tgt
stringlengths 0
320
| src
stringlengths 72
18.8k
| id
int64 1
226k
|
|---|---|---|
What can cause crunching noise in hip joint on bending?
|
Patient: Hello, During a strenuous workout where I was performing weighted lunges, I experienced pain in my right hip, possibly in the sartorius muscle. Three hours later, I am noticing a crunching noise when I bend my hip past 90 degrees, though there is no pain associated with the movement. Can you provide possible causes and precautions? Thank You! Thomas Doctor: Hello, The crunching noise in the hip joint can be due to a decrease in the joint lubricants or due to osteoarthritic changes in the hip. An MRI scan of the hip will help in proper diagnosis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon
| 124,108 |
What causes loss of appetite and fatigue?
|
Patient: I am a 20 year old male. I am 5 10 and weigh 154 pounds, although I have lost weight since my accident. I don t have too much of a medical history, just some stitches and a heart problem that went away on its own. I got into a car accident in which I was T-boned in my door very hard. IT appeared that I escaped the accident with minor cuts, bruising, etc. But nothing showed up in x-rays. No scans were done. Now that I am back home, I have had little to no appetite, and have been extremely fatigued. Is this something I should be concerned about, or just part of the healing process? Doctor: Hi, welcome to our site. I am Dr Saumya Mittal, MD.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryThis sounds like PTSD. This is post traumatic stress disorder.Any accident is a shock to the mind, whether you register it conciously or not. The brain then takes its own time time to heal.The idea would be good to have a scan, just to make sure that there is no intracranial damage. However I am cretain, scans will be ok.Just relax, if its PTSD, it will take its time and them you will be ok.I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.Please do understand that some details could be extracted from a detailed history and examination.Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.
| 96,807 |
Is the ca19-9 test reliable?
|
Patient: hello my mother had gallbladder surgery because her gallbladder quite working. they removed it and they sent it for path study it came back positve for cancer of gallbladder the Doctor felt it did not go through the lining of the gallbladder. He said they would do routine blood work If liver functions go up they would do a Ct Scan. Her liver was elevated once and then they did CT Scan It showed swollen lymph nodes throughout her stomach but she feels great no symtons went oncologist and he did a CA19-9 the reading was 7 no cancer is this test reliable? The Doctor states that the reason why liver function was elevated because the lymph nodes in the area where the gallbladder was removed was pushing against the bile duct, her labs are good now. Does she have cancer or not? Doctor: Hi,Thanks for writing in.The normal range of CA 19-9 in the blood of a healthy individual is 0-37 U/ml (Units per milliliter). CA 19-9 associated antigen levels are elevated in many patients with pancreatic cancer. However not all patients with cancer in the pancreas and gall bladder region will have elevated CA19-9 level elevated.Since your mother has confirmed gall bladder cancer with multiple lymphnode enlargement in the stomach, it is important to treat her on grounds of cancer and provide complete treatment and pain relief. Many patients will not develop symptoms of cancer in the early stages even when there is lymphnode enlargement. There is probably no pressure on the normal structures like cystic duct and bile ducts due to the cancer and therefore she is not having major symptoms , however the liver function abnormalities can be due to lymphnodes causing pressure on the bile duct. It is important to test the lymphnodes for cancer if it has not been done and if confirmed to be cancer then start treatment. Please do not worry.
| 154,143 |
What causes diarrhea in an infant?
|
Patient: My 10 month old child is suffering from loose motion since last two months. Blood and stool test has done. Blood total count is 15,800/cumm,stool pus cells 6-7 found in lab investigation. What could be the cause. My doctor advised syrup cefixime and syrup nutrolin b Doctor: Hi Dear Welcome to the HCM.Get his stool culture done to get the exact bug causing the problem and also the exact drug to totally eradicate the infection.I am having some reservation for the antibiotic cefixime especially for the treatment of loose stool. I would like to prefer giving zanocin with recommended doses.Hope the query is answered.thanks
| 176,894 |
How to treat mouth ulcer after having new dental extraction and denture fitting?
|
Patient: I had 5 teeth removed and a denture fitted 5 days ago, everything is healing well apart from an ulcer which is not related to an extraction site, I think the denture has rubbed at some point, I am taking vitamin and mineral supplements whilst i heal - what other measures can I take to ensure quick healing Doctor: Thanks for your query, I have gone through your query.The ulcer could be because of the sharp edges of the denture. Stop using the denture for 3 days.If it is traumatic ulcer, you can take topical anesthetic and analgesics like anabel gel. apply 3-4 times daily before food.Do saline gargling. If the lesion does not heal in 5-7 days then consult a oral physician and get it examined.I hope my answer will help you, take care.
| 184,293 |
Is there any unknown side effect for Sazo 1000?
|
Patient: I am taking Sazo 1000 twice daily since last 3 months, and suffering from back pain since 12 years. Is there any side effect for taking such drugs since long. It is mention further that I am taking sazo 500 for last 8 months before taking sazo 1000. please advice regarding that matter. Doctor: Hello,I will ask you a few questions regarding your disease. You haven't mentioned why are you taking sazo. Usually the diseases for which sazo is needed also lead to backache (A part of disease). Regarding side effects, I think best part is that you have been tolerant to the drug for last few months. You need to be vigilant for developing white blood deficiency, folic acid deficiency or some damage to your liver enzymes. (Very rare effects in very few patients). You need to take folic avoid along this drug, liver function testing after every 3 to 6 months and a blood complete picture once every 1 to 3 months. There are many other non serious side effects which are present in almost all other drugs like a stomach acidity problem due to prolonged use.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist
| 84,831 |
What causes difficulty in conceiving a baby?
|
Patient: hi i have approximately 2 years of married life. i had a miscarriage 8 months back (at 8 weeks).D&C was done.during pregnancy i had lower abdomen pain and it continued up to 6 months after miscarriage.after D&C i have gone for thyroid test and torch test and they were normal. Now i am trying to conceive but not suceeded upto now.also i have lower back pain and when i have consulted a gynaecolgist she asked to go for fertility test.and result is- i have a small fibroid of size 1.5 cm. and PCOS pattern were found. ovulation was on 19 th day. doctor has given me hucog injection. but again i have not conceived.after that doctor has given fertyl tablets for 5 days and again asked for fertility test. but i am not comfortable with it because during test i have pain and i feel that my body is disturbed because of that. i want to ask is there any other alternative of fretility test. Doctor: hi I understand your concern.I know you are going through a difficult phase.as you told you been given drugs for egg formation, fertility test is in terms of USG if I m not wrong.if at all you are not comfortable with this there are other ways to detect like we have ovulation kits and we can go for some hormonal assys e.g LH ,FSH values.I think you can try these if you are not comfortable with your existing one.
| 219,808 |
How to treat broken toe, pinched nerve, Bursitis, Osteoarthritis and ruptured disc?
|
Patient: I have what one dr. called severe fm and a back surgon said I had a bad, bad, bad, bad! case of fibor. I am 65 was in a car wreck at age 20 was not expected to live the first 48 hours, had many injuries. Fibromyalgia specialist said I had it since the car wreck, I am 65 now, I have had RSD/CRPS for years, started with broken toe and injury to foot. I have ruptured disc, pinched nerves, bursitis, osteoarthritis, osteoporosis and many more things that causes chronic pain. I have a pain Dr. who kept me on the same med since 99. durogesic patch 75 and methadone 10, I guess it is helping some because I have had some real bad full body rsd flares the past few months, on fire full body and all the other pain that goes with it and all the other things I have going on. I wake on fire, wet towels and put over my legs, I hurt so bad I can t even cry. I had a spinal stimulator put in my back, caused the RSD to spread full body, for foot and leg. I don t know how to find a Dr. here in Cincinnati, Ohio, the dr. that put the spinal stimulator was a neurologist, didn t even warn me it could cause the RSD to spread, I knew it but thought I could get help with my back and legs, spasms and pain. I can t even use it anymore, never helped my back, hurt my hips and tailbone, have arthritis in it, bursitis in both hips both shoulders. I can t lay on the battery it hurts all the time along with my spine, stays on fire, behind the battery feels like someone is cutting me in a big area all time, and when I lay on it I wake in so much pain. I would like to know how I could find a good neurologist who knows RSD in this area? Thank you, Sara Hall Doctor: Hello, I have studied your case. You can find doctor of your required speciality on our website in left side corner in FIND YOUR DOCTOR,Fibromyalgia can not be totally cured, you can only minimise symptoms by taking various medications. As you are resistant to amitryptiline and duloxetin I will advise you that you can start milnacipran or Lyrica (pregabalin) consulting your treating doctor.Exercises and stretches plays important role in maintaining symptoms of fibromyalgiaPhysiotherapy like ultrasound and tens will help, along with knee exercises.A holistic approach is required, which includes exercises, meditation ,SKY[ sudarshan kriya yoga] and acupuncture along with healthy diet and herbs. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care
| 128,214 |
How can i treat swollen ankle and feet?
|
Patient: Hello, I have had swollen feet and ankles for the past 2 weeks, I was given a strong diuretic and have been taking for 4 days now, but the swelling has not gone down at all. I have also developed some bruising on my ankles in the past 2 days...and they are painful. Doctor: Hai. U have not mentioned ur age.ur swelling could be due to many reasons, like rheumatoid arthritis, cardiac problems, localised infection, thyroid problems, deep vein thrombosis, 8f course frusemide helps, u should never keep ur feet in dependent position, to improve your blood circulation. Pls under go a cardiac evaluation and limb venous doppler
| 217,852 |
What causes white blister on the gum after tooth extraction?
|
Patient: Hi. I recently got an extraction on my one my teeth and now have a white blister on my gums. I feel no pain but slightly tenders. They were supposed to do an implant but I had an infection. I just finished my medication today and am still using a medical mouthwash. Should I be concerned about this white blister or is it normal? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have abdominal bloating in a heart patient. Well there can be many reasons for symptoms you mention in query like gingivitis ,abscess or infection , but in your case the symptoms are probably due to formation of dry socket . Dry socket is the most common complication following tooth extractions . I would suggest you to consult dentist for proper examination and rule out other causes . Doctor may irrigate the socket for 3-4 days regularly and may prescribe antibiotics along with anti inflammatory . For now do not spit , swish or rinse forcefully so that clot will not dislodge . For now maintain proper oral hygiene and take ibuprofen or acetaminophen for pain .Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
| 181,473 |
Suggest remedy for hair loss during recovery of dengue fever
|
Patient: Hello,I am recovering from Dengue fever since May 30th. I had the fever for nine days as high as 104.2 and I was hospitalized for 6 days. My ANC was at it lowest point 450, platelets 80,000, low potassium of 2.0, abnormal liver function, and BP lower than usual but stable throughout at 100/60. Everything has returned to normal but I still have fatigue on most days and find that I have to be careful with activity levels. I started experiencing mild hair loss about a week ago. I am afraid that it will get worse and do not know if anything can be done to prevent this. Please advise. Thank you Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history you are having telogen effluvium, my treatment advice is - 1. Take good nutritious diet full of green leafy vegetables and milk. 2. Take an iron supplement and vitamin B12 supplement. 3. Other treatment options are topical Minoxidil and mesotherapy done by a dermato-surgeon. Hope I have answered your query. Let me know if I can assist you further.
