not painful at all. I had it looked at during a routine exam and the doctor had thought it was a hemorrhoid, how long do they usually last? should i be concerned? Doctor: hi.hemorrhoids are permanent unless you have it removed. although if there are no indications for removal, conservative and non-surgical management may be opted. if you observe the following symptoms, pain, bleeding, swelling or thrombosis of hemorrhoids, it is best if you consult with a doctor, preferably a general surgeon for possible surgical management.hope this helps.good day!!~dr.kaye | 62,957 |
How to cure bump over the eye caused by hitting the floor? | Patient: I bumped my head pretty bad yesterday on a tiled floor, the bump doesn t seem to be going down from the ice. The bump is over my right eye and the bruises are rolling down to my eye causing it to shut. Is there anything I can do speed the healing and bruising. Could I take ibuprofen Doctor: Hello, The symptoms seem to be related to the injury. I suggest using ice compresses at the area of the bump. I also suggest using Ibuprofen three times a day for the pain. The process of healing can not be speed up, it may need some week for full recovery. Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr. Dorina Gurabardhi, General & Family Physician | 122,380 |
Suggest treatment for the mentally retarded mid aged woman | Patient: I have a sister who is mentally retarded aged 40 years. From last two months she is behaving abnormal. She is always restless and starts weeping. In last week, she left home twice without informing and traced after 4-5 hours in my brothers house which is 6-7 km from my house. Doctor: Hello,Most probably she is having some new psychiatric.problem but one needs to talk to her or atleast know why she runs or cries? if she is fearful of something or sad..? answer to the reason of her behaviour will decide which drug is to be given. Withoit knowing this it will be wrong to put her on any new drug. Such patients who have MR are prone to.develop side effects fast; so try to figure out why she does all this by making her talk And then we can think about drug managment.Wish you good health.Dr. Manisha GopalMD Neuropsychiatry | 209,110 |
What causes lower abdomen and back pain with a distended endometrium?? | Patient: I am 52 years old with a history of fibroid tumors. I had an ablation done 2 years ago. I had not had a period for 11 months and then 3 weeks ago I started bleeding and had severe cramping. Since then I have had pain off and on but for the past 7-10 days it is constant. It is in the lower abdomen and feels like a constant toothache. Sometimes it goes around to my back. I just had a CT done and it showed a distended endometrium and bilateral ovarian cysts. What could cause the distended endometrium? Doctor: Hi welcome to HCMDistended endometrium in your case could be related to recurrence of fibroid,most likely submucosal fibroid.Get pap smear,fractional currettege to confirm rule out malignancy immediately.Meanwhile take tab.meftalspas.Hysterectomy with bilateral salpingo oopherectomy is helpful in your case.consult your gynecologist for expert management .Thankyou | 88,848 |
What can be the cause for the pain in the ankle? | Patient: Hello.. Hope your day is going well!! Ok I have a bad left ankle as there is a mass that I think is a Lipoma on the Anterior Talofibular ligament... I think it s a lipoma because I have many of them and just had a couple removed recently.. The ankle has been very painful and I have impingement in the area often especially when it is swelled up!! It swells often and sometimes it s very hard to work!! Any thoughts on it?? The X-rays show only a vague whitish shadow at the sight!! Doctor: For pain and swelling in the ankle you can take any pain killer like akilos-p or combiflam with calcium supplements and multivitamins. Apply creape bandage or do hot water fomentation over the affected area. | 133,810 |
Suggest treatment for procrastination | Patient: procrastinator im 26 year old. ive always been suffering with the problem of not been able to concentrate on important tasks and making excuses for myself for not doing the work. recently i read about procrastination and it seems i have all the symptoms of it and im in a very dangerous stage of ruining my entire life. my health is in worst shape. my social life has become a nightmare. ive been addicted to alcohol and mild drugs aa grass and hash to escape any situation. on almost every front of life im suffering because of this. it isnt that i cannot work or dont want to work its just that j don t. god knows why. i cannot plan either. i keep thinking about the things which i NEED to do but sonehow i always end up not doing. whether its to call up parents or friends or go ho to a routine check up to doctor or to complete a task..even if i have to urinate i dont go to washroom intill its extremely urgent. my tendency to push things to last possible moment is damaging my entire life. i even lie most of the time, to others and ro myself too, just to avoid acting on a situation. this habit has made me onto a highly dependent parasite... please help. Doctor: Hi, I am not sure if you are suffering from just "procrastination". You might well be having a depression - or one of its varieties called Dysthymia. Please check with a qualified mental health professional. However, trying to see what do you ACTUALLY want from your life and where do you stand now could an important exercise. Having a goal that sufficiently motivates you would help you build a purpose for your life, which would help you combat your perfectionism. Learning to break down your larger goals into small, achievable ones is an important step to start with. Best wishes, Abdul | 208,583 |
