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What causes painful lump on elbow?
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Patient: I have a small pea size lump on my elbow under the skin. It is hard and I can move it a little. It shows when I bend my elbow. It is painful without touching it but even more so when it is touched. There is no broken skin and I did not hurt my elbow. It has been like this for about 2 weeks. What kind of a dr should I see and what is it and what can be done to stop the pain? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some soft tissue tumor like neurofibroma or lipoma. You should go for fine needle aspiration cytology of that lump. It will give you exact idea regarding cause. Then you should consult general surgeon and take treatment accordingly. Most of the soft tissue tumor needs surgical excision only. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 66,690 |
Suggest remedy to improve appetite in infant
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Patient: my 7 month old baby initially started eating but after 10 days it is not at all ready to swallow ,it just keps the food in its mouth .when i insists it to eat it starts crying then the food gets in but i feel very sad for my baby she swallows her food only if she is crying otherwise she keeps it in her mouth please help me regarding this....should i give her any tonic or medicine please help Doctor: Hello and welcome to healthcare magic.The condition you are describing is very common when baby is being shifted from milk to solid diet.Don't worry he will adjust gradually to this new feeding style.Meanwhile try these tips*Don't force your baby to eat otherwise he will develop food aversion.*Offer only one food everyday.Otherwise he will develop choices.*Try some talking/Dancing toys to distract him while feeding.*At first give very thin custard/cereal gradually make it more solid.*Reduce the amount of milk you fed him earlier.So he will develop fondness and apetite for solidHoper this answer is helpful.Good luck.
| 164,879 |
How to get rid of throat infection?
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Patient: i am suffering from throat infection.today i am into 2nd day.now i have started getting a bit of headache.what medicine can i take? i have already taken 'nivaran' sachets (herbal medicine) 5 times since yesterday. i have also gargled salt water but still it prevails.please help. Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that you are suffering from infection in throat and it can be caused due to bacterial or viral infection in throat leading to Pharyngitis or Tonsillitis and even the headache is also due to it..Nothing to worry, you can take a course of antibiotics like Levofloxacin or Azithromycin, take anti-inflammatory painkiller like Ibuprofen, do warm saline gargles and steam inhalations. Use a humidifier in your room..You can suck throat lozenges and chew vitamin C pellets..Drink plenty of warm fluids and take sufficient rest..Avoid spicy and chilled foods..Hope this information helps..Thanks and regards.Dr. Honey Nandwani Arora.
| 32,165 |
What is the dosage of Clonazepam?
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Patient: Hello, I am a recently retired pharmacist and my wife has been diagnosed for close to 20 years with anxiety and panic disorder, and is OCD and ADD. She has been on clonazepam for the entire time (since before I knew her). She states they tried her on Prozac and other medications that did not work. Her doctor had written for her to take 1 tablet three or four times a day as needed. She rarely takes the fourth tablet unless she is having a panic attack. Up until July this year, she was always given 120 tablets for a 30 day supply and she never used them up because she rarely took the 4th pill. Now since, July the pharmacy will not allow but 90 tablets which will cover 30 days if she does not have a panic attack, but if she needs that 4th tablet, then she runs short. Has there been a change I am unaware of in prescribing and dose recommendations, or is it all due to PBM s exerting their control? Doctor: In my opinion she needs to check the thyroid levels, hemoglobin levels and sugar levels. She needs to try once more the other medications which will help her to taper the medications like Clonazepam.
| 204,790 |
Suggest remedy for lump on chin due to injury
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Patient: I tripped and landed on my chin it was scraped a bit from the carpet and bruised within 8 hours. there is a hard lump on the tip of my chin now and was wondering if the bump is just tissue or possibly a chip it is moveable but not a tone of pain unless i press on it what do u think Doctor: Hi Dear,welcome to HCM.Understanding your concern. Thanks for your query . The lump after injury is a common thing . The most probable reason for the lump is soft tissue injury and formation of hematoma . It is the collection of blood under the soft tissue due to rupture of blood vessels .I would suggest you to give cold compresses to your chin to relieve the selling ,elevate you head above your heart while sleeping and take ibuprofen (if not allergic ) or paracetamol for pain and swelling . Also get a tetanus injection.If condition doesn't start getting better then consult doctor or surgeon for proper examination and treatment . Doctor may perform physical examination or order X-ray to rule out cause like fracture or infection and treat it accordingly. Doctor may prescribe antibiotics or fix the fracture if it is there . Hope your concern has been resolved.Get Well Soon.Best wishes,Dr. Harry Maheshwari
| 64,536 |
What causes lower back pain radiating to the groin and testicles?
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Patient: hi good night to you sir,,, i have been in pain in my lower back the pain radiates to my groin area and shoots through my testicles..,its started about a week now ,,i am 46yrs old,,,,an schedule for an ultrasound and a prostate antigen,i was wondering if this is a disc problem,,,,,,what your view sir,,, thanks in advance Doctor: HiAn MRI for lower spine,hip, prostate can give a clue to root cause.consult a urosurgeon if psi is positive.Advil or Motrin tabs thrice after meals may help.watch your urinary frequency,any burn in urination,and also if movement of spine is bringing on pain.
| 106,946 |
Very early periods. History of having protected sex. No pain while urinating. Possible pregnancy?
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Patient: Hello, I hadn't seen my boyfriend in over 2 months and got to spend the weekend with him. We didn't have sex, but because he had a condom on to prevent anything from happening (I'm not on any BC), he he went in and out once. We did a lot of other things, but were careful. I'm worried because I had my period a week and a half ago and for some reason I got it again monday morning (2 weeks early). It doesn't hurt or anything when I pee so I don't think it's a UTI, but I'm worried. Could I be pregnant? Doctor: Hello,To rule out pregnancy, you need to undergo one home pregnancy test. Though, chance of pregnancy is very rare without proper ejaculation. Condom has failure rate near abut 15%.Irregular period occurs due to hormonal imbalance, stress, pelvic infection, ovarian cyst etc. Kindly, consult with your gynecologist following above test.Take suggestive treatment accordingly. Practice safe sex in future. Good luck.
| 5,001 |
What causes non implantation here?
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Patient: hello doctor i am 28 yrs. i got married April 08. I miss cur-ridge of 3 months nov 09 and after that i not pregnant till now and y that time i take home medicine(desi medicine ) by my family recommend me but i do not get same. After that i took check by the doctors and the tests of me and my husband. My husband report is normal (65% active 20% sluggish 15% dead) and mine ABO-RH TYPING , TORCH PROFILE, THALAISEMIA PROFILE & APCA ALL are the normal doctor says me that i am normal and now i am puzzle for what to do 1.5 year gone please suggest me what to do.. Doctor: Hi, I understand your concern..You have an unexplained infertility. In this case take an ovulation induction drug from the second day of the periods for 5 days and follow up with follicular study to know the time of ovulation so that you have timed intercourse. Take progesterone in the second half of the cycle. Continue this for 6 cycles. IUI can be done after 3 cycles. Eat healthy, avoid excess weight gain. Hope i have answered your queries.. Good day..
| 42,211 |
Pain in right side, diarrhea, vomiting, back pain, done appendectomy and hysterectomy
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Patient: my sister just called me. she has been having pain to her right side for 2 days now (her appendicts has been removed and she has had a complete hysterectomy ) then this afternoon she started having watery diarrhea at least an episode every hour, vomiting , yellow in color and now severe pain to her back. I am 3 hours away and she wont go to a doctor. need some advice Doctor: Hi Welcome to HCM. This looks like gastro enteritis due to food poisoning. She needs oral rehydration solution if she is able to retain, otherwise needs intravenous fluids to prevent dehydration with its associated side effects. Regards
| 94,745 |
Is the fungal infection due to fluconozole-resistant candidiasis?
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Patient: my son returned from the middle east with a fungal infection that I caught from him. I have been on 100mg fluconozole/day for 20 days. I had terrible burning and itching vaginally and anally. It went away about 90% after the twenty days. However, 2 days after the end of the regimen, the pain began again. I saw filaments in my urine and stool when the infection was the worst a few weeks ago. We ve been to an Infectious disease doctor and have been checked for bacterial and parasitic infections- both were negative. Is it possible to have a fluconozole-resistant Candidiasis? Doctor: Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you that some candida like C. krusei are resistant to routinely prescribed fluconazole. If you have acquired infection form this strain of candida it will be resistant to the drug and the effect will not be produced. I suggest you to do culture and sensitivity of the yeast along with Grams staining.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.
| 38,040 |
What causes orange tint in my tongue?
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Patient: ive noticed the last five days my tounge has a orange tint to it ..it does not come off with a toothbrush .. by the end of day its darker .. i have not changed any habits of mine .. should i be concerned or is there something that i can do to get rid of this ? Doctor: Hello!Welcome to HCM.Orange color can be because of chromogenic bacterial growth.You did not mention your general health and if you are taking any medication.Do not use caffeinated beverages.Reduce consumption of alcohol and tobacco.Use a mild mouthwash.increase water intake(3 liter per day).Use a tongue blade and maintain proper oral hygiene.Consult your general physician if this persists more than a week.Regards.
| 185,644 |
Applied icthammol on big painful skin abscess in groin area which has started to drain
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Patient: I have a skin abcess in my groin area. I applied icthammol and it came to a head. The size of the boil seems to be a big as a baseball. It is painful and now my scroutum feels like it is filling with puss. It has started to drain but at a very slow rate. Doctor: Hi,from history it seems that abscess is fully formed and now it has to be excised and drainage of pus is required.consult your doctor and get examined.Ok and take care.
| 203,404 |
What causes low hemoglobin level?
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Patient: HI, I'm a 28 yr old woman. I recently went to skin specialist for treatment of acne. The doctor suggested some blood/urine test. In the test the haemoglobin level shows as low at 11.7; ESR - 56; testesterone value -120. Urine appearance as turbid, bacteria-present, Pus cells - 20-25/HPF, Epithelial cells -6-8/HPF. Request your rough diagnosis Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. You are suffering from urinary tract infection with mild anemia. 2. You need to get a urine culture and sensitivity test to identify the type antibiotics needed for treatment.3. Get a hemogram done to identify the type of anemia. Start on iron and Vit B12 therapy. Testosterone is increased and possibly the cause of acne and needs to reduced. Eat nutritiously with less oilHope it helps.Any further queries, happy to help again.
| 116,478 |
Can swollen face and puffy eyes be due to fluid retention?
