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Is it safe to take Retard and Deslor during pregnancy?
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Patient: Hi, may I answer your health queries right now ? Please type your query here... hi my wife is 17 weeks pregnant and suffering from asthama doctor has suggested retard 150 and deslor tablet with oral steroids is it safe for use during pregnancy will the same be harmfull to the baby??? Doctor: Hi,It is best if your wife takes the asthma medications. Asthma can complicate pregnancy and cause harm to mother and baby if not controlled. Deriphylline, antihistamines and steroids even oral can be used to control asthma in pregnancy. As it is more harmful to the pregnancy if she has an attack, than any harm from the medications.A lot of women are worried about effects of medications on their babies and so do not take medications, which leads to serious asthmatic attacks in pregnancy.It would be best if if she continued the medications as advised by her doctor.Hope this helps.Regards.
| 222,066 |
What causes malodorous bleeding discharge from lumps around rectal opening?
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Patient: Hello - I have several external lumps inside and around the opening of my rectum (each is about the size of dime is diameter). Every time I have a BM there is blood on the stool and toilet paper. Also, there is a daily foul-smelling discharge from the anus. There is another similar looking lump on the lower part of the penis which is much larger but no discharge. Doctor: Hi,Dear,Good Morning from India.Thanks for your query to HCM Virtual Clinic.-I studied your query in depth.I understood your concerns.-In my opinion-you may be suffering from -mostly from-? multiple Piles ? or with fissure ? with fistula in ano with foul smelling discharge-? or could be hidradenitis suppurativa-or acne inversa?-From the facts given-you mostly have -fistula in ano with anal abscess-The one on the penis appears to be furuncle.-You need to consult your Surgeon-and get fbs/pps done to rule out the diabetes issue with you-which could be causing it.-You should definitely be concerned of this issue.Hence I advise you to take care as advised.-This would help to recover fast.-Not to worry for its recurrence and its definitely not a Cancer for sure.Hope this would help you to recover fast.Wellcome to HCM again for any more queries.Have a Good day.
| 64,417 |
How can constipation in a child be treated?
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Patient: My granddaughter who is 2 months old has not had a bowel movement in two days, I raised 4 boys and never had this problem. Her parents are out of town and I am watching her, is there something I can give her that does not require a doctor. thank you for your help. Doctor: Hi,Its quite common for infants not having motion for 3-4 days. If he is not having significant abdominal distension/repeated vomiting/excessive crying, and feeding as usual, nothing to worry- he will pass motion in coming 2-3 days. In such cases, if above mentioned symptoms are present, after ruling out structural obstruction by abdominal examination and rarely an X-ray, I used to give bisacodyl suppository 1-2 times and further workup if symptom recur or persist.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician
| 160,806 |
Can Botox injections cause allergic reaction?
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Patient: I was injected with Botox in my chin area n juvaderm around lips and nasolbial area. I have had pain and swelling for 8 months. I did blood work last week with a infectious disease doctor. Part of it came in and was good. He had to send off for the other part which I m unaware of. Just wondering if you can have an allergenic reaction for 8 months with these injections. I also was injected 5 months post op of having a facelift. Doctor: hi,yes this injection botulinum toxin(botox) has not a uncommon allergic reaction.u might have allergic to botox but your treating doctor can say very accuratlyas he has seen this allergy.The best way to cure allergy is avoidance of contact with particular allergen despite there are very good medicines avilable in market to combact allergy.
| 99,710 |
Is shoveling in snow harmful for a heart patient?
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Patient: My husband had a heart attack one year ago Jan. He had one stent done and 2 others were partially blocked. He exercises 3 days a week and swims a mile in a lap pool 3 alternate days a week. He was also diagnosed with R.A. He now wants to shovel snow. Please help me convince him this is dangerous for him. Doctor: Exercise is an important part of treatment for coronary artery disease. Meanwhile, unusual exertions, something that you do not do repeatedly for conditioning, are unwise. Snow shoveling is one of the activities that is part of your routine only if you live near the poles. I agree with your caution. Stay with routine and if you want to vary, do so slowly.
| 20,248 |
Suggest treatment for sharp pain on lump
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Patient: almost 4 months ago i tripped down some stairs and hit my forehead against the wall. i had a huge lump that was there for about 2 weeks including black eyes that healed after 2months...finally after that the lump became smaller i started to feel sharp almost needle like pains on the lump. the lump hasnt fully went away but now i do see a small dent on the top of my forehead. could this be a serious matter that i should get an MRi for? Doctor: Hi.The typical pain is due to the nerves getting reattached to each other in a different fashion during the healing process. This is called parasthesia. This is usually a self limiting disease . IF you feel it it troublesome you can get a prescription for the medicines to reduce this type of pain.The trauma which has caused such a severe problem should have been investigated .. by a CT scan as the bone defects are better in a CT scan than a MRI. CT will also show other parts of the brain and all. Go for a CT scan
| 69,932 |
What causes toothache between first and second upper molar, pain in gum area when applying pressure on it?
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Patient: Hi. For the past several months, I have a toothache between first and second upper molar. It is only irritated when food is stuck between and this pain can sometimes be felt towards my right ear. Once, I floss, it still hurts until all food is gone. When I apply pressure on a particular gum area between the two teeth, it causes excruciating pain. What is this? Thanks. Doctor: Hello and welcome.Thanks for sharing your concern.After undergoing the complete history it appears that there is a pocket developed in your arch.It requires a clinical examination.Based upon the extent of damage treatment can be planned.In my view further delay would slowly aggravate the problem and might damage the adjacent teeth too.Therefore please see your dentist soon in this regard.Hope it helps.Thanks.Take care.
| 187,830 |
Experienced face numbness followed by intense pain that started with ascent of airliner and lasted till the final minutes. Cause?
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Patient: I was minutes into ascent of airliner..suddenly my left side of my mouth became numb, quickly followed by the entire left side of my face. Once numbness had taken over the left side of my face..including teeth and gums..intense pain followed. The pain so debilitating I could barely keep my dignity on the flight.The numbness and pain lasted until the final minutes of the 2 hour flight. What could cause this scary symptoms? Doctor: Hi,Thank you for posting your query. Your symptoms are suggestive of a problem in the trigeminal nerve area, which starts in the brain stem and supplies the face.It may be useful to do an MRI scan of the brain, to identify the underlying reason. Mainly, we need to exclude any ischemic lesion (lack of blood flow to that area).Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected] blog: http://bestneurodoctor.blogspot.com/
| 149,827 |
Persistent congestion, no sore throat or fever. Taking allergy medication, no relief. Cure?
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Patient: I ve had congestion for almost 2 weeks now. I don t have a sore throat or a fever that usually goes along with congestion/runny noise. I have been taking an allergy medicine, and doing a neti pot to clear my sinuses. But, I still wake up VERY congested. Plus, it s making me a little more tired then usual. What s going on? Doctor: Hello, At this point I don't think allergy medication will be of any use. You are probably having sinusitis which will need to be treated with antibiotics ( such as amoxicillin-clavulinic acid) and a steroid nasal spray or any other nasal decongestant used in the morning during congestion. You can take the antibiotics for 5-7 days. If no relief please do pay a visit to an ENT specialist. Best wishes and hope this helps
| 104,901 |
Suggest remedy for nagging pain in scrotum
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Patient: Good evening. I have been having a nagging pain in my right scrotum for the past 2 or 3 days. Its most noticeable when I run or jump. Since I am an active runner, this is disconcerting to me. It feels light something is squeezing my right testicle. Is this something that will clear up in a few days? Can I wait to see if it will get better? Doctor: Thanks for contacting HCMYou are concerned about having right testicular pain after exercise. This pain could have many causes. The most common would be just strain of the groin muscles. During your exercises make sure you wear a jock strap and tight fitting underwear to support your testicles.Another possibility is an inguinal hernia. These are congenital and will manifest themselves with testicular pain and a lump in the groin. Your doctor should do a hernia check.Also you could have epididymitis an infection of the sperm tubules behind the testicles. Your doctor again should check and if needed start you on antibiotics.I recommend if after wearing better supportive underwear or jock strap that if you are still having pain that you seek medical attention.Hope this answers your question. Please contact us again with your health care concerns and questions
| 201,420 |
How dangerous a blood clot on brain cam be?
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Patient: Can you please tell me how serious or dangerous can blood clot in brain be?My uncle is a heart patient. He had undergone open heart surgery about 15years ago. And few days back, he had cataract operation. ! week before the operation, doctors changed some of his medicines. Operation went good. But the next day, he fainted. He was taken to hospital. Doctors said that he has a blood clot in his brain. That is because, when doctors changed his medicines, he was asked not to take some medicine which he was already taking. Because of stopping that medicine, he had a blood clot in his brain. His half of the body is paralysed. Can you please suggest some good and fast treatment for this ? Doctor: Hi, I had gone through your question and understand your concerns. Blood clot in brain can be a serious condition, it may result in heavy damage of health and function, even in some cases death. Before surgery were stopped antiagregant drugs ( anti clot drugs) to reduce the risk of hemorrhage. The clot has its origin in your uncle's heart. Treatment first 3 to 6 hours is mechanical trombectomy or trombolysis. After first hours if this treatment has not be done, further treatment is difficult and consists on anticlotting drugs ( to prevent further clotting), brain protective drugs, physiotherapy (reabilitation). 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.
| 146,449 |
Trying to conceive, PCOS. Prescribed metformin. History of abortions. Will medication help me in conceiving?
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Patient: I m 28yrs old,its been 3yrs tht i gt married... N had abortion twice in d first 2yrs of my marriage.. Planning fr a baby nw n diagnosed with pcos n my doc prescribed me wid metformin 850mg i hve taking it since a mnth.. Hw does it help me in.conceiving.. Pls let me knw.. V r worried abt my pregnancy... I want a healthy baby Doctor: Hello, Thanks for posting. Metformin will help in conceiving indirectly by first of regulating your menstrual cycle (hence ovulations). The presence of PCOS will require a medication that could regulate hormonal balance of your body since imbalanced hormoone with PCOS will not be very good if you are planning to conceive. Metformin does not have any known negative effective on your future baby ( no contraindications during pregnancy). It was probably prescribed because of your size (you are probably overweight or have obesity) and this would reduce your size and hence effectuate your cycles. Metformin might require stopping by your gynobs after you have taken in (gotten pregnant). So consultation with your treating physician will be recommended. Hope this helps
| 43,680 |
Any suggestions for vertigo caused by a burst aneurysm ?
