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How can short term memory loss and headaches be treated?
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Patient: Hi I have a 21 year old daughter who is experiencing moderate short term memory loss with no recent head injury, but has been experiencing headaches for the past few weeks. She wants to see a doctor but her primary care doctor the last time we were there says there is nothing wrong. Any suggestions? Doctor: Hi, Memory loss and headaches are not normal in a 21-year old. Therefore, do not believe her primary care doctor who says there is nothing wrong. You should see a neurologist and sort out her diagnosis. A brain scan would help. Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr. Sudhir Kumar, Neurologist
| 140,143 |
What causes tingling sensation and purplish color in the feet post ankle fracture?
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Patient: After missing a step and falling on my foot, I suffered a dancer s fracture and tore the medial deltoid ligament in my ankle. It has been seven weeks since the fall and I am now only able to weight bare. Whenever I sit and my leg is at a 90 degree angle, I get a tingling sensation in my foot and it turns purple. What can be the cause and should I be concerned? Doctor: Hi, there!Ankle injuries take long time (up to 6months) to recover fully.Ligaments heel 6-8 weeks, but swelling will be present for longer time.Ankle joint is the farest area from the heart (pump) and blood micro-circulation is worse.You can use compression socks, keep foot elevated and lympho-drainage massage will be valuable.I hope this helps
| 129,687 |
How an I get rid of black tongue?
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Patient: doctor i would like to know what is the remedy to cure black tongue , since i have got it . i feel very uncomfortable while visiting any doctor? kindly advice. thanks & regards, sylvia my email address is: YYYY@YYYY Doctor: Hello Welcome to HCM Black tongue is a condition when the dorsal surface of the tongue is either stained black, is unusually dark or becomes hairy in appearance.There are finger like projections called ‘filiform papillae’ around the taste buds. With the normal wear and tear daily, these papillae are shed off. But sometimes, due to certain conditions, this normal process of shedding of papillae is altered. The papillae then keep growing in size. Food particles get stuck up in these outgrowths. The food debris becomes a breeding ground for many bacteria and fungi, giving rise to a dark, fuzzy look called as the black tongue. Its chief cause is improper oral hygiene.But it can be due to fungal infection also. Its treatment includes maintaining proper oral hygiene by regulare brushing & flossing.Pineapple is also used as a black tongue treatment. In this treatment, small pieces of pineapple are to be sucked for about forty seconds keeping them near the base of the tongue. They are then slowly chewed over a period of eight minutes. This process is to be repeated two times daily for duration of seven to ten days till the time the discoloration fades away. Take Care Regards Dr.Neha
| 190,366 |
Suggest treatment for bipolar disorder having severe mood swings
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Patient: I am suffering with an untreated bipolar disorder. Lately I've been finding it harder and harder to sleep, maybe getting four hours a day. Nightmares are getting worse and mood swings are horrible. I'm extremely angry, or depressed there is no in between or rest period for my emotions. Any suggestions as to what is going on? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. May I know who diagnosed you for bi-polar disorder?. Please do understand that self diagnosis and treatment can do more harm than cure. This creates stress and anxiety.The given symptoms are not at all enough to diagnose bi-polar disorder. Moreover, mood swings, anger, aggression, depression, sadness etc, are symptoms present with most of the mental disorder. Bi-polar disorder has differential symptoms. Only an experienced psychiatrist/psychologist can diagnose your problem. let them do it. You, please consult any of them.If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
| 206,710 |
What is the remedy for rash in arms and wrists?
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Patient: Was working in the yard today when I came in I realized itchiness on the inside I bother my arms just above my wrists and a rash. But now 6 hrs later it s more of a burning pin needle feeling. Now the rash has moved to the front of my arms with the same feeling. Also I have the feeling on both sides of my shin and on top of my hand and fingers but not aware of a rash in those places Doctor: Hi Dear,Understanding your concern. As per your query you have symptoms of itchy rashes in arms and wrists which seems to be due to allergic reaction and could be due to venomous bite. Need not to worry. I would suggest you to apply little pressure on that area with cotton dipped in warm water and try to ooze out the pus properly if any. Take antibiotics orally to prevent further infection. Use calamine lotion on that to resolve itchiness .Your symptoms will start resolving in 3-5 days. If it keeps on persisting visit dermatologist once to find out any hidden cause for your symptoms. Apply betadine over area and clean that area properly with antimicrobial agent. Use of corticosteroid ointment is helpful.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari
| 13,287 |
Suggest remedy for high blood sugar levels
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Patient: Hi, I am South African and my bloodsugar is very out of sorts today. It is currently 9.7. I am on Gluco Phage 2x 500mg twice daily only and not insulin dependent. Please help. Should I seek medical help or is there something I can do to lower this naturally? Doctor: Hi, dearI have gone through your question. I can understand your concern.Your sugar level is high. You should adjust the dosage of your oral anti diabetic drug. If needed add one more drug or switch to insulin according to your doctor's advice. Take low sugar diet. Avoid sweets, rice, cold drinks, ice-creams etc.Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health
| 115,324 |
Could the Prolia injection have caused more pain?
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Patient: Hi, I am a 75 year old male and had my first Prolia injection last December. At the time I had undiagnosed discitis and osteomylitis in my spine, for which I was taking painkillers and Celebrex. 9 days after having the Prolia injection, the pain became much worse by the day, and after a week it was agonising. I was hospitlaized and my condition (once diagnosed with an MRI) was treated with antibiotics for 3 months (IV and oral). I am now better although still have a little backache. My query is: it is time for the next 6-monthly Prolia injection. Was it a coincidence or do you think I should not have another one in view of the fact that it seemed to aggravate my condition? Doctor: Hi there, thanks for your question. Prolia is an injection given to treat osteoporosis or weakness if the boea see with ageing . Your back pain can be attributed to the disctis and osteomyeltis. Once the medicines work , your pain will decrease with time.Whereas Prolia injection as been associated with side effects of low back pain, multiple joint and muscle aches, its usually self limited. That is gets better with time.But i would suggest you to get your injections under supervision and as per advice of your doctor in an hospital setting , ao that any side effects or pain can be dealt appropriately. All the best, regards.
| 144,798 |
Suggest treatment for painful wisdom tooth, with gaps in between
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Patient: I have 2 wisdom teeth on my L side that are killing me...I went to the dentist early last week and he said I need antibx for 2 wks and referred me to an oral surgeon. He was concerned about a space behind the lower tooth. Pain is getting worse, not better..any suggestions? Doctor: Hello,Include taking some anti-inflammatory medication. For severe pain, the combination of one Tylenol and one Advil, taken at regular intervals, can be effective. Consider seeing the oral surgeon as soon as possible. You may need to switch the antibiotic if the one prescribed has not been effective. Rinse the area with warm salt water, continue to practice proper daily dental hygiene and do not let any debris get caught in the lower space. Avoid all irritants. Take vitamin B12 along with good nutrition and keep well hydrated. Avoid chewing on the left side and keep to a softer diet.Thank you for your inquiry.
| 183,015 |
Can elevated liver enzymes cause any problem in conception?
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Patient: i just had some blood work done and they called and told me that my liver enzymes where high. My husband and i have been trying to have a baby for about 6 months now could that the high liver enzymes be the problem? i need to metion that i am only 22 and i weigh 298lbs other then that iam in good health. Doctor: Hi, I think high liver enzymes are not a problem in conceiving. So if your other tests are normal, you can try naturally for 6 months to 1 year. If it doesn't work then you can try medicines for growth of your follicles. Hope I have answered your question. Regards Dr khushboo
| 1,671 |
What causes small painless bump near my temple?
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Patient: Hi, I am 19 and 6 foot. Six months ago a small bump appeared near my temple. I considered this to be a swollen lymph node since I fought off an ear infection two months after it appearance. The ear infection has been long gone and it is still there. It is small and painless yet sometimes it is the clear reason for my headaches. It typically get larger when I am agitataed and it starting to become worrisome. What is this and what should I do? I did some research and apperantly a lymph node not suppose to stay swallowen for a month. Doctor: Thanks for contacting healthcare magic. Painless bumps at temple region that may be lymphnode swelling.But lyphnode swelling is subcide within 2 or 3 months.Keloid may ruled out because that one painless growth.Malignant growth may cause this type of problems. You don't mention size,color,and texture of growth.Sebaceous cyst may ruled out.Lipoma may present at temple region.Ultrasonography is helpful for further diagnosis. Fine needle aspiration biopsy is also helpful if lesion is cystic.As soon as possible meet the ENT surgeon for diagnosis. Take care.Thanks.
| 30,947 |
What are the best possible treatments for stroke ?
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Patient: Hello and thank you for listening.10 years ago, I had an episode of what was originally thought of as a stroke by the doctor I went and saw. When it happened, it was during the night in my sleep(I remember feeling very unusual during my sleep). When I woke up, I couldn't see out of my left eye(it was like a white-grey covering was over it), my left side of my face was droopy, I felt extremely agitated without having an emotional cause for it and my speech was slurred. After they ran tests at the hospital, they couldn't find anything like a blood clot but thought I could have had a "mini-stroke". The doctor at that time asked me if I had ever been checked for MS because I was a seemingly healthy 35 year old. I said no, and they scheduled me for a specialist. After going to the specialist, they didn't see lesions in my brain, but they did find the proteins in my spinal fluid. I was placed on prednisone at that time. A month later, they did another spinal tap and it didn't show anything. I was having side effects from the prednisone that seemed to make the symptoms worse so I went off of it. The doctor started treating me symptom specific with cortisone shots in my feet to help the pain that would cause balance issues. I was also placed on a pain medication related to feet that caused temporal seizures during my sleep( I can't remember the name). I went off of this and started taking biofeedback and pain management classes with meditation and yoga that seemed to help and also lost 50 pounds. This seemed to help me keep it under control for about 5 years until I started having tremoring in my left hand(my middle finger seems to be especially affected), strange, severe pains in my knees and elbows, tingling in the elbows and knees but also in my big toe joints, but also this weird tremoring feeling during the night that seemed to start from my trunk/abdomen area and radiate out to my extremities. I got checked for MS, Lupus, and Rheumatoid arthritis. Nothing was found. I still have this off and on but now over the last year on my left leg it swells by the ankle and I have this burning topical pain when I touch it. I will also get this pain in the front of my neck and radiating with both arms. I sometimes get weird numb areas on my face and head, and now I'm getting the sudden, severe pain in my knees again during the night while I sleep along with the weird tremoring from my trunk. I feel this pain in my lower back. I am at my wit's end because all of it affects my sleep(I get a sudden startling insomnia and I can't go back to sleep) and it is affecting my work and sometimes personal relationships because of how out of it and exhausted I feel. What should I do? Doctor: hi welcome to our siteread your querythat is a very significant questionand i appreciate your problemi will try my best to answer your queryfrom your query it seems that the MRI of brain was done only once and was never repeatedi would suggest that the MRI be repeated once, with the screening of the entire spinebecause sometimes the changes in the MRI occur lateand are not picked up initiallyof course there is the diagnoses of TIA where the changes never happensecondi wish you were here to examineneurological diagnosis need a good history and examinationyou have given a good historybut lot cannot be diagnosed without examinationi would also suggest a NCV of your limbsthere is a possibility of neuropathy that needs to be ruled outand MS is a definite possibilityi am assuming that in doing so much you were tested for thyroid and diabetes and the tests were normalif not tested, please have them testedalong with vitamin B 12 levelsi hope this helps youinform the reports mentioned above (if any)so i can be of help furtherbest of luck(please do understand that some problem remains as online texting cuts down history and examinationthereby reducing the effect and efficiencyand increases reliance on tests)[email protected]
| 148,374 |
Why isn't egg rupturing and what should be done?