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Patient: I woke up with face and eyes swollen. i keep getting hives but this is not allergy related. they keep treating as such but in know it fluid retention. its either from heart or kidneys. my son is a kidney transplant and this was happening to him. my heart has enlarged 3 times its size in 3 weeks what do you think Doctor: Hi,Yes swollen face, puffiness of eyes with enlarged heart may be the signs of fluid retention.Fluid retention may be due to-1) Kidney problem2) Heart Problem (decreased hearrt pumping).3) Liver problem.4) Severe anemia (low hemoglobin). In case of allergic reaction swollen face and puffy eyes may be there but not the enlarged heart, though concomitant presence of heart problem with allergy may rare possibility.I want to know-1) Presence of heart problem, diabetes, high blood pressure, cholesterol problem.2) Any medicines are you on.3) Any symptoms of difficulty in breathing at rest or on walking, decreased urine output.4) Changes in sleep habit any breathing difficulty in lying down position.5) Cause of kidney failure in your son.6) Habits like smoking, alcohol.I would like to advise you to consult your doctor and get detailed clinical examination done.Following investigations help in establishing the cause of fluid retention1) Complete blood count.2) Kidney function test, liver function test.3) Urine examination including urine protein.4) Ultrasound for kidneys and liver.5) 2DEcho & EKG for heart.Depending upon clinical examination and test result further treatment can be planned.
| 48,147 |
Suggest treatment for blockage in coronary arteries
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Patient: My mother got the severe heart blocked few weeks before.Doctor said she got 100% Blocks in 3 ,in the coronary arteries and they adviced usfor Bypass.Is there any chances of solve this problem without Bypass like EECP,Inject of Bio-chemicals fluids ? Can Iget my answer? Said,Toronto Doctor: HelloYour mother need urgent medical attention and an early bypass surgery because having this critical blockage in all three coronary arteries is life threatening. You should follow the advise of your treating doctor and take her to a cardiac center for early treatment.No there is no other treatment option other than surgery.May God Bless her.Regrads
| 19,884 |
What are the symptoms of potential pregnancy?
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Patient: I had sex with my boyfriend two times in the middle/end of July. He penetrated me for a short period of time then pulled-out put on a condom re-entered and finished. I had recently finished my period and have not had one since (making over a month and almost a half without my period). What are the chances I am pregnant? Doctor: No you are not pregnant if you had menses. Finally end with 'Hope I have answered your question. If you have any further questions I will be happy to help". For Follow up questions, end with "If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health".
| 220,445 |
Suggest remedy for vomiting,pain in abdomen area and recurrent fevers and chills
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Patient: Hello sir, my relative has been experiencing vomiting and pain in the abdomen region... the reports showed that he had about 20 kidney stones and very low platelet count. Hes also getting recurrent fevers and chills... so the doctors suspect an infection and blood is given for testing. i would would be happy to get some advice. Doctor: Hello, Thank you for your contact to health care magic. I understand your concern. If I am your doctor I suggest you to go for Blood for Culture and Urine for culture and sensitivity. Take the treatment according to the sensitivity report, patients infection will than go away.I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you.
| 37,947 |
Why does sperm comes out through penis during bowel movement?
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Patient: Sperm comes out thru Penis during bowel movelment? Hello, I m an unmarried man, age 22. Most recently when I go to toilet and try to press bowel movement, on the very first initial press before bowel comes out, I can see that sperm comes out thru my penis. It happens only once on each time I go to toilet. For instance say if I spend 5 minutes for bowel movement, it only occurs during first 10 seconds with first press to muscle. Any thoughts or suggestions, please?. I do NOT have any sexually transmitted disease or any other problem or any other issues with penis. And there is no irritation while sperm comes out. It just happens automatically even w/o the penis being getting hard. Also you know, I m not trying to get it hard during bowel movement. So it happens automatically. Any help or thoughts will be appreciated. Doctor: Thanks for asking in healthcaremagic forum It is not possible to semen to come out unless you are excited/have neurological illness. SO, please visit an urologist regarding this for examination and further management. All the best.
| 200,518 |
Suggest treatment for a lump in the pubic hair area
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Patient: I am 51 yrs old -- male. I have had problems with prostatitis before. Now I am very worried... I just found a lump (gumball size) on my left side in pubic hair area. It is causing a lot of pain in that area. Also the pain seems to be radiating outwards. This seems a sudden thing. Produces a pulling or tugging type of pain. Seems to be an infection type of fighting off feeling in my whole body. Also seem to be urinating more often. I am just surprised by the size of lump + the suddeness of it!! Also the pain aspect has me worried. I have no $$, no job, + no insurance -- so going to the doctor is not possible right now. Doctor: Hi,Good Morning,Thanks for your query to My-HCM Clinic.I studied your query in depth.I understood your concerns.My opinion on the pubic lump is -Direct inguinal hernia-which popped out suddenly.-This is known to cause the pulling/stretching pain / and radiating pain also. -Frequent urination confirms-with this lump - that its -Direct Inquinal Hernia and not a infective lump of the pubic are.-Treatment -would be-a-Consult a Surgeon and confirm its diagnosis.b-USG would confirm diagnosis-but not essential.c-Even simple rest and Tight underwear with brace support would help you.d-Or Simple Direct Inquinal hernia-brace or support would take care of this lump.And there is no need to spend on urgent doctor consultation.But planned care with ER-surgeon,with watch on the lump symptoms is a must in long run. -Hope this would help you to recover from worry-some query.Wish you a Fast Recovey.Wellcome to HCM again.
| 64,360 |
What is the painful small pit on the side of my gum?
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Patient: I have a small pit on the side of my gum, in the back, on the side of it by where a Wisdom tooth would form about the size of a canker sore. It hurts like a canker sore, but it's pitted and there's no white area on it. What is this? YYYY@YYYY Doctor: thanks for your query, the pit kind of thing could be a sinus tract or healed sinus tract. or just a opening where the wisdom tooth is penetrating the gums to erupt...consult your oral physician to confirm these thing..i hope my answer will help you..take care
| 186,653 |
What causes breathlessness, chest spasm and severe headache?
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Patient: i m suffering from breathlessness,chest spasm and severe headace,with cold and cough in my chest for a long time, what medicine should i take ??? age 32, 5 feet 7 inches tall, weight 75 kgs. i had severe headaces last year which was treated successfully with just sumocold tablets. now i have breathing problems also. Doctor: Hello and thank you for asking in HCM. I can understand your concern. Before taking any medicatio better to do some tests to.exclude lung problems as follows:Chest X Ray CRPBlood count Spirometry if needed EKGAfter taking the result you can see a GP for the treatment but until then you can try paracetamol or ibrufen pills twice per day.Wish you a fast recovery. Thank you Dr Jolanda Pulmonologist
| 75,228 |
What medication is suggested for brachial plexus?
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Patient: Hi my name is Debbie, last Oct I was in a car accident, had a few problems with back and neck. I have had so many MRI s, xrays, cat scans. I have been told by a neurologist that I have brachial plexus. I had a nerve conduction study done because they thought it was carpel tunnel. I have been have numbness from my shoulder, under my arm, and down to my right hand for 3 months now. It really is making me nervous because this doctor told me there is nothing to do about it except sit it out and it may take up to a year to heal. the pain is nonstop all day and night. I find myself pulling my arm to my chest and raising my shoulder up to ease the pain. That last about 15 seconds and it comes back again. The doctor that performed the nerve study is not my favorite doctor, I have seen him before, years ago for neck pain I stopped going to him because he was not helping me at all. The neurologist I am seeing now is the chief of neurology at one of our hospitals in my town. He was suggested to me by a friend. I do like him but I am not sure I agree with him on this. When he called me he said the report that the doctor who gave me the test said it was not carpel tunnel. I did mention to the chief that I do not care for that doctor I have seen him before and I do not like him. The chief said well than in a couple months go to another neurologist for another nerve study in 2 months. This makes absolutely no sense to me. I am in constant pain and feel like no one is listening to me. I really do not know what to do next. One reason I am so concerned is that 15 yrs ago I hurt my back, went to see about 8 doctors, no one wanted to touch the problem well one doctor wanted to put me in a full body cast for a year. They are all nuts. I went to Johns Hopkins in MD. The chief of orthopedic said looking at all the paperwork & xrays the whole thing he said the doctors in my area are barbaric. I had the surgery performed there and have been great ever since. I need a spinal fusion. If you are wondering I live in Clarks Green Pa. the biggest town near me Scranton Pa. I would love to hear your feed back. Thank you for taking the time to read this. Debbie Doctor: Basically your nerologist is right whrn he says that you have to sit it out. The pain caused by Brachial Plexus injury is sometimes quite severe and may not respond to usual Medicines. Some medicines like gabapentin may help. You should discuss this with your neurologist
| 132,246 |
What is good for lower back pain?
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Patient: what is good for lower back pain Doctor: Hi,Tanesha Jhonson, You have not mentioned your age, If you are aged then there may be some degenerative changes in your lumbo sacral region causing this problem. you do back extension exercise daily, Do not bent front mire, Walking daily about 1-2 km . O k and bye.
| 114,099 |
Abdominal pain after a fall during hiking. Should I be worried about internal bleeding?
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Patient: I went hiking yesterday, and during the hike, i managed to trip over a fallen over tree. I landed hard on the ground, which was mostly smooth flat rock, atop my water bottle. My water bottle was in my stomach pouch of my sweater. my abdominal area has been giving me sharp to dull pains ever since, and i was unable to sleep well because of it. i am 18, 5 4, and 289 pounds. i have no serious illnesses, except a slightly high cholesterol level. Should i be concerned about anything serious like internal bleeding or such? Doctor: Hello dear,The pain in abdomen can be attributed to:1. Muscular pain: due to compression of the abdomen musclesIt can be taken care of by application of topical analgesic & muscle relaxants, adequate rest & application of ice.2. Internal bleeding or injury to internal organs: it can be detected by Ultrasound scan of the abdomen & pelvis.If any injury is noted, it should be managed immediately.So, it will be better to start with topical analgesic & muscle relaxants. If symptoms still persist, kindly get an Ultrasound scan done.There is no need to worry, you will be fine.Wishing you a good health.Take care.
| 92,921 |
What is the treatment for a lump in the arm pit?
