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What causes lump in abdomen post liposuction?
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Patient: Hello I am 52 years old , 1.70 cm tall , 55 kg , I have 5 children I did have a liposuction surgery a week ago with General anesthetic becouse I replace my silicon breast implant I am recovery ok of my breast but in my stomach area where they did my liposuction I am in bad pain I got bruses, I got same lump and feel hot in that area . My pain is very uncomfortable. Doctor: Hi,Dear,Thanks for your query to HCM.Dear I read your query and reviewed it with context to your query facts.I understood your health concerns and feel Concerned about them.Based on the facts of your query, you seem to suffer from-Post-Lipo-hematomas with granulating areas,giving hardened painful lumps for first 4-6 weeks,which resolves over next 6 weeks to 3-5 mths time.Lipotrops(Depressions) and Lipknots(Bumps).This recovery is achieved with compression garments with medicine support gives smooth recovery on 1.5 mths time.Auriderm XO Gel / and Hyaluronic acid with Vit C with herb extract-in Solarze cream would give the right toning effect to the liposuctioned parts on the body.Pain thus is due to the post-lipo granulation healing,which causes very uncomfortable pain and needs Tab -Dicolfenac with Tab ZincoVit C and high protein diet.Hope this would help you to reduce worry with your problem.Take care and wish you to recover fast and Live healthy.Hope this reply would help you to plan further treatment with your family and specialist doctors there.Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS
| 61,892 |
Suggest laxative for constipation in 1 year old
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Patient: hello doctor i want to ask u that which laxative is safe for achild of 1year my child is 1 yr s & he is having severe constipation during defecation he feels very pain he passes fecoliths doctor has recomended so many laxative milk of magnesia,lactulose,sodium picosulphate & now this laxopeg sachetz but every time i feel insecure to use all this can you suggest me best & safer laxative & for how much time this constipation will remain to him any herbel way out to eradicate this Doctor: HiI can understand your concern regarding constipation in your child. You have used many laxatives till date. But i would like to know whether you have evaluated your baby for this constipation.Your baby needs some blood investigations to rule out thyroid dysfuction,any intestinal anomaly should be ruled out.You may try following:1] Drink plenty of water.2] use diluted juice with water or plain sugar water.3] High fibre diet.4]Flax oil one teaspoonful in a day.5] You may use glycerine suppository.Hope this helps you. If so do vote.
| 173,892 |
Had urine test of 4 years old kid. Is there any problem with the result ?
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Patient: my children age 4 years of son. her urine test report are Epithelial cell:2-4,pus cells:6-10,RB C:nil.plese answer me It is good or bad Doctor: Hello/Hi Welcome to health care magic 4-6 pus cell in urine are abnormal & show infection of urinary tract ,So get it treated after consultation with pediatrician . ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and speedy recovery” Disclaimer
| 51,940 |
How can swelling in the finger be treated?
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Patient: My 8 year old daughter s middle and index finger on her left hand has been slowly swelling over the past few years. The only thing I can think of is that she had her adenoids and tonsils removed approximately 3 years ago. She was injected via her left hand to administer the anesthesia. Her pediatrician after telling us to keep an eye on it honored our request to refer us to someone who can give us a better understanding of what might be occurring. The hand specialist he sent us to ran some tests and told us he would get back to us and send some info to our daughter s doctor but he never did. I ve been regularly pushing my daughter s mother to take this seriously and follow up. Is there anything you can suggest? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you have mentioned that swelling has developed. Is there any pain associated with it. or any restrictions associated with it? If so it can be any joints related disease like rheumatoid arthritis. Chances of developing swelling after 3 years following anesthesia is unlikely. Once test your kids ESR, CRP, RA factor, HB. Hope I have answered your query. Let me know if I can assist you further.
| 162,632 |
Suggest treatment for back pain
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Patient: im having severe pains in lower back it's been bothering me for some time now, it gets worse when I try to do laundry or anything that requires bending. Left side is swollen with a little bubble. I've had this pain for a long time. Just need to know if it's serious and that I need to go to the doctor Doctor: thank you for your question....kindly answer the floowoing questions so that it becomes easier for me to understand your problem better...how old are you?since when are you experiencing this pain?where exactly is it located?the swelling is hard or soft?is there any history of external injury to that area??anyways you should visit a doctor take restavoid bending or strenuous jobhave some painkiller for now do an XRAY/ MRI lumbosacral spinekindly contact me with the reports so that further management can be planned....hope this was helpful...regards
| 108,825 |
Does persistent back pain need immediate medical attention?
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Patient: My husband has a moderate pain on the left side of his back about half way up his back next to his spine. It gets better throughout the day but it is much worse when he lays down at night. It keeps him awake and wakes him up. He is 65 very active farmer and mechanic. He has been going to the dr every year for his annual checkups. The last one in Feb 2014. He has a dr appt but can not get in until Oct. 8th.This morning he said that the pain has moved a little. Should I take him into the dr earlier that Oct? Doctor: here you need to understand persistent back pain could be because of a couple of reasons it can be because of soft tissue weakness at the back or else there might be a problem with his spine and disc to check you need to see whether he has back pain along with the pain in the legs as well does he have any numbness radiating pain to the legs if no then it is only a muscular pain which is at the back. there could be another reason for having this back pain is weakness of the bones that is basically a deficiency of calcium as well as vitamin d because of his age factor.to have relief from this back pain at home He can use frequently as well as regularly hot and cold pack which will help him to relax the back by relaxing soft tissues as well as have the healing effect on the soft tissues. which will help him to reduce the pain. here i also suggest to visit physiotherapist whenever it's possible and take a proper exercise program for spinal strengthening and stability , along with stamina.at any point of time if you feel the pain is increasing and going to the legs along with numbness feeling then visit a Orthopedic doctor as early as possible and follow the evaluation process with mri or xray or blood test and take the necessary treatment whatever the doctor suggest.Take care.
| 217,198 |
What causes yellow/brownish mark that turned to red and irritating?
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Patient: noticed a brownish/yellow circle mark that was smooth and looked like it wasn t anything major on the back of my daughter. the next day after my ex-wife had her for 8hrs she took her to the hospital cause it was red and irratated. the doctor said it happened 24-48hrs prior. is that possible that a flat smooth brownish/yellow mark can turn red and irratated 8hrs after it looked perfectly fine? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Is your daughter sick in any way? Fever? How large is the mark? If the brownish/yellow mark were a bruise, it is possible that trauma to this area could cause it to become red. Hope I have answered your query. Let me know if I can assist you further.
| 162,900 |
Suggest treatment for stiffness of right leg after recovering from typhoid
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Patient: My daughter is 30 years old. She suffered from Typhoid fever 5 years ago and totally paralized because of a high dosage of medicine. It was so severe attack. She became totally blind, unable to talk and facing memory loss. We visited all famous doctors in Pakistan and after lots of efforts, she recovered partially, but we didn t give up and kept continue our efforts. Her eyesight is 90% recovered and she can also talk but bit slower than she speak before the sickness. We are grateful to God for His kindness for all this recovery. The main problem is, she can not walk without support. Her left leg is 100% OK, but the right leg is not moving because of stiffness. According to doctor s advice, she is walking on a manual Walk Machine but it does nt help. We shall be thankful if you would kindly advise treatment for movement of her leg freely. We, being parents, shall pray for you and your family s good health. Kindly advise remedy / medicines on the below mentioned mail. Mohammad Arif EMail: YYYY@YYYY Doctor: HelloAs you mentioned that she has stiffness in the right leg and unable to walk properly .This is a very good thing that your daughter recovered from eyes sight weakness . But according to your history of illness it is not possible to establish any diagnosis . What is the reason of unable to walk due to right leg. So either upload all previous reports or consult any medical institution and get their ( doctors ) opinion.But don't desperate ,she will recover .
| 35,721 |
Suffering from pancreatic cancer. Fatigue and vomiting. Is it something to be concerned about?
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Patient: My brother in law has late stage pancreatic cancer . there is no treatment left that will help him. He is 59. They told him in November he had 3 - 6 months. He has been getting more and more tired. But he is hanging in there. His wife has finally called in hospice. However, up until today, he has been managing very well. He had a busy weekend with family coming to visit etc. He said he went to fell asleep around 8P and woke at 8AM went back and slept until noon when his nurse came. He had vomited once in the morning and really ate nothing all day. He & his wife had to go see someone about his pension. they got home and he started vomiting again. Is this normal? as his wife thinks he could have caught the flu . She did not call his nurse. he wanted to wait and see if he felt better. Can you help us understand what to expect in these last days? thank you. Doctor: Hi, pancreatic cancer itself has worse prognosis. your patient is in terminal stage as you have mentioned. palliative care are the best option in this case and he is on that se up. drastic treatment is not necessary. infection may occur and can be managed with specific treatment but main goal is to maintain the quality of life. oral drugs are preferred than intravenous injections. I do not no what drugs has been prescribed to him. nausea vomitting may be a side effect of other drugs. consult with your doctors.
| 159,315 |
Have sensitivity on lips and eyes, have Bell's Plasy. Is this sexually transmitted?
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Patient: hi,since 5 _ 6 days i had minor sensetivity on my lips n eyes..i just avoided but it continued in interval of 3 to 4 hours ..den i went to ent specialist he just suggested me to hav b 12 tablets..next morning wen i was brushing suddenly could not spit properly..i rushed to neurologist ..i came to know..its bells pasly,..im tensed now i got medication started and all tests done.but i wanto know is this a sexually transmitted disease and can it lead to herpes and wht measures i sud take and wht diet to follow.. Doctor: Bell's palsy refers to the facial paralysis. It is not a sexually transmitted disease. It is presumed to be due to herpes simplex virus infection, which enters the body through nose (air). It has a benign course and most people recover within 3-4 weeks. Treatment consists of vitamin B12, steroids, acyclovir and physiotherapy. Best wishes, Dr Sudhir Kumar MD DM Senior Consultant Neurologist Apollo Health City, Hyderabad
| 151,434 |
Is Disprin advisable for treating heart ailments?
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Patient: I take 10mg Disprin in water once a day to thin my blood and help protect me from possible Heart & Stroke problems which I ve encounted (TIA s in 1990 & 2000+ a heart murmer diagnosed 10 years ago which has remained unchanged since then) in the past & for which I continue to take a low level of drugs. My wife takes a similar amount of Disprin in the hope she is better protected against possible Heart & Stroke problems. Can you please advise us? Doctor: Hello and welcome to ask a doctor service. I reviewed your query and here is my answer.In your case it is advisable to take aspirin to prevent stroke and other cardiovascular event. but you didn't mentioned why your wife is taking these? Is she also a cardiac patient or have stroke or any other thing for which it can be indicated? If she is having good health and no problem in her heart, then she shouldn't take this. It is not advisable for her. She should stop taking it as it has got side effects as wells.Hope i answered your question. Feel free to ask more if you need further assistance. Thanks.
| 18,251 |
What causes my kid's stool appeared to be gray?