What are the chances of getting pregnant with irregular periods? | Patient: what are the chances of getting pregnant if you have irregular periods? i had my period last jan 5, then had intercourse on 14 and 23 (both withdrawal method) then i missed my period this feb 5 (tho i know i am irregular) then had sex on the 6th (unsafe sex) is there any possibility that i could get pregnant in any of those intercouse dates? thanks for your reply! it'll be appreciated much! Doctor: Hi, I think you should do a urine pregnancy test. There are chances of pregnancy with irregular periods also. So, if test is Negative, you can take some medicines for inducing periods. If positive consult a doctor. Hope I have answered your question. Regards Dr khushboo | 1,603 |
What is the cure for the swollen lymph nodes due to popping of Sebaceous cyst? | Patient: I recently had a pelvic exam when doc noted a sebaceous cyst about the size of a popcorn kernel. He poked a hole in it to let it drain. Two days later my left inguinal lymph nodes were swollen 5 times their size according to ct scan and i was in extreme pain and he lanced the small cyst and packed it. Took doxycicline and with some reduction the cyst healed completely. But left with bad pain in left groin, left lower vaginal perineum sit bone area which radiates into upper thigh and inner thigh. I explained and showed him and he put me on steroid pack. He said thats all he can do as this is not his area of expertise. This is the same doctor that gave me hysterectomy cestecele and rectocele repair 2006. (Also had a inguinal and femerol hernia repair in 1998) Anyway, I go to my family doctor and he said thats not his area of expertise he cant help me...but don t bother going to the emergency room because they wont help you either and my obgyn should have taken care of it (Obgyn already said nothing he can do) He wont look at anything below the underwear but does think I have diverticulitis due to extreme pain when he touched that area. He prescribed me cipro and thats all he can do. I do have pelvic pain above sigmoid colon and chronic diarrea. And last colonoscopy in 2012 revealed small diverticulum in sigmoid and removed 9 polyps (2 were precancerous). In the meantime here I am one month later after two antibiotics and steriod pack painfully sitting at computer searching for ideas to take an active part in repairing my quality of life. Where do I go. What could be wrong. Not that I think i have Leukemia, but my father did pass away from Lymposidec Leukemia. I wish you could help. Doctor: HI, thanks for using healthcare magicThe swollen lymph nodes would have occurred due to inflammatory response from the trauma (lancing the cyst) in the area and infection. It is possible that infection was introduced when the cyst was ' poked'.It is possible that the inflammation from trauma and infection affected underlying tissue. There may have been abnormal healing.You may need to consult another gynaecologist regarding the pain in the pelvic region.The pain in the coccoyx (sit bone area that you mentioned) is termed coccydynia and may be treated by your gp or an orthopedic doctor.I hope this helps | 37,352 |
Can clomatrizole cream on face causes any problems for 6 months old? | Patient: hi my name is Carlo, my 6 month old son has ring worm on his face. My wife has been putting clomatrizole cream on it for the past week . is it safe to use on a baby of only 6 months , on the box it says to not use on a baby younger than 2 years old. I am worried Doctor: Hello, Clotrimazole topical is not expected to harm babies. Topical clotrimazole is only for use on the skin and do not let it get into his eyes and do not let him swallow the medication. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr AJEET SINGH, General & Family Physician | 85,667 |
Suggest treatment for coughing during pregnancy | Patient: Hi, I've suffering from very severe dry cough for the past 1 week...since m 17 weeks pregnant now m worried to consume any kind of medication due to my past miscarriage experience....but the cough is causing so much of inconvenience to me...i even start having abdomen pain due to the coughing..can u pls help me... Doctor: If you have so much inconvenience then please get your self check by your physician and start your treatment. you might have respiratory tract infection that can worsen your condition. | 222,263 |
Suggest remedy for numbness in right side of head | Patient: I was in a bad car accident when i was 16 and i am now 41. I had 32 stitches on the right side of my head. I woke up this past sunday, and my right side of my head where the scar is is numb up to the middle of my head and down a little on my forehead. What the heck is it from? Doctor: Hi, I had gone through your question and understand your concernsI would exclude any link between the two situations. However, if the numbness persists or re-happen you should take a consult to your primary care doctor to have a neurological examination, to be sure that nothing is serious.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | 146,380 |