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Patient: I ve had a dry cough since Christmas, worse over the past three weeks, also recently noticed a lump in my right armpit (3wks) that is increasingly worrying me having experienced tingling, numbness and paraesthesia in my right arm(@1wk). Its the worrying sensation in my right arm felt this past @5days that is very disturbing. Doctor: Hi ! Good evening. i am Dr Shareef answering your query.If I were your doctor, I would advise you for an X ray chest, and routine blood counts including ESR. The lump in your armpit must be big enough to put pressure on the nerves around that area which is causing the neurological symptoms on your right arm. If needed, I would not hesitate to refer you to a surgeon/medical specialist who after a clinical examination, might go for a FNAC of the lump, or an MRI of the chest wall including the axilla, which would let us know the nature of the lump. Further management would depend on the reports of investigations done so far.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.
| 70,202 |
Suggest treatment for penis enlargement and premature ejaculation
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Patient: Hi, my age is 31 years. My parents is finalizing my marriage in next September. But I am afraid as my penis size is only 4.7 inch at full erection and during masturbation i usually ejaculate within 40-50 seconds. Moreover i think my ejaculation will happen during foreplay or just watching my naked wife . I have no practical sex experience before. Please suggest me Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I can understand your concern about size of penis and fear of early ejaculation with partner. Penis size or circumference has no effect on sexual satisfaction of either partner by penis-vaginal containment. Only lower vagina (outer 1 and half inch only) has nerve fibers. Inner vagina is largely insensitive and lacks nerve fibers. So, to arouse the partner during vaginal containment, you should focus only on outer vagina. For this erect penis size more than 2 inches is more than enough. Fear of early ejaculation does cause it. Once you engage in sex with partner you will learn gradually. You may consult psychiatrist for same.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chintan Raval
| 196,696 |
Suggest treatment for chest pain with protruding ribs
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Patient: Hi, im a 27 yr old female and over the past 2 yrs i have been getting left sided chest pain, and pain in my left rib that also radiates to the back. my 3rd rib is protruding as that's what my doctor said. i feel breathless n i get skipped hb everyime i get pain in that rib. I have had x rays done but everything seems normal. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Mild Breathlessness, skipped heart beat, left sided chest pain etc can seen in arrhythmia (rhythm disturbances in heart). So first get done ecg, 2d echo and Holter monitoring (24 hours continuous recording of ecg). If all these are normal then no need to worry for heart diseases. In my opinion, your pain is mostly due to musculoskeletal cause. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Apply warm water pad on affected areas. Take painkiller like ibuprofen. Sit with proper back and chest support. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 75,902 |
Could i be pregnant with chocolate cyst ?
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Patient: hi am anu married since 8months my LMP is 24/3/2011.i did TVS last month it showss bilateral chocolate cyst abt 2cm i want to knw wther am ovulating and try for baby this time Doctor: Hi Welcome to HealthcareMagic As cysts are small ( 2cm) and normal ovarian tissue is also present . Ovulation can occur in cases of bilateral chocolate cysts also so keep trying. Take care.
| 44,884 |
Suggest treatment for eye infection in infants
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Patient: My 18 month old appears to have an eye infection in his left eye and a fever of 103. What can I do for him? I ve given him tylenol for the fever and will be giving him ibuprophen alternately (he is teething-3 molars at once) but I don t know how to treat the eye infection/ Doctor: Dear Parent,The symptoms suggest that your child may be having a viral/ bacterial infection and needs to be seen by a pediatrician for the diagnosis and to know if antibiotics would be needed. In the meantime you can use general hygiene measures like clean his bedding, use a separate towel for the infected eye, wipe off the discharge from his eyes with cotton and lukewarm water.
| 164,714 |
How to normalize increased creatinine level?
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Patient: Dear Sir,I am 33 yrs old male, was diagnosed renal parenchymal disease two yrs back and since then I was under treatment. At that time my creatinine was 4 and I was taking medicine, Alphadopa 500, MinipressXL5, Amloguard 5, Dytor 10 and the vitamins. But the creatinine level increased each month and it reached up to 10 and my Nephrologist advised me to go for Dialysis. I am on dialysis now since six months but the condition never improved. Now my thighs are jammed and I am unable to walk freely. My BP is always high like 140/95.Pls advise me whether it is curable or not? And also advise me what should I do next to survive healthily? Doctor: Hello,You are suffering from chronic kidney disease(CKD). it's a non reversible disease in which both kidneys are affected leads to reduction in kidney size along with decrease in function. When kidney function decrease less than 30% then dialysis is the mainstay of treatment to washout the toxic products. But dialysis is not the cure of this disease. In fact, dialysis only helps to improve your quality of life and decrease the morbidity. According to your description, you are too young to develop this disease. Generally this disease occurs in some high risks like Diabetes, Hypertension, connective tissue disorders.As your blood pressure is high but CKD itself leads to high blood pressure so your medication is good according to your disease. If BP is more than 140/90 then increase your Tab Arkamin 0.1 mg thrice a day.So there will be two approaches. First to manage regular dialysis to keep your serum creatinine lower side along with improved quality of life. Second is to find out the exact cause for CKD in this young age and treatment according to that. And for future, if possible then think of kidney transplant also for permanent treatment or in your word for cure of this disease. Thank you
| 46,271 |
Suggest medication for heart failure and anemia
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Patient: i was diagnosed with heart falure and anemia,kidney disorder,history of acidosis a month ago. my question is why have"nt i been prescribed something for this anemia which i never knew i even had?i'm taking plavix,blood thinner,water pill,liportor,blood pressure pill.why nothing for the anemia? Doctor: Hi,Anemia in your case can have different causes. It can be as a cause of kidney disease, also it can be a result of malnutrition. In case it is mild anemia and related to malnutrition, it can be corrected with appropriate diet and there is n need for treatment. But if anemia is more than mild, it should be treated. I don't know your data, so I can't answer why you weren't prescribed a medication. I would advise you to discuss this with your doctor.Hope I could help youWishing you good healthIn case of further questions don't hesitate to askRegards,
| 27,571 |
Losing weight, severe pain in movement involving right hand. Taken gall bladder stones. Any ideas?
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Patient: i have been losing weight and have gone from 145lbs to 103lbs in the past few months . If I do any movement that involves right hand my right upper ribs are in severe pain and it goes around the back . It is severe pain . I had my gallbladder taken out last year , but the pain is still there. I just had tests done but no one has really told me anything yet and I am afraid I am turning into the incredible shrinking woman. I just want to know what"s wrong ? Doctor: Hi, the problem might be the adhesions of the gall bladder surgery. other cause could be the cervical spondylosis. I advise you to consult a physician for diagnosis and treatment. You carry on with your treatments. besides i advise you to avoid spices, junk foods, and oily foods. I to my patient with such chronic symptoms prescribe neurotropic injections , on a regular basis every 3rd day. Thank you.
| 58,314 |
Is Colicacid drop safe to give an infant?
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Patient: hi this is riya .doctor i wanna ask ..my girl baby from birth not havin bf...as i don t get much feed so she is on nan pro 1..60 ml..only..now she is one month 14days....how safe is this....do babies become fat..some times she vomits..and cries at lot in evenin..so my doctor had suggested to give colicacid drops 7drops in one time...how safe this drops....doctor also i wanna know from when i can start seralac and other small food stuffs and juices..for baby....thank you....waiting for reply... Doctor: Hi It is well proved that breastfeeding is the best for the baby. No brand of powder milk can match it. It's sad that you are not able to give breastfeeding to your baby. Did you ask your doctor or a lactation consultant for guidance regarding decreased milk? I suggest you meet one if you haven't as we need to examine you and find why you don't have enough milk. Also some medicines can be given to increase mother's milk. Colic aid drops can be safely given to the baby for crying which is commonly due to colic. Foods other than milk can be started at 4-6 months after birth. Since your baby is not getting mother's milk, they can be started after 4 months safely.
| 175,812 |
What is the stage of cancer my brother is having?
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Patient: I took my brother to the cancer doctor today which they found a spot on the right side of his stomach above his belly button and to the right..He said that Parks had a 2.1 and they would do x-rays on him 5 x a week for 5 weeks. The only thing I didn t ask was--is a 2.1 centimeter stage 1-2 or ???Can you help Doctor: If its skin cancer on the stoach region you are talking about , its stage 2 .But lymphnode postivitivty also changes the stage . get more clarity on this aspect from your doctor.
| 155,978 |
Suggest treatment for pinched nerve in my lower back
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Patient: HI, had hip replacement surgery 9/23 and 58 yrs old. through a process of elimination the crazy pain I have is a pinched nerve in my lower right back. Dr. says next step is to MRI the spot. I have to work what can i do for myself to help remedy this?Thank you,Donna Doctor: Hello!Welcome and thank you for asking on HCM!I agree with your doctor that a MRI would help examine better the nerve compression. A nerve conduction study may also be helpful. Meanwhile, I would recommend starting therapy with gabapentine or pregabaline for the pain. These two antiepileptic drugs can be really helpful in nerve pain from different causes. They are usually well tolerated in every age. Physiotherapy may also be helpful. You should discuss with your doctor on the above issues. Best wishes, Dr. Aida
| 143,402 |
Feeling dizzy, numb arm, problem with reading words. What could this be?