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Patient: My child is having grey stools he is 8 months. He is only 15 pounds. Last time we were in he was only in the 1% with his weight. So I changed his formula from the pre-digested to regular formula. He also doen't gain weight if we feed him solids, so we went to just liquid after two months of no weight gain with solids. Should I be concerned about the grey stools? Doctor: Gray stool can be caused by a few factors. In many cases, a baby’s stool changes colors because of dyes in his food or a change in diet .In rare cases, gray stool is a sign that there’s a problem with the baby’s liver. For instance, this change in color may be caused by a serious childhood liver disease known as biliary atresia , which is an obstruction of the bile duct and this is evident usually at the 2nd week of life with apparent jaundice .to exclude this problem we need to do basic blood tests : total and direct biliruben , GGT .and for the failure to thrive problem I need to know how was the baby's birth weight ? and is he a premature baby ? how much milk does the baby consume each day , by that we can calculate the caloric intake and increase it accordingly . I'd like to do a thyroid function test and urine analysis and culture in which both thyroid disorders and UTI can cause failure to gain weight .I hope this helps
| 167,690 |
Feeling gastric pressure in stomach, chest and throat. Difficulty in singing. Any home remedy?
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Patient: recently i was eating tomato chutney all the 3 times for about 10 days..then a sudden feeling like something occurred in my stomach .....this incident was in the night,,and from the next day i feel a gas type pressure up to down from stomach to chest to throat to ears also occurs....it really irritates my but no pain...it feels like gas can pass through food pipe and released through mouth but i feel that gas is blocked to vocal cords pipe and to ear also...ir really irritates me..............no habits of any tobacco,alcohols or any other smoking products.................plz help me doctor.....i am also learning singing....but due to this symptoms,when i sing i feel very uncomfortable..........i dont have too much money to spend on the tests like x rays or any other.....if possible,i want home remedies. Doctor: Hi, Thanks for query, You have gastro-Oesophageal reflux. In this the content of stomach with gas travel in retrograde direction & causes irritation to nasopharynx.We have also opening of middle ear to our throat behind tonsil in the form of eustachion tube so you feel irritation in ears also. If you have this problem once in a while you should do following. Don't eat too much at a time. Take frequent small meals. Take a walk after yor lunch or dinner. Don't sleep just after taking food for at least 2 hours. Avoid spicy sour food. Elevate head end of your bed to prevent retrograde travel. If you frequently get this you should consult your doctor to rule out Hiatus hernia. Thanks.
| 214,918 |
What could it be if I hear an electric band breaking in mind if not taken Citalopram for several days?
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Patient: I read a small article on this site about a woman that says she hears an elastic band breaking in her mind. My situation is similar. Every time I am off of citalopram for several days this occurs. I experience the same thing as she described except I am a 47 year old male. I am a psych student and do not believe this is a delusional thought or a psychosomatic response as it only happens when I have not taken my citalopram for several days. I feel tired all the time but have trouble sleeping. I have heard of others who say they experience "brain shocks" which I believe to be the same thing. I have been on citalopram for over two years but have ran out of my prescription and am hoping this may go away without having to continue pharmaceutical treatment. Will this go away or continue to worsen? Thanks Doctor: HIThank for asking to HCMI can understand your problem you have been taking anti-depressant medicine it means your are victim of depressant anxiety having functional elements then How could you say that You do not believe that this is not the delusive phenomenon, this is of course the auditory hallucination, this could be due to your depressive state of mind for what you are taking anti-depressant, you really need to keep your stress level very low, try to come out of this situation, hope this information helps you, have good day.
| 210,653 |
What causes sudden sharp pain on the upper chest?
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Patient: My husband, age 62, was awakened at 3 am with sharp pain in upper right chest, above the breast. It hurts with each breath and with movement. He cannot take a deep breath without pain. He was fine when he went to bed last night. Do I need to take him to an emergency room? We are currently in Greece. Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. Yes, you should definitely take him to the hospital and get done ecg to rule out heart diseases. Left sided sudden onset, midnight chest pain in old age (more than 60 years) patient is likely due to heart attack. So don't wait, take him to the hospital and get done ecg and 2d echo. If both are normal than possibility of either gastritis or musculoskeletal pain is more. So give him proton pump inhibitors (antacid), painkiller and muscle relaxant drugs. Don't worry, he will be alright. But first rule out cardiac diseases. Hope I have solved your query. Wishing good health to your husband. Thanks.
| 78,921 |
Suggest remedy for a lump under the rib
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Patient: Hi, may I answer your health queries right now ? Please type your qu please can you help i have a sensation feeling that there is a lump under my right rib it feels like fluid at the start of the day it is sligh but as the day goes on it appears to get bigger making it diffucult when sitting i also have lower back pain and pain in my right lung area what can this be Doctor: Hi.Thanks for your query.Read and understood that you have feeling a lump under the right rib cage which you feel that there is a fluid inside.While the day passes by, it becomes bigger and makes sitting difficult. There is low back pain and pain in right lung area.From the detailed history your have provided this looks to be costochondritis and the causes are uncertain. All the three problems can be treated by proper clinical evaluation by a Doctor, anti-inflammatory medicines with painkiller properties like Ibuprofen or Diclofenac taken after food.
| 63,028 |
Pain in the teeth, sore mouth. Could wisdom teeth be the reason?
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Patient: Hi! I am 19 years old and my wisdom teeth are coming in. I am very good at caring for my teeth. I brush, floss and use mouth wash everyday as well as go to the dentist to get them clean. Lately all my teeth are hurting, it feels like they are all pushing against each other. I even have a sore on the top of my mouth? Could my wisdom teeth be the cause of this? Doctor: Pain in gums and jaws, difficulty in mouth opening, swollen or inflamed gums, headache, bad taste in mouth, bad breath, crowding and decay of other teeth are symptoms of impacted wisdom teeth. You can do warm saline rinses 3-4 times a day for some relief. Make sure that there are no food accumulates in back of jaw which can aggravate the pain. You can avoid eating from side of erupting wisdom tooth and visit a dentist for evaluation. Dentist will take an x-ray to see the positioning of the wisdom tooth. If wisdom tooth is impacted, then surgical tooth extraction of wisdom tooth can be done.
| 189,976 |
Why I am having skin rashes on my neck and under both breast after suffering from flu ?
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Patient: Hi, every time I come down with a flu virus, I get a non itchy red splotchy rash on either side of my neck and under both breasts, which goes away after a couple of days-what is this from?? I cannot find an answer ANYWHERE. Please help Doctor: What you are suffering from is a viral exanthematous fever which is a common form of all viral infection, like measels,chicken pox,etc. Treatment is mostly symptomatic and there is not much to worry about
| 16,486 |
What causes yellow and white bump o penis after frenulum tear?
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Patient: Hello, I recently had sex with my partner 3 days ago and my frenulum completely broke. About 1cm below the uric hole there is a bump where it was attached and it appears to be white or almost yellow where it was torn off. Is this a sign of infection??? I have not been to a doctor yet. Any advice? Doctor: Thanks for asking in healthcaremagic forumIn short: If your frenulum teared completely you yourself would have visited doctor.Explanation: May be an infection with imcomplete tear in frenulum could have caused this. So, apply oint soframycin locally over there for time being and if it heals its ok. otherwise please visit a doctor for examination.
| 200,951 |
What does bubbling feeling in chest of a child mean?
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Patient: My 14 year old son is complaining of a bubbling feeling in his chest while he is breathing then he has to cough afterword. He has no fever and no noticeable wheezing sounds. Not sure if this is anything to worry about or not but he said it s getting worse. Doctor: It appears to be allergic (bronchial) cough A course of fexofenidine with mucouytic syrup will help .if cough and bubbling continue pl get an x Ray of chest and routine blood counts & ear
| 177,964 |
What could be the swelling and redness in my lips?
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Patient: The inside of my upper left is red and swollen. I don't see blisters yet just swelling and redness. It wasn't here this morning and just appeared in the afternoon. it also makes my lips feel kind of numb and thick like it has anesthesia. What is this? Doctor: Hello!Welcome to HCM.This can be a normal oral ulcer before breaking.Do not panic.Use a warm saline gargle thrice daily.Check if you used any new mouthwash or tooth paste which you might be allergic to.Apply a soothing ointment like quadragel on the area thrice daily.This must become normal in a few days.Do not irritate the area probing with your finger or anything.Regards.
| 101,679 |
Do I have a normal semen analysis report ?
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Patient: Dear Doctor my age 28 yearsheight 6 fitweight 58 kg i have TB in my past Presently iam healthy seminal report is quantity 20mlcolour milky whiteconsistency thick liquidreaction alkalnePH 70 total cout of sperms 10 million Dear Doctor my age 28 years,height-6 fit,weight 58 kg, i have TB in my past Presently iam healthy seminal report is quantity 2.0ml,colour-milky white,consistency-thick liquid,reaction-alkalne,P.H-7.0, total cout of sperms 10 million/ml of semen Motality after 1/2 hours total motile-10% active motile-10%,moderatelymotile-10%,sluggeshly motile-20% ,non motile-60% after 1hour total motile-8% active motile-5%,moderatelymotile-10%,sluggeshly motile-25% ,non motile-60% after 4hour total motile-2% active motile-00%,moderatelymotile-5%,sluggeshly motile-15% ,non motile-80% micro scopic morphology-10 to15% immature forms 08 to 10% tail less-02 to 04 %,pin head 01 to02%,W.B.C-4-6/hpf,R.B.C-no found, epithelial cell-not found,trichmonous-not found so pls tell sir i can be a fatheror not if not treatments are avilable for me. and duration as per abnomality which shows in my report. Doctor: Dear Juher, Welcome to HCM. Your count is low and motility is also less, so you will need to get a Colour Doppler study of Scrotum done, to rule out or confirm varicocele which could be the cause for this. For this you will have to consult an Urologist who will advise you. You can certainly become a father after proper treatment. Do not lose hope, have a positive attitude. Wish you all the Best.
| 44,761 |
What causes lumps in rib cages?
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Patient: HI I am a 36 year old female, I have had two children. Recently, and it only happens occasionly, when I bend down to do my shoes, or go under a desk at work to plug computers in etc I get this lump inbetween the two rib cages, just under where the cages are joined. It is hard but will subside after a while. I would not say it is painful, it is very uncomfortable, and hurts while the lump is there. The lump then just starts to disappear. I am very small in build and have lost a small amount of weight recently. Please could you shed some light on this. Many thanks. Doctor: Hello!Thank you for the query.From your description it sounds like a hernia. However in this location hernia is possible if you have had any surgery before. However without surgery it is also possible to have hernia in this location. I suggest you to consult general surgeon with this lump. IN case of doubts, ultrasound should be done.Hope this will help.Regards.
| 69,029 |
Suggest treatment for tingling sensation and numbness in the calf
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Patient: My husband (57) was sitting on his motorcycle this afternoon, it was hot, he got lightheaded and passed out. He fell on his right side with his motorcycle on his right leg. Passing out is not normal for him. He came home but after returning home he has sever burning sensation in his left hamstring and tingling & numbness in the calf. His right foot hurts but is more worried about the left leg. He wondered if it has to do with circulation as well as causing him to pass out? Doctor: Hello!Welcome on Healthcaremagic1I read carefully your question and understand your concern. The fainting does not seem to be related to the leg pain. Maybe the leg pain is caused by a trauma in this region during the fall. Coming to this point, i would recommend consulting with his GP for a careful physical exam and some tests to investigate for the possible causes of fainting (cardiac arrhythmia, epilepsy, low blood pressure, low fasting glucose, etc.). For this reason, it is necessary performing some tests: - a resting ECG and a cardiac ultrasound- an EEG- an ECG Holter monitoring to investigate for arrhythmia- complete blood count- blood electrolytes- fasting glucose. A head Up tilt test is necessary to exclude possible orthostatic hypotension. Meanwhile, it is necessary to closely monitor his blood pressure values. A leg X ray study is necessary too, in order to exclude any bone fracture in this region. Acetaminophen and ibuprofen will help for the pain. Hope you will find this answer helpful!Best wishes, Dr. Aida
| 142,192 |
Suggest treatment for rashes on face and chest while having high prolactin level
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Patient: hi i recently had surgery . during hospitalization my sugars went out of control. i also discovered high prolactin. my concern is that i started developing a rash on my face slowly and some pimples on my chest. now its unsightly. they have now become painful and i have tried bursting them as they produce pus or a hard white substance. what can i use. i was on levocetrizine but it wasnt helping 3 weeks ago Doctor: Hi, I would recommend you to take capsule doxycycline 100 mg twice daily and apply benzoyl peroxide 2.5 percent gel on the pimples twice daily. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist
| 12,849 |
How to reduce SGOT levels?