| 10,521 |
What causes red bumps on legs and hip area?
|
Patient: I have red bumps all over my legs and hip area... Basically from the waist down and it started with just a few around my knees and has spread over the past four days. I had my bed/room checked for bugs and the pest control said there was nothing here. I also have a three month old baby who sleeps right next to my bed in a bassinet and he has nothing on him at all. I haven t changed my soap or detergent or done anything different in the time since the bumps have appeared. They are different sizes, they itch only when they first appear and then again only if I scratch or touch them. It seems similar to a chigger bite but why would I be getting those at night inside my own home while I m sleeping? The bumps are raised, red and vary in size. Doctor: HiThanks for posting on HCMThe symptoms you describe sound like a skin infection of bacteria origin.Fungal skin infections are also possible.Other causes of such symptoms like local skin irritation are less likely given the evolution.I will suggest you try the following:-Take an anti-histamine like loratadine-A steroidal anti-inflammatory like Dexamethasone-Bath with an anti-septic soap or solution like cytealIf the symptoms persist, you see the Doctor for evaluation.I will also recommend good hygiene and advise your separate your things from the baby's as most of these skin problems may be contagious.Always iron the baby's dresses before wearing on him.Hope my answer will help youBest rgerads
| 30,263 |
What causes chest and heart burning with breathlessness?
|
Patient: my chest and heart burns a lot. My soccer coach recently passed away and i have had a lot of anxiety about that. I feel like i can't breathe sometimes and my heart burns, esp. when i am exercising. i think it might be the anxiety and mental part causing these pains. any sugfgestions Doctor: Hey there,Yes you have some sort of anxiety due to loss of your coach.See its not always a big problem this.but you can definitely Get done EKG and Chest X-Ray to rule out lungs and heart related problem.Next mot common is due to anxiety related gastritis.
| 74,881 |
Should i be worried as i am getting small chest pain?
|
Patient: Hi I have felt small chest pains for a couple of days lately, comes on intermittently, and not really painful. Tonight I was having it every few seconds. It s a dull pain, and it seems to be mostly my right side, though a few times on the left. Should I be worried? I m 20 yrs., female, 145 lbs. Doctor: NO, NOT TO WORRY precautionary go for xray chest PA...........................................................................
| 71,969 |
Suggest treatment for fatigue after doing small work
|
Patient: dr i am diagnosed grade 2 diastolic disfunction and taking triolvance 20 tab and metpropelol kindly advice me. i am diabetic also taking glycomet . i get fatigue with small work . shall i need to change treatment. my email is YYYY@YYYY Doctor: hello, I have gone through your query.Thanks for using HCM. I would like to know your status of diabetes .YOur fatigue and weakness may be related to uncontrolled diabetes.I suggest you to check for Fasting and Post Prandial Blood sugar,HBA1c,Lipid profile done to find the further course of action,Diastolic function may not be responsible for your symptoms. My best wishes Dr.Rajesh Teli,MD
| 26,121 |
Have kidney infection and low heart beat rate, not diagnosed anything till now. What to do?
|
Patient: I have kidney Disease eGfR of 44.I could live with that if I did not have heart and lung involvement, I have an average pulse of 32-48 daily and my lungs, as you can imagine are not getting cleared. Try to explain this to people calling themselves doctors is to say the least is difficult. I want a pacemaker to bring up the pulse rate so I can drink more fluids to help the Kidneys. Creatinine was 120 last but has been as high as 140 and they said was o.k !!! What does it take to get renal people to talk to cardiac people for the proper care of the patient???????? Doctor: HI, thanks for using healthcare magicI am sorry that you are having difficulties with your doctors. You may have to consider speaking to senior consultants in each field and voicing your concerns. A letter may be necessary.The use of additional fluids in kidney disease is normally not recommended because it may cause fluid retention.I hope this helps
| 50,679 |
Numerous bumps after shaving off pubic hair, no itching or burning. Chances of genital warts?
|
Patient: I am a 50 year old male. I have what would appear to look like genital warts , but it does not itch , burn or appear redning. However I have noticed that when i have shave my pubic hair off, it would appear that i may have nick a wart as there patern lines up to overlap each other. Are genital warts transferable by razor blade when shaving and do they always burn, itch or have redness, because mine never do and 1 is dark brown like a mole or freckle? Doctor: Thanks for contacting HCM. It appears from your description that you do have genital warts. Yes, genital warts can be transferred by razors. Usually they are asymptomatic i.e. they do not burn or itch and have no redness. They could be like mole or could be skin coloured. regards
| 202,406 |
Suggest remedy for abdominal pain and cramps
|
Patient: hello, I have pain and cramping on my right side. it is mostly when I am standing? I had my gallbladder removed about 14-15 years ago. the pain is in about the same spot and wraps around my back. it happens sometimes when sitting but mostly when standing, it eases some when I sit. I am a 42 year old female. Doctor: Hi.Read and understood that you had gall bladder removal surgery 14-15 years back. You have pain at the same spot and wraps around your back. increases on standing and eases on sitting. This is due either to Disc compression on the spine or Costo-chondritis. This can be diagnosed by MRI of the thoracic spine and of the ribs at the costal areas.Once diagnosed the treatment can be carried on likewise.
| 86,259 |
Lump at the back of head and below ears, comes and goes, hurts on pressing. Cancer?
|
Patient: i have a lump in the back of head right next to my hair line and four fingers down below my ear of my right side, it hurts when i press it, this lump comes and go, i had been having this for a long time and i m not sure what it is cause i notice i had been losing a lot hair every since i were 16 til now still (i m 32 now), could this be a sign of cancer? Doctor: Hi the lump what you are feeling must be most probably a lymph node which had enlarged due to some underlying infection, either in your scalp or due to some oral infection. The swelling must be examined by a surgeon and appropriately investigated including an FNAC if needed. There is very less chance for this being cancer. Early consultation is advisable. Dr. Mohammed Ibrahim [email protected] Surgical Oncologist
| 159,751 |
Can there be bleeding in the mouth if being suggested of a root canal?
|
Patient: whenever I lie down for a long period I wake up n spit a little bit of blood n after a couple seconds it goes back to clear. im not sure where this is coming from? I went tot he dentist she filled in cavitys n said I might njeed a root canal...could bad gums bleed without bothering them? where is the blood coming from? Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have gone to dentist and he advised you Root canal treatment you should go for it , blood can be due to gingival bleeding due to poor oral hygiene also You should go for proper treatment and oral prophylaxis if again you find blood in mouth then consult physician and go for investigations Complete haemogram, Hope this will help you. Wish you good health Regards Dr. Priyanka tiwari
| 187,502 |
Losing consciousness for second time. Felt light headed, tingling and burning sensations. Cause?
|
Patient: This is the 2nd time in about a week that this has happened. Last time I lost conciousness for about 20 seconds. Last night my heart rate got up to 173 that I know of, and remained between this and 120 for about 2 hours. The whole time I felt light headed, tingling sensations and burning sensations in my fingers and toes and soon through my body. I had the flutter in my chest and shortness of breath as well. Please help Doctor: Hi,Your symptoms are consistent with seizure phenomenon( epileptic fits)versus syncope This has to be confirmed by clinical examination and investigation (ECG, EEG, CT scan brain)Consult family physician / Neurologist for further plan of actionRegardsDr Sandhya ManorenjNeurologist
| 150,078 |
Headache near brain stem, shaking, brightness in vision. Family history of seizures. Serious symptoms?
|
Patient: I was at work today feeling a little cloudy with a slight headache in the back of my head, by my brain stem. Then my vision got really bright. As if the sun was in the room. I felt a little shaky and then became sick to my stomach . I had the same symptoms three Weeks ago and think I might have had a seizure. I m really concerned. Considering the fact my mother has high blood presser and seizures. Please let me know if this is serious. Doctor: Hello, Yes definitely it could be seizure. Since it came 3 weeks ago also, you must get evaluated for this. Visit a neurologist and he will advice you the tests like MRI, EEG etc. Are your mother's seizures are of the same type? Apart from seizure, other thing tht I can think of is aura of migraine which is less likely in this case without a history of migraine. Good luck.
| 151,340 |
Thrombin deficiency, bruising on body. Taking warfarin. Blood test done. Causes for bruising?
|
Patient: I am a 49 year old woman who has been diagnosed with thrombine deficiency 3, I have been on 15 miligrams of wareifin for several months,I just had my blood work done again just a few days ago, and they kept me at yhe same dosage, but for over a week now i just come up with horrible bruises from barely being touched or bumped,could there be another reason for this other than being to much warrafin? Doctor: Hi madamAre you monitoring your PT and INR regularly. Is it in the target range around 3 or higher?.If it is on higher side, then you could have all these symptoms Please let us know.please meet your doctor urgently.Take care.
| 118,774 |
How to get back elasticity of my foreskin?
|
Patient: I am a male, 46 years old and in good general health. Over the last two months, I've noticed that part of my foreskin has lost it's elasticity. It makes it very difficult to pull it back over the head of the penis. How can I treat this, and should I be worried. Doctor: Hi, It's not uncommon to lose elasticity as we age. As we age our tissues lose their flexible nature due to the reduced collagen content in the tissues. You need not worry about it. If it really bothers you, you may undergo a circumcision surgery to get rid of this trouble. Take care. Hope I have answered your question. Let me know if I can assist you further.
| 192,111 |
How to get rid of recurring bile duct and gall bladder stones?
|
Patient: I had a ERCP for removal of bile duct stones followed by removal of gall bladder having a stone.After 6 weeks the inserted stent was removed by a 2nd ERCP.After 15 days I began to have severe pains in the abdomen.Another ERCP was done for removal of sludge/particles from the CBD and again a stent has been put in.The doctor says I hae a lithogenic bile. How can I get rid of recurring stones & ERCP to lead a healthy life? Doctor: hello,there are a few things which can be done. First of all , it is not that unusual that patients suffer again even after cholecystectomy and ERCP. It's called post-cholecystectomy syndrome. This means some patients still feel pain like with gall stones due to the fact that the main bile duct might slightly dilatete and becomes a kind of reservoir so that the bile will stay longer. in the bile duct, becomes thicker and causes pain.So things to do.1) stay with a low fat diet. The less fat you eat, the less bile you normally will produce in the liver, the lesser chance to get thicker bile and sludge.2) when an ERCP is done , a papillotomy should have been performed. This is a cut in muscle of the sphincter of the bile duct so it will stay open to prevent that bile might accumulate in the bile duct and causes Problems.3) Sometimes it might be useful to give medicine like Ursofalk (= Ursodeoxychol acid). This can make the bile more liquid If the pain continues I suggest you contact your gastroenterologist again.Hope I could help you.