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Patient: Today is my 16th day of my cycle.I'm having follicular study.today my follicle size are in right ovary -20,24,26mm and in left ovary-28,26,18,18.my et is 9mm.I had two hmg injection of 5000.but no rupture till today.what can be the reason and what should I do.I dont want to miss my cycle Doctor: HI i understood your conern If you have two HCG injection and still it has not ruptured than we have to wait and see on 18th day in follicular study. You have to do nothing please wait till 18-20 days and do repeat scan ,there may be possibility of rupturing.Reason is in adequate LH hormone surge. if it does not rupture than this cycle will be fail.THanks
| 3,528 |
What causes back pain with feet numbness?
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Patient: I have a chronic lower back problem taking medication and treatment by pain clinic. I now have problems with my feet losing feeling especially while sitting and driving pain starting in big toe. Seen specialist today and have been referred for a new one .(6.5 years since last one. I have also been referred for a nerve examination in feet and legs. Was in severe pain after examination and mind was not functioning. Doctor: Hi,Thanks for writing in.There are 5 small bones aligned on top of each other in the lower back which are together called the lumbar spine. There are soft discs which are spongy structures between 2 bones. Nerves which originate from the spinal cord pass through the holes between 2 bones and then supply the legs.When there is overgrowth of the bones or the disc gets degenerated then it presses on the nerves and causes pain. Numbness is also due to significant pressure on the nerve roots in the neural foramina.It is required that you get a MRI scan of lower back done if you have not got one done and your symptoms of numbness and tingling are recent. This will help to know if the nerve is getting pinched in any location. The doctor will decide the treatment after going through the findings of your MRI scan. Please avoid heavy physical activity and get nerve study done as recommended. Please do not worry.
| 144,479 |
Can marijuana smoking cause any side effects during pregnancy?
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Patient: okay this is not something I pictured myself doing... but I am a bit of a worry wart. I am 37 weeks pregnant and during my entire pregnancy I have probably taken 7 hits total of marijuana the last one being about a week ago... I am curious as to how long thc will remain n my unborn childs system. While I know that marijuana isn t healthy for a baby its not something I do... I have passed all my drug test but I read that traces no matter what can he found n my baby s first poop... I stopped smoking cigs when I found out I was pregnant and also I haven t drank since I found out I was pregnant and I ate totally healthy.. can u help me? Doctor: Hi, Dr Purushottam Neurgaonkar here. I welcome you to HCM VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. Please do not panic. It is good to note that you have stopped smoking and alcohol. Also , I will suggest you not to indulge in marijuana. As it gets transferred to baby across the placenta. It is known to cause learning and development issues in the baby.I will suggest you to stop it at once. It takes about 3 to 5 days for the substance to get cleared from your body. Please take care.May God bless you. I hope this answer helps you. Thanks Dr Purushottam Neurgaonkar
| 220,232 |
Pinkish vaginal discharge after placing nuvaring. Pregnancy?
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Patient: I m on Nuvaring , have been for 2 months. A few days ago I experienced a pink discharge with mucus , never forgetting to put my ring in after sex. Yesterday, I forgot to put my ring back in after 11 hours. I put it back in but later, I was spotting. Now, it is reddish brown and light. Could this be pregnancy? Or just breakthrough? Doctor: Hi, Thanks for the query. There is more possibility for breakthrough bleeding. As you delayed putting the ring for 11 hours better to use some other form of contraception for one week to avoid any possible risk of pregnancy. This spotting will usually subside soon. If you want to get clarify regarding the pregnancy better to go for pregnancy test once. Take care.
| 226,373 |
Suggest treatment for allergic skin reaction
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Patient: I have severe reactions to: Hives,rash, swelling of feet and hands Augmenting Biaxin Sulfa Levaquin- fatigue, joint/muscle/tendon pain and swelling I am scheduled for Dacryocystectomy. DCR. I ve had 3 sinus surgeries. The last one was 3 yrs ago and I have had a chronic infection since that has not been resolved. What antibiotics could I take that don t contain the above list? Thank you, Janet Couey Doctor: For allergic reaction to any drug first of all stop that drug and never take the same drug for life time. There are many other alternatives of the same drug available which you can take with an expert advice of physician. In addition you have to take tab Avil three times daily after meals with tab ibuprofen thrice daily if burning or swelling is there which is common in case of allergic reaction. You can also use clobit-gm or valnerate-n cream for local application.
| 99,355 |
What causes soreness in ribs?
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Patient: My ribs on my left side have been sore for 2 or 3 weeks. I primarily feel the sorness when I cough or sneeze. I recently had a cold and I went to my PCP and complained of the same sore left ribs. He had an x-ray performed but it revealed nothing. My lungs and heart were fine. He thought it might be pneumonia but I checked out okay. Still, I have no explanation for sore ribs. I don't work-out and have done nothing to injury them. My doctor presribed medication for acid reflux (ranitidine). What could be causing me to have sore ribs? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of musculoskeletal cause like costochondritis is more. It is inflammation of rib cartilage. Do following things for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Avoid movements causing pain. 4. Start painkiller and muscle relaxant drugs. 5. Apply warm water pad on affected areas. 6. Wear chest belt to prevent mobilisation of painful areas. Don't worry, you will be alright in 1-2 weeks. Hope I have solved your query. Wish you good health. Thanks.
| 78,492 |
How can insomnia and confusion be treated?
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Patient: My husband has been diagnosed with vascular dementia and is a nursing home. I have, in the past year, have dealt with numerous stresses and depression. Also racing thoughts concerning his care. I ve been given anti depressants, temazapam, lunesta and klonipin. I haven t been able to sleep at night for weeks. I am confused and struggling to think clearly and function on a daily basis. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you are suffering from depression with super added Psychological stressors, it's difficult for you to come out of it and as sleep problem is a concern, you can try with Tablet Mirtazapine under supervision of your Psychiatrist which gives you good sleep and also relieves you from depression. attending cognitive behavior therapy, also helps you feel better go for a morning walk exercise 2-3 times per week. Hope I have answered your query. Let me know if I can assist you further.
| 204,325 |
Can a stroke cause arm numbness with armpit pain?
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Patient: Hello, My dad is 89yrs old and had a heart bypass 17yrs ago. Since then he has become a diabetic the type that effects the nerve endings. This can cause him alot of pain but for the last while his left arm has gone very numb and he is finding it very difficult holding anything without letting it fall. A couple of weeks ago he complained of a pain under his left armpit, that has gone now but he is still getting a very strange feeling there and all the muscel and skin have gone very flabby. The hospital are doing an MRI scan on him next week, they were going to do an angiogram but thought better of it because of his age, We were wondering could he have had a mild stroke without us knowing or is it the diabetes. Doctor: Hi dear ,have noted all your detailsPeripheral neuropathy is a long term complication of diabetes mellitusdue to long term uncontorlled blood sugar levels the nerves in the body are demyelinated(withered and damaged),hence causing abnormal sensations like tingling ,numbness or as if insect is crawling like feeling is thereFrom your history its highly unlikely that it is stroke ,though a mri of brain should be done to rule out its possibilityperipheral neuropathy can be treated by methylcobalamine ,1500mcg of methylcobalamine should be given daily for 3 months to see yhe effectas his age is 89 and he is a diabetic it can be any thing from coronary blockage to peripheral neuro to a mild stroke,hence mri ,angiogram should be done and methyl cobalamine should be startedthank you
| 23,353 |
Suggest treatment for back and chest pain
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Patient: hai Doctor, i've been suffering from back and chest pain fromlast 15 days.i've been to orthopedic .x-ray has been taken .everything is perfect.he has given some medication.i am using but i am not relived 100%.I am 28 years old.i work as a software professional.pls suggest me what to do. Doctor: hello dearyour occupation is a risk factor for developing back pain because u sit before the computer for long time,so u should do some exercises for ur back,consult a physiotherapist to learn these exercises,
| 19,161 |
What is the cause of hepatic encephalopathy including loss of control over muscles, tremors and labored breathing?
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Patient: I have hepatic ence (etc) hard for me to type. I lose control of my muscles, and thrash about including my arms, head, etc. and I sway back and forth while just sitting here. I was in the hospital for 7 days (Three mos. ago .... where they diagnosed my problem. I do not have a follow up doctor and do not know what to do. Your advice is greatly appreciated! I would like to speak with a neurologist if possible. My breathing is labored and have no control of my muscles and thus the tremors, and arms/legs flaring about. As you can see my spelling has detreated (????) just in the last 15 mins. Doctor: Hi,Thank you for posting your query.I have noted your symptoms and I can understand the discomfort you are going through.Hepatic encephalopathy refers to the dysfunction of brain functions due to a liver damage/failure. This is because of accumulation of ammonia and other toxic products in the blood and brain, due to liver dysfunction.The primary treatment would be of the liver disease, and then the brain disease.I would be pleased to help you if you wish.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/
| 148,642 |
Should I continue taking Nexium even if it causes vomiting?