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Patient: Hello, Today In School I Went To class feeling fine. As the day went on I felt very dizzy and my arm was numb. I was having problems with reading words and I couldn't hear my voice clearly when I spoke. I eventually got sent home sick as I got sick. I really am confused about what happens please answer thanks. Regards Conor Doctor: Hi! welcome to HCM! Dizziness is a common complaint in people having low blood pressure. When the blood pressure is too low, not enough oxygen-rich blood is being delivered to the brain, and its function can be affected. Low blood pressure may be the result of an underlying illness or disease, or it may be a normal physiologic condition may be due to sleep deprivation.Good sleep of at least 6 hrs is required for a person to feel fresh and healthy. Some common reasons for low blood pressure include the following:Anemia ,dehydration, Fever also can cause a significant amount of water loss due to increased metabolic rate and excessive sweating as the body tries to cool itself.Anxiety can also cause dizziness and blurred vision.so be relaxed! hope this helps you!take care
| 148,810 |
Suggest diet for a patient with renal failure
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Patient: my mother is 48,she is has gone through two operation of gole stone and uterus in same day after that,doctor said she has a acute renal failure now she is in dialysis thrice in a week.and recommended to take potassium less diet. please allow me the diet chart. Doctor: Hi and welcome to HCM. As an Urologist and kidney transplant surgeon, i can understand your anxiety.Diet is very important in renal failure patients.1. salt restricted to 5gm/ day. No added salt while eating food.2. 40gm protein/ day. Avoid red meat totally.3. 2000 calories / day in an adult,but adjusted according to body weight.4. No fresh fruits or coconut water,as they're potassium rich.!!5. Fluid intake should be strictly,urine output plus 400 ml/day.If you've any other doubts,send a direct question,in my name.Dr.Matthew J. Mangat.
| 46,339 |
Suggest remedy for lumps in jaw
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Patient: I have a small lump under the left side of my jaw that I can move to the outside of my jaw. Its a little sore but nothing unbearable. My mom says she gets thoses sometimes too. I ve had this same lump before on the same side but they have always gone away after awhile. Any idea of what this is. Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have some reactive lymphnode or salivary gland inflammation. You just need a course of antibiotics. Mostly your lump will go away. If it doesn't respond to treatment then biopsy diagnosis is advisable. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 67,822 |
Suggest treatment for lower back pain
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Patient: hi doc...just from yesterday evening I am experiencing a lower back pain....I thought its due to fatigue and will go away in the morning...but its agravated in the morning....even to breathe I am having pain...while lying down in bed its paining....its paining the most when I am beding my back and trying to pick something from the ground....when I am standing I am the most comfortable...what should I do...and what doctor should I consult....Dipanjan,M/30 Doctor: HIWell come HCMThis could be due to spinal disease, better to get done the x-ray of dorsal spine to rule out the disk degenerative disease, if this comes normal then pain may be due to poor posture, till then you can have following medicines 1) Tab Diclofenac 50 mg once in day 2) Tab Acetaminophen 500 mg once in dayin case of some spinal disease you have to see the orthopedic surgeon, have a nice day.
| 109,455 |
Suggest treatment for lower back pain during pregnancy
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Patient: I m a dance and aerobics trainer. I am now pregnant 2nd time after a gap of 6 years. How healthy will my pregnancy be? What are the precautions i should take? i have already low back tensions and aches. Should i b worried? Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic.I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options.Please do not worry.I would like to know your pregnancy duration, in terms of months or weeks.1] Even if there is a gap of 6 years , you need not be worried about present pregnancy. 2] About the precautions to be taken in this pregnancy- Indulge in routine exercise and healthy diet regimen.Avoid fried foods, Salty foods, refined sugars Include more portions of fruits, vegetables and salads in diet.Drink plenty of water. Please start on B 12, folic acid till 14 weeks of pregnancy and later on ass Iron, Calcium and Protein supplements.3] for low back ache, adopt right posture , avoid bending and lifting weights. Apply local analgesic ointments. 4] Once again, do not worry; all things will be fine.May God bless you with a Bundle of Joy. I hope my answer helps you.Thanks.Wish you good health.With regardsDr Purushottam Neurgaonkar
| 220,404 |
How safe and how long primolut N to be taken for PCOD?
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Patient: hi , i am 23 of age , doctor said i have PCOD, got 8 months treatment , but thats not working , so i was suggested to take primolut N.... every Month till my marriage . So my question is , is it safe , as i am facing high rate of weight gain .. ? and do i have to take this for old age age Doctor: Hi,PCOD is very complex disease and treatment response is variable. It cause hormonal imbalance, menstrual irregularity, insulin resistance, and weight gain. Your weight gain could be due to insulin resistance. Proper treatment after USG scan and ovarian follicle study under advise of experienced gynecologist should require. You got 8 months treatment. Generally krimson 35, primolut N in second half, metformin may be used. You can use primolut to see the effect. Along with that you can continue metfoemin. Treatment response is variable. Undergo USG scan and ovarian follicle study regularly to see the effect. You can also try clomiphene citrate, HCG injection for fertility. Avoid stress, take healthy diet, drink plenty of water, do regular exercise and maintain weight according to BMI less than 23.9.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar
| 2,940 |
Does color rise in hair of a cancer patient cause any side effect?
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Patient: I am a nurse educator at a cancer center, and have a patient who is receiving Folfox. Although she has not lost her hair, it has thinned. She did ask about using a hair dye, and we advised against it. What about a color rinse. Would this still be considered in the same category, and cause undo side effects. I was unsure. Thank You Doctor: Hello, I don't think there is any harm in using a hair dye or color rinse in a patient with cancer. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Kakkar S., Dermatologist
| 9,727 |
Suggest medication for anxiety & depression
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Patient: I have multiple medical problems, including Lupus, Blood Coagulation Disorders which cause me deep Venous Thrombosis, Pulmonary Embolisms in the past, for which I m on Life-Lon Coumadin, Cerebral Aneurysm, Hypertension, Asthma, and on Home Oxygen Continually (. As a result of my medical comdetionconditions, I have been hospitalized many several times over the years, I require close medical follow-up. I am bed bound and find myself difficult to move around. I go to Pan Management every 6 months due to Migraine Headaches. My Dr. for Chronic Venous Hypertension with Ulcers and Inflammation in both legs, I also have very bad swing moods, due to Depression with Anxiety. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. I am very sure that you a passing through difficult times. But I also see that you have this "One in million" capacity to understand your problems and go through all the rituals without having any mental anxiety and stress. Even though stress and anxiety are available, they are of mild degree. I shall give the credit to you, YOU ALONE. Average people might have succumbed to their fate. People like you should also try to help others who are suffering, give them motivation, bring meaning to their life etc. Nowadays these services can be done through internet also. Try and once you start, your stress and anxiety levels should come down.Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck.
| 210,071 |
Can yoga and stretches help increase flexibility in my leg?
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Patient: i broke my leg when i was 2 (i was hit by a car) and i could never sit indian (pretzel) style. do you think if i do yoga and stretch, i could increase flexibility in my leg?-its my left leg- my knee and hip wont bend enough to allow me to sit completely pretzel style- i could always sit verasana style-im 15 now Doctor: I would like to know some more details about the injuries you had. If the injuries have made any permanent disability to the normal moments of the joints? Yoga would certainly increase your flexibility and increase the stability of the body parts. if the accident has not caused any permanent joint damage then Doing the Basic Yoga postures Will benefit you. Also try to do suryanamaskar daily.
| 214,650 |
Suggest remedy for vitamin b12 deficiency
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Patient: hi i am sandep jain .. i am suffering vitamin b12 deficiency..doctor suggested me vitcofol injection twice a day but it was occured sensitive..he said you cannot take injection because it may react . so he suggested me tablet methylcobalamin.. but my vitamin b12 level not improved.. please suggest me Doctor: Hi, I like the idea better of injections but if you had an allergic reaction then, tablets are really your best medication (if not your only medication choice). Of course, I always recommend to my B12 deficient patients (even those on injections) that they should improve their overall dietary consumption of B12 by simply escalating the amounts of ANIMAL PRODUCTS in their diets. Everything that is meat, fish, liver, chicken, and dairy products contain a very good amount of B12 in its content and if you eat large amounts of these items on a daily basis your levels should go up. It can take as long as 30 days of continuous filling up on B12 to see a difference though with injections it is usually very quickly noticed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist
| 139,954 |
What can I do to bring my sons hemoglobin to normal??
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Patient: My son is 2 year old and his hemoglobin is 7.1.I had got his CBC done and the report shows low level of hemoglobin.serum creatinine is 0.56.RBC count- 4.65. MCV- 48.8,PCV-22.7,MCH-15.2..What could it be?? What can I do to bring his hemoglobin to normal?? Doctor: What is his weight and height .give iron rich food like green leafy vegetables. cereals . Give iron syp ferikind 2.5 ml twice a day for 3 months. And recheck then
| 173,887 |
Suggest cure for rash on the neck
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Patient: Hi, may I answer your health queries right now ? Please type your query here...Hi my daughter is 14 weeks she has rash on her neck arms and tummy that resembles prickly heat but she has a blotchy rash on back that s hot and looks as tho she has sun burn... Can u help? Doctor: Hi Dear,Understanding your concern. As per your query you have symptoms of rashes on the neck which is very common due to fact as dirt and moisture get trapped by your clothing and leading to blockage of sebaceous glands. Need not to worry. I would suggest you to keep this area clean and dry. Apply warm compresses with soaked towel and apply vitamin C serum at night. You should avoid touching or pricking rashes. Apply ice pack on rashes 2-3 times a day. If condition doesn't get better then consult dermatologist for proper examination. Doctor will examine physically along with blood test and sample for lab test. Doctor may prescribe antibiotics like clindamycin along with anti inflammatory medications. Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari
| 161,927 |
What causes poor chest expansion, impaired percussion note and crepitations in mid zone?
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Patient: CAN YOU EXPLAIN THE CASE?He is breathless at rest and chest expansion is poor. The percussion note is impaired in the right axilla and breath sounds, although faint, are vesicular. Crepitations are audible on the right mid zone posteriorly and in the right axilla. Scattered ronchi are available. Doctor: Hello,Poor chest expansions, breathlessness, crepitation in axilla and mid zone are suggestive of lung infection (pneumonia).So, it is better to take the patient to hospital and get done clinical examination of respiratory system and chest x-ray. Chest x ray is must for the diagnosis of pneumonia.This patient will need hospitalization, oxygen, Intravenous antibiotics, fluids and other supportive treatment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar
| 71,471 |
What causes sudden increase in heart beat followed by numbness on lips?