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Patient: I have vertigo caused by a burst aneurysm. Any suggestions? I've done physical therapy, occupational therapy, cognitive therapy, vestibular therapy and Valium therapy. It's the last symptom standing in the way of a normal life.Any suggestions. I'll try anything. Doctor: Dear it is known that betahistine helps diminishing vertigo so I would suggest you to try it.Betahistine 24 twice a day starting from two half tablets first five days.Wish you all the best
| 148,514 |
Could tests showing SGOT 58, SGPT 149, alkaline phospate 149 suggest liver problems?
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Patient: My name is deepak and just gone through the liver path test. and the reading of the test are as follows- SGOT-58; SGPT-149 Alkaline Phospate-149, rest test reports are OK. Please tell how to reduce SGOT & SGPT level. Am i suffering from any liver disease? Doctor: HelloYour findings may suggest raised SGPT,SGOT and alkaline phosphatase.Elevated SGPT and SGOT may indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes etc.You may need few more investigations like routine hemogram,random blood sugar,lipid profile,viral markers,urine RE/ME,ultrasound of abdomen.I suggest tablet ursodeoxycholic acid 300 mg tablet twice daily for three months.It helps in regeneration of liver cells.You may need to take few more medicines after complete investigations.Alkaline phosphatase is mildly raised and it is acceptable.Get well soon.Take CareDr.Indu Bhushan
| 55,646 |
Does methedone affect learning capabilities ?
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Patient: My son is on Methedone because he was addicted to Fentanyl.His dosage is 75mg. Does Methedone affect learning capabilities ? He wrote a test for a job and could not finish it. He said he knew the answers but it took him so much longer to calculate the answers. Doctor: HIThank for asking to HCMMethadone, is synthetic opioid this may be affecting the learning ability, you have to stop the medicine to avoid it, have nice day.
| 148,461 |
What are the side effects of masturbation?
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Patient: hi, i been mastrubating regularly from my teens. now i am worried that it may cause some health problems in me, i am 24yrs. i am not a social person from my childhood, i started loosing hair, my vision is blur than usual. does quiting mastrubation help regain my immunity and health back..? Doctor: Hello, Masturbation is normal and natural but excess masturbation can cause some physical and psychological disturbances. The stress associated with masturbating can cause the symptoms you mentioned. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist
| 193,501 |
Suggest treatment for severe chest pain and high cholesterol
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Patient: i am 38 year old woman 5 foot 112 pounds I have had pain in my upper left side under my underarm and pressure in my chest every day and have had it for two months if I eat it gets worse I have had ekg s and a treadmill stress test they all came back fine I do have high cholesterol and I am on cholesterol medication but when I take it it makes my chest hurt in a different way , what do you think it could be its driving me crazy Doctor: Dear- thanks for using our system, I read your question with care and will give you my medical advise. You might be experiencing chest pain from digestive tract or non cardiac origin. The fact that you already had a negative treadmill stress test goes against cardiac. I understand that you have risk factors for coronary artery disease but test was negative. Statins are the most used medication for cholesterol treatment and they can cause muscle pain that can be what you are suffering. I would consult with your doctor to consider holding the medication for few weeks to see if you have an improvement. Increase the exercise and improve the diet for a better cholesterol.You should see the results in 4-5 months.I hope that my advise has been helpfulDr.Sara
| 27,132 |
Teenager has on-again off-again habit of humming without realizing it popped again. Suggest?
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Patient: My brother was nervous about football so his on-again off-again nervous habit of humming without realizing it popped up again. After about two and a half weeks of constantly reminding him that he is humming, he hasn't stopped. I don't know what to do, he gets so annoyed when anyone tells him. Teenagers, what are you gonna do with them, right? Anyway, please contact me and let me know what I have to do to help him. Doctor: Actively opposing to his idea will not work. You have to go along with him, take him into confidence, and then gradually tell the pros and cons of the same. Alternatively, contingent his study time with play time by making a behavioral contract. this works
| 211,683 |
HLA-B27, depressed, feels stiffness, back weakness. Precaution?
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Patient: Dear Sir, I have learnt a lot about your goodself and want to share some personal concern with you.My brother aged 27 yrs suffer with HLA B 27 from last 6- 7 yrs and he is very much depressed with the ailment ,He always having stiffness and he feel his back very weak.there is no much movement in his neck . I just want from ur goodness what precaution he try to smooth his life? Is this ailment is curable ? Doctor: hi..this is a painful disorder called ankylosing spondylitis..now-a-days immunological treatment is available for this..so just consult a rheumatologist and live a healthy life..thanks..
| 213,101 |
Suggest remedy for soreness in scrotum and penis
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Patient: My scrotum gets red, blotchy, painless patches, but then a thin layer of skin "disappears" (not peels) and has a severe stinging, burning pain. The entire front of my scrotum is red, though only the area above the testes stings, though the back bottom area has become sensitive. The patches are now appearing on my penis and I want to cure this before is worsens. Doctor: Hello,Consult a general surgeon or a dermatologist at the earliest and get evaluated. Spreading lesions of the scrotum has to be managed properly because it might lead to deleterious complications like gangrene. You might require IV antibiotics also.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 193,269 |
What is the treatment for lower abdominal pain?
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Patient: I have been having pain in my lower right abdomen for years but it is increasingly getting worse. I feel bloated and at times have had major gas. I have been to the dr, have had CTs, xrays and ultrasounds and they have seen nothing. it is worse when I am sitting down. It feels okay in the morning and gets progressively worse. Doctor: HI.The cause of your symptoms of pain in lower abdomen can be due to the following reasons considering your history of these symptoms for so many years::- Irritable bowel syndrome (IBS).-Intolerance to a particular type of foods and beverages.-Stress and anxiety.-Organic causes like Tuberculosis, Crohn's have been rule by the tests you have undergone like - CTs, X-rays and ultrasounds As you problem is increasing with the day passing by, it is thought to be due to IBS.I would advise you the following ::-Colonoscopy and biopsy-Diagnostic Laparoscopy -Avoid all good and beverages that enhance your problems.-Stay away from stress and anxiety at any cost. and take medicines for this under a Doctor's prescription. Change of life-style will definitely help you the most.
| 87,968 |
What causes rectal bleeding after having double bypass surgery?
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Patient: My 76 year old friend had a double by pass surgery last Thursday. This morning he expereinced rectal bleeding. He is still in the hospital and was expecting to be discharged to go home today. Can the blood thinners be causing the rectal bleeding? What type of tests should be done? Doctor: Hello. Thank you for your question and welcome to HCM. I understand your concern. With your description I am assuming that you are referring to clear red blood in the stool. When this phenomenon happens, the problem is probably in lower "floors" of the digestive system, which means, in most of the cases, it can happen from hemorrhoides. In this aspect, I would suggest you to consult a general surgeon and a digital rectal examination should be performed. If you are referring to aspirin and/or clopidogrel, when you mention blood thinners, then they can cause bleeding from upper "floors" of the digestive system, such as the stomach or the duodenum (the most proximal part of the small intestine). In such case, in most of the cases, this bleeding is reflected by giving the stool a dark brown to black discolouring. However, I would suggest that a general surgeon should be consulted first, and then other diagnosis sought. I hope I was helpful with my answer. Take care. Regards, Dr. Meriton
| 26,729 |
Delayed periods. Had unprotected sex. Took i-pill. Pregnancy test negative. What is the next step?
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Patient: this side richa. i had a unprotected sex on 22nd of April,2013 and took i-pill within 2 hours after it was done. that time my periods date was approaching and it was supposed to fall on 12th of may but till now my periods does not occur as it is 14th today . so, i m very much worried about the same whether this is something due to the pill that has been taken or there is some pregnancy problem. please help me out for the same . i m in a great need this time. * one thing more to inform you that i had already taken i- pill twice previously for 4 months back . this is the 3rd time now. i even used pregnancy tester today to make sure about the condition and it showed the negative result. what should be the next step to be performed from my side.. please assist me..thanks Doctor: Hellowelcome to health care magicChances of pregnancy after taking emergency contraceptive pill is rare..Because of the presence of progestrone in it you may face with drawl bleeding..and your periods also will come irregularly...you need not to worry about pregnancy..with in due course of time your periods will regularize..there is no next step in this regard..Hope you understand my answerThank youDr.siddartha
| 226,149 |
What causes vaginal bleeding with missed dose of althea?
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Patient: Hi Doc! I would lam so worried now. I used the althea for 5months now. Sometimes i forget to took a pill so i took it twice the next day. and now im on my 12days of althea and on the 10th day i had bleed and it is still here til now ..do you think I am pregnant? or it is just because i sometimes forget to take the pill and took it on the second day? do i need to continue taking the pill? please help me doc. Doctor: Welcome to HealthcareMagic,Althea is oral contraceptive pill and needs to be taken regularly. If you have missed only one tablet and taken two on the next day, the protection of the pill will be effective and you have nothing to worry about. You are not pregnant and the occasional spotting can be present sometimes. Continue taking the pills as usual.Hope that answers your question.Regards, Dr.Imaad.
| 224,392 |
How can head and back pain with confusion be treated?
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Patient: hi doctor,i was really sick 3 years a go,in winter,had verry strong pain in back of my head,and strong pain in my back,was just about to move,and was really a lot perspiration,or heat in my legs too,for about a few weeks,i was thinking thats gona be it,but somehow i survive,just now left the same in back of my head problems,and comfusion,cannot concentrate,ignoring friend,left my job,done mri scan,but they say you ok,i dont believe it i fell i am going crazy,what to do doctor,maybe you can help Doctor: Hithank you for trusting HCMI read you query and understand your concern I am sorry for the symptoms you have sufferedYou should be happy that MRI cam back normal so you have excluded some risky brain pathologiesIt is important the time you took MRI after first symptoms you suffered?It seems that you have suffered a subarachnoid haemorrhage If MRI is done late it result can come back normalLumbar puncture confirm the diagnoseAnyeay as time passes you will be better Wish you good healthPlease feel free to ask for further information or review my answer Stay healthyRegardsDr Eris RanxhaNeurologist
| 108,131 |
Can increase in dosage of bupropion XL to 300 mg be helpful in treating anxiety and substance abuse?
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Patient: My son 24 yrs old just visited a new physician. He has never taken any prescriptions for ADHD in the past and the new Dr. ordered Methylpenidate. My son has a history of anxiety and substance abuse. I am an RN I don't feel that Methylphenidate is a wise choice. He is currently taking 150mg Bupropion XL for depression After reading info on this website it seems that an increase in dosage to 300mg daily might be helpful? Doctor: good day! You physician made a good choice. Stimulant drugs work good in ADHD. Discuss other options with him and let him decide what is best for your son.good luck
| 148,225 |
What is the right time to get tooth implant?