Should urologist be consulted for problem of frequent ejaculation? | Patient: Hello Doctor, i am 29 yrs old & having problem with ejaculation very frequently (every alternative days) from past 10 yrs i could not discuss this problem coz i am shy kind of a guy. Whom do i consult this problem to a urologist or any other specialist Doctor: DearWe understand your concernsI went through your details. If you are suffering from this frequent ejaculation problem / premature ejaculation problem for last 10 years, you should consult a psychologist first because most of the related problems are related to psychology and clears itself after some counseling sessions. After that, if need be, you may consult a sexologist. 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. | 198,867 |
How much would the prognosis for cholangiocarcinoma patient having inflamed lesions on spleen and liver cost ? | Patient: This question concerns my mother in law: She is a 71 year old woman, and she is a smoker. 2 years ago, she had breast cancer , but it was cured through radiation therapy. This February she was diagnosed with cholangiocarcinoma. She has been following chemotherapy treatment since April to October. The liquid in the bile duct has reduced, but there are still lesions on the liver, it is inflamed, and there are now lesions on the spleen . The oncologist said that a resection was out of the question, so he is trying a new drug combo of Irinotecan 180mg, Folinique Acid 400mg and Fluorouracil 400mg and 46 hours of Fluorouracil 2400mg followed by a week of rest. During all of the previous treatment, she has had very low haemoglobin and platelets. My husband and I would like to know a rough estimate as to the prognosis, as our oncologist seems to go back and forth with his answers Doctor: Hello. Thanks for writing to us. Cholangiocarcinoma does not have a very good prognosis per se. Even after complete chemotherapy, complete remission is difficult. The prognosis depends mainly on the stage of cancer. Anemia and thrombocytopenia is a side effect of chemotherapy. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected] | 159,933 |
What causes facial swelling in a child? | Patient: Hi doctor, My 2.5 years old daughter had sweeling on eyes which then becomes more prominent on face also. Then 3 days later she had high fever. My doctor suggetsed Urine test to check protein in Urine which came normal. Then he asked for blood test. In Blood test everything is normal except TLC which should be till 10,000 but my daughetrs TLC is 30,000. Then my doctor asked for Ultrasound Lower abdomina nd Back which again came normal and chest X-Ray which is also normal. Just her Liver and spleen had a bit of sweeling. What could be the acuse of the same Doctor: Hi...by what you quote I feel that our kid might be having a infectious mononucleosus or Epstein Barr Virus (EBV) infection. Mild facial puffiness and enlargement or liver and spleen suggest the same thing. Will tell you how a viral illness behaves so that you will be more comfortable.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Regards - Dr. Sumanth | 169,225 |
What could red lumps on spine suggest? | Patient: My 14 year old daughter has 3 quarter sized red lumps on her spine and another lump slightly larger on her shoulder.She says they itch.She has had the lumps on her spine for 2 weeks, the other appeared today. I thought it was a reaction to soap or clothing but now I am concerned. Doctor: Hi,Dear thanks for the query to HCM virtual clinic.I studied your query in full details updated from you.I understood your health concerns.Based on your query data, In my opinion ,Dear Your daughter seem to suffer from bed bugs as all the red lumps are on spine and on on the shoulder.Itching confirms the insectbite she had,which is causing these spine lumps.History of similar lump 2 weeks back on the spine,is suggestive of bedbug or insect bites and need to be treated accordingly.Hope this reply would help you to evaluate your case and treat it with your doctors in time to come.Hope this would resolve your query and worry and Anxiety accompanied with it.Welcome for any further query in this regard to ME.I would love to help you out.Awaiting for any further query.Wish you fast recovery from this intriguing health problem.Have a Good Day.Dr.Savaskar M.N.M.S.Genl-CVTS -Senior Surgical Consultant | 62,327 |
What are the symptoms of potential pregnancy? | Patient: hello... I've been taking DMPA since october and had taken again just this January 3, 2014 since DMPA is valid only for 3 months. Just this January 2, 2o14 my partner and i were having sex contact but I worried a lot if I'll get pregnant since january 1 is the sched of injecting some DMPA but i take the next day which is on last january 3, 2014. could i be pregnant? i had a 9 months old baby girl that's why I would like to be protected. I was suspecting because my abdomen was cramping, and my tummy's like something's moving and can feel somewhat like a "heartbeat" and then something kicking my tummy also looks bigger. pls. help me.... I need your info's. thank you.... Doctor: Since you have been taking Dimpa inj. Chances of your getting pregnant are very remote.If you are still in doubt you could get a pregnancy test done.besides certain symptoms like bloating and cramping can be due 2 injection itself | 219,970 |