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Patient: Ok so right now i just got up from a weid thing that has happened to me 2 or 3 times.. I was sleepy, (ihave narcolepsy and cataplexy) so i went to the counch to rest for a little. I tried sleeping but then i felt my heartbeat increase in speed and then i couldnt barely move. I started to feel my lips go numb and i tried moving them. I knocked out and just woke up. What can this be? i feel fine now but i got really scared... Doctor: Hello,This can be arrhythmia like psvt or atrial fibrillation, where your heart rate suddenly goes up and bp falls. You will need evaluation like ecg, thyroid test and holter monitoring. You should also get one hemoglobin levels done. So visit nearby cardiologist for these investigation. Also, to abort such episodes you should try to cough hard.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode
| 22,550 |
What is the painless bump on the tongue?
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Patient: My 7 year old daughter has a painless bump on side of her tongue towards the front for past several weeks. Same colour as her tongue, just a big bigger than a pin head. she went to dentist for regular check up and was told wasn't sure what it was, could be swollen tastebud. what could it be and should we be concerned? Doctor: thanks for your query, i have gone through your query. the bump on the tongue could be because of chronic irritation by the teeth resulting in traumatic fibroma. consult a oral physician and get it examined and remove the cause like rounding off the sharp cuspal edges. and get the growth removed. i hope my answer will help you. take care.
| 185,708 |
Suggest remedy to cure high fever and vomiting in 4-year-old
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Patient: hi i have 4 year old which has had a high fever and slight vomitting since friday,i ve taken her to her pediatrician twice and the er last night and all they did was a urinanalys and said she doesnt have a uti, she doesnt like nething oral and will throw up if forced to take it she only wants water so i cant mix nething in it, and she currently has a fever of 103.7 ive been giving her feverall suppositories everyday to help with the fever, it was gone all day today and then it suddenly came back she s barely eating and onloy drinks here and there Doctor: Visit Pathology Lab for Complete Blood Count and then show your investigaion. then tell me what will report of it. i will give proper treatment guidelines to treat your child. dont worry. dont be panic. give oral rehydration solutions if she dont take any liquid or diet. for fever if she is not taking oral then kindly go for IntraVenous or Intra lMuscular Injection treatment.
| 165,740 |
Suggest medication for severe spinal trauma affecting T1-T7 discs
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Patient: why if a doctor wright a script for a medication ,and the pharma give another med telling my wife it is the same but generic. I found auto that the product is med for pain from canabis ,and not the pain shes going through after her brain surgery, and severy spinal trauma affecting T1-T7 DISCS. I am 64 years old and i have planty of time to argue,no more.I need same help ,beucase shes not going to make it. HER New doctor from india in my opinion is better for him to go back to the old country to atended sick snakes ,and not working in one off the best medical/hospital in wi. THANKS ANY ADVISE Doctor: Hello, Generic medications are in theory composed of the identical chemical substances as generics. Therefore, insurance companies typically do not ALLOW for brand-name drugs to be dispensed (UNLESS PATIENTS ARE WILLING TO PAY) and so pharmacists are very accustomed to simply changing all brand name prescriptions to generics since the vast majority of people do not want to pay the extra charges. If the doctor insists that the BRAND name drug is given then, the prescription should be coded DAW. The pharmacist will then, dispense EXACTLY what the physician prescribes. If the physician believes that the generic will work equally well to the brand name then, typically they will agree to the pharmacy switching to the generic. Have this conversation first with your wife's physician. If you get the brand name drug. Be prepared to pay significantly more at the pharmacy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist
| 140,921 |
How long can vasculitis medicines be taken?
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Patient: Hi, my aunt who is 75 yrs old has been diagnosed with vasculitis as had pain on her feer and reddish ness. She was prescribed omnacortil10mg, dipodem, ace proxyvon 20 tabs twice a day for 20 days and trental 400. How long can she take these medications? Doctor: HiDuration of medication in vasulitis depends on disease activities.Some time patient has to take medicines for lifeSee you rheumatologist regularlyTake care
| 82,854 |
Will there be any problem in married life due to masturbation?
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Patient: sir i m 25/m/ my weight is 58kg and my height is 5'10".sir i m doing masturbation abt 5 yrs i afraid that ther is some prblm in my married life in future this tme i m not married and one important thing i aasked that for doing masturbation there is lack of sperm or said i m not giving child so tell me ans.plz i m so afraid Doctor: Dear user,Thanks for writing to Healthcaremagic.I have gone through your question and understand your concerns.Masturbation is similar to sexual intercourse. What penis does in partner's vagina during sexual intercourse, same it does during masturbation in your folded palm.Sexual intercourse does not cause weakness or any harm, so how masturbation can do? This is a natural activity and I would say a 'healthy' activity and does not either affect or deter your sexual performance after marriage.Semen is similar to other body liquids like saliva, blood and tears. It is produced continuously by sex organs. It is not LIMITED amount in our body. The amount expelled in masturbation or during sexual intercourse will soon restored by your sex organs. This is absolutely normal.Nothing to be afraid of. Wish you good health.
| 196,805 |
Is lymph node cancer related with neck pain with spots?
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Patient: HI, I'm worried I may have cervical Lymph node cancer. I have been feeling a strange sensation lately on the left side of my neck and if I turn my head to the right and swallow I can feel an uncomfortable sensation. Also I have tender spots on the left side of my neck when prodded, but it's not exactly painful. Your thoughts, suggestions please. Doctor: Hi, dearI have gone through your question. I can understand your concern. You have pain and enlarged cervical lymphnode. It may be due to reactive hyperplasia, tuberculosis or lymphoma. You should go for fine needle aspiration cytology or biopsy of lymphnode. It will give you exact diagnosis whether it is cancer or not. Then you should take treatment according to diagnosis. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 154,406 |
What are the chances of pregnancy after partner ejaculated inside?
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Patient: My period came on August 25th, September 25th, didn't come in October, and then arrived on November 3. I had sex during my period and by November 8th I was going off. But at around 5:30AM on November 9th, my partner ejaculated in me. Is there a high chance I could be pregnant? I'm 17 years old. Doctor: HI DEAR AND THANKS FOR YOUR QUERY.If your last period was on Novemeber 5th and you have unprotected intercourse on Novemeber 9th chances to conceive are very low .Chances are very low because calculating that your cycle is every 32 days ,your "fertile window" is away from November 9th.But to be sure ,you should wait for breakthrough periods in the expected date ,and if your periods will be late take a pregnancy test at home.All the best
| 3,791 |
What causes indention on inside of thigh?
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Patient: My husband has developed a 5 inch long indentation on his upper inside left thigh. Just noticed it yesterday morning. He has MS and does scuff his left leg. He also gives himself a subcutaneous shot times a week, occasionally. The MS has been under control, no exacerbation episodes or increase in brain lesions. He plans on seeing our GP as soon as possible. Any ideas?? Doctor: Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, you will need the help of your GP to examine the thigh and to find out the cause for what you are telling, because its hard to understand what you mean by this indentation on the left thighI hope that answers your query. If your want any more clarification, contact me back.Dr Narender Saini
| 139,284 |
Trying for baby. On folic acid tablets, fertyle, injection ti rupture follicle. What does triple line mean?
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Patient: Hi, I am 28 years old ..been married since 1year and 2 mnths. We are trying for a baby. Doctor gave me fertyl from 3rd day till 7th day and M2tone,Folic acid tablets. I am getting my ovulation studies done. On 11th day my LT.OV is 15 mm and 13mm RT.OV is MSF and ET is 9.3mm Triple line.She plans to give me an injection to rupture my egg once it reaches the desired size. I wanted to know what does triple line mean? What are the chances of pregnancy in cases where we take injections to rupture the follicle.Thanks Doctor: HelloThanks for your quer.Triple line means that the endometrium is of good and perfect size.The development of the egg follicles is also satisfactory.Once the egg reaches size of 18 - 20 mm, injections are given to rupture the follicle.After taking medications for ovulation induction, almost 80 % of women ovulate, and around 50 % conceive within 6 months.Once you fail to conceive within 3 - 6 months, you should have assessment of patency of fallopian tubes, and your husband's semen analysis.Take care.
| 4,961 |
What causes difficulty in urinating after masturbation?
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Patient: i am 17 and one day after i masturbated it felt like it hurt to pee and it was also hard to, i have experienced this before but usually it goes away, now its been 1 day and it doesn't hurt much to pee anymore, but its still semi hard to pee and i fell like i am backed up in there, also the tip of my penis looks semi swollen. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. When a male ejaculates during masturbation his prostate contracts to add its secretion into the semen and the bladder sphincter also contract so that semen will move out of penis rather than flowing back into the bladder, the combined action of these two things causing partial urinary tract obstruction which makes difficult to urinate soon after masturbation but this will mostly resolve within 1 hour and a person can urinate like before without any obstruction. The swollen tip of penis might be due to the engorgement due to excessive pressure for urination when you felt urinary obstruction. Hope I have answered your query. Let me know if I can assist you further.
| 195,449 |
What causes loose motions and vomiting in a child?
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Patient: My 2 years 4 months old daughter had 2-3 loose motions for last 2 days. She also vomited once today. She was also feeling slight pain in stomach. We got a stool test done today. The stool test shows Mucus present and RBC (1-2) present in stool. Rest things are within range. Though we will consult our doctor tomorrow, kindly suggest what could be the problem. We hope there is nothing major to worry. Kindly suggest. Doctor: Hello, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. 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. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is a very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your pediatrician). Regarding diet - You can use cerelac. Any flavor will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology
| 161,404 |
Is there a surgical option other than laser for herniated discs?
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Patient: I have 3 herniated discs L3,4,5 have tried 26 spinal decompressions & laser therapy, accupuncture and an epidural and two nerve blocks. I do not want my vertebrae fused, is there a surgical option, other than laser, which my insurance will not pay for? Doctor: Hi,Regarding your concern, I would explain that your clinical situation seems to be a little complicated. You should know that after repeated surgery the rate of surgery success falls and chronic pain persists. Coming to this point the only option remains fusion, but I don't think that it will help with the pain, unless if your spinal column is unstable. Coming to this point, I would recommend performing a new spine MRI and discussing with your neurosurgeon on the above issues. If your spinal column is stable. I would recommend avoid repeated surgery and try medication (an antidepressant or an antiepilepsy drug) and physiotherapy. If instability of the spinal column is present, spinal fusion would be the most appropriate treatment option. Hope to have been helpful. Let me know if I can assist you further.Kind regards,Dr. Aida
| 143,337 |
How can I get pregnant?