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Patient: My daughter was planning to get her implant in January after her tooth got knocked out in August. Its now recommended for her to wait untill she's 17 cause her mouth could still be growing because she is 16yrs old.Could she get it sooner with no problems. She also already had braces for 4yrs which got off in July' Doctor: Dear sir4 months is good time for extraction socket to heal. You can wait till 17 but if the space is left with out prosthesis then their might be mesial migration of adjacent teeth which again might create problem while placing an implant. Do take opinion on this.
| 181,907 |
Missed period, sore breasts, lower abdominal pain, have cravings. What does this mean?
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Patient: Yes im 20 years old and ive missed my period now for 7weeks. i dont know whats going on. I usually come on every 3rd week of the month. Last month i spotted the 26-29 and it was really light, bleed 30th but my pregnancy test was neg. This month my boobs and nipples has been really sore all this month. i crave different things that i never eat. Im eating more and more since then. Im feeling small pains in the lower right part of my stomach. Can you help? Doctor: Hello,First of all, you need to undergo one blood test for beta-hCG to exclude late pregnancy.Other reasons of long time missed period are ovarian cyst or PCOD, obesity, stress, pelvic infection, hormonal imbalance, mental stress/ anxiety, irregular diet habit etc.Some basic investigation like USG, hormone assay, thyroid profile etc are required after proper examination by your gynecologist. Take suggestive measures accordingly.Take healthy diet, avoid stress, control body wt and maintain genital hygiene. Wear tight breast support to get some relief. Take some antacid to remove indigestion problem. Hope it helps.
| 218,748 |
What are the chances of pregnancy with BC pill and vaginal bleeding?
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Patient: I was wondering if i could be pregnant. Im on birthcontrol (yaz), And i missed almost a full week of last months pills it was the last week of the pill, and leading up to my period (had my period). i have this months pills and so far i havent taken the first five of the month. and just today im having some bleeding... i think im having another period. But whats the chance that im pregnant? Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic.I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options.1] Firstly do not panic.2] As you have had your periods after stopping the last pill cycle, you have no chance of being pregnant.3] Please do not miss the pills in this cycle , even for a day.4] If you still have doubt, please get urine test done on morning's first sample of urine.I hope my answer helps you.Thanks.Wish you good health.
| 222,242 |
What should i do as my children s got in contact with insect poison granuals?
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Patient: i had some insect poison granuals that come in large bag to use on your lawn to kill many types of bugs. i had put some in a thing that you push and it spreads the poison just like grass seed. it was too hot so i pushed the cart under shed with open bag for my husband to finish but i forgot and my 2 boys got outside and had id dummped out playing in it with their toys pushing and loading it with their hands..that was yesterday do i need to take them to hospital? what do i do? Doctor: Hi thanks for posting your query on health care magic.Insect poisoning is known to cause Organophosphorous poisoning.Symptoms resemble ,vomiting dry eyes,nausea,pain abdomen,constipation.You need to contact your doctor as early as possible in case if above symptoms manifest,since insect poisons are known to cause delayed cardiovascular side effects,which could be problematic.Treatment includes Gastric lavage and Atropinisation in cases of accidental ingestion/poisoning.Consult your emergency room specialist for further assistance.Thank you,Take care.
| 96,888 |
Anger and frustration with depression. Have low heart rate. Been on alcohol. What next?
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Patient: i feel tired all the time i get angry or depressed sometimes which I manage by thinking angry thoughts and smoking smoking cigerets make me feel nothing like i have no emotions so i don t care if i huts someone or if they hurt me i sometimes think people are hiding things from me my heart rate is low but my head is always too hot i almost fall asleep if im in a hot room. i have drunk alot but it didnt use to effect me but now if i drink too much i wake up the next day remembering nothing Doctor: Hi there ~ I understand that you have been having problems with depression and being frustrated with it. Maladaptive mechanisms to deal with one's depression would involve diverting yourself by using substances that just reinforce the addiction cycle and make your psychiatric condition i.e. depression worse. Alcohol is also a depressant and could make depression worse by itself. You also have been having blackouts which indicates that your body is physiologically and physically dependent on alcohol. You need deaddiction treatment and I think that you may need to see a psychiatrist and a substance abuse counselor to help you get over your depression and alcohol/nicotine dependence. I hope you seek help as soon as you can. Take care and have a nice day!
| 212,664 |
Asthma, have sore throat, ear ache after taking zpack for cough. Could it be viral?
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Patient: I called my doctor letting her know i had a cough. She prescribed zpack because i get bronchitis every year and have asthma . However, the cough stopped and the next day i developed sever sore throat both sides. The pain has no went to left side along with bad earache. Im on last day of zpack, still have pain on left side of throat and ear along with white patches . Obviously its sat and dr is not in. Is it normal to take this long for pack to work or is this viral. I do have nasal congestion and cold also. Doctor: Your sore throat seems to be lingering longer than usual. I hope you have taken your antibiotics regularly. It can easily be taken for 5 to 7 days. If symptoms continue despite that you may have a change of antibiotics and take augmentin625 three times a day. Beside this take a tablet of sinarest 2 to 3 times a day which will take care of the pain and sore throat. I hope your asthma is under control and continue what ever treatment you are taking for it.
| 105,042 |
Can Vomikind be taken for vomiting during pregnancy?
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Patient: My wife is having the pregnancy of 8 weeks. It is the second time she is pregnant. She has the excessive vomitting in this period. Our Dr. prescribed Vominor tablet for vomitting problem. But having been taken this tablet she feels a acute level of dizziness and remains just like fainted. We informed our Dr. about this and she said it is normal thing and she prescribe this medicine to all her patients. During her first pregnancy my wife was in India and she had also the excessive vomitting problem there at that time her Dr. prescribed her Vomikind tablet and that suited her a lot but this time she is in UAE. My question is can she have the same medicine e.g Vomikind here now or can you tell us about any other medicine which she can take to stop all this problems. Doctor: Hi there,I have understood your concern and I will suggest you the best possible treatment options.I will suggest that she should have small, frequent meals, 4 to 5 times in a day. Avoid spicy, oily and bakery in diet.I will suggest you to start her with tablets containing Doxylamine, 30 minutes before food. Or Tablet Ondensetron 4 mg, in the same way. I hope this answer helps you.Thanks.Dr. Purushottam Neurgaonkar
| 218,732 |
Could over dosage of Amoxicillin be the cause for vomiting in a toddler?
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Patient: Hi, my 3 1/2 yr old daughter started throwing up a week ago. The first day she threw up a few times, but everyday since then she has been throwing up once a day. the doctor put her on 1600 mg of Amoxicillin a day for ear infection.she also had diarreah a few times but now it seems to be normal. should i be worried that this has been going on for a week? is the amount of amox too much for a 3 yr old? Doctor: Hello,For a three-year-old, it is definitely a high dose. The maximum dose of Amoxicillin for ear infection is 50-80mg/kg/day. Diarrhea is a common side effect of Amoxicillin.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sumanth Amperayani
| 163,456 |
Suggest treatment for lump inside the lips after surgery
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Patient: -lmy daughter fell about 6 months ago and got stitches on the inside of her mouth after the stitches and the wound healed she was left with a lump inside her lips the long days now causing difficulty is she keeps biting into it I am worried she is going to bite through it and need stitches again should I take her to the doctor to get it removedthe lamp is visible when she pulls her lip up and a scar is also visible on the outside in the crease where her chinies Doctor: Hello and welcome.Thanks for sharing your concern.If the lump remains asymptomatic then there is no need for any treatment but since it is causing interference then it is better to get it removed.It could be a tissue growth developed post treatment.Therefore please do not worry and get it evaluated once clinically.It might require a simple excision of excess tissue and the problem is solved.Hope it helps.Thanks.Take care.
| 182,667 |
Pancreatitis, hital hernia, anxiety, hepatitis, insomnia. Suggest best painkiller for pancreatic attacks?
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Patient: Hi, l'm a 27 yearold male, with pancreatitis, hiatal hernia, anxiety, hepatitis, depression, sever insomnia and to top it off l have diabetes. My pancreatic attacks are sever and would like to know which painkiller is the best for me and not too hard on my liver??? So l can possibly ask my Doctor to prescribe it for me possibly? The pancreatitis pains are sever and keep me up all day and night. Thankyou for any information you can provide about my PAINKILLER Situation or any of my health problems. Doctor: Hello, Thanks for the query to H.C.M. Forum. Your query is the best pain killer for acute pancreatitis ?All pain killers are best until they act and after some time you will be addict . The best way is treatment of pancreatitis not pain killers.All pain killer also aggravates Hiatus hernia and make bad side effect over liver if used for long time. As many pain killers contains morphine and its its alkaloids , so this is not good for you as all these are habit forming drugs at least I will not advise. Now a days most potent treatment of pancreatitis available so please get the treatment from gastro-enterologist and be happy. Good luck. Dr. HET
| 58,570 |
Does infection from kidney stones cause swelling of lymph nodes?
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Patient: My friend went to the ER with major abdominal pain. A CT was done and it was determined he had a kidney stone in one kidney, but a mass was found in the other. This was about three weeks ago. Now that the stone has been taken care of, he is seeing an oncologist to prepare for a biopsy. Today it was noted he has some swollen lymph nodes. Could the swollen lymph nodes be due to an infection from the stone or a sign of something more looming? Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion it is more serious .Stone with infection in kidney never causes swollen lymphnodes.As there is mass on the second kidney. The lymphnodes is because of that mass.Biopsy is the only tool to diagnose the type of mass and further management can than only be possible.Please drink as much water as you can as it can prevent further stone formation in the kidney.Please do not muss the biopsy and further management as this will cure the problem.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist.
| 36,266 |
I have pain just above my belly button for almost a week, what could be the reason?
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Patient: hi, i am 25 yrs old male, i had pain just above my belly button for almost a week. when ever i eat or walked down the stairs or tried to sleep on my stomach.. i could feel the pain. just yesterday in the morning when i woke up with discarge (red/white colour) fluid. and the pain is gone now.. but would still like to know what it was and what caused it.. Pratick Patel Doctor: Hi welcome to healthcareMagic White discharge per Vagina, with pain abdomen, is suggestive of PID... you need to get clinically evaluated,.. USG abdomen and pelvis,vaginal smear , are necessary to find out the cause for infection... consult a gynecologist...Hope i have answered your question Takecare
| 95,754 |
Suggest treatment for cavity in tooth
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Patient: Hi My name is Swati, Age:-24 , weight:-60 k.g. I am having cavity in my tooth. Could you please what is the cost of filling the tooth with the best material. I have heard about some filling material that get filled through light immediately and that this is the best material for filling. I stay in pune India. Doctor: Thanks for your query, i have gone through your query. The decayed tooth can be filled with either silver amalgam(stainless steel color) or composite material(tooth color) if the decay is not involving the pulp. out of these two silver amalgam has better strength than composite but appearance wise composite gives exact tooth color. if it is front tooth go for composite, if it is back tooth then go for silver amalgam. the cost of the filling varies from 500 to 650 rupees. if the decay is involving pulp then it has to go for root canal treatment.
| 184,766 |
What activities should be avoided by persons with thrombophilia?