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Patient: hi, i am 3 months pregnant and despite vomittings i am avoiding vertina plus and NEXUM. i feel that NEXUM is not suiting me because everytime i take it i vomit. i told my gynae but she said that however i should continue that. Please suggest if its ok not to take it or not, and other thing is i m prescribes folid acid with zinc that is ZIFOLET once a day and duphaston twice a day. its my first pregnancy and i neither had any miscarriages or anything. i am 22 years old this july married from 1 year and 7 months. Please reply. Doctor: Hi there,It is not necessary for you to take any tablets except for Folic acid during the initial months of the pregnancy. In fact Folic acid is also advised only till 12 weeks of pregnancy the stage at which you are now.Nexium is to decrease acidity, Zinc is just mineral supplement and Duphaston twice a day is not required unless you are having symptoms of threatened miscarriage.Please remember that most pregnancies are absolutely normal and do not require much medical intervention. You could relax and discontinue all the above medications.Iron supplementation is advisable if your hemoglobin is low and calcium is recommended after the 5th month of pregnancy for fetal bones growth.Hope this helps.Regards.
| 221,308 |
Is it advisable to take Aspirin daily for suspected heart conditions?
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Patient: I went thru all the test for heart health, the first group of dr's said I need a pacemaker and possible triple bypass surgery, the other hospital said I have a healthy heart and do not need anything. Just to be safe, should I take asparin dailey and how much? I am 67 and over weight but do not smoke or drink. Thanks Doctor: Hi,After going through your case it is evident that there are two contrasting opinion regarding your heart.I want to know-1) Your height & weight (BMI) we can estimate degree of overweight.2) Any associated conditions like diabetes, high blood pressure, cholesterol problem.3) I want to know symptoms for which you have underwent evaluation of heart.4) Any symptoms like palpitations, sweating, dizziness, fainting episodes. 5) Whatever the tests done their results.I will advise to do following tests that may be help full if not done earlier.1) ECG.2) 2DEcho of heart.3) Stress test.4) Coronary angiography (CAG).Sorry, I can not advise you regarding continuation of aspirin without knowing more about you.If it is already started by your doctor then better to continue it.Otherwise consult the cardiologist along with all previous tests records depending on it further evaluation if needed can be planned. Try to reduce weight by following diet and exercise (exercise pattern needs to be decided depending on your heart condition).If you find it helpful please vote helpful.
| 28,160 |
How to fix double tailbone?
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Patient: I think I have a double tail bone. I have had this my whole life. I am 100 lbs, 5 2, and 24 years old. I have always had a high metabolism that prevents me from gaining a lot of weight. I m wondering how common a double tail bone is and if there s anything to get it fixed. Doctor: HiIf spina bifida or double tail bone as you say, is asymptomatic, then it's best left alone.If you have abnormally high BMR, it should be investigated by an endocrinologist.Thyroid disease occasionally is cause of it and results in non gain in weight despite good appetiteTry to take adequate fats diets and high calorific diets.
| 131,548 |
What could cause severe pain due to lump and swelling on left side of face and red, swollen eye?
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Patient: I developed a lump on the left side of my face just before the entrance of my ear, and at first it wasn't painful but after two days it started being really painful. in fact, the whole left side of my face was in pain and was swollen. my left eye is swollen as well and reddish. what could be the cause? Doctor: Hello Thank you for trusting HCM Dear it may suggestive of infection of left salivary gland due to viral infection, for example mums is the most common other causes like influenza, herpes virus, sarcoidosis etc... Drink plenty of water use tab. Ibuprofen or naprosyn for pain. Use eye drops for eye infection. Hot compress at local site may help. Still symptoms symptoms not improved consult your doctor he will examine and treat you accordingly.
| 128,581 |
Suggest treatment for fatigue and low BP when suffering from atrial fibrillation
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Patient: my husband is having artial fib and he is wearing a holter monitor, but he only has episodes at night, never during the day, only at rest, he is exhausted, already suffers from low blood pressure, we re frustrated with our Cardiologist approach. He is 70 6 and generally healthy Doctor: For atrial fibrillation, very good treatment is available. Your cardiologist should focus, first on rate control which can be achieved with beta blockers like metoprolol, diltiazem or if blood pressure is low even if not having any episodes then tab digoxin or amiodarone. You asked your cardiologist to consider these options.Second important thing is anticoagulation which keeping blood thin otherwise it may lead formation of clot in heart and this clot may dislodge leading to stroke or paralysis. So discuss both these issues.Also during the episodes take rest and lye Down.
| 22,924 |
What causes pins and needles, low BP and fainting?
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Patient: Hi I'm 19 5ft 9 I get pins and needles, have low blood pressure and have fainted on occasion. I feel all shaky and wobbly on the inside before I get dizzy. I also pains in my sides every two weeks and sometimes just cry and sleep and get sick with it , my appendix are gone Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Your all symptoms are explained with hypotension. Hypotension causes fainting tiredness, chest pain etc. Common causes for hypotension in young age is decreased oral intake of fluids, dehydration, heart diseases and infection. So get done ecg, 2d echo (to rule out heart diseases) and Complete blood count (to rule out infection). If all these are normal then dehydration is likely in your case. So drink plenty of fluids orally and keep yourself hydrated. Drink atleast 2-2.5 liters fluids. For pins and needle sensations, get done vitamin b 12 level because vitamin b 12 deficiency can cause similar symptoms. If deficiency then you may need supplements of vitamin b 12. Don't worry, you will be alright. Consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 25,744 |
How can lower backache be treated?
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Patient: I have been having pain in my lower back with some pain radiating to my front right. It has gotten worse over the past 2 months. It hurts when touched. I also have not been urinating as much as I think I should compared to my intake. When I do there is a very strong odor. I also have been noticing stains in my new underwear that I question may be dark blood. I am concerned about my kidneys. What would you suggest I do? Doctor: Hello, I have studied your case.As per your history and symptoms pain can be from spine.I will advise you clinical examination and required investigation.Another possibility of your back pain can be due to muscle strain or renal calculi.You may need X ray and Ultrasonography.You may need to do MRI spine to see for nerve compression For these symptoms analgesic and neurotropic medication like pregabalin can be started consulting your doctor.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and TENS therapy will helpYou can focus on spine extension exercises.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care.
| 106,914 |
Biopsy showed cancer measuring 14 cms, not possible to operate due to too many blood vessels. Survival rate?
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Patient: my mother in law has just had a biopsy following other tests the consultant has said they are very sure it is cancer it was measured at 14 cms about 3 weeks ago, they have already said it is not possible to operate as there are too many blood vessels that a operation would kill her is this a big tumour we think she has had the lump for about 6 months what is her likely survival rate Doctor: Hi and thank you for this query.I am so sorry to hear about this diagnosis and the difficulty operating on this cancer. I can only imagine how difficult it is to imagine your mother in such a terrible stage with very little options left to help her. Please, take heart. show how much love and be the pillar for her as she live these days that non would ever wish to experience. Cancers are of different prognosis depending on the site and organ. Unfortunately, you have not provided the location or organ and this make sit very unlikely to tell you what the survival rate is. What is certain is that if there is no intervention, her days would not be as many any more.I will also like to suggest that you seek a second opinion fro an oncologist. When cancers are this huge, chemotherapy and or radiotherapy can shrink the and make them operable. Ask your doctor to look into this option.I am so sorry about this. may you find the strength to be up to the task and challenges at hand. I wish her the very best of possible outcomes as she takes on this battle. Dr. Ditah, MD
| 157,873 |
Suggest remedy for hairfall
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Patient: My hair is not growing and now a days it seems more hairfall also. Iam using only pure coconut oil nothing else. I shaped my hair in previous year. After that only i found this kind of hairfalling problem. It made me feared. Now i don t have the guts to cut my hair. And it stopped growing also as itz tip seems splittend. How to get relief from this? It leads to loose my confidence also. Need that old strong and thick hair back Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Get your hemoglobin, thyroid function tests, serum vitamin B12 levels checked. Start with hair supplements like tablet follihair once daily and apply anti hair fall serum like follihair serum on the affected areas of the scalp twice daily for at least 3-4 months to see significant results. Hope I have answered your query. Let me know if I can assist you further.
| 10,375 |
What are the complications of benign cyst in spleen?
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Patient: In march 2012 I was diagnosed w/a 1 cm lung nodule. Following a second PET scan I was told that I had lesions in my spleen. I had an ultrasound that confirmed a benign cyst. I am going to the lung nodule program in Fresno on the 30th. However, I am now concerned about this cyst in my spleen. Can it be dangerous? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. No need to worry much for the benign cyst in spleen. But follow up with ultrasound every six monthly fir 1st year is required to confirm the benign nature of lesion. If size and appearance of cyst remain same then it is benign cyst. But if size increases or cyst becomes more heterogeneous then you need biopsy from the lesion to rule out malignancy. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 78,047 |
Suggest medication for cough,runny nose and bloodshot eyes
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Patient: My 21 month old son has been suffering from what I thought was yet another summer cold. But along with the lingering cough and runny nose, he now has developed bloodshot eyes. While putting allergy eye drops in his eyes, I noticed that each eyeball has an identical raised white bump, like a tiny pimple, in the center of the redness. A friend(nurse)recommended Benadryl, which I gave 2 doses of, andn the redness has disappeared, but the bumps are still there. No fever or symptoms other than the above mentioned "cold" symptoms. Any idea what this could be? We live in a very high allergen area in the midwest. Could this be a seasonal allergy? Doctor: Yes it is. Allergic rhinitis is the condition you are suffering from. contact your doctor for regular medication
| 100,973 |
What could urine blockage post kidney stone removal suggest?
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Patient: near about three years ago i was found a kidney stone in urinary bladder by means of sonography. After that i was used many medicines & finally the stone was crashed and out from my bladder. But 15 to 30 days after the removal of stone i was feel that my urine was block as in case of stone. Doctor: Hello and welcome to HCM. As an Urologist, i can understand your anxiety.You should write your age,sex,tests done so far and any treatment taken.Urinary block after stone treatment,is due to stone fragments or blood clots.It can also be due to complications of the surgery,like,injury to urinary tube.The other reasons are BPE(prostate gland),residual stones,etc.Tests to do are:urine routine,culture,blood routine,creatinine,RBS,LFT,and uric acid. Then do an ultrasound scan-KUB.According to reports,treatment can be advised. Dr.Matthew J. Mangat.
| 46,378 |
What causes pain in chest after overeating?
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Patient: about two weeks ago I experienced some chest pain between the breasts. It came after I ate way too much on an outing. I am 61 years old, female, and in excellent health. The pain came quickly and radiated into my back. By the next morning I just felt generally ill. I went to my doctor and an EKG was done.....it showed a rapid heart beat, but I also had a fever and he felt the heart beat was due to infection. I had a total CBC and everything was normal. I have these pains sporadically, maybe every other day and it usually follows eating. I have lost ten pounds in two weeks because I am afraid to eat very much. I had an ultra sound on my gall bladder and it showed no stones. What could this pain be from. I doesn't last long, maybe three or four minutes when it happens, then it disappears. I am totally confused. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of acute gastritis related chest pain is more likely because it is strongly associated with eating. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid large meals, instead take frequent small meals.3. Take pantoprazole tablet on empty stomach twice daily.4. Go for walking after meals.5. Quit smoking and alcohol if you have these habits.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 72,935 |
Does Epilim cause infertility?