Suggest cure for stomach ache and fever | Patient: hi,my son is 4 yrs,and is complaining of stomach ache since yesterday,he had high fever also,but on giving him medicine it went down,today again hes colmplaining of stomach ache and makes smelly toilet,had a bit fever is now ok on giving medicine,is his problem severe?plz advice.thanking you. Doctor: Thanks for your query.Read the history and understood it. The most probable cause of pain in a child -Tummy tonsils- meaning enlargement of the lymph nodes of the abdomen.-Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child.-Worms.The best diagnosis is a high resolution ultrasonography. some blood, urine and stool tests.A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis.Also given is a dose of medicines active against worms in intestine.I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem.If this is indicative of appendicitis , please go for the surgery of appendectomy. | 88,171 |
Will oral sex lead to genital herpes? | Patient: I just found out I have genital herpes and I dont know any details... COuld I of had this for awhile and not known or gave it to anyone? I had a severe mouth infection on the inside with sores inside mouth mostly on tongue was put on Valtrex for that,,, could this be latter of that? can I still have oral sex? Doctor: Hi, Thanks for posting in HCM. I understand your concern. Genital herpes is a disease caused by the herpes simplex virus (HSV). HSV is of two types: 1. Type 1 (HSV-1), which usually causes oral herpes in the form of infection of the lips and mouth. Symptoms are commonly known as cold sores or fever blisters. In the past, HSV-1 was not known to cause genital herpes, but that is changing, especially among people who begin having sex at a young age. 2. Type 2 (HSV-2), which, in most cases, causes genital herpes. HSV-1 is usually passed from person to person by kissing. HSV-1 can also spread from the mouth to the genitals during oral sex. If infection occurs, it becomes a case of genital herpes.HSV-2 is most often passed by vaginal sex and anal sex. But just as HSV-1 can infect the genitals and cause genital herpes, HSV-2 can pass from one person's genitals to another person's mouth, resulting in oral herpes. Hence, HSV-1 can also be transmitted to the genitals through oral/genital sex and about 40% of genital herpes is caused by HSV-1. It would be advisable not to have oral sex at this stage as it carries a risk for transmission of infection. Hope the information provided would be helpful. All the best. | 30,588 |
Dull pain across the center of head, ear to ear, sore throat, nausea, eye soreness, chest pain. Diagnosis? | Patient: Hi I was wondering if you could help me diagnose my symptoms!? I rang my docs Friday but they had no appointments for a week!! I have had a sharp pain across my centre head from ear to ear I have taken paracetamol but doesn t help, I have a dull achy pain in both ears, a sore throat and a bit of a cough , nausea , tired, my eyes have been sore dry and itchy and pain in my chest and shortness breath sometimes but I do have asthma using blue Inhailer. I have had these symptoms for a week now! Can you help me? Thank you Doctor: it is acute sinusitis when asthma becoes beyond control of inhalers you get other organ allergies this time sinuses take metrogyl 200 mg bd apply neosporin h eye ointment in nose bd sea water 2 drops in each nose bd for pain add diclo as paracetamol increases asthma take anti allergic montair fx bd(combination of montelucast 10 mg and fexofenadine 120 mg syp tossex 1 tsf bd(combination of codeine and cpm add liquid antacid take for 2 week and consult your doctor when you get appontment | 104,170 |
Suggest treatment for abdominal pain | Patient: Hi, I've been getting abdominal pain for as long as I can remember. In January I developed a horrible case of gastritis, of which I was prescribed 1 medication after another. Eventually the pain subsided into the occasional cramp or dull ache and I have put up with it ever since :-s I have tried an exclusion diet but to no avail however spicey foods and carbohydrates and sitting down for prolonged periods seem to aggregate it. I am a pescatarian (i eat fish but not meat) and tend to stick to a meal consisting of seafood, rice and vegetables. Recently, I have started to urinate far more frequently and I am feeling queasy most of the time. I have just moved into a new flat with friends and am just about to start another year of university. I have been on the pill for almost 6 yrs now. I have also given up eating sugary snacks. I do not drink excessive amounts of liquid but I am desperate for the toilet when I wake in the morning and have been urinating 5-6x a day when I would usually only go 2-3x. Surely all of this can't be down to stress? Doctor: Hi.Thanks for your query and an elucidate history.Yes, surely this all can not be for the stress, but it looks from your history that stress has a part to play in your symptomatology.I hope by this time you must have undergone tests. If not :: go for the tests as i would suggest:::Blood/ urine/ stool tests.Ultrasonography of the abdomen. Hi.Thanks for your query and an elucidate history.Yes, surely this all can not be for the stress, but it looks from your history that stress has a part to play in your symptomatology.I hope by this time you must have undergone tests. If not :: go for the tests as i would suggest:::Blood/ urine/ stool tests.Ultrasonography of the abdomen. Endoscopies. | 90,896 |
Dull ache in back, bloated with indigestion feeling. Chest x ray shows nothing. Concerned ? | Patient: Hi ive had a dull ache in my back since november went to doctor who listened to my chest said didnt think it was anything to worry about , this ache was still there in Jan so went and had chest xray nothing found ..ache is still here now and also feels like acid indigestion with a feeling of feeling bloated ...Now getting a bit concerned AAAA Doctor: please take tramadol one tablet after dinner for 7 days and tan ranitidine 150 mg two times before food for 7 days and itopride 50 mg twotimes after meal for 7 days. meanwhile take one CT SCAN of thorax. you have not mentioned your age or wheather you have any cardiovascular risk factor | 113,704 |