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Patient: Hey.I was found with elevated fibrinogen,im female,32 years old.the doctor didn't think there was reason for more tests, for thrombophilia specifically. regardless, are there risky things i should avoid?like travelling many hours by plane,travelling to countries of high altitude,piercing,tatoos,warm spa?anything? Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Thrombophilia is increased risk of thrombus formation.2. When you are with thrombophilia, you will be on anticoagulants. Increased risk of bleeding will be present due to the medications.3. Avoiding contact sports, long traveling hours, prolonged bed rest, dehydration, infections are things you need to avoid. 4. Routine followup of INR is essential and to maintain it within normal range, medication adjustment would be necessary.Hope it helps.Any further queries, happy to help again.
| 116,078 |
Suggest remedy for painful lump behind the scrotum
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Patient: Two days ago, my 26 year old son developed a sudden, painful pea-sized lump on the perineum, just behind his scrotum. He has an appointment with a family practice doctor tomorrow, but I am concerned it might be a torsion. Should I be concerned? Incidently, he also halped a friend move furniture this weekend, but I didn't think a hernia could develop there. Doctor: welcome to Health care magic.1.Yes, there could be a hernia due to heavy weight lifting.2.No, it doesn't look like a torsion - as it present with severe pain generally on the scale of 10 its above 6-7 or more (as far as i came across)3.There are cases of partial torsion also.4.As you have appointment - an examination and an ultrasound scan to identify the cause (hernia/torsion)can be done.5.But if its severe pain - don't wait for appointment as in case of torsion its good to see treat as soon as possible to save testicles.Anything to ask ? do not hesitate. Thank you.
| 68,903 |
Could the gap in the mid of the teeth be filled with Ortho fill?
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Patient: Hlo doctorI m 22 yr n I hav a gap in mid of teeth I were retraction plate now for a month n I need them to be closed so fast as m looking for marriage n doctor said retraction plate take little time to close the gap. I just want to know about orthofill n will use of it in centre may create any new gap. Doctor: Hello, thank you for consulting with healthcaremagic. As you are mentioning that you are using retraction plate , yes definitely it will take time to close the gap. Orthofill is a good option, but as it is slightly costly so not used so frequently. But youvcan definitely go for it.Hope it will help you.
| 187,281 |
Could erection problems be the side effect of terbinafine hydrochloride?
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Patient: I took terbinafine hydrochloride for a period of 10 days. I had problems getting erections around day 6. I feared that the tablet could be the reason for that and I stopped taking tthe tablet. It has been 5 days since I stopped, but I could not see much improvement again. Doctor: Hello,I will like to ask you if you have a depressed feeling or a feeling of low mood. there is some indirect relation of terbinfine with mood disorders which can lead to decreased sexual drive. If you stop taking this medication ,look if problem solves. if not you need to proceed with hormonal profile like testosterone, FSH and LH.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist
| 84,630 |
Suffering with terminal cancer. History of nervous system disorder. Chemotherapy is of no use. Will homeopathy be helpful
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Patient: Hello, My sister in law is dying of terminal cancer. She has NF1 a disease of the nervous system. The first tumor was found in her abdomen and removed surgetically and the cancer has now spread to her lungs. Chemotherapy has not been effective so we are looking at homeopathy as a option to extend her life. Please help. Doctor: Hello friend,First of all, understand that she had a psychological conflict prior to the development of cancer in the abdomen. She could have come out without any problem provided there was no fear associated with the tumour and labelled as Cancer which is an icon of death for the public. The diagnosis when she understood made her to suffer half death. The surgical or chemo interference made her to suffer again. She had further conflicts that made her to suffer from a cancer of the nervous system. Now she has actual fear of death that made her to suffer from lung cancer. Mind is everything from where the causation of similar diseases originates. It is mediated through various parts of the brain and different parts of the body suffers accordingly. The conflicts were so severe and so shocking that she suffered similar complaints. Now what you can do is to approach a Homoeopathic physician. He will give medicines to see that she does not suffer and that she gets calmer and relatively healthier days ahead. Even I can help you provided you get back to me with more details. In the mean time, you can talk with her about the shocking conflicts she has undergone in life especially before the onset of the diseases in the abdomen, brain and in the lungs. Make her to have positive attitudes to them and forgive those who pained her most. If she is a believer, make her to pray. It will give her peace.With Best Wishes for peaceful days ahead for your sister in law and for you,Dr C. J. Varghese, Homoeopath
| 97,819 |
Can granular cell carcinoma be treated without larynx or esophagus removal?
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Patient: hello i m a female from 07-07-1970 i have a granulaircelcarcinoom growing around my oesophages in the middele part bihind mij larynx and proximaal to the trachea its 25x18x16 mm the only treatment in holland is to remove my larynx oesophages and vocal cords is theré any ather treatment ? great Ingrid Doctor: HIConcurrent chemo radiation is the valid alternative to the surgery.You need to be seen by trained medical oncologist who will guide the therapy.Wish you good health.
| 152,947 |
Is vitamin shot only solution to normalize the vitamin B12 level?
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Patient: My levels for b12 are at 122 and my folate is at. 56.2, I have other below normal levels on my test and it s states there is a b12 deficiency present. Doctors didn t seem to worried and I needed to ask for b12 shots, which she reluctantly gave to me for every 2 weeks for a month at 1000mcg, then once a month for a year. Should I be worried they re not giving me enough b12, and should they be looking into this problem more since I am very symptomatic? Need answers, thank you. Doctor: Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that actually injectable B12 is a good treatment of choice for Vitamin B12 deficiency. But there are other methods also available that is sublingual tablet of B12 and folic acid. Tablet MBson SL available in market which is sublingual tablet, have to put below the tongue after crushing. The effect is very good. You can discuss this treatment option with your doctor.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic.
| 116,728 |
What causes hives on body and angioedema?
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Patient: hi....i had an allergy test done many years ago, when i was a teen (i'm 30 now) ...and the allergist said i was allergic to peanuts (or peanut butter - can't remember which) .. i kept eating peanut butter, peanuts, nuts in general and i never had any type of reaction...but, lately (2 months or so) i break out in hives all over mybody and i get angioedema, and feel lightheaded ...could this be due to that supposed peanut allergy? Doctor: HI, thanks for using healthcare magicIt is definitely possible that the reaction can be due to your allergy.The consistent use of an allergen would cause the allergic response to worsen.You can repeat your allergy test to see if there are any other allergens that would be contribute to your symptoms.I hope this helps
| 98,955 |
Suggest remedy for severe back pain, associated insomnia and stomach cramps
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Patient: Hi, I am having a couple of issues that I am assuming all have to due with being overweight, but can not find answer that will help me.I am a 47 year old male 5'10 300lbs. I have severe back pain daily trouble breathing and cant sleep when its time to but will fall asleep many times through out the day (while driving). Now I am having paralyzing stomach cramps if I move wrong. I have seen the Dr. many times and says all my test come back fine Im Just fat... I feel like I cant deal with fat until I deal with the pain. Doctor: THANK YOU FOR YOUR QUESTION.Let me begin by saying that you definitely have acondition called Obstructive sleep apnea. It is common in overweight patients. The neck fat presses on the windpipe and causes snoring and does not allow a good nights sleep and hence the falling asleep during the day. ways to treat:1) Portable bipap at home. Its the best and most recognized treatment2) Surgery: A severe but more permanent solutionThe shortess of breath is also due to the fat which along with gravity restricts chest movement.For your backpain i agree with the doctor that it is mostly due to the weight. U see the spine is like the pillar of the body and takes on most of our weight. As you are overweight the spine is extremely stressed and thus the pain. I suggest U start cycling and see a dietician for your weight.In the meantime Take Flexon mr 500mg thrice a day for the pain.This should hopefully treat the cramps as well. If you have a history of stomach ulcer or heartburn take pantoprazole 40mg as well
| 107,324 |
Trying to conceive for more than a year, no results. Recommendations?
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Patient: hi,im a 24yr old mother of one,ive being trying to get pregnant for the past year or more,ive a 5 year old son,when i got pregnant with him i was having un protected sex for nearly 2 years,but was not planning on getting pregnant but im desprite to get pregnant now to give him a little sister or brother before he gets to old that he wont have any interest in a new baby,im just worried there might be something wrong and im so dissappointed every month when i havent concieved, Doctor: Hello,Secondary infertility needs to be investigated; your tubal patency, ovulation status and hormonal imbalances if any, should be evaluated by an experienced specialist. Male factor may also have to be assessed again if you have been found to be normal. Given your past conception history, it may take some time to conceive naturally and if you wish, you may accelerate the process by induction of ovulation and proper monitoring along with timed intercourse. Hope you find this information useful. Take care.
| 5,025 |
Suggest treatment for hypoglycemia
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Patient: I have a problem with my sugar dropping frequently...I've been seeing an Endocrine Dr. for 6 years for hyperthyroidism, but he hasn't been concerned with my glucose levels...Seems when I do any type of activity, it drops...Usually in the 50's & 60's Doctor: Thankyou user for your query.As per your query I want to ask about the medications you are taking currently? Either you are not taking proper diet as the chances of hypoglycaemia without diabetes are quite uncommon. There are few investigations which you need to get it done:liver function test: As severe illness of liver like hepatitis cause hypoglycaemia.Kidney function test, get your ultrasound abdomen to rule out insulinoma (quite rare).Are you into drinking alcohol? as it also sometimes causes hypoglycaemia.god bless
| 191,973 |
How to cure blisters inside lips and roof of mouth?
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Patient: Thought I burned my tongue, didn't go away and became very painful . One month later was treated for thrush with 1 pill 100mg fluconazole & nystatin mouth wash, Calmed down but stayed low grade. Treated again with fluconazole, again almost went away but stayed low grade. I doubled the meds and took 200mg a day, again almost gone. (Used listerine/peroxide mouthwash throughout as well). Blisters on the inside of my lips and roof of mouth-CRAZY PAINFUL. Blisters were everywhere. Started fluconazole again 200mg a day for 2 wks Doctor: Hello!Thank you for posting in HCM.Thrush you are experiencing seems to be resistant.See your dentist for a antibiotic sensitivity test.You already used nystatin and fluconazole for the thrush.Use a OTC pain killer if necessary.Check if you are low on immunity.You did not mention if you are diabetic.Control your blood sugar levels if yes.Get HBA1c done every 3 months for management long term.Use mouthwash daily for a month till it is completely controlled.Take b-complex supplements with folic acid and niacin.Get it treated as early to prevent further spread.Hope this helps.
| 185,022 |
What causes a hard lump and bruising on the leg?