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Patient: Hello. For the past 5/6 years, me and my boyfriend have been using the 'pull-out' method' in regards to intercourse. For the past 2 years my boyfriend has been taking Epilim 500 2x a day (morning and night). I feel that we're very lucky in not becoming pregnant, but slightly too lucky. I've read reports online of Epilim causing infertility... Do you think this could be the case as to why we've been so lucky? Doctor: Hi I think epilim can't cause infertility. If you want to confirm that, you can get your boyfriend evaluated by an infertility specialist. If he is not having any sexual problems and his semen analysis is normal, there is no need to worry about. Hope it helps.
| 40,737 |
Suggest treatment for swelling in scrotum
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Patient: I have had two inguinal hernia surgeries, one at age 5 and another at age 12. I have been tested there is no sperm in my semen. Every other hormone level is normal and every other test has been normal. I believe there is a blockage. My question is, If I go several consecutive days without ejaculation My scrotum begins to swell and I have a dull and sometimes intense pain in my testicle and also in my area around my pubic bone. I thought it may be vasocongestion but isn't that supposed to go away after a few hours? The pain lasts until my next ejaculation. Doctor: Hi, This type of pain and location is suggestive of epididymitis which is inflammation of part of the testicle and this not uncommon in males especially in young age. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequences. Masturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course. Some more serious conditions such as tumors or torsion are rare but in doubtful cases, you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required and this should improve on antibiotic therapy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon
| 194,439 |
What causes numbness in the thigh area?
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Patient: Hi my age is 36 and height is 177 cms and weight approx. 75 kgs. Since a couple of weeks i am feeling some numbness in the thigh area and it is moving towards the knee and i am feeling the pain also during my walk. Is it resembles the filaria symptoms. ~pqr Doctor: Hello, Numbness can be due to nerve involvement around hip joint or joints of pelvis. You require an MRI of that area to look for the cause. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Loveleen Sharma, General & Family Physician
| 121,883 |
How to treat the hard sore on finger caused by an insulin needle?
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Patient: I am a home health aide, I am 32 years old about 165 lbs. and about 5' 5" my question is a little over a month ago I accidently stuck my finger with a used insulin needle right after giving a shot there is a hard sore like callus that is very sensitive and hurts. Doctor: HIThank for asking to HCMI really appreciate your concern and looking to the history given here I could say that this could be abscess formation and you need to see the doctor for clinical information and if found the pus formation then this need to be drained, take care and have a nice day.
| 38,805 |
What causes pain in the lower abdomen which sharpens while standing up?
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Patient: Have been having pains on the right lower side of my stomach, since Thursday night around 8:30pm, it’s now Saturday.... pains have not worsen but are still there, but these pains do become more sharp if I stand up or move a certain way, I have experienced a bit of nausea, but without vomiting Doctor: Hello,Thanks for your query on HCM"As"per your clinical history is concerned please follow like this -1)Do a clinical exam by your treating Doctor and do investigations like [CBC, Urine Re/ME and Ultrasound]to confirm.2)Do take treatment as per your clinical findings only.Do take few lifestyle modifications after recovery-1)Try to avoid strenuous activity at first for 15 days.2)Try to support your abdomen when you cough. Place a pillow over your abdomen and apply pressure before you cough, laugh or move to help reduce pain.3)Get up and move when you're ready. Start slowly and increase your activity as you feel up to it. Start with short walks.4)Try to sleep when tired. As your body heals, you may find you feel sleepier than usual. Take it easy and rest when you need to.Hope that helps
| 85,955 |
What causes pain in ribs while sitting for long time?
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Patient: I was sitting a long time at work, got up quickly and pulled on the bathroom door and felt something shift in my chest. After that my whole back hurt for 3 days and I couldn t move. Then it went away. Then months later I bent down and the same thing happened again. I felt something shift in my chest area. Then for days my whole back and muscles hurt. But now it s lingering pain. Not as bad. Currently it feels like my ribs hurt and are sore. It hurts most when sitting at work. I can t exercise because things get irritated. I ve been to the chiropractor and nothing has changed. My x-rays show nothing wrong. I just have ribs that feel sore to touch and muscles that react to it and spasm. It s been a month. I just want to know what is wrong and how to fix. Doctor: Hi,Thanks for your query.The symptoms you have described are more likely to be symptoms of muscles strain.To get relief from the pain and for quick healing:1. Do hot fomatation at the site.2. Apply local anti-inflammatory gel 2-3 times a day.3. Take anti-inflammatory drugs like Ibuprofen to reduce pain and local swelling or inflammation.4. Do not lift weight or try to do exercise that involve painful muscles. Give proper time to heal.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
| 139,067 |
Suggest treatments for lightheadedness, dizziness and loss of appetite
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Patient: For the last 4 days I ve had light head, dizziness, nausea, loss of appetite, and when I do eat I feel sick.... The best way i can describe it is it feels like a really bad hangover and if i move quickly I feel like I m going to fall over, and if i shut my eyes the room spins.... Can you help? Doctor: Hi, The possibilities of problems are variable and can range from a GI disturbance to an inner ear problem or even reduction of blood flow to the brain due to low circulating blood volume or blockages. All of these possibilities need to be considered since you've not provided other important details such as your age, previous medical history, lifestyle habits, etc. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist
| 140,682 |
I am suffering from jaundice, tell me the remedy
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Patient: Hi, I am sumit age-22.i am suffering from jaundice form 12 days m blood test report.. bilirubin total-4.01 and direct 2.23,please suggest me what to do? Doctor: Hello have you seen a doctor sumit If not please visit one to check your liver size, liver enzymes, viral markers, coagulation tests ,etc Take care Dr arun
| 60,439 |
Terrible pain in middle back radiating to left side
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Patient: I am having terrible pain in my middle back radiating off to the side on the left. Sharp and very painful to sit up when laying down or to turn. Also diagnosed with an abdominal aortic aneurysm which they are keeping an eye on the size is only 4 right now. could this pain be coming from that or what could this possibly be. Been to chiropractor with no relief. Now going to PT and still no relief. I am becoming very depressed and tired from lack of sleep. Doctor: In my opinion you should stop worrying. For immediate relief have some pain killer along with a muscle relaxant and have proper bed rest for 2 weeks. Do not lie down on soft mattress use hard one instead, do not sit for longer durations and do not travel long distance for 2 weeks .When getting up from bed always take a lateral position first then hang your legs down and then get up. Do not strain your self or over exert. . U can also apply some good anti inflamatory pain killer gel on your back.If the pain increases do some hot fermentation locally and you will be fine in 2 weeks
| 111,638 |
Sore breasts, nausea, lightheadedness after 10 days of medium flow periods. History of having unprotected sex 2 weeks before periods. Pregnancy?
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Patient: i just had my regular period a week in a half ago. i am quite regular with my period(28 days). this period was unusually kind of medium not heavy like usual. right now my breast are sore, nauseous, and little light head. i don't start my next period for three weeks could i be pregnant? my last time i had unprotected sex was two weeks before my period. Doctor: hi, i am not very clear with your statements , if you have had periods after sex, (that is 2 weeks before periods) then till now no periods, with your symptoms, yes, probably you are pregnant. if i have understood your statement right, then get urine pregnancy kit, test it. feel free to get back to me. wish you good health. take care
| 5,082 |
Suggest treatment for lupus disease
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Patient: I have lupus. In the past 4 years, I have hemmoraged during menses which was treated with hormones. since then I have been treated for lupus anticoagulant and now after strokes, antiphospholipid. My question is, at the injection sites of levonox, I am bruising badly. The areas are becoming knotty. is this the lupus or the levonox? Doctor: Hello, Lovenox is a low molecular weight heparin. Being a blood thinner, it can produce mild bleeding into the skin at the sites of injection. There is nothing to worry about the same as it gets absorbed fast. I shall be happy to answer if you have any further queries.
| 114,867 |
Suggest treatment for fatty liver
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Patient: My father have been diagnosed with fatty liver.He has been taking medicine regularly & consulted different doctors in this respect,but still the problem persists.It ha been almost over 2 months.Age- 60Height- 5'6''Medical History- Long history of gastric disorder. Doctor: Hi welcome to health care magic... You have not mentioned which treatment given to him... Here are suggestions for fatty liver.. Udiliv tablet can be taken regularly as it dissolve cholesterol in bile.... Regular one hour active exercise like jogging, running done... Trans fat diet like cheese, butter, fried red meat, chicken avoided... Refined food restricted... Take good oil like sunflower or canola oilLess fatty food taken.. Avocados, lemon juice, dandelion, spinach, mustard green, onion, Indian gooseberry are some good food for liverAvoid alcohol... Take care.. Advise : If you want to consult , gastroenterologist consulted for examination..
| 54,012 |
What causes stomach pain and chills after hitting on the belly?
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Patient: Hi , My husband was hit with a grinder in the beneath the belly button, There is small patches of bruising and a tiny cut. This happened 2 days ago and has been complaining of stomach cramps and chills.Is this somthing he should go to the hospital with. Please let me know.Thank you Manda Doctor: Hi, your husband had an blunt abdominal trauma. In blunt abdominal trauma external injury will be less but internal trauma to the organs could be grevious. And they may present like this kind of pain immediately or in later stages.Get an ultrasound done. It is good to go to hospital just to rule out internal organ injury. For any furthur issues please contact us. Thank you
| 91,072 |
What do you suggest for stage 3 ckd?
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Patient: I had a kidney transplant two years ago, kidney never did work well since day one. My gfr today is 42 I see by your chart that I m stage 3 ckd. My question is with having just one kidney make my stages go faster than someone that has two kidneys and never had a transplant Doctor: no . that staging doesn't apply for you and you need to worry . the progression of transplant kidney friends in drugs, rejections and infections etc and the dynamics if profession are entirely different in transplant compared to native kidney disease. you can live with one kidney fir decades provided your transplant kidney is taken care properly right from beginning with out any complications
| 48,739 |
Have drowziness, lightheadedness. Due to cervical spyondilosis or is it a psychological problem?