| 54,030 |
What causes sharp pain on penis tip with a whitish bump?
|
Patient: Hi I have recently been having a sharp pain on the tip of my penis in the frenulum area. Its a whitish colour with a bump. (im brown skinned) It isnt painful when i urinate, only if i touch the tip. What is it and what is good for treatment? Thanks. Doctor: HelloThanks for query.You have infection of the external urinary meatus and glans penis (Ballanitis).Following measure will help you to boost up your confidence and getting good erection.and delayejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Taking Sildenafil Sidenafil (Viagra)as on demand will help to get good hard sustainable erectionand to have enjoyable sex.Dr.Patil..You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil.
| 199,925 |
Suggest treatment for Alzheimer s disease
|
Patient: My brother is in a home in Arkansas and has Alzhiemers diagnosed by a doctor at the Verteran s Adm. in Little Rock. with the disease. Now in the Rehab, ---he was prescribed Quetiapine Funarrate by the Rebab doctor. IIs this an acceptable prescription for a man with Alzhiemer s Disease. (Excuse spelling may be wrong.) It is given as being for bipolar. He has never been diagnosed as such. Is there a fee for this consultation? If so I need to know before continuing. Willl pass on your service due to needing to pay. Doctor: if it's an Alzhimers disease then treatment is tab Donrpezil and memantine depending upon stage of disease. in some cases of Alzhimers disease we have to prescribe antipsychotics like quetiapine but it is never first line of drug.please provide detail history including age and chronology of event's so that I can make a diagnosis and prescribe proper treatment.regardsDr Vishal
| 143,970 |
Persistent pain in lower back in the place of kidneys, dizziness, urine not stronger. Suggest
|
Patient: Hi, I have at present a persistent pain in my lower back where my kidneys are, It does not hurt when I urinate however I am going to the toilet regularly, I feel a little dizzy too. My kidneys actually feel like there burning. I do not have a temperature and my urine isn't strong either, could you please tell me what this could be and what I need to do to help myself as I'm starting to worry slightly Doctor: hello user I advise you to have a ultrasonography done of your lower abdomen to visualise any kidney ailment.You can contact with your reports then.RegardsDr Hari Om ChandrakarMBBS
| 49,899 |
Suffer from dry flaky skin, patch in the corner of the mouth. Using hydrocortisone cream. Patch is recurring on stopping medication
|
Patient: hiya, i have dry flaky skin, small patch by the corner of my mouth, my lips are`nt really dry, i had this about 3 weeks ago, it lasted for a week or so, i started using hydrocortisone cream as advised from the internet and it then healed more quickly, however......it went for about two weeks and then i wake up and its back! just like last time out of nowhere, im using the cream so its not as bad as last time but its just really drt looking, not painful really, i know its not a coldsore as ive had these in the past under my lip, really hope u can help as ive just moved and am not with a doctor as yet. Doctor: HELLO, The best treatment for you would be to frequently use moisturizers, upto 3-5 times a day. As for the cause of the dry patch, it could be because of drooling saliva during your sleep. Avoid frequent usage of steroid creams like hydrocortisone on the face as in the long run they will cause thinning of your facial skin. Take care.
| 15,929 |
Suggest treatment for throat irritation and sneezing due to asthma
|
Patient: Hi,I am an asthmatic. It is under control with regular use of inhaler. My problem is continuous sneezing along with irritation in throat. This happens mostly during night when the temperature falls to 18 deg. C. I am in India. Could any one help how to manage this? Doctor: Hello.Welcome to HCM.I would suggest you to take tablet montelukast-levocetirizine every evening (at around 6-7 pm)If this does not help then you may need intranasal corticosteroid sprays.Avoid quick transition from warm to cold temperature. Dry cold air can trigger such symptoms. Using a room warmer will be helpful.Wish you the best of the health.Regards,Dr Parin
| 101,636 |
Suggest remedy for pain radiating in groin area
|
Patient: I am due for hip replacement 2-1, I have had several extreme pain that radiates through my gut and into my groin area. I had an incident 1 week ago where I had to use all my strength to get up off a toilet that was not handicap ready, I used all my strength to get up. Since then, I have had several radical pains that just put me down. Not sure if I tore something, or if it is my hip that is just needing help. 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
| 215,507 |
Suffering cold and swelling in left side gland, blood work shows raise in calcium. History of breast cancer. Could this be related?
|
Patient: Hi.. My Mum had breast cancer just over 5 years ago. She got a cold about 3 weeks ago that lasted 5 days, during that time she noticed her glands and the left side near her ear were swollen, this still hasn t gone down, it doesn t hurt, the doctor has taken her blood and she has slightly raised calcium , do you think this could be related to breast cancer? Or do you think it could be linked to her cold? Doctor: Hi, Welcome to HCM, As there is h/o cold, these lymph nodes might be due to throat infection. Pleas see that are there any enlarge lymph nodes in her axilla ? But as there is h/o of breast cancer, get her examined by cancer surgeon or Gynaec to rule out any relation with old problem. Ok and bye.
| 159,058 |
What does the meaning of mild to moderate ligamentum flavum?
|
Patient: I just received my MRI report and it read as follows. L4-L5: there is 2mm posterior disc bulge. There is mild Ligamentum flavum and facet hypertrophy. L5-S1. There is a slight left paracentral disc bulge with a small associated annular year. There is mild to moderate ligamentum flavum and facet hypertrophy . Mild left lateral stenosis. What does this mean and what kind of treatment is needed. Effect my bowel movement. Doctor: Hi, I am Dr.Bruno. I have read your question with care and understand your concerns. Let me try to help you Question : What does this mean and what kind of treatment is needed. Effect my bowel movement.Answer : This means that you have mild compression of nerves near your spinal cord. Treatment can be 1. Life Style Modifications2. Physiotherapy 3. Exercises4. Tablets If hypertrophy increases, surgery may be neededHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care.
| 144,154 |
Had allergy shots of 'adrenaline' for hives on arms and pelvic region with some relief. Is another shot required to prevent the allergy reaction?
|
Patient: hi I just got home from the hospital , I had an allergy shot and I broke out in hives on mostly my arms, both sides, and my pelvic region, was hard to breathe, they gave me Benadryl and adrenaline , the bendryl didn't work but after that adrenaline its fading, I still have the iv taped and wrapped because I might need another one in the morning, its pretty annoying ..will I need that other shot/dose ?do you think I should take it out ? can the allergic reaction come back? Doctor: HIThank for asking to HCMThe Adrenaline therapy can only be used in emergency, if you do not have such emergency then no need to take the adrenaline, instead I would advise you to find out the cause of your allergy and just keep away from this, have long acting antihistamine in high dose for at least 15 days this will help you lot have nice day.
| 102,768 |
What does this semen analysis report indicate?
|
Patient: Dear Doc. Could you please help explain this. Method of Production 6 Duration of Abstinance 4 Days Ejaculation-Analysis Inte 60 Minutes Liquefaction Abnormal Appearance WHITE GREY Viscosity Abnormal Volume 4.0 ml /= 1.5 pH 8.0 /= 7.2 White Blood Cells Abnormal Sperm Concentration 27.6 Mill/ml /= 15 X 10^6 Sperm Motility 40 % /= 40 PROGRESSIVE- 25% NON-PROGRESSIVE- 15% IMMOTILE- 60% VIABILITY- 45% ......................................... PROGRESSIVE MOTILITY . . REFERENCE RANGE : /= 32% . ......................................... Normal Morphology 10 % /= 4 FEW COILED TAILS AND FEW NECKS OBSERVED Total Sperm Count 110.40 Mil/ejac 39 X 10^6 Comment MODERATE WHITE BLOOD CELLS Doctor: Hi, The presence of moderate amount of pus cells in semen is suggestive of infection. I suggest you investigate with semen culture and sensitivity report. According to culture report antibiotic course prescribed. After that you have to again repeat your semen analysis. If still motility abnormal then COQ Forte like tablet can be prescribed for further course of management and ultrasonography of pelvis planned. Hope I have answered your query. Let me know if I can assist you further.
| 195,118 |
What could cause an acute elevation in platelet levels?
|
Patient: What could cause an acute elevation in platelet levels? I'm a 27 year old female. I was recently diagnosed with Hashimoto's Disease and 2 days ago I had an initial eval with a Hematologist regarding chronic elevating platelet levels over the past few years. My platelets Monday were around 500. Today I woke up with an unquenchable thirst. I have been drinking water non stop. It feels like my mouth is so dry. After drinking a lot of water I wasn't feeling so good so I took my temp, it kept decreasing, although I never felt cold. When it got down to 95.5 I layed down to try to sleep it off. Woke up with a bad headache and pressure in my chest. I went to an urgent care, they ran labs and everything was normal except for my platelet count which is 656. What could cause it to increase by 100 in 2 days? I do not have diabetes, my blood glucose was checked today to rule it out and it was 74. I'm still thirsty and feeling pressure in my chest. I'm supposed to follow up with my Endo and Heme/onc but I would like to know what's going on to ease my mind a little bit. Thank you for your help! Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have reactive thrombocytosis. There are many causes of reactive thrombocytosis. Infection, anemia, haemorrhage, surgery all can lead to reactive thrombocytosis. So no need to worry. You should go for peripheral smear examination. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. Don't forget to click thank you.
| 115,669 |
Suggest treatment for home sick and sense of being lost
|
Patient: I am feeling dejected and a sense of being lost engulfs me. This has been the case for quite some time ( ay be a couple of years) and is aggravating. I am getting afraid of anything and everything. My problem is compounded since my relocation to a place that is about 500 Km away from my family consisting of aged parents and a kid. I am sending this query from Hyderabad in India. Doctor: Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you have been going through a difficult time due to your psychological problems. The symptoms that you have described like feeling dejected, becoming anxious or fearful, etc. are likely to be symptoms of stress. As you have mentioned, this could be a result of your recent changes in life such as relocating from your family to a distant place.Since you seem to be quite distressed by these problems, I would suggest that you seek professional help. I would advise you to see a psychiatrist for a detailed evaluation and psychological assessment.Effective help is available in the form of medication or counselling to help you overcome your problems. So, please don't hesitate to seek professional help.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist
| 209,185 |
What causes a fizzing sensation in the chest?
|
Patient: hi there i've been getting a fizzing sensation in the left side of my chest since yesterday i thought i had wind as i had a lot of pain wednesday night in my neck and shoulder and could hardly move or sleep the pain went today but stll got this fizzing / buzzing sensation wich seems to be getting worse Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. But better to rule out heart related diseases first because left sided chest discomfort is common in these diseases. So get done ecg and 2d echo. If all these are normal then no need to worry for heart diseases. Musculoskeletal pain is more likely. So apply warm water pad on affected areas. Take painkiller and muscle relaxant drug. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. 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.
