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Is this common of having knee pain after knee replacement?
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Patient: I had a partial knee replacement 5 weeks ago. Discomfort during day is minimal but I continue to have a lot of pain during each night. Sleep of a couple of hours and then awake. I have to ice the knee each time I wake up. I am still taking Tramadol and NSAIDS at night. Is this common and if it is how long does it last? Doctor: HelloI have read your query. There is possibility of infection or nerve entrapment leading to pain. pain after 5 week after knee replacement is not common.consult your doctor for further assistance. I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care.
| 136,129 |
Is taking i-pill necessary after oral sex?
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Patient: hello ma am, i have a question to ask. Me and my g.f had oral sex on saturday 17 may 2014 and would like your suggestion for our case regarding taking the i-pill or not. it was she shaked my pennis and had a little ( few drops ) sperm on her finger which she cleaned with cloth but was not sure whether it was cleaned or not then she rubbed her clit nd i sucked her vagina, so in this case should she go for i-pill tommorow morning it will become around 68-70 hrs since we had sex till tommorow morning when she ll take pill, please suggest. Doctor: Hi!If you haven't had vaginal intercourse there is no need to use I-pill.Pregnancy can occur only if you will have vaginal penetrative intercourse .Regards
| 223,263 |
What causes difficult in passing urine and stools in an Alzheimer s patient?
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Patient: My father is an Alzheimer s patient. He has been suffering for the last 7 years. Now he is in hospital, as he has not passed urine and has difficulty in passing stools. However he sweats profusely and has shivering. The doctor has said that he is in the last stage. He is being given aricep, ativan, admenta, oleanz, oleanz plus, encorate tablets. The recent development is he is refusing to open his mouth to eat or drink. Can you help me make life better for my father? It is sad to see him suffer this way. Doctor: Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.Question : Can you help me make life better for my father?Answer : Please do a CT Scan Brain. If there is Hydrocephalous, a Shunt Surgery can improve his functions a lot Hope 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. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care.
| 142,647 |
What leads to chest pain despite normal heart functioning?
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Patient: chest pain hi on the 50 year old caucasian male been having chest pains last 5 years I have a pacemaker was told recently I did not need it my heart drops too 38 while sleeping have had chest pains for many years cardiologists told me my heart was fine why do I still have chest pains Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Since your cardiac functions are normal, no need to worry for heart related diseases for your chest pain. Sometimes, stress and anxiety can also cause chronic chest pain. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Avoid stress and tension, be relax and calm. Another possibility I'd musculoskeletal pain. So get done calcium and vitamin D3 levels and if deficiency then you will need supplements. Avoid movements causing pain. Avoid bad postures in sleep. Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 76,856 |
How is early 2B stage uterine cancer treated?
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Patient: Dear DOC, My mom has been diagonised for uterine cancer and doc says that it might be in early 2B stage. He has advised us to go for chemotherapy initially and then go for surgery to remove the uterus. Can you please guide me on the same. Also we have heard that chemotherapy is very bad as it effects the bones and other parts of the body. My mom is 57 years old. Please guide. Doctor: Hi, dearI have gone through your question. I can understand your concern. She has uterine cancer of stage 2B. Treatment of choice is hysterectomy followed by chemotherapy. Or you can take chemotherapy first and then go for hysterectomy. Chemotherapy has many side effects but she have to tolerate that to avoid recurrence. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 153,738 |
Suggest treatment for bipolar disorder and depression
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Patient: I am a 49 year old female with a lengthy medical history that includes chronic pain that is resist. I am contacting you because my primary doctor has taken an unexpected leave of absence for an indeterminate amount of time. I could choose another doctor but the change would not be active until the first of the next month after I changed it. He has been my doctor for twelve years and if possible I don’t want to choose someone else. Further, the remaining doctor at that just instituted a no pain medication policy so this is my only option right now.As I stated, I have been treated for pain for the following conditions:Periformis muscle symdromDegenerative disk diseaseMisaligned SpineFibromyalgiaMigrainesIT Band injuryEvery three to four months I get a RFG injection for my back..it takes a bit of the edge off but it doesn’t go away , and I even signed myself up for PT, but the ones in my area are all backed up with appointments. I have to be somewhat out of pain to withstand the PT, and am due for one now. I have been told that people with fibromyalgia feel more pain than those without.In addition to the pain issues, I have (years ago) been diagnosed with BiPolar Disorder ll, with a lean toward reactive depression. With that comes the extreme anxiety, and add that to the pain and it’s a vicious circle.I am o.k. on pain meds for now, but really could use something for the extreme anxiety. I am jumpy and a nervous wreck most days, and at bedtime I can not sleep. If I got more than three straight hours straight in the last several weeks, I’d be very surprisedCan you help me? Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Mood stabilizers like divalproex sodium or lithium are the necessary drugs for bipolar mood disorders. Along with it bupropion is the recommended antidepressant. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
| 206,044 |
Have bipolar disorder and anxiety disorder. Need psychologist
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Patient: I am actually looking for a psychologist or therapist to help me out for a bit. I do have someone whom works on my meds but if need be and if psychiatrist takes my insurance that could change. Right now my primary is medicare and my secondary is bcbs. The secondary will be changing as of the new year. Could you please steer me in the right direction. I do have diagnosis of bipolar and anxiety. Thank you!! Doctor: Thankyou for writing to us.What are your concerns that you need to talk about? What makes you anxious and how do you respond to it? We can work on the various issues that you are facing and hope you will benefit.I will be pleased to answer followup questions.
| 211,605 |
Suggest options to treat dystonia and cardiac dysfunction while on Parkinson s treament
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Patient: MY MOTHER IS ON SYNDOPA PLUS BD, ROPINIROLE( ROPARK XL 2) AS BD, TRIHEXYPHENIDYL 2MG i/2 tablet BD, RASAGILINE 0.5MG . SHE HAS NOT AS SUCH PARKINSON BUT THE MEDICATIONS HAVE PROBABLY INDUED IT AND BEEN ON PARKINSON TREATMENT FOR 4 YEARS. SHE IS HYPERTENSIVE, DIABETIC AND NOW DEVELOPED CARDIAC DYSFUNCTION, SLEEP DISORDER, AND SEVERE DYSTONIA. PLEASE ADVICE NEEDFUL. HOW HER SYMPTOMS CAN BE MANAGED. OTHER DRUGS SHE TAKE ARE, TELLSTA-H OD; METOLAR XR 25, AVAS 20; GLUCONORM G2 AND NEXITO PLUS. HER AGE IS 70. Doctor: Hello, She can shift from syndopa to the next generation which include levodopa+carbidopa+entacapone. This combination can be taken in less frequency so less dystonia.also she can start on amantadine to decrease her dystonia. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Amro Lahlouh, Neurologist
| 140,959 |
What causes pain in wind pipe while running after shoulder surgery?
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Patient: I've been exercising and jogging for 13 years. After a shoulder surgery on October I took some time off this winter and am trying to get back in shape with jogging. Only my wind pipe hurts only after about a tenth of a mile and I have to walk a tenth and then back to jogging a tenth back & forthe etc. Last year I was running 10 miles a week. Now I can't run any more than about .2 miles because it feels like my wind pipe is sucking in -30 degrees air. What is wrong. I also have been diagnosed with mild stenosos of the aortic valve but I don't think it is that. Doctor: Hi and thank you for asking in HCM. I can understand your concern. I don't think that this situation is connected to the stenosis of the aortic valve. May be you breathe with your mouth open during running?If yes the air entering the airways is not humidifier and warming and as e result the mucosa is dried up and you feel a sensation like a pain.If you can try to change the way of breathing and you will feel better. Thank you Dr Jolanda Pulmonologist
| 75,139 |
Why does my knee pain when I put weight on it?
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Patient: My left leg is 5 cm shorter than my right. I wear a lift in my left shoe to help even things out but my left knee has been causing serious pain. I cannot sit, kneel or do any movement that bends the knee with weight. I can bend while sitting without pain, just popping. What should I do? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. You are having left lower limb shortening. So pathological osteoporosis, osteoarthritis are more in left lower limb joints (especially knee joint because it is the most weight bearing joint). Shoe lifts and other things are temporary measures. On long run, osteoporosis and osteoarthritis are bound to occur which cause pain on weight bearing positions. So consult orthopedic doctor and get done clinical examination of left knee and x ray left knee. You will need calcium, vitamin D3 supplements, physiotherapy and knee replacement (if osteoarthritis is severe). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 132,776 |
Can spine tap cause sinus pressure,headache and lightheaded?
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Patient: Hi thank you for helping first off... I had a spine tap a week ago and am having severe sinise pressure tonight behind my eyes is this normal, I have had a bad bad headache all week, light headed when standing or sitting to long, is this ever going to stop? Doctor: HI THANKS FOR POSTING YOUR HEALTH QUERY.I WOULD LIKE TO TELL YOU SPINAL TAPPING /CSF(CEREBROSPINAL FLUID) TAPPING FOR LABORATORY EXAMINATION CAN BE LEAD TO VERY COMMON COMPLICATIONS OF A PARADIGM OF SYMPTOMS CALLED "POST DURAL PUNCTURE HEADACHE" OR "POST SPINAL HEADACHE".THIS ARISES DUE TO LEAKAGE OF CEREBROSPINAL FLUID FROM A SMALL DURAL MEMBRANE TEAR, COVERING THE SPINAL CORD WHILE PASSING THE NEEDLE FOR TAPPING. IT CAN BE MINIMIZED WITH BED REST FOR 3 WEEKS ,USING SMALL GAUGE NEEDLE, WITH INTRAVENOUS FLUID REPLACEMENT,PAIN KILLERS.AVOID STANDING OR SITTING FOR LONG PERIODS.RESISTANT CASES CAN BE MANAGED WITH "EPIDURAL BLOOD PATCH OVER THE TEAR.ALSO CONSIDER "SINUS ANTHRAL WASH" THROUGH FESS(FUNCTIONAL ENDOSCOPIC SINUS SURGERY) FOR SINUS RELATED COMPLICATIONS.SUCH MANAGEMENT CAN PRODUCE GOOD RESULTS.I SUGGEST YOU FEEL REST ASSURED SUCH A TREATMENT PROTOCOL.CONSULT A NEUROSURGEON AND AN OTOLARNGOLOGIST FOR EXPERT HELP.THANK YOU.TAKE CARE.
| 147,086 |
Basal cisterns are preserved, small mucus retention cyst, has metastatic oligodendriglioma brain cancer. Help
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Patient: What does basal cisterns are preserved mean? What does small mucus retention cyst within the bilateral maxillary antra mean? My husband has metastatic oligodendroglioma brain cancer. The tumor removal surgery was in May of 2008, 9 years after diagnosis and followed up with four treatments of BNCU. He was rediagnosed on 10-19-2011, the tumor was 1 cm transverse x 0.9 cm AP x 0.8 cm craniocaudal. He had 12 months of oral chemo with Temodar caps. He is followed every two months with a new MRI. November 28, 2012 the tumor measurement was 7mm in maximal craniocaudal thickness which is now 9mm (03-27-2013). The AP craniocaudal was 7 x 4 mm on 11-28-12 and is 13 x 9 mm on 3-27-2013, is that significant growth? The dr. indicated what they are looking for and lead us to beleieve there has been no change in the tumor. I told the dr. about the behavioral changes I have been observing which I had also noticed before 10-19-2011 when he was rediagnosed although now the behavioral changes are greater. Doctor: The tumor has almost doubled in size. It is a significant growth.have you taken any neurosurgical opinion.those terms you mentioned reflects normal radiological finding in brain.retention cyst does need urgent treatment.
| 158,504 |
Teeth getting eaten up due to having many medicines. How to save them?
