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What causes bumps filled with puss and blood?
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Patient: my wife getting puss bumps(like big pimple filled with blood and puss), which is causing lot of pain to her. one appaerad last week and just got bursted with blood and puss. Now another appeared in the naerby area. Its not bursting and its hard give lot of pain to her, Please advise which medicine she can take. Age:20 Height :5 foot 6 inch weights: 125lbs Medical history: Healthy Doctor: Hello and thank you for your question.She really needs to see a doctor when when she has one of these so that they can open it and send the fluid inside for a culture. It may be that a course of antibiotics could clear this up but the best way to find out the cause is to culture the fluid inside on of these bumps.Regards
| 34,271 |
Suggest treatment for a painful lump on the anus
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Patient: Hello, So from an earlier age I ve always had a couple of drops of blood from my anus after I ve gone to the toilet, but recently I have developed a lump (thought it was a little cyst because I could pop it) near it, but after popping it it s turned into a firm lump.... should I be worried? Doctor: Hi,Dear,Welcome to HCM. Based on the facts of your query,You seem to suffer from-Prolapsed Internal Piles with hardening from popping.This is due to the internal bleeding which makes it Firm lump.Earlier you had painless bleed from this Internal Piles,which got prolapsed and is coming out now as-Painful Mass in the anus,after it popping by you.Treatment-Sitz bath.Liq.Paraffin to soften stools Antibiotics -like Ciplox 250 mg/ Motrin 400 mg for 5 days time.Keep a Watch for any increase in pain or/ increase in size.Take Surgeons second opinion to check any complication out ofpopping.Hope this reply would help you to plan further treatment with your doctors.Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Dr.Savaskar, Senior Surgical Specialist M.S.Genl-CVTS
| 62,169 |
What could cause diarrhea and stomach pain in a child?
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Patient: Sir, My eldest son is 8 years old now. Upto 4 - 5 years age he could not have fatty items, milk, egg, meat etc. Frequently he suffered from diarrhea and stomach pain. We consulted so many doctors at that time. Now though he has got relieved from pain with age but his health is not sound(under weight and unexpectedly thin). Therefore, I want to consult with the specialist related with this type of problems in reputed Hospital like yours. Please send details about the doctors and their contact addresses and if possible how to proceed for treatment. Thank you, with regards, XXXX Doctor: Hello,It may be due to gastroenteritis. He may require complete hemogram, stool analysis after pediatrician consultation. He may require antibiotics after consultation. Keep him hydrated. Give soft diet. Watch for dehydration symptoms like dry skin and decreased urination Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Shyam Kale Family and general physician
| 160,967 |
Suggest treatment for piles
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Patient: my father ex army man and age 57 y he is suffering from piles since from 20 y he takes many treatment but all in vain than he used home made medicine it gives relief when he apply it but now from 20 days the massa is swalloned and it comes out and gives very severe pain he tell me to get operated. Is operation is good or there is another solution of it please suggest me. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Surgery depends upon the stage and severity of hemorrhoids. If they are grade 3-4 with thrombosed or active bleeding then need surgery. Eat high fibre diet and regular exercise, use metamucil or benefiber for bulk formation. Use syrp lactulose 30ml at night after dinner for five days if stools are hard. If symptoms not improved need to consult your surgeon he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further.
| 195,526 |
How to treat pimples and black spots on my face?
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Patient: Hyy my name is farsankhfkajda studying in 8th in UAE. i've got pimples and blackspots over my face. my sissy to hav and she applied melacare and got clean fair skin. but all of them says melacare cause cancer.. please help me to remove my pimples and blackspots in one week becouse its my sisst's wedding.. pls help me fast.! think me as ur daughter plsssss..! :( Doctor: Hello and welcome to healthcaremagic.One week is too short a time to get rid of the black spots nevertheless you should at least begin the treatment for the spots.Melacare contains a potent steroid and is not recommended for black spots resulting from acne because if used regularly melacare itself causes acne. Therefore it is not advisable to post acne black spots, It does'nt cause cancer either.I would suggest thta you see a dermatologist for a proper consultation. Your dermatologist might ask you to use benzoyl peroxide gel twice daily for your acne activity. Along with that your dermatologist might also add oral antibiotics like doxycycline or azithromycin for faster relief of acne.Regarding post acne black spots you need to use a skin lightening cream e.g either kojic acid or hydroquinone based cream once your acne activity is under control.regards
| 8,574 |
What is the reason of abdominal pain?
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Patient: Hi I believe I may have HAE. I am male 48 years old living in Spain. At the age of 14 (first attack) I was taken to hospital for severe abdominal pain. I have returned with the same symptoms over 10 times and never found a cause. I was told it may be a grumbling appendix. Apart from that I have a rash on my buttocks, have constant urinary tract infections and constantly urinate with a very week flow and quite often have top concentrate to urinate. I also have constant nasal drip thick mucus at the back of my throat every morning that causes me to vomit when trying to brush my teeth. I have mentioned all this to my doctor and have been to hospital and asked for the blood test but so far have been refused. I am being treated separately for all the symptoms. I am told allergies cause the mucus problems even though antihistamines nasal spray and such like do help a little it never eradicates it. urinary problems I am told is psychosomatic and pains in stomach are due to grumbling appendix. Rash is also allergy. Apart from that I had tonsillitis for 6 months and weeping blisters on my face as one of separate attacks. I have just discovered that HAE exists and it seems very strange that I have all the symptoms. Life is good but it would be much better without the problems in the morning with mucus and the urination problems. Would appreciate any advise or help. I have no idea why my Dr will not do the test for C1 and C4 inhibitors. Do you think it could be something else? Doctor: many thanks.you have 2 problems.1.prostatism and urinary tract infection.2.?bronchtiasis which is re tension of secretion in the air ways and lungs.Are you smoking or Did you ever been smoke cigarettes? for prostate you need the follow test.1.blood PSA.2.eGFR3.urine culture and sensitivity and then start antibiotics after the results of it.4.ultrasound of bladder,prostate,liver,kidneys.5. refer to urologist if any thing positive .For bronchiatasis ? cartagener syndrome needs sputum culture and check cila in it by histology.refer to pulmonologist for further assessment .
| 86,408 |
Is pregnancy possible despite taking oral contraceptive?
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Patient: Hy I had a sex with my boyfriend on 16th of oct that day was the 6th day of my period and again on 17th morning we had sex and I took the ipill same morning and after 7 days some bleeding occur on first day itz very light and and second day itz heavy Plz tell I m worried is there chance of pregnancy or not Doctor: HelloChances of pregnancy is almost nil.You had intercourse during safe period,ovulation is not expected in 6th and 7th day of menstruation.Also,you took emergency contraceptive pills within the time.Emergency pills are very effective (up to 98 %)if taken within 48 hours of intercourse.In short,you shouldn't worry.Chances are almost nil.Take CareDr.Indu Bhushan
| 222,032 |
What causes stabbing sensations in right side of abdomen?
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Patient: For the past 3 days ive been experiencing sharp stabbing sensations in my right side of my abdomin and also for about a week ive been getting fluttering sensatiins too in my middle of my abdomin ... tonight the pain was a bit more painful but once calmed down after about a minuet i started to get sharp pain in my right hip and leg .... are all these linked or is it all in my head? Doctor: HelloSince this type of pain , you are feeling may be due to these possibilities , these include.1 Renal calculus , as this is most common cause of such pain. Get in ultrasound of urinary tract system.2 Urine infection is the another most common cause . Diagnosis can be confirmed by urine culture examination.3 Chronic appendicitis is another such cause . Ultrasound of abdomen is an important examination in this case.However , there are so many reasons of such pain as , ovarian cyst ( if you are a female patient or salpingitis ) , amoebic colitis or intestinal infection . I recommend you please consult a physician and get his opinion because first of all physical examination is important to locate the site of pain as this pain is also radiating toward lower side as in hip and leg ,so may be a pain bone related.Good luck.
| 88,310 |
What is the role of stem cell transplant modality for renal condition?
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Patient: I am 61yr old male diagnosed with benign nephrosclerosis in 2001. Currently I am at end stage of kidney failure, however not requiring dialysis. I would like to get Dr. H L Trivedi's input on the role of stem cell transplant as treatment modality for my renal condition.Thank you. Doctor: Hi,Thanks for writing in.Demand for kidney transplants is increasing. There are not enough donor organs to meet this growing need. Stem cell based therapies may offer an alternative solution. The Harvard Stem Cell Institute is developing new therapies to repair kidney damage, reducing the need for dialysis and transplantation. It is in the experimental stage and further research development is required before using these techniques in humans. Found in the bone marrow, these stem cells protect the kidneys from injury and accelerate healing. Harvard Stem Cell Institute scientists have identified protein candidates secreted from mesenchymal stem cells that may be administered independently to aid in kidney repair.
| 48,378 |
What is the cause of chest pain?
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Patient: I am 71 years old male. Had a lot of gas last week or so. yesterday evening and this evening had sharp chest pain 4 inches above left nipple lasting less than 10 or 15 seconds about for times within the hour. took one regular aspirin. i am type 2 diabetic. I m taking metformin 500mg twice a day. my A1c is 6.1. also taking Losartan25mg, once a day, and,PravastatinSodium 10mg once a day, plus vitaminD, a baby aspirin a day and some antioxidents wine extract and pomigranet for improved urination. I am 5.7 tall and weigh 147lbs. In very good health condition including cholestoral and triglesorites nothing exceeding range limits, as a matter of fact much below range limits. right now i feel great. no arm pain or other pains. might consider visiting urgent care tomorrow for the peace of mind. would aappreciate your assessment. Thank you. Doctor: Thanks for your question on HCM.In my opinion you are having GERD (gastroesophageal reflux disease) mostly.But better to rule out cardiac cause first for your left sided chest pain.You are having following risk factor for cardiac disease.1. Old age2. Diabetes. So get done ECG. If ECG is normal then no need to worry much for cardiac cause.You had gas problem which also favours GERD more in your case. It is due to laxity of gastroesophageal sphincter.Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain and gas.So avoid hot and spicy food. Avoid stress and tension. Avoid large meals. Start proton pump inhibitor. Go for walk after meals.Don't worry, you will be alright.
| 81,056 |
Peritonial spill over a contrast seen in both sides during pregnancy, what does it mean ?
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Patient: peritonial spill over a contrast seen in both sides is that good for pregnancy or not Dear Doctor , I done my HSG and understood from the result that peritonial spill over a contrast seen in both sides is that good for pregnancy or not ? Doctor: Hi Welcome to HealthcareMagic. It is a good sign and it says you have no block in tubes.Please follow calender method and have intercourse during ovulation days to enhance your chances of pregnancy. Good luck & Take care
| 45,090 |
What causes an elevation in the heart rate while having low haemoglobin count?
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Patient: My hemoglobin count has gradually decreased, it was @ 10 in 2013 and 7.7 recently. I feel fine though. The only symptom I have is my heart races more than expected after running up stairs, running, or similar. I m thinking it s more towards blood loss in stool versus menstruation. Is it possible this is due to stress? I do have a hectic schedule and much to deal with. Doctor: Hi i do care for your concern. The anemia level that you have mentioned is low and needs medical intervention. Its advisable to take iron and folic acid tablet regularly until HB level increases. have a balanced diet with more green leafy vegetables. Regarding increased heart rate The oxygen carrying capacity is low because of low hemoglobin count. when demand for oxygen increase i.e during stress the heart pumps more blood to meet the demand. hence increased heart rate. Regarding blood loss It is advisable to consult a surgeon to rule out cause of lower GIT bleeding as this is important part of management. Hope i have answered your question, if you have more feel free to ask. Thank you.
| 114,597 |
Is zonisamide suitable for children younger than 16 years?