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Patient: I have cervical spyondilosis for last three years C4 TO C7.Now I am filling light headness , forgetfulness ,I can not understand where I am,Eyes are very drouziness, I am always in thinking not to go outside because I may loss Please give me some suggestion to recover the same.Can it be cured?Is it a Phycological problem? Doctor: Hi welcome to Health care magic forum. Cervical spondylosis may not be the reason for all things you are suffering now. Here your age is missing to come to a conclusion. If you are above 60, it could be xeriatric dementia, or some focal change. If other wise it could be some mood changes , so you are to be treated and corrected. So i advise you to consult a psychiatrist, who can handle you in a smooth way, and cure the problem .So don't worry. Besides i advise you some nonmedical procedures to follow as yoga, meditation, hearing music, and reading books, which wil drag you to the oter end where you dont find all these thoughts. Wishing you a healthy and happy life, and thanks for calling.
| 150,767 |
Rash on the back of shoulder, arm and inside of elbow joint, flaky, started to scab. Any thoughts ?
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Patient: I have broke out with a rash on my the back of my shoulder and down my arm , heavy in the inside of my elbow joint , My arm feels like I threw it out, stiff in the shoulder area and elbow. The only thing I can think of is we have eaten LOTS of tomatoes from the garden, and I have had a lot of anxiety about being laid off. In the past I have suffered from phoresis. The rash is like that only not dry and flaky more like burning boils that have started to scab over. It has been stiff for about three days. I am 52, ANy thoughts? Doctor: Hi there. For best results of course, any dermatologist worth his salt would require a visual, so feel free to upload a clear digital photograph on this site using the 'upload data' icon. Alternatively & if privacy desired, do directly get in touch with mois using the 'ask-a-doctor' premium portal & ask for a specific doctor. Off the cuff, given your history & clinical description, the rash appears to be 'Herpes Zoster'. If so, it is a reactivation of latent Varicella (chicken pox) that you must have had at some point in the past. The worst is over. No point in systemic antivirals as 48-72 hrs has already elapsed. Treat all the symptoms eg pain, burning; apply a 5% aciclovir cream locally 3-5 times /day till all lesions scabbed over. The lesions will all scab & fall off.try not to pinch or prise them off to avoid scarring. Take adequate rest, eat good food & relax. Stressors that cause a depression in immunity frequently predispose to its occurence. Wishing you good health & a quick recovery! Do visit your nearest dermatologist in person. Dr Praveen Rodrigues MD Dermatologist, Cosmetologist, Venereologist Vikram Hospital, Bangalore
| 16,185 |
Severe abdominal pain, blood in urine, from rectum. Three time cancer survivor. Cure?
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Patient: Hi! :) I m a 39 year old, 3 time cancer survivor. I m not sure which surgery I had that left over 20 staples in my body. Some day s I get severe abdominal pains, also blood in urine and rectum . I have searched Hi and Low to find a doctor to help me get these things out, but no doctor will touch me. How do I find a doctor that will help? Doctor: Hi, I do not know your past medical history. Severe abdominal pain can be caused by many reasons but bleeding per rectum and urethra is very alarming signs. If the previous cancer history and type of treatment were available to me it will be easier to address your issue. Any tumor in bladder if invade rectum may give similar symptoms but to make sure at least an abdominal ultrasound to be done. Please try to contact your treating oncologist. Take care.
| 159,357 |
Is paper ingestion during a pregnancy harmful?
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Patient: I am pregnant and craving paper - and eating it. A few sheets of notebook paper a day. I m sure the ink isn t good, but I m wondering if there is any real harm to it? I know that I m anemic and it s most likely Pica, and I am being treated for anemia. But I m wondering how harmful it could be to me or the baby if I keep eating as much paper as I am now. Doctor: Hallow Dear,Eating the paper per se is not harmful to you neither for your baby. However, it all depends up on which paper you are eating. Any newspaper, postal envelops, advertisement bills, etc. are handled by many people, are lying at any place and hence are not hygienic to eat. Moreover as you have mentioned, some inks contain heavy metals and is not good for the brain development of the foetus. Otherwise plain clean paper is not harmful; in fact some ice-creams do contain blotting paper in it. Moreover you have to go to the root cause of this craving. Anaemia and calcium deficiencies do cause such cravings which should not be labeled as pica. The cause of resistant anaemia could be worms which can cause such weird liking towards the items. Please get your stools examined from the laboratory and if indicated take anti-worm treatment with the advice of your Obstetrician. Please keep in mind, though the paper per se may not be harmful to either of you, the cause for such craving could be serious. Do not neglect it. I hope you got the message. Dr. Nishikant
| 220,351 |
What causes left sided and lower back pain?
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Patient: back paini suddenly got kidney pains on my right kidney for a day then drank a bunch of cranberry juice and it went away. the next day it was on my left side but less severe. today its my whole lower back. i dont have a fever that i know of, my skin has always been hot to touch. my mom says i might have kidney stones but i want to be sure. Doctor: Hello,You would need a urine test done to determine if you have kidney stones. It could also be infection. Please see a doctor as soon as possible for an exam and urinalysis.Regards
| 130,172 |
How to increase penis size and why sperm flows with urine?
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Patient: i am a 18 year old boy nd i m very about my sex organ and sex ...my penis has not growth with my age ...my penis is too small and thin ...and sperm also flows with urine...and my sex time is too shart mens if i ever think about sex my sperm comes out and my testes have also not remain tight...SO,please help me ...i will be very greatful to you..thanking you Doctor: Hi,Thanks for writing in.Apprehension about the normal size of penis is a major concern for men. At 18 years age, you are too young to judge the size of your penis. It is made up of muscles and the growth at puberty and adolescent is under the influence of testosterone. A research study was done in healthy Indian males on penis size during flaccid and erect and the width of the penis. Mean flaccid length was found to be 8.21 cm, mean stretched length 10.88 cm and circumference 9.14 cm. Mean erected length was found to be 13.01 cm and erected circumference was 11.46 cm. If your penis measurements are at least as mentioned above then there is no need to worry.Semen flowing with urine is a misconception in most men at your age. If you feel it is present then it needs to be evaluated after clinical examination with the urologist. Any urine infection must also be ruled out.
| 201,583 |
Are M2-tone and siphene tablets the correct medications to conceive?
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Patient: i m trying for my 2nd child since more than an yr. i conceived in last june followed by a miscarriage. now my local gyn has prescribed M2-Tone daily and Siphene tablets from 2nd day of periods to 6th day. is this safe and correct? she said there were no complications. Doctor: HiI generally advise my patients that it can take up to 1 year for them to conceive naturally. Siphene is used for ovulation induction which means you would be releasing more eggs which in turn increases your chances of getting pregnant.Let me know if you have any other queriesThanks
| 3,858 |
Could the cysts in the ovary cause infertility?
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Patient: hi, i'm 30yrs old and last month i got ultrasound and the anteverted uterus measures 6.8 x 4.9 x 3.8 cm(cervic:2.7 x 2.6 x 2.5)with normal myometrial echopattern.the intact endometrial stripe is slightly hyperechoic measuring 12.1mm. no abnormal endometrial echo.there are nabothian cysts in the cervix. my right ovary measures 2.5 x 1.9 x 1.9cm and appears normal. but my left ovary measures 3.3 x 2.8 x 2.5 cm and contains a thin-walled, multiloculated cyst measuring 2.6 x 2.1 x 2.0 cm with a few tiny high intensity echoes w/ comet tail artfact..so do i have to worry about my situation? does affect my fertility to get pregnant? does it cause into cancer?pls. help me about it..thnxs Doctor: As your uterus measurement is absolutely normal.As far as Nabothian cyst is concerned it doesnt interfere with pregnancy.As your left ovary has multi loculated cyst is not interfere in conceiving as both ovaries ovulate alternately. And your right ovary is absolutely normal. So ovulation can take place from right side and it can fertilised by spermatozoa.
| 41,931 |
What cause lack of mobility in shoulders and hips?
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Patient: I have been participating in a course which requires a lot of movement and I was recently told that I have a lack of mobility specifically in my shoulders, hips and upper body rotation that I need to address so that I may progress. I do not know where to start with this... do i go to yoga, pilates, chiropracter, physio? I am otherwise young and fit. Thank you Doctor: Hello, The lack of mobility in the joints is suggestive of joint stiffness. This can be due to lack of proper exercise and muscle tone. You need to consult a physiotherapist first for proper guidance. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon
| 124,511 |
What does the semen analysis showing presence of pus cells mean?
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Patient: Will you pls tell me your finding on this report pls...Semen Analysis 2 2 -Jan-2 0 1 4SpecimenSpecimen Collected In Lab .Date of Collection 22-01-2014 .Time of receiving in the lab 7:17 Pm .Physical ExaminationColor Gray White . Volume 3.0 ml 2 - 5Consistency Liquid . pH 8.0 . Liquification Time 40 MinutesMicroscopic ExaminationTotal Count 96 mil/ml WBC (PUS Cells) 2-3 MotilityRapidly Motile 55 % Slow Progressive 15 %Non Progressive 10 %Non Motile 10 %Dead 10 %MorphologyNormal 70 % Abnormal 30 % Doctor: HelloThanks for query.The report of your semen analysis that you have posted is well within normal range of WHO standards as far as sperm count .motility of sperms and morphology of the sperm is concerned .The presence of 2-3 pus cells suggests mild infection of either Seminal Vesicle or Prostate .Taking antibiotics Doxicycline twice daily for 4 weeks will help to eliminate infection .Repeat semen analysis after completion of course of antibiotic to be resr assured that it is cured completely.Dr.Patil.
| 199,656 |
What causes lumps on the back of the tongue?