Missed taking nordette pill. Have spotting. Is this normal periods? Pregnancy chances? | Patient: i took nordette for 2months and 1 day i missed my pill ...so a day after that...i have mild spotting for 10days..so i think this is menstrual period.from that day..im not taking the pill until now...and today i already miss my period for 4 days....it is normal if i have irregular cycle after stop taking nordette pill? or i have chance tp pregnant? Doctor: Hi,Welcome to healthcare magic. I have read your question.I would like to reply as below:1) This is unlikely to be pregnancy. There is delay in cycles sometimes.2) Please get serum beta hCG blood test if still in doubt to confirm pregnancy.If you have any further queries, let me know so that I can help you much better.Wish you good health.Dr. Soumya | 224,589 |
Can Imodium be taken while on Doxycycline for pneumonia? | Patient: I was given Doxycycline while in the hospital for pneumonia and took it several days when home. Since March 3rd I have had loose bowels. I took peto-bismol for a week and no help a week ago I started Imodium softgetl and only little help...then I read about probiotics and started taking Ultimate FLORA probiotic 80 billion live cultures.. the question is can I take Imodium also the same day? Thanks Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Imodium is having loperamide. It is not a good drug for diarrhea. So you should not take it. You should definitely take probiotics as they are the first line treatment for diarrhea. Along with probiotics, eat more curd and yogurt. Avoid oily and spicy food. Avoid junk food. Drink oral re-hydration solution (ORS) and zinc tablet. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kaushal Bhavsar | 71,225 |
What causes pain and difficulty in straightening knees? | Patient: I tripped and hit my knee (with a good amount of force) yesterday. It hurt really bad at first and when I tried to stand up my knee didn t want straighten so I laid on the floor a little longer until the pain eased up some. Today it is really bothering me. It is painful to bend or straighten my leg. Walking is difficult as well. The pain in directly on my knee cap and below. I have pins and needle feeling going down my leg. What do you think I could have done to my knee? Doctor: Hi, Kindly apply a pressure bandage at the site of injury. Go to the ER of a hospital. You will possibly need x rays of the affected part. Final treatment will be decided thereafter. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon | 124,949 |
What causes bump inside labia minora? | Patient: I have a tiny grain like bump inside my labia minora, it s actually right on my clitoral hood and I can see through it if I put a light on it. It does not hurt when I touch or at all. I have not had any type of sexual contact with my partner or anyone for a while now so I m pretty confident ruling it out as an STD. About 2 months ago I got tested for STD S at my gyno they never called back so I m assuming everything came back normal. What could this be? Doctor: Hi,This is likely to be a Bartholin's cyst. This is a common cyst that can develop in this area. It is not a serious problem and can be left alone if it does not cause any pain. If it becomes painful or enlarged then see your doctor as you may need antibiotics. Regards,Dr K A Pottinger | 67,985 |
What causes clear blisters under the penis? | Patient: hello?i noticed some small clear blisters on the underside of my penis last night in a small cluster they were filled with clear liquid and they popped extremely easily. do you know what this could be.? i was tested for std's 2 weeks ago and everything came back negative.. Doctor: it could be trauma . refrain from vigorous masturbation or intercourse for one week.Please rate 5 Stars! I strive to provide the best answers to your questions. | 202,234 |
Had back surgery. Have degenerative disc disease, spinostinosis. What can help the pain? | Patient: I had back surgery in may 2012. Wondering if there is harm in having a pain patch and taking an oral narcotic? Cause I have been taking pain pill now for about 5yrs, and they do not phase my pain. I have degenerative disk disease, spinostinosis, and thinning of my spine. Have to see my doctor tomorrow, and just need to know how to go about talking to him about still staying in constant pain. I do not have a daily activity life-style. Have any suggestions? Doctor: Hi Thank for choosing HCM, You are taking pain killing pill since 5 years, now you wont get much relief from this pill you will have to either increase the dose or take potent narcotic pain killing pill, in my opinion if you can hold your self in state of pain and let the threshold of pain comes (Top level of intensity of pain ) then it will decline slowly it self, it is difficult but try it, meditation is also a good, you can try this too, discus it with your doctor ask him for alternative remedy for pain, have nice day. | 112,638 |