| 76,912 |
Suggest treatment for hip pain while suffering from congenital hip dysplasia
|
Patient: I have been diagnosed with congenital hip dysplasia. I was wondering if that is what is was that I have? When I was born my hip stuck out and grew that way during my mother s pregnancy. I was born with one hip (the entire side) completely sticking forward but was fine. The doctors decided to break my hip and put it in place. They told my mother to just use extra diapers and watch me extra. Did extra tests all that as a baby. I have always had problems and just thought I was broken I did not know about being born wrong and having that happen until I was older. now I have other problems stemming in the spot where my spine is twisted as a result. I have osteoarthritis in that spot and degenerative disc disease. My doctor said that essentially stretching me out will fix this. I have had it my entire life and am tired of being in pain and walking with a limp. Is this the right diagnosis (the congenital hip dysplasia)? What can I do to help my pain? I have alot of health care professionals look at me odd because i m 26 with these issues. I have problems walking and can t run more than a short sprint without pain or stand in one spot longer than a few minutes without my legs locking up. It s becoming more of a problem and I have 4 children to think about. I refuse to be that laid up mom. I have also with my youngest had a dural puncture through my spine 2ce (brilliant people there) which caused many problems by itself. 2 years ago I couldn t even hold a pen. The degenerative disc disease and osteoarthritis were discovered after avoiding car on my bicycle on the way to work and falling via the e.r. about a month ago. Thanks! Sorry it s long. Doctor: Dear patient,usually congenital hip dysplasia, is painless, but with limp on walking. its true that this lurch while walking affects the spine causing it to tilt, and getting degenerated early.In your case an X Ray can be diagnostic, and at your age you can think of getting a hip replacement done, so get it done if quality of your life is at sake, the worst thing that can happen with a replacement is that you may need revision surgery in the future, but that is the price we pay for getting good quality of life, and it also will help your spine.I hope that makes your decision clearThanks
| 137,818 |
How can severe anxiety be treated?
|
Patient: I have been seeing my therapist for about 7 months & was recently diagnosed with severe anxiety, in the last few months I’ve self harmed a few times, I am however not suicidal. I opened up to her in our last session about the self harm, she kept telling me “you’re so worth it” I called her liked I normally do and left a message and she normally gets right back to me, I’ve called 4 times within the last 2 weeks and left voicemails with no reply. I feel like shes avoiding me since bringing up the self harm and I’m just really stressing about it.. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Self harm in a psychological is disorder is associated with depression and severe anxiety disorder. Usually anxiety disorder are treated with medicines, counseling and psychotherapy. I wish to know whether are you taking medicines ? Because management of severe anxiety through therapy alone may not be suitable. Please consult a psychiatrist. Hope I have answered your query. Let me know if I can assist you further.
| 204,441 |
Wisdom tooth extracted, stitches applied, rinsed mouth with salt water. Chances of dry socket?
|
Patient: Hi I had a wisdom tooth extraction 2 days ago. The dentist put stitches after he was done. I did was not told what to do and what not to do, so I rinsed my mouth with warm salt water 4 hours after the procedure. After I did, I put some gauze on it. I was wondering what are my chances of getting a dry socket and how long does it take for me to notice if I did or not? Doctor: Hello,Thanks for writing to us.Usually rinsing the mouth with salt water is recommended 24 hours after tooth extraction procedure has undergone.Take complete course of medicines prescribed.Avoid intake of spicy foods.Maintain oral hygiene well.Take adequate rest and avoid stress.Dressing the socket with povidine iodine/zoe can prevent dry socket formation.Take care.
| 188,846 |
Suggest treatment for fever
|
Patient: Hi, my 2.5 year old is running a temperature of 102. We gave him crocin before 5 hours and now the fever is high again. Should i continue giving crocin? the pediatrician said that it will take 2-3 days to feel better and that we should continue giving medicine. Doctor: Hi...Thank you for consulting in Health Care magic.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
| 180,258 |
Could high hemoglobin a1c be cause for not ovulating?
|
Patient: Hello Dr. I am trying for a baby for almost 16 months now. I first went to OB because my period were very irregular since I started TTC like once in 3 months before that it was 40 - 45 days. i had PCOS 8 - 10 yrs back. i am 28 now . My OB put me on CLOMID 50 mg no ovulation. then 100 mg clomid i ovulated only after 45 days. i had to move over to another state due to my husbands job transfer. Hence, after that i visited a RE. She told all my tests and confirmed i have no PCOS , did a HSG and my tubes were normal and other hormone levels are normal. But she also prescribed me METFORMIN . my hemoglobin A1C was 5.9 . then clomid 100 mg and HCG trigger later. My question is hemoglobin A1C be the main cause for not ovulating? and also Do i have type 2 diabetes? or highly prone to have a diabetes??? my paternal grandfather had high and paternal grandmother died of kidney failure. will metformin help me ? do i have to be cautious with my diet ?? i am 5 2 height and weighs 132 lbs. Doctor: this hba1c is quite normal. so p?s do not bother about it. continue Metformin. the main reason of not having ovulation is increased weight along with thyroid problems and high prolactin. pls check them and then consult doctor.
| 40,902 |
Suggest treatment for phimosis
|
Patient: Hello Doctor,I have a problem related to my foreskin for the past 4 days or so the foreskin is hurting and pains a lot when it comes in contact with my dress (undergarments) in particular?I have literally go into the bathroom and re-set myundergarment properly so that it does not come in contact with my foreskin since it hurts a lot,my problem is that my foreskin is moist slightly red and itchy and i am not able to urinate properly due to this reason plus i cannot retract my foreskin back.I however do not get any burning sensation while urinating?Please advise? Doctor: Hello,.I am Dr Rakesh Sharma answering your query.I can understand your concern.Get your blood sugar tested. Phimosis is common is diabetics.Apply diluted antiseptic lotion to clean and apply mupirocin gel.If it does not heal in a few days time, you have to for circumcision. Hope this helps.Good luck.
| 201,213 |
What is the cause of tingling sensation in the head?
|
Patient: I am getting a tingling sensation in the top right side of my head, it only happens when IM laying down or waking up in the morning. I m now getting a fluttering feeling like a tapping on the back right side of my head. I no longer like having sex because after a orgasm it feels like someone is squeezing my brain. I made a appointment with my PCP because I m afraid I may have an aneurysm. Doctor: Hello!Welcome on HCM!Regarding your concern, I would explain that your symptoms seem to be related to tension type headache or post-coital headache. I recommend consulting with a neurologist for a careful physical check up. A brain MRI would help exclude possibel intracranial lesions that may mimic these symptoms. A close monitoring of your blood pressure values is also helpful to exclude possible blood pressure fluctuations, which can cause similar symptoms. Hope you will find this answer helpful!Best wishes, Dr. Aida
| 143,430 |
Taking Levora. Had unprotected sex. Should I be worried if pill was not taken on time?
|
Patient: hi I am on the birth control pills "levora". I am on week 2 of my white pills. I had unprotected sex this morning around 5 am and slept through my alarm. I am supposed to take my pill at 9 am everyday but I didn't get to take my pill till 1 pm should I be worried if ive been on this birth control for about 7 months? I have not missed a pill this month. Doctor: hello..thank you for using health care magic..well ideally you should take pill daily on same time but it seems you were just 4 hours late so it should not be big problem.. but still to be on safer side i will suggest you to take another additional protection like condom till the end of your cycle.. continue pills also..so in your this cycle take pills daily at 9am and use condom during intercourse . from next cycle continue only pills regularly..
| 225,816 |
Is Lasix stronger than Bumex?
|
Patient: My dad's nursing home is not able to get Bumex anymore & they are changing him to Lasix. He has kidney failure & is on dialysis. I realize both are diuretics. Is Lasix stronger than Bumex? I am concerned that because of dialysis, he is already kept on the verge of dehydration. Should I be concerned? Doctor: Hi, Welcome to Health care magic forum. As you describe he is on dialysis, it is for balance of the metabolism,it will make the blood pure so that the life is maintained comfortably,but it is done periodically. In between he should be maintained,for osmotic regulation, that is the accumulation of the water in the body, and formation of the edema. To bring down the edema diuretics are used, to make him comfortable, physically. Wishing for a quick and complete recovery. Thank you.
| 49,130 |
Herniated disc, annular tear. Sciatic pain. On PT. Recommendations?
|
Patient: I have a herniated disc fragment on right L5-S1 with moderate mass effect and associated lateralizing annular tear as well. Back pain after a rear end wreck st high speed- have been going to PT for 6 weeks with some improvement in sciatic pain until I had to sit for several hours at a conference. What plan would you recommend ? Doctor: Hi,You have L5-S1 disc mainly in R) side producing sciatica.Continue with physiotherapy as plannedYou need to use lumbosacral belt for next 6 months.Avoid forward bending and lifting objectsYou also require neuralgic drugs pregabalin 75 mg once daily for neuralgic painAlso have methycobal and calcium supplementsIf symptoms persists you need to consult neurologist/Neurosurgeon to deceide regarding further plan of treatment .Hope this will help youRegardsDr Sandhya ManorenjNeurologist Hi tech city ,Hyderabad
| 150,212 |
Suggest remedy for pain in the middle of the chest
|
Patient: Hi,I am 26 year old male.I feel pain in middle of my chest.The pain increases if i stretch my arms or if i try to pull my head down.Any type of physical activity increases the pain.I Go to gym regularly and do heavy work out.If i do work out in pain then it increases. Sometime when i stretch my arms then i get a sound like cracking something from my chest and i feel relaxed. Please suggest me what to do ? Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of musculoskeletal pain is more in your case. So better to follow these steps for symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. Avoid bad postures in sleep. 3. Start painkiller and muscle relaxant drugs. 4. Apply warm water pad on affected areas. Follow these for 1-2 weeks, you well definitely improve. If not improving than consult doctor and get done chest x ray to rule out internal damage. Hope I have solved your query. Wish you good health. Thanks.
| 79,390 |
What could be the causes for white pus on gums when suffering from pericoronitis?
|
Patient: i was diagnosed with pericoronitis and prescribed amoxicilin. I am 5 days into the treatment and the pain and swelling hasnt gone away. I can still see white pus on the gum and can push it off with a dental tooth pick, when doing so I feel relief for a few hours until the white pus returns again. I am doing warm water salt rinses 3/4 times a day and still brushing my teeth. I called my dentist and he said I should go straight to the oral surgeon to have the wisdom tooth removed but I assumed that the infection must be cleared up before doing so. What are my options? Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, you have mentioned that you have pericoronitis , and pus formation i s there so it can be Pericoronal Abscess, you had gone to dentist also and he suggested you to go for extraction , see what happened is when there is impacted wisdom tooth and Abcess is also, the treatment for that is Extraction , So you do warm saline gargle two - three times a day, Go for scaling and Currettage for releif, Hope this will help you. Wish you good health.
| 187,656 |
How long can a person with malignant mass in chest, severe emphysema and diabetes live ?