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Patient: I saw my dentist today who said he has never seen lumps like the ones I have at the back of my tounge. They are not red or painful, just raised. I do have acid reflux and take prilosec daily. I have had a lap band for 5 years and have had 2 endoscopies in the past 6 months. I have a bitter tast in my mouth that never goes away. I am 50 years old.and am in menopause. Doctor: Hello, Thanks for your query.Bumps on back of tongue are known as papillae & they are natural. In case they are painful & inflamed,then it can be due to various reasons:- -trauma -allergy -canker sores -throat infection -leukoplakia -scarlet fever You need to rule out the exact cause by visiting dentist & get it treated accordingly. For temporary relief you may apply topical anesthetic gel like dologel 2-3times a day. Consult your dentist in case problem persists.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
| 184,916 |
Suggest treatment for lockjaw
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Patient: hi i am maria carmen. am 30, 5'3 and weigh 120lbs.i experienced lock jaw for three times. i didn't suffer any pain. its just that my jaw as if fallout of the socket. my lower and upper teeth didnot meet.so i went to the dr. he just pull down my jaw and just like in a cabinet push it back. i'm so scared to i want to see another dr. who shall i visit to? should i visit a dentist? Doctor: Thanks for your query, I have gone through your query.The dislocation of the Condyle could be because of the chronic subluxation of the joint. You have to consult a oral maxillofacial surgeon and get it treated. Surgery is the last option to get it treated. Either eminectomy or capsulorraphy. Initial conditions can be managed by the conservative management by following instructions like not opening mouth too wide, support your jaw while yawning, do not bite hard things. The jaws can be stabilised by splinting with a bandage.I hope my answer will help you, take care.
| 184,426 |
Suggest treatments for popping issue in the mid chest
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Patient: I have a popping issue in the middle of my chest. I find if I sit at a weird angle or position, I get pain in the centre of my chest and everything locks up. I find that when I pull my shoulders back, it sometimes clicks back into place - but doing this it is painful until it clicks but then I am fine. The clicking into place really hurts as my chest feels really stiff and dosnt want to click. It started off once in a while but now it is getting more frequent. This worries me and I don t know what to do. Doctor: Hello, We have to rule out possible causes like a cervical rib. Consult a thoracic surgeon and plan for a CT thorax. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician
| 125,097 |
What causes brownish red discharge and negative pregnancy test?
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Patient: I have been on birth control for nine years now and last month I was on antibiotic. I was suppose to start my cycle Tuesday instead Thursday through Saturday I had a brownish-red dishcharge. This has never happened to me and I have never missed my cycle except for nine years ago with my first child. I have taken a pregnancy test and it was negative, but I have been dizzy at times and feeling like my sugar drops everday. I have also been waking up to use the bathroom and I usually dont do that. I had to take something to have a bowel movement because it had been almost three weeks. Should start a new birth control pack tomorrow or wait? Doctor: Hi, Thanks for the query through HCM virtual clinic. I understand your concern. The illness & the antibiotics you had taken cause weakness.dizziness, weakness. constipation are other post illness symptoms , which can cause delayed periods.& abnormal menstrual pattern. Home pregnancy test of urine is best done after 8 days delay in periods. If you have done it earlier, please repeat it. -ve pregnancy test at proper time rules out pregnancy. - If you are using oral contraceptive at a stretch for 9 years, you can take a gap for a couple of months & use alternative method of contraception in the break. - In case you had a break within 3 years, you can start with new pack of contraceptives on scheduled time... You have to test for pregnancy in case next period is also problematic.& check for pregnancy & go for MTP ( as oral pills are notorious for causing fetal malformations ). Thanks.
| 221,114 |
What to do for left hilum enlarged in x- ray?
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Patient: Hello Doctor I'm 35 years old, recently I got my X-ray done..some of the finding are; Cardiac size within normal limits, Unfolding of aorta, left hilum enlarged, Right basal haziness seen in paracardiac region Is it something to worry about. Thanks Azad Doctor: not that worrying but of there's s9meway I can see ur xray then easier for Me to judge ur situation. Do u have symptoms like cough and shortness of breath?if u have these symptoms then go for interventions.otherwise it looks noral.
| 26,030 |
How can fever frequency be controlled?
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Patient: Hi my 19 month old was at the doctor yesterday and had high temp of 40.8 and was diagnosed with an inflamed ear and throat infection and was out on klacid antibiotics then her temp went and now there dropping to 35.5 and then coming back to 36.0- 36.8 within minutes Doctor: HelloMost of the time fever is associated with infection or inflammation.As infection or inflammation subsides fever also get relieved. She is already on antibiotic.For fever give her paracetamol.You can give paracetamol 4-6 hourly depending on the severity.Tepid sponging with leukworm water help in bringing down the temperature.Give paracetamol only when temperature is above 37 cent.Regards
| 176,106 |
Pain behind the ribs, back pain, indigestion and fatigue. Cause?
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Patient: I have pain behind my right ribs in a similar area where my gall bladder used to be.Ihave a lot of back pain in the same area. I keep having strange chilly waves passing over my body especially my back.For some time I have had sickly feelings and indigestion.I feel more tired than I should be and want to rest more than is normal. Doctor: Hi, Thanks for writing your query. After reading your post, I would suggest you following investigations :- 1. Liver Function Test(LFT). 2. Serum Amylase and Lipase. 3. Ultrasound upper abdomen. Your symptoms can be due to excessive acid and gas production. You can take antacid like Omeprazole 20 mg once a day before breakfast. Following precautions can be helpful :- 1. Avoid spicy/oily foods. 2. Do not miss a meal. 3. Avoid cigarette/alcohol, if any. 4. Avoid emotional/mental stress. 5. Do not self medicate, especially with pain killers and steroids. Reports of the above mentioned investigations will help in planning your medical management. I hope this is helpful to you. Thanks.
| 112,885 |
What causes low BP and pulse rate with weakness and lightheaded feeling?
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Patient: I am 36 and weight is 47kg and 4ft 11. I have always had a good low bp at around 105 over 72. My pulse has always ranged between 80 / 95 bpm. Lately I have been experiencing days of feeling weak, shakey and light headed. My bp is now around 81/59 with a pulse of 59 to 64. even after activity around the house.I lead a more sedentary lifestyle and cannot chalk this up to fitness.The change from the norm is concerning for me and I need advice. Don't want to waste the doctors time if its nothing. Doctor: Its nothing to worry your bp is within normal range just be a bit vigilent about your heart beat if it get more slower or you start having symptoms then do consult a doctor for your symptoms in your area
| 20,792 |
What does these MRI findings of brain for vision problem indicate?
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Patient: I ve been having issues since 2005. Now I am having vision problems. Could it be related to the last MRI and how can this be treated? Here are the findings of the MRI--INDINGS: Brain: Again noted is right anterior temporal lobe resection cavity with surrounding abnormal FLAIR signal and overlying craniotomy defect, unchanged. Stable abnormal FLAIR signal within the left occipital lobe. Persistent posterior parafalcine, tentorial, and cerebellar dural enhancement. The dural enhancement of the tentorium is slightly worse compared to the prior examination.Redemonstration of a few tiny FLAIR signal hyperintensities within the bilateral subcortical and deep white matter, most likely related to chronic ischemic microvascular disease. The diffusion weighted images demonstrate no evidence of acute infarct. Unchanged left parietal developmental venous anomaly. There is no hydrocephalus, acute hemorrhage, mass effect, midline shift, or extra axial fluid collection. Midline structures are within normal limits. The paranasal sinuses are clear. Persistent small fluid within the right mastoid air cells. Doctor: Thanks for your question dear your MRI shows a that so the ago you developed a stroke that was isquemic in nature that involved your occipital region yes your vision problem related with this why because our vision area are present in occipital region thanks
| 142,694 |
Can I be pregnant with an ovarian cyst? Advise required
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Patient: Dear Dr. Since last one year, i hav got a right ovarian cysy. now i am married. i wanted to know, is it safe for sex. my age is 33 years. i wanted for pregnant. what to do . pls. advise me. Doctor: Hello; Thanks for your query. Since you have had a right ovarian cyst for a year you need to repeat an ultrasound of the pelvis to see if the cyst is still there or disappeared. If you still have cyst then you need to consult a Gynaecologist in person and she will treat you for that. If you do not have pain now or even during intercourse then you can have sex safely. Better get examined by a Gynaecologist and she will do the needful for you and you can get pregnant after proper treatment. Take care. All the best. Regards
| 6,199 |
Suggest treatment for disc herniation of L4-L5 with mild OA changes seen in MRI
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Patient: Hi dr i have a problem in disk, last 31/2 yrs my L4-L5 disc perlaps and i did surgery for that , last week one day i have pain in my hip and i took some pain killer and now ok i took MRI Scan they remarks marked diffuse annular disk bulging assoicated with broad base disk herniatin of L4-5, mild OA changes and muscle spasm please adivse me what can I do . please reply my mail YYYY@YYYY Thank you Doctor: Hi, Good question! this is a common situation. AND it is quite complicated. There are several possible causes of pain mentioned. The pattern and movement of a pain gives clues as to what is going on. A simple examination can give a good idea whether the pain is from a disk hitting a nerve or if it is from OA changes or from spasm. They each have a different treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist
| 140,068 |
Suggest treatments for jaundice and enlarged spleen in a child
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Patient: my baby is 5 months old first it was passing white stool we gave him medicine of jaundice as he was having jaundice then we consulted the doctor in bombay he told to stop all the medicine now he is passing yellow stool but the jaundice is sill on and his spleen has also been enlarged what to do Doctor: Hello,Let us know your detailed reports, including bilirubin levels and enzyme status. Get hepatobiliary iminodiacetic acid (HIDA) scan done to know cause or block in the bile duct. Prolonged jaundice in infant warrants investigations. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kalindi R Shah
| 166,479 |
What causes thrush after every period?
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Patient: i keep getting thrush after every period,but i have also found when i wee it smells funny,could i now have a water infection.is there anything i can do about this,i have just had a smear and that came back clear but i did have a letter to say i was suffering from thrush then when i was examined,i am 26 Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Usually thrush occur in the dirty condition, diabetes, HIV and other immunocomprmise condition.It is not heard that such infection occurs with the periods.But if you have doubt than you can take the smear done at the time of period. If it states that you have infection with yeast than you can take the treatment.At that time treatment with fluconazole are advised. You can take it 150 mg once a week under doctors guidance.You can also put clotrimazole vaginal pessary. This will give local effect to yeast.Cleanliness and hygiene is also important. This can equally play good role in treatment.Avoid sex till you are cured. Otherwise the infection will maintain in between the two people. Please maintian good glycemic control. Change the sanitary pad as scheduled daily.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
| 34,754 |
Suggest treatment for headache and red eyes in a child
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Patient: hi the other night my daughter woke with a piercing head ache and would vomit when it became intence. this lasted around 2 hours during the early hours but suffered from mild headaches over the last 2 days, now the whites of her eyes look redder and her lips have become sore she is only 3 Doctor: Hello,Go for a vision test. Eye checkup will clear many things.Ask her for blurred vision in watching television or in the class watching board then proceed further.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Hina Javed
| 163,173 |
What could be the reason for having abdominal pain and bloating?