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Patient: Hello dr gm My daughter is 10 years old . With partical seizure I am little confuse that dr has advice ( ZONISEP is a brand of zonisamide) but it says Zonisamide is not suitable for children younger than 16 years old.Please advice Thank you ZONISEP is a brand of zonisamide - Patient Medicine Information Doctor: Hello, Zonisamide is recommended as adjunctive therapy for the treatment of partial seizures in adults. Safety and efficacy in pediatric patients below the age of 16 have not been established. It should be administered once or twice daily, using 25 mg or 100 mg capsules. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr AJEET SINGH, General & Family Physician
| 85,273 |
Suggest treatment for rapid mood swing
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Patient: hello... i dont know what my mother is suffering from... its been more than a year now... she acts weird sometime... there was a time when used to be very simple and down to earth..but now she becomes very violent... she is always screaming n uses abusive words... she thinks everybody around her are theives.... including her children... we want to take her to a psychiatrist... but she doesn't want to and even acts violently... we are worried.. Doctor: Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you are quite concerned about your mother's recent symptoms of suspiciousness, violent behaviour, etc. From the description of her symptoms it appears that she may be suffering from a psychotic disorder. However, a detailed history and psychological assessment is necessary in order to arrive at a correct diagnosis. Since you have mentioned that she is having significant symptoms, it would be best if he has a proper evaluation of her problems, so that a correct diagnosis can be made and he can be helped. So, I would advise you to get her to see a psychiatrist for a detailed evaluation and further help. If she is not willing, you can contact the community health team to arrange for a home visit.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist
| 210,280 |
Does a delayed period indicate an ability to get pregnant?
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Patient: Hello. My name is Wendy. I am a 30 year old mom of 3. I have a medical concern. I had my last child in 2006 and had a tubal ligation. Then in December 2009 I had to have a endometrial ablation done because of my problems with my period.. Got my period started back in January and since every 21-22 days for 5-7 days.Then this month I havent had one since May 27 So now I am worried..I was told i wouldnt be able to have anymore children so what to do..??I am worried.. Doctor: once you are located you cannot get pregnant however only 1% chances are there of ligation faliure. don't worry just wait and watch for your periods. if they delay then there can be other reasons which can only be ruled out through proper consultation from a gynaecologist.
| 603 |
What causes shortness of breath and chest pain after taking food?
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Patient: I am not able to breath fully. There is some pain in my abdominal and chest. And when there is a pain in my breathing i also get water fall from my nose. The pain is normal in the morning, but when i have my lunch it starts. It is worse after my dinner, but again in the morning it is normal. I am unable to bend, because when i bend my chest get stucks. Please help me on this. Doctor: Hello,The short breath and chest pain are in relation with reflux of stomach acid after taking food.Primary care with:- Restriction of amount of food consumed- Managing time period between rest and food intake- Preference to particular food stuffs- Avoidance of smoking, alcohol if consumingHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel
| 71,415 |
Suggest remedy for abdominal pain during oesophagitis
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Patient: I have been told I have hiatus hernia and oesophagitis, I am on medication and the only symton was me having upper adominal pain. What diet must I follow to help with this, I need to know what food to avoid. age 35, weight 90kg, height 1.77m, rather healthy until the upper adominal pain started, didnt get heart burn or indigetestion. On medication but do find I burp alot more now than before since I have been dignosed and have had a scope which idenitied the problem. Doctor: Hi ! Good evening. i am Dr Shareef answering your query.Regarding the GERD occuring due to a hiatal hernia the following might prove to be helpful:1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity.2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food3) Regular routine exercises like morning walk depending on your medical fitness to reduce weight reasonably well.4) Prescription for a prokinetic agent and a proton pump inhibitor for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards. Also a probiotic could help.5) A routine blood sugar test both fasting and post prandial.In case the above measures do not relieve your symptoms, and they increase in intensity, then you might be advised by the gastro enterological surgeon for some kind of intervention surgically to fix your hiatal hernia.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.
| 90,585 |
What causes low platelet count and recurring typhoid fever?
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Patient: sir I had suffered from typhoid 3 months before and took medicines from doctor as my platelets were 45000. after one month get recovered from typhoid and gain platelets 190000. now once again I got tested by typhi dot test and find +ve and low platelets 95000 Doctor: Hello ,I understand your concern. I am Dr. Arun Tank, infectious disease specialist, answering your concern.I suspect a relapse of typhoid in you.There are two reason for the relapse, either it is multi drug resistant Salmonella typhi or the bacteria is hidden on the gallbladder or bone marrow.I suggest you to do bile and bone marrow culture and sensitivity for Salmonella typhi. Once you have on hand salmonella typhi report you can take the treatment accordingly. Completed treatment can cure you completely with out causing relapse or reinfectionsGlad to answer your further concern contact me on bit.ly/DrArunWe wish you a best health at healthcare magic. Thank you,Dr. Arun TankIf you are satisfied with my answer rate me as five star and close the answer
| 37,026 |
What are the symptoms of tuberculosis?
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Patient: Hi I took a mantoux test in 2007 for university. It was negative. However, since then the injection site reappears as if I had just gotten the shot. It only itches, nothing serious and happens appr twice ayear. it only last for a day. Do I have tuberculosis? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. No need to worry for this. This is immunological reaction. This kind of reaction does not suggest tuberculosis. For confirmation of tuberculosis, symptoms and bacteriological diagnosis are needed. Only on the basis of mantoux test, diagnosis of tuberculosis should be done. Symptoms of tub are low grade, evening rise fever, weight loss, anorexia, decreased appetite, cough, expectoration, hemoptysis (blood in sputum) etc. If you are not having any of these symptoms then no need to worry for tuberculosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 78,260 |
Suggest treatment for breathing difficulty in a child
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Patient: My 7 year old has been ill with an apparent virus for about a week. Last Wednesday he said his throat was swollen and since has eaten very little. His tonsils (always large) are extreme at present and he is having a VERY hard time breathing at night. In addition his breath is terrible. One visit to a walk-in clinic and a subsequent visit to the hospital points to a virus but he is not improving and I m getting concerned. Trying to coax him to drink more fluids, and using vaporizer at night doesn t seem to be helping. He is not getting rest so he is not able to fight this. Doctor: Hello. I just read through your question.this sounds like a prolonged viral illness, but it also could be a bacterial illest. You mentioned going to the hospital and going to an urgent care center. However I think the best place to get this diagnosed is with your regular doctor. It is possible that there may be a bacterial infection that has not yet been diagnosed and requires antibiotics. It is also possible that if the tonsils are so swollen that he is having difficulty breathing, he may need to be on steroid treatment for a period of 3 to 5 days in order to decrease the swelling of the tonsils, and ease his breathing. I recommend consulting with your doctor about this, so that the correct diagnosis can be made and the appropriate treatment plan implemented.
| 176,769 |
Can I become addicted to Sinemet after diagnosed with Parkinson ?
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Patient: Can I become adicted to sinemet as I was diagnosed with parkinsons after a particularly traumatic time in my life. This consequently gave me the symptons asociated with parkinsons. Now my life has settled and I feel a lot calmer I feel that I was wrongly diagnosed. I dont have tremors or rigidty the only thing is a cramp like sensation in my left foot and a feeling of nervousness when it is about 4 to 5 hours after my last dose of sinemet. I am ok in the hours in between and that is why I dont know if it has become a habit taking the pills. Doctor: Hi,Thank you for posting your query.Your symptoms are interesting. Though addiction is not so common with sinemet (levodopa with carbidopa), dependence to the drug is well known. Many patients with Parkinson's disease require increasing frequency and dose of levodopa over time. This is partly because of worsening of disease severity. However, many people just feel the urge to take it more. So, I think you are suffering from a drug dependence.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected] blog: http://bestneurodoctor.blogspot.com/
| 149,749 |
What causes swelling and bruise on the arm?
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Patient: my husband s upper right arm started to feel achy earlier this evening, a few hours later, complaining that it was hurting, I saw his arm,. It s swollen and black and blue in one spot. He doesn t recall doing anything to it. I gave him 2 Aleves at 4:00. Doctor: Hello,I read carefully your query and understand your concern. The symptoms of your husband seem to be related to a n injury. It can be a microtrauma which he did not noticed. I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
| 120,440 |
Is it safe to use Neo Penotran Forte suppository during pregnancy?
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Patient: Hi,I am 9 weeks pregnant and had minimal spotting for the past few days. When my OB checked, she found out I had this white creamy and curdled discharges. She then prescribed Neo Penotran Forte suppository taken at bed time for 7 days. As I was searching about the med, I've read that it shouldn't be taken when you're on the 1st trimester of pregnancy. I'm really concerned about it's safety. I already took one last night and I was expecting that the suppository would be "tablet-like" but when I opened it, it was like an ointment and was difficult to insert. Can someone please help me if it is normal and is it safe for me to continue using it. Thank you. Doctor: Hello, It is not allowed in pregnancy. Talk to your doctor for another option. Hope I have answered your query. Let me know if I can assist you further.
| 218,338 |
Took Novacaine shots for a filling, cheeks swollen significantly. What can I do ?
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Patient: I went to the dentist yesterday to replace a filling. He gave me a few novacaine shots and noticed that my cheeked swelled up significantly which never happened before. I am home now almost 24 hours and while it has reduced, it still looks like I have a chipmunk cheek on one side. What can I do? It doesn't hurt except if I smile. It is not black and blue - just puffy. Doctor: Hello,In such cases,you have to apply cold packs frequently .This usually reduces swelling.Take rest.Avoid anxiety.Please do visit a dentist if symptoms exists.Please do not irritate or impinge the area.Swelling subsides within 2-3 days.Hope this helps.
| 188,769 |
Are pain and tingling sensation in the hands along with loss of balance signs of ALS?
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Patient: I have pain and tingling bilaterally in my hands primarily in the distal forearms, wrists, and thenar eminences. My grip does not appear to be weaker and am not having difficulty holding onto objects. A few weeks ago I had these same symptoms but ice massages and nabumotome seemed to help with the pain. I have tried friction massage with very little success. This new flare up occurred approx. 3 days ago. I am also noticing loss of balance on occasions but have not fallen. My biggest fear in life is ALS. Doctor: Hello, Your symptoms are not at all suggestive of or indicative of a motor neuron process (mainly based on the symptom of pain in the distal forearms. I think what you can benefit from is a good NEUROLOGICAL ASSESSMENT and evaluation. My first thought based upon your symptoms is to examine the carpal tunnel in both arms and test function of the median nerve though you are noticing any specific weakness in holding onto objects. It is not unusual for CTS to present as PAIN before weakness. Also, does not typically do this as it does not involve sensory ganglia at all in its outset or presentation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist
| 140,493 |
Is it safe to smoke marijuana after an open heart surgery?