|
Patient: Hi please tell me in medical term my dad had a mass in the chest soft tissues density in the intercostal space was concisistent malignancy pulmonary and also had a severe emphysema And his has diabetes and the mensia his not candidate for any treatment please tell me like how much time a person could live with this Doctor: Thanks for your question on HCM.Outcome and life expectancy is very low in lung malignancy. And it is decreased further if emphysema and diabetes are present.Life expectancy is also depending on type of tumour, distant metastases occured or not etc.On an average life expectancy in lung malignancy is not more than 1 year. In your father 's case it may be around 8-9 months.
| 82,329 |
Suggest treatment for recurrent fever and stomach ache
|
Patient: Hi my 6.5yr old son who is 16kgs weight is suffering from fever since yesterday I have given crocin(paracetamol) syrup every 6hours.Fever is coming back every 6 hrs.Today morning he cried out of stomach lain...what to do?? Which medicine should I continue...still fever hasnt reduced...pls do give ur suggestion.. Doctor: Hi...this seems to be a viral illness. Stomach pain due to associated gastritis is quite common in certain viral illnesses. For stomach pain you can ask him to chew one Gelusil tablet now and another one immediately to be put in the mouth like a chocolate. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Regards - Dr. Sumanth
| 176,950 |
Should I take loestrin normally after missing my periods?
|
Patient: Hi. I recently switch birth control from yaz to loestrin. I've never missed a pill and my period is like clockwork. I haven't had sex this month, but my period has not come on the regular day. My question is should I take my pill on the regular day as normal when I finish my pack or should I wait for the first day of my period to start the new pack? Doctor: HIWell come to HCMOn either way you can follow the method like you can wait for the next menses or you can continue taking the pills as its but better to wait for the next period and take care for intercourse, it should not be happened, till the menses, hope this helps.
| 224,485 |
Have agoraphobia. Scheduled root canal. Chances of major infection?
|
Patient: Hi ive had a bad tooth for over 6 months no i was first given antibitocis b4 xmas then the abcess came bk in jan another course of antibiotics then it came bk 3 weeks later an yet again more botics! I hav a appoinment for the 26th of feb for a root canalbut hav a tingle in my tooth i was wondering if i hav a infection in my body after reading the horrir storys online? I shud explain i suffer from agrophobia an never leave the house i forced myself to go the dentist as was in so much paim! But i hav no pain now jst a tingle will i b ok to wait till my appoinment on the 26th feb? How long does a untreated abcess take to cause major problems im worried it may finsh me but i hav had 3 courses of botics does this elinmate the chance of major infection? Thank u fir any advice u may hav ty Doctor: hi and welcome, As you have mentioned you are Agrophobic , i would suggest you to be completely relaxed and free from the fear before going for treatment. ROOT canal treatment is under painless situation only when local anesthesia is achieved successfully so do not worry. as your infected tooth drains abscess you need to go for treatment as soon as possible , because periodontal abscess often spreads to underlying and adjacent soft and hard tissues like jaw bone , spaces of neck , cheek musoca , ear leading to pain and discomfort. so get the abscess drained and root canal done for your tooth which will remove all the infection and save the tooth permanently. taking antibiotics without treating the tooth will only prevent further damage and infection. i hope this helps, take care.
| 189,890 |
After receiving testosterone pellet will there be a weight gain?
|
Patient: Hi- I received a testosterone pellet at the beginning of this past Feb and have gained 10lbs since! Is this normal, will it go away, what can I do? I was under the impression I would gain lean muscle and lose weight? Does this take a few rounds to normalize? I am a female. 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.No, it won't go a way with its own.The increase in weight is because of the increase muscle mass caused due to testosterone.When you take the steroid it causes anabolic effect on the body. This causes more protein storage in the body. This causes resultant increase in muscle mass.Until you take the steroid your muscle mass increases. Once you withdraw it, it will gradually decreases thereafter.If you are not professional body builder than I advice you should not take such steroid it can cause harm to us in long ago period.Instead you can maintain good body structure rather than increase muscle mass.This will help you maintain good health in future.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
| 200,185 |
What could a low WBC count and BP indicate?
|
Patient: My sister just found out her white blood count is extremely low she complains of her hands hurting her now and her blood pressure is low as well. She started running a fever what can she do? Her doctor act as if its no big deal told her to go see a hematology person Doctor: Hi, dear. I have gone through your question. I can understand your concern. Low wbc count with fever is low blood pressure is quite common in any viral fever and malaria. You should go for routine blood reports. Go for complete blood count and test for dengue and malaria. 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.
| 116,643 |
What causes inability to control walking speed?
|
Patient: My brother in law, 82, will begin to walk and his walking speeds up to a pace of almost running..he has fallen twice (forward)...he says he cannot control his speed..is this related to a neurolgy issue? he has had a scan and the doctor says nothing show ups you advertise this question to be answered free..yet asking for a payment?? Doctor: he is 82 yr old and gait problem and forward falling. probably he has parkinson like symptom. in case of parkinson disease CT scan is normal. parkinson is clinical diagnosis, it occur in old age after 60 yr.tell me about rest tremor or slowness of activity. if these symptoms are present, he has parkinson. reply me, i will follow you
| 146,150 |
What are the side effects of mastrubation?
|
Patient: hello ,,,does the masturbation make any double vision? i have been doing it since i was 14 years old and i am 22 years old now i feel double vision now and once i have it my eyes hurt me i always do it every 1 week one time only...and what should i do to my eyes? Doctor: HelloExcessive indulgence into masturbation may cause various harmful effects on your overall health Double vision might not be related to it, so I would advise you to consult an ophthalmologist for detailed check up for refractory error and ophthalmoscopyYou should take multivitamin and vitamin A supplement after discussing it with your doctor.You should control this habit now 3 to 4 times week is still OKHoep this answers your questionPlease don't not hesitate to ask for further assistance.Best wishes
| 198,977 |
Ultrasound shows no activity and one follicle, taken Glasterone. Partner has shortage of sperm. Cannot have child?
|
Patient: MY AGE IS 40Y AND MY WIFE AGE IS 35Y.DR SAY ME FOR TEST TUBE DUE TO SHORTAGE OF SPERM.DR INJECTION TO MY WIFE BUT AT THE TIME DR SAY THAT EGGS ARE NOT ACTIVE. SO MY WIFE TOOK MEDICINE (GLASTERONE25MG,ERESOSE AND FOLIC ACID )FOR 3MONTHS.BUT NOW MY WIFE FSH BECOME 15.9 AND AHM BECOME1.22 ULTRASOUND REPORT TELLING RIGHT SIDE NO ACTIVITY AND LEFT SIDE ONLY ONE FOCIL.NOW DRS ARS SAYING SHE CAN NOT BECOME MOTHER OF HER OWN CHILD .I WANT TO KNOW IS TRUE? IF NOT THEN PLS GUID ME THIS TIME SHE IS USING DHEA MEDICINE THAT IS NOT SUIT TO HER THANK YUU Doctor: Hello. Thanks for writing to us. The FSH levels in your wife are too high even after the hormonal treatment. Such high levels of FSH are associated with an ovarian failure. No activity in one ovary and a weak single follicle in the second ovary is also not suggestive of an ovulation. The pregnancy seems to be difficult with her own eggs. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected]
| 44,260 |
Suggest precaution for hepatitis B
|
Patient: hi am 30 years old my brother, whom i live with, discovered incidently that he is chronic carrier of hepatitis B, i didn;t get the vaccine, what is the percentage that i'm infected too?? and if i get the vaccine soon, will this protect me 100%?? what should i do ?? and what precautions should i take ?? help me please.. thank tou Doctor: Hi welcome to health care magic....Your brother having hepatitis b carrier...So yes certain precautions has to be taken to prevent you from infection..The best way is vaccination if you are not immunized.It is taken at 0 , 1 and 6 month three dose schedule...If after vaccination titre is above 10 then nearly 100% effective....Meanwhile as this virus spread through secretions try to avoid contact with secretions of your brother.Avoid object sharing to your brother esp.like razor and tooth brush...The utensil of him should cleaned by bleach solution....Also educate your brother about it...Take care.Hope your concern solved...Dr.Parth
| 54,307 |
Is taking valporin and frisium together recommended for seizures?
|
Patient: my son is 7 years old and is suffering from seizures in sleep he has got his second seizure attack after one year of taking frisium tablet 10 mg every day now the doctors have prescribed valporin along with frisium also is it ok to give him both these tablets simultaneously? Doctor: valparing and frisium can be given together for control seizure. valparin is effective drug to control seizure. so blood level of drug after 15 days of starting drug so the appropriate dose can be given
| 173,852 |
Does the pap smear report with intermediate squamous epithelial cells mean I can get pregnant ?
|
Patient: my pap smear test report says \smears are pauciccellualr and show few superficial and intermediate squamous epithelial cells with occasional inflammatory cells no evidence of malignancy in the given smears Doctor: HiWelcome to HealthcareMagic.This could be a normal report depending on your age.I advise you to visit your Gynecologist with report and discuss further plan based on your symptoms.If you need more information feel free to mail me.Take care
| 44,614 |
Suggest treatment for child having stomach problem and fever while on Lactogen
|
Patient: sir, my baby is now 5 months 3 weeks old. we tried to give formula milk (lactogen) 3 times in last 3 weeks and as she drink Loctogen milk, next day or with 8 hours she have stomach problem and start crying a lot and also gets mild fever. Doctor please reply soon....its an urgent.....thanks Doctor: Hi thanks for writing to Healthcare magic.From your information, I feel baby is not tolerating the lactogen formula, may be having lactose intolerance. Is there any problem with motions too? Does he pass lot of gas. Try avoiding Lactogen. Instead you shift to semisolid foods. May be below mentioned link of article may help you. In case you have more query I am happy to answer, else kindly rate this answer and close the discussion.Below is the link."Which Weaning Food to Introduce & When!" by Dr. Poonam.M. Sambhaji - https://www.yyyyyy.com/yyyyyyyyyyy/yyyyyyyy-weaning-fyyyyy-to-yyyyyy-when-16805/yyyy
| 168,081 |
Pain in lower abdomen, no relief on passing stools, nausea. Treatment options?
|
Patient: I have this feeling in my lower abdomen like I have to either poop or throw up. I poop, but I don t feel any relief, and if I do, it is only for a little while. I am usually a very active person, but today when I went to the gym, I was only able to run a little less than 1.5 miles before I felt like I had to throw up. So I stopped, and I thought I just overdid, or did it to fast, but the feeling didn t go away, and I didn t start going again. Doctor: Hello, 7griffos, Your symtoms are suggestive of "Spastic colon" or Irritable Bowel Syndrome. Feeling of incomplete evacuation, bloting and gas are all suggestive of this problem. When there is build up of gas this can make you nauseated and even bring on vomiting. Excercise should help movement of the gas in the intestine and give you the feeling to go to the bathroom. If you have had these symptoms for more than six months, you should really try to get on a regimen of high fiber diet, drink plenty of fluids and continue excercises. Whole grain ,fresh vegetables and fruits are very helpful. I also want you to look into an over the counter product called "Digestive Advantage-Irritable Bowel ". Start taking one tablet everyday with a glass of water. This helps to regulate your system. If you are also having some acidity problem , taking an over the counter Omeprazole (Prilosec-OTC) 20 mg/day about one hour before your main meal of the day will be very helpful. Hope this helps you . I wish you well.