What is permanent cure for asthma in children? | Patient: My child is 2 years old. he is having breathing difficulty, wheezing sound when he got severe cough. doctor prescribed antibiotic medicine & nebulised twice a day for 1-2 days.since his birth it happened three times. Doctor told me it s child Asthma which gets cured after 6 years. is it true? what are the treatment to cure it permanently? Doctor: Hi, First of all, don't label your child as asthma. Asthma is not diagnosed under 6 years of age. What your child is having is viral triggered wheezing. It could be that even a simple viral infection will trigger wheezing. To start the child on intermittent metered dose inhaler with Levolin puff for 3 days every time he is getting wheeze.if without cold child is getting cough and fast breathing he requires inhaled steroids. Please go to a proper pediatrician. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prasanna Lakshmi, Pediatrician | 161,258 |
What causes heart fluttering and chest pain? | Patient: I often experience chest pain. Usually comes from doing normal everyday things..walking up stairs, getting dressed. I also experience a fluttering feeling under my left breast.Lasts for about a second then again then again. I am a 22 yr old otherwise healthy female. I have spent the weekend wearing a heart monitor and I am awaiting results but I am just really curious as to what it could be. Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern. I will try to explain something and give you my opinion.This fluttering sensation has to do with some electrical issues in the heart. The electrical issues might be different. It might be a simple sinus tachycardia meaning that your heart is beating over 100 beat for minute and you feel your heart fluttering.It might be a different arrhythmia, like atrial fibrillation when your heart runs in a chaotic way. I don't think it is your case.Or the fluttering sensation might be what we call an extra-sistolik beat, that is a premature heart contraction during its normal rhythm.This are quite normal in young people with normal hearts.All these rhythm issues might give flutter sensation, chest discomfort or pain, anxiety, difficulties in breathing deeply.The cause might be different from simple emotional stress to excessive coffee consumption, alcohol. It is important to avoid them during this time.The other cause might be pathologyes like anemia, hyperthyroidism, cardiac anomalies.So, if i was your treating doctor i would do the same that your doctors has already done, a rhythm holter monitoring. It will give a fool view of your rhythm tendency and show what are this fluttering sensations.I will also recommend a blood check up and your thyroid hormones. After this we can better judge what to do.Hope I was helpful. Best regards. | 25,365 |
Breast Cancer due to natural breast enhancement products | Patient: Hi Good Morning, I would like to enquire about a product called Bio Bust, I have a history of brast cancer in my family and i have Fimafibroses or Breast Mouse, i would like to know if a product such as this will put me at risk for breast cancer? and if it will influence ones Menstruation cycle? Kind Regards Doctor: Hello Alicia; welcome to HealthcareMagic First of all there is no product which surely helps enhancing the breast as the breast is made of fatty tissues and mammary glands so the increase will take place only after excess deposit of fat on the breast.As for the product to be used is will not make you more prone to breast cancer but if it does not benefit you there is no reason you should use it.The bio bust will only help to moisturize the breast skin. Thanks | 160,033 |
What does CRP-11 from blood test indicate? | Patient: my 6 year old son has recently had blood tests carried out. This was done because he had been feeling tired. His crp was 11. I have been told that this is a sign of an infection. He has been referred to a paediatician. How worried should we be about this. Doctor: Hello,RP of 11 is an abnormal report, but you need not worry about it as it does not signify a serious infection or illness. More than the blood test, what is more important is the general condition of the child and we should always combine both and see.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sumanth Amperayani | 165,427 |
Does a cyst in the brain cause sensitivity to bright light? | Patient: Very soon after entering some highly lit environments I often feel that I need to sit down and feel just sort of sickish. I have a diagnosis of MS, which is very inactive. I also have a cyst in my brain. Are either of these related to this problem? Does it indicate another problem? Doctor: Hello, Uhthoff's phenomenon in Multiple sclerosis can cause temporary worsening of vision and heat is the prime aetiology. Highly lit environments might be increasing exposure to heat. Even a 0.5 °C increase in body temperature can slow or block the conduction of nerve impulses in demyelinated nerves as in MS. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist | 140,970 |
Is it possible to recover from side effects of masturbation? | Patient: I have being doing mastrunation since 5 years.I feel I lost all my concentration and cannot study because of this.I am also gradually becoming lean.I want to stop this and improve my health.how is it possible.suggest me some good tips and madiciens.. Doctor: Hi the best possibility to recover from side effects of masterbation can be by thinking that the masterbation is a natural process and not a abnormal one.it is only due to hormonal changes.If there is weekness associated with it take balanced diet along with neurokind plus daily once until weekness subsides | 203,956 |