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Patient: Hi my son hit his leg last week. It was really sore and he complained when I would wash his leg but the bruise wasn t even that bad. Now it s a week later and the area is still sensitive and he has developed a hard lump. I am concerned because the lump was not there before. Should I take him to the doctor? Doctor: hello sir... i'm dr. charles and i will help you... yes you should take him to the doctor immediately... get a tetanus toxoid injection first abd take an xray of the leg. reasons 1) could have attained a hairline fracture 2) a foreign body like a splinter or dirt could have entered inside and that could have caused an infection orvlead to an abcess formation. so get a doctor to see him first and get it evaluvated immediately. hope this information was helpful.thank you
| 67,353 |
What causes post coital bleeding after intercourse?
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Patient: I started my birth control pill (Portia) on June 30 the day I started my period. My period ended the 3rd but I was was toil the 7th and had unprotected sex on the 9th and now I m bleeding again but it s not in my underwear it just when u whip and my boyfriend did cum inside of my ( this was my 1st time having sex ) Doctor: Hallow Dear,Since it was your first ever intercourse, the bleeding you have noted is a defloration bleeding. Defloration is rupture of the hymen (due to first sexual intercourse). Every girl has a fibromuscular membrane called as Hymen present at the vaginal outlet from the birth. During first sexual intercourse, Hymen gets ruptured causing some amount of bleeding. The amount of bleeding depends upon the extent of tear which in turn depends upon the penile size and extent of entry into the vagina. In modern era, most of the girls get their hymen damaged - partially or completely torn due to the lifestyle. Cycling, horse riding, athletics, sitting astride are some of the few non-sexual acts which can cause rupture of the hymen. The bleeding you had seems to be due to rupture of your hymen. Not an issue of concern. If the hymen is completely torn, you will not have any such bleeding after future intercourses; if it is incompletely torn, you may have some bleeding in next few intercourses. I hope this takes away your stress.Dr. Nishikant Shrotri
| 223,786 |
Suggest treatment for child having bruise on cheek
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Patient: my 2 yr old daughter has a bruise on her cheek that seems to be getting worse. I know the usual colors a bruise turns and its not like that it. it seems to be getting worse its perfectly round and about the size of a dime. the sitter said she feel but she didn t think she hit her cheek on anything. my question is how long should a bruise last? Doctor: Hi...usually a bruise will resolve in a week or two. More than this it should not be there. The next possibility I think of is a bug bite allergy. The other possibility is a cellulitis or a skin infection. But, Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.Regards - Dr. Sumanth
| 179,433 |
Suggest remedy to avoid pregnancy after unprotected sex
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Patient: Hi there I have a question about contraception.. Tonight I had unprotected sex with my boyfriend. I am on the combined contraceptive pill however i forgot to take it this morning. We used the pulling out method and i have taken my pill since. could i be pregnant? do i need to take the morning after pill? Doctor: Hello dearI understand your concernNo need to take the morning after pill as you are on the combined contraceptive pill.Take missing pill on the next day with that day pill (two pills together).Just missing one pill does not affect the potency in preventing the pregnancy.And take the remaining pill regularly by putting the reminder in the mobile.Avoid stress, take healthy diet and do regualr exercise.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar
| 223,703 |
Sub arachnoid hemorrhage, speaks little, fades in. Chance of anger issues symptoms?, blurred vision
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Patient: My husband had a sub arachnoid hemorrhage that ruptured 2x's in the same day, the second one rendering him unconscense. It has been 21 days and he has lost most function. He is begin to speak a little but he really fades in and out. My question is could he have been having symptoms such as anger issues up to 2 weeks prior? He did have blurred vision the day before. Doctor: Sub arachnoid hemorrhage may be due to small leaking blood vessel,sometimes insidius in onset.Any feature of raised ICT,should alert to investigate& confirm the diagnosis.
| 149,232 |
What are the symptoms of low blood pressure?
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Patient: my wife has times during the day when her heart will suddenly speed up and she feels faint. her doctor told her she has low blood pressure, but when she has one glass of wine she gets a headache like she has hypertension. what do you think is wrong? Doctor: Hypertension can also cause giddiness and result in fainting.During time of fainting heart rate goes up.Other possibilities,she might have some arrythmia/increase in heart rate which can result in fainting.i suggest you to get her ecg,echo done.Monitor her BP morning and evening for few weeks.Avoid alcohol, alcohol consumption can also cause increase in BP and sometimes heart rate.
| 20,020 |
How can hives with extremely low blood pressure be remedied?
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Patient: My husband has had 3 incidents since Sept. He gets hives all over and then his blood pressure drops so low I had to call 911. They said they thought he was not going to make it two of them times because his blood pressure was 40/20 and the last time barely any blood pressure at all. They have no reason why this happens. Now they are saying he might have a deadly skin disorder and there isn t anything they can do for him But he has to go to an allergist to be sure. It is a couple days before Christmas and can t get in right away. I am terrified this will happen again. I actually had to scream and shake him to respond to me the last time. His body shook all over and fell over. Is there something that I can do to help him? Doctor: seems to be a case of allergy. I would suggest you to try and identify if these incidences were related to ingestion or contact with some food or substance like peanut, pulses or dust, any new plant or pet around.Keep him away from such allergens till you visit an allergist.There is nothing much you can do other than this and identifying similar episodes at the earliest.Keep an eye on any rash or urticaria he develops and immediately rush to ER so that the reaction can be managed at the earliest.Give benedryl if any recurrence occurs. It might help till you get to ER.Hope this answers your question.
| 98,641 |
Neck pain, tired, worried. Meningitis?
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Patient: Hi I have some neck pains, they haven t been brought on by any sports injuries or anything. I have trouble bending my head forward to touch my chin on my chest. I also feel a little tired and worried. Just want to know if i should see a doctor because i know neck stiffness is a sign of meningitis . I am a sixteen year old male and have always been in really good health. Doctor: Hello. Thanks for writing to us. The symptoms you are having do not seem to be related to any serious infection like meningitis. It is more likely to be related to muscle stiffness. Gradual physiotherapy and massage in the area will be helpful in relieving your symptoms. In case you have fever the you need to consult your physician for further treatment. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal [email protected]
| 151,666 |
Suggest treatment for sleep apnea followed by hypertension
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Patient: I was diagnosed with sleep apnea in 2011. I didn t know snoring really loud was a condition until the girl I was seeing, couldn t stand sleeping next to me. So I went in to see a doctor and a sleep study was performed. The results were that I have Obstructive Sleep Apnea. In 2006 I was diagnosed with hypertension and since then, I ve been diagnosed with CHF and dilated cardiomyopathy in 2012. I ve done the research referring to WWW.WWWW.WW This particular page relates untreated sleep apnea to hypertension and I believe, I ve had sleep apnea for years that has gone undiagnosed because of these facts; - I was diagnosed with hypogonadism in 2000, which I ve been being prescribed Testosterone Replacement Therapy since 2000, as well. - The testosterone injections has caused me to gain a lot of weight. I was 160 lbs before I began treatment for my hypogonadism and throughout the years, I have continuously gained weight to where my weight is at 280 on average. IAW my medical records, my doctors state that I have high hips, making my waistline an easy 40 inches plus on average. - I was being prescribed 400 mg/ 2 weeks for 10 years before my doctors decided I was taking too much and decided to lower my dosage to 200 mg/2 weeks. - During treatment on TRT, I ve had a heart attack, been diagnosed with insomnia, depression, PTSD, sleep apnea, CHF, Hypertension and Dilated Cardiomyopathy, amongst just a few of my conditions. - I am still being treated for all of these conditions & I wear a CPAP when I sleep at night. *My question is, can I have a doctor type a statement relating my sleep apnea to my hypertension? I am requesting this for VA Compensation Benefits. I feel that the VA Hospital works hand in hand with the VA Regional Office, so its hard to get any of my requests met without feeling like I m asking them to go out of their way to assist me. Doctor: Hi, No. Doctor can give you this statement, as there is no relation between hypertension and sleep apnea which you have. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist
| 16,525 |
Is there a treatment to increase the semen count?
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Patient: Hi My husband (44) has recently had a sperm analysis. He had a vasectomy reversal back in December 2010. His results showed volume: 2.9 ml, density 12 million per ml, motility 35 % and normal forms 4%. He has quit smoking and is taking a zinc supplement. I have normal cycles and am diabetic HBA1C- 6.3. What are our chances of conceiving or increasing my husbands semen count further? His first count three months after the reversal was 0.6 million so we have seen fair progression already. However, we are desperate to conceive. Thanks in advance. Doctor: helloThanks for query .Recent semen analysis of your husband after vasectomy reversal is reported to be 12 millions per ml .It is very difficult to predict possibility of conception with sperm count of 12 million/ml though sperm motility is within accepted range for effective fertilization of female egg to result in pregnancy .Truly speaking there are no medications proved to be scientifically effective to increase sperm count .However Following measure will help to icrease sperm count to some extent . 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking..I would suggest you to consult qualified Infertility specialist and explore possibility of pregnancy with the help of newly assisted reproductive techniques like IVF or ICSI.Dr.Patil.
| 197,039 |
What causes fever and bad breath in a 16 month old?
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Patient: My 16 month old son got really sudden bad breath around 12 hours ago, he would not eat any tea and barely wanted to drink, he s woke me up a few times tonight and when I went in around half an hour ago his head was burning and all the too half of his body, he s being wining and clingy Doctor: Hello dear,welcome to health care magic forum.I am dr aslam here to help you.Bad breathing along with fever suggest some infection going on in the oral cavity like pharyngitis or gingivitis. After proper diagnosis, this can be managed with antibiotics and antipyretic for a few days. Kindly see your pediatrician without any delay for correct diagnosis and treatment. Hope you will find this answer useful. Thank you.
| 180,119 |
Suffering from lesions in the brain. On steroids, gaining weight, increased appetite. Healing time required?