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Patient: I had open heart surgery 2 valves replaced aortic mechanical and a lower animal valve now, also have a pacemaker put in on my lower abdomen,, my question is am i able to smoke marijuana anywhere down the road? Im 26 years old and would like to do the odd puff. Doctor: Hi, dearI have gone through your question. I can understand your concern. You have open heart surgery with valve replacement and pace maker. So you should avoid marijuana smoking. Marijuana smoking is dangerous for you. If can not quit smoking then consult psychiatrist 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.
| 25,932 |
How to deal with ascities?Suggest cure
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Patient: Hello I have ascities now for over a year my doctors are in another state and I can t find one here in Alabama I was on medicade in Minnesotia presently I am here with my cousins in Daleville Ala. I have passed out 3 times with bad leg cramps and yearned on myself both times. Iam I getting worse? my water is building up in my abdomin more. I am taking water pills I think they are depleting my magnezium and poutassum levels. I thinks that is why I am passing out it starts with leg cramps. my friend said I was lifeless haardly any pluse and my blood sugar was really low. Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. I can understand your concernsThere are many causes for ascites like liver disease, ascites, cardiac disease or lung disease etc. for which evaluation is required and is to be treated accordingly. So I will advise you to visit your doctor for evaluation. I hope I have answered your query and this will help you . Wish you a good health
| 55,445 |
What causes fluctuating level of potassium in baby?
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Patient: HI, My child is 2 months old and he is having high level of potassium of 5.9 to 8.9 and the numbers are fluctuating under doctors supervision. May i know the cause of the same and how to reduce this. The doctors are prescribing K-Bind Powder in this situation and what should be immediate treatment for this Doctor: HiWelcome to the HCMI can understand your concerns. High potassium levels are to be treated as soon as possible because they can cause some serious problems with electrical conductivity of the heart. The causes can be many depending upon the clinical situation. It may be due to transcellular shifts from cells to plasma like in acidosis, increased intakes or poor excretion by impaired renal functions. The treatment needs a keen monitoring of levels and corrections such as sodium bicarbonate, calcium infusions, potassium binding agents. Also the underlying cause needs to be addressed.It needs a proper ICU monitoring and intensivist care. Hopefully this will help you.Take care
| 173,010 |
What causes swelling in hands?
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Patient: My son woke up about three days ago and his left habf was really swollen and warm to the touch. I noticed there a small bite in the middle of the part that was mostly swollen. The swelling has gone down but now the spot is hard and still a little red and now hows a small purplish ring around the spot. What could have bitten him? Doctor: It could be insect bite followed by secondary infection leading to cellulitis.In such case you need examinination and a course of antibiotics prescribed by your pediatrician.For pain and swelling you can give paracetamol.thanks
| 179,613 |
What are the chances of getting pregnant post a miscarriage due to Ovarian Hyper stimulation Syndrome ?
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Patient: Hi Doc. I was taking Deviry 2.5 mg and Letrozole 2.5 mg from 3 mths as per docs advice. I got pregnant in 3rd month but i suffered from Ovarian Hyperstimulation Syndrome and early pregnancy miscarriage . My doc told me to take 3 mths gap and told to try from September either naturally or treatment as my and husband s all reports are normal. My question is what are the chances of getting pregnant again and how soon? what will be the next stage of treatment and what time duration of that treatment? as my earlier treatment duration was for 3 mths only and i got result also in three months. Doctor: Hello. Thanks for writing to us. There is no fixed time after which you can say that you will get pregnant for sure after treatment. After taking the treatment the chances of getting pregnant are around 20% only. You might need to resume the same treatment as you got earlier. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected]
| 6,696 |
What could abdomen pain with pressure on vaginal area suggest?
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Patient: Hi Been having pain in the back on the lower left side.radiates to the front lower abdomen. Also have been having some slight painful sensation followed by sensation of heat in vaginal area along with a feeling of pressure in the vagina. when bending down and pressing on the left abdomen with thighs firmly felt severe pain/sharp pain sensations on the front left lower abdomen too What could this be from? Doctor: Hi.Thanks for your query. Read the history and understood the problems. You have a pain on lower left back, radiating to the front lower abdomen, pain and heat sensation and pressure in the vaginal area, on bending down or pressing on the left abdomen. The post probable causes can be: Pelvic pathology - Ovarian cyst with or without torsion / Salpingitis, PID, Cystitis of urinary bladder, IBS / Enteritis of some nature. I would suggest you the following :Tests of blood, urine and stool.The best is to get the ultrasonography and then CT scan to confirm and plan for the treatment.
| 86,858 |
Can weak knees and walking difficulty be related to my stage IV BC with liver mets?
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Patient: I have stage 1V BC with liver mets, There is significant swelling in the feet and ankles, abdominal swelling and a little well-managed pain in the liver, which is swollen, with elevated enzyme counts, but functioning well with no blockages. Why are my knees so weak and making it difficult to walk and take the stairs? Doctor: Hi and welcome to HCM. Thanks for the query.These are common symptoms in liver failure and generalised swelling is expected. This is caused by hemodynamic changes. General weakness is also expected,but there may be some other cause of knees weakness such as artritis or neuropathy. You need to check your protein levels and consult internal medicines specialist to find proper treatment with diuretics. WIsh you good health. Regards
| 157,030 |
What causes sharp chest pain in the middle of the breast while having anxiety?
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Patient: I am a 49 yr old white female and have been having sharp chest pain between both my breast for over 4 days now. I also have been having problems with anxiety which I do have an anxiety disorder. Should I see my family doctor just in case it might be heart related or should I just go to the emergency room which I currently work in one. Heart disease does run in my family on my dads side. I am scared. Doctor: Hello dearThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* There are various mechanisms for sharp chest pain with anxiety - musuclar stretching - reflux of stomach acid - neurons mediated .* You can see your family doctor for BP measurement and if doctor feels may opt for EKG .Thanks .Regards .
| 74,197 |
What causes blood in stools of a child?
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Patient: Hi my 19 month old daughter had a fall today I monitered her afterwards and she was fine but she passed some stools about an hour or so afterwards and I saw some blood in the stools and I'm worried if this is not from the fall, taking into consideration that she has been constipated for awhile now so I don't know If that is why there was a little bit of blood? Doctor: Hello dear!As per your history,it can be due to constipation leading to anal fissure.Fall can never be associated with blood in stools.i would recommend a detailed examination by a pediatrician especially per rectal examination to rule out anal fissure or rectal polyp(both can cause blood in stools).If fissure is there,apply Glycerine trinitrate + lignocaine gel to relax the anal sphincter and can also give sits bath with pyodine in luke warm water to disinfect the area and it will help in healing.Avoid constiption by taking fibre diet and lotsof fluid intake especially water.Avoid potatoes,polished rice and bakery items.Hope it will help.Be blessed :-)
| 165,958 |
Trying to conceive. Periods getting delayed. No positive results. Possible reasons?
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Patient: Sir, I and my wife s married life is more than 4 years old. We have not tried for a baby during this years. When last November 2012 we have tried positively for a baby, the periods of my wife delayed 10 days. After than two months we have not tried positively. Again we have tried in month of February 2013 but in this March her period delayed 13 days. But every months her period started in regular interval. I want to know what is the problem happened to getting her pregnancy and the remedy is. Doctor: Hello, Firstly, you should give yourself some time-like 6 months with continuous trial for natural pregnancy without using any contraceptive methods and timing the intercourse to around the fertile period around ovulation as your wife gets regular periods. If pregnancy dose not occur during such period, see an infertility specialist for further assessment and support. Occasional delay in the periods is normal and can be due to stress, hormonal disturbances and trauma. Take care.
| 5,559 |
What kind of tests should I take after a bicycle accident?
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Patient: I had a bicycle accident the 10 of April. I fell on the side of the bike path making a turn. I broke my wrist and received 6 stiches on the right of my right eye. I don t remember having fought to prevent the fall neither the pain at the moment of the accident. A tourist guide with a group found me and called an ambulance. I was unconscious for about 45 minutes. Was I unconscious before I hit my head or after ? I don t know. I am otherwise healthy. What kind of test should I take ? Doctor: Hi and thanks for asking the question.let me tell you,you have to do following testsX-RAYCT SCAN and u also have PET scan which can be done with CT scanThese are some basic tests.Thanks
| 97,184 |
How to treat panic attacks?
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Patient: i am a 16 year old girl. and i have been having trouble with my Heart Rate. If i get upset about even the littlest things or do physical activity more then just walking around my pulse will soar up above 200. what should i do? this has been happening for over a year now. oh and i am also prone to panic attacks Doctor: HiiI admire you for positive outlook.1st thing is proper diagnoses.Panic attack and heart related problem both have same symptoms.So we have to rule out heart problem 1st to stamp it panic attack.So be at safer side go for ECG and ECHO and if it comes normal then we consider it as panic attack and detail psychological evaluation is needed.I prefer SSRI in my patient.Paroxetine and clonazepam combination is good to control panic.Apart from that following will helpful.exercise meditationdeep breathing and hyperventilationproper sleepstress free activitydo pleasurable activitymusic and hobbiesdiscuss with friendssee all thing with different anglepositive outlookconfidence Hope you will get best.Thank you.Take care.
| 208,062 |
What causes twitching of the upper lip?
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Patient: My upper left lip has been twitching on and off all day for about 7 days now. I am healthy. No alcohol no smoking, I exercise and eat healthy. But I do not sleep well. It goes numb at times and when it twitches it goes down and back to normal continiously. Doctor: Hello,Possible causes for lip twitching include ingesting too much caffeine or a potassium deficiency. I suggest to avoid caffeine for some days. I also suggest to take a magnesium and potassium supplement daily for a week.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
| 119,945 |
What is the treatment for psoriasis?
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Patient: My brother is suffering from psoriasis ..we have had taken help of so many homeopathy..now a days he is continuing with alopathy drugs.but it seems that no body can cure him.till age of 10 to12 he was fine no symptoms of diseases..but gradually symptoms had started ,now it is covered on almost all parts pf his body .doc can you tell me the way to get rid pf. Doctor: Hi,As you said, you brother suffers from psoriasis. It is a chronic and relapsing skin disease. I can understand your anxiety for his disease. But,both of you have to keep patience. He might get relief slowly. And due to some factors it might relapse...Remember it is a controllable disease. And there is no perfect treatment in ayurvedic or homeopathy.You take him to consult nearby dermatologist for firm diagnosis and perfect treatment.I would like to suggest few things as follow....- acitretin 25 mg daily- methotraxate 15 mg weekly in three devided doses of 5 mg 12 hourly.- Blood tests ..routine & LFT may be done at regular intervals- Steroid with salicylic acid oint may be applied twice a day on the psoriatic lesions...on trunk and extremities- But, please avoid the use of betnovate on psoriatic lesions on foreskin and soft tissue areas..as it is a moderately strong steroid....apply mild steroid cream like mometasone.- Soap bath should be avoided.- All precautions may be taken to avoid dryness of skin. Winter might worsen due to dry weather. So, take care.After few months treatment..he may be alright. But, maintenance therapy may be continued. And if there is relapse, he may restart the treatment.Have patience...Dr. Ilyas Patel MD
| 12,265 |
T10 paralysis, wheelchair bound, rapid heart beat, dizziness, blurred vision, chest pressure
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Patient: I am a 38year old male with T10 Paralysis . I have been in a wheelchair for the past 20 years in relatively good health until last year. Since that time seems i have been battling one health issue after the next. Most recently in December I had what seem to me to be a very mild stroke , I had pain and weekness in my left side, heart racing, blurry vision . I was told by the emergency room dotors it was not a stroke, but even now seems like I stil suffer wth the same type of symptons. I currently have a racing heart, dizziness , I am shakey, blurry vision and chest pressure. I have spent so much time in the ER and at my doctors office, but I just want to know the underlying root cause or even where to go next so I can cure the illness rather then the symptons. Doctor: Regtarding your paralysis for twenty yrs, there nis so far no clear breakthrough. one ray of hope is to have stem cell implantation though a team of gyneacologist and neurologist. once this is done with physiotherapy in due course of time you may get sensation and possibly power in the limb. Regarding your recent pain in the chest with racing of heart you are not suffering from stroke. exclude anaemia, and dyspepsia with belching. consult your physician to know the exat cause.
| 151,648 |
Treatment to be taken after scorpion bite
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Patient: hello my name is Sheryl. yesterday I was at the grocery store and got stung what felt like 4 5 maybe even 6 times by one scorpion. today I have big red marks and swelling around my knee. the pain is gone but the main site area has a blister on it. what should I do? Doctor: Hiwelcome to HCMIn most scorpion stings of adults, treatment is simply supportive and can be done at home.Wash the sting with soap and water and remove all jewelry because swelling of tissue may impede the circulation if it not allowed to expand (for example, a sting on a finger that has a ring surrounding it).Apply cool compresses, usually 10 minutes on and ten minutes off of the site of the sting.Acetaminophen (Tylenol) 1-2 tablets every 4 hours may be given to relieve pain (usually not to exceed 3g per 24 hours). Avoid aspirin and ibuprofen (Advil, Motrin) because they may contribute to other problems.Antibiotics are not helpful unless the sting area become secondarily infected.Do not cut into the wound or apply suction.plEASE DON'T DO ANY TREATMENT AT HOME GO TO NEAREST MEDICAL CENTRE AS SOON AS POSSIBLE
| 37,058 |
What causes blister and foul discharge from my C section scar?