Suggest treatment for congestive heart failure | Patient: My 57 year old cousin was admitted to the hospital last week with congestive heart failure and was told only 20 percent of his heart was functioning. Turns out he has all kinds of blockages all over his body. They had to put in four stents including one in the coronary artery before they could do bypass surgery today. He needs three bypasses but they were only able to do two. Before surgery, he was told that they wanted to do more stents this week as soon as he recovered from the bypass surgery. What kind of prognosis do you think my cousin has? Doctor: Hello, After going through your medical query I understand your concern and I would like to tell you that 20% ejection fraction is very low to survive and patient admits with heart failure again and again. ICD device can help a bit if your cousin can make out for that surgery kindly consult with your cardiologist regarding this. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist | 17,712 |
How to overcome the phobia? | Patient: Dear doctor, I am 31 year old married man having one child. my problem is i am suffering from various phobia, i am fear ful to go in dark, if i am afraid of seeing a cremation ground ,a hospital, or police station and such buildings. i started shivering while giving interview. i am myself at a very good position but still i am fearful to most of the things. please advice me Doctor: Hello,The best to get relieved from phobias is systematic desensitization program. Pkease consult your neares psychotherapist.Thanks. | 207,041 |
Suggest treatment for rotten teeth with swollen jaw | Patient: My brother has several rotten teeth, his right jaw appeared swollen today and he has been feeling ill for a long time, He will not see a dentist fearing that his teeth will be extracted and he cannot afford dentures. he complains of a sore stomach and has no energy.Is this serious? Doctor: Thanks for using Health Care Magic.Read your query.Swelling and rotten teeth as you have described in your query suggests abscess in relation to the decayed teeth. All teeth decayed will not necessarily go for extraction, only after you get it checked you can have a idea on the treatment plan to be undergone.I would advice you to take your brother to the dentist for a check up and get the decayed teeth filled or have root canal treatment done after having an radiograph done.For the pain , he can have ibuprofen ( if he is not allergic to any medicines) and may also require antibiotics like amoxicillin after prescription from dentist.As there are decayed teeth ,leading to inability to eat properly will also effect his food habits and will cause related digestive problems Do not apply hot bag externally.Hope this was helpful.Thanks and regards. | 184,487 |
Suggest treatment for hair fall | Patient: Hi, I was using Min-top forte 10 twice in a day as advised by doctor, Almost i used 2 years. Hair fall were controlled. But i dint get a density. So i stopped treatement and applying onion on my scalp, But i lost almost half of my hair, Please suggest me what should i do now? Doctor: Hi, There is no permanent cure for androgenetic alopecia.You need to restart applying minoxidil as it will help in hair regrowth. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist | 9,783 |
What is causing my daughter s sticky eyes? | Patient: My daughter is 3 years old. Every morning she could not able to open her eyes due to stickyness. We have showed to many doctors. Some of them says that its an allergy and will last for 2 to 3 years. Some are givign some eye drops but no use. If we take her out in a quite airy wheather, her eyes get red. I would like to have your valuable suggestion on this. Doctor: Hi,Is she having any atopic manifestations like eczema or wheezing? Any chronic itching or stuffiness of nose? Are the eyes itchy and watering through out the day, apart from morning hours? Also, any seasonal variations for the same complaints?Conditions to be ruled out are allergic conjunctivitis or obstruction of naso-lacrymal ducts and chronic blepharitis. If the there are purulent discharge along with stickiness, taking an eye swab in the morning for examination can detect any organisms colonised, which then can be cleared with proper antibiotics. Kindly discuss once again with ophthalmologist. Sticking to one doctor during successive visits will help directing a proper workup.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician | 160,703 |
Suggest medication for intermittent stomach pain and nausea | Patient: I have had these symptoms of intermitent stomach ache, nausea, vomiting, severe headache hot flashes and cold chills on and off for months. I've seen 2 physicians, one thought it was my thyroid gland, the other thought heart disease. They were both ruled out. I hope you can help. Respectfully, Natalia Zylich Doctor: Hi Natalia Zylich.Thanks for your query.The symptoms complex of intermittent stomach pains, nausea, vomiting, headache, hot and cold flashes and cold chills for months may be indicative of the following:Hormonal imbalance either due to your suffering from within or taking some hormonal preparations.Other probable cause can be - carcinoid syndrome, multiple endocrine neoplasia MEN I and MEN II have to be ruled out. I would advise you the following ::CT scan of the abdomen , Blood : routine and Hormonal studies.Urine; Routine , microscopy and culture and sensitivity.Blood 5 HTTA and related tests.ColonoscopyAll these tests and the additional tests as may be advised by your Doctor, after taking a Third opinion. Till then you can have a symptomatic treatment.Antibiotic, metronidaszole, probiotics, PPI like Pantoprazole, Domperidone for nausea and vomiting; and any symptomatic and supportive treatment as may be required. Once the diagnosis is made the treatment will be easy. | 86,926 |