| 94,730 |
How to treat bruising and swelling on the foot?
|
Patient: I had the side of my bed fall on my foot. It was solid wood about 30 lbs. I wasn t wearing or socks at the time. I am in alot of pain. It hurts when I walk. I am swollen on the top of my foot all the way to my toes. I am also starting to bruise all around the swelling.I have been icing and keeping elevated but it hurts bad to bend my foot and is really tender to the touch. Wondering if I should keeping doing what I am doing or go to med center. This happened two days ago. Thanks! Doctor: Hello,Your symptoms seem to be related to an injury of the foot. An X-ray is needed to check for a fracture. Meanwhile, I suggest using anti inflammatory medications such as Ibuprofen to treat the pain. I also suggest using cold compresses for local application. I recommend to maintain the foot immobilized.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
| 120,849 |
Could having one Mifepristone pill and discontinuing the rest effect fetus in pregnancy?
|
Patient: Hi I am 8 weeks pregnant I have had the Mifepristone Pill yesterday at my hospital, I have been asked to go back today and have next tablets inserted inside me My question is what are my chances of having a normal healthy pregnancy if I don t want to go ahead with the next tablets will the embryo be affected with the pill at this stage.. Is there anything I can do? Sara Doctor: Dear Sara,Continuing pregnancy after consuming Tab. Mifepristone will be hazardous decision. Mifepristone and Misoprostol, both the medicines are known to cause developmental abnormalities in the baby. Hence, once the medicine(s) are consumed, decision should not be reverted to continuation of pregnancy. After Tab. Mifepristone, Tab. Misoprostol have to be taken after about 24-48 hours. So if you have not delayed it for more than 48 hours, you may still go to the hospital and get Tab. Misoprostol inserted. If you have crossed this time, you may have to repeat Tab. Mifepristone which should subsequently be followed by Misoprostol. Even if these medicines fail to terminate the pregnancy, please do not continue the pregnancy; opt for surgical evacuation of the uterus, may be by MVA aspiration. I hope this helps you. Dr. Nishikant Shrotri
| 219,777 |
What causes fear towards sexual life?
|
Patient: I want to give my introduction first.I was asthma patient(allergic to dust).So in my childhood i was not normal like other child to play around.Since i was allergic to dust and some kind of foods(especially cool items) i used to sit in the house watching tv.I didn t have friends to play with.My father is having transferable job so i never had constant relationship with anyone.Now my problem comes,it started when i was at the age of 13 or 14.I saw a movie in which there was a kissing scene which created some type of sensation in me.Actually i liked it.Then at the age of 17 i saw some another english movie in which they had some nude scene,it gave me more sensation and a type of satisfaction.Whenever i see these type of movie i feel like more satisfied and feels it as if happening with me,i crosses my leg tightly till i get some type of satisfaction.I don t understand why its happening and how.Now i am 21,my friends watch porn,which i don t like to watch.I have a boy friend, i think to make love with him but in reality i scares and run away from the situation.Whenever i watch i tries to watch porn it makes me sick,uncomfortable and depressed.I am very conservative type of girl.I feel disgusting to see me,touch me.I want relationship but not sex.Now i had problem a with my parent they want me to marry someone which i don t want.I cant able to tell this to my parent.I really don t know what to do.Is it related to my past that i was alone in my childhood?Is it psychological disorder? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Your description in itself says that you just have fear for sexual activities, which so many young unmarried ladies have. When they get married and start liking husband, this shyness goes away and everything becomes normal and you start enjoying sex. Your current situation is not related to psychological disorder which needs any treatment. You are anxious and apprehensive about your sexual future just because you did not have any such relations. Almost half of the total women population across the world enter married life without sexual experience and shyness. Therefore you are not alone. Consult a psychological counselor.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
| 206,410 |
What causes constricting pains in my chest?
|
Patient: I'm 21 years old, 150 pound male. I work 3 jobs, one of them being a performer 2 other jobs as a cook and another job as a writer. For the last few months I've been getting sharp pains in my chest, sometimes I've had to catch my breath. The feeling is as if something is constricting my inside of my chest. Now I don't think it's a heart condition, I'm 21 years old and don't think I could already be doing damage. Have no other medical problems. Any ideas? Doctor: Hi thanks for contacting HCM...You have only constricting chest pain....So first rule out cardiac cause by ..../blood pressure checking / ECG / tread mill test....If coronary artery disease there like angina then nitrate given sublingually...If needed angiography might done...Second if your ribs tender to touch it could be costochondritis....Brufen given for it....You are doing three job , by which you can have stress and that can lead chest tightness....Try to avoid stress...Yoga and psychiatric counselling useful....If still cause not clear chest x ray and auscultation done for rule out respi causes ..(although chance of it less)Take care
| 76,108 |
Pain on the upper right hard palate on sucking chocolate that seems to be extending to head and teeth. Help?
|
Patient: I ate chocolate kisses a while ago and after sucking on it, i experience pain on the upper right hard palate of my mouth. When i feel it with the tip of my tongue , it felt like theres a small bump like the size of a pimple and its painful when i put pressure on it. Now its as if i can feel just a little pain on my head and on my back teeth (not too painful, just a teeny pain) as if the pain on the palate is vibrating and my head and teeth can feel the vibration. Please help me Doctor: HELLO, The bump like swelling on the hard palate is usually associated with any decayed ,infected tooth. The decay of the tooth associated has spread into periapical area. The swelling has aggrevated into periapical abscess. Visit your dentist and get access opening done to drain the abscess. Root-canal treatment has to be done if necessary. Take complete course of antibiotics-analgesics prescribed by your dentist. Regards DR.BINDIYA
| 189,856 |
What causes swelling in the spleen?
|
Patient: I have mono. I've had it for about two months now. My spleen just now started swelling, or so that's what I'm led to believe it is. Right at this very moment, it feels like somebody's poking my spleen. It just has little twinges every few minutes. I'm nervous about that because I heard your spleen can rupture, though I haven't done anything strenuous beyond walking (and not very far at that). Doctor: Hello and thanks you for your query. I am Dr. Rommstein and I will try to help you as much as I can with my answer.Spleen enlargement or splenomegaly is a sign of mononucleosis and it should improve with recovery from the virus. Spleen may rupture but usually after trauma. So it should not rupture because of enlargement,you don't need to be concerned about this.I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health.
| 53,791 |
What can cause pain in the upper back on the right side?
|
Patient: For the past couple weeks, I have had a pain in the upper right area of my back. I thought it was a pulled muscle but it is not. It feels as though it is from an organ maybe. The pain has come and go but it has started to be there more often than not now. Doctor: Hello, It may be of renal origin on the right side. Ultrasonography KUB (Kidney, ureters & bladder) area is suggested. Pain related to the spine is also a possibility. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist
| 106,498 |
What causes continuous leg pain?
|
Patient: Continued leg pain? 80 yr male. 5ft10 inch. 160 lbs. High cholesteral--familial. now controled with meds. Bypass 3 yrs 5 vessels. Followed by cardiac cath--treatment med change. Lethargy, cardiac pain, HA another cath. Vessels on back of heart not receiving perfusion-med changed. Syncopy, lethargy. Cath and stent placed. Now severe leg pain. Doctor: Hello,Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.leg pain in this can be due to many reasns like can be due to drugs,electrolytes prob,either complication of pocedure like cholesterol emboli...if u were my pateint i would like to tae detail history abut pain when do u feel n when it strt that i strt after procedure it is most like due to cholesterol embolism which is a comlication of coronary angiography,,will ask about recent drug use like antibiotics bcs some antibiotic interfere with stattin n lead to muscle rupture n pain n do exxam n run some test like electrolytes esp mg n potasium that their abnorality can lead to cramps ,cpk to rue muscle inury due to statin n rfts n lfts n then will mange u accorndglyI hope this answered your question, if you have more feel free to ask.Regards.Dr.Asad Riaz.General and Family Physician.
| 23,901 |
How can an ingrowing toenail be treated?
|
Patient: I was trying to get an ingrown nail out and i thought i had gotten it out because it stoped hurting but then a few days later i noticed a bump starting to form and its filled with puss and its starting to bleed. And if i bump it up againts something by accident it hurts and it feels as if the nail is pressing up against the skin. How can i get rid of it? Doctor: Dear patient You have possible infection of ingrown nail by wrong practice and this needs urgent attention by genealogy surgeon. Meanwhile start tab augmentin 625 mg thrice a day to resist infection and tab diclofenac 50mg twice a day for pain relief. Avoid further trauma. Drainage of pus also may be required. All the best.
| 137,590 |
Can distal radius fracture have bruising 4-6 days after the injury?
|
Patient: Hi, I am an active, 50yo female who had a fall last week resulting in a collas distal radius fracture to my R wrist. I attended an Emergency Centre at a local hospital where they performed a biers block & reduction and strapped it in a back slab (open / split cast to allow for swelling) and referred me to an orthopaedic surgeon for further assessment in 7 days time, the delay being to allow for swelling to go down. I see the surgeon tomorrow afternoon. In the past 2-3 days though, visible & tender bruising has appeared and is seemingly still getting worse across the back of every knuckle of all fingers & thumb . Is it normal for such bruising to be appear 4-6 days after the fall ? No pain or evidence of injury to fingers, thumb or even the palm of my hand was noticed on the day of the fall Doctor: Hello,I have studied your case and I think that you are developing swelling and bruising in the wrist. It is normal if it is not excessive. Some time when there is too much swelling and bruising than it can be due to following causes.1.Tight splint.2.Patient is not moving his fingers.3.Patient on aspirin on other anticlotting drugs. So you need to visit doctor and discuss this. Some time when splint is applied without reducing fracture than also it can cause such swelling.I would recommend you to get check your splint if it is too tight. You need limb elevation.I hope this answer will be helpful for you. Let me know if there is any other followup questions.thanks
| 138,964 |
How can C.Difficile infection be treated?