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Patient: I am 8 months post pardom, had a section with some complications after resulting in a second surgery to remove 850cc of blood from between my bladder and uterus. Now at my c section scar I keep getting almost like boils but they ooze green and brown blood, and smells Doctor: Hello, thank you for your contact to health care magic. If I am your doctor I suggesting you that there is a infection in your c section scar. I advice you to go for culture and sensitivity from the discharge. Once the test report is available you can start treatment accordongly. Also keep maintaining hygiene, do regular dressing with antibiotic ointment. If you have to ask me anything you can contact me. Dr Arun Tank. Infectious disease specialist. Thank you.
| 38,167 |
How can severe backache be treated?
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Patient: My 87 year old Mom has had a gnawing pain her back for over 2 weeks. She had an overnight stay in hospital where they ruled out UTI, CT of lumbar spine was negative, and a negative BMP. They sent her home to take 500 mg of Tylenol every 4 hrs with oxycodone as needed when pain is worse and some Lidoderm patches. She saw her PCP for a post hospital follow up two days later, they told her they could feel impaction, so they put her on Miralax. She has had loose stools off and on now, but feels her pain is still the same since her initial hospitalization over 2 weeks ago. She has had no appetite for over 2 months. She is going back to her PCP tomorrow, as she called them today asking to come in. Any thoughts? Suggestions? Thank you so much. Doctor: hi sir/madam,Thanks for your question on Healthcare Magic.Line of treatment as per Ayurveda:-The general principles of treatment of vata dosha are adopted in case of katishoola (low back pain). It includes various measures to suit its varied clinical entities, stages and associated complaints.1. Snehana (oleation) – by sneha dhara (pouring oil), abhyanga (oil massage), avagaha (tub bath with oil or oleaginous medicaments), kati basti (retaining medicaments on the back) etc.2. Swedana (sudation) –avagaha sweda (sweating treatment with tub bath), pizichil (kayaseka), nadi sweda (sudation through a tubular device – local sudation), panda sweda (sudation through medicated paste or powder) etc.3. Mridu Samshodhana -mild purgation.4. Basti (medicated enema) like eranda basti, vaitarana basti, pippalyadianuvasana basti etc.Formulations indicated in Low back ache as per Ayurveda:-1. Dashamoola kwatha.2.Maharasnadi kashaya.3. Rasnaerandadi kashaya.4. Sahacharadi kashaya.5. Gandharvahastadi kashaya.6. Trayodashanga guggulu.And for local application these oils will help:-1. Ksheerabala tail.2. Mahanarayana tail.3. Dhanwantaram tail.4. Maha narayan tail.Avoid these for better results:-1.Bitter, astringent and pungent food2.Cold water3.Fear4.Exhaustion5.Standing6.Driving7.Cold food and beverages etc.Yoga is also very helpful in treating your back ache.Now for your backache do these yoga aasana:-1. Ardha Matsyendrasana(Sitting Spinal Twist).2. Dhanurasana (Bow Pose).3. Marjariasana (Cat Stretch).4. Balasana(Child Pose).5. Halasana(Plow Pose).6. SUPTA MATSYENDRASANA(THE TWO KNEE SPINAL TWIST POSE).7.Adhomukha Shwanasana (Downward Facing Dog).8. Urdhva Mukha Svanasana(Upward Facing Dog Pose).9. Paschimottanasana(Seated Forward Fold).Follow these yogas you will get best results for your problems.Consult your GP for further treatments.hope this was helpful.have a healthy day.
| 106,937 |
What causes swollen left armpit in baby?
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Patient: Hi my son is 3 month old. since three days we saw swollen in the left arm pit it get little increasing, so went to doctor today they done X-ray and ultrasound, but they said there is no mass or did not see any thing. they said it is a lymph node, so we don't know what is it. what is the real problem. I appreciate your reply. Doctor: hi, swollen armpit in a 3 month old child can be a lymph node swelling due to BCG lymphadenitis. It is seen that in some children there is lymph node swelling due to BCG injection which is given at birth has vaccination. since you have already ruled out other causes by doing ultrasound and X Ray chances of BCG lymphadenitis are quite high. in BCG lymphadenitis, nothing needs to be done and only monitoring is done to see whether the size of lymph node increases or not. In most cases the size of lymph node decrease and the thing needs to be done. take care.
| 166,280 |
Is it normal to have heart rate of 130 in emphysema patient?
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Patient: ?. My father-in-law has emphysema, very thin (125 ish),on lots of medication,recently trouble with fluid in lower legs. Low O2 blood levels, Just started full time oxygen. But my question is..Heart rate of 130 at most of the time? (Also just stopped smoking because of the O2). Is the heart rate part of the process or is it a preventable issue? Doctor: Hello,Thanks for writing to Health Care magic, I am Dr , Muhammad Ahmad , I have read your question closely, I understand your concern and will be helping you with your health related problem.Let me tell you some basics to understand, blood carries oxygen and heart pumps blood to all parts of the body to supply oxygen to farthest parts of the body. When there is low quantity of oxygen in the blood the heart has to pump more times per minute to supply same quantity of oxygen to the tissues.Yes in case of low oxygen saturation in the blood faster heart rates are normal to find in the patient. It is definitely preventable by taking measures to treat the underlying issues , that is respiratory failure in this case, if you can correct the respiratory failure and oxygen saturation of the blood goes back to normal the heart rates will get back to normal automatically.I hope this answered your question, If you have more queries I am happy to answer you.Regards.Dr.Muhammad Ahmad
| 23,970 |
Can heat stroke cause a persistently high fever?
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Patient: Our son just turned 2 in May. Today we played outside for about 20 minutes and ever since he has had a fever. We have given ibuprofen twice, each time it will bring down the temp. The highest it got was 103.5, after the 2nd dose of medicine, it went down to 101.4 and now it is back up to 102.2 climbing again. Should we take him to the ER for possible heat stroke? He has a rapid heart rate, was holding his head (possible headache). He is keeping fluids down, mouth is wet w/ saliva and drool, and still has wet diapers. We also gave cool bath, and placed washcloths on forehead, back and in between legs to keep him cool. Doctor: Hi,Thank you for asking question on health care magic.Ibuprofen 10 mg/kg body weight every 6 hourly along with tepid sponging wil bring down temperature.I prefer Paracetamol 15 mg/kg body weight every 4-6 hourly depending on severity of fever.If the fever persists more than 48 hours, better consult ER to exclude infection.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics
| 179,672 |
What is a pain pump?
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Patient: I have spinal stenosis, 2 bulging disks, etc. I have been referred to a pain clinic. Can you describe what a pain pump is? I am a smoker and my surgeon will not do surgery. I have a pain level of 5 to 10, depending on what I do during the day. Thank you for any input you can provide. Doctor: Hi, There are several. One is just Morphine given by an implanted tube. Then there is Lidocaine and/or narcotic delivered directly into the spine. It is effective and likely far less addicting that way. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist
| 215,669 |
Abdominal pain, back pain. Can it be due to kidney stones?
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Patient: Having pain in my lower abdomen , and lower back mostly right side. i suspect kidney stones but is there any relation to kidney stones due to my lower abdomen pain ? the first sonogram of my abdomen came out fine and the sonogram of my kidneys came out with somthing, im now going up for a ct scan . are there any further tests i may take to help me find answers, results, or causes of my pain ? please get back to me thank you. Doctor: You symptoms may be related to gastrointestinal, urologic or musculoskeltal etiologies. The simplest approach would be systematically eliminate items one by one. If you had an ultrasound and are going to get a CAT Scan, GI and GU symptoms should be fairly easy to exclude for the most part (barring some limitations if the study is not done with contrast). A urinalysis would be the quickest and simplest way to see if there are any urologic issues. If you have blood in your urine then the focus of evaluation would be urologic. A completely normal urinalysis, although reassuring would not entirely exclude urologic issues. As far as kidney stones, unless a large stone with shadowing is noted, an ultrasound is not the best test. A CT will delineate stones. The prescence of stones by CT does not mean your pain is caused by. In general a stone that is in the "heart" of the kidney ie not within the pelvis, ureter or "passing" would be unlikely to cause you pain. If the stone is in any of the locations noted previously, then yes it could be the cause of your pain. Because you mention lower abdominal pain, other items to consider would be divertiular disease, appendix and visceral organ related issues. Once you have a CT done and a urinalysis, you should be able to exclude or diagnose most common causes of your presenting symptoms. If these are negative, then I would proceed with musckuloskletal pain work up. Please note that the "classic" presentation of kidney stone pain (renal colic) would be back/flank pain that radiates to the groin or lower abdominal quadrants.
| 50,980 |
What causes hard lump on sternum after mastectomy?
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Patient: Hi. I just had a double mastecomy on August 8 2011. After surgeon took out breast tissue, Plastic Doctor put in expanders. I had 350 cc's of saline injected over 2 month period, I am scheduled for impants on Jan 4 2012. Just last week I notice a hard lump left on my strunum, it moves a little but not much. I called Plastics Doc and he advised me it probably was a fat globular cyst and he would remove it during the implant surgery. Coincidentally I had an apt with my Oncologist the next day and he made an appt for me to see my surgeon, which happends to be today. Any ideas of what it could be? Doctor: Hi. Welcome to HCM. I guess you had cancer of breast most likely for which mastectomy was done. In that case you should do fine needle biopsy of that lump, since it can be the recurrence of cancer. If biopsy confirms it as simple fat lump (lipoma) then you can proceed with plastic surgery. If it comes as cancer you have to follow up with your oncologist for further treatment before any plastic surgery.regards
| 68,331 |
Depression, stress, frequent crying episodes, frustration. Suggestions to improve mental health?
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Patient: I am having severe depression and major stress! I am 20yrs old and have 3 kids that are 4, 3 and 13wks! I cry all day every day and stress over simple things! I feel like I cant do anything because im so depressed and stressed over everything! My 13wk old has severe acid reflux and hardly sleeps and im so easily frustrated and dont like it at all because my baby needs me! What to do? Doctor: Hi and welcome to Healthcare Magic. Thanks for your question... You seem to be going through a post-natal depression. Now, there are very good treatment options available for this and you don't have to be suffering in silence. You may need anti-depressant medication for a short while to help you overcome these symptoms. Alternatively, certain talking therapies like CBT can also help you effectively. So, please consult a psychiatrist at the earliest and take help. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist
| 213,201 |
Is pregnancy possible through outer-course despite taking an oral contraceptive?