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Patient: friend was given steriods for leisons on the brain are they for brain cancer? How long can you be on steriods? and would this be just something to mak e her more comfortable. She is now eating better, looks better and has gain some weight. things came up very fast, about 5 weeks. She says her leisons are gone, possible?? Doctor: Hello, THANKS FOR THE QUERY Let me explain you that lesions in MRI brain or in brain could be so many things like infection, demyelination, tumor and cancer and so on. The duration of steroid treatment depends upon the exact diagnosis. Generally speaking, the shorter the duration of steroid use the better. How ever, it is difficult to avoid steroid in certian patients. In these patients, it is better to use the minimum possible dose which will decrease the side effects. I will suggest you to get the opinion of the treating neurologist who will tell you the diagnosis and the duration of steroid use. Hope this helps
| 150,809 |
Pain in lungs while breathing, allergic to dust. Using an inhaler. Mold test negative. Allergic to dust, cleaning agents. Symptoms due to new flooring?
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Patient: Is it possible that a newly installed Pergo flooring is causing me breathing difficulties. It was installed along with a renovation that did have quite a bit of dust. The dust has been removed. We checked for mold and that came back negative. Typically when I am exposed do dust, my nose will run, I will get a sinus infection and my lungs will hurt. I am not having sinus issues. However, I have had to get and inhaler because my lungs are hurting and breathing is becoming more difficult and tight. I am extreemly sensitive to dust, smoke , cleaning agents, certain printers . . .I received a copy of the MSDS sheet on the Pergo flooring and it does talk about breathing difficulties, however, I am not sure if it is referencing the dust from cutting the wood during installation or the installed floor. Doctor: Hello, It does seem that your dust allergy has worsened after the new flooring was installed and if you were around at the time of installation, it would be unusual that such a high dust allergen load has upset your airways. If your peak flow is below 50% of your best reading, you need to be in hospital to sort out the lung. You do have multiple sensitivities and combination of things has led to the sudden worsening of symptoms. These include dust mites from old carpets, mold (not always seen), chemicals used to lay down the flooring etc. A Chest XRay is recommended to ensure there is no overt pneumonia or pleurisy.
| 105,590 |
Suggest treatment for lump on collarbone
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Patient: Good afternoon,I have had an olive size lump/bump on my left collarbone, I want to say for over 5 years now. Well a couple years ago I asked my gynecologist about it and he said it was nothing to concern myself with. Now just a week ago my sister had informed me that I should have my doctor look at it cause it could be a lymph node. I just left the doctors office and he said it was a fatty tissue build up. This is caused by my bone protecting itself from an injury. He then proceeded to inform me that this would not be covered by my insurance since it is cosmic procedure. I'm a little skeptical of his diagnosis, what type of doctor would you recommend for me to see regarding this matter? Doctor: welcome to Health care magic.1.Generally most common cause are lymph node enlargement.2.Other causes are Lipomas ( fat), Brachial cleft cyst lately identified.3.To confirm the consistency get an ultrasound soft tissue lesion done.It will give exact content and where it is arising from.4.You need to see surgeon appointment.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you.
| 68,740 |
What does blood test result post Hep B treatment indicate?
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Patient: HI, I RECENTLY HAD BLOOD WORK COMPLETED FOR HEP B. I AM A LITTLE CONFUSED ABOUT THE RESULTS AS FOLLOWS: HEB B SAB_REACTIVE HEB B SAG_NON REACTIVE HEB B IMMUNE STATUS_ 1000.00 SAMPLES WITH A VALUE OF 10/mIU/ml OR GREATER ARE CONSIDERED PROTECTIVE IN ACCORDANCE WITH CDC GUIDLINES PLEASE HELP ANY KNOWLEGE WOULD BE APPRECIATED THANKS. Doctor: Hi there - This means you don't have hepatitis B and are immune to it, as you've likely been vaccinated.HEP B SAB - reactive - this stands for "Hepatitis B Surface Antibody" which means that your blood has the antibodies, or the white blood cells that kill hepatitis BHEP B SAG - non-reactive - this stands for "Hepatitis B Surface Antigen" Surface antigen means a little piece of the hepatitis B virus - which your test was non-reactive. This means there isn't evidence of hepatitis B in your blood.HEP B IMMUNE STATUS 1000.00. If your titer value is greater than 10 (yours is clearly greater than that), then you are immune to hepatitis B.In summary, this means you don't have hepatitis B and that you are immune to it. You've likely been vaccinated sometime in your life. If you can't remember, then thank your parents for getting you vaccinated. I hope I have answered your question. Please feel free to contact me if you have any further questions.
| 52,810 |
Taking Udliv, Atocor, Rablet for high liver function values. Reports show high triglycerides. Is treatment correct ?
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Patient: Dear Sir,I am 33 years old of weight 79 kg and height 1.74 m. I have been following my doctor's prescription of taking 1 no of Udliv 600 mg each before lunch and dinner , 1no of Atocor 10 mg after dinner and 1 no of Rablet 20 mg before breakfast since last 4 months. Before 4 months my SGPT was 107 and SGOT was 67. Recently I have found my SGPT and SGOT to be 62.2 and 54.4 . However, my triglyceride level is 204.2 mg/dl. Is my treatment going in proper direction? Moreover, I have been using Neurological medicine Desval-ER-500 since last 5 years due to epileptic disease. Does this medicine has any adverse effect in lever function? Please help....regards,AAAA Doctor: Hi, Welcome to HCM.Most anti-epileptic medications including Desval (Valproic acid) affect liver function, however, based on the information you have given your liver function is certainly improving (decrease in SGPT and SGOT) indicating that your treatment is going in the right direction. However, your triglyceride level is still high. I recommend increasing the dose of Atocor and repeating your lipid profile after couple of months. In this regard I will advise you to consult your primary physician and monitor your lipid profile as well as liver function. Hope this helps.
| 58,699 |
What causes sore vagina in a 2 year old?
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Patient: My daughter will be turning two next month. And yesterday for the first time, she complained that she is sore and when I asked her where she pointed to her vagina. When I was changing her bum after bath time, and put cream on she screamed and cried! It doesn t seem to be swollen and not red at all. No discharge. What could it be? Doctor: Hello,Skin conditions are best diagnosed only after seeing directly. I suggest you upload photographs of the same on this website so that I can guide you scientifically. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sumanth Amperayani
| 163,524 |
Suggest remedy for cough and runny nose in 4 year old
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Patient: Hello, my 4 years old doughter had for 1 day a stuffed nose and running eyes...since this morning she started caughing and her nose started to run. She is cauching pretty bad and her breathing is heavy...she doesn t have fever, her mucus is white and she has a good apetite. Please tell me if she needs an antibiotic and if she does which one do you recomend. Thank you! Doctor: Hi, I'am Dr Suresh K Yadav MD (paediatrics), I had gone through your question and understand your concerns,Although difficult to comment without examination , from your description it seems like viral illness and does not need antibiotics . Decision to start antibiotics is taken by proper examination and history of patient and can not be generalised. Absence of fever and good appetite are against possibility of missing anything serious . But she needs an exam to rule out possibility of bacterial throat infection and congestion in chest. 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 questionsTake care.
| 177,950 |
Is painful blood clot in groin cause any problem during pregnancy?
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Patient: My daughter in law has just been diagnosed with blood clot in her gorin and she is 5 months pregnant. It is 3 days now since she started her injections to disperse it but in still in a lot of pain. Is this normal and should the pain not begin to easy by now? Doctor: Hello, and I hope I can help you today.The complication of getting blood clots in the legs, called a DVT, or groin is uncommon but not rare during pregnancy. Normally, the clock will gradually disappear with the aid of blood thinners. It actually takes somewhere between one even more than three months for the clock to actually dissolve and be reabsorbed by the bloodstream. Therefore, the symptoms of pain, and swelling in the leg where the blockage occurred are not unusual while this is taking place.The most dangerous complication of a blood clot in the legs for pregnant woman is if a piece of the clot actually breaks off it can travel through the bloodstream towards the lungs and cause serious complications for breathing and sometimes even death.So symptoms your daughter-in-law should watch out for our shortness of breath, chest pain, or feeling very anxious with a rapid heartbeat.In terms of pain control for right now, applying a hot water bottle (comfortably hot) to the groin or soaking in a warm bath can help to relieve the pain symptoms at this time.Your daughter-in-law should discuss the further management of her blood clot with her doctor but in the meantime it is much too early to see improvement in the pain.I hope I was able to adequately answer your question today, and that this information was helpful.Best wishes to your daughter-in-law for the rest of her pregnancy,Dr. Brown
| 220,900 |
What is the treatment for knee pain?
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Patient: Knee pain Im a 24 year old male. 5 10 204lbs. My knees have been hurting for a while now. My left knee more than my right. it hurts when kneeling down, standing up and when i sit with it bent for more than a few minutes. it doesnt hurt while walking or going up and down stairs. What is wrong? Doctor: Hi, The pain in the knee can be due to weakness of the muscles of the knee and the joint reduced space due to it. Doing static Quadriceps, static hamstring, straight leg raise, hip strengthening exercises and core stability exercise should help yield good results. To take the exercise and strengthening program to next level a balance board training will be good. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 123,567 |
Why did not I get pregnant after having injection to release the egg?
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Patient: hi.iam 23 years old female,last month we got a check up and our docter said that my egg having normal size and thickness,she gave me one injection for the opening of egg.We hope that i will be getting pregnant through this but it not happened.Why this occur? Doctor: Please remain calm . it is not necessary that the fertilization will occur even after the injection caused the ovum to ovulate. It is all hit and trial method. May be you have better luck next time.But please keep your visits to your doctor regular .
| 1,092 |
How can I make my eyelashes thick and black ?
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Patient: hi doctor i am priya 26yrs old my eyelashes are thin how can i make them thick and black / is it possible? is there any home remedies? or any products are available in the market ? could you suggest m Doctor: Dear Priya, Welcome to Healthcaremagic! I am sorry to state that it is not possible though you may use Tab. Calcium Pantothenate 100 mg daily for 3 months & let me know if there is any improvement. Also take a nutritious diet. Use make up like eye liners.
| 8,876 |
Negative blood test after first IVF. How soon can I try again?
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Patient: I just received a negative blood test after my first IVF cycle I m 40 years old they transferred 3 embryos my cycle was perfect I reacted great to all medications never had a single problem until now the embryologist said my embryos were great i had 1-8 cell 2 7cells transferred. what happens and can I try again and how soon Doctor: Dear user, welcome to healthcare magic.Never lose hope and be patient. There are many cases which are worse than yours.You should be prepared that success is never guaranteed.I there are any embryos frozen you can transfer them the next cycle.If no embryos, you may start another stimulation cycle once you are psychologically, physically and economically ready.I suggest having a hysteroscopy before you proceed to any of the previous options (if your doctor agrees). You may discover a cause which prevents implantation (endometrial polyp for example), also it was proven that endometrial injury improves IVF outcome.I wish you good luck and getting pregnant soon.Dr. Ahmed Bahaa.
| 43,388 |
How to cure reoccurring groin injury due to playing soccer?