|
Patient: the patient has had past experience of c-dificil problems, used vancomycin. worked good. now pt. is being prescribed cipro for 10 days for a different infect.. also, put on vancomycin for 5 days. pt. believes she should be on the vancomycin for the entire 10 days to counteract the bad effects of cipro. is this okay? right? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.C difficile is a difficult infection to treat, but at the same time, it must be diagnosed carefully to ensure one doesn't develop an antibiotic resistant strain of C difficile.Cipro and vancomycin are different types on antibiotics and they play different roles. Vancomycin is generally given for 5 days and it does nothing to counteract the effects of cipro.Therefore, it is my opinion that the patient takes the antibiotics as prescribed by the doctor. The bad effects of cipro like gastritis and diarrhea are due to an alteration in gut flora. This can be counteracted by consuming probiotics like lactobacillus. You could aslo increase yogurt consumption. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Pranav Balakrishnan
| 28,885 |
Suggest remedy for penis problem
|
Patient: Hi I have a 5 yrs old boy who was circumcised at birth. At infant stage we noticed that he would almost suck in hisentire penis which looked funny and wiered then but now as a preschooler i am a little concerned about his size. He too has started noticing that its different from others his age. Is there something i need to knw about? shouldi be visiting a doctor? Doctor: Hi I am dr KadhirDefinitely this is an issue to get concerned .. during infancy if the child has a stretched penis length of less than 2.5 cm then he needs evaluation . Usually in kids having small penis, the length of penis increases during puberty , but this can be reassured only after ruling out other endocrine causes ( disorders of sexual development - DSD) of small penis. But still I can say that it could be a normal variant as it is the most common cause.Thank you for using health care magic
| 167,977 |
Lump under jaw, root canal done, back molar pulled, infected saliva glands treated. Occasional facial, ear pain. Treatment?
|
Patient: for about 3 years now i've dealt with a lump under my right jaw. I saw my dentist, as he thought it was an absese tooth. I had two root canals and finally had back molar pulled. the lump was still there. I saw an ent and was told I had infected saliva glands. I did all I was told and lump still remains. I occasionally have ear pain and right facial pain. I now have what I think is a stye on my right eye lid but cant help but think maybe it isn't and this is related to the other sysmptoms I have or had on the right side of my face. im a 37 year old female. Doctor: Hi there, Thanks for asking your query,Please contact an Oral and Maxillofacial surgeon if you develop a persistent lump.your doctor will examine your head and neck, including the area inside your mouth. The doctor will press gently on areas of your cheeks and jaw to feel for lumps, areas of tenderness. Then, depending on your symptoms, history and physical findings, the doctor may order few tests like:1.MRI or CT scans to check for tumors and for stones2.FNAC to determine whether a tumor is cancerous3.Blood tests to measure antibodies against specific viral infections or nutritional or hormonal problems.4.salivary function test to determine Sjogren's syndrome ,including eye test.Follow these home remedies and visit a doctor as soon as possible:if you smoke please avoid smoking.Eat a healthy diet.Drink six to eight glasses of water daily to avoid dehydration.Practice good oral hygiene, with regular tooth brushing and flossing.GET WELL SOONRegards,dr.naveen
| 188,580 |
What causes infection, thyroid anomaly and very low testosterone?
|
Patient: Three months ago i fell on my side directly on the edge of bathtub. I have had constant pain and pressure feeling since the fall that has diminished in intensity. Seen my doc a few days after the fall and he was not concerned. Because the pain was intense, i went to clinic and got xrays that did not show any fractures, but i did get pain med's. Two weeks ago my doc did routine blood work on me and revealed an infection, thyroid anomaly and very low testosterone. I believe this is caused by the injury. Am i wrong? Doctor: Hello, Since there is no elaboration regarding where you got hit, whether you are bruised or any pain ( where ). The injury usually can't be a reason for thyroid abnormality if it is should be a severe neck injury. If there are thyroid issue more chances of testosterone issue. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist
| 194,281 |
Are the heavy legs due to peripheral neuropathy?
|
Patient: For several years I have had peripheral neuropathy, drug induced (nitrofurantoin), but a symptom other than the tingling and burning suddenly occurred this morning ... very heavy legs. Are they connected? Or are the heavy legs due to something else? Doctor: Hi,heaviness of legs is due to some other cause not due to peripheral neuropathy.It may be due to lumvar spine pathology or brain involvement .Before advising investigation I would exam you .You are advised to consult neurologist.Thanks
| 143,728 |
Suggest remedy for reddish spots
|
Patient: My son 5 yrs old has developed some kind of reddish spots on the body which keeps appearing/disappearing at different body parts mainly around the waist. We tried Allegra, omnacortil syrup and some creams to be applied on spots.As long as we give medicine, spots are in control, once we stop they start appearing once again mostly in early morning and late nights.What you can suggest / possible causes/ disease/infection? Doctor: Your child is developing urticaria-hives in common language. He can be given antiallergics from time to time and a monteleukast. Deworm him .
| 100,875 |
What are the side effects of Incid-L tablets?
|
Patient: I am facing Itching problem. Red eruptions on the whole body especially starts from fingers of leg to the ankle At present I am taking INCID-L once in 3 day i.e. itching stopped for 2 days after taking INCiD-L tablet. Would llike to know is taking INCID-L like this is harmful? Doctor: Hi,Incid-L (cetirizine) is commonly used to treat symptoms associated with cold and allergy. Its common side effects include drowsiness, dizziness, headache, dry mouth, increased heartbeats and constipation. Taking as and when required it may not be harmful however the cause of your itching should be detected and treated accordingly.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
| 84,042 |
What causes low haemoglobin after Arnold-Chiari Malformation neurosurgery?
|
Patient: My daughter recently had an Arnold-Chiari Malformation neurosurgery. The tonsils were 5ml into the spinal canal. She is having a difficult recovery and progressing, but slowly. She now has developed and in the hospital for throwing up and low hemoglobin. What causes the hemoglobin to become low; is it diet related? I know she lost about 14 lbs over last few weeks and is very tiny weighing in at 95 lbs. Any ideas of what questions we should ask or talk about. We are very concerned. She did not have much blood loss during surgery. Doctor: Hello,The anemia could be related to low intake (malnutrition) or bleeding (vaginal or gastro-intestinal). For this reason, I would recommend performing a stool analysis for blood and an abdominal ultrasound. It is also necessary checking iron plasma levels, coupled with folic acid and vitamin B12 plasma levels. You should discuss with her 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
| 139,669 |
What are the chances of pregnancy if had sex daily, took Novelon pills regularly but missed periods and have nausea?
|
Patient: Doctor.. my periods were due on 6th of march.... but i started taking novelon pills from 1st march.... nd i had sex daily using condoms.....now from last 3 days i m feeling like vomiting.... am i pregnant??? Or because of my irregular period i m facing this problem of vomitting..... plzz guide me Doctor: HelloWelcome to HCMDont worry if you are having protected sex so there are less chances of getting pregnant. Missing periods are due hormonal disbalance and dependa on ovulation day. Wait for 2 more days, if still it doesnt come then you should go to gynae for check up.Thank you
| 4,274 |
Explain coarsening of bronchovascular markings in right inferior region
|
Patient: i have persistent cough i had s chest x-ray, report indicating, there is subtle coarsening of bronchovascular markings in the right infrhilar region appearance may reflect bronchitic but there is no overt lobar collapse or consolidation, apart from this,cardiomediastinal contours and remaining lungs field appear clear Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Possibility of pneumonia is more in your case. Normally on chest x ray, bronchi and vessels are not seen. But when bronchi are inflamed, their wall become edematous. Blood vessels supplying these inflamed bronchi carry more blood, so they are also visible on chest x ray. When both these (bronchi and blood vessels) are prominent on chest x ray, they are termed as prominent bronchovascular markings. And infection is the most likely cause for this. So you will need antibiotic, mucolytic and expectorant drugs. Get done repeat chest x ray after 7 days of treatment to see for improvement. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 77,548 |
What prognosis is recommended for this GSP test result?
|
Patient: My mom s test for bleeding time is high and she is scheduled for surgury Monday. If number are not better Monday then they will cancel her surgery. We went and bought many foods recommened to build up and also Vitiamjn k 100 mcg. We want to know if she can take 2 a day rather than recommened 1 a day til surgery Monday? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. She may be suffering from liver dysfunction lead to elevation of clotting time or prothrombin time which may recover by vit k supplementation in vitamine k deficiency. But bleeding time used to know only platelet function and von willebrand factor etc. But your not mentioned how much is the platelet count. So vit k supplementation not much useful in elevated bleeding time patients. Dose once a day IM for 3-5 days. No need to give twice. I think I answered to your question if you have more questions feel free to ask. Hope I have answered your query. Let me know if I can assist you further.
| 18,237 |
What could be the cause of having allergy for 2 years?
|
Patient: Hi Doctor,I am having this allergy problem for almost 2 years, I have been to 2 allergist and they can't find what cusing my allergyI am broke out in rash which is very itchy, first it was the soft area of my body...I am sorry I have to go now I am at workplease email me and i will explain more YYYY@YYYY thanksLisa Doctor: Hello,Welcome to HCM,as you are having allergic manifestations for last two years, I would suggest you to test your blood for absolute eosinophill count (AEC), this is one of the important indicator of presence of allergic reactions in the body.I would suggest you to undergo skin prick test for most prevalent allergens in your surroundings like dust, pollen, mite, food and chemicals. This test help us to identify the allergen causing all these symptoms and you can avoid those allergens, if it not possible to avoid the allergens you can go for immunotherapy.For the present symptoms I would advise to take tab levocast, meanwhile consult your doctor to get information regarding skin prick test.Thank you.
| 102,257 |
What causes sweating, dizziness, itching, diarrhea and nausea?
|
Patient: I have recently come back from Egypt (holiday) where I was treated for ifected bites. Today I feel ill with the following symptoms...sweating, dizziness, shaking, itching all over my body,nauesa and diarrhea. Do you think I should see my local GP or is this just the symptoms of a tummy bug? Doctor: Good day and thanks for your question. I think you should see your GP, its not likely to be symptoms of a tummy bug. Your GP might to examine you and carry out some test and prescribe medications for you. Hope it helps. Thank you.
| 35,980 |
What causes severe thigh cramps post back surgery?
|
Patient: My husband is suffering from severe thigh cramping. He had back surgery for stenosis over one year ago. However the cramping didn t start until about 90 days ago. We have tried several home remedies, (ice packs, tens machine, Bio Freeze, Kinesio tape, muscle relaxers), and his practitioner gave him Dexamethasone for 10 days, which helped for about 3 weeks, but the cramps are now back. I have read many blogs on this subject and it appears that there is no clear answer on this delicate subject. Do you have any recommendations? Doctor: Hello, I have studied your case.You may need to do MRI spine again to see for nerve compression If you’re new MRI shows disc bulge with nerve compression then surgery may help.Due to compression of this nerve root there can be crampsAs per your previous surgery of spine now there is possibility of discitis, which can be confirmed by MRI with contrast or CT myelogram.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and TENS therapy will helpI will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health.Take care.
| 128,093 |
What can post menapausal brown spotting be if not cancer?
|
Patient: What can post menapausal brown spottin be if not cancer? is it conclusive of, or likely, cancer? Noflow. Just very light brown spotting . can a woman be menapausal and then spottinng or bleeding resumes w/in a year as part of menstrual or irregularity recurrence? Can the brown spotting be due to fibroids if fibroids or thickening of the lining has been diagnosed by ultrasound? Doctor: Hi and thanks for the query,Dysfunctional uterine bleeding is a common abnormality observed which is associated to hormone dysfunction. It has nothing to do with cancer. Also, there is excessive growth of the cells of the uterine lining called hyperplasia. This however needs to be checked since at some point it could transform into a cancer. Uterine fibroids or myomas can also cause uterine bleeding. A physical examination from a doctor, abdominal ultrasound and uterine biopsy are very important. Thanks and kind regards.Dr Bain
| 157,721 |
Dizziness after lowering prednisone dose. Have sjogrens syndrome. Is it vertigo?