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Patient: Hii... 48 hrs ago, me and my boyfriend were fooling around and I gave him a handjob, he ejaculated on my vagina and just in the next two mins I cleaned my self, within next 12 hrs I took the oral contraceptives and I took another after next 24 hrs.. What are the changes of getting pregnant? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Emergency contraceptive pill is effective in preventing the pregnancy in 95-98% cases. Hence, the chances of pregnancy in your case are almost nil. Hope you found the answer helpful. Regards Dr Deepti Verma
| 218,222 |
What causes pain in left side of chest?
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Patient: I am 33 years old and in good health. I have a pain on the left side of my chest under my breast when I try to take a deep breath. I have had it before and it lasts a minute or two but today it won't go away and it is extremely painful. I am fine if I take short shallow breaths. If a bend over it hurts worse. Could this be a muscle spasm? Should I be worried or just let it pass? Doctor: helloyou need not worry about your symptoms. ur seems to be due to muscle spasm it hyperacidity. take antacids for two weeks and observe. nothing much to worry aboutthank you
| 21,186 |
Suggest remedy to ease chronic costochondritis symptoms
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Patient: i have on going chest problems, i am been told i have got chronic costochondritis, i fill really stiff in the morning with bad lower back pain i am 26 but i fill like 66 , my doctor will not refer me to a specialist i fill like not going back my doctors and just suffering Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Follow below mentioned things for better symptomatic relief in costochondritis. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Apply warm water pad on affected areas. 5. Take painkiller and anti inflammatory drugs. 6. Sit with proper back and chest support. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 76,210 |
What could plaques with overcrowded teeth suggest?
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Patient: hi, im awaiting a dental appointment in two weeks to get plaque removed from back of my bottom teeth (very bad, never had it done before and im 26)! However my teeth are quite overcrowd at bottom so i feel them pressing against each other and my mouth in general feels sore and dry? Doctor: Dear user,Thanks for using healthcaremagic,Dental plaque is a biofilm, that contain microorganisms,So many causes of plaqe (like overcrowded teeth, brushing techniques, type of food intake etc)Plaque cause gingivitis and periodontitis, and responsible to helitosis (bed breathing)Also cause the calculs of teeth,You should use mouthwash (chlorhexidine) and scaling your teeth,and brush your teeth twise a day properly, For overcrowding you should take ortho treatment,So you should visit a dentist for scaling and ortho treatment.I hope I answered your query. If you have more questions I will be happy to help. Thanks and regards
| 183,242 |
Suggest treatment for dry cough
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Patient: I had stage 3 lung cancer 1 year ago May. I had 33 days of radiation and 2 rounds of chemo consisting of 6 days each round. In November I had the upper lobe of my right lung removed....there was still 10% live cancer at time of surgery. I had 2 more rounds of chemo one in December and one in January. I had a ctscan in July which was clear. I have had a dry cough again for about a month, now have a cold. I went for a chest X-ray Wednesday. Results..I ll defined density. Can you tell me what that could mean? I am waiting to see if my oncologist wants to see me. Thanks, Jenny Doctor: Thanks for your question on HCM.I can understand your situation and problem.Since you are lung cancer survival , ill defined opacities can be due to 1. Relapse of lung cancer2. Malignant nodules3. Infection4. Fibrosis.So better to consult pulmonologist and get done1. CT thorax2. Bronchoscopy and BAL (Bronchoalveolar lavage) analysis to rule out above mentioned causes.Possibility of relapse of cancer is more.So consult pulmonologist and get done above tests to diagnose your densities.
| 81,321 |
Diagnosed with colon cancer with METS to liver, lethargy, body pain, phlegm after re-sectioning. Is the cancer spreading?
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Patient: My husband is diagnosed with Colon cancer with METS to the liver . The colon has been resectioned and he s receiving FOLFOX w/avastin. He s completed 7 cycles. He s lethargic and complaining of body aches & has had a lot of phlegm . He s gotten up once the other day in the middle of the night because he couldn t breathe and threw up the mucus. The cancer in the liver is going to be removed in a couple of months. Could it be spreading? Doctor: Hi, Welcome to HCM, I am Dr. Das The symptoms you told are quite common in chemotherapy. It is hard to overcome these. It can spread. Because the time when a tumor is diagnosed, it already get spread microscopically which may not be identified at time, but it can response to chemotherapy or not. It depends on the character of the tumor.
| 159,605 |
Is it to be concerned about lump in the anal muscle causing bleeding and pain?
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Patient: I have a lump in my anal muscleI. I have hemroids already (battled them for years) so bleeding and pain is a common occurrence during bowl movements but in the past week I have noticed a good sized lump in the anal muscle. Is this something potentially serious? Doctor: Hi,It seems that you might be having infected internal hemorrhoids or fistula in ano giving this problem.Consult surgeon and get examined.Meanwhile apply antibiotic cream locally.Avoid constipation.Ok and take care.
| 69,367 |
Is orchidopexy safe for babies?
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Patient: my baby is now at 1 yrs.& two months old his right testis is undescended it is at the end of the right inguinal canal (as per the report of ultrasound) this is his congenital for,therefore now can i think about orchidopexy? is the surgery invasive or non.? Doctor: HI...Orchidopexy is an invasive surgery and it is right time to go ahead with he surgery as per age specific guidelines. I am suggesting this because the intra-abdominal temperatures will not be viable for the testis to be physiologically functional after this age.I suggest you go ahead with the surgery as your doctors have advised you.Regards - Dr. Sumanth
| 175,948 |
Is amoxycillian safe for sinus infection?
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Patient: i am taking amoxycillian (probibly spelt wrong) 500mg 4 times a day to get over a painful sinus infection. I know it is not recommended to do this without talking to a doctor, but i have spare from another time i was isck, and cannot afford to take time off work, or go to the doctors.is this likely to be relatively safe? Doctor: HI, thanks for using healthcare magicThe dose of amoxicillin that is normally used for most infections is 500mg three times a day so you having been taking it too frequently.It is best to consult someone to determine the appropriate antibiotic and dosage as you mentioned.It is possible, even at the high dose, that you may start to notice improvement in your symptoms but the medication needs to be continued for the full course of 7 days.When antibiotics are stopped before the recommended course, it encourages resistant to antibiotics to occur.This affects future treatments.You need to consider using the amoxicillin at 500mg , 3 times daily and for the 7 days.I hope this helps
| 38,363 |
What causes severe leg pain while walking or standing?
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Patient: pain in left leg at first several months ago extreme pain when standing from sitting and when walking much better now but has moved from mid upper leg to upper leg and while pain not as bad now, always have a limp and leg tires more easily when walking - is fine when reclining. could this be a blood flow problem or bursitis and what to do? Doctor: hi sir/madam,Thanks for your question on Healthcare Magic. Possible causes are-1. Poor Hip Mobility:-With every step we take our hip and pelvis move in three planes of motion. If we have any lack of motion in our hip it will cause the spine to move more than it is designed to move. Overtime this increased motion can begin to create inflammation and compression of the nerves that exit the spine. This leads to sciatica and lower back pain.2. Limited Foot and Ankle Mobility:-Every time our foot hits the ground when we are walking studies demonstrate that the body needs to absorb 2-3 times our body weight in forces. Those forces end up traveling up into the spine. If the foot is stiff and does not flatten when we walk like it is designed to do it will cause an increase in forces transmitted into the spine. The increased forces cause increased compression and can irritate the joints and nerves in the spine.3. Decreased Hip Strength:-It is very common to see people walking with a slight lead to one side when the foot lands on the ground. This is an indicator that the lateral part of the hip is weak (glute medius). When this happens, the body compensates by leaning to that side. When the body leans to that side is causes compression of the nerves on the same side of the spine.4. Stiff Upper Back:-With every step we take we also have an arm swing in the opposite direction. This arm swing causes our upper back to rotate. If we have limited upper back rotation it will cause increase rotation in the lower back. This increased rotation can lead to increased compression and irritation to the joints and nerves in the spine.5. Stenosis or Arthritis in the spine:-Research indicates that if you are over 55 years old, have pain in your lower back with walking or standing and it goes away when you sit, there is a 97% chance you have arthritis in your spine. This arthritis predisposes you to have pain with walking in your spine. If you fix all of the things we have mentioned earlier then you can walk without pain even when you have stenosis or arthritis in the spine. Don’t let it be an excuse. Just know it is one of the 5 reasons why your back may hurt when you walk.Hope it was helpful.Stay healthy,Stay safe.
| 128,393 |
Had jaundice from a liver complication. Have hemochromatosis. Orange colored semen. Due to high bilirubin levels?
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Patient: hello my name is richard. april 15 i ended up jaundice from a liver complication and a genetic disorder call hemochromatosis combined with an over dose of supplements. my girlfriend and i recently got back to together and its the fist time since april i have ejaculated simply because of not feeling well but my semen was orange and had a jelly like consistency. also it seemed like it was hard for it to come out. is this just a result of have hyper bilirubin? while at the hospital was screened for std's uti's and other urinary problems but they found nothing. Doctor: Hi welcome to health care magic forum.Thank you for the query.Yes, it can be caused by raised bilirubin and this is probably in your case. some other causes are blood, infection or kidney stone. You should check your bilirubin levels and do semen analysis to see is there any qualitative problem in it. Wish you good health.
| 59,000 |
Why am I unable to conceive ?
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Patient: hi i m 35 year old married woman ..married for 3 yrs..trying for child since 1 yr..i ve regular periods ...i missed periods whenever i ve intercourse during fertile period and i m not pregnant ...this is the second time happening consecutively .. Doctor: hi; welcome to HealthcareMagic Since you have not conceived for last one year you need to get yourself as well as your husband investigated.Please consult a Gynaecologist to guide you with the investigation required.You are missing the periods because of your anxiousness to have a baby.Please relax ;don't worry you will conceive if all the investigations are normal.Also till then try to have intercourse every alternate day during fertile period and stay in lying down position after intercourse for at least 2 hours. Thanks
| 6,834 |
Suggest remedy for anal fistula
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Patient: My father, aged 58 years, is suffering from Anal Fistula from last 10 months. He consulted some doctors who advised him for warm water wash, pain killers and other medicine. But now situation has grown bit serious. Many suggested for surgery or laser surgery. But we found that surgey is not a permanent solution for Fistula. Laser surgery is the thing which we don't know much. Please advise. Doctor: Hi & Welcome.I appreciate your concern for your beloved father's problem.Since your father did not respond to Seitz baths (warm water wash) and other medicines, so he needs a surgical procedure under general anesthesia to remove the fistula.Since fistulas are know to recur if not excised properly a fistulogram (dye injected from the external opening to the inner opening to locate the tract should be done first.Then a fistulotomy the most commonly used type surgery is done under the general anesthesia. It involves cutting open the entire length of the fistula, from the internal opening to the external opening. The surgeon will flush out the contents and flatten it out. After one to two months, the fistula will heal into a flat scar.Regarding laser therapy, its efficacy in preventing the recurrence is not proven hence it is not done frequently.Hope this answers your query.
| 31,615 |
Can Prolia cause greater trochanter bursitis to in an elderly woman after having both hips replaced ?