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Patient: my name is gary and i have been dissabled since 1999, due to my meds my teeth have been eatin up. i went to a horrible dentist and got uppers and lowers but the lowers were partials and my 4 teeth were going bad anyway. now i have teeth killing me on bottom and cant eat, i have limited funds and dissability once a month, i really need help. as soon as possible. i also know rotten teeth can cause illness, and i have no spleen. hopefully you can help me please. Doctor: Hello, Thanks for your query.Very sorry to hear what you are going through. Unfortunately, this is a very, very common side effect of long-term narcotic usage, it wouldn't have matter if you were on Morphine, Oxycontin, Lortab, Vicodin or any of this class. These medications leech a lot of minerals from your body, including calcium, which is why some people on them long-term also end up with Osteoporosis or other bone related problems. Cut down the carbohydrates in your diet by restricting them to meal times and make the enamel less vulnerable to attack by getting lots of fluoride into it are the best way to deal with decay. The easiest way to do that is to get some fluoride toothpaste and when you’re finished brushing your teeth with it, rub it vigorously into the affected areas and DON’T rinse out afterwards.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
| 187,341 |
How can allergic rhinitis be treated?
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Patient: My sister s in Alabama and gets really bad sinuses and allergies every year in the tree pollen time of year thru christmas. She g o estate to dry lots a d nothing they berserk e helps. She even gets bad nose bleeds almost, when bad, every day. I need some ideas that might give her some relief. Thank you Doctor: Hello,First of all, as the name of disease suggest you have to identify the stimulus of allergy. If you can identify that you only have to avoid that allergen. But it's very difficult to find it out because there is more than one allergen which is causing this condition. Allergen testing is also done in laboratories at megacities so you can also go there and test this. Sometimes taking steroid is necessary to treat this condition. But prescribing steroids or not will depend upon treating doctor. It will depend upon risk-benefit ratio. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Divyesh Sondarva
| 98,413 |
Suggest effectiveness of balloon sinuplasty for chronic sinusitis
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Patient: Hi, Myself is N.K.Goel.I am suffering from chronic sinusitis.I always feel pressure on my face and feel like that my left ear is filled of water.I have taken CT scan. it clearly shows that my left facial sinus is totally blocked. ENT specialist told me to go for surgery but i m afraid because they have already done septoplasty for the same.But I have heard about the Balloon sinuplsty. How much successful this technique is and how it is safer than FESS.what is approximately cost? please suggest some hospital in Mumbai which is having this technique. N.K.Goel Scietific Officer in BARC, mumbai YYYY@YYYY Doctor: Hi, Thanks for posting in HCM. I have read your description and understand your concern. For the problems you are facing related to sinus blockage, it has been rightly advised to go in for FESS. Functional endoscopic sinus surgery (FESS) is a surgical treatment of any origin sinusitis (bacterial/fungal), nasal polyps and chronic sinus problems. FESS uses nasal endoscopes to restore drainage of the paranasal sinuses and ventilation of the nasal cavity. Although extreme care is required with this type of surgery, endoscopic sinus surgery is one of the most common procedures performed in day to day practice. There are potentially many benefits from a well-performed endoscopic sinus surgery. You can contact any corporate hospital to know about the details regarding the procedure. Hope the information provided would be helpful. All the best.
| 31,082 |
Having advanced stage dementia, hospitalized for liver infection, UTI. Do the infections mean one is in the late stages of the disease?
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Patient: My dad has been diagnosed as having advanced stage dementia for the purposes of activating his health care power of attorney. From what I have read, he is not even close this stage. In July he was hospitalized for a Liver infection and recently for a UTI . Do the infections mean he is in the late stages of the disease. He can still chat with me, he makes relevant comments without prompting, he still feeds himself and when he is not too week he can walk with a walker. He can still beat his friends at cards and, I assure you, they are not letting him win. However, he is weakened after the recent infection and he is 81 years old. He has been diagnosed with vascular dementia. My question? Is he really in the late stage of the disease. I am going to ask his VA doctor the same question but am scheduling an appointment. The insurance company will not pay for his rehab and I believe they think we should give up on him now. His hospitalist agrees with me that he still has his personality and a lot of life left in him. Your thoughts? Doctor: Hi! Welcome to HCM! Infections doenot mean that your dad is in the late stages of the disease. Vascular dementia is dementia caused by problems in supply of blood to the brain, typically by a series of minor strokes. is thought to be an irreversible form of dementia, and its onset is caused by a number of small strokes or sometimes, one large stroke preceded or followed by other smaller strokes causing problems with attention, orientation and urinary incontinence The recommended investigations for cognitive impairment should be carried out, chest X-Ray, ECG, and some type of neuroimaging, preferably a scan When available as a diagnostic tool, single photon emission computed tomography (SPECT) and positron emission tomography (PET) neuroimaging may be used to confirm a diagnosis of vascular dementia in conjunction with evaluations involving mental status examination' hope this helps!
| 58,120 |
How can hiccups causing difficulty in taking prostate cancer medications be treated?
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Patient: Hi. My father is in the later stages of prostrate cancer and is under hospice care. They just tried the morphine patch which he was allergic to. He now has the hiccups that are coming and going constantly for the last 2 days. He is having trouble taking all the other medicine that he is on because of the hiccups. Any suggestions? Doctor: There could be a number of reasons for his hiccups. It could be because of the disease or the medications themselves may have left a lasting side effect. You can try giving him Tab. Perinorm one tab thrice daily for 4-5 days. If he cannot take even that then give him injections by the same name. That should help.
| 155,197 |
Suggest remedy for multiple bilateral renal cyst
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Patient: i did a ct it s mentioned that i ve multiple bilateral renal cyst likely of sequal polycystic renal desease for clinical correlation the largest 31x34mm is there any risk n what s the remedy? n also it s stated that i ve a bulky uterus n fibroid for us evaluation Doctor: HelloThanks for query .Based on your C.T scan findings that has been reported that you have multiple renal cysts on both side the larger being of the size of 3 mm x3.4 mmMultiple renal cysts are congenital in origin and in majority of cases detected as a accidental findings when C.T or Ultrasound Scanning is done for some other illness .They are always asymptomatic and benign in nature and left alone ..Treatment either marsupulization or laproscopic deroofing is advised only in specific situations when it gets infected or recent increase in size of the cysts Dr.Patil.
| 47,484 |
Suggest treatment for chronic leg pain
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Patient: I have chronic leg pain in my tibia. I need to use heat pads at night when the pain interferes with sleep. I don t kntice it during the day. As a child I used to have bad leg aches so painful my dad would rub my legs. I have some arthritis/. including trigger in my right pinky, a recent development. X=rays showed some bone growth. In the past 15+ years I have had episode of Plantar s Fascitis, De Quarvain s Tenosynovitis, and another triggerfinger. I am 86+5months and in very good health. I had an episode of Hyperthroidism whichhas been in remission the last3+ years. I will see the priimary care MD this afternoon. Doctor: hi, i appreciate your concern.leg pains for long tome at your age seems to be due to cacium metabolism problem and /osteoporosis,may be associated vit b12,and vit d deficiency.it is suggested to get yourself evaluated for all above ,by ur orthoexpert,warm fomentations, pain releaving local application creams and neurovitamins, may help for the time being. thanks. i will be happy to answer any further quary.
| 136,503 |
How can i prevent nightmares that cause sleep disorders ?
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Patient: Hello, my name is Shelby I have this situation it started when i was a little girl where id would be scared to go to sleep i would think someone was going to kill me but when i sleep with someone else in bed with me i dont have this feeling, i just feel like something evil is out to get me. also the stairs behind me i feel like someone will grab my legs and chop them off it went away for a few years for awhile actually. but Its back again but its has gotten a lot worse ive been sleeping on my parents floor for awhile now and im getting a bad back now when i go to bed i have really bad dreams that i m babysitting my younger cousin and she is stolen and murdered so i go home to find my mom and sister running away from this murderer i cant see his face though and i wake up ever time hes right about to get me. can you help me ? Doctor: Hello, Thanks for posting your query. Be brave and think positively. There is no devil,remove such thoughts from your mind. Be stress free and spend some time happily with family and friends. I also suggest you to consult a psychiatrist for this. The counselling that you get from him would be very helpful for you. Hope I have answered your query. Wishing you good health. Regards,
| 213,672 |
What causes burning pain in right side of lower abdomen?
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Patient: hi. For the last 4 months i have a burning pain in the lower abdomen. The pain is from one side to the other but mostly located on the right side. Sometimes putting my leg up hurts more. Or if i am sitting down and leaning forward like for instance when driving i feel the pain more. Sometime i feel it radiates to the right leg and even to my backside. Lately i feel pain in my ovaries as well. I have seen a doctor who found 2 fibroids on ultrasound however the pain i keep having is not really consistent with fibroid pain. I feel like i am burning inside. At the same time i was diagnosed with high fsh. My periods became a bit irregular and i have ember flashes. I am only 39. No kids as i was late to meet my partner but do want to have a child with all my heart. As you understand i feel devastated. Amh is not bad. It is around 0.9 ng/ml. The weird thing is that i never had a problem with fsh before and my periods were very regular. The hormones went crazy at the same time when this weird pain started. Are the two related? What is going on in my belly? What is causing this burning pain? Could something be making trouble for the ovaries making fsh increase? Or is it just me getting older and having less eggs? Please i can t stand the pain and i feel devastated with the high fsh of 22. Help me. Doctor: you are suffering from PID(pelvic inflammatory disease). you should take proper antibiotic course for it. then all willbe normal , u will pregnant if u want
| 87,096 |
What does this chest X-ray report indicate?
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Patient: This is a report I received from a chest xray today. Can you help me dissect it in layman s terms? I am having trouble breathing and very tired all the time. EXAM: CHEST 2 VIEWS FRONTAL/LATERAL 2/27/2018 8:47 AM COMPARISON: No Prior HISTORY: Cough FINDINGS: Heart mediastinal silhouette have a normal appearance. Pulmonary vessels are unremarkable. Mild scarring or atelectasis at the lung bases. 0.3 cm probable calcified nodule in the right midlung field. No consolidation, pleural effusion or pneumothorax. Surgical clips overlie the right upper quadrant. IMPRESSION: No acute intrathoracic process. Doctor: Hi, I have gone through your question and I understand your concerns. The X-ray indicates an old scarring of the lung base together with a calcified nodule, but no active process is indicated. Hope I have answered your query. Let me know if I can assist you further.
| 18,042 |
What causes pain and numbness in arm?