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Patient: Sir , I am 32 female suffering from buddchiari syndrome from last 5 years. Had undergone TIPS suggery 5 years before...I am find till now , but i see LFT SGOT variance from last 1 year ; currently sgot is 70...please advise any diet & how to reduce the sgot to become normal Doctor: Hi thanks for contacting HCM...In Budd chiary syndrome there is hepatic vein obstruction that drain liver....It can lead cirrhosis....For which you have done TIPSS operation to reduce portal pressure...Regular follow up done...Nothing active treatment needs now...Take low salt diet....Early in morning take grined spinach and carrot juice...Green leafy veg more...High protein diet taken....If ascites present diuretic might needed..If coagulation tendency then oral anticoagulant taken...Take care...Regular follow up done to gastroentetologist...Dr.Parth
| 54,392 |
Is it safe to travel with high blood pressure?
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Patient: My father in law has just had a check with his blood pressure at 180/90. Last night he complained that his right side of his face was numb, he said he drooled a bit in the morning. I thought it could be a mild stroke but he wasn't complaining about his arm or legs. He went to the doctor and now they are doing more tests today.He's a smoker, 76 yo and very active for his age. He has been diagnosed with prostate cancer about a year ago but reasonably stable.We want to take him to Europe as he loves to travel and thought this would be the best time now. We were planning this in 3 weeks time to leave for 2 1/2 weeks. We are worried that travel will create more problems or spike his blood pressure. Doctor: Hello I am Dr. Mody and I would be addressing your concern . I would enumerate my suggestions as . 1) The symptoms you describe still fits into a stroke as most common cause, it's not necessary that the hands and legs may be involved in all stroke , the other possibility would be bells palsy . 2) The blood pressure should be maintained below 140 / 90 with the help of lifestyle and medications all the time . 3) If the blood pressure are ok , it would be ok to travel as you are very right in thought , as a son about taking your father on a tour and rather that will improve his overall well being . Hoping I could help . Regards Dr Priyank Mody
| 25,839 |
How to get rid of depressive disorder with symptoms of panic attacks, restlessness and dizziness?
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Patient: Good evening.Am was diagnosed with major depressive disorder, with symptoms of panic attack, restlessness and follow dizziness.De 9 days treatment with Cipralex 10 mg, 0.5 mg morning, noon a 5 mg.Evening. one pill doxepin to help me to normal slip.E 9th day of treatment to feel dizzy and feeling sick, just this afternoon I could not get out of pat.Mentionez yesterday I felt much better. I noticed srarea I have more bad afternoon. Thank you. Doctor: HiTo such a patient I would have advised to discuss with psychistrist Drugs of group of SSRI are also effective in panic attacks with antianxiety drugs so i use in my patient the combination ofv two groupsSome psychiatrist also like to use in addition for panic Generic named drug proponal a drug of betablockers group If there is no contraindications to itYou better follow the instructions of psychiatrist Some time yoga and relaxation also help in panic Thanks for trusting HCM team take careDr Lal Psychiatrist
| 211,406 |
What gives relief to the massive pain in face after two brain surgeries?
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Patient: Hi, I am a 43yr old female. I have had 2brain surgeries in the past 3years. The first to remove a meningioma behind my optic nerve. Tumor has not returned, but have some side effects from the surgery. The second surgery was this past June to treat trigeminal neuralgia. Surgeon found other issues in brain once inside. At the trigeminal nerves exit it was constricted by a y shaped vein scarred down to the nerve. It was dissected and removed. There was also a arterial loop scarred to a portion on the nerve. These adhesions had to be sharply incised and were able to move the blood vessel off the nerve. A sponge was placed over the nerve. My problem is that I continue to have massive face pain almost continuously and have been on different anti seizure drugs to control mini seizures. I am not doing well with side effects from medication. Is there anything else that can be done or am I going to be struggling with pain and drugs for the rest of my life? Doctor: Hello!Welcome on HCM!I carefully passed through your question and understand your concern!It seems that neurosurgery has not been effective in treating trigeminal neuralgia. Considering the fact that you can not tolerate the adverse effects of antiepileptic drugs, I would recommend performing local injection to the trigeminal nerve, which is called Trigeminal nerve block. This procedure causes a temporary improvement of the symptoms, reducing the need for antiepileptic drug, allowing to reduce the doses and even stop these drugs for a certain period of time. Hope to have been helpful!Kind regards, Dr. Aida
| 143,374 |
Are Tramadol, Gabapentin and Cyclobenzaprine the right medication for concussion?
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Patient: my physician prescribed both tramadol and gabapentin after a car accident. She indicated that i have a concussion, whip lash and possible pinched nerve or herniated disk. The ER doc gave me cyclobenzaprine.....it seems to me all these together may not be a good idea Doctor: I concur with your concerns on combining these drugs.....you will be sleeping for as long as it takes for either Prince Charming or Princess Charmaine to come and awaken you out of your Rhoncorous slumber if you've never had these drugs before. We generally treat concussions very conservatively with ES Tylenol and not even Motrin since the latter can irritate the stomach and if there are any baseline symptoms of nausea/vomiting from the accident/concussion then, the Motrin will just make that worse. Tramadol as a pain medication has both addictive properties and can lower seizure threshold and it's not even that great an analgesic. It can also worsen nausea/vomiting following a concussion so I wouldn't advise for that reason as well. A whiplash injury will respond well to thermal interventions and some ES Tylenol...nothing is really going to stop the stiffness from occurring. I've not found cyclobenzaprine or any common anti-spasmodic to be overly helpful compared to crushed ice 3x/day for 20-30 minutes at a time and gentle ROM movements in the first 24-48 hrs. changing to heat afterward along with AQUATHERAPY for improving cervical ROM...little by little. You will get better with time and without sleeping the next 3 months of your life or feeling as if you just got off a bus in the middle of a cornfield when you were expecting Times Square. Please rate this a 5 STAR ENCOUNTER and write to me at: www.bit.ly/drdariushsaghafi with more comments or questions.
| 141,626 |
Suggest treatment for swelling on cheeks
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Patient: Hi. I noticed a small swelling on both my cheeks. It is below the eye but on my cheeks. Although it is not very prominent I noticed it 2 nights ago after removing my make up with make up remover pads. I used these pads a few times before too. But I also feel I might have exerted more pressure to remove my make up under the eye area. Its not painful either. It just looks a little puffy if you look very closely. What could the problem be? How may I subdue it? Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.It is type of swelling. Usually it is harm less. It arises when you are on stress or you have not taken enough sleep. It is nothing to worry. It will go with its own. You can take good sleep approximately 8 hours a day. Avoid excessive stress. This small measure can remove all the swelling you have.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
| 34,463 |
Severe red rash started from ankles got spreaded to arms and legs. Itchy time to time. Is it infection?
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Patient: I have a horrible rash that started on my ankles and has spread up my legs, and my arms....My torso has small amounts of it but mostly legs and arms... Red patches , slightly (but very slight) raised, and only itchy from time to time... I just recently started going to Bikram again and am wondering if I caught some infection from there? Help! Doctor: iCHING ZND THESE SIGNS ZRE OF ZLLERGY ZLLERGY CZN DEVELOP ZT ZNY TIME ZT ZNY ZGE WITHZNY SUBSTANCE LIKE OIL SHAMPOO CREAMS SOAPS BODY APPLICATION MATERIALS AND FOODS OR POLLENS OR CLOTHES USE ANTIALLERGIC TAB AND OINTMENT FEW DAYS USE NON TOXIC SOAP SHAMPOO OILSGET ALLERGY DOCTOR CONSULTATION TO FIND THE CAIUSE TO PREVENT FURTHER RECURENCES
| 15,088 |
Suggest treatment for depression and aggressive behaiour
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Patient: Dear Doctor , from last 10months, i have been noticing my mother aged 48 ,behaving very abnormal, aggressive,voilient. She underwent 2 surgeries this year Jan 10 ( abdominal hernia , utres removal). She was going to meno pause stage as per Gynecologist. She gets into depression, feels lonley, unnoticed, un appreciated through the family mebers love her a lot and treat her good. She points out mistakes in every family member, never agrees to what other person say. get voilent and goes to an extent of suicidal attempt or threatening to kill herself to punish the other person ( my dad & my wife). She shouts and ill treats my father complaning that he isnt paying enough attention towards her health though he gives her the best care and love. But again she get frustrated for his ignorance. i understood these are syntoms of PAPD Passive-aggressive (negativistic) disorder, as per few studies on google. She is having diabities, high BP, improper sleeps at night. please advise me how to address this issue. Doctor: This does not appears to me as PAPD. There are few possibilities like depression with psychotic features, rapid cycling bipolar affective disorder or a psychotic spectrum diasrder. She would need treatment with a mood stabiliser and antipsychotic drug. Also get her thyroid function test done because thyroid problem can occur alongwith these mental problems.
| 207,157 |
Suggest remedy for hair loss and loss hair texture after having Tobi
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Patient: I have been using Tobi in my Nebulizer for months. One week on and one week off. The side effect I have noticed is that texture of my hair has changed and it is falling out a little each day. My hairdresser noticed how different my hair is. Is there anything I can do? Doctor: Hi,,welcome to HCMTobramycin is an aminoglycoside antibiotics which is used to combat infection....though textural change is not a well known side effect of the drug,,more likely the hairfall and textural changes you are experiencing is due to your health problem...Take a protein rich diet and eat fruits and vegs rich in all the vitamin and minerals...Exercise daily...Do frequent hair massage with tips of your fingers with lukewarm olive and coconut oil in equal proportion,,this will increase the circulation of scalp and improve the textyre of hairs too...Conditioning of hair is a must thing after wash...You can opt for hair spas or use fenugreek hair mask to combat hairloss...Hope this will help you.
| 10,666 |
What medication is suggested for sharp pain on breastbone due to coughing?