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Patient: Can Prolia cause greater troch bursitis to an 80 year old woman that has already had both hips replaced ? Oh forget it, I have no money even though I am taking care of my aging Mother I will not asked to be paid for it to pay to ask about her well being Thanks a lot, but I have no means to pay for this service - so lets pretend it never happened Doctor: hiit's always a matter what heart we keep for helping others. a good heart gives good love care and affection. kindly see to that your mother don't have frequent falls as falls in elderly will lead to a pathological fracture and unnecessary hospital admission. try giving her hot fermentation for the trochanter region which will help ease her pain and inflammation. later on try to help her by slow gradual walks. then see if she performs some small hand and leg exercises and bridgning exercise which will over all help her to walk with ease. as in ageing the strength matters alot to them and the self mobility is what they want with least pain limiting factor.I wish your mother a speedy recovery.
| 134,453 |
What causes a clear fluid with blisters on lips?
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Patient: My 20 year old son woke up w/ some very small blisters on his lips today. He is not sexually active no girlfriend. They are about 1mm if that and look like clear fluid filled. Nothing in his throat or mouth. No fever or any other symptoms at this time. He has not eaten anything different and his lips are not swollen. It does not look like an allergic reaction. Doctor: Thanks for your query, i have gone through your query. The blisters on the lip could be because of the viral infection like herpes labialis. consult a oral physician and get it diagnosed. You can take topical antiviral drugs like acyclovir ointment. it is a self limiting condition. nothing to worry it will heal within 5days. i hope my answer will help you. take care.
| 185,098 |
What could cause neck pain?
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Patient: i had a surgery on my neck they replaced three disks and i still have a lot of pain in the head neck shoulder and legs what do you think could be causing the pain i was sent to pain management still no results my name is ioana kintzer email address is YYYY@YYYY thank you Doctor: Hello, As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. 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. Regards, Dr. Shinas Hussain, General & Family Physician
| 123,139 |
How to cure sore chest in asthma case?
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Patient: I woke up this morning with an itchy/sore chest and coughing up yellow phlem. I have not had a cold, but have recently been to the hospital for chest pain, they did an ECG and the results came back fine. I also have asthma, and have been going to a specialist for chronic stomach problems (diahrea, cramps, gas, etc). Doctor: Hi,If you have chest pain and cough with expectoration with asthma already, then you take bronchodilators like alpha agonists or anticholinergics with analgesics and antibiotics.As you said your ECG was normal then no need to bother.You can continue your medications for chronic abdominal problems.If cough with sputum doesn't subside then you can go for routine blood and x- ray chest with sputum examination but before starting of antibiotics.Consult you pulmonologist for further advise.Thanks
| 99,596 |
What is the treatment for stomach problems?
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Patient: SINCE APRIL I HAVE PROBLEMS WITH MY STOMACH. I HAVE SCOPE RUN INTO Y STOMACH, ITECOLONOSPY, GALLBLADDER HAS BEEN SCANNED AND DYE CONTRAST TEST DONE. DYE CONTRAST OF OUTSIDE OF ORGANS DONE. ONLY THING FOUND IS A SMALL POLUP, NON-CANCEROUS. HAVE PROBLEMS EATING. GET FULL FAST, THEN STOMACH HURTS FROM RIGHT SIDE, GALLBLADDER AREA AND WORKS IT WAY OUT. ALOT OF GAS. THYROID HAS BEEN CKD ALSO. ONE WEEK WHITE BLOOD COUNT WENT TO 7.1 AND WHITE PLATELETS AT 695. HAD TO HAVE A UNIT OF BLOOD. ENERGY DROPS OUT BOTTOM. BLOOD WORK HAS BEEN DONE . Doctor: Hi ! Good evening. I am Dr Shareef answering your query.If I were your doctor, I would advise you to stop eating from outside specially the fast and fried spicy food from outside if you do. There could be some compotent of your diet to which your intestines and stomach mucosa might be sensitive to, for example a gluten sensitivity, or lactose intolerance, both of which could give rise to your present symptoms. The best way to diagnose it would be exclusion of selective diet components from your food. Once diagnosed, you could come back to normal activities by avoiding these food. Till then, you have to go for some kind of proton pump inhibitor and probiotic drug.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. I wish you an early recovery. Dr Shareef.
| 89,517 |
What could be the unusual cells that are spread far away from each other?
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Patient: an enlarged lymph node aabout 2 inches was removed from a 3yr old. tests showed mostly normal lymph node cells however there was a few unsual cells spread far out from each other. the oncoligist has not been able to determine what this is. They have now sent a sample out to a lab in utah to test it. Is there anything about the small number of unsual cells and that they are spread out that would make any differnce in a diagnosis better or worse? Doctor: Hi, dearI have gone through your question. I can understand your concern. Few atypical or unusual cells in otherwise normal lymphnode is normal finding. You mostly have reactive lymphnode. It can be due to some infection. Just take a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. 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.
| 153,707 |
Suggest treatment for herpes
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Patient: My wife is suffering from Veginal Herpes since many years, we tried our best for all medical treatements but could not be cured. Kindly advise if any medicine can cure. Can this cause serious health problems in future. I am afraid to have sex. Can I have safe sex using condoms. Health Query of my wife: Age: 51 years Ht. 5 Feet Wt. 68 Kgs Suffering from past 17 years 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.Appropriate treatment of the herpes is necessary. If right dose is taken in right time than herpes can be cured.Acyclovir or gancyclovir should be taken 800 mg five times a day for seven days can cure the illness.If the lesion is not responding properly than you can change to other antiviral drugs that can respond to the drugs.Please use appropriate pain killer like gabapentin. Vitamin B complex is also necessary.Herpes is curable so you should not worry appropriate treatment will be sufficient.You can do protected intercourse. It will give protection to some extent only but, we can't avoid it. So better you avoid the sex. I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
| 34,087 |
What does hard lump on top of head indicate?
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Patient: Last night I had a hard lump on top of my head near the swirl it was almost the length of my pinky finger and raised about 1/4 inch.....this morning it was gone .....now there is a small bump there and like a pinpointed pain too. Any idea what it could be or cause it? Please help.Tnk you Doctor: Hi,Dear,Welcome to HCM. Based on the facts of your query,You seem to suffer from-Lump due to perifolliculitis with cellulitis ,giving painful hard lump in formation,which overnight reduced down to bump with pin pointed pain too-suggesting the developing or maturing Furunculitis of the scalp hair.Second Opinion from Surgeon with Surgical Drainage would resolve the bump issue-forming abcess with boil.HOpe this reply would help you to plan further treatment with your doctors.Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Dr.Savaskar, Senior Surgical Specialist M.S.Genl-CVTS
| 62,164 |
Could i be pregnant as i have cramping with white discharge?
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Patient: Hi there So im a little concerned here about possinle pregnancy. I have a regular 28 day cycle i had my period june 16th 2015 it finished on june 20 i had unprotected sex on june 22 i was due to ovulate june 28th (according to my ovulation calender) it also said my chance of getting pregnant at this time was medium. For the past few days ive been experiencing slight cramping and pulsing feeling on the left side of my body. I have had a milky white and sometimes clear discharge for the past couple days as well. Could this be pregnancy ? I am just concerned because i had an ectopic pregnancy 2 years ago and im just a bit nervous. My next period is due july 12th 2015. Doctor: Hi , How are you doing ?Pregnancy symptoms are very varied, each lady has a different experience. Only way to confirm would be , have a urine pregnancy test on 2nd or 3rd day after your expected periods . If this is not conclusive have serum Beta HCG to diagnose even the smallest of pregnancy, any where in the body. Don't worry, once you have tubal pregnancy , risk of recurrent tubal pregnancy is higher than normal population ( 8 per 1000) , but need not always be. You can still have an intrauterine normal pregnancy. Just prey well , you will do well. Hope I have clarified your queries, do write back if any more queriesAll the bestDr.Balakrishnan
| 1,362 |
What causes tingling effect and tightness in the back?
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Patient: i have a pain in my back, under my shoulder blade it feels like. its not sharp pain but when i move my head forward i can feel the pain and then it is a sharp pain...i have tightening around that area and sometimes tingling and tightness that comes and goes in my arm Doctor: This is initial stage of cervical disc syndrome and if precautions are not taken, may lead to cervical disc prolapse too. CDS may, however be due to intervertebral disc space reduction due to any reason that restricts free movement of neck and exerting pressure on nerves emanating from cervical spine and going to arm. It may be due to osteophytes too but that's generally in later age. Symptoms are similar.Physiotherapy and herbal decoctions are the best bet. Otherwise pain killers will make you dependable on them and cause side effects. Pain killers will also render ineffective after some time.If interested, pl ask direct question to know more about cervical support, herbals and decoction etc to keep life happy by prevention of progress of intervertebral disc disease.All the [email protected]
| 136,473 |
Been using tobacco. Have clear bumps. Is this cancer?
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Patient: Hello. My name is josh. Im 15 from massachusetts. I have been doing dip. (spitting tobacco) for about 2 months. Maybe 2 times a day and only on school days. Gove or take not doing it for a couple of days. So lets get strait to the point, i have some clear bumps. (maybe 2 or 3.) that are like an eraser tip size that do NOT hurt when u touch them and are not noticeable unless u pull my lip so the skin tightens. Is this cancer? I do not want to talk to my parents about it untill im like 75% sure its cancer.. Doctor: Hi, 2 months of tobacco use has no strong correlation with development of cancer. long term chewing tobacco use may be associated with leukoplakia which is a premalignant condition. As you have mentioned you have clear bumps in lips, these condition may be due to aphthous ulcer. Anyway you should quit tobacco use as soon as possible otherwise problem may be precipitated in near future. Take care.
| 159,377 |
Possible to conceive with one ovary and uterine tube?
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Patient: 5. Lucy had both her left ovary and her right uterine tube removed surgically at age 17 because of a cyst and a tumor in these organs. Now at age 32, she remains healthy and is expecting her second child. How could Lucy conceive a child with just one ovary and one uterine tube, widely separated on opposite sides of the pelvis like this? Doctor: Hi,I guess your concern is about can Lucy get pregnant with one ovary and uterine tube. Firstly I would likely to tell my answer- YES LUCY CAN BECOME PREGNANT. You have told Lucy got operated at the age of 17 and now lucy is planning for second child. But you have not shared the information with us about the first child of lucy, whether the first child was born before operation or after operation. so with this half information it is difficult to comment the exact chances of getting pregnant.however i can say she can become pregnant as she still 32 yrs.I would like to focus the word fertile period. from the 10th to 16th day of menstural cycle, the chances of getting pregnant is more. THE OVUM GET FERTILIZED WITH THE SPERM, women becomes pregnant, thats why it is called fertile period. So if lucy does coitus/sex with her husband in this period, chances of getting pregnant r more. If this fails, don't worry here comes the advantage of latest technology of 21st century to become pregnant. The name of the technology is ASSISTED REPRODUCTIVE TECHNIQUES (ART). Its difficult to discuss in detail about this in this short message. After reading this try out my advice:1. encourage Lucy to have sex/ coitus in the fertile period for next 3-4 months. Remember the mechanism I have told above. Hopefully this will give result.2. if lucy in a hurry to get second child, visit a nearby gynecologist/ infertility specialist to discuss the chances of getting pregnant n also to known the pros and cons of ART. I hope the information is useful, informative and helpful for query about Lucy. Let me know if I can assist you further.Regards,Dr Sudha Rani Panagar
| 2,787 |
What should i do as my lower back os very sore?