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Patient: Hi,For the past four month, i have been waking up every single morning with my right arm in pain or a little numb. If i try to lift it up it hurts and I have to shake it or massage it to ease the pain. Is it something serious that i need to worry about? Doctor: Hello dear,The symptoms as mentioned in your post can be attributed to:1. Para-spinal spasm and entrapment of nerve fibers at the Cervico-dorsal region.2. Inadequate hydration status & electrolyte imbalance of the body3. Dietary deficiencies of certain nutrients like Iron, Calcium, Vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level.Symptomatic relief can be obtained by intake of nervigenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & Vitamin D needs to be added in your diet.Physiotherapy & postural exercise will also be helpful.If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done.Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms.X ray & MRI of Cervico-dorsal spine can also be carried out to detect any nerve entrapment.Wishing you a Good Health.Take care.
| 146,889 |
Nonobstructing renal calculi in right kidney and two nonobstructive renal calculi in left kidney
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Patient: Dear Sir, I went for ultrasound 2 days before.in the right kidney Non obstructive renal calculus of approximate size 4.0 mm is noted in interpolar region.Left kidney contains two non obstructive renal calculi are noted in interpolar calyxx.one measuring approximately 4.0mm and another measuring approximately 5.0mm.suggest me medical advice . Doctor: Hi These are small stones and usually do not need surgical intervention. U need to take plenty of oral fluids, water, fruit juices, coconut water. Restricted quantities of red meat if non-veg, nuts, chocolates and 3 to 4 glasses of milk and milk products. Need to check doctor every 6 month and check status. DR
| 51,488 |
Suggest weaning food for a six month old baby
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Patient: Hi Dr,my baby is six month old. last one month we are giving solid foods like nestum and cerlac. My baby diet is :10 AM - Nestum 1PM : dhaal with vegetable soup 5 PM cerlac remaining time mother feed.Can we give cerlac in @8 PM. (baby likes dhaal and vegetable soup than cerlac. Doctor: Hi...Thank you for consulting in Health Care magic. Your kid's birth weight and current weight are absolutely superb. My congratulations for it.At this age you can start giving Cerelac stage one rice or Nestum rice stage 1 etc. All are same in calories and energy. Only thing is palatability which is subjective for each kid. Other home-made food options will be - 1. Daal and rice well cooked and made into a porridge along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal porridge preparation with additional ghee added.Remember certain principles like -1. Add one food material / cereal or fruit per week. This will be useful because if he develops vomiting or diarrhoea, we will know what to avoid.2. Add vegetables and fruits made into a paste surely to avoid constipation.3. Do not add too much sugar as it may cause diarrhoea.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).,
| 175,537 |
Radiation pills made graves disease much worse. Had thyroid taken out for cancer. Which medication is recommended?
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Patient: Hi, my husband has severe graves disease and has had his thyroid taken out because of cancer. He took a radiation pill which made his graves disease much worse. He took about 15 weeks of 500 mg. intervaneous I.V. for his graves too. Now he is like a wet noodle. No energy, no stamina, no strength, etc. They have him on 150 mg. of meds for his now gone thyroid. What can we do? Doctor: HI, thanks for using healthcare magicThe decreased energy and strength may be related to the hypothyroidism that can occur after radioactive treatment for hyperthyroidism.Hypothyroidism is associated with fatigue and weakness.It is possible that his thyroid hormone levels have not been optimised as yet. His doctors will likely recheck the thyroid function and increase his medication dose if it is found to be still low.I hope this helps
| 157,480 |
Suggest treatment for lungs infection
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Patient: I have been sick for about a month. My ear hurts. went to a doc. they said my ears were fine. Lots of mucous and phlegm. i was on antibiotics for an infection in my lungs twice in the last two months. now when i blow my nose everything like mucous and phlegm are clear. I also have a sore throat that comes and goes on an hourly basis Doctor: Hi,Since you are suffering from repeated lung infections, it is important to know if chest X ray was done and whether any diagnosis of pneumonia or cavitating lesions made. It will also help to know if you were tested for tuberculosis. If you felt better with antibiotics then it is less likely to be tuberculosis. Sore throat coming and going in an hour is difficult to explain. A thorough throat examination is required to know if there is residual throat infection. Please do warm saline water gargle every day in morning and evening. This will prevent recurrent throat infection. The lung infection, if it appears again might need to be evaluated by chest CT scan to know if you have any focal or diffuse lung changes like bronchiectasis causing repeat infections.
| 37,575 |
What causes pain in middle of the chest?
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Patient: for three months now i am woken up during the night with a heavy pain in the middle of my chest. it feels as if i have been lying face down with my fists in the middle of my chest. could this be possible. it never happens during the day. i am 55 and female Doctor: Thanks for your question on Health Care Magic. I can understand your concern. There are two possibilities for your central chest pain. 1. Cardiac chest pain due to angina or coronary artery disease (CAD). Heart diseases are common in post menopausal women. 2. GERD (gastroesophageal reflux disease). So better to get done ecg, 2d echo and stress test (trade mill test) to rule out heart diseases. If all these are normal then no need to worry for heart diseases. GERD can cause similar kind of chest pain. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors and prokinetic drugs. Keep 2 - 3 pillows under head in bed to prevent reflux. Don't worry, you will be alright, but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 77,429 |
Intensely itchy rashes on arms and legs, raised spots, feeling of bugs crawling. No relief with medicines. Effective remedy?
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Patient: Hello... Last weekend we picked sweet corn, I have rashes on my arms and legs. I ve taken that itch like mad! Some spots are red and raised, others you can feel when gliding your hand over more natural skin color. I ve taken oral antihistamines and topical cortisol cream with no relief. In addition the constant feeling of bugs crawling all over is worse than the itching. Any ideas what out might be and how to treat? Thank you! Doctor: Hi i think u are suffering from allergic constant dermatitis due to sweet corn plant.use atarax 25 mg at night.antibiotic twice daily.short course of steriods like wysolone 30 mg tapering to 10mg within 15 days.and application of calora lotion all over the body can cure the condition.
| 15,257 |
What causes tightness in skin after the circumcision of penis?
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Patient: Hello I recently had a circumcision (3 weeks) and from the erections I've had since I fear they might have nipped to much skin from it. It feels just like my phimosis felt, that the skin around the shaft was restraining the entirety of the penis from coming out. Is it possible that the skin might stretch in the next months or should I be looking for consultation about the possibility of another surgery? Thank you and excuse my grammar, english is not my mother tongue. Doctor: Hello, No need to worry. Even though your surgical wound has healed, please do not try too much to pull the foreskin back before 30 to 40 days after the surgery. After that you will be able to pull your foreskin back without effort. You may talk to your surgeon for further clarification and guidance. Therefore I suggest consulting your surgeon. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. K. V. Anand, Psychologist
| 192,778 |
Suggest cure for burning sensation in the lower abdomen
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Patient: My wife has been suffering from lower abdominal burning together with hotness. She is diagnosed to be having 2-3 mm cyst in left kidney and 4-5 mm cyst in right kidney. Doctors have prescribed sorbiline but still her burning sensation is not cured. Pl. advise. Regards, Doctor: Hi.Thanks for your your query.your wife has burning sensation in the lower abdomen. The Ovarian cysts may cause any pains at all if they are simple. Sorbiline is not helping. I would advise you the following for your wife:CT scan of the abdomen, tests of blood, urine and stool. A course of an antibiotic and metronidazole should be tried under the guidance of a Surgeon after physical examination and investigations as advised by him .
| 86,788 |
Are short naps during daytime in a newborn a concern?
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Patient: Hello. My baby is 9 weeks old, she sleeps very well during the night(7:30 pm - 2 am, after she eats at 2 pm she falls asleep right away until 5-5:30 am, again she falls asleep until 7-7:30 am). The problem is during the day time, her 4 naps are between 15-30 min. If she falls asleep with the pacifier after that one is falling she will wake up. Sometimes she wakes up crying. And iput her in the crib sleeping and if she is waking up she is moving a lot and she is woth her hands all over her face and head moving non stop her hands and body. Are all these normal things? Thanks a lot! Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your daughter is going by the book as far as amount of sleep at night plus 2 to 4 hours of nap time. A healthy infant ought to be able to self-soothe as she goes from awake to sleep onset and following normal awakenings through the night. Sleep onset associations are those conditions present at the time that she falls asleep and include being rocked, held, bottle fed or breast fed. These conditions may be required again during normal night-time arousal. Babies who soothe themselves back to sleep have brief arousals rather than prolonged nightwakings. To self-soothe, the infant is put to bed drowsy but still awake. You should help your daughter develop appropriate sleep onset associations that are readily available during the night without the need for parental intervention( falling asleep independently in crib, thumb sucking, use of transitional object). Transitional objects can be a pacifier, blanket, or mother's well-worn, knotted T-shirt with her scant. The same object should be used during the night and naptime. TV is not a transitional object. Hope I have answered your query. Let me know if I can assist you further.
| 162,937 |
Suggest treatment for recurring benign paroxysmal positional vertigo
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Patient: I am having a reoccurrance of the BPPV - right ear- that I had in April. I had the Epley and Semont done by the OT/PT a few times, followed by several weeks of Brabdt Daroff at home. Symptoms inproved significantly although left with some residual slight dizziness intermitt. mostly during the day. After a recent URI and trauma to my right check (when hit in the right side of my face by an overhead steel bar on our boat) - I am having BPPV symtoms again - spinning when trying to turn or lle on Right side at night and slight dizziness and slightly 'off-balance' during the day. I resumed the B/D exercise a week ago (3-5 reps TID starting on right side ) and it elicites 5-8 sec burst of spinning on 1st rep of each session - right side only. 2nd and 3rd reps usually cause no symptoms. Would the Epley manuever be better for me? If so what time of day should I do it and how many reps? Do I really have to sleep sitting up for 2 days after epley? Doctor: Hello,Welcome to HCM,Benign paroxysmal positional vertigo (BPPV) is the most common disorder of the inner ear vestibular system. BPPV produces a sensation of spinning called vertigo that is both paroxysmal and positional and it occurs suddenly and with a change in head position. BPPV can be managed by following methods1.Head exercises (Epley and Semont maneuvers). 2.Vestibular suppressants such as antihistamines and sedatives can be used if the symptoms are severe. 3.Antiemetic medicines may also be used to reduce nausea and vomiting that can occur with vertigo.4.Surgery may be used to treat BPPV.Thank you
| 39,020 |
How long does it take for the cancer to go from .2 to .35?
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Patient: I had my prostrate removed when my psa levels were 6.5. 8 years later the psa is slowly rising above 2, but somewhat stable within this range. The doctor suggests radiation therapy over 6 weeks. The cancer spreading to other body areas has been ruled out through test. The second opinion was wait until a psa level of .35 and that immediate and permanent erectile function would result. Is this true about immediate impotency? And, how long do does it normaly take for the cancer to go from .2 to .35 and am I wise to wait as the survival odds will be the same......70-90% thanks Doctor: Hi,Thanks for writing in.PSA is a marker for probability of prostate cancer when if shows a particular pattern of increase on consecutive blood tests. It should be remembered that PSA can also be raised in non cancerous situations like infection involving the prostate.The PSA circulates in the blood in two forms either free or bound to certain blood proteins. If you have a high PSA level but a low percentage of free PSA, then close follow up and ruling out cancer becomes important. This test is used for men with a PSA level in the borderline range between 4 and 10. Research shows that if more than a quarter (25%) of the total PSA is free, there is less chance of having prostate cancer. I recommend you also get a free PSA test done to know the risk of recurrent cancer if any.There is no time limit for PSA to rise fro 0.2 to 0.35. However there is PSA velocity which is important and this is calculated as the increases in PSA on a monthly or yearly basis and gives a risk of disease. Please do not worry.
| 154,538 |
What causes high BP while on high protein diet?