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Patient: hi, I've been coughing for 10 days. yesterday I started having a sharp pain when I cough on the left side of by breastbone just under my top rib. is this just a bruise from coughing?Oh brother... nevermind. I didn't know I would have to pay for an answer Doctor: Hello,Welcome to HCM,As you are having cough for last 10 days, the infection is still persisting in the respiratory tract.Sharp pain in the sternum is may be due to infection spreading to pleura or vigorous coughing.Chest examination should be done to know the cause.I would suggest you take 1.Course of antibiotics2.Cough syrups to reduce the cough3.Oral AntihistaminesMedicines should be taken only after consultation from your doctor.Thank You.
| 102,483 |
Does Epilim intake have any side effects?
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Patient: i have been taking Epilim for 4 years now and now have been suffering with not been able to get it up, i would like to know if Epilim has been causing this as it has stared from when i was first put on Epilim and since my dosage has increased the problem has become worse Doctor: Hello, It is not related to epilim. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician
| 84,744 |
Is there a chance of pregnancy while on birth control pills?
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Patient: Hi, I am 25 years old and I'm sexually active. I had my monthly cycle on 2nd of January and got over on 7th of January, as i have PCOD, i take diane 35 to regulate my periods. I had protected sex, means we used condoms and had sex on 8th of January and on that very night, I started taking my Diane 35 pils. Then, we had protected sex on 16th of January and after that on 24th of January. But during the time of having sex, we used condoms, and I took my pills on regular basis. My pills got over on 28th of January as the 21 pills got finished. So, according to the pills, I should get my periods on 3rd or 4th February, but haven't got yet. Is there any chance of getting pregnant? Because I haven't got my periods yet and I don't want to get pregnant. Please help! Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. According to your history as you used oral contraceptive pills as per the schedule and as you had protected intercourse the possibility of pregnancy is less. Sometimes after stopping the OC pills you may get withdrawal bleeding in around 7 to 10 days and sometimes you may not get also. So if you want to be sure, please go for preferably blood test for pregnancy or urine pregnancy test once one week after stopping the pills. If the test gives negative result you can start next pack as per the schedule. Hope I have answered your query I will be happy to answer any further follow-up queries. Take care.
| 218,501 |
What does pulsating feeling at the top of head indicate?
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Patient: I have this pulsating at the top of my head, it comes and goes but now it has been there for 24 hours. It seems like the scalp is pulsating and if I put my hand on it I can not feel it anymore. It seems to be tied to my heart rate. Do you know what this can be. Doctor: Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that your symptoms may be related to a migraine. What are your actual blood pressure values? Uncontrolled high blood pressure may be the cause of this symtomatology. If your blood pressure is within the normal limits and this problem persists, I would recommend consulting with your GP for a careful physical examination and a brain CT scan, to exclude possible intracranial vessel disorder (including an aneurysm). Hope to have been of help!Best wishes, Dr. Iliri
| 25,905 |
Suffering from lower back pain. Advised to take rest after feeling pain. Is this curable?
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Patient: I have lower back pain on the left side for long time. After walking for 15 to 20 minutes I have to sit and take rest to walk again. This is going on since last two years. X-Rays etc done shown to Ortho surgeon and was advised that this will remain like this and I should take rest by sitting after every walk when I feel pain.Is it curable or I have to live with it. I have no other problem. Doctor: After walking 15 to 20 minutes you have to take rest and that is because of pain and pain reduces with rest and be more clear with your x ray report so that i can help you. .
| 112,872 |
Dementia, unable to manage bank account, no reasoning skills, hostility. Treatment?
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Patient: My mother has so many symptoms of dementia . I cannot get her to go to a doctor. She is 91 in Sept., I have recently had to take her car away, and start to manage her bank account. She cannot reason on anything, and is openly hostile toward us. We are not welcome around her. What do I do if she won t hear of seeing a physician. She badly needs to, and we need help. Doctor: Hi, First you have to realize that Dementia is a very disabling illness. There is no treatment which can relieved full symptoms. Dementia frequently associated with behavior and psychotic symptoms, apart from memory loss. To control these symptoms you can meet nearby psychiatrist. If she is not ready to visit doctor, you can arrange for home visit. Anti psychotic treatment and good nursing care will help in her symptoms. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com
| 213,324 |
Rash in the inner thigh spreading to genital area. Could this be a skin infection?
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Patient: My best friend had had a rash on her inner thigh for about 4 days and now it has spread to her private region.Also it is in pain.She have black bumps that are in the infected area.shes only used water,mild soap,and lotion.She isn t having any fevers, nausea ,or body aches.I thought it was just a mild skin infection but the fact that its spreading is causing me concern.she hasn t had any sexual contact recently.So I m not sure if it was a present infection that s she just having an outbreak with.please let me know Doctor: Hi Brianalucas, Thanks for writing your query. It seems that your friend is having dermatitis. She needs a clinical examination. She should consult a Dermatologist for examination. She should keep the affected area clean and dry. Clothings both inner and outer should be clean and changed daily. She can apply locally cream conatining combination of antifungal like miconazole, steroid like betamethasone and antibiotic like gentamycin. This should be applied atleast 2-3 times a day for about a week. Antihistaminic like Fenofexadine 180 mg can be taken once a day alongwith. I hope this is helpful to you. Thanks.
| 16,034 |
Allergist of milk
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Patient: Hello doc, good evening. My 3 month son has allergy for milk. So what should I do? What makes people allergic for milk? Doctor: Milk allergy occurs when the proteins present in the cow's milk reacts with the immune system of our body. This type of allergy is generally seen in infants as their digestive system are not often strong for digesting milk and milk based products properly. Even adults are also susceptible to milk allergies (Lactose Intolerance). The consumption of milk can result into different types of ailments such as wheezing, vomiting, hives, loose stools, diarrhea, abdominal cramps, running nose, and skin rashes. In some critical conditions, it may lead to asthma, eczema and gastro intestinal problems. If you are suffering from milk allergy, then the first precautionary step that you are needed to avoid milk and resort to other alternatives such as soymilk, soy butter, fruit juice, puddings, soy and rice-based deserts ice pops and other non dairy products. Apart from this, anti allergy drugs like oral sodium cromoglycate can also taken to prevent adverse reactions. But you need to consult the doctor before you take this medication.
| 106,463 |
What causes painful lump on knuckle?
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Patient: Hi About two weeks ago I accidentally hit my knuckle hard on the handrail of my running machine. My hand was in a fist. Initially the knuckle and finger swelled rapidly and there was bruising all over that one finger. All of the bruising and swelling has now gone down except that I have a pea sized lump on the knuckle itself. I can bend the finger normally but with a bit of pain. Should I be worried or will it subside by itself. Thanks Doctor: Lump in question is a haematoma(collection of blood) due to trauma sustained by you. There is nothing to worry.It will subside with the time.
| 61,622 |
Is vascular inflammation and cerebral venous thrombosis of the brain,same?
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Patient: Is vascular inflamation and cerebral venous thrombosis of the brain the same thing? We've been getting all kinds of diagnosis for my mom. MRI/MRV shows something definitely something in her brain. Her symptons are severe headaches, confusion, nausea, etc Doctor: Hello,Vascular inflammation is different form cerebral venous thrombosis. Cerebral venous thrombosis is a type of stroke. While vascular inflammation is not stroke, but it may lead to repeated stroke.These two disorders have different manifestations on the brain MRI and different clinical symptoms.Sometimes, they may overlap: vascular inflammation can lead to cerebral venous thrombosis. You should discuss with her doctor on these issues.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Aida Quka
| 141,813 |
Can pregnancy happen from having anal sex?
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Patient: last month we came close to each odr for da first time....we kissed...i helped him to ejaculate with ma hand...nothing more than that...we didn't had sex that time...but from that day i m not havin ma periods...it z near about to get two months now... but last night i had anal sex with my boyfriend...it is for the first time in my life that i had done dis activity...he used condom. but at da time of ejaculation....i wasn't aware he ejaculated sperms on my back...i m so tensed...will i get pregnant...i have brought empill from da shop...will it help me to regulate ma periods Doctor: Hello Mam, I just read your query. Only vaginal sex can lead to pregnancy. Kissing, anal sex and other activities can not lead to pregnancy.* As far as absence of your periods are concerned it may have other causes like hormonal imbalance, stress etc.* I suggest you to dont take any medication on your own because it may further increase your problem. Consult a nearby gynecologist atleast once so that she can do the clinical examination and prescribe you the proper medicine. Once you will take the proper treatment the problem will be sorted out.* I hope you find my answer helpful.Thank you.
| 630 |
Suggest treatment for lump on the hand
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Patient: Hi, I have a lump on the back of my hand, located in my wrist that seems to fluctuate according to weather conditions. It is very painful when it appears and affects the movement in my hand. It tends to appear for several days at a time. I have experienced the same in the other wrist too but not always at the same time. I also experience pain and swelling in some of my fingers from time to time. Do you have any idea what this may be please. Doctor: Welcome to health care magic. 1.The history and symptoms suggest the possible cause will be ganglion at first place followed by hair follicle infection, lipoma.2.Ganglions arise from the joint space, tendon, ligament, bursar,nerve sheet - which when complicated cause the symptoms.3.In this case an ultrasound lump to evaluate the nature of the lump its source and extensions.4.Depending on the findings the treatment will be small incision and drainage followed by wound dressing and antibiotic treatment.5.So i would suggest to get an appointment with the GP, get examined and needful treatment. Good luck.Hope i have answered your query,any thing to ask do not hesitate to ask.http://doctor.healthcaremagic.com/doctors/dr-ganesh/62888
| 68,226 |
Can stopping the intake of zosert affect ejaculation?
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Patient: Hi, I was on zosert 100mg daily for almost 6 months and now stopped it abruptly.After that, quantity of my semen is reduced .In fact i can only ejaculate in a small quantity on first session .After that i can t ejaculate the semen.please advise me. Doctor: Hello Thanks for writing to us, These are adverse reaction of sertaline,Genitourinary side effects including male sexual dysfunction (involving ejaculatory delay, impotence, and decreased libido) have been reported in as many as 21% of treated patients.Patients reported a decrease or loss of libido. Among male patients, nearly 18% experienced some type of sexual dysfunction including abnormal orgasm/anorgasmia ,ejaculation failure and erectile disturbance.You need to improve foreplay and avoid stress,you may require counselling if problem persist after few monthsHope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion.Wishing you good health.Take care
| 203,864 |
What causes recurrence of oral cancer can it be completely cured?
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Patient: Hi My mother is suffering from Oral Cancer in Left Jaw and Chick, which was detected in Nov’09, she was operated in Dec’09, but no Radio Therapy was given. It re-occurred at same place in June’10, she went through Radio Therapy from July’10 to Aug’10, no Chemo therapy. Again it re-occurred in Nov’10, she was again operated in Dec’10. Now it has re-occurred at different places in March’10 Neck and other side of Jaw, I am bit scared, what to do, should I go for Chemo therapy, if yes, what will be it’s cost, what are the survival chances, please help. Doctor: HiThanks for posting.I understand your concern.It is really unfortunate that she has relapsed so many times and now it has spread quite far. If she is in relatively good health we can consider chemo to shrink the disease and give her some quality life. Cost depends upon many factors like place of treatment (govt vs private) and drug chosen. This you need to discuss with your treating oncologist.However, chemo is not a curative treatment and survival time is average of 1 year but it may be much more or much less, depending upon tolerance and response.Hope this helps.Please get back if you need any more clarificationsRegards
| 154,287 |
Diagnosed minor PCOS, normal scan reports, good semen analysis. What are my chances to conceive?