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Patient: Hello, I've recently been diagnosed with PCOS, (I have 2 children, 3 & 2) & my 3 year old was born following many IVF attempts. For the last week I've had a dull aching pain on the right side of my abdomen, (which I have experienced before), like someone is twisting something inside. I've also been feeling very bloated. Could this all be linked to the PCOS, or something else?Thank you Doctor: Hi ! Good afternoon. I am Dr Shareef answering your query.If I were your doctor, I would go for a clinical examination of yours, followed by an ultrasound of the abdomen to rule out any twisting/sudden enlargement etc, of an ovarian cyst, apart from few other pathology relating to intestines, appendix and the urological organs. Management would depend on the clinical finding and investigation reports.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.
| 91,651 |
What causes chest pain with lightheadedness and tiredness?
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Patient: age 19 height 5'10 weight 280lbs i have been experiencing chest pain (discomfort) in the left side by my pectoral for about 2 weeks that has now creeped its way over to the center (almost over to the right side), i also have noticed that it feels like there is a lump in my throat. i am a college baseball player and whenever i do anything physical the pain (discomfort) seems to increase, but it also happens when i just sit around at home. i just took my bp (10:15PM) and it was 128/72 with a pulse of 90bpm. symptoms: Chest pain (discomfort), but breathing seems to be normal, diarrhea, lightheadedness, and tiredness. Doctor: Hi,It seems that you have a muscle pain and some anxiety related to pain. I would advise you to take Ibuprofen three times a day after the meal for 5 days, unless you have allergy or some other contraindications to Ibuprofen and Kalms twice daily for some period.Take careCome back if you have any further questions
| 24,108 |
Medication for breathlessness
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Patient: hi i am 21 years old indian female who has been having breathlessness since last two days every time i walk for 5 minutes or more. i also suffer from fatigueness along with breathlessness. what is the medication which i should follow ? Doctor: Hi welcome to Healthcare Magic.... Breathlessness on exertion and easy fatiguebility can be due to several reasons . Most common cause in a female being ANAEMIA i.e low heamoglobin. Most common cause for Low heamoglobin is iron deficiency. In females because of monthly periods , they loose blood and hence are more prone to anaemia than men. However heart or lung problems can also cause your symptoms. So my advice would be visit a physician( to check your heart and lung status) , get few blood tests done - 1) CBC-complete blood counts 2) Iron profile 3) Peripheral smear , these 3 basic blood tests tell you , the reason for low heamoglobin and you can be treated accordingly with ferrous sulphate tabs and Vit B12 and folic acid tablets. Hope i was helpful. thank you ...take care.
| 106,124 |
What causes Infantile spasms?
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Patient: Hi doctor, my baby 10th month now. when he was 5th month he diagnosis from Infantile spasms. but now is sezires free. but my baby cry and laugh continu 7 to 8 hours. can some ped. neruo doctor given me best answer. what disease now my child suffer from. Doctor: Uncontrolled laughing is a kind of epilepsy. Known as gelastic seizures. As he also has infantile spasms ,he may have some complex epilepsy syndrome which needs stringent antiepileptics
| 172,613 |
What causes severe pain in head and restricted movement in head post injury?
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Patient: Hello, I recently fell complete upside down on my head sending a horrible crackling sound throughout my body and neck. Needless to say, I got concussed (and an indent on the middle left side of my head). I couldn t move my head for a week or so, and now movement is back, but very limited. No pain or tingling in arms, head is mostly fine except at nights and mornings, but I hear a horrible grinding every time I move my head to the right). Yawning and sitting too long is very uncomfortable, and I m worried. It s been over a month and the pain is still there. Got an X ray, and they say its ok. Please help. THank you, Brendan Doctor: Hello. Thanks for asking from HCM.I can understand your concern. It is good that your most symptoms have resolved. Now coming to your first symptom, grinding sound on turning head towards right might be due to petrous bone fracture, muscle spasm of right side neck muscle or cervical vertebral fracture right side. It can only be confirmed after proper examination and CT head and cervical spine. Meanwhile, you can observe for any watery discharge from right ear, decrease in hearing on right side, weakness of limbs, pain on pressing right side of neck. It will help in reaching to some diagnosis. You can take pain killers like Diclofenac sodium for pain relief after proper prescription. Prolonged sitting and yawning causing discomfort might be due to post concussion effect. It will resolve with time. You can simply stop it by avoiding prolonged sitting. Start doing some activities, which will keep you busy. Thats how you will forget about it. You can consult neuropsychiatrist if you still feel stressed. He/she will advise you some anxiolytics and mood elevators to relieve stress.Thanks. Hope it will help you. Take care.
| 144,591 |
Suggest treatment to control blood pressure
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Patient: Yes I went for laiocaine shots four big Hugh one for trigger points in back after I got them could not breath swallow blood pressure sky high I felt like I was going to die with my son sitting in waiting room. Never agin I do have a whole in my heart and anxiatity but I ask doc has this happened before she said no but I feel I was given to much or something Doctor: Salt restricted diet and consult general physician for treatment of hypertension if levels are high they may prescribe u according to ur levels u may be prescribed with beta blockers or ace inhibitors or diuretics
| 24,599 |
What causes transient ischaemic episode?
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Patient: After an episode of loosing my memory early Monday morning after getting ready for work, I spent three days in Hospital and under went various tests - the last one was Lumbar Punch. The nurse told my wife that there was no fluid extracted. My sick note reads "Tranistent Ischaemic episode", What is this and why no fluid? Thanks Doctor: TIA are mostly caused by embolic episodes where some plaque or clot in carotids or heart sends some emboli which block your cerebral circulation leading to transient stroke. As the circulation get restored you regain strength and consciousness. You need to get ECHO, Doppler of neck vessels, MRI brain, MRI angio brain to find the cause. In your case there is no reason use CSF was not aspirated. Probably a second attempt by senior doctor is required.
| 147,044 |
Stomach bloating and pressure, bilateral leg swelling. CT scan of stomach, pelvis normal, liver scan shows cysts. Causes and treatment?
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Patient: 3 years of stomach bloating with pressure, worse in ytop region of stomach. I can actually feels the upper stomach sticking out farther than my ribs,,,? Bilateral leg sweeling and painful achy legs...I has a CT of stomach & pelvis , liver has numerous cysts(?) can they cause all this trouble? I almost went to ER so maybe someone can figure this out. Saw 4 specialists 3 years ago for this and no-one had any answers. Doctor: HIThank for asking to HCM I really appreciate your concern looking to the history given here I could say that you better get done the routine blood examination and the hemoglobin is the matter of concern in my opinion the anemia need to be ruled out, hope this information helps you, take care and have a nice day.
| 57,288 |
What causes leg pain with stiff joints and twitching?
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Patient: I have had a mri scan to see if I ve got a trapped nerve in my back. This is because I have had a lot of pain in the top of my legs. I also suffer with stiff joints, twitching or spasms all over my body, intense pins and kneedles in my hand and excrutiating pain in my hand when I ve had the pins and kneedles. the scan was ok so the spine specialist has told me to go back to my doctor. He is on holiday for 3 weeks and I don t want to see anyone else so I ve got to wait. many thanks Doctor: HiAll you need to do is to take acetaminophen tabs for pain, hot fomentation and application of voltage gel till you visit your doctorI may say, it may be nothing serious..that can't be managedThanks
| 131,842 |
What causes painful and itchy arms?
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Patient: please! I have a pain in my arm but it is only when I touch it or rub it or something else hard touches it (not my clothes)... it feels like a in sticking in my arm and it is very localized and there is no spot or anything to indicate that anything is wrong, I woke with this a few mornings ago. Doctor: Hello, The painful and itchy arms can be due to allergic dermatitis. You need to consult a dermatologist for a direct examination and prescription medicines. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon
| 123,022 |
What is the cause of knee pain?
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Patient: sirdue to joint pain my father was taking orcerin GM before 3 months ago , now a few day he has some problem in respiration related (cough ,breathing difficulty) his eosinophills is -09%, and lymphocytes is -50% .he is taking tab dexona .5mg 1bd, tab banocid ,(diethylcarbazamine) 100 mg 2bd ,cap kemaclox and now why he again feeling pain in nee joint? is it because of this medicament? Doctor: Unlikely and he might be having age related degenerative changes. In other words he might be suffering from osteoarthritis and due to which having pain. Go and Consult to orthopedics surgeon nearby for further management
| 128,671 |
No success in conceiving. Diagnosed PCOS. Sperm motility less. No luck with siphene. Who is having problem?
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Patient: Hi Doc, I have been married for 2 years and planning for a baby for the last one year without any success.I was diagnosed with PCOS but my periods are very much regular(29-33 days).I have had follicular studies and tube test done,everything is normal. In my husband's case, he has sperm count of around 60million but motility is 15%. He has been taking medicine for the same. I had taken Siphene in my last cycle but no luck. Will there be any problem if I do not continue it this cycle? My height is 140 cm and weight is 43 kg. Please advice on what measures we should take, does the problem seem to be with me or my husband? Doctor: welcome to HCM!for pegnancy ,normal semen,patent tubes and ovulation is must.so, with medicines , was there ovulation?if not u will require larger dose.so please follow your doctor.all the best!
| 43,180 |
Child suffering with cough, cold and fever, on anti-allergic regularly, live in a dusty surrounding. Preventive measures?
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Patient: my two kids one girl-3.5yr old,13kg and anther boy-2yr od,10kg- are frequntly suffering from cough and cold fever .they are taking antibiotics in evry month for their dieases.regularly taking antiallergy(nukast 4mg or montair 4)in every 6 months for a longer duration.we are living in adusty industrial area.i tried every alternatives but faied.what to do? Doctor: Hello, Both of them are definitely suffering from persistent rhinitis/rhinosinusitis that is a risk factor for development of asthma. Montelukast is a good choice for the lung and for exercise induced asthma but allergy testing is required to ensure you are aware of exactly the allergens your kids are sensitized to, example house dust mite or animal dander or molds. Precaution works a long way in preveting exacerbating allergies and long acting non sedating antihistamines plus nasal corticosteroids prevent ongoing nasal inflammation and subsequent asthma. Thanks.
| 105,072 |
What causes stabbing pain in abdomen and back during pregnancy?
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Patient: i am 13 weeks pregnant and today i went to my dr for an ultrasound but she did not do the same saying 13 weeks is too early to get measurements.And then she told me she will let me hear my babys heartbeat thru a fetal doppler.she tried to get the heartbeat but couldnt hear the same.she sais it might be bcoz i m having a full bladder. have heard the heartbeats before 2-3 weeks thru a scan itself. now i have backpain and a sort of stabbing pain my stomach which last for seconds only. i am worried about my baby.is everything ok..pls advise... Doctor: Hello,I have gone through your query and understood your concern. Backache at this stage of pregnancy could mean increased stress on the back muscles, cervical incompetence that could be causing the pain, fetal movements and position of the fetus in the uterus causing pressure on the cervix and so on. Urinalysis and a speculum examination can rule out local causes and infections. A sonogram can detect a short cervix and the need for further management including a cervical encirclage. Please get the sonogram done as soon as possible to clarify. Wish you safe motherhood.
| 221,177 |
Could chronic back pain, diarrhea, nausea, cough and spots on skin indicate the symptoms of lung cancer?