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Patient: I have recently begun a weight loss program through a local medical center. The diet is high protein and low carbohydrate. I take medication (verapamil) for high blood pressure but recently those blood pressure readings taken at home have been consistently elevated (150-160/100-110). The medical center weighs me and checks my blood pressure weekly. How high should my blood pressure be on a consistent basis before I go to see a doctor/urgent care? Thanks for your time. Doctor: Hello,Verapamil lower more the heart frequency and very little the blood pressure. So you might need to change your medication for blood pressure. If I were you, I would go to the doctor and take the medications as soon as I can, because this blood pressure is high enough to go and see a doctor.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Anila Skenderi
| 19,002 |
Suggest treatment for keloids
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Patient: i am suffering from keloids since the last 2yrs. since last 2 months i have been taking tricot injections once a month and isotroin 20 capsules daily but there is hardly any difference. pls can you suggest any other medication and will the scars go with time. Doctor: Hi,Injections and tablets may help reducing size of keloid but it cant regress it completely,surgical excission is a best option,in it also chances of recoccurence are present,Take an opinion of plastic surgeon.
| 39,136 |
Is valerian herb infused in a tea safe to be taken?
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Patient: I was about to drink some hot chamomile tea before going to bed - I noticed it has valerian added. I do not know anything about valerian ... is it safe, addictive, does it have side effects, am I better off just not using it? For that matter, is there anything I should be aware of regarding the chamomile? Doctor: Hello,1. Valerian [Tagar] is most commonly used for sleep disorders [insomnia] and also used to treat anxiety, stress, muscular cramps and spasms Valerian has an action similar to benzodiazepines by increasing the amount of chemical called GABA which helps regulate nerve cells and has a calming effect on anxiety. 2. common side effects include a headache, upset stomach, dry mouth, excitation, strange dreams and daytime drowsiness and since Valerian does have a drug interaction with anticonvulsants, benzodiazepines, so one should not take them if taking Valerian as single or in compound form. 3. Since chamomile contains anticoagulant compounds called coumarin, thus should not be used with Aspirin, platelet inhibitors, tricyclic antidepressants. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Munish Sood
| 97,334 |
What causes shortness of breath and back pain with Rheumatoid Arthritis?
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Patient: Hello, I have been diagnosis with Rheumatoid Arthritis and I am taking Orencia and Prednisone I have been having shortness of breath and a pain in my back between my waiste and right shoulder blade. I have had the pain for 4 days and at time it is getting worse. When the pain hurts really bad I get really hot like a fever and when the pain claims down but never goes away the fever goes away. Is this something I should worry about, I have a doctors appointment on Monday but is it something I should take care of today. Doctor: I want to check your disease activity by ESR and CRP levels. If they are still high some adjustment in dose of DMARDS or need of some TNF alpha blockers will be required. At this time try taking tramadol, Paracetamol like drugs for symptomatic releif and apply some analgesic gels like flexabenz and go to physiotherapist
| 110,603 |
What causes tingling felling at the tip of my penis?
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Patient: hi i have a stinging at the tip of my penis a lot of the time.no marks or discharge.it seems wet all the time and i have to keep returning to the toilet and my urine dribbles out after the main stream.i have taken a course of antibiotics but they made no difference. Doctor: Hello, It may be some infection in urine or urethritis (or STI). Take plenty of water. Keep the area clean. Check urine for culture. You may need urethral swab if culture is negative. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta
| 192,315 |
What causes pain in hips and legs and fever in kid?
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Patient: Child aged 4.9 years complaining all evening of hurting all over..hips legs, stomach. Low grade temp of 101.4, chilling a lot. No appetite. He keeps saying his mouth hurts and hurts to swallow. Has a few canker soar like bumps on his inner cheeks. But his inner cheeks look very swollen toward the back. Lymph nodes in the neck feel large. No tonsils no adenoids. Any ideas? Doctor: Hello, Your description sounds like Viral illness in child. Kindly visit your pediatrician, and meanwhile you may please give child plenty of fluids, warm gargles, fever medication, and sponge child top to bottom with normal tap water with each fever spike. Give adequate rest to child, and if more children are at home, keep them away from patient. Disclaimer:This provisional advice provided by me stands subject to the actual examination of reports/image and is based entirely on inputs provided to me. It should be correlated with clinical findings
| 169,809 |
How can memory loss be treated?
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Patient: I've been looking for something to slow down my memory loss. I don't have Alzeimers, but I sure do "misplace" a lot of things and spend a lot of time looking for them. A nurse gave me the name Donepezil, but after looking at the side effects, it a no-no for me. I am 95 and still living in my ownhome with an aid a couple times a week. Is there any other medicines you might suggest? Doctor: Hello, You are 95 and its common to day cognitive decline at your age. Age related cognitive decline is common reason for memory issues than the Alzheimer's in your case. Donepezil is a safe drug. Some individual develop side effects with this drug but in most of them these last for only a week or two. You will start tolerating the drug. You should restart the drug and this will surely help you. Hope I have answered your query. Let me know if I can assist you further.
| 204,165 |
Lump on upper palate, swelling, pain radiating to tooth. Should I visit a dentist?
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Patient: I have a lump on the upper palate , I think I had it because I ate this hard biscuit that hits that spot. But the lump ocurred after 2 or 3 days. The pain was bearable but it radiates, and I felt like the tooth near it hurts too. I think it got a bigger than yesterday. The pain goes on so, I bought mefenamic acid for the pain and swelling . Should I visit a doctor or a dentist? Doctor: Hello, Thanks for posting your query. As you c/o pain in upper tooth,chance of decay/fracture associted with the tooth can cause such lump on hard palate. The medicines will just relieve the pain temporarily. The tooth has to be restored or root canal treated . The lump has to be drained and curetted through access opening. I would suggest you to visit a dentist soon. Hope this helps.
| 189,701 |
What are the signs of liver cancer or liver deseae?
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Patient: What are the signs of liver cancer or liver deseae? I have pain on my right side from the back to the front.hard to stand up straight. My chiropractor says I have a rib out . But I also have pain lower than that rib. I also have bloating and gas. Been that way off and on for months. Doctor: Signs of liver cancer are weight loss, swollen tummy, jaundice ,loss of appetite, itching ,a sudden worsening of health in somebody with known chronic hepatitis or cirrhosis, a high temperature and sweating ,feeling full or bloated after eating, even after a small meal.RegardsDR DE
| 156,459 |
What causes stoppage in periods?
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Patient: Hi i havent had a period in the last 2 months and am not sure if im pregnant. I really want to be so thats no problem but im scared to do a test incase im not, i dont know if there is any other reason why i wouldnt bleed. I have always been very regular. Doctor: hi..if your periods are regular till date then do a urine pregnancy test..no need to worry.if your upt is negative then u may have any underlying hormonal imbalance ..u can take medication to get your periods if your upt is negative
| 219,812 |
What is the dosage of Rabipur for a bite by a stray cat?
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Patient: i got slightly bitten by a stray cat. It is a small puncture and the blood remained in the surface, i.e it didn't bleed. I took a dose of rabipur and a tetanus injection. Do i need to take any more dose of rabipur (the cat looks very healthy and normal)? Doctor: Hi, Thanks for posting in HCM. I understand your concern. The current exposure is a risky one and it falls in category 3. Hence, a complete course of Rabipur needs to be completed along with the local wound care. As per WHO recommendations, One dose of the vaccine should be administered on days 0, 3, 7, 14 and 30. Hence, kindly complete the course of the vaccine as per the prescribed schedule. Hope the information provided would be helpful. All the best.
| 31,098 |
What causes pain in the upper right abdomen that radiates to the back?
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Patient: yes hi im 23 and i get really bad pain in the upper right abdomen and radiats to my back it seems to come in the middle of the night and after i drink beer ive also had black stool for about 3 days. im super scared can anyone give me some good news is it cancer ? Doctor: Do the following investigations:1.Complete hemogram2.CT SCAN whole abdomen3.USG whole abdomenThen report me.Avoid alcohol strictly,.God bless you.
| 91,841 |
Suggest treatment for facial bruising and a fractured shoulder post injury
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Patient: I have fallen 3 times this last month two of them were attempting to step down off of a curb one fall on a slight incline going into my garage a turn to the left on the incline .I have had a history of falls but not in the last year except the three. When I fall I lose all sense of balance and my legs collapse When someone helps me get up I regain my balance. I cracked my upper shoulder bone on fall #1. I bruised my left side of my face and cheekbone on fall #3. I think it is mental ? # Doctor: Hi, You can go for a CT scan to look for any brain contusion which can cause these symptoms. We have to rule out facial bone fractures also. Consult an orthopedician to fix the fractured shoulder. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 126,418 |
What causes sudden cold flashes and lips turned out to be light blue?
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Patient: Hi, I am a 26 year old young women who was born with a heartdifect. I had an operation at around 2 years of age. I have been living a normal life since but since last year i have had 3 very strong cold flashes/chills which last around 10mins. I suddenly feel cold, then my arms, jaws, legs etc will shake leaving me without any controll of my body and my lips turn lighly blue. It feels like i am dying as i can't breath properly and 4 thick blankets and warm clothes wont help only hot drinks and waterbottles and all the blankets and clothes etc will get me back to normal temperature. As i am still very young i don't know what these cold flashes could be, any advice would be appretiated. Thanks Doctor: You must have ECHO on the heart immediatly..you are having attacks of cyanosis and coldness which probably cause of heart or lung, which can cause poor oxygenation of the body
| 23,770 |
Rash starting from middle of back to stomach, seems to dry, itchy and flaky. What could this be?
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Patient: Hi my father has a rash starting in the middle of his back that goes down n around his side to his stomach ...its itchy and red n dry/flakey, its kind of in a circular pattern where 2 of the areas have no rash inside the middle of the rash area...What could this be? Should he see a doctor or is it a harmless winter rash? Thanks Doctor: Hello dear. He is suffering from a fungal infection called as tinea corporis. Try oint clotrimazole twice daily for 15 days. Give tab cetrizine for itch. He will get relief with this . Thank you
| 16,005 |
Have stomach pain, dizziness, nausea and tingling sensation. What to do to feel better and also cure?
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Patient: My wife keeps on having a lot of pain throughout day n night gets wors anf this been going for several months she lazy, dizzy, nuasea, tingling sensation, won't go away she doesn't want do anything feels fatigue stomach pain I feel so bad for my wife what can I. Do to make her feel better. Please give me best advice she is all I have and drives me crazy can't mAke her feel better Doctor: Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. Your wife is having stomach pain, feeling lazy, dizzy, nausea,and tingling sensation, it is continuous,day and night and since very long time. If you have mentiond her age and built it would have been helpful. Staying at home you cant help her , i advise you to consult a physician for diagnosis and treatment. She may have to get gastroscopy, thyroid tests, besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards.
| 93,760 |
Constant coughing, mild asthma. On inhalers, tried vicks vapour rub. Treatment options?