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Patient: Hi I am having problem conceiving. My husband is 35 and I am 30. This is our second marriage and both of us had one one baby from first marriage. Our marriage held in April last year. Now we are trying to conceive but unable. All my reports are normal hsg, ultrasound. Also my husband's semen analysis report is good. I consulted a doctor and she gave me ovulation treatment and iui once but it doesn't turned to be positive. Now doctor has prescribed me oosure plus for pcos(minor problem of pcos is diagnosed). Please tell me what are my chances to conceive and what should be the treatment.. Doctor: HelloThanks for writing to HCMYou doctor has given right medicines for PCOS.Oosure plus is given for PCOS.You should take it regularly as directed to you.If every thing is normal, then there is every chance of pregnancy.PCOS is treatable condition.Don't worry at all.Wish you all the best.Take CareDr.Indu Bhushan
| 4,820 |
Pinched nerve in neck, radiates down shoulder, painful
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Patient: For three days I have had what seems like a pinched nerve in my neck on the right side, it radiates down my shoulder into my right arm . The pain is horrendous and working on a computer for 8 hours a day using my right arm is making it worse. Is this just a pinched nerve like I first thought or something more serious that requires a visit to my MD? Thanks. Doctor: Hi, Thank you for posting your query. Your symptoms are suggestive of a pinched nerve in the neck, as you have suspected. The diagnosis can be confirmed with an MRI scan of the cervical spine. Treatment consists of medications such a pregabalin to relieve pain and physiotherapy. Wishing you good health, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist
| 150,939 |
What does lumps in throat breathing issues with swelling in hand suggest?
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Patient: Hello, I am thirty five and was diagnosed with copd a year and a half ago. Right now I am having a hard time breathing, the feeling of a lump in my throat, sweating, and a very uneasy feeling in my head. Like I m going to fall out. I live in tx so its hot but, it s about 84 degrees right now. My hands are swollen. Does anyone have a guess? Doctor: Hi,Dear thanks for the query to HCM virtual clinic.I studied your query in full details.I understood your health concerns.With whatever details are given by you,the lump in the throat feeling indicates respiratory distress and hypoxia causing headache and is mostly due to Spastic episode associated with compromised lungs of yours.The swollen hands with high temperature around indicates the pollengrains inducing this episodic attack of the respiratory distress.With this you are advised to consult ER Pulmonologist who would treat it accordingly.Hope this would help you to get rid of the anxiety with this query.Welcome to HCM in this regard by any further query.Have a good health and early recovery.Dr.Savaskar M.N.Senior Surgical Consultant.
| 63,443 |
Is Epidural shot advisable instead of general anaesthesia for a laser prostate surgery?
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Patient: I am due to have laser prostrate reduction on Tuesday under general anaestetic I have had a cold which has left me with catarrh like symptoms will this mean the surgery will be cancelled or could I elect to have an epidural instead of general anaestetic Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Epidural alone will not be acceptable for prostate surgery. The problem is that we can rely on epidural along as sometimes it won’t act. You can wait until the cold get subsided as it is not an emergency procedure and we can wait for few days. Wishing you good health. Thanks
| 195,376 |
What are the chances of conception after taking clomid?
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Patient: HELLO MY HUSBAND AND HAVE BEEN TRYING TO CONCEIVE AND NO SUCCESS. I HAVE BEEN ON CLOMID FOR FOUR MONTHS AND I AM OVULATING BUT STILL NOT PREGNANT. MY HUSBAND IS SCHEDULED TO HAVE A SEMEN ANALYSIS AND I AM SCHEDULED TO HAVE A HSG AS WELL, WHAT ARE THE CHANCES THAT WE CAN CONCEIVE Doctor: Hi,Welcome to Healthcare Magic.I am Dr Ramadevi Wani. I will be answering your concerns.It would have been nice if you had provided me some more information like your age, BMI, duration of marriage, regularity of menstrual cycles and whether baseline fertility hormone assay is done. Clomid induces ovulation. When used for 3-6 months, clomid induces ovulation in 60-80% of women and about 30-40% of women who take clomid become pregnant . Most pregnancies occur in the first 3 months of use. Usually clomid is prescribed for 6 months.You should have done these baseline tests i.e. HSG and semen analysis before starting Clomid. Do not take clomid until you get these tests done.To increase your chances of conception maintain normal BMI, quit smoking ( if you're a smoker) and have intercourse at least three to four times in a week.Take a tablet of folic acid daily.If you have any further concerns do contact me through Healthcare Magic.Best wishes,Dr Rama
| 3,540 |
Disc bulging, compression, back pain, leg pain, numbness. Taking Butran's medication. MRI done. Treatment for symptoms?
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Patient: H i have suffered for few years with back and leg pain numbness etc MRI scan showed L4/5 disc bulge causing impingement on left L5 root also anterolisthesisive (where the upper vertebral body is positioned abnormaly, compared to the vertebral body below) of l5 s1 ive had facet injections also in the past root ganglion blocks bilteral rami injections and epidurals which didnt seem to be succesful. and a narrowing of two places where the bones had to be widened to release pressure had the disc bulge reduced in surgery and two sections the bone was taken away to eleveate pressure on the nerves 4 months after surgery i now have much less severe pain which could leave me unable to walk at all now i still have some pain but no way as bad as before but if i try to walk or sit for too long causes more pain which can lead back to a de mobilised situation does this mean my active life is over im taking many types of medication including Butrans 10 mg ive had to change gp 3 times in the last few years and my newest doctor couldnt understand why i had been left so long like this and the consultant nuerologist he referd me too was of the same opinion my life has been distroyed by this condition and in time stopped me from working and my social and private maters too have been affected , i will add at times ive been and the end of my witts with this and after the operation whats the future hold , its a life changing shift and very frightening not having control of your body , im 41 and the problems started in my early 30s while in full time work variably to start and increasing aggresivley in nature over time sorry for the long message Doctor: Hello there, thanks for choosing HCM. You need to choose a rehabilitation team including experienced Physiotherapist, occupational therapist and orthotist professionals who can plan/ design a training program to enhance your functional capabilities and how to cope up with your existing pain or to reduce the symptoms mechanically. They can change your techniques to perform the same activity symptom free with similar efficiency...... Good luck for a healthy life style ahead......
| 151,613 |
What causes fever and weakness in the body?
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Patient: doctor i am woried about my fiance,,,,... he had malaria 2 yrs back and after that he was suppused to take iron tablets but he didnt take them but he was regular wid multivitamin and vitamin a and e medicines for few months...... but after a few months he started getting feverish sudden times....... around 2 to 3 tymes a month.....now since past 1 month he is complaining a bit feverish feeling with weakness every night .... 15 dayz ago he had a sudden eye problem in which his 1 eye got red n was itching n then was burning a bit.....the next day it finished in one eye and transferred to the other.......now its quite ok.... but the feverish and the weakness complaint is still there,,,,......... the night b4 yesterday...he got tonsils... i am getting worrid the general blood tests are normal.....what is happening? Doctor: Thank you for your question, I appreciate your concern. I would like you to answer a few questions, after which I can come to a more conclusion.1. how many days does the fever last each time?2. associated symptoms like cough or shivering or abdominal pain, body pain3. any loss of weight in the past few months 4. anyone in his house or workers had TB ? 5. any contact with animalsSo far, I would say from his symptoms that frequent fevers with weakness could Indicate infectious mononucleosis or tuberculosis, brucellosis is also a possibility. If his malaria was not treated properly 2 years back, few malarial parasites could be released now and then causing fever.Please do get back to me with more information and I will clarify further doubts. Hope you find this. useful.
| 32,305 |
Why did injecting Lantus and Novolog cause a lump on my thigh?
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Patient: i injected myself with Lantus, and Novalog early this morning, both in my upper-inner thigh (a place where i haven't givin myself a shot in about 5 years). i usually give myself my injections in my stomach. a few hours ago, i noticed a huge lump on my thigh where the injections were given. it's not hard, just really red, and it hurts, itches, and stings. what is it? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have hematoma or abscess at site of injection. Apply ice massage. Anti inflammatory plus analgesic drug can be used to releive pain and inflammation. If it remains persists then you need examination. 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.
| 63,455 |
What causes high grade fever during night and nausea?
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Patient: I have a 4 year old that has had a cold/cough (no fever) for 2 weeks. The last 2 days was doing well w/ little cough.During tonight, she spiked a fever and is now nauseated and states her tummy hurts. She has thrown up once.Should I take her in? Doctor: HI fever with cough and cold indicates Respiratory infection.GASTRITIS RESULTS DUE TO THE SORETHROAT/ENLARGED TONSILS RESULTING IN TUMMY PAIN.Just give her some soft diet which is bland with fluids to avoid dehydration .give a good antiemetic like domstal syrup after consulting your child specialist for proper dose according to her weight.
| 174,684 |
Suicidal. Visited mental health facility. On medication. What else can be done?
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Patient: My daughter(25) was suicidal so went(forcefully) to mental health facility and left with meds thorzine 25mg 3 x day and 2 others less concerning. generaly normal kid but just had a few big crisis in a row sent her over edge. She is struggling on this med and trying to drive long distance to appointments and I in fear for safety on road at this point! Feel this med is way overkill for her situation but feel helpless to be heard..Advice? Doctor: DearWe understand your concernsI went through your problem description. The medicines you were given is quite suitable for your daughter of 25 years who is showing suicidal tendency. Wait for two or three weeks and the medicines should become a habit for your child. But that is not all. I suggest she should not become drug dependent. Find out why is troubled and under this tendency. If required get the help of a psychologist. Medicines alone cannot cure such problems. Underlying factors needs to be removed.Therefore, tell her and appraise her of the situation and ask her to cooperate for a visit to psychologist.Hope this clears your doubts. Available for further clarifications.Good luck.
| 211,732 |
Stomach crunches, muscle twitching in abdomen, had protected anal sex. Causes for abdominal pain and treatment?
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Patient: About 3 weeks ago I did some stomach crunches one night. It was the first time I had done stomach crunches in many months, and even then, it has been years since I have exercised on a consisten basis. I remembe being sore the days after, but since then, I have been getting some muscle twitching in my lower abdomen , mainly on the left side, although the whole area, left to right seems a little tight. Did I pull a muscle or strain? However, I tried protected anal sex about 2 weeks prior to those stomach crunches. Could the abdomen pain be related to that? It was my first time. Doctor: Hi, Thanks for writing in. I think you probably pulled a muscle during the crunches. Its unlikely that the protected anal intercourse caused any of these symptoms. When you start with an exercise, please make sure you maintain a proper posture. Do not do more than 6-8 repetitions in one go. At this point, the pain can be relieved by using diclofenac gel and hot fomentation ( in the form of hot water bottle or electric heating pad). This should make the pain much better. Hope this helps Regards
| 94,998 |
What does short fetal legs on pregnancy scan suggest?