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Patient: Hi... I was recently diagnosed with PCOS as well as a micro adenoma on my pituitary gland. I just started taking bromocriptine (for the adenoma) and D-chiro-inositol (for the pcos) and was just given nortrel to take since I ve been on my period for 3 weeks. My husband and I would like to have a baby...I m just curious how birth control (nortrel) would allow me to conceive. I am also hoping to start metformin soon. Thanks, Danielle Doctor: Hi, contraceptive will not help you in conceiving. It will regularise your periods. You have to take medicines like clomiphene for the growth of your follicles. Track your follicles growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. You can continue bromocriptine and chiroinositol. Metformin will also help. Hope I have answered your question. If you have any other query I will be happy to help. Regards Dr khushboo
| 1,787 |
What causes a sore lump on the side of the anus?
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Patient: Ihave a small bump on one side of my anus and its not sore but when i move my muscles it gets sore, it is white , im 14 years old and i was out playing basketball when i got back home i got a shower and the next morning i could feel it i dont want to tell my parents, what should i do? thanks Doctor: Thanks for your question on HCM. I can understand your situation and problem. In my opinion you are mostly having either infected boil or infected sebaceous cyst. Anal area is full of hair and it is having a lot of moisture through sweating and all. So possibility of skin infection is high if proper hygiene is not followed. So better to consult doctor and get done clinical examination of swelling. Since it is whitish in colour, possibility of pus is more. So you may need aspiration of pus and antibiotic treatment with surgical dressing. For all these, better to consult doctor. Also avoid too much moisture and keep proper hygiene of anal region.
| 65,258 |
What causes numbness in hands, heart palpitations and sleeplessness?
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Patient: I m waking up sometimes with numb hands on my pinky side and during the day my heart rate can reach up to 120 bpm, this has been happening for over a month, I don t sleep very well, i also have nerve damage in my right hand with my median and ulnar nerve causing restricted movement with my index finger specifically, could this be a nerve disease? Doctor: Hello!Thank you for asking on HCM!I understand your concern, and would like to explain that it is normal for the heart rate te reach up to 120bpm during physical activity or anxiety in healthy individuals. So it doesn't seem to be any thing wrong with your heart. Regarding the numbness in your hands, it seems to be caused by a pinched nerve in your arms. I would recommend to consult with the neurologist and perform a nerve conduction study (electroneurography) to establish the diagnosis. In case of a pinched nerve, you may need to hold a special wrist splint at night, or even make a undergo a small intervention in case of a severe compression of the nerve. Hope to have been of help!Best wishes, Dr. Iliri
| 27,033 |
Suggest treatment for psychiatric disorder?
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Patient: Hi Ashish,My Small Brother of age 21 coincidentaly his name is ashish..He is not behaving properly from last two years and he was suffering from fever after that suddenly he bahves liked that.We have consulted with Psychiatric he told that becuase of mental fever he is behaving as so.After consultion From last 1 year he is working fine but suddenly he is not behaving properly .he is not able to sleep in the night and crying also.Talking arogantly and shouting. Can you please let me know to whom i should consult so atleast i get a proper cure of this.Thanks,Abhinay Sutrakar Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.His change in behaviour is difficult to comment on with such small information available but it is probably due to depression. Depression can occur due to an earlier fever and needs treatment with anti-depressants such as fluoxetine or escitalopram or mirtazapine etc. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
| 210,040 |
Is histal effective for allergy?
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Patient: Good night I gave my 3 yr old Ventolin for his cough & Aerius 0.5mg but he is really itchy. I dont know if has picked up an allergy that is causing him to itch. I dont think it is the medicine as it did not have this effect on him before.<Can i give him Histal to cool the allergy? Doctor: HI, thanks for using healthcare magicThe appropriate dose of aerius would be 2.5mg, if you gave the 0.5mg as written above then it would not have any effect on him and you could consider either completing the dose or giving the histal.If you gave 2.5mg of aerius earlier, then you would have to be careful about giving him another dose of an anti histamine.Only if the itching continues despite the correct aerius dose should this be considered.I hope this helps
| 101,644 |
What causes painful sores on the buttocks?
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Patient: Hi I m just wondering going back a few months or go on my arse crack I found to sores on my crack my ass they re very sore can t do nothing with you with them acetone on thing I can t go to the doctor because if it were there and what are they do u know Doctor: dear useryou need not to get warried about these sores but simply we should find the cause and treat itthese sores have more than one cause ......as it may be due to wearing tight narrow clothes and sweating or impaired cleaning .....as these simple causes lead to allergic reaction of affected area and forming these sores.......if you have not any of these factors there is suggestion of infection with herpes simplex.....herpes simplex infection cause sores in area affected and it become very painful and should be treated for that with antiviral drugs like acyclovir that will help alot......the good thing to do is to refer to adoctor to see it to reach definite diagnosis and not get worse........no problem of that as it is common complaint of many and you need not to worry...you should keep this area dry and cleaned with warm water and try not to scratch it .......wish you healthy life ..
| 29,133 |
Suggest treatment for lumps on breast of breastfeeding mother
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Patient: sir, after delivery of baby after 4-5 days so much milk was produced in breast an their is became a tumor of milk which is became so hard now the baby is now 3 month old but that tumor is still there she daily squirts that milk but a small lump doesn't disperse Doctor: Hello!Thank you for the query.You should have it checked by a gynecologist and breast ultrasound should be done. It might be a lump caused by obstructed glands in the breast, a cyst or something more serious. Please do not wait with it.Hope this will help.Regards.
| 68,276 |
Is there any possibility of getting pregnant while on birth control?
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Patient: Hi, i had sex saturday night. She is on Birth control and i used a condom pulling out even to be safest. Her period was supposed to start monday or tuesday and it is now thursday. On wednesday i bought her the plan b pill to take as another prescaution. Is she pregnant or can periods come late? Doctor: Hi,From history risk of having pregnancy is rare as she is on oral contraceptive plus you had sex with condom and used withdrawal method.There might be having some another reason for delayed period.Consult gynaec if she did not get period for few days.Ok and take care.
| 225,269 |
What does a lump on the leg indicate?
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Patient: Last night I noticed a slight bulge on the left side of my leg at knee level. I took a bath this evening and can feel a bump or lump and it was pink when I got out of the tub. It's definitely bigger than the other leg..It feels somewhat hard. Any idea what it could be? It doesn't hurt. Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This lump seems likely to be sebaceous cyst , needs confirmation with clinical examination .Hope this will help to clear your doubt .Wishing you fine recovery .Always welcome for any further assistance anytime .Regards .
| 61,104 |
What causes abdominal pain and stomach bloating?
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Patient: hi. i am 29 years of age. i am getting abdominal pain since last 3 months. my tummy has bloated up. i have been losing weight. yet when i eat my tummy bloats up. i have taken 5 home urine pregnancy test but they are all negative. i have been feeling pain on my feel and lately veins have started coming up on and under my feet. i can hardly stand as it pains alot. please help. Doctor: Hi.Thanks for your query.The pain in abdomen and bloating can be due to intestinal infection.Urine pregnancy tests are anyway negative, there is no need to do so many of them.I would advise Test of stool, urine and blood. A 5-day course of an antibiotic, Metronidazole, probiotic and symptomatic treatment.The pain in the legs can be due to septicemia or electrolyte imbalance Get corrected and you may be fine.
| 86,752 |
Itchy rash with small white raised bumps. Could this be scabies ?
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Patient: Hi, My two year old has recently gotten over a virus (two back to back) and she now has a rash with small white bumps (not pustules, just raised). These bumps are surrounded by a little pink and are itchy. They come and go, but have appeared every day for about a week. My 18 month old, who also had the same viruses a couple of days after her sister, just got her first signs of the rash. I understand that viruses often come with rashes , but because they are raised bumps that come and go I want to rule out scabies . Any thoughts? I looked at scabies pics online and I don t see any trail marks on my kids. The bumps on my kids are sometimes lone and sometimes clustered. The online pics of scabies aren t helpful because they are all of advanced stages. Doctor: HI YES,LESIONS YOU ARE DESCRIBING ARE TYPICAL OF SCABIES.BUT SITES LIKE FINGER WEB AREAS .UMBLICUS,SCROTUM,WRIST ARE MAINLY INVOLVED.ITCHING WILL BE MORE IN THE NIGHT TIME
| 15,589 |
What causes pain while retracting foreskin?
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Patient: Hi, I'm 14 years old and need help in retracting my foreskin. I recently realised that at this age I should be able to fully retract my foreskin. I tried retracting it and I managed to retract it until I could see a bit of my penis. Afterwards, it was painful to retract further. Please help!! Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as Phimosis.Please consult qualified General Surgeon or Urologist for clinical examination to confirm th diagnosis.If positive you may need to get circumcised .This is a simple surgery done under local anaesthesia as a outpatient procedure and offers permanent cure.Dr.Patil.
| 202,269 |
Is it safe to take Vyvanse with Effexor XR?
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Patient: In the last 3 months I have started taking Effexor XR with my Vyvanse. My Effexor is 37.5 mg once daily and my Vyvanse is 60 mg once daily. Over the last two months I have been experiencing a lot of nausea. However the last three weeks it has gotten worse and there are other things going on. I have been shaky, muscle weakness, fatigue, headaches, general nervous feeling, headaches, chills (not with fever), cloudy mind. Am I having a reaction to the two medications being mixed? What do I need to do to get off the effexor if I am? Doctor: Hello, If you are taking the 2 medications on the recommendation of the prescribing doctor then, you should check in with them for advice on how to reduce or eliminate one of them. If you are NOT taking both together on your doctor's advice then, you probably should've been doing that, to begin with, and so it is just a matter of separating the doses out, one from the other. You should not necessarily be taking the two medications together if they were not intended to be taken by your doctor in the first place. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist
| 140,377 |
Can Lactulose cause sleep refusal in a child?