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Patient: My 8 year old daughter has been coughing constantly for over 3 weeks, she also has mild asthma and has a blue and brown inhaler , i have literally tried everything, but shes up all night barking really really bad to a point i am really worried, tried medicines, tried sitting her up, tried vicks vapour rub, she has her inhalers, tried a steam bathroom, nothing is working and her cough has been going on over 3 weeks now and getting worse - please advise, i have also been to a walk in clinic they were useless, her doctors appointment is tomorrow Doctor: this fits to milk theoryit recomends only breast milk 2 years of age and no milk after 2 yearsif you add milk and diary after 2 years most childrnhave the allergy develpment and goes increasing withdraw milk and diary completely from diet add vegetbles cereals fruits in diet cows mlk contain animal proteins andthey are not competible with each other
| 103,690 |
High blood calcium, high blood pressure, anxiety. Should I be concerned?
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Patient: I have a question concerning high calcium in my blood with a normal PTH level of 24. In April my Calcium level was 10.4 in August it was 10.5 two weeks later it was 11.2. I am 49 years old. I am diabetic, have high blood pressure which I have both under good control. I also suffer from anxiety problems. April of this year was the first time my calcium has ever been checked. Anyway, I feel so run down and just not very well even thought the dr. gives me a good bill of health. He doesn t seem to be too concerned about my calcium level and basically thinks my aches and pains and not feeling good is in my head due to my anxiety problems. Is this something I should or shouldn t be concerned about. Am I making too big of a deal about it and what can cause the high calcium in my blood? Doctor: Hello, A high calcium level maybe normal sometimes especially if it was not corrected for possible low level of serum albumin. If however, the albumin is normal or high; then you should check serum globulin. If high, serum electrophoresis would be the next step. Keep me posted.
| 119,258 |
What causes headaches, cold sweats, dizziness and diarrhea with viral infection??
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Patient: My 18 year old daughter has been sick for a few weeks now. She is experiencing headaches, cold sweats, dizzyness intermittently and yellow diarrhea today. She had a virus a couple of weeks ago and just doesn t seem to be getting better. She also got her period yesterday. Doctor: HI Thanks for posting your query . It seems like she has not recovered from her previous illness . I think the previous illness was not a viral but a bacterial illness and since it has not been treated properly it has relapsed again. But nothing to worry. She needs to be treated with Antibiotics this time.She requires some tests to be done on her . These tests are :Complete Hemogram , CRP, Stool Routine , Stool Culture sensitivity test. Till then make sure she is hydrated well. Let her drink plenty of fluids, , drink hot water, Avoid Non veg and oily food . Avoid Citrus Fruits. She can take Tyelenol for headaches. Hope this information was useful to you. Any clarifications feel free to ask . Regards.
| 35,987 |
Chronic diarrhea. Advised due to anxiety. Prescribed Rexipra and prothiaden. Safe medications?
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Patient: yes sir.i m 21 yrs old.my height is 5.1 and weight 42 kg.i hav been suffering for chronic diahrea for last 3 yrs.i was advised that it was due to anxiety by asian institute of gastrology.they refused to give any anti depressnt initially and advised to stay relaxed.i m btr now but still get the lose motion at sometimes.so i consulted a pschychiatrist and she prescribed me rexipra 10 mg and prothiaden 25 mg.is it ok to take these just for anxiety? Doctor: From the history you give, I understand that you have been having diarrhoea (frequent stools). Gastroenterologists would have investigated you in detail and then come to the diagnosis of Irritable Bowel Syndrome.This is considered a 'functional' gastrointestinal disorder. That means there is no inflammation or other abnormality with your intestines but they are a little overactive. Such a condition is likely to be seen if you are anxious or having stress. This is the reason, you were first asked to relax by yourself. You may try yoga or psychotherapy to help you relax and tolerate the stresses in life. An alternative way is to take medications like escitalopram (rexipra) and dothiepin (prothiaden). You may consult your psychiatrist for further dosing adjustments and see if one of these medications work.
| 211,881 |
What are the effects of Vasectomy?
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Patient: Effects of VasectomyI am 41 yrs old and I had a vasectomy about 4yrs ago and I have felt different sexually from day 1. Mentally the drive is still there, but physically I'm not the same. My self esteem because of this has taken a large drop. My wife is younger and we've always been sexually active. Everything still works, its just not as stronger and I have hardly any control. It's starting to effect my mental state, feel almost depressed a lot. My family physician found that my Testosterone levels were low, soon after the Vasectomy. I guess my question is am I experiencing onset of ED or maybe depression, or do I just need to get in shape and work on getting my body mentally & physically back into shape? Doctor: Hi,From history it seems that you might be having some psychological upset due to having false fear of loosing man power and having bad effect on your partner.After vasectomy there is no lack of testosterone hormonal level as your testes from where this hormone synthesizes are intact.Vasectomy never produces any this type of effect on your sexual life.The feeling you feel is purely psychological and develop strong will power and enjoy your sex life.Ok and take care.
| 197,477 |
Wisdom tooth removed, lump behind tooth, sore throat, pain in mouth. Treatment?
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Patient: Hi! I ve had my bottom wisdom teeth pulled a little less than a year ago. I have a lump right behind my left back tooth that seems like it could be popped but cannot. It s giving me a small sore throat and causing pain on the left side of my mouth. What can I do to get rid of this and make sure it doesn t happen again? The lump can be moved a bit. Doctor: hello and welcome to hcm forum, i am glad you wrote in, first of all, i need to know that which side of wisdom tooth did you got extracted, was it left or right. the lump which is present may be due to infection and inflammation of the gingival flap. if the pain is present on the same side from where the wisdom tooth was removed, then may be a tooth remnant is present following extraction, but if not, then it is due to pericoronitis, i.e inflammation of the gingival flap that covers your erupting tooth(wisdom tooth). i would advise you to perform warm saline rinses(3-4 times/day), use an antibacterial mouth rinse(betadine) twice/day, and kindly visit you dentist who will prescribe you medications after a thorough clinical check-up. i hope i answered your query, i wish you good health.
| 190,456 |
What is the treatment for mild degenerative changes in spine?
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Patient: i had an mri last week and the part im worried about is my thoracic spine this is what it says mild degenerative changes at c3 and 4 and c6 and 7 levels osteophytes at margins of the bodies of c2-3 and broad based posterior mid-line and bilateral paracentral disc bulge at c 5-6 level causeing indentation of the thecal sac and bilateral lateral recess stenosis im wondering if this is serious and is surgery a must i have tried physical therapy with no success and have lots of symptoms and pain it started 2 years ago thanks Doctor: Hi,Thank you for posting your query.I have noted your symptoms, MRI reports and treatment received.The MRI findings are minor and they do not warrant surgery.Disc disease is mild at two levels in the neck, leading to pinching of nerves at those levels. This can lead to neck pain, arm pain and tingling, numbness and weakness.Medications such as pregabalin or gabapentin capsules would help you get relieffrom neuropathic pain.Physiotherapy should be continued.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/
| 147,162 |
Suggest remedy for running nose and cough during teething
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Patient: my grandson is teething and after two teeth he has been no trouble. these last three days he has had a runny nose and a cough, hes screaming every time he coughs (he also breaks wind same time) he wont settle through the day either, and cries more or less constantly Doctor: In infants running nose is most common presentation... Running nose with cough need antibiotic.... Get the patient examined with local pediatrician...
| 170,590 |
Suggest treatment for hair loss
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Patient: Thai girl 23, loosing hairs, sooo much, she can pick it of, she got a positive result on hiv quik test, both times, she got this hiv test positive about 4months ago, me as a guy tested negative, before this time she told me she got negative answer on hiv, im a guy, always use condom, but im scared i can get hiv to, so we dont have sex, she also itch alot, she get raches alot, the medicines for itching makes here so tired, itching medicine make here loose hair ? Doctor in Thailand says she have probably food allergy, but she get this itching raches, when she havent eaten anything also ! Here cd4 level is now 481 ! Does she have cancer or is it hiv, i m living in the hope she have something else than hiv, what causes here cd4 level to go down, i want to test here for other things, she dont take hiv medicine yet, what does she have !? Doctor: Hello, Use minoxidil 5% solution, 1ml, twice daily. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Kakkar S., Dermatologist
| 9,738 |
Unable to conceive, had 2 IUI, no luck. Husband's sperm motility is 50%, on lineator and carnimed tabs. Any chances ?
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Patient: Hi doctor, i m married for the last 7years. Didn t get conceived. We met a doctor. All my reports were ok. But my husband s count was onlt 23million. After taking medicines now it is 37million. But the motility level is 50% as per the latest test. Now he is advised to take lineator and carnimed tabs. I have taken two IUI . But no luck. Can we hope for a baby with these results. Doctor: Hi, After 7 years of married life & both tubes patent, chances of pregnancy with two cycles of IUI (done with tablets for ovarian stimulation) are just around 10-12%. If your tubes are patent & your age is less than 35 years, you should go for superovulation (with injections) with IUI OR for IVF for better chance of pregnancy. Wish you good luck.
| 43,945 |
Suggest treatment for autism
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Patient: I work in a special education setting. One student is a 13 year old with autism and ADHD. He has recently become obsessed about another student, talking about the child all the time and stating that this child makes him so mad he goes home and screams in his pillow. If the other child wears the same shoes, this can set him off, stating that the child will soon be wearing all the same clothing as he. He whines frequently, talks a great deal, feels that everyone is treated better than he is, will be very disrespectful and will state when angry that he is going to sit in the storage closet. One of his peers is able to calm him down and get him to do some work. There have been times when his behavior is not nearly as bad. His mother states that he is on vyvanse and Zoloft. He has been on this for years so the mother does not think it is his meds; I asked her to please talk to her doctor because he has also made threats to the child. Could meds be responsible. Doctor: Yes. As or sdon grows up, his weight increases.as u do not increase the dose for age, his disease may be out of control. So consult his doctor once and increase his dose .
| 172,136 |
What is the treatment for knee pain?
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Patient: I fell over taking impact to my knee there is bruising and was very sore to walk the day after. Now I walk without pain but whe I accidentally kneel on this knee the pain is excruciating Even for a minute after kneeling. My knee cap also feels like there is a slight lump in it Doctor: Hello,Thank you for using Healthcaremagic.I read your question and understood your concern.I think you have have meniscus tear or knee cap condromalatia.A MRI of the knee would be suggested for further evaluation and treatment.Dr. Selmani
| 128,970 |
Suggest treatment for bruise and pain on knee
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Patient: Hi I was wearing heels two day ago and fell on my knees, mostly my right knee. There is a visible bruise on my knee. The pain is not unbearable but it is bothersome and it throbs. My calf feels very tight and so does my hip. I injured the same leg a few years ago. Should I see a doctor? Doctor: Hi,you have a knee bruise and tense calf after the fall.it possible that you have developed deep vein thrombosis of the leg.You have not mentioned if you are on any medication.Any how this will need a checkup and Doppler scan of the limb which will tell you exactly whats going on.Meanwhile you will need some tests to know the clotting capacity of the blood along with a general blood profile.Regards and hope you get better soon!
| 133,746 |
Suggest treatment for renal disease while suffering from diabetes
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Patient: Hi, I am 63 years male suffering from Diabetes, my fasting sugar is 154.6 with sugar absent in urine and PP is 244 with sugar prsent in urine (**). I am taking Glimmy1 one tablet before breakfast and Glycomet SR 500 one tablet after dinner. In my last pathlogy reports I have been identified with Bilateral Grade I Renal Disease. Please advise what should I do? Doctor: Hi, the renal problem is due to Diabetes. Please control your Blood sugar and blood pressure if you have, very strictly. And there are medicines to protect your kidneys. Please consult a kidney specialist--regards
| 46,372 |
How to cure rheumatoid arthritis and osteo arthritis?