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Patient: My daughter has had a 20 week scan and her baby has a hand missing but they also mentioned his legs were at the shorter end of the scale. She is waiting to have an amneo test. They mentioned his legs being a little shorter even though they said they looked normal could this be a sign there is more wrong than just his hand missing. She had a miscarriage before getting pregnant this time. Doctor: There are chances of this baby having other congenital anomalies also.there could be generalized shortening of all the limbs.she needs to be further investigated
| 219,975 |
Suggest clinical trials for ALS
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Patient: My sister has been diagnosed with als She us 69 and has led a very conservative healthy lifestyle. She exercised about 2 hrs a day... Bikeriding, walking, swimming etc. now, she can hardly get out of the house without someone helping her to the walker and down a ramo. Are there any clinical trials in the Memphis area or surrounding areas that she could be involved in? Doctor: Hi, Clinical trials for ALS are directed towards stem cell therapy (AstroRx) and in cases of inheritance, towards reversing nucleotides drugs. You can check at CenterWatch about active trials in your area. Despite the trials and current treatment, ALS remains a fatal disease. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical
| 140,998 |
Suggest ways to get pregnant while having no frequent ovulation
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Patient: Hi! I have two children which I conceived with normal process. Before them, I had two accidental abortions. I have ovary polycysts. I want to get pregnant again and I tried Ovamit twice as it was observed that I had no frequent ovulation. The second time I had three ovums and I got medicines so that they break. Unfortunately no pregnancy occured. What do to now? Doctor: Hi, I think you can try the medicines for 3 more months. If it doesn't work, then you can go for IUI. In this the semen of your husband is processed and it is instilled into your uterus when follicles rupture. You can try this for 3 to 6 cycles. Before IUI, you have to do a HSG to see condition of the tubes. Hope I have answered your question.Regards Dr khushboo
| 1,177 |
Can back, underarms and chest pain, heart poking and tightening be treated?
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Patient: hello doctor, i am suffering from severe back pain, full back area covering the underarms,over chest area, cannot tell specifically whole heart area like poking, tightening, cannot walk even a small distance. i feel heaviness in heart. kindly suggest me what to do Doctor: Hi,From history it seems that you might be having costo-chondritis giving this problem.But as you got tightening and unable to walk for short distance any cardiac ailment should be ruled out.Go for EKG and cardiac enzymes test done.Meanwhile take ibuprofen for pain as needed.Ok and take care.
| 108,532 |
Trying to conceive, did IUI due to blocked tubes. IUI failed, got periods. Reasons for failure ?
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Patient: Dear Doctor I am 34 years old & from India, mumbai. I am trying to conceive since 4 years however no luck. Since Feb 12 I have consulted gynac. Both mine & husband s initial reports were ok. Later thru laparoscopy we found one of the tubes are blocked. My eggs do get ruptured. Last month I had done IUI on 30th & 31st Oct but yesterday I got my periods. But this time while IUI My husband s sperm count was only 4 milion as compared to 70 mil he had during the initial reports. What could be the reason for failure of IUI & what should I do next treatment? Doctor: Hi, Reason for failure of IUI are multiple. First only one of two tubes is open, which itself reduces chance of pregnancy by half. Second count during IUI of 4 million has very low pregnancy rate. Third, even if everything is fine, IUI doesn't give you pregnancy rate more than 25%. Regarding further treatment, if count improves, you can try superovulation with injections & IUI. If count doesn't improve, IVF is best option. Wish you good luck.
| 43,900 |
Are Dexona and Ovidac injections safe to have during pregnancy?
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Patient: my wife is pregnant with 21 weeks .my doctor from day first she give three inj tomy wife after every 5 days routine procedure. 1 inj:: dexona inj 2 inj::ovidac 5k 3 inj:: progesterone inj 500 mg suggest me that it is safe all three inj in every 5 days. and also suggest me that about the charges of cervical cerclage. Doctor: hello. u didnt narrate her proper history like whether she concieved naturally or through treatment course whether she has pain in abdomen or any bleeding through vagina or history of any miscarriages.in the absence of these there is no need to give such injections. charge of cervical cerclage varies from patient condition.
| 218,894 |
Can post nasal drip cause achy sore throat with swollen tonsils?
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Patient: My son is 9 and his throat has been achy sore, not raw sore. it is not red and he has no fever or white spots but his tonsils are pretty swollen and his breath smells. he often breaths through his mouth because his nose is congested. I didn t know if post nasal drip could cause these symptoms or could it be more serious? Doctor: Hi, I'am Dr Suresh K Yadav MD (paediatrics), I had gone through your question and understand your concerns,Based on symptoms described by you it looks like that your child is suffering from enlarged tonsils and adenoids leading to obstructive symptoms . You need to consult a paediatrician and ENT surgeon to assess role of allergy causing this to decide about allergy prophylaxis or need for removal of adenoids and tonsils by surgery if symptoms are chronic and recurrent . Post nasal drip is due to infection or accumulation of secretions that may need a course of antibiotics .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.
| 178,061 |
What causes vaginal bleeding after taking contraceptive pill?
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Patient: Good evening doctor.i had taken a contraceptive pill 3 days back.and since yesterday i am having the vaginal bleeding.my periods were on 23rd of dec and lasted for 4 days,I am confused whether my periods have been prior shifted or is it the vaginal bleeding as mentioned on the pamphlet of ipil.If its the later thing..how long will it continue Doctor: Hello,I have gone through your query and understood the concern. The emergency contraceptive pill contains high dose of progestogen and this disturbs the hormone balance of the body. Hence there is often some withdrawal bleeding seen after pill use. This is what you are experiencing now. If you happen to be nearer to your natural period, it is also possible that your period has also been advanced due to the pill effect. Withdrawal bleed usually lasts for a couple of days and sometimes longer like a proper menstrual bleed. Hope you find this information useful. Take care.
| 223,556 |
Suggest risk with bloody mucus
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Patient: my husband suffers from severe copd in the past few weeks he has been bringing up bloody mucus off and on he went to theER they took chest xray found granuloma and several nodules said xrays was ok also blood test they came up with diagnosis of probable bronchitis. Gave him antibiotics and was told it coud last up to three months. My question is it normal to bring up bloody mucus off and on Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. He is having hemoptysis (blood in sputum). And this is not normal in bronchitis patients. Hemoptysis suggests following possible causes. 1. Worsening of bronchitis 2. Pneumonia 3. Tuberculosis 4. Lung cancer. Since he was also having granuloma and nodules previously, possibility of tuberculosis or lung cancer is more in his case. So better to consult pulmonologist and get done 1. Fresh chest x ray 2. CT thorax 3. Sputum examination for AFB (acid fast bacilli - bacteria causing tuberculosis). He may need anti tubercular drugs if it is tuberculosis. Don't worry, he will be alright but first diagnose him and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.
| 76,232 |
Suggest medication for chronic lower back pain and torn rotator cuff
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Patient: hi i hAVE CHRONIC LOWER BACK PAIN AND A TORN ROTATOR CUFF ON MY SHOULDER I AM IN CONSTANT PAIN AND AM HAVING A HARD TIME FINDING SOMETHING THAT WORKS i VE TRIED NARCOTIC, NON-NARCOTIC PATCHES, ICE, HEAT ETC, ANY SUGGESTIONS CAUSE IM TIRED OF GOING TO DOCTORS Doctor: Hello, I have studied your case.When such patient comes to my hospital we usually take x ray spine to see for any nerve compression.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor.Some exercises which can be done after pain has reduced include- Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg.Now lift both hand and leg simultaneously, 6 inch off the ground and stayPosition for around 10 breathes. Core stabilizing spine exercises will help.You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.Hope this helps. Wish you a speedy recovery. Take care
| 111,066 |
What causes pain on the upper stomach with a history of hernia surgery?
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Patient: A LOT OF PAIN ON LEFT SIDE OF UPPER STOMACHE AREA PAST HISTORY LOTS OF DIAGNOSTIC LAPS 2 HERNIA REPAIRS ECT MOST RECENT SURGERY MARCH HERNIA REPAIR WENT TO ER CT SHOWED FLUID BUILD UP AROUND SMALL INTESTINES PRESCRIBED TWO ANTIBOTICS SHOULD I BE CONCERNED LOTS OF PAIN WHEN UP AND DOING NORMAL ACTIVITIES Doctor: Hi! Good afternoon. I am Dr Shareef answering your query.With the history of so many surgeries in the past, I would like to first have your abdomen examined physically followed by an ultrasound and a CT scan to rule out adhesion formation resulting in intermittent sub acute intestinal obstruction. In this case, you might have to get admitted in the ER/hospital for a period of observation with rest to your intestines. The problem might get relieved with this conservative measure, but in case it does not, you might need some kind of intervention on consultation with your surgeon.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.
| 89,514 |
Suggest treatment for persistent cough despite taking Robitussin
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Patient: My son who is 19 developed a rash on his face and started coughing two weeks ago. He is also tired and now takes an hr nap this last two days. I bought some benadryl cream and he used that for a few days and the rash is gone but the cough remains. Sometimes he can t stop coughing. Nothing coming up. No white spit or anything. Cough will stop for awhile and then start again. He uses Robitussin but that doesn t stop it.He has no other symptoms NO Congestions, No Fever, No Sore Throat or drainage, No swelling. Going to see our doctor in two days. Any Idea? Clue? THANKS! Doctor: Hello, As you explain the history it might be an allergic cough. If it doesn't disappear with the last treatment than consult his doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jnikolla, Pulmonologist
| 70,654 |
How to treat seizure while on levopsy 750mg?
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Patient: Dear Doctor I got my first episode of Seizures in last month. I am using eptoin 100mg two tablets a day. NOW I GOT DRUG ALLERGY BECAUSE OF eptoin.with consulting another neurologist i am now using levopsy 750mg one tablet daily.is it useful or what should i do? Doctor: you can use tablet levopsy for control of your seizures. The advantage of this medicine is that it is much safer drug than eptoin. However, i suggest that instead of taking 750mg as one tablet, you can take 250mg of tablet 3 times daily, as this drug has short duration of action ; this may help in better control of your seizure.
| 147,013 |
Any suggestion for stage 4 cancer?
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Patient: sir my all ready he have the cancer stage 4 as per dr pradhan tata bot i cant understand what i do he isnowat mumbai please help me . his cancer attack start by goal blader & liver.... he all ready touch with tata memorial canser hospital mumbai. plzzzzzzzzzzzzzzzz help me sir Doctor: HiThanks for your query.I am sorry to know about him. Stage 4 cancer may not be cured but some therapies are available to control the disease and make the patient feel better. Please consult any medical oncologist to discuss about these options.Hope this helps,Regards
| 156,979 |
What is the treatment for hepatitis b and fatty liver?
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Patient: I have 36 years age, 5ft and 5 inches height and 75 kgs weight, Alt=180 and ast=70 . i checked from Lab its a pairs Hepatitis B and Ultra sound says that i have fatty liver, dr. said that you start injection, i am a poor man and i cant afford lot of money, kindly advise other way for treatment, Doctor: HelloThanks for asking query on HCM. You have HBsAg positive status and fatty liver on USG, AST of 70 and ALT of 180. This is insufficient data for me to opine on the treatment plan. The rise in AST and ALT may be due tohepatitis B or non-alcoholic fatty liver disease, treatment of which are entirely different or a combination of both the factors. I would suggest you to undergo - HBV DNA (quntitative) and E antigen testing. After this I would be able to opine on the treatment. If the said injection is peg interferon and if you dont want to take, there are other alternative tablets which are simple to take. But the recommendations can only be made after the blood reports.Take care
| 54,967 |
Why do I feel pain in my shoulder after being dislocated and then fixed?