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Patient: my daughter s dr recently suggested we double her dosage of lactulose. could that be causing her refusal to sleep unless myself or my boyfriend are next to her? she used to sleep through the night by herself now she wakes up screaming and needs us nearby. Doctor: Lactulose is used in treatment of constipation and hepatic encephalopathy. It has nothing to do with sleep problems.Lactulose may cause stomach pain or discomfort probably that may be the reason your daughter is waking up at night.
| 165,174 |
What is the best treatment for a child having a history of seizure?
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Patient: My daughter 3 years 2 months old when she was 2 years old she was suffered from seizure ct scan, eeg & mri scalp are normal doctor prescribed her eptoin 5 ml twice a day for 2 years, before 9 months she is taking regularly medicine & what should i do? Doctor: HiWelcome to HealthCareMagicAnti epileptic medicines ( medicines for seizure) once started are usually given for 2 years before considering to stop them , Never never these medicines should be stopped abruptly , because it may trigger a seizure.When these medicines are stopped after 2 years , they are gradually tapered before stopping them .So you should continue medications as prescribed by your doctor, do a regular follow up , and should stop only on advise of your doctor.Hope I answered your query.Fell free to ask if you have any other questionThanks
| 179,234 |
Upper abdominal pain, excessive flatulence and loose green stool. Cause and cure?
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Patient: Upper abdominal gnawing or pain, excessive flatulance, belching , loose green stool . Had an endoscope which showed inflammation and chemical gastritis . Never experienced Acid reflux before these symptoms just came about. Wha could be other possible causes or diagnosis? I had an ultrasound and bloodwork which came back normal. Doctor: thank you. are you smoker or alcoholic ? have you taken any analgesic for prolonged period ? if yes,avoid all of these. endoscopy already revealed inflammation but there is also a possibility of non ulcer dyspepsia. take meal at regular interval,avoid excessive fatty & salted food. continue your antiulcerant medication.
| 94,495 |
How to treat pain in left chest,tingling and numbness in left arm and lips?
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Patient: My husband went to the doctor complaining of left chest pain under his breast, left arm tingling and numb or tingling lips. He has high blood pressure. He was told that he had inflmation of the cartilage and sent home. They did not do an ekg. When he sits down in a chair at night he is instantly asleep. I worry that it is something more serious but he is convinced that it is just a strain. Doctor: Hello!Welcome and thank you for asking on HCM!I agree with you that his symptoms (especially the tingling lips) are not typical of a cartilage inflammation. For this reason, I would recommend consulting with his doctor and performing some tests: - a chest X ray study- a resting ECG and a cardiac ultrasound- a Doppler ultrasound of the carotid arteries to exclude possible narrowing and low blood flow to the brain- complete blood count, PCR, ESR for inflammation. You should discuss with his doctor on the above issues. Wishing good health, Dr. Iliri
| 19,427 |
What could cause shortness of breath with burning throat?
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Patient: I have been feeling short of breath with activities lately and worse in the past couple of days. when i take a deep breath my throat feels like its burning mildly. i have a very small cough occassionally when i deep breathe, no fever, but a consistently running nose. i went for a chest xray today and it was clear and so was an ekg. Doctor: Hi thanks for asking question...Noted you have normal chest x ray...So no need for much worry.As you have runny nose associated.So you can have viral or allergic rhinitis.And it can lead to hypertrophied turbinate so difficult breathing can occur....Symptomatic management done with oxymetazoline drops and chlorpheniremine.Drink more water.Avoid smoking.Steam inhalation done....You can get your nose and larynx examination by rhinoscopy or direct laryngoscopy........for further work up.Take care.-Dr.Parth
| 77,130 |
How long will tailbone injury take to heal?
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Patient: hi everyone im john im 14 years old and i hurt my tailbone a few months ago. When i hurt it it didnt hurn when i sat down but it look popped out a little not a lot just a little. I love to wreslte and i was wondering what is my injury and how long will it take to heal thank you very much Doctor: Hi John...Your tailbone pain will be reduced in 2-3 weks if you take proper care..I recommend you to..Do lot of icing in your painful area.. as frequently as possible...once in every 2 hours...for 15 mins....Gentle massage over butt muscles... no massage over painful area...Gentle stretching if butt muscles...Don't best weight over the painful area...U can use a Tyre like structure tobsit so that you Don't bear weight on the painful area...Can apply any Anti inflammatory gel prescribed to you earlier....Hope this is helpful for you...Kindly revert back in case you need anymore help in this regard....
| 129,840 |
Need information about artificial kidney
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Patient: my aunt both kidney not working doctor is telling to change i dont have donner for that but doctor has suggested that in bangalore or somewhere in india artificial kidney is available and its cost is around 2.5lac is this right if yes please give me hospital name and full address for artificial kidney transparent Doctor: HI THANKS FOR POSTING YOUR QUERY ON HEALTH CARE MAGIC.GOING BY YOUR AUNT'S CLINICAL HISTORY,I WOULD CONCLUDE THAT SHE HAS BILATERAL RENAL SHUT DOWN .SHE IS NOW IN NEED FOR KIDNEY TRANSPLANTATION.I WOULD LIKE TO TELL YOU 'ARTIFICIAL KIDNEY' IS A TERM USED "RENAL REPLACEMENT THERAPY-RRT'. THIS 'RRT" EXCLUDES KIDNEY TRANSPLANTATION PROCEDURE.SO IT MAINLY INCLUDES TREATMENTS LIKE-HEMODIALYSIS,PERITONEAL DIALYSIS,HEMOFILTERATION,CONTINOUS RENO-RENAL TRANSFUSION.HEMODIALYSIS IS THE MOST EFFECTIVE PROCEDURE OF ALL.IT INVOLVES PASSAGE OF PATIENT'S BLOOD THROUGH A HEPARINISED CHAMBER,WHERE BLOOD IS REMOVED OF ALL ITS NITROGENOUS WASTES..AND RETURNED BACK TO CIRCULATION.IT IS AN EFFECTIVE SUBSTITUTE FOR KIDNEY TRANSPLANT ON INTERIM MEASURES.SIDE EFFECTS CAN BE FEW.IT INVOLVES CREATION OF PERMANENT FISTUALIZATION PROCEDURE ON THE UPPER LIMB.CONSULT YOUR EXPERT NEPHROLOGIST IN CASE OF FURTHER QUERIES.THANK YOU.TAKE CARE.
| 48,887 |
What is the soft protruding lump below my knee cap?
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Patient: I have a soft lump below my knee cap (outer side of right knee.) I fell in the street about 18 months ago and have had pain since then. When sitting and both knees bent, the right knee has a protruding lump. It feels better if I apply heat, but I have an achey pain most of the time. Doctor: Hi! Good evening. I am Dr shareef answering your query.Most likely diagnosis for your condition on the knee is a organised hematoma following the trauma knee. If the symptoms increase in intensity, you might have to consult an orthopaedic surgeon, who might advise you for a MRI scan of your knee for planning further management of the condition. Till then you can apply heat if it soothes you, and may take an anti inflammatory at times of pain.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.
| 70,132 |
Will laser surgery work out for herniated disk L5 and bulging disks L4 L3 L2 or should I stay away from this ?
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Patient: Herniated disk L5 buldging disks L4 L3 L2 is this lazer surgery a good idea or not I have a herniated disk L5 that is prolapsed 30% and L4 L3 L2 are bulging. I have tingling/ numbness or a dead feeling in my left and right leg off and on in different intensitys and I have trouble bending and moving it starts to hurt and you can not bend to tie shoes or wash dishes I have looked online to see differnt options as the traditional back surgery they will only try to fix the L5 On line I found this site http://northamericanspine.com/ and i was wondering what your opinion is on the procedure is it something that will work and save on risks and recovery time or is it something that should be stayed away from.. Doctor: Welcome to Healthcare Magic Since you have neurological symptoms of compression of nerves like leg weakness, it is a necessity to get surgery done to relieve the compression. Laser surgery is an option which can be enquired into with your Orthopaedician or Neurosurgeon. L5 seems to be causing immediate problem and others are earlier stages which will also cause problem but you need to get Surgery done for sure. Also consult your Doctor about back exercises which can be done to reduce pain and other symptoms. Avoid lifting heavy weights, bending forward, bad posture.
| 151,874 |
What causes dizziness and elevated blood sugar levels?
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Patient: I am a diabetic and noticed my head was feeling light headed. I checked my blood pressure and it was 140/94. I normally feel fine when because I do have high blood pressure and I am do to take my evening pills in an hour. What concerns me is that my glucos level is at 211 which it normally runs around 130 - 140 while fasting. I did have a chicken sandwhich from Chickfila and grilled chicken nugggets and a regular Dr Peppper. Could this spike my glucose levels that high? I just ate an hour ago. Doctor: HelloI hope you get this answer in time. Dizziness can happen for a lot of reasons but in your case being a diabetic it can happen both due to a low or a very high blood sugar level as well. Its good that you have checked your levels already and that they are a t 211. It is high but not alarmingly high because you have eaten just an hour ago and you did take a meal high in calories and also took a sugary drink along with it. So yes your last meal could be a reason for your high sugar levels after an hour of the meal. The thing which we cannot comment on right now is that are your sugar levels still rising? you will need to check again after a few hours to keep an eye. No need to panic but try to refrain from sugary foods and eat a healthy and balanced diet meant for diabetics. Your blood pressure although slightly high is not a cause of alarm for you current dizziness. Therefore I recommend you to take a good rest, assure yourself and take your regular medications on time as advised by your personal physician. Once you are feeling fine I would like you to exercise regularly and keep yourself active in a few days time. Activity goes a long way in making you healthier and keeping your blood sugars at bay. Incase your sugar levels are to low please take something sweet or if to high and rising please visit your nearest doctor for further care. I hope this helps.
| 191,575 |
Persisting small sores around the elbow. Gets worse on itching. Tried home remedies but of no use. Treatment?
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Patient: I have a skin problem that is persisting. It is localized on my left arm around the elbow area...it is a number of small sores. They don't seem to heal like usual sores and new ones appear as small bumps that become worse if I scratch them. I have tried numerous home remedies but nothing seems to make much difference. It gets a little worse then a little better but overall just persists.I would love to know what it is and what I should try to treat it. Doctor: HIThank for asking to HCMLook skin lesion are difficult to judge without clinical examination and observation, but still I could say that it must be some bacterial infective boils apply some broad spectrum ointment , like Povidon iodine, will give best result and if does not cure then see the dermatologist , have nice day.
| 15,276 |
Why the semen is coming out while a bowel movement?