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Patient: I am a 77 yr old female and in fairly good health. Am overweight and suffer from Rheumatoid arthritis as well as osteo arthritis. In the last several years I have become more and more out of breath with the least little effort or exertion. My heart has been checked out thoroughly and there is no problem there. What could be other causes and what kind of doctor should I see? Doctor: hi,thank you for providing the brief history of you.A detailed assessment of the lungs, respiratory muscles and musculoskeletal assessment is advised.As you have both RA and OA, you need to undergo physical therapy, as they will help you perform exercises to strengthen the muscles involved. Also, as you said you get breathless, means your cardio respiratory endurance is slow and needs to get boost up.For RA and OA, medical works only symptomatic, and needs physical therapy along with it for optimum results. You can find research articles supporting the optimum functional abilities by implementation of physical therapy.Also, the physical therapist will help you to understand how the process will work and how your overall health will improve along with weight loss too.In my clinical practice i see many OA and RA, but the end result we get is jogging without any breathlessness or pains and aches.RegardsJay Indravadan Patel
| 133,884 |
What causes RDW level to reach 15.3?
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Patient: I am taking amlodipine 5 mg,atenolol 25 mg,pravstatin 25 mg,and metformin 500 mg.my rdw is 15.3.,.3 above normal .Could my medications be causing this?also I seem to be getting different manufacturers of my meds which are generic,.Could this also be a cause of slightly elevated RDW? Doctor: Hi, dearI have gone through your question. Your RDW has no relation with any of your medicine. RDw is red cell distribution width. Your RDW is almost near normal. No neeed to worry for that. Just be relaxed.Hope I have answered your question. If you have any doubts then i will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
| 117,123 |
What is the side effect depo provera in case of pregnancy?
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Patient: Dear Doctor, I was suppose to take a short of depo provera on the 18th of december, but I didnt, then I copulated with my a hubby on the 30th of dec. I had a blood test to confirm if i m pregnant on the 5th of jan...the test was NEGATIVE.. so i went ahead to take the depo on 7th of jan. QUESTION: Assuming I found out later that i m pregnant, what is/are the effects of the depo on my baby?? Your kind response will be appreciated. Doctor: Hi,If you get pregnant while using Depo Provera, and decide to continue with your pregnancy, the chance of having an abnormal baby is not increased. I would suggest you to stop taking further shots of Depo injection when your pregnancy test is positive and continue the pregnancy.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician
| 83,254 |
What causes tight hamstring and weak quad muscles long after back injury?
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Patient: I ve had a lower back injury for about 5 years.The doc I visited after 3 years advised bed rest for a good 10 days.since then my hamstrings have become tight and my quads weak.I ve tried hamstring stretches but can never feel the stretch in my hamstrings.What do I do? Doctor: Keep on doing stretches but please with a difference.Pour hot tolerable water over hams and quads. Apply Mahanarayan and Panchagun oils (Ayurveda) mixed. Do gentle massage. Keep for two hrs. If possible do hot fomentation again. Bath with warm water.Again in the evening apply gently Rumalya liniment all over ham n quads.May change cycle i.e. arumakya may be in the morning and other oils at night. But oils are smelly ( but very useful).If you can take 1/2 tsp turmeric in a glass of milk or warm water. Or take Haridra capsules 1 bid.Learn and start Yoga postures and exercises too.These oils are available commonly in Indian Ayurvedic shops.Pl report after 6 weeks. Hope it helps you.
| 137,119 |
Experiencing pain in anus during cough or clingh
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Patient: My anus hurts when i cough or clinch, kind of like a "spikey" ball is in there. It doesn't hurt worse to use the bathroom, my diet is fairly healthy, I have had no other issues except occasional constipation (about a month and a half ago). Just really uncomfortable Doctor: U might be having a problem of piles or fistula in your anus. Does it bleed even? U should consult a general surgeon and let yourself examine him. Till then try sitting in a tub with warm water for about 15 minutes daily.
| 217,407 |
What causes boils in the under arms and what is the remedy?
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Patient: i had a boil for the first time in my life . I am 39 years old. i had an under arm boil around thanksgiving it was only one. then soon after putting ichthammoll ointment it came to a head and drained then not long after that i felt about 3 to 4 small other ones they are not painful but i have been putting that same cream on it they appear to be doing better but what i want to know is what can i do to not get this again and is this normal to have several small ones under my armpit after the one that healed? Doctor: Dear Sir/ ma'm, Here is the answer for your question. Boil is an infection of the hair follicle. They are common in the areas where there is increased hair and sweating. Occurs because of decreased aeration in the region. Deep shaving also causes this. The ointment you use is the one which softens and decreases the pain. An antibiotic ointment like nadifloxacin is preferred to ichthammoll. I would also recommend to wear loose garments. Kindly get back for further info and give rating if you find this answer worthy
| 39,975 |
What could black spots in laparoscopy and colposcopy be?
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Patient: I had a pap and an HPV test. HPV test came back negative. Pap showed squamous cell CA. I had a laproscopic (sp?) colpo that revealed black spots that appeared to look like cigarette burns and clusters of bumps together like a raspberry....biopsy results not available for another week. What could they be checking for? Doctor: Hi, dearI have gone through your question. I can understand your concern. Your pap smear test shows squamous cell carcinoma. Your colposcopic findings are also suspicious. You have high chance of squamous cell carcinoma. You should go for four quadrant cervical biopsy. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 153,171 |
Is it possible for the placenta to move up and later cover the cervix again?
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Patient: I am currently 31 weeks pregnant and was diagnosed with complete previa in my 19th week. I was then sent to a high risk OBGYN at 21 wks and the placenta was over the cervix 2.38 cm. A few weeks later a vaginal u/s was done and it only measured .86. I had a small red bleed on January 15th. I then had a dark red old blood bleed on Jan. 31st & Feb. 4th. Nothing since then. I just recently started having contractions this Wed. and am still having them 5-8 minutes apart. I had them check to see if the placenta had moved away from the cervix because I wasn t bleeding with the contractions and they are now saying that it is covering the cervix at 2.46cm? Is it possible for it to move up and I got bigger & more weeks along it move back across the cervix again? Doctor: Hello, and I hope I can help you today. First of all, at this time if you currently have a placenta previa and are contracting, your situation is very grave. The gradual dilation of your cervix can all of a sudden cause hemmorhage which can make both you and the baby lose a lot of blood, and even cause death of the fetus. So yes- it is true that if your pregnancy went to full term the placenta may move, but if you are having a short cervix and contractions and they do not stop you will need emergency cesearan delivery. So it is imperative that you be treated to stop your premature contractions. I recommend you consult as soon as possibile with a high-risk OB or go to the hospital for evaluation of your contractions. I am sorry that my answer may alarm you but I want to make sure you and your baby are as safe as possible. Please consult with your local doctor so you may get immediate care. I wish you and your baby the best for the rest of your pregnancy.Take care, Dr. Brown
| 220,531 |
What is the lump over my naval area?
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Patient: When straining to lift my self out of the bath tub. I have been noticeing a large oval shaped lump 1.5inches above my navel its about 4'long and does not hurt. The only pain I have had is lower back pain for the past 3 months or so.other than that I have been feeling normal. I have had a history of lower back pain so my bigest concern is the lump above my navel. Doctor: Hi,From history it seems that there might be having developing umbilical hernia as while increasing intra abdominal pressure while straining yourself while coming out of tub.Consult surgeon and get examined.Avoid constipation and cough reflex.Avoid weight lifting.Ok and take care.
| 65,971 |
Acanthosis nigricans, homoeopathic treatment gives no relief, fungal infection, dark patches on arms and back
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Patient: hello doctor i have been undergoing homeopathic treatment for acanthosis nigricans . however even after 9 months of homeopathic treatment i have not yet achieved the desired result. as the doctor said it was fungal infection and prescribed me silicia powder and homeopathy pills for the same however it has made little difference. i have dark fold blotches on my back, arms, and elbows i am not overweight i do not even have diabetes. kindly advise. Doctor: 1. Acanthosis nigrican (AN) is usually found in body folds and is associated with diabetes, obesity (both are ruled out in your case), but also with hormonal disorder (hypothyroidism,problem with adrenal gland) or with use of drugs which have high high doses of niacin/steroids,. 2. were your hormonal profile,USg done? and whether there is any history of use of above said medication? 3. people with acanthosis nigricans are at risk of developing diabetes, so check your blood sugar level regularly, and also for any Cancer? 4. has anyone in your family suffered from this problem or from diabetes? 5. complete blood count, endoscopy,x-ray may be required to exclude cancer as a cause. 6. as told by the doctor to be a fungal INFECTION, it's totally wrong, neither it's an infection nor its contagious. 7. because AN is usually involved with change in skin color, no definite treatment is directed toward it, your health care provider has to look for any underlying disorder. 8. because it occurs on neck,elbow,hands,they can be a concern of embarrassment, self consciousness and probably low self esteem, thus medicated oils and lotions can be applied to lighten the marks. 9. treatment will depend upon the cause after further evaluation by your Physician, till then eat healthy,exercise regularly, and remain calm,cool and stress free.
| 97,944 |
Suggest treatment for rashes in the body
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Patient: My daughter just had her wisdom teeth pulled for 2 weeks now and started to have body rashes all over her body. She doesn't have any fever but itches a lot. Could this be an allergic reaction to having eaten sushi the night before she started to break with this body rash( it is going down her legs this AM. Doctor: Hi, It seems to be an allergic reaction.I would recommend you to give her an anti-histaminic like cetirizine tablet for 10-14 days. This will resolve it.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist
| 12,928 |
Is my treatment for lyme disease correct?
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Patient: I just had some bloodwork done and reviewed it with my lyme disease doctor. He said my NK 57 number is 30 and should be 120. Should I be concerned with this and getting more types of bloodwork done? My dr. is treating me with doxycycline for lyme and two meds for hypothyroid Doctor: Hello,Welcome to HCM,Lyme disease is a tick-borne illness caused by the bacterium Borrelia burgdorferi.The signs and symptoms of Lyme disease vary and usually affect more than one system. The skin, joints and nervous system are affected most often affected in this disease.As your doctor as advised tab doxycycline, it should be taken for minimum period of 14 to 21 day.If the disease involves the central nervous system, your may require treatment with an intravenous antibiotic for 14 to 28 days.Continue the treatment for hypothyroid with the medicines prescribed by your doctor, it is not going to affect your treatment of Lymes disease.Thank you.
| 40,226 |
How to treat a lump in the lower cage that feels as a painful pressure?