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Patient: Really? I am wondering why I have chills, fell earlier off a ladder partway and landed on my back side on part cement. Took alieve. can walk ok just very sore in the lower back and feel winded, tired. emal is YYYY@YYYY . Thanks,Janice Doctor: Hello, Thanks for your query.it seems you might developed muscular or ligamentous strain over back .If pain is still severe ,I would suggest getting this evaluated by an orthopedician for an accurate diagnosis and appropriate management. You may get the MRI of the area affected under his/her guidance.Meanwhile following measures will help with the pain• Lie on a hard bed.• Anti -inflammatory drugs like Tablet Motrin 1 tablet as and when required • Avoid forward bending.• Avoid strenuous activity & lifting heavy weights.• Apply diclofenac gel on the affected area. Warm compresses will also help.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
| 110,806 |
How can kidney stones in the right renal pelvis be removed?
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Patient: I am a 57 year old female. Protein and blood were detected in my urine. I have scarring in my longs, I use 2.5 LPM oxygen. I had a CT scan which indicated that I have a 13 mm kidney stone in my right renal pelvis. What procedure will be used to remove it. Also is a 13 mm stone considered big? Thank you, LGC Doctor: HelloThanks for query .You have been detected to have stone of a size of 13 mm in pelvis of your Rt kidney .Since the stone is bigger one you can not expect it to pass out spontaneously .There are two options for treating this stone 1) Extra corporeal Shock Wave lithotripsy (E.S.W.L).This is a non invasive modality where stone is fragmented in small pieces by external source of energy so that these small fragments can easily pass out through urine ..This is a non invasive technique and does not require anesthesia nor hospitalization However you may need to do it 2-3 times at a weeks interval till the entire stone is fragmented completely .2) The second alternative is to take out the stone out by a key hole surgery called Per Cutaneous Nephro Lithotomy (P.C.N.L.).This requires hospitalization and anesthesia the only advantage of this technique is that it is carried out in one sitting and one can resume work within 4-5 days.Dr.Patil.
| 47,300 |
What is the treatment for lower back pain?
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Patient: I am a 50 year old female and have been suffering from low back ache for 10 years and doctors say that my bones are degenerated and I need bed rest which is not possible for me as a house wife I have to do all chores of household. Let me also inform that my menopause started at the age of 37 only. Kindly prescribe some harmless painkiller. Doctor: Hi,It seems that you might be having degenerative changes in your spines giving rise this problem.Go for physiotherapy like back extension exercise.Avoid weight lifting.Sleep on hard bed.Avoid bending forward.Take calcium, vitamin and D supplements.You can take NSAID medicinie for pain as needed.Ok and take care.
| 111,162 |
Is artificial aortic valve for severe case of valve stenosis denied if patient has Alzheimer ?
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Patient: Good evening: My mother (86) needs an artificial aortic valve since she has a severe case of valve stenosis. The hospital refused to replace it because our Mother suffers from Alzheimer's disease (10 years). 5 yrs ago, I gave uo my job to look and care after her and that changed her life completely. She has been able to maintain a good score at the mini mental test (25/30). Now, doesn't that count for something? Thnak you. Victor Doctor: Hi ThereI understand your concern and i wanna tell you that you that the problem with ALZHEIMER patients are they are not able to take care of themselves and post surgery alot of care is required. I really appreciate your efforts that you are taking very good care of her and as you are telling her MINI MENTAL TEST scores has improved thats a good thing. Yes it does counts, I would like to suggest you to take an opinion once more for her surgery and i hope and wish she will get a date for surgery. I wish you good luck
| 21,684 |
Suggest treatment for psychopathy
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Patient: my son at age 6 was diagnosed with phychopathy.. now he is 17 and way out of control without caring at all ....he is asking please help me to fix this and been to many hospitals and therapist ..just yesterday again he was going to commit to 72 hrs at hosp for another poss treatment the may have... he seems like he wants help badly and is willing to get help.. but after all these yrs and I do understand it... what or how can I help my son before he seriously hurts himself or others... he already has court proceedings etc.. and is excessively violent almost daily... how can I help him.. cuz our health care hosp made this diagnose at 7 and yet only put him on pills that don t work or fix this....and they seem like more so they don t care either... any alternative advice for me other than what our health care providers seem to be missing desperately need help... jfi.. yest ..after all papers faxed to hosp on all his yrs from a pych hosp.. my hosp sent him home when he pleaded to stay for 72 hr assessment treatment... can u help me Doctor: I think that it would be helpful to see a psychotherapist. There are sone therapies that can help your son deal with his problems .
| 205,660 |
Suggest treatment for erection problems
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Patient: i am struggling with penis strengthening problem since 6 months and all parts of my body became weak like stomach became very soft,hands and legs and neck also.. are not strong that much how they are before.so what treatment should i take and at whom? how much money it will be costs? Doctor: Hello, Please tell us exactly what kind of treatment you want and what for ? 4 to the 5-inch erect penis is normal and is enough. There is no such treatment for penis enlargement except surgical procedure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist
| 194,506 |
What does presence of blood in urine indicate?
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Patient: What causes blood in urine of 66 YO white male. He has no pain or any other signs or symptoms. He had prostatectomy in November of 2015, but follow up has been fine. He did have 36 radiation treatments of radiation following surgery. Never mind. Obviously you don t really care. Doctor: Hi,As you have mentioned that he have had radiation so I believe that he had cancer of the prostate.If he has blood in urine he definitely needs and ultrasound of kidney and urinary bladder.I would also advise a cystoscopy to look inside the urinary bladder.Wishing him an early recovery.Regards.
| 29,264 |
Could high BP along with discomfort in chest and shoulder affect health?
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Patient: My BP has been off on and off. This week my diastolic has been between 100 and 90 not going lower than 90. This morning I was feeling the uncomfortable feeling on my chest and left shoulder and checked my BP and it was 133/ 93 this was right out of bed. Should I be concern? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Possibility of simple musculoskeletal pain is more. But better to rule out heart related causes first because you are having hypertension. So get done 1. Blood pressure monitoring 2. Ecg 3. 2d echo. If all these are normal then no need to worry for major cardiac diseases. Musculoskeletal pain is more likely in your case. So avoid bad postures in sleep. Avoid movements causing pain. Take simple painkiller like ibuprofen. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 25,101 |
What are the early signs and symptoms of pregnancy?
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Patient: I think I am pregnant, I am not sure though.. could you help?My breasts constantly ache, I get back aches, I get a lack of breath sometimes, dizziness, fatigue (often) My breasts feel as if they have got heavier, my nipples have enlarged. I am on the contraceptive pill, however I have not been taking it correctly and therefore I am unsure whether my pregnancy chances could be high. Please get back to me asap. Many thanks. Doctor: Hallow Dear,Had you been taking birth control pills regularly, I would have written off the possibility of any pregnancy. However, since you are irregular in contraceptive pills, I cannot say that you would not be pregnant. The first cardinal symptom to appear is missing a period. Some how, I do not find any mention about your last/missing period in your history. All other symptoms appear about 8-10 days after missed period. The other cardinal symptoms of early pregnancy are:1. Nausea & vomiting with pica2. Frequent urination3. Breast symptoms and signs like engorgement & tenderness, dark discolouration of nipples & areola with areolar widening, Montgomery's tubercles under areola and secretions through the nipples. However, if you have not missed period, these symptoms cannot be weighed much as they may appear due to some other causes also. Heaviness and tenderness of the breasts can be due to the oral contraceptive pills you are taking. Nipples enlargement also can be due to the pills or due to rough overhanding. Breathlessness, backache, fatigue & dizziness are not symptoms of early pregnancy. Irrespective of your pregnancy status, you should get investigated for these symptoms. Please get your haemoglobin tested and report to the Physician. If you have missed period, pregnancy test on overnight first morning urine sample 8-10 days after missed period will clarify your doubts. Done earlier, these tests may give false negative results. Alternatively you may opt for Beta hCG test which can give you reliable results even few days before missing period also. If you have not missed your period, please wait for your menses. If they appear, forget about pregnancy. If they do not appear, you may opt for pregnancy test(s) as suggested above. I hope this helps you.Dr. Nishikant Shrotri
| 219,974 |
How must high SGPT level be treated?
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Patient: Dear Doctor MY sgpt level is very high as well as cholesterol l too. i donot have any habit to drink or smoke My age is 30 weight is 92kg height 181 cm kindly request you to have an answer Details are following Biochemistry : Uric Acid, serum 9.90 3.4 to 7.5 mg% Glucose, Fluoride Plasma (Fasting) 91 70 to 110 mg% Urine sugar ABSENT Absent Sodium, serum 140.00 136 to 150 mEq/L Potassium, serum 4.50 3.8 to 5.0 mEq/L Bicarbonate, serum 24.00 Venous blood: 22 to 29 mEq/L Arterial blood: 21 to 28 mEq/L Chlorides, serum 98.00 98 - 106 mEq/L Enzymes SGPT (ALT), serum 617.00 Up to 65 U/L SGOT (AST), serum 306.00 Up to 37 U/L Haematology Total Leucocytes 11,000 4000 to 10000 /cu.mm Neutrophils 55 45 - 75 % Eosinophils 2 1 - 8% Lymphocytes 40 20 - 45 % Monocytes 2 2 - 12 % Basophils 1 0 - 2% Premature Leucocytes . --- Myeloblast . Promyelocyte . Myelocyte . Metamyelocyte . Bandforms . Lipids: Sample type FASTING 12-14 hrs Fasting Cholesterol (Total), serum 235 Upto 200 mg/dl 200 to 239 Borderline High 240 High Triglycerides level in serum 249 150 -199 mg/dl - Borderline high 200 - 499 mg/dl - High 500 mg/dl - Very high HDL Cholesterol (Good Cholesterol) 42 40 - 60 mg% LDL Cholesterol 156 130 to 159 Borderline High 160-189 mg/dl -High 190 mg/dl - Very high VLDL 37 6.0 to 38.0 mg% CHOL/HDL RATIO 5.60 3.5 to 5.0 Doctor: HI, I don't think that with a high level of transaminases your check up may finish here I mean and recommend two important viral markers to be done: HBs Ag and Anti HCV. Meanwhile a gradual lose of weight just a diet for decreasing your cholesterol, and Vit E 100 mg three times a day and Silimarin 14O mg three times a day for a month could be begun.
| 56,223 |
Is amoxicillin is the cause of rashes like hives after having teeth removed?