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Patient: I have a had a reoocureinggroin injury because of soccer. I have played on it recently an it fees fine while running but it bothers me when I am laying down and sitting down. It is a dull pinching feeling. It also seems if I over stretched it would tear? YYYY@YYYY Doctor: Hi,As an Urologist,i can understand your anxiety. You should get an Urologist examination done and then do a scrotal scan. It's called a scrotal doppler ultrasound scan.It'll clear all doubts about the injury to the testis. The testis are seen very clearly and if normal, there's nothing to worry. The U/S-KUB will clear all doubts about any abdominal organ injury. If you've any doubts, send me a direct question. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Matthew J. Mangat
| 196,588 |
What does this follicle study indicate for conception?
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Patient: what are my chances for the pregnancy after my follicular study? Hello Doctor, I was married 3 years back and within 4 months I got pregnancy but unfortunately I had undergone a surgery for fiberiod which around 10cm and I lost my pregnancy. Since after we are trying to conceive but no luck. I have irregular cycles along with PCOS. Though I have thyroid but I was going through continuous medication which is normal and within the range. I have gone for follicular study this month and below are the readings: Day Follicle Endometrium D12 17*14mm 7.5mm D14 18*17mm 7.8mm D16 20*19mm 8.2mm D18 Ruptured 15mm It was told by doctor to have intercourse next two days after follicle was ruptured and we followed doctor s advise. Now, what are my chances to become pregnant? Please advise. Thanks in advance. Doctor: Hello, the follicle study shows good size graafian follicle and receptive endometrium for implantation. There are very good chances of you getting pregnant as ovum can be fertilised 72-96 hours after ovulation. Sperm is active for 24hours after ejaculation. So there are pretty good chances of conceiving. If you do not conceive then your partner may have his seminal fluid study done if not done earlier.
| 3,183 |
Can weight gain cause leg pointers?
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Patient: Dear Dr. I ve recently gained weight (about 65 lbs or so). I tend to clean the floors while kneeling on the floor and due to the gain weight there more pressure on my knees. Not long ago I noticed that my left leg has a pointier end where the knee is and I m worried because this is the same knee I have trouble kneeling with. Is this simply a result of weight gain that may be putting pressure on my knee and the surrounding structure or could there be more? Thank you. Doctor: hi,thank-you for providing the brief description of your history.A thorough musculoskeletal assessment is advised.As you mentioned about the knee pointer and weight gain, I feel it is due to the weigh gain. Since your knee was already weak from before and after gaining weight it had to bear and additional weight too. I will advice to perform some knee strengthening exercises, for which a physical therapist can help you and later by a balance in between both the knee for weight bearing you should be fine. I see cases with such issues and by mere strengthening the knee joint by physical therapy the symptoms are reduced.RegardsJay Indravadan Patel
| 133,841 |
Suggest remedies for recurrent high fever in spite of taking medication
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Patient: My 16 month old granddaughter has had a high fever, around 103 temperature off and on for 24 hours. She hasn t been eating well. Her fever goes down while taking tylenol but then zooms back up. Last taken a half an hour ago her temp was almost 104 degree. What should I do? Doctor: Hello,I just read through your question. The most likely diagnosis is a viral illness. These resolve on their own after a few days, but often come with fever than can last 2-3 days. Continue to treat with Tylenol as needed. of the fever persists beyond 2-3 days, I recommend consulting with your doctor.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Eric Goldstein
| 166,675 |
How to lower the risk of blood clot during a repair tendon surgery?
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Patient: I'm having surgery on my foot to repair a torn tendon and remove a broken off piece of bone. I am 32, 225 lbs, and a long time smoker. I'm concerned about blood clots and am wondering if I may be at a high risk and if I can do or take something to prevent blood clots or PE Doctor: Hi, dearI have gone through your question. I can understand your concern. No need to worry about blood clots unless you are high risk person. Blood thinner can not be taken before surgery because it can leafs to increase the chance of bleeding. You can take blood thinner or warferrin after the surgery to prevent blood clot and pulmonary embolism. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 115,512 |
Chronic stomach pain, had diaorrhea, pale, feeling drained. Cure?
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Patient: Hi last night i woke up with chronc stomach pain went to the bathroom and had diaorrhea i broke out in a cold sweat wemt pale and felt very very weak. Sat on the toilet for at least 20mins. Regained some strength then washed went back to bed. The stomach pain continued for about 10minutes these were like cramps so came and went. Now woken several hours later and feel drained. Doctor: Hi, Abdominal pain along with diarrhea is common phenomenon. But in your case you had cold sweat, went pale, feeling of dryness, weakness and not able to rise for 20 mts after defecation shows that you have passed large amount of watery stool. Some time single stool may produce symptoms like this particularly if the stool is rice water in nature. So examine the stool, along with routine for vibrio cholera also - which produces more than 1 liter of watery stool in single defecation. as you feel drained, even though you have not passed stool after that consult a dr and follow his advise. Best wishes
| 93,964 |
Recommend treatment for breathing problem and chest congestion
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Patient: Hi my mother was suffering with breathing problem. after lots of consultation she underwent goiter operation as doctor said that it was pressing the wind pipe. but after surgery she is still facing the breathing problem. now i m consulting with chest specialist. he has given her a nebulizer and mucolite saying may be chest congestion i am tensed. nobody is able to find the real problem. xray of chest was also clean. now what to do. is there any reason for breathing problem majorly in the night when she try to sleep. Doctor: thanks for your question I completely understand your point actually breathlessness has variety of causes starting from respiratory to cardiac.breathlessness on lying down is mainly caused by cardiac illness like cardiac failureyou need to consult a pulmonologist whi can request for a chest xray , spirometry and a cardiologist who ll request for ecg dont panici have told you the format how tocertainly doagnose the situationthanksfeel free to ask more questions may god bless your family with good health
| 79,509 |
Is it normal to feel sleepy after dental extraction?
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Patient: my son had dental extraction yesterday, about 28 hours ago. he has been very sleepy since after the procedure to now. is this normal? he was injected lidocaine 1st shot, and during the procedure, because he could still feel the pain, was given another shot. He is 9 y/o. about 44kg. thanks! Doctor: HiWith your query, it is not common to feel sleepy after extraction. I think your son might be tired thats it nothing to worry about it. wait and see if he still feels sleepy after 2 days then visit your doctor. for an 44kgs boy two shots of lidocaine would cause any harm unless he is allergic to it.Hope this helps you.
| 184,686 |
What causes stomach ache around the navel?
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Patient: Hi. A few years ago I had a surgery which led to another surgery because I had a bowl obstruction, I was 16 1/2 when it happened I am now 22 and I ve been experiencing some severe stomach pains, it started tonight and has been going on for the past 3 hrs? It s in the middle of my stomach and around my belly button? I m not sure what s going on ? The pains come and go like every few minutes. Please help me. What could it be? Doctor: Welcome to ' Ask a doctor ' service .I have read your query and here is my answer .As you had previous history of surgeries , and as per your symptoms there is doubt of adhesions leading to small bowel obstruction .Please visit emergency as you need urgent xray abdomen in standing position .Also needed is ultrasound abdomen .Go for lab tests as TLC DLC ESR and stool examination as it may be gut infection also .I hope I have solved your query .Let mw know if I can assist you further in this query .With regards dr varinder joshi .
| 86,059 |
What causes a navel discharge with redness, itching and odor?
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Patient: My 6 year old has this constant oderous discharge from his navel. It is red but not painful, has had it for a couple of years. My Pediatrician didn t see too worried, but is causing to have itching and the smell is not pleasant. I clean it and keep it moist with bacitracin. Should I be worried. No fever or sign of infection. Doctor: Hi, The foul smell from the naval is commonly due to lack of proper cleaning more so if it is a bit inverted, have a pit, where there more are chances of collection of dirt and bacteria. This will happen more in those who sweat a lot. In case of your son, there is no redness, swelling, pain or any other sign of infection and your Pediatrician has examined him. Good personal hygiene and cleaning it every day with soap and water during the shower is all that you need. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Anil Kumar Bhatnagar, Neonatologist
| 161,645 |
Suggest remedy for cough
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Patient: Doctor my daughter is eight months old and has recently picked up a bad cough when we traveled home to the UK, we are currently living in Cairo and are unsure of what type of medicine would best treat her cough, she is also teething is there a link between the two.Should she take a anti biotic shot? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.There is no relation between teething and cough. Please provide any honey based cough syrup to the child. She needs antibiotics as amoxicillin two times. In addition, she needs steam inhalation. If the child develops breathing difficulty then take her to an emergency soon.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Varinder Joshi
| 163,091 |
Suggest treatment for ankle pain
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Patient: Firstly my ankle just hurt, a couple of days later it started bruising, and now (5 days later) it is swollen (but a little above the bruising). The pain is over my whole ankle and specifically where the bruising/swelling is, it is a dull pain that is greater when I am walking and occasionally shoots up to my knee or hip. I may have sprained my ankle or it may be poison from a blister I had, any idea which? Doctor: Hello,I read carefully your query and understand your concern. The symptoms seem to be related to a sprained ankle. I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application.I recommend to maintain a splint to avoid moving the ankle.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
| 119,833 |
Low haemoglobin level, diabetes, dry gangrene, performed peripheral angioplasty, on anticlotting medicines. Is low haemoglobin levels, the side effects of drugs?