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Patient: Hi, I am a 54 year male. I have developed a lump on my lower left cage, it has grown within the last month, I am now feeling it in the form of pressure, especially on my stomach, in the last 3 days, I have been getting stomach pain after I eat, I feel naxious most of the day, had a ct scan and waitung for results, my doctor thinks it is a fatty tissue,, what do you think Doctor: HIThank for asking to HCMI really appreciate your concern, the history given here may be hernia (epigastric region) here the typical history given from this I could say that this might be Hernia, for the final confirmation you need to see the surgeon for clinical examination and then you would be in a need of scanning study (Ultrasonography test ) these are important to confirm the final diagnosis, hope this information helps you, have a nice day.
| 91,348 |
Could chest pain while coughing be due to asthma?
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Patient: Hello sir, i am 26 years old (M). On my blood check up Total WBC comes 8300/cmm , Polymorphs comes 61 & Lymphocytes 32, Eosinophiles 06, Monocytes 01, Hb 12.9, ESR 16 mm 1st hr. I m having a cough problem also a lot of it comes when i cough. I have a breathing problem when the climate changes. My chest pains every time i cough? Do i have asthma? please advice me as i have to know about this today only. Doctor: Hello.Thank you for asking at HCM.I went through your history & investigations and would like to make suggestions to you as follows:1. Cough/breathing problem with weather change usually indicates allergic cause.2. I would like to know more details about you like - do you have nose symptoms like running nose, nasal congestion, sneezing? do you ever had wheezing? What is the frequency of your episodes? Are you able to carry out your routine activities?3. In reply to your query - "Do I have asthma?" - I would like to say that you can possibly have asthma. I would suggest you spirometry with post-bronchodilator reversibility test to confirm the diagnosis of your respiratory disease.4. Were I treating you, I would suggest you to take montelukast regularly as well as salbutamol/levosalbutamol inhaler on as-when-needed-basis for when you experience breathing difficulty.5. I would suggest you allergy testing which will help you identify the substances you may be allergic to. It will also help you to know how to avoid the substances exposure.6. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.7. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts) will help you in longer run by improving lung capacity and immunity respectively.Hope above measures will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards.
| 100,748 |
What causes persistent pain in the shoulder ligaments?
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Patient: I am 72, having bleeding when I go to bathroom, wearing a pad & shows in both areas. I sse when I urinate.But not in stool. It is spotting on toilet paper. I have had female surgery back in 1981. I feel lower back pain and had pain lower left area my body when first started bleeding but now it isn t painful. I know that I need to see a Doctor but not sure where to start? I am visiting a small town and the health care seem questionable. Emergency rooms aren t rated well. It is Decatur, Alabama. Any advise would be helpful. Thanks Doctor: Hi, Postmenopausal bleeding at this age should be taken seriously, and in my opinion, you should get an ultrasound pelvis and visit a Gynecologist ASAP. ER would not be of much help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopedic Surgeon
| 126,351 |
Does advanced coronary heart disease with unstable angina cause disability?
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Patient: My husband cardioligist said that he has Advanced Coranary Heart Disease with unstable angina. He has had 3 stents in last 8 months. He is diabetic type one. He has worked the same job for the last 20 years and we are so surprised by what the doctor said. His left artery is so small there is nothing else they can do, said it looked like a string a pearls and bipass was not an option. Does this make him unable to go back to work in a factory? Doctor: hello,I have gone through your query.Thanks for using HCM.If your husband has weak heart i.e. Low EF then he needs to restrict his activity.If his heart is not weak and has blocks in small left artery he can work with optimum medications prescribed by your cardiologist.If stent and Bypass are not possible then there is another therapy called EECP which can be offered to him.Please discuss with your treating cardiologist ,he will guide you furtherMy best wishesDr.Rajesh Teli,MD.
| 25,845 |
How to stabilize rapid and irregular heart beat?
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Patient: Hi there, my 5 year old daughter has recently been saying her chest hurts when she plays tag in gym. She is a very healthy weight, if anything could stand to gain some weight, but she is very active in dance and gymnastics. I have noticed in the past she does have rapid heart rate at times and irregular. Is it normal for a 5 year old to have irregular heart rate? At times it is very bounding. Doctor: absolutely it is abnormal if irregular.. you should immediately consult your family physician or pediatric cardiologist.
| 24,840 |
Is there any home remedy to cure flu, sinus congestion with yellow mucus?
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Patient: I think that I have the flu, I have fever and sinus congestion (yellow mucus). I am 48, 168 lbs and have a fever of 100.2. I've been taking 2 tabs of tylenol 325mg every 4hours as the label directs but the fever has stayed above 100 since yesterday morning 2/15/14. What else can I do at home to treat this? Doctor: Hi,from history it seems that you might be having viral fever but it is possible to have bacterial infection as well.Go for one antibiotic medicine course for 3-5 days or go for complete blood check upto know the type of infection.Take light diet.Take plenty of water.Ok and take care.
| 40,387 |
Suggest treatment for anxiety and hormonal imbalance
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Patient: I ve been having anxiety symptoms For 6 yrs. My doctor says its anxiety and hormone imbalance. Yet no test show any imbalances and they will only do certain tests. I started having panic attacks back in february of this year. They are awful. Sometimes I have skipped heartbeats heart flutter heart beats hard or fast but rarely over a 100 beats a minute but it feels like its running a race. The heart palps really scare me, but the heart doctor says there is nothing wrong I'm just anxious. Can u help? Any advise also the dr says I have pmdd I'm 37 yrs old Doctor: My dear friend. It appears to me that there may be some psychological factor playing role behind your anxiety. More likely you are having generalised anxiety disorder with panic disorder. You need to check your thyroid function tests too as hyperthyroidism can cause anxiety too. Next is to visit a psychiatrist to start anti anxiety drugs like escitalopram along with benzodiazepines like clonazepam for some time.propanolol can also help. Lastly you should do some relaxation exercises too.
| 209,278 |
What causes sweating and hotness in face after eating fruits?
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Patient: I am a 29yr old female who weighs 140lbs and in good health. Recently I have found that I start sweating when I eat fruits. My face gets hot and my nose, chin and forehead start sweating. This used to happen occassionally with lemons or pineapple but now it seems it is occusing with blackberries and other types of fruit. Does this mean I might be allergic to all fruit? Doctor: Its seems like you are allergic to pineapple...It is because of latex in the fruit...pineapple allergy even leads to dermatitis,sudden decrease in blood pressure& abdominal cramps....It may be even due to genetic sensitivity...Avoid eating pineapple...You can take an antihistamine....like T.Allercet DC when you have any symptoms
| 101,588 |
Is it normal not to have periods post IVF treatment?
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Patient: Hi doctor, I took ivf treatment in September 16th,then 9 day after embryo transfer I got light bleeding,I consult the doctor she told me continue your medicine and perform your blood test,I did bt the result was unfortunately negative,I ve PCOD also,bt the problem is I didn t get my period yet,is it normal,shall I take some medicine to induce my periods Doctor: HiHow were your periods before IVF treatments. If they were irregular before then they continue to be irregular. Take a pregnancy test. If negative you can take medications to have withdrawal bleeding. Maintain normal BMI. That helps to regularise cycles. If you have any further concerns do contact me through Healthcare Magic. I will be happy to answer
| 41,467 |
Will my finger nail keep swelling and have sticky substance ?
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Patient: I crushed the matrix in a finger nail about a year ago, the nail has always had a median nail dystrophy but now the matrix area swells and bursts with a clear sticky lymphatic-like fluid about every three weeks. Am I to just live wth this from now on? Doctor: Hi,From history it seems that you might be having chronic nail bed infection giving this problem since long.Go for one antibiotic medicine course for one week.Clean the part with antiseptic lotion and go for proper dressing with antibiotic cream.Ok and take care.
| 36,879 |
Have schizophrenia affective. Delusions, deteriorating relationships. Treatment?
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Patient: Our son, Gregory Whitcomb was diagnsed with schizophrenia affective about 15 yeas ago or so. he spent some yearsin Royal Colony, Oakland,CA after being admitted to the Alta Bates Hospital Mental Department. We moved from Florida to Lincoln CA Sun City to try to be helpful. He was on medication for many years while at Royal Colony, Oakland,CA. He seemed to be improving a lot . He wanted to live on his own , which seemed fine at that time. After a short time, he went off the medication. Then, there was a decline in his health, He had more delusions, began writing on facebook unacceptable letters etc. Several times he went back to a mental hospital for a short time . He refused to take the medications . Then he was allowed to leave the mental hospital . His behavior declined and he was on the street several times. Most recently, he was in a mental hospital in Vallejo,CA . The doctora gave him the meds which we wee grateful for that. He was released to ahome that took in a few boarders, Once again, he went off the meds . His writings on facebook were degrading to his brother in Ashland ,Oregon (Duane Whitcomb) as well as to others in other episodes. He has a restraining order from his churdh which he attended for some 12 years or so.Family relattionships have deteriorated a great deal because of the problems here, He has spent thousands of dollars foolishly and continues to refuse medication or doctors help as he believes he is well. We feel he needs to have medical help but we are told that he must admit himself to have the meds and therapy necessary.. Please let us know how to deal with this to have help for gregg as he will not listen to us. Sincerely, Marion and Ernest Whitcomb and Duane W. and Loretta Jacobs (brother and sister) 1186 Hawthorne Lane Lincoln, CA 0000 phone 916-543-5399 ( YYYY@YYYY ) PS We, the parents , are in our mid eighties now and feel we cannot have him in our home or care for him because of our own health problems. Marion Whitcomb Doctor: HiI am sorry to learn about his illness. This seems to be a deteriorating course of illness. This is a psychotic disease where people have no insight into their state of physical or mental health. They are cutoff from reality. Giving medications is always a big challenge and lot of these patients relapse because they stop taking medicinesThere are depot preparations available in the market which have to be given once in 10 to 30 days, depending on the dose requirement . You need to consult a psychiatrist of your area who after assessment, prescribe this injectable medicine. This injection will be given by the psychiatric nurse and it will be taken care of by the psychiatric social worker. Some of them are inj. Risperidone, Inj Aripiprazole and many others Take CareDR SAATIISH JHUNTRRAAINDIA
| 211,826 |
What are the symptoms of raynaud?
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Patient: My 6 year old daughter gets a blue ring around her mouth sometimes, especially in temp. changes. This has happened since she was born, she came home with blue hands, feet, and around her nouth. We are going for and ekg this week im worried. The doctor said if it's not a heart condition its Raynaud's. What do you think? Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion it is Raynaud's disease.Typical characteristic of Raynaud's is the sensitivity to cold particularly to the peripheral limbs.This all symptoms is seen in your child.You can protect him from the cold by giving her a worm covering around his hand and leg.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist.
| 115,964 |
Can I conceive while taking anti tubercular medicines?