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Patient: hi I had 9 teeth removed last Wednesday. I was put on amoxicillin .500 mg. times a day. now I have a rash. the dentist told me to stop taking the medication, but now I have a rash like hives. I need something to relieve the itch and how long will the itch last. thank you Doctor: Hello and welcome to HCM.forum,I would like you to know that if the rashes developed after taking amoxicillin then you should stop taking it and visit your doctor soon.For now i will advise you to take an anti allergic which will provide you temporary relief.Also you can apply cold compresses to relieve itching and redness.Kindly see you doctor soon.I hope i answered your query.I wish you good health.Take care.
| 187,987 |
Suggest anger management for excessive temper
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Patient: good evening sir , i want to discuss about my brother, he is very short temper, acual some time for few movement his temper going high, at silly reasion and he cant control of speaking,, he speak of that time without think, this things he is doing with family member only and after that he realise that and he say soory.... but last month he get married and he doing the same .... so we r in tens pz tel us which type of treatment he requared... pz and where Doctor: HiiI understand you concern.I guess it is the features of borderline personality or mood dysregulation disorder.It needs proper evaluation.Consult psychiatrist.Proper evaluation make proper diagnosis then treatment will effective .Till that following can help to relax his mind and keep him down.Exercise MeditationDeep breathing and hyperventilation.Proper sleepStress free activityDo pleasurable activityMusic and hobbiesDiscuss with friendsSee all thing with different anglePositive outlookConfidence all this will help you to counter daily stress,There are many behavior therapy which will help a lot. so consult psychiatrist and he will guide you furtherGet well soonThank you
| 208,108 |
Suggest remedy for lumps in spine
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Patient: Im a 18 year old male with no history of cancer in the family. Recently, I discovered a bump, or lump, at the base of my spine. It isnt a cyst. It's under the skin and has never had any sort of discharge. The bump has always been there, at least for the past few years. It just has been there. Within the past several days though, it has become painful to sit down. I've had no problems passing excrement.The pain is a sharp jab that quickly declines if I don't move.My first thought was a that my coccyx was chipped somehow.A description of the bump itself is that it is located within the butt crack, roughly 2-3 inches above the anus. I've tried to see if there is any sort of discoloration on the skin but found none. So I'm quite confused. Doctor: Hi,Welcome to HCM.That lump is as a result of congenital defect in the fusion, most probably mengiomyocoele.You need to get a ct scan or more preferably an mri of your spine and show it to a neurosurgeon.Regards,Dr. Ashish Verma
| 69,089 |
Suggest treatment for cough and wheezing in kid
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Patient: my 18 month old grand daughter Is wheezing some. She started out with a runny nose and cough.. Still coughs some when she get to running round. I noticed she is wheezing some.. should we take her to the doctor? She is not running a fever, eating fine, playing.. but when she plays or runs around..she starts coughing. I just not sure if we should take her on to see her pediatrician Doctor: Hi,Thank you for asking question on health care magic.You history indicates that she is suffering from asthma.Viral infection like cold will trigger an attack of asthma.Better consult pediatrician and follow his advice.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics
| 179,934 |
Suggest treatment for fever & loose stools
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Patient: my son is 9yrs old, having fever since 7 days, given paracetmol every 6 hrs on doctor advice, gets chill and shivering during high temperature also having cough, and loose stools,at present the temperature is 103 degree, two days before tested for malaria fever found negative, Doctor: Hello,Thanks for posting in HCM. Fever for 7 days which is not getting controlled with paracetamol with cough and loose stools should be addressed cautiously. As you already have tested for malaria which is negative, there might be other causes like pneumonia causing cough or acute gastroenteritis causing loose stools.I will advice you to get him hospitalized as he will need blood investigations, chest x rays to diagnose the exact problem and treat the causative agent with IV antibiotics if required.If you need any more help kindly write back, will answer your query.Thank you
| 32,716 |
Pain in the buttocks. MRI showing disc degenerative disease. Tried steroid and neurontin. Will surgery help?
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Patient: I am hving bilat lower buttock pain. Increase with lying down. Feels better when walking. I had a mri which showed a lot of dengerative disease. I am a nurse. But at the l5 level it is showing encrouchment of the nerve where I had surgury before. Can surgury help the buttock pain? I have tried the steroid , neurontin without effect. Forget the pain meds those aren t the answer. My doctor said that I will have to live with the pain. OMG I hope not Doctor: Hi, Thank you for contacting Healthcare magic. First of all, I wish to reassure you that your pain would reduce with treatment and you won't have to live with pain. Following measures would be helpful: 1. Physiotherapy- back extension exercises, pain relief measures such as IFT/Ultrasound/traction, etc. I have seen many people get well with them. 2. Avoid forward bending and lifting heavy weights. 3. I would agree with you that repeat surgery may not work, and hence you should not go for it at this stage. Also, second surgery is technically more difficult. 4. Some people get relief with neuropathic pain medications, such as pregabalin. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior consultant Neurologist Apollo Hospitals, Hyderabad
| 151,273 |
Suggest remedy for increasing facial hair growth
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Patient: Hi, I am 29 years old and still I have very less hair in my moustache and beard areas. Although in chin area the hair thickness and the spread has increased a bit, since past three to four years. There is no hair at all over my cheeks. Also, I can't grow a moustache because in the mid of the moustache that is, below to my nose there is no connectivity that is no hair again there Doctor: Hello, Facial hair growth is a genetically determined trait. You can try drugs like minoxidil which will give best results. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician
| 192,715 |
Is it easy to drain fluid trapped between muscle and lining of muscle?
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Patient: Hi there, I got a knock on my quad muscle a month ago. And there is still so much fluid in it. I when to a physio and he said the fluid was trapped between the muscle and the lining of the muscle... He said I should see a doctor to have it drained, is it easy to drain the fluid?? Thanks Doctor: Hello, Usually, there are fewer chances for the fluid to be in between the muscles and the facia. But still having a clinical examination will be advised. Initial try will be conservative - like an anti-inflammatory drug, hot water fermentation and gentle myofascial release and kneading massage. If with this the fluid is drained out you may not have to worry. In case an In vivo procedure is needed than the orthopedist should be able to take the call. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 123,175 |
What causes tightness in chest and cough?
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Patient: I have had a slight cold for a few days (productive cough and runny nose, no fever) and now my chest feels tight and the cough is producing thick bad tasting phlem. Is this something that o.k. to wait out with cold medicine or should I go in to a clinic, (still no fever)? Doctor: thanks for your questioni completely understand your queryin my opinion you are suffering from upper resp tract infection , and now its progressing.before it gets converted to a bacterial lower resp tract infection you should visit a pulmonologist who can get a chest xray and a sputum culture done .in my patients i prefer giving a course of broad spectrum antibiotics along with decongestantsthanksfeel free to ask more questions
| 79,472 |
What causes numbness in the arms and legs with a history of spinal surgery?
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Patient: In 2008 I had c5 disc removed. Herniated into spinal canal and pushed my spinal cord out the other side. In Dec/14 I had c6 removed, replaced with cage device, same problem as above. This time I was told there was major spinal cord damage and only time would tell what, if any, problems I would face. Twice, over past few months, my right arm has suddenly become a dead weight. No pain, I can move it but is kind of like slow motion. Lasts for approx. 15 to 20 min. Two days ago my right leg suddenly did the same thing as above for about the same amount of time. Last night, my right arm again, tonight, both legs, again same as described above. Any ideas? Is this the type of thing I should expect might happen? Should I be concerned or just let it ride? I am 52 years old Thanks, Mike Doctor: Hi, I understand your concern and would explain that your symptoms are not typical of a spinal cord compression, especially considering the fact that you have had decompressive surgery. TIA (transient ischemic attacks) can not be excluded either. For this reason, I would recommend performing a brain and cervical spine MRI or CT scan, coupled with some other tests: - A Doppler ultrasound of the carotid arteries to investigate for possible narrowing - An ambulatory 24-48 hours ECG monitoring in order to investigate for possible cardiac arrhythmia - Blood lipid profile. You should discuss with his doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
| 140,897 |
Brown discharge in the morning, lower back pain, stomach cramps after having unprotected sex. No periods due to being on depo shot. Possible pregnancy?
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Patient: I've been on the Depo shot for a year me and my boyfriend has had unprotected sex and he has came inside of me...every morning that I have got up I've had a brown discharge but it only occurs in the morning....I'm also having lower back pain....stomach cramps.... by the way I don't have a period at all anymore because of the depo shot...could I be pregnant? Doctor: Hi,Thanks for the query. As you are on depo shot, the possibility of pregnancy is less. The possible causes for your spotting are :- Side effects of the depo shot. It can cause intermenstrual spotting, break through bleeding as side effects. -Pelvic inflammatory disease. Chronic pelvic inflammation can present with cervical erosion. And that can lead to spotting, pain abdomen etc. - Post coital tear. Can present with spotting and pain.So, better to consult gynecologist once and get examined. By examination causes like post coital tear, cervical erosion can be ruled out. If your doctor recommends go for ultrasound. Ultrasound will help in ruling out the possibility of pregnancy and also any endometrial abnormality. Then with your doctor's advice you can go for additional dose of hormones to control the spotting. Take care.
| 4,661 |
What causes a miscarriage while having PCOS?
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Patient: I have PCOS, i was taking Ovafar tablet from 3rd day of my period to 7th day. Each day a tablet.I did home pregnancy test positive. Consulted doctor she also confirmed that i have conceived.She gave me Ecospirin 75, stero-p 200 , Folygel to be taken. I was followed and taken same. But within a week i was bleeding, then my doctor prescribed TRAPIC to stop bleeding. But bleeding didnt stopped. It was increasing. Finally i got miscarriage. even i was in full rest. I didnt travel any where. kindly suggest the reason behind this why i got miscarriage ? Doctor: Hi, I have gone through your query & understood the concern. PCOD is a problem in development & maturity of graffian follcle to form an Ovum. You had taken Ovafar.. which stimulated maturity of ovum.. & it's release from ovary. You conceived , the test was +ve but ultimately it was aborted. Actually you were given proper treatment for maintenance of pregnancy.. still it happened. I seems to be a blighted ovum , where fertilization takes place..but embryo is not formed because it's just a chemical pregnancy which can not grow in fetus , & gets aborted .& this can happen with any pregnancy It need not repeat again.& PCOD is not supposed to be it's cause. Thanks.
| 221,269 |
Why did the usage of moisturex and lactic acid lead to darkening of skin?
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Patient: Hello,I have recently started using a moisturizer called Moisturex containing urea and lactic acid. It seems immidiatley after applying this cream my skin turn quite dark. I was wondering if this is a temporary reaction to lactic acid. Would this side effect subside with long-term use.Thank you Doctor: Hello and welcome to HCM,I read your query and understood your concern.It is unlikely that any of the contents of moisturex will cause skin darkening. But maybe since it is quite greasy it may give appearance of darkening. Apply a very little amount on your face. If still it doesnt help you may want to switch cream.Also since lactic acid is mild exfoliating apply sunscreen whenever you go out.Hope I helped
| 11,624 |
Should i get checked by doctor as my daughters ankle is swollen?
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Patient: Hi my daughter has a sprained ankle (lateral) she did it 5days age. it is still quite swollen but i am concerned it is very cold to touch. We iced for 72 hours and elevation and crutches. Is the cold normal or should i get it checked by a doctor?thanks Doctor: Hi, If the swelling is severe and especially if the area is tender when you put pressure on it, she should be checked and take an x-ray to rule out any small fracture zone. Also please remember that ankle strains should be treated very good, otherwise they will recur every now and then because if we allow the strained or ruptured ligaments to be healed by themselves, they will become loose and cannot protect the ankle completely in the future. So, I recommend that you refer to a doctor, ask for an x-ray. Also, an anti-inflammatory medication can help to reduce the swelling (such as Ibuprofen, diclofenac). Another thing that you can do is to gently massage the ankle in warm water with a small amount of salt in it (1-2 times a day). Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Hooman Mahmoudi, Neurologist
| 125,508 |
Suggest treatment for shin bone injury
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Patient: Hi Playing cricket last night, whilst fielding in close proximity I took a ball at quick pace to the shin bone. It had swollen massivley, but this morning the swelling appears to have subsided a little. Unfortunately however, I am still unable to put any pressure at all on the leg. Walking is near impossible due to the excruciating pain. It feels okay, when it s resting, however the minute I try to walk on it, the pain becomes quite unbearable. Also unfortunately a cold compress is out of the question, as any form of pressure on the spot is far too painful. Thanks D. Harris Doctor: Hi,Thanks for your query.It could be soft tissue injury or due to a hairline fracture. You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory drug like motrin to reduce pain and inflammation.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
| 138,490 |
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