What causes upper spine pain radiating to shoulder and arm? | Patient: Hi I have upper spine pain, radiating to shoulder, right arm. Taking valium. endone, mobic. Severe pain eased by reclining, lying down. Painful standing, sitting, cannot drive. First incident two years ago. Strange, my sister just recovered from it. Know of husband wife suffering same symptoms. Could this be a virus? please Doctor: Hello, The most likely condition to consider is pinched nerve from diseases of the cervical spine such as spondylosis, spondylolysthesis, herniated disc disease. Getting evaluated neurologically and by imaging studies such as x-rays and MRI of the cervical spine is necessary in such cases. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Erion Spaho, Neurologist, Surgical | 140,296 |
What causes lump under skin near scrotal area? | Patient: Today while showering I noticed an odd lump under my skin. It s near the underside of my scrotum on the right side, around where my scrotum connects to the perineum. It s about the size of a pea, hard, tender, flesh-colored (I think, it was hard to see). I am 14 years old boy, should I go to the doctors to get checked out Doctor: Hi, thanks for sharing your health concerns with HCM! If I were your treating Doctor for this case of skin lump near scrotal area, I would come up with three possibilities, these include: 1. an infected sinus tract or skin tag like fibro-epithelial polyp!2. inflamed lipoma or benign fatty tumor or neurofibroma3. a lymph node or sebaceous cyst Overall, it is benign and inflammatory; not to worry about this but you could go for FNAC test for confirmation before consulting a surgeon in your area!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | 66,358 |
Suggest treatment for bumps in cervix | Patient: hi, im 21 and trying to conceive. I have normal periods, I ovulate every month(confirmed through temping my bbt), and I feel like i ve been trying close to a year. I have always been pretty healthy. No, we have not actually had a pre conception check up so I really don t know how good of a sperm count my fiance has yet. but my question is, I check my cervical position and have noticed in the passed that I have tiny bumps on my cervix. I googled it and it said cervical polyps. I heard it can hurt chances of conceiving, and I m just wondering if there are any home remedies I can do to get rid of them. Like I said, I don t always have them. Just feel them every now and then. Doctor: Hello, and I hope I can help you today.The bumps you likely are feeling on your cervix are most likely Nabothian cysts rather than polyps. Polyps are fleshy soft growths that are just outpouching of the normal glands that line the canal of the cervix. It would be difficult to feel them and they usually cause irregular bleeding or bleeding after sex. They do not cause infertility (uterine polyps can, but those are not the same and are not possible to feel because they are inside your uterus.Nabothian cysts are just blocked mucus glands that can feel like knobby bumps on the cervix. They also are not harmful and do not interfere with fertility.Both of these findings on your cervix can be seen on a speculum exam, so a GYN doctor would be able to tell you what you are feeling if they looked inside you.Also, regarding the position of your cervix, this also has no bearing on fertility and does not change from month to month, so you do not need to check your cervix regularly especially if you have a yearly gynecologic checkup.Regarding BBT charting for conception, your temperature goes up AFTER you ovulate, so I recommend not checking it anymore if you know around when you ovulate in your cycle and just have sex every other day from the time your period finishes until you feel premenstrual symptoms. Some women only have sex after their temperature goes up and they miss the actual time of ovulation. So there is no reason to suspect you will have problems conceiving and you do not need to be treated for this because it is a normal finding in many women. 80 percent of couples will conceive within a year. If you have been having sex at the right time and it's almost a year, it might be wise to have a GYN exam and a hormonal evaluation, and also have your fiance get his sperm count checked, as 50 percent of the time it can be a male factor.I hope I was able to answer your question and that my advice was helpful.Best wishes and good luck with your pregnancy plans, Dr. Brown | 41,018 |
Why is one unable to conceive? | Patient: we are trying to concieve for 7yr but no luck got treatment under reputed doctor for 4 yrs but they couldn t concieve my wive even once .i kyrotyping show translocated gene but we have tried donor sperm for nearly 2 years. also my wife concieved naturally 4 times but aborted within 2month, can u help us Doctor: Hi, Thanks for the query. Though translocated gene as a cause of sterility is not treatable, you had rightly tried doner sperm to solve your problem. Then also your wife conceived 4 times.. this is a satisfactory news. .. but it's sad that she aborted at 2 months pregnancy. Second month abortions are mostly due to hormone deficiencies ( progesterone-- which has a vital role in maintenace of pregnancy ) So next time, timely diagnosis /consultation of your gynecologist for hormonal supplement is the answer for your problem. Thanks. | 220,786 |
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