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Patient: Dear doctor, I am 33 yrs old female having anti tubercular medicines for asymptomatic acites with mantoux test positive for 4 months, i am now taking Rcinex 600. i have to take it 2 more months according to my physician. Now i want to know if i can concieve during taking this medicine , is there any harm being pregnant? Doctor: Hallow Dear,Tuberculosis affects the fertility by:1. Reducing general health. Mother nature has arranged our body functioning in such a way that whenever there is any risk to life, the reproductory function is jeopardized first. However, Tuberculosis is such commonly wide spread disease in India and still the population is increasing. By and large, Pulmonary tuberculosis in early stage does not affect fertility. 2. By affecting the Reproductory Organs: When there is Genital tuberculosis, the tubes and uterine lining (endometrium) get affected. Affected endometrium is not conducive for implantation of the fertilized ovum and hence pregnancy is not possible. When the tubes get affected, there is tubal block. Along with the tubal block, tubal musculature also gets affected causing dysfunction in the tubal motility. Therefore, even after the surgical correction of the tubal block, if the tubal peristaltic movements are affected, conception is not possible. This is called as Functional Tubal Block; i.e. physically patent still functionally blocked tubes. You are suffering from Tubercular ascites. There is a good chance that due to ascetic fluid and peritoneal tubercular infection, the tubes and uterus also may be affected. Even, affection of the ovaries will affect the egg release function of the ovaries.Once your anti-tubercular treatment is over and you are declared completely cured of the tuberculosis, you should undergo some investigations like Hysterosalpingography (X-ray of uterus and tubes with radio-opaque dye in it) and/or Laparoscopy to assess the status of endometrium and tubes. Ultrasonography also will be of use for the purpose. These investigations only will inform us whether your reproductory organs are in a state to offer you any successful pregnancy. Madam, your first aim should be to get cured from Tuberculosis. Once you are cured, get investigated for fertility potential. Even if you are unable to conceive, you can adopt a child - this will give you a desired child, the child will get parents and still the population will not be increased. I hope this helps you with relevant information. Dr. Nishikant ShrotriDr. Nishikant Shrotri
| 3,593 |
Suggest treatment for lump in left armpit
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Patient: Hi, I am a 14 year old male and for the past couple days my left armpit has been sore. There is a lump there, but you can't see it, you can only feel it when you press down on it. I've also had some soreness in my lower back when this started. Any suggestions on what this might be? Doctor: Hi,Dear,Good Morning from India.Thanks for your query to HCM Virtual Clinic.-I studied your query in depth.I understood your concerns.-In my opinion-you may be suffering from-furuncle with boil infection in the armpit.-From the facts given from your query,I feel your-Treatment-with Tb Nsaids,Antibiotics,would relieve the lump in few days time-Hope this would help you to discuss with your doctor on your visit.Wellcome to HCM again for any more queries.Have a Good day.
| 64,424 |
What causes non conception despite normal fertility?
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Patient: hello doctor,very good morning to you.Iam Preethi (Female aged 30 married) trying to get conceived.we tried for the past one year with no gain therefore consulted a gynecologist and have done a follicular study and a HSG test with no blocks in both my fallopian tubes.my Husband semen analsis also seems to be normal.Now my question is why is that iam not able to conceive when all the test is normal.Please help us to get a baby .We are very much fed up........ Doctor: Hi thanks for writing in health care magic.I have gone through your question.As your both reports are normal. 10-20% infertility cases are without any abnornality. Means in these cases no specific cause found for infertility.You should do intercourse in fertile period on alternate days. And consult a gynecologist for further advise.Have a good health...
| 41,955 |
Did DRE. Found a small lump in the prostrate gland. Advised TRUS. No family history of cancer. Is TRUS needed?
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Patient: My partner is about to undergo a TRUS prostrate biopsy recommended by a urologist due to locating a small pea sized lump on his prostrate gland after having a DRE (Digital Rectal Exam). His PSA level has not been highly elevated and the urologist has said he needs to have this procedure done. He is very anxious about it, as I am and querying is a TRUS biopsy really required. He is 54 with no family history of prostrate cancer or any other cancer and has nad no symptoms. Doctor: Hi and welcome to HCM. This is invasive but pretty simple procedure. Prostate lumps can be benign or malignant. It can be only hyprtrophy or adenoma, but every doubt about cancer must be excluded. He is at age when cancer usualy appear. Early detection is main cause why prostate cancer is nearly 100% curable today in modern world. I suggest him to do biopsy and if it even shows nothing it is always good to be sure and have no worries about it. WIsh you good health.
| 158,704 |
Suggest medicine for child suffering from coughing phlegm at night
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Patient: HI My daughter aged 6 & 1/2 years has a lot of cough accompanied by flum. I have been giving her RESIPAX EXPECTORANT 5 ML three times a day as advised by my local physcian. There seems to be no relief and the little one has been coughing. The cough is there only at night and only when she sleeps. I need a good medicine that will cure her. I have also been applying vicks vapaourub on the chest and the back which gives some relief Doctor: Hi, welcome to HCM. Can understand your concerns. Cough with phlegm in a 6 year old child can be due to upper respiratory tract infection like pharyngitis, tonsillitis, viral infection of throat. * viral infection of throat resolves in 3 to 4 days without antibiotics. Cough syrup is usually sufficient. * in pharyngitis, there is cough with phlegm. There is throat pain and fever is usually present. * in tonsillitis, there is throat pain, cough increase at night. Fever is also present. * Take some precautions like avoid cold drinks, ice-cream and cold water. * in my opinion, if cough is persisting then antibiotic like cedpodoxime should be given. * an examination by ENT specialist should be done so that proper diagnosis and treatment can be started. I hope this will help you. Wishing your child good health. Take care.
| 166,157 |
Unable to diagnose the reason for pain in lower back and numbness in leg
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Patient: This is the 3rd time that i start having pain in lower back, then the legs, numbness then proceeds to leg paralysis with no feeling when feet are pricked with needles. It usually lasts for 3 4 days. Doctors have not found anything with numerous testsa Doctor: If there is temporary paralysis along with numbness and loss of sensations, the cause may be neuro-vascular and MRI of spine is indicated and also other tests to evaluate vascular abnormalities in the region. Transcient ischemic (loss of blood supply) episodes point to some compression in the area
| 112,139 |
Suggest treatment for anemia, blood in stool and mitochondrial myopathy
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Patient: I have mitochondrial myopathy and have just found out I have anemia with blood in the stools. I have digestive issues and am having painful pockets of gas in my stomach which I rubbed for two hours trying to relieve the pain. I felt like my ribs were going to explode! Any suggestions? Thank you. Doctor: Hi, dearI have gone through your question. I can understand your concern. You have anemia with blood in stool. So you may have some chronic blood loss from your gastrointestinal tract. You should go for endoscopy of gastrointestinal tract to search the cause of bleeding. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 115,051 |
Did hair removal cream cause skin redness and discharge?
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Patient: "Hello. I have used Nair hair removal cream on my genital area, which I have for years and never had any problems. A few days ago, I did the same, but some of the cream must have gone into or near the vaginal hole. Since then, I have a terrible burning when I urinate. Having sex is near impossible, as it is terribly sore. And I have a watery discharge all day long, to the point that I need to change my underwear often.This has been for 4 days now and is not seeming to get better. I put cream on to soothe.Will this get better after time, or should I see a doctor. I'm not sure what to do." pretty much the same thing that i am going through except my skin is red and i don't have a lot of discharge... Doctor: Yes.That is the reaction of the skin to the chemicals present in the cream.Later it may turn grey.But don worry.It is temporary. Plz get back soon
| 8,557 |
Suggest treatment for osteoporosis
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Patient: Is there an equivalent for Prempo. I am 63 with no breast cancer history other than two cousins. There is heart disease in my family. I am a good candidate for osteoporosis. I am aware that exercise, vitamin D3 and Vitamin K are helpful. Also, I just found that Strontium is also helpful. I am concerned mainly due to the fact that Prempro used to cost $12.00 for three month supply and now is $87.00 or $58.00 (mail order). I hope this site is free. Doctor: Dear , madam, the drug you are talking is a hormone replacement therapy due to menopause and it will cause some effect on bone loss, but the main drug to prevent bone degradation is bisphosphonates, and the one commonly used is a once monthly dose of Ibandronate 150 mg, it has to be taken empty stomach in morning with one glass water and do not recline for 1 hour after taking the drug, also, continue calcium regularly, but not in the day you take Ibandronate. Strontium, calcitonin all help and can be taken. I would advise you to consult an orthopaedic doctor before starting treatment, or you can send all your treatment record to me and i will then prescribe you what is required.
| 138,933 |
What causes blistery blotches under eyes, fever and diarrhea?
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Patient: my 14 month old grandson has an area under both eyes that are almost tear drop shaped with raised blotches that appear blistery. he woke up like this. my son thought because he threw such a fit wanting to be held and not wanting to eat his breakfast was what caused this. also, last night when I picked him up from daycare I noticed on his left forearm dark purple blotches that apper as though someone dotted him with a marker. he had a slight fever on sunday when I watched him and sudden diarrhea with immediate diaper rash. I cleared the diaper rash but he has not had much of an appetite for two days (sunday and monday). Doctor: hi, Welcome to this forum.Can understand your concerns.Sudden appearance of fever, loose tools, and blistering under the eyes could be due to food poisoning, acute gastroenteritis.Food poisoning usually presents like this in which the child has fever, loose stools and may develop allergic Rash.In acute gastroenteritis, there is infection at the level of intestine which results in loose stools followed by fever.In my opinion, your child most probably needs antibiotic like ofloxacin for a period of 3 days. Child should also be given adequate liquid diet so that dehydration does not occur.And examination by pediatrician is a must. Sims, it is usually seen that cases of food poisoning worsen over a short period of time.I hope this will help you.Take care.Regards, Dr Deepak Patel
| 168,830 |
What causes choking up and coughing while lying down during pregnancy?
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Patient: Hi, I am having this feeling choking up when I lie down Fromm the last seven day I am 23 weeks pregnant. My O&G tried me on Nexium but thats not helping. I am also taking Claratyne. I also start coughing up when this problem starts. I am also using pillows but nothing helps. Doctor: Hi, I have gone through your problem. Are all your blood reports within normal limits as might have been explained to you by your Obst.& Gynae. doctor. It is advisable not to laydown straight while lying down, instead try to lie on your sides, left side is preferable during pregnancy as lying down straight puts pressure on underlying vessels. Sometimes low haemoglobin level may cause difficulty in breathing. It will be advisable to consult a chest physician to exclude any respiratory problem.You can do steam inhalation two-three times a day, avoid cold drinks and ice-cream, continue with the medicines prescribed by your doctor. Wishing you good health.
| 219,003 |
What causes bruising on body and cough with mucous?
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Patient: I ve been getting random small bruises lately and have developed a mucousy cough. I just switched to being a vegan and I just moved into a new house (have allergies and asthma). Also, my pap smear came back abnormal but couldn t be treated since Im 20. Should I be concerned? Doctor: Do not be really concerned but take concrete observation to find out the cause of allergy yourself. Tests may not be exhaustive. You are the best judge for finding causes broadly and then explore further to pinpoint the reason.Anti allergic medicine in modern medical science can temporarily manage the allergy but cause of allergy is not cured.People who like to have Ayurveda may have advantage in getting cure of allergy. In Ayurveda its cured on the principle of Vata, Pitta, kafa vitiation. To my patients I would give Haridra Khand and Kanrkaryavaleh for 8-12 weeks to manage rashes and Asthma both. Immunity will also be created in long run. This is totally safe.Though it doesn't require close supervision but may seek the advise of any Ayurveda doctor with these comments.Hope it helps you.
| 99,138 |
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