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Patient: my shoulder dislocated on monday and it was put back into place. today i still feel pain, i was moving it around a little and felt a small pop. i instently had tingling in my hand. and felt like i was going to faint. what should i do? or should I even be concerned? Doctor: it is normal as the capsule of the joint is still sore after Th injury.the popping is due to ligament laxity and muscle weakness.physiotherapy is essential for you ..muscle strengthening and stretching.
| 131,700 |
Suggest solution for pain in right leg
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Patient: yes I have pain in my right leg, when I stand on it especially from sitting or laying down, it has a tingling feeling like it is trying to wake up. Also I feel some but very faint pain in my little toe and now the one beside it. They still have feeling but its different from the others. Thanks Doctor: hi you can use moist heat use wet wash cloth and make sure it should not be too hot so that you can burn yourself and use declofanic gel and cover the part after this perform this in morning and night before sleeping this will help you to reduce pain and you can use carp band this will also help to reduce pain and do stretching this will also relief pain you can take physiotherapy this will also reduce pain and they will also tell you strengthening exercises .wish you good health
| 217,491 |
What causes repeated birth defects in fetus during pregnancy?
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Patient: Hi My name is Manju living in Auckland, NZ. Its regarding my pregnancy. I conceived 3 times and ended up with 3 different types of anomalies. First one was Anencephaly, second one was single ventricle and in third heart beat stopped in 10th week.. I have undergone all related test including Karyotyping, HSG, Blood Tests, Laparoscopy, Hormone tests etc for finding out the reason. Everything resulted in Normal/positive. Now I am planning for a baby. Consulted with a GP here. He made me to do all blood tests and results are very normal. He referred me to Geneticist. Waiting for her appointment. What would you suggest me in this context? Help me if possible. Doctor: Hi, I think first of all do a semen analysis of your partner. Sometimes defective sperms are the reason for abnormalities. Also I think it would be a better option for you to undergo an IVF and then go for preimplantation genetic diagnosis for the embryos. The embryos which are healthy will be transferred to your uterus.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya
| 2,738 |
Having lower back pain in periods after taking of ibuprofen, what could be the problem ?
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Patient: Hi. My girlfriend is normaly Ibuprufen tolerant. However when she is close to her period, if she takes this medication she can sometimes have severe stomach pains. Today she is within 2 or 3 days of starting her period and has pains in her lower back similar to if she has a trapped nerve or has pulled a muscle. She has taken 400mg of Ibroprufen and now has bad stomach pains. Why could this be? Doctor: She should not take the ibuprofen empty stomach, take tab Ranitidine along with this
| 95,832 |
Cramping, bleeding after having sex. Taken progesterone. Going to have areola reconstruction. Pregnant?
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Patient: I had my cycle Oct 16th 2011 was sexually active around 28 Oct unprotected and started cramping w/ heavy bleeding around the 11th Nov. Missed period for Dec, Jan, Feb. Took 1 round of progestrone mid Feb for 10days, but no period. Waited a few weeks took another round of Progestrone for 10 day mid March got period for 1 day. Have taken several HPT (hone pregnacy test) which were all negative. Have had 2 urine pregnacy tests at GYN doctor s office which were also negative. Was prescribed BC patch which I was on for 2 weeks until I started having severe dizziness and vomiting . stopped the patch and had a period. Haven t had a period since. My stomach has been swelling and I m experience movement. I haven t gained weight, but I ve haven t been able to lose weight even though I ve reduced my calories to1200 daily for the past 3 months combined with 4 days a week exercise. All my weight is in my stomach area (very full from under the breast area and down). I ve tried wearing a girdle to restrict my waist area but I m starting to experience pain in my stomach and lower back. I ve had testing for all my organs (pancrease, gallbladder , and liver function and they all came back fine). I m concerned because I had sugery March 30 for areola reconstruction. Is there a chance I could be pregnant? I have a retroverted uteris with fibroids ..... Doctor: hello,.There are several reason of missed or delayed period. First exclude pregnancy and you also get negative results several time.Those are like hormonal imbalance,PCOD,over wt,Psychological upset,Eating habit disorder,stress, thyroid problem etc.So need some investigations like USG lower abdomen,LH/FSH,PPBS,Thyroid profile,Blood estrogen and progesterone level etc.Then consult with gynecologist with all reports and take advice accordingly.Control body wt,avoid stress,take healthy diet and need proper sleep.Be well.
| 220,509 |
My child has horribly stinky gas
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Patient: My 4 year has reflux. He threw up 3 days ago and now has horribly stinky gas. I think the liking was reflux related but the stomach flu was going around. This would be third time in 3 months that he would have gotten sick. He won t eat and says his stomach doesn t hurt but his farts are violent, frequent, and stink BAD. What can I do ? Doctor: Thanks for the query He is suffering from gastro enetritis. I suggest a course of antibiotics for him and also 7 days of pro biotics. keep his hands and cut his nails short. Children are most prone to gastro enteritis Have a healthy living
| 95,645 |
Lower abdominal pain, dizziness, fatigue, lightheadedness, ringing in ears, enlarged prostate, bulging vein. Done CT scan. Explain
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Patient: Over the last 2 months I've been dizzy and had fatigue upon waking up and throughout the day. Dizzy meaning lightheaded. No spinning. My ears are also ringing. My forehead feels warm as well as each ear when I lay with my ear on the pillow. It has gone away for a week before but came back. No fever. It's the same while standing or sitting. Today it subsided but after I went out and came back and ate it came back full force. I was taking flomax for an apparent enlarged prostate as I did have frequent and short urination and burning lower abdomen. The dizziness started 2 months in taking it and I stopped it after that. It's been 2 months since I stopped. Only other thing different is I've had a bulging vein in left forehead that causes pressure there. That is almost constant. Occasional minor headache. I've been to the doctor several times for EKG and even ctscan and blood tests all negative. Thanks. Doctor: Hi, tamsulosine has side effects concerned with the mucosa of the nose and sinuses, so can cause symptoms of the sinusitis. any how you have stopped. The vein, and occassional head aches will be remnant of the sinusitis. or may not be.It may also be due to anxiety. I to my patients with such symptoms prescribe, cefixime, decongestants, analgesics, and antihistamine. Gargling with luke warm salt water can give you good relief.Thank you.
| 93,107 |
How should sneezing and chest congestion due allergic reactions be treated?
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Patient: Sir,My daughter is 3.5 yrs old and is having frequent allergic reactions.She starts sneezing and subsequently she develops wheezing/ chest congestion. Doctor said its reactive airway disease. Her igE is 320 .Doctor has prescribed Foracort 100(2 puffs/ day)for 6 weeks.I want to know is it alright to give foracort to a 3 yr old child.What is the further line of treatment.whether she has to take foracort for prolonged period and does it affect Child s growth.If i shift to some other place , will it help.I would appreciate if you could clarify the on the above condition. Thanks Doctor: This is reactive airway disease. However foracort may not be required. Instead a short acting bronchodilator like salbutamol(ventorlin) and a low dose steroid like budecort 100 can be given but separately. Later budecort may be stopped according to the response and the chold can be placed on ventorlin as and when required. However it is also important to avoid allergen exposure to prevent attacks.Further a spacer with a valve should be used to ensure proper delivery of the drug.
| 175,908 |
Can Blackmore s foliate and Ultivite formula be taken during pregnancy?
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Patient: I am 4 weeks pregnant and we are on holidays so I have not had an appointment with my health care professional yet, however wondered if I should continue taking Blackmores folate as well as Swisse womens ultivite formula 1? I am concerned as it contains herbs. Doctor: folate is extremely helpful for an early pregnancy as it can cure neural tube defects, don't know about other drug
| 223,049 |
Suggest medication for painful inner lip bite
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Patient: I fell, and I bit the bottom of my lip a couple of days ago, it didn't hurt until the day after. It's hard to drink and very hard to eat, I've been swishing with salt water but it still hurts Everytime I move my mouth or lips to even talk. I don't feel like it's getting better. What should I do? Doctor: Thanks for using Health Care Magic.Read your query.Lip biting lesion can be painful ,though it depends on the extent of the bite taken place.It usually subsides on its own.I would advice you to apply mucogel / dentogel on the lesion two or three times a day till the symptoms subside.Continue with the salt water gargling or any mild antiseptic mouth wash.Paracetamol can be taken if pain is severe.If it persists more than a week or so , please consult your oral surgeon and have it reviewed.Hope this was helpful.Thanks and regards.
| 183,454 |
Could sore throat, cold and slight fever mean recurred typhoid?
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Patient: Hi, I had typhoid last month and was under medication for a week post which i was pretty normal for more than 2 weeks, From day before after i had cold fanta in the night i started having throatpain,severe cold and dizziness. throatpain is fine now, but having severe cold, slight fever then and there ,can you advise if i should again go for typhoid test. I consulted doctor for cold and he has given some antibiotics Doctor: Hi,It seems that you might be having some upper respiratory tract infection and does not seems having typhoid relapse.As you had typhoid recently, Widal test for typhoid will not help to diagnose relapse.Go for symptomatic treatment for cough and cold medicine.Take light diet and avoid fried and junk food.Ok and take care.
| 32,550 |
Suggest treatment for insomnia and dry mouth while on Vyvanse
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Patient: i am on 100 mg of vyvanse and 25 mg of zoloft and i want to play sports but my whole body feels weird and i have an upset stomach, sleep impsomnia, and dry mout, and i also have trouble eating and i take both of these medicines together every morning and i can barely stay awake when it comes to 4 or 5 oclock. im afriad and i dont know what to do? Doctor: HelloThanks for asking from HCMYou are taking Vyvanse 100 mg and Sertraline 25 mg. The drugs are causing side effects like insomnia and dry mouth. Most likely the problem of insomnia is occurring due to Vyvanse. You can discuss with your psychiatrist and can request to lower the doses to 50 mg in morning. This will result in better tolerability. Zoloft causes sedation and the drug should be taken in evening after dinner. This will help in good sleep in night and will not cause insomnia and tiredness in morning.Thanks, hope this helps you.
| 206,343 |
Could panic attacks and palpitations be related to taking Chinese herbs?
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Patient: I took a lot of Chinese herbs 4 month ago and some supplements (alpha lip acid, n-acetyl-cist). Also deer antler. About 3 weeks ago under some nights with poor sleep and intense hot weather i had a very stressful family situation. Next day had a panic attack with strong heart palpitations. Also i was into coffee enemas. Now 3 weeks later i still have some discomfort : veins swell, poor circulation and small discomfort on left side of left nipple. Any suggestions? Thyroid panel, lungs, blood and hear EKG normal. Doctor: **1. since baseline Investigations came Normal, thus hopefully palpitation and panic attack was due to improper sleep and hot/humid conditions, since anxiety can cause the above mentioned physical symptoms.2. avoid alcohol, caffeine, excess physical –mental exertion, sun exposure, corrylium, smoking, errhine therapy, betel leaves, gruel, soup, day time sleeping, garlic, ginger, onion, spicy-heavy- junk food, mustard oil, pickles, .Take: mint, coriander, tomato, cumin, plenty of water, vitamins and mineral supplements, apple, banana,grapes,dates3. Prescription drugs available are: mahakalyanak avleha,smritisagar ras,trifla churan,brihat vata chintamani ras,ghritkumari,ashwagandha,brahmi,jatamansi, stresscom.PS. since the ingredients of Chinese herbs are not known/mentioned thus for more information regarding Adverse effects of Chinese herbs, please go through: www.naturalstandard.com
| 97,673 |
Is dementia patient recommended to travel?