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Patient: My Grandfather is aged 82. He had blood vomit due to one of the oral antidiabetic medicine. The haemoglobin levels had dropped to 6.6 and he was transfused with 2 units of whole blood raising the levels to 7.8. Doc had stopped his delayed release asprin to prevent any internal bleeding . It was further descontinued for 4 months unknowingly. He later had a bruise in the toe which developed a dry gangrene and periferal angioplasty was conducted to restore the blood flow. The toe fell off on its own and additional anticloting medicines were started ( Clopidogrel , asprin and cilostazol) post angioplasty. The blood haemoglobin levels had risen to 9.5 during the course (about 8 months post-vomitting) and now it dropped again to 8.7. He is currenly taking Multivit tab Supradyn (Morning), cilostazol (morning), Asprin-clopidet (afternoon), atorvastatin + fenofibrate (night), escitalopram (night) and Folic acid + B6 +B12 tab (night). The diabetes is managed with insulin 8-8-8 units/day. The sugar reports are 103 and 138mg/dl (fasting and PP respectively) and never above 180 (PP). When he was on antidiabetic tabs (voglibose, glimepiride, metformin, glipizide and some other) sugar was between 130-150 (F) and 170-240 (PP). The recent CBC has Erythrocytes 2.9 mil/cumm Hb 8.7 gms/dl Lecocytes 6000/cumm Platelet 2.15 lac/cmm PCV 26.9 % MCV 92.8 Femto lt MCH 30.2 pico-gm MCHC 15.1 % Neutrophils 42% Lymphocytes 56 % Eosino 02 % Monocytes 00 Baso 00 RBC morphology Hypochromia + Microcytosis+ / Anisocytosis+ Creatinin 1.6 Sugar (F) 103.6 mg/dl Sugar (PP) 138 mg/dl I wold like to know if there is any correlation withe drugs related haemoglobin drop and what should be the solution? Doctor: Hello Vishal and thanks for writing in at HCM First of all thanks for giving complete and detail history of the patient which is required by any physician for a better advise. I have studied your mail in detail. The cause of anemia are many, but in your case and the detail provided by you it can be due to: 1. Kidney disease related anemia: S. creatinine is 1.6 which is higher than the normal value. Kidney releases Erythropoietin which is required for formation of RBC's. 2.May be due to anticoagulant drug your are taking, which might causing slight bleed not see by naked eyes like in urine, stool, from gums while brushing, bleeding from ulcers etc. Try to investigated it by urine R/E, stool for occult blood, Done your INR test which will confirm your blood thinning and helps in managing your dose of anticoagulants. 3. As you are taking all the supplements which cause anemia so it is not nutrition deficiency anemia. 4. Other causes to be ruled out for anemia are bone marrow related anemia, G6GD deficiency anemia or Hemolytic anemia. Please consult your medicine doctor and get rid from it. Best Wishes Dr. Dinesh Kumar Bhatia Health Care Magic
| 119,318 |
Suggest remedy for stress and depression
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Patient: hello doctor i am 39 years old woman i am taking a pil already for a month and a half against stress and depression but i just stop it because i am having a slightly stomach and headache problem and i think it's a side effect of stopping the pil unexepectly that suppossedly i have to take pil for as long as my stress and depression passby but i got sick not taking pil anymore what will i do. Doctor: HiThanks for using healthcare magicIn case of stress and depression, you should try some antidepressant and relaxation exercise. Antidepressant would help to control the symptoms and relaxation exercise would keep you relax and calm in tense situation. You can also try some life style modification technique. In case, you need further help, you can ask.Thanks
| 209,139 |
traumatic brain injury subdural hematoma
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Patient: My daughter had a traumatic brain injury (subdural hematoma) I was wondering how long the symptoms could be delayed in a matter like that. How long they can be delayed, and what the likelyhood is. Doctor: Subdural hematoma, anything in brain is sensitive enough and shall show up immediately I feel. If there should have been any problem, then it would have showed by now I guess. But a doctor can answer you better. Dont blame later ok.
| 151,946 |
What causes skipping heart beat intermittently?
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Patient: hi my heat has been skiping a beat for the past 3 days now i been to the er everything came back normal lab work and ekg i had this happen before once or twice but that has been years ago but now its doing it for the past 3 days now it will beat regular then it beat very quick but only for a second it feels like something jumped in my heart area then it starts beeting normal again please help me please Doctor: hellothanks for posting here. First of all the heart beat missing thing may be something just subjective which you feel. hyperacidity and gas problems in the stomach may occasionally cause such symptoms like skipping heart beat sensation. second possibility is you really have missed beats. Missed beats are present in a small percentage of normal population. they are usually harmless. missed beats occurring with some underlying heart disease need to be evaluated. since you have no cardiac history you need not worry about them. i advice you a course of antacids pantoprazole tablets 40 mg twice a day for one week then once a day for a week. just see if symptoms disappear. thank you
| 21,071 |
I have clusters of itchy white bumps on buttock. Is it allergy ?
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Patient: Hi I have clusters of white bumps at my butt area which itch. It occurs occasionally after I had a bath, about thrice in two months. The bumps are like a pimple size. May I know what this bumps are, and if there is any solution to solve this? Could it be a allergy? Thanks. Doctor: hi it may be acne or allergy. acne tend to occur on butt. apply clindac a solution twice a day over it take tab cetrizine once at night
| 106,191 |
Lower abdominal strain, mild pain on getting up, sprinting. Can I play sports?
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Patient: Hi... I had a lower abdominal strain for almost two weeks now. The pain isnt great but when i sprint it hurts a little bit and when i get up from sitting it sometimes hurts. It has gotten alot better within the past week. Im a big soccer player and i need to get back on the field. If im feeling the strain only a tiny bit is it ok for me to go on the field and perform? Doctor: Hi, I think its ok for you to go back to the field. You can use hot fomentation and diclofenac sprays to control the pain. This will resolve on its own in a couple of days. Hope this helps.
| 95,042 |
What is the treatment for anxiety and depression?
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Patient: hello doctor my name is disha i am a dentist i am very upset i fail to control my situations somebody in my family distrub me so much now i cant face due to so much stress my 2 months pregnency failed now when i hear her voice or see her i get distrub s Doctor: You should start an antidperesdant as the things are growing fast and there is always a tendency to blame other person for our situation. Noone can make us happy or sad if we dont want to ..if we get upset due to someone else constantly then the problem is in our thinking and nowhere else..you are very well educated and will be able to apprecaite what I want to stress here. donot give so much imporrance to soemone else that he or she can make you feel bad all time. Become the master of your feelings...You may start escitalopram 5mg along with any sedative in low dose. May need to increase it to 10-15 mg and you will feel much better.Please consult a psychiatrist about the drugs and start them.Wish you health.Dr. Manisha GopalMD Psychiatry
| 209,162 |
How to overcome fear and inferiority?
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Patient: Dear Sir, I have lot fear and inferiority complex in my childhood, Now i am 29 year old. I am working in gulf country in good job even though i can t come out from my problem so i planned to get a advice from psychologist. Can you give a advice and tell me a concern person in coimbatore. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. I think you do not fear but apprehensive and anxious. Apprehension is worrying about a future event. Anxiety is feeling yourself in a worrisome future event and fear. Inferiority complex is just a feeling. In fact, you are inferior to others. Understanding self should solve the problem. For fear, anxiety etc you should consult a psychologist.I am near by Coimbatore. In Fact, Palakkad, Kerala. You can post a direct query here in this website for me. Otherwise, you can fix an appointment with me through direct query option.Hope this answers your query. Available for further clarifications.Good luck.
| 207,727 |
Causes of mother deaths after delivery
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Patient: my friend died 4 days after giving birth. she was African American with really light complexion, at her death her blood was clotted as soon as it was taken and her color was as black as tar. Doctor: well there are few known causes of post partum death. instantly are compications of pregnancy , eg large amount of blood loss , infections . DIC in which there is abnormal clotting mechanism . later DVT causes migation of blood clots to lungs . post partum cardiomyopathy in which heart gets weaker and patient dies in months of arrest or abnormal rhythms
| 9,067 |
How can severe backache be treated?
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Patient: Hi, I m 49 . Women. I ve don t have insurance at this time. But my back hurts l Slot of times when I stand on my feet.. it is in bottom of my back .. I can t give up and give in to the pain. Is there anything I can take over the counter or herbal. I walk on trails with my husband and we do try to stay healthy.. I m about 170 # and I m working on that weight ...Can you please help me Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Oral muscle relaxants and regular physiotherapy can help. Hope I have answered your query. Let me know if I can assist you further.
| 106,702 |
How to treat the back pain of my daughter?
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Patient: My daughter recently had pyelonephritis and was treated with Cipro. She still has back pain and one of her urinalysis results show hyaline casts in her urine. We repeated the UA and now the casts appear to be gone now. She is still have pain. What should be our next step? Doctor: Firstly u hv to continue with antibiotics until u r sure that no infection is there because pyelonephritis frequently needs long course of antibiotics. Drinking lots of water is the best remedy in uti. Urine culture sensitivity will help to find best antibiotic. Meanwhile take analgesics. Pain will subside as the cause will be eliminated.
| 111,235 |
What is the treatment for a puss filled cyst in the back?
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Patient: My father has what started out to be csyst in the middle of his back, 3 weeks later it was the size of a marble and ozzing yellow creamy puss. I wiped w sterile gause drained onto e 4x4 gauze applied triple antbiotic (bacitracin) Add covered w 2 4x4 gauze. Changed dailey 3rd day today. Doctor: Dear friend, Your father having a back cyst with discharge from it. I would like to know the duration of that swelling. If it was there since long time and recently showing a discharge, then it may be infected sebaceous. And history of swelling of few days with discharge, mostly a boil or simple abscess. Simple abscess may healed with dressing and antibiotic. But if it is infected sebaceous cyst then it need surgical excision, because remaining cyst wall may leads to recurrent cyst.Thank You.
| 67,449 |
Can dust allergy causing sneezing, runny nose and watery eyes be treated?
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Patient: I have the dust allergy and once I get the allergy sneezing starts and flow from nose and watery eyes starts once I go into the dust Then I take allerid-d tablets and after one hour I get the relief This is very much spoiling my carrier can I get the treatment and can I get a permanent relief Doctor: Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. I would suggest you allergy testing for common air-borne allergens like house dust mites, molds, pollens, insect proteins, animal dander, etc. This will help you to identify the substances causing allergies to you as well as to know the measures to avoid them.2. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which gradually works on immune system to improve allergy symptoms over a long duration. 3. For symptom control, I usually suggest my such patients levocetirizine + montelukast.4. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards.
| 99,528 |
Is ovarian drilling required if ultrasound shows normal egg size?
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Patient: MY AGE IS 24,HEIGHT5'3 AND WEIGHT 65KG.I AM MARRIED FROM LAST 18 MONTH BUT NOT ABLE TO CONCEIVE.MY DOCTOR IS SAYING THE SIZE OF EGG YOU HAVE IS NOT ENOUGHT TO CONCEIVE AND ULTRA SOUND SHOWED THAT I AM SUFFERING FROM PCOS SO SHE GIVE ALL FERTILITY MEDICINES AND INJECTION BUT SHE IS SAYING THAT SIZE IS STILL NOT INCREASING AND YOU SHOULD GO FOR OVARIAN DRILLING BECOZ YOU ARE SUFFERING FROM MUTIPLE EGG PROBLEM BUT TODAY I HAD GONE THROUGH ULTRA SOUND AND REPORT IS NORMAL,SO SUGGEST I SHOULD GO FOR DRILLING OR NOT. Doctor: Hi, I think you should do some blood tests like day 2 FSH, LH and AMH. If AMH and LH is very high, you can go for ovarian drilling. It will help you in ovulating. You can try naturally after that. Discuss with your doctor. Regards Dr khushboo
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