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Patient: I have the same problem. If i don t masturbate for two days, when I go bathroom for doing #2, i can see the semen coming out of my penis. I m sure, it s semen coz I feel it when it comes out. It smells same as semen and it comes out for few drops. There is no burning feeling, no pain, nothing else. I haven t had sex since it happened but if i masturbate i can t stay more than 2/3mins. Doctor: Thanks for asking in healthcaremagic forum Semen cannot come out during bowel movement, unless you are excited at that moment/any neurological problem. Please visit an urologist for examination and further suggestion. All the best.
| 200,486 |
What causes hard raised lumps on back?
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Patient: during a deep tissue massage yesterday, the therapist found two hard raised lumps on my back just below the bra line. they are on each side of the spine. symmetrical. no pain at all. i m heavy breasted so the back of my bra has dug in at that point for many many years. should i get it checked Doctor: Hi,Good Evening.This is Dr.Savaskar from India,attending your query to my online HCM Clinic.-I studied your query in depth and Understood your health concerns.-Accordingly on the facts given by you-Treatment I would suggest is as follows-a-I think you are a case of-?Sebaceous Cyst?Dermatofibroma?Keloids due to the friction ?b-I would advise Surgeons opinion for you.He would fix the cause and would treat it accordingly-if sebaceous cyst-Excision Biopsy /if -keloids-Inj steroids or by Excision plasty repair. Wishing you healthy living and early recovery of this query.Wellcome for more queries till you get the satisfied.Thanks for your query to HCM Clinic.Have a Good Day...!!Dr.SAVASKAR M.N.M.S.GENL-CVTS,Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer,Asthma,etc,Rejuvenation therapy and Tissue failure -reversal therapies.
| 64,292 |
What causes a popping /cracking sound of arm on movement?
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Patient: i ve always been able to move my arms in a windmill motion and every time my arms are reaching above my head, my shoulders pop or crack. only when i move them clockwise though. there is no pain associated with this. how can i get the shoulder to stop cracking? Doctor: Hello, This sounds to be a weakness of the deltoid muscle. I will advise strengthening the muscles of the shoulder girdle and upper back muscles. This will help reduce the clicking sound. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 123,014 |
Is cerazette pill making me bleed everyday from past one month?
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Patient: hi have taken to morning after pills in the same week but havent told people as took one at the doctors and one at a clinic on the same day as the clinic she also gave me sarezet pill to start taking since i have i have bleed everyday this has been over a month now ive also had problems with my hair even when i was it is greese and horrible like never before i have tryed so many hair products. i dont know what to do im scared to tell the doctor ive take 2 pills in the same week... please help Doctor: welcomeyou have used emergency contraception pills after your unprotected intercourse...then bleeding comes within 7 days but it does not last for a month as you are telling...cerazette is progesterone only pills...it will cause prolonged cycles and not frequent spotting...its possible that you might have pregnancy following which spotting occurs...i advise you to do urine pregnancy test and then sonography for retained products of conception...thanks
| 224,462 |
What could cause tingling sensation and numbness in the toes?
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Patient: I started experiencing tingling and numbness in my toes on both feet. I had a complete physical scheduled in a few weeks but the tingling and numbness became worse and spread to my calves and even in my upper legs. I went to the doctor before the physical and spoke to the doctor. He told me that the possible causes were diabetes, neuropathy, lower back problems or a vitamin B 12 deficiency .The doctor went ahead with the blood work and I was to return in a couple of weeks for the results. So I had a friend who is a diabetic check my blood sugar and it was normal. I went to the store and purchased a B12 / B complex and started taking it daily. Within about 7 days the symptoms subsided. When I went back to my doctor for the results I was shocked to find that my B12 levels were not low but high at 1800. The doctor took more blood and called me back two days later to tell me that my B12 levels were now over 2000 and to quit taking the supplement. However, He never explained why my levels were so high to begin with. I have cut back on the B12 and am now experiencing some numbness again in my toes. I am also having trouble sleeping. I go to sleep right away but wake up about two hours later with restlessness in my legs and my whole body. I usually just get up and go down stairs and watch TV for a while and then the pain will subside and I can go back to sleep. What could be causing these symptoms? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You have ruled two causes diabetic neuropathy and vitamin B12 deficiency. then most likely cause is lumbar canal stenosis (LCS).LCS means reduced space in spinal for nerves with decrease in blood supply and hence when you stand or walk tingling and numbness appears. Diagnosis can be confirmed by doing MRI of the lumbo sacral spine with screening of whole spine. Please get it done from radiology centre nearby you. Meanwhile start tab Pregalin x 75 mg one at bedtime. You need to visit orthopedic surgeon with report. Increase in vitamin B12 level in your blood may be due to increased intake. Hope I have answered your query. Let me know if I can assist you further.
| 127,187 |
What causes abdominal circumference to be on 140 percentile at 29 weeks?
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Patient: Hi I am 37 years old and 29 weeks pregnant. I had a scan yesterday and have been told that the abdominal circumference is at about the 140 percentile. The amniotic fluid level is normal and I am not diabetic. What coudl be the possible causes? Thanks Doctor: hii..most common cause of increased abdominal circumference is diabetes.. if u didn't check your sugars recently get an oral glucose tolerance test done rather than random blood sugar..if there are no abnormalities in baby then it may be a big baby..
| 219,810 |
Small bumpy rashes on the back of the hands, pimples on chest and on face. On warfarin. Is this shingles?
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Patient: hi i experience little bumpy rashes in back of both hands started 4 days ago, then increased all around the fingers (back side), also found 3/4 pimples in my chest red look like chickenpox so as some red rashes in my face dry and burnning. I am 47years old had chikenpox long time ago, am on warfarin, am scared i have shingles . Doctor: Hi as the rash appeared on both sides of the hands it rules out shingles because it appears on only side of the body.i think it is side effect of warfarin.it can be cured by antibiotic twice daily.anti inflammatory agent combiflame and application of calamine lotion over the lesions .if not subsided start short course of steriods.
| 15,288 |
Suggest medication to swelling due to impetigo outbreaks
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Patient: I ve had probably 2-3 impetigo outbreaks a year since I was 6. I ve gotten it in my eye, nose, eyelid, chin, and cheeks, but it almost always occurs somewhere on my chin. I have medication but it doesn t really help much anymore, even when it s relatively new. I ve resorted to diluted bleach baths which usually help a lot and get rid of it within 2 days. I have it again, and it doesn t itch anymore but it s really red and looks bad. It s about a 3cm diameter on my chin and is making my chin swell slightly (which has never happened except when I got it on my lower eyelid). Is this due to the bleach treatment? What should I do to make the skin heal? Doctor: hi did review your concern, The swelling due to impetigo and the pigmentation can be reduced by hypomelanizing agent known as hydroquinoneI would recommend you consult a dermatologist and start applying the cream under his guidance only as higher dose may also cause skin problems.
| 33,027 |
What are the signs of pregnancy?
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Patient: My last period was on the 15th of April. i had unprotected sex on the 29th of April. i am Anaemic. I m 19 years old and still studying. Is it possible that i am pregnant?How do i count when my next period is due?If i am pregnant where in bangalore can i find a clinic where privacy is guaranteed and it is safe?I dont want anyone to find out.Please help Doctor: Hello dear,I understand your concern.In my opinion the 29 th of April comes under fertile period so there is risk of unwanted pregnancy.The first sign of pregnancy is missed period.A urine pregnancy test needs to be done a week after missed period for accurate results to confirm pregnancy.Other symptoms of pregnancy like nausea,vomitings,increased urination,sore breasts start 2 weeks after missed period in case of pregnancy.So wait and check for the period and in case of delay consider doing a urine pregnancy test.If the urine pregnancy test is positive it confirms pregnancy.The pregnancy can be terminated by medicines upto 7 weeks.After 7 weeks minor surgical procedure is done.So in case of positive test consult a gynaecologist for further management.But never take abortion pills on your own as they are associated with complications like heavy bleeding,incomplete abortion etc.Any doctor will keep the matter confidential.So dont worry.But relax nothing is confirmed now.Just wait and check for the period.There is risk of unwanted pregnancy but not that that you will be definitely pregnant.So relax.Hope this helps.Best regards...
| 220,144 |
Suggest remedy for soreness in knee due to false leg
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Patient: i wear a false leg and have a sore that goes and always comes back after a few days as the leg rubs on my knee all the time,it also seems to leave wot i call the core whichover time time has turned into a little hard lump that doesnt go away and it is so painfull to wear my leg now,wot could it be please.dawn Doctor: Dear Patient,your amputation stump needs regular cleaning and inspection on your part to see if there is any ulcer due to pressure, If you develop one, consult your orthotist and get your leg corrected, But in your case there is a need of excision of the lump, on healing you can again wear your leg after correction from the person who prepared it.seek appropriate help of an ortho surgeon first, and than you can walk pain free.Thanks
| 137,491 |
Is it normal to have numbness in chest after undergoing bypass surgery?
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Patient: Hi, my husband had a 4 way bypass surgery 8 years ago and last march he had a heart attack. he has been feeling numbness on the left side of his chest, and last night he had a sharp pain on his chest which stopped after doing some breathing techniques. Is that numbness related or sign of another heart attack? Doctor: Hello! Thank you for asking on HCM!Regarding your concern, I would like to explain that it is very important perform as soon as possible a comprehensive evaluation of that chest numbness, as it may be related to a new ischemic heart event. So, I would recommend to consult immediately the nearest RE service for a physical exam, resting ECG and some blood tests (including cardiac enzymes CK-MB, Troponin).Remember that after 5 years venous bypass grafts are more susceptible to possible occlusion.Hope to have been helpful! Greetings! Dr. Iliri
| 27,104 |
What causes increased calcium level in blood?
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Patient: My husband suffers (extremely) from pseudo gout. What caused too much calcium in the blood & is there anything other than prescription meds to help get rid of, or prevent this? It is getting to be almost a weekly occurrence. His joints are becoming permanently damaged