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Patient: Hello, My mother has dementia and is already established in a proper care home, what I would like to ask is this, would it be detremental to her well being if she was moved 100 miles to another home just because a family member wanted her to be nearer ti them ?? Doctor: Hello, As far as the patient is transported with someone known there should not be any problem. Also, having a relative close by will be of great help to the dementia patient. Do not worry much and you can transport the patient to another home Care centre. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 140,663 |
Does oxandrolone affect hormone levels?
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Patient: Hi there, I am wondering if taking oxandrolone which has been proven to help cancer patients to gain weight would affect thyroid hormone level. I am currently taking Synthroid 175 mcg and my family doctor has no idea about this. There is one idea that it may induce clinical hyperthyroidism in one study but the manufacturer s insert does not indicate as such. Doctor: Hi, dear I have gone through your question. I can understand your concern. You have cancer. Oxandrolone is not known to cause thyroid issues commonly. It is not a common sids effect. So use of Oxandrolone is justifiable in cancer patient. Where risk benefits ratio is favourable. Consult your doctor and start 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.
| 155,045 |
What do fat globules in stools indicate?
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Patient: hi, i am a mother of a 6 months old baby boy, he started to have his lbm last monday. today he experienced 6x of bowel movement, i am worried so i decided to test his stool and the result is like this no ova or parasite seen, fat globules-many, what is the meaning of fat globules in the stool of a 6 months old baby? thaks Doctor: fat globules are suggestive of malabsorption. What's the source of milk being used for the child. Is it age appropriate? did he have diarrhea a couple of weeks before this episode? is the child being weaned? In any case, do seek attention of your childs doctor.
| 167,630 |
Can a tick bite infection in the neck travel to the pituitary gland?
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Patient: I had a c.a.t. Scan done the other day and it is showing something. They want me to have an M.R.I. But ln 2015 I had a tick bite. I did take antibiotics for it but had some problems in the nape of my neck later to find out I had an infection in a gland. Is it possible that the infection traveled to the pituitary gland? Doctor: Hello dear, welcome to Ask a doctor service. I read your query and here is my advice.No there is no possibility that a skin tick gives infection of pituitary gland. No relation at all.Hope I have answered the question. Let me know if I can assist you further.
| 28,602 |
How to treat redness,swelling and bleeding of gums?
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Patient: MY daughter, nearly 6 years is being treated for strep throat from lunch time today with Amoxicillin. although she still has a high fever i am concerned about her red, swollen and almost bleeding gums that appear to be worsening. she has young teeth and I am concerned this may be another infection that still needs treatment. What do you think is the cause? I noticed this yesterday evening before she was diagnosed today- but has definitely spread throughout her mouth and it is tender. Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that your daughter is suffering from viral infection leading to inflammation inside mouth along with re, swollen and bleeding gums leading to Gingivostomatitis..It is a contagious infection and the child may get it from kissing , eating or coming in contact with people who have active infection..The initial treatment is directed towards reducing fever and decreasing the discomfort caused due to inflammation in mouth..You should feed your son with a soft ,cold and bland diet, a low spice vegetable soup, flavoured gelatin, bread socked in milk etc can be given..Avoid citrus juices like orange juice and can give him fresh apple juice..For fever you can give him Tylenol or Acetaminophen ..Application of a numbing gel like Lignocaine over the gums and other sore areas of mouth can provide relief, but care should be taken not to involve large areas of mouth as when being numb the child can accidentally bite the tongue and also damage other areas of mouth unknowingly..Sucking ice pops or a frozen apple juice popscicle can help in reducing inflammation and discomfort...Maintain a good oral hygiene and use an ultra soft toothbrush for brushing can help by preventing trauma and pain to gums..In case if there is an outbreak of sores or blisters antiviral medicines like Acyclovir can be advised by a Paediatrician to reduce the duration of the disease and prevent further outbreaks.Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.
| 167,042 |
Am I protected from pregnancy as i missed the pill for one day?
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Patient: hi. I m on a mini pill. I take it everyday at 12pm. I forgot Friday and took it dead on midnight Saturday, so exactly 12 hours later. I then took it again normally 12pm Saturday,Sunday and today. I ve just had sex, using my pill as a protection. Am I protected from pregnancy? Doctor: Though you might be protected from pregnancy, there is a small risk of getting pregnant as you have taken the pill 12 hours later. Usually in such a situation it is wise to avoid sex for two days after the missed pill was taken or condom should have been used by your husband. Not to give any chance for pregnancy in future, I suggest that you should take emergency contraceptive pills if you had sex.
| 224,252 |
Suggest medication for rashes on groin area
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Patient: I have a rash on my groin its been there for awhile, I believe that it might be jock itch I have had this before and I used cannesten and it cleared up but now I have it again and I used some stuff called hydrozole which didnt do anything so I'm back to using cannesten. I was just wondering if I could get some advice, my foreskin also seems to be red and it feels very dry kind of crusty, the rest of my rash doesnt feel like this. Doctor: HelloI really appreciate your concern.Looking at your description it seems to be related to infection or inflammation of foreskin of the penis.At the outset you need to rule out the possibility of STD (sexually transmitted diseases).If you can write back to me with a photograph so that I will be able to tell you better.In my opinion you should go for a battry of tests like CBC, VDRL test, urine culture and serological test for herpes.Meanwhile wash it with antiseptic soap or solution and apply antibacterial ointment like mupirocin or soframycin.Maintain good hygiene, clean your foreskin regularly.Hope this answers your question, please feel free to ask for follow up question, I will gladly answer you.Best wishes
| 197,679 |
Suggest remedy to relieve lower back pain due to disc protrusion
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Patient: Hello.... I have had severe lower back into left thigh pain for 4 months. Tried going to chiropractor with little or no relief if not worse after treatment. Finally had MRI L/S which shows I have a large left lateral recess disc protrusion leading to severe left lateral recess impingement at L5-S1. there is associated moderate canal narrowing at L5-S1 due to large disc protrusion. What advice can you give me about resolving my pain? Doctor: Hi,Welcome to healthcare magic.After going through your query I think your You are suffering from lumbar disc prolapse.There are two treatment options.First option is Rest in position of relief(generally lateral position with both knee bend),NUROKIND GOLD ONCE DAILY and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as ultracet three times a day after meals) is required. OMEPRAZOLE 20 MG before meals prevent acidity caused by analgesics . This method needs patience as it take longer treatment times sometimes up to 6 months.Second option is go for surgical operation(Discectomy) I think your query answered.Welcome to any follow up query
| 110,238 |
Itchy red rings on the face and near armpit. What are these?
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Patient: Hello, I have these red rings about 1 1/2 all around my neck , I ve had them for about 8 months and have done nothing about it, because they were small and didn t bother me. Since its gotten hot here in ny, these rings are now very itchy and have doubled in size around my neck, and 1 new ring is near my right armpit. Any ideas as to what they may be? Doctor: Hi..dear john.., Thanks for choosing HCM.., These are due to fungal infection.., called TENIA CORPORIS.., Apply Terbinafine....TERBICIP...cipla...cream 2 times daily., Tab TERBICIP 250 mg daily night for 10 days.., will give good result.., Tinaderm lotion every 2 hrs on affected part.., thanQ
| 16,273 |
Migraine pain. History of severe whiplash and concussion. Problem?
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Patient: Hi, I live in a constant migraine every day do to two wrecks four monthes apart first one i fractured my c2, c3 vertebre and suffer severe whiplash and concussion and second wreck i had bad whiplash and had a mild concussion to my brain before it healed from the other one. it is four years later and i still live in a constant migraine and no neurologist can figure out why. Right now my biggest concern is that the pain had gotten worse and when the pain gets to a certain level im starting to literally getting high off the pain and i get real light headed and impaired. why is that happening to me? im not complaining though cause it helps me get through this high level migraine. is this my brain adapting to the constant pain? it allows me to think and focus on a whole new level! Doctor: Hi and thanks for the query,I would love to know whether you have done control CT scans and MRIs since you started having these persistent pains.Other primary headaches could mimic migraines. Cluster headaches and Tension headaches should however not be neglected. Ct scan and an MRI are of utmost importance to exclude any chronic hematoma or tumour that might also cause debilitating pain.What bout your blood pressure levels and control. It might be neceessary to have a control for your blood pressure. What you describe is more of a primary headache that needs a deeper insight. However, control Ct scans and MRIs are mandatory not to miss some common secondary causes.Getting an appointment wit your neurologist to get these tests done might be of great help.Best regards,Bain LE, MD.
| 150,038 |
What causes blue lips in a kid after eating?
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Patient: My 14 month old daughter gets blue lips (and some times hands) after she eats. This has been going on for 2 weeks. She has had chest x-ray, EKG, heart ultra sound, and a swallow test. All came back negative. She has been fighting an ear infection for 2 weeks. 6 days ago we started her on amoxicillin and she had an allergic reaction on Thursday (hives all over her body). We are on new meds for the ear infection. Could the blue lips/hands be explained by a food allergy? They seemed to be worse (more frequent and longer duration) when she was taking the amoxicillin. Doctor: Hi....by what you say, I feel that the blue lips are more likely to be due to drug allergy due to amoxicillin rather than a food allergy. I suggest you stop the antibiotic immediately and approach your kid's pediatrician regarding this.Regards - Dr. Sumanth
| 167,310 |
How to deal with low mood?
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Patient: i'm feeling very bad, everyone discourage me that i can't do anything just because of my past. where i was not able to study and everyone still thinks that i can't do anything and they never give me a chance to participate in anything in the school all the teacher's say that i cant do it. what to do know?? Doctor: HiThanks for using healthcare magicI think, either you have mild depression or low confidence. In that case, you need cognitive behavioral therapy. That would help you to come out of the situation and boost your confidence. You should consult a psychologist for proper mental evaluation and CBT. You can also try exposure therapy. Remember one thing, quality of life depends upon thoughts, so stay positive.Thanks
| 209,792 |
Pressure and tightness in ribs with pain, breathlessness, swelling and strainful belly. Done CT scan and Ultrasound. What is it?
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Patient: i have pain under the right side of the the rib cage and mid rib cage. there is a lot of pressure and tightness on the ribs. sometimes there is a lot of swelling of the belly and strain. ribs feeling tender and pains in my chest. trouble breathing at times. had ultrasound, light down and ct scan done but nothing showed up. Doctor: Hi, most probably it appears to be the gastric irritation, due to the ulcer, or irritating foods. gastric issues usually can't b shown in US, and C.T.scan, gastroscopy is needed to find the fault. So i advise you to consult a gastroenterologist for diagnosis an dtreatment. Thank you.
| 103,229 |
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