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Patient: I have a friend that thinks he has lung cancer and is afraid to go to the dr for fear of what he will find out. His symptoms include a chronic pain in his back left side, diarrhea, nausea, a cough that is intermittent and a couple of spots on his skin that are discolored. Are these typical symptoms? Doctor: Not at all. None of symptoms is specific for lung cancer. Is your friend a smoker,as lung cancer is common in them. these patients have cough with blood in sputum,weight loss, loss of appetite. some time fever in night. if your friend has any of these than he should get chest x ray done.
| 111,926 |
What causes raw penis and bad rectal odor?
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Patient: My penis has been feeling more raw (a tad stick feeling) recently and it and my rectum have been giving off a pretty unpleasant odor. I'm 21 have had 13 partners sexual partners and wanted to hear what you think could be the top 3 things that come to mind? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Since you had sexual intercourse with multiple partners it may be wise to get a urology check up to rule out any sexually transmitted diseases. Your problems could be because of any genital infections.kindly rule out the same. Hope I have answered your query. Let me know if I can assist you further.
| 195,695 |
How to cure red rashes and excess odour under the feet?
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Patient: My 16 year old grandson has smelly feet with red rash on the bottom of his feet. No itching. It started about three weeks ago. No pain. No fever. No oozing. I remember when my son was his age, we gave him once a day dose of Donnatal. What do you think? Doctor: Thanks for posting your query to HCM .There are so many causes for development of rash but infect it reflect the inflammation of the part .usually these are develop due to responce of body to allergen that may be environmental .I wanted to know the followings:weather it is present all the time or on and off in nature .2.dose it involve complete sole or only to perticular part.3.is it persent over both the feet or on one.4.dose it smell only when wearing the shoe or always .review me with reply of all query then I will suggest you the treatment .
| 30,722 |
Why are my platelets fluctuating?
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Patient: I have had three cbc s done in the last three months... First platelets were over 500 and WBC was 11.3 .. Next platelets 422 and WBC 10.5... Last platelets 437... Mpv 5.7 .. WBC 11.1... They are referring me to a hematologist.. Any idea what could be causing this. I had bronchitis before third CBC.. had taken prednisone and a cough suppressant and antibiotic. I am also taking phentermine now... Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Diurnal variation and monthly variation are common.2. As the count is within normal range, not to worry.3. I do not expect hematologist to find any abnormalities. Medication are not affecting counts much.Hope it helps.Any further queries, happy to help again
| 116,561 |
Suggest treatment for Multiple sclerosis
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Patient: MS sounds a lot like diabetes neuophthy , My husband is losing all movements, cannot walk or hselfardly sad, A lot of pain,burning,no feeling upper and lower.Now cannot dress himself ,losing control of Bowels, and urine. I am his wife he has fell over 100 times since 2012. EMS got a record, I went to get it. trying to get him into a 24-7 home.I cannot take care of him by myself. Don t know what to do,,he refuses to go. But needs to safer for him . Went to judge he said they cannot do anything to help me.Doctor says he needs to go in but he cannot make him,He is alert and knows what is going on with his body. Doctor: if it is multiple sclerosis then we can try disease modifying therapies like interferon. ...Tecfieda. ....if not responding then natalizumab will be an option.....along with this he needs medicines for symptomatic benefit like tab Baclofen....Etoshine MR....Continue physiotherapy and good nursing care.. avoid aspiration and bed sores..regards
| 143,889 |
What causes excess stool passage after drinking?
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Patient: I have a girl toddler almost 3 who has been potty trained since age 2. She has to potty every 10 mins if she drinks alot it could be every 5 mins she has had 1 urinary trat infection as well...Is there a treatment that can help her maintain better control? Doctor: Hi...Thank you for consulting in Health Care magic.What your kid is having is not a diarrhea and is only a gastro-colic reflux. It is quite common for some kids to pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated.When the baby takes feeds , the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastro-colic reflex. Do not worry. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.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).,
| 171,038 |
What causes vomiting and gas in a baby post injury?
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Patient: My baby fell 2ft off the bed and landed on stomach. She cried but no change in behaviour. 10 hours later she vomited and had terrible gas. She did have a new cereal yesterday as well, had the influenza shot on Wednesday. Then this morning she had diarrhea. Should I take her to the ER? Doctor: Hi....whatever symptoms you are quoting are not dangerous and not related to the fall form cot. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorium or behaviour. If none of them are present, I don't think you should worry about his trivial head injury. For pain you can give oral Paracetamol in the dose of 15mg/kg/dose every 4-6th hourly. 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).,
| 175,598 |
Suggest treatment to increase sperm count
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Patient: sir i have a problem .that i am habituated in realising sperms since 15years......i am not married what should i do..........it ill harm me later or what.................and i tried to stop it many time but,,,,,,,,,,,,,,,,,,,,,not possible.what should i do to increase my sperms Doctor: Hi, You are probably talking about masturbation habits to release sperm. It will not cause any harm and will not decrease your sperm count. So don't worry about that. You can still, however, check your sperm count by a semen analysis report. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician
| 193,175 |
What does abdominal pain with headache in lower back of skull suggest?
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Patient: 2 days ago, I Started off with left side abdominal pain that ends up goin to my lower right quadrant and across the lower abdomen above pelvic area. Followed with a severe headache in the lower back of my skull. What could this have been? It was the most intense headache and abdominal pain I have ever had. Also I had a fever. I could not even move without intense pain. I didn't have any nausea or vomiting just pain. Doctor: Hi ! Good morning. i am Dr Shareef answering your query. Most likely you have some intra-abdominal infection amongst which appendix is on the top of the list, and next it might be a UTI (Urinary tract infection) or a pelvic infection in case of females. Whatever be the cause, it needs a clinical assessment of the problem with related investigations, and so you have to show yourself to your family physician/nearest ER of a hospital at the earliest.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.
| 90,924 |
What causes ear bleeding while suffering from viral meningitis?
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Patient: i was hospitalized for three day from june 5th through the 8th i was diagnosed with viral menengitus.....for the past three days my ear has been bleeding and hurting and now i cant hear out of it and my neck is starting to get really stiff again and the top of my head feels like ive been beat....should i go back to the hospital? Doctor: Thanks for contacting HCM I am sorry to hear that you have been having bleeding from the ear after having viral meningitis. I recommend that you seek medical attention. this could be as simple as an ear infection or onset of another type of infection or bleed.Hope this answers your question. Please contact us again with your questions and concerns
| 38,221 |
Unprotected sex, sharp needle pain on back, cramps, appetite increased, e.p.t negative. Suggestions?
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Patient: Hi, my friend thinks she's pregnant. She's been close to 2 weeks late for her period. She's had unprotected sex twice. And she's constantly getting sharp needle pains in her lower back and cramps daily. *she only gets cramps the DAY OF her period*. Her appetite has increased and so has the use of the restroom. But she took 2 e.p.t and they both came out negative. Do you have any suggestions on what it could be? Or do you think she is pregnant? Doctor: Hello,Late conception has to be ruled out by one blood test for beta-hCG if she took 2 pregnancy tests in very early weeks.Other possibilities are PMS, pelvic or urinary infection, endometriosis etc. Here, I suggest to undergo one pelvic USG scan and urine test - routine & culture to pinpoint the diagnosis. Kindly, consult with her doctor for proper examination.In the mean time, she must take balanced diet, drink plenty water, keep bowel habit regular, take some anti-spasmodic medication (drotaverine) and apply muscle relaxant gel on the back/ take hot compression. Good luck.
| 4,795 |
What is mode of transmission for herpes virus?
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Patient: Hi.....if a person does not have visible herpes sores what are the chances of receiving the virus from kissing or touching. I am assuming that you would need to have skin to skin contact with the active virus. Would there be transfer possible from intimately touching a womans vagina with your fingers? If so I am also assuming that you would then need to touch yourself at a potential point of virus entry (eyes nose etc) before you washed your hands. Doctor: Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you that if you had touched the vagina virus had implanted on your skin whether patient has symptoms or not. such virus can be implanted on skin also there is no need to have potential weak space. And if the hosts immune system is compromised than you should be infected with HSV and you got symptoms of HSV also.I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease.
| 37,738 |
Why would one experience lower back ache after taking Ipill post unprotected sex?
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Patient: hi,i am a 22 year old girl. 1 month back i had to take ipill due to unprotected intercourse..since then i have developed lower backache problem..its getting severe from past 2 days..my diet is also not good and my weight is 40kg which is very less.. from two days m having severe backache n fever..please suggest the cure for this problem.. Doctor: These pills have high doses of hormones and it can cause severe spasmodic pain. You can take meftal spas tablet if pain is very severe. Also i would recommend you to see a gynecologist and get ultrasound to confirm that there is nothing is left in your uterus like blood clot which can cause such pain.
| 224,940 |
Is recurrent, temporary and painful lump in breast a cause for concern?
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Patient: I woke up this morning with a big lump in my right breast. The lump is as big as a golf ball. It is painful. I had this happened before about a year ago, the lump was in my left breast then and it was way bigger. I figured it was exposure to mold. You see, we rented a home in Missouri and they did not have a good air circulation. As a matter of fact no windows in the bathroom and the exhaust fan was not working. After each shower, the carpet will feel damp. Few days later, a smell of mold (spores) became very strong. That s when the lump appeared. After we vacated the house, few days later the lump subsided and never returned. Will this be the same phenomenon? I am 49 years old, all my mammograms have been normal.mary Or should I see the doctor now? Doctor: Hello hope the answer helps you.As far as my understanding madam all your screening mammograms are normal but recurrently having painful breast lump I dont know whether associated with nipple discharge or any weaping ulcer there and you found that after leaving that non ventilated house it settlted but usually such infections are more common in diabetics and immunocompromised people if you are smoking it can cause inflammation of breast ducts and stasis of secretions as PERIDUCTAL MASTITIS.yOU TRY A COURSE OF ANTIBIOTIC AS amoxyllin plus clavulanic acid 1gm bd for 7 days with some analgesic and hot fomentation and soft bra wear take it out at night.If not settlted madam than consult breast surgeon kindly
| 61,700 |
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