|
Patient: I have a friend who is being treated for sjogrens syndrome . She recently went on a lower dose of her oral prednisone . Not long after she did this she started having dizzyness when she moved her head to the left side. We tried some eply maneuver exercises at home and she did have episodes of dizzyness when we did a few of the positions. I am curious if the dizzyness is vertigo , if its related to the lowered dose of prednisone, or if it is something complely unrelated. Also while doing the exercises noticed a swollen lymph node on one side of her neck Doctor: Hello, If there was a difference in the giddiness in different positions of head during Apley's maneuvre then it is likely to be vertigo. However physician doing the maneuvre can best judge it. Lowering dose of prednisolone usually does not cause dizziness, if the dose reduction is slow. Apart from that electrolyte disturbances in blood as result of prednisone can sometimes cause dizziness. She needs to be evalauted by a physician for making a conclusion. Good luck.
| 151,327 |
What causes swelling in feet, ankles and legs?
|
Patient: My friend (middle aged female) just sent me a photo of her swollen feet, ankles, legs and asked for prayer. They have been this way for 6 weeks. She added that her hands are swollen too. She is a medical coder on required overtime -- 10 hour days including weekends. She wakes up with this swelling. One doc said it was the heat. Another salt retention. She functions by drinking Diet Coke. Doc told her to stop cokes and drink water. I told her that sitting most of your day is a killer. Increases your chances of heart disease by 45% ([per my Prevention Magazine) and just look at all the obesity among office workers who sit at a keyboard all day. She has some shortness of breath and just had a breathihg treatment today. She has what she says is a summer cold. She has no PC access at home. Your guidance, please. Doctor: Hello, I have studied your case with diligence.Swelling can be due to polyarthritis.If not relieved then possibility of polyarthritis needs to be consideredRheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain?Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, ACCP, ESR, complete blood count, HLA B27Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care
| 136,959 |
Suggest home remedy for a broken nail
|
Patient: I smashed my finger in the car door, its obviously bruised, but there isn't excessive bleeding under the nail. The slam broke the skin and may have broken the nail right under the cuticle, but I can't tell at this point. What is the best way to care for it at home? Doctor: **1. since history if trauma/injury is there thus other causes [fungal infection, chemical, skin condition] can be safely excluded.2. if nail is broken from cuticle it will not reattach, you have to remove or trim it, and will take 6-10 months to re grow, since bruising is there thus home treatment often helps relieve pain, promote healing, and prevent infection. . keep the area dry to prevent infection, Reapply an antibiotic ointment, and cover with a fresh adhesive bandage, watch for signs of infection such as increasing heat, redness, pain, tenderness, swelling, or pus and consult a doctor immediately. increase intake of biotin and use an application of moisturizer.PS. Biotin is helpful in making nails somewhat strong and thick: apart from biotin supplement you can also take natural source of biotin like: boiled eggs, cauliflower, avocado, whole grains.
| 214,702 |
How to control hair fall?
|
Patient: Sir, I have lost more no of hairs in the front part of the head and my friend suggested to have ( mintop or hair 4u ) product . I want to know which to use and through internet I have understood that it has side effects , kindly guide me the product which is safe and give some info about whether these products really do have side effects Doctor: Hello. Thanks for writing to us at healthcaremagicYou seem to have androgenetic alopecia in which hair loss and thinning is mainly from the front part of the scalp and from the angles of the anterior hair line so that the anterior hair line becomes V shaped. There is gradual recession of the anterior hair line as well.There is a positive family history.Treatment is with topical Minoxidil and Oral Finasteride.Treatment is long term; effects are usually evident in 3-6 months. Maximum improvement is by 1-2 years. Thereafter, minoxidil may be used as a maintenance treatment, once daily Or every alternate days.Oral Finasteride is to be continued life long.Topical Minoxidil is largely safe. It may occasionally cause headache if used in more than the recommended amount.Oral Finasteride inhibits the enzyme 5 alpha reductase; this is the main enzyme responsible for converting testosterone to Dihydrotestosterone (DHT).DHT is the main culprit behind hair thinning and hair loss in Androgenetic Alopecia.It is US FDA approved. 1-2 % of patients on finasteride may report sexual side effects like decreased libido. However, this side effect is reversible on continued treatment.Both of these are prescription products, therefore I suggest you to visit a dermatologist for a confirmatory diagnosis as well as appropriate prescription.Regards
| 11,308 |
Trying to conceive. Have irregular menstruation and put on Norgest and folistrim. Had missed abortion and ERPC. Advise?
|
Patient: I am 31 years old woman who had a missed abortion and ERPC on 01/12/2012. Now I am waiting to get conceive but I still could not. I also have irregular menstruatiion and my gyn put me on Norgest and folistrim. My LMP was on 06th July 2013. Still I did not have menstruation come. Urine HCG was negative. Is that ok to get Norgest now? If I am pregnant can it affect my baby? Doctor: Hi,Thank you for choosing Healthcaremagic. As your HCG is negative, you can take norgest for withdrawal bleeding. As you are having irregular cycles, you need to be evaluated for Ovulation problem, most common cause for this type of periods is PCOS(poly cyst ovarian disease). Kindly get some basic investigations like:Husband semen analysisUltrasound pelvisand hormonal tests-Leutinising hormone, FSH-follicular stimuating hormone.I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it.Thank you,Wish you good health.Regards,Dr ArifYou can consult me again directly through my profilehttp://www.healthcaremagic.com/doctors/dr-arif-n-khan/65133
| 43,280 |
Suggest treatment for shoulder pain
|
Patient: HI, I AM SUFFERING WITH SHOULDER PAIN[ WRIGHT] FOR LAST FOUR MONTHS .DOCTOR TOOK X RAY.HE TOLD ME AS I AM 60 PLUS ,THERE IS LOSS OF LUBRICANTS IN BETWEEN JOINTS,WHICH CAUSES PAIN.HE ADVISED ME TO TAKE NUCOXIA 90 ,WHENEVER THERE IS PAIN.I AM PLANNING FOR MRI. Doctor: Hello, I agree with your doctor that the symptoms can be related to the loss of lubrication in the joint. A MRI can help with the diagnosis. Meanwhile, I suggest applying ice packs every few hours to reduce inflammation. I also suggest using over-the-counter medications like acetaminophen (Tylenol) or naproxen (Aleve) to help relieve the pain. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dorina Gurabardhi, General & Family Physician
| 121,761 |
What causes swelling in the lips?
|
Patient: Hi, I have been facing Swelling of my lower / upper lips upto 4 times in the past 2-3 months. While I consulted a doctor locally here I was adviced to take "Atarax" for allergy. Before taking this tablet I had regular itching in various parts of the body, which later subsided. Though there are no visible rashes, the swelling of my lips has happened 4 times now. The swelling is visible in the early morning as I get up from bed, however subsides completely in the 2-3hrs. Please advice me if I need to take any specific test to rule out a bigger problem or consult any skin specialist. Doctor: Hello,As per your query, you have a swelling on the lips which are pointing towards condition known as the allergic reaction, and it could be due to excessive lip biting as well.I would suggest you to:-Take over the counter antihistamine drug like Benadryl or Zyrtec.-Drink plenty of fluid, drink at least 8 glasses of water in a day.-Give cold compresses to affected area 2-3 times a day.-Do not touch the affected area with your hands as it can aggravate condition.If the condition does not get better in a day, then consult a dermatologist for proper examination and to rule out other cause like trauma and angioedema or a pimple. The doctor may prescribe antibiotics and steroid ointment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harry Maheshwari
| 180,567 |
How can infected toothache pain be treated during a pregnancy?
|
Patient: Hi, may I answer your health queries right now ? Please type your query here...my girlfriend is 7months pregnant and has already taken all the medacine she can take, and right now she has a infected tooth that is giving her a very bad toothache. She is stressing out badly and her dentist cant she her until feb. 2. So whats something she can do to get rid of the pain, without taking medacine? Doctor: Hi,During this period of pregnancy there is no harm taking medicine.And as she got infected tooth, it should be treated in time as well, as any infection during pregnancy should not be neglected.Consult dentist and go for treatment accordingly.If require you can start this medicine after consulting your Obst.Ok and take care.
| 222,658 |
What causes an increase in the blood pressure?
|
Patient: My husbands blood pressure has climed in the last half hour from 198/?? too distressed didn't note or remember to 250/???too distressed didn't note or remember now 224/147 what I should do, keep monitoring him? He has no other symptoms except a little tingle in left arm just getting distressed over it Doctor: hi dear i can understand you concern and this much level of BP is quite dangerous for life so be cautious for it avoid these things if you take avoid and quit smokingdont be type A personalityavoid junk foodsavoid oily foodsavoid stressavoid tensionstake medication on timefor starting treatment please do these testsECG ECHO TMT blood test include CBClipid profileRFT LFT thyroidsoduim potassiumtake this treatment till the reports cometab.alotran 80mg 1odtab.dytor 20mg 1od tab.bisoheart-am 5mg 1hs thank you for trusting HCMget well soon regards and thanks dr.sahil wadhwa and tthen please take these medications
| 19,965 |
Diabetic, undergone hernia surgery, incision not healed. Rubbed with alcohol but crust keeps falling, not healed. Concerned?
|
Patient: My husband had hernia surgery a year ago and the incision is still not completely healed. H e is s diabetic and I am concerned. He saw the surgeon two weeks ago and she reopened and cleaned the area that restiched it. She told him to us rubbing alcohol to dry it up but the crust keeps falling off and it is still not healed Doctor: YOU NEED TO CONTROL THE SUGAR AND OTHER FACTORS UNDER CONTRL TO GET THE TISSUE HEALINGYOU NEED TO ET THE CULTURE SENSTIVITY TEST FOR BACTERIA IN AREA AND TREAT ACCORDIN TO INFECTIVE BACTERIA AND MEDICINES WORKIN ON IT ACCORDIN TO CULTURE SENSTIVITY REPORT
| 92,952 |
Is Vanadyl Sulfate effective in the treatment of diabetes?
|
Patient: I am type 2 diabetic and discontinued Metformin 1 1/2 yrs ago. This last A1C was 7.4 due to several reasons of which I have eliminated. I don t intend on using any medication known to increase the chance of amputation, so look at supplements. Am starting Vanadyl Sulfate with Gymnema Sylvestre as insurance along with diet to avoid another bad A1C result. Is this an okay formula or not? Doctor: Hello,Please look that you may take Vanadyl sulfate drug as long as your blood sugar level remains under control.In addition to the HbA1c test, also take help of other short-term blood sugar levels monitoring tests such as FBS and RBS.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Varinder Joshi
| 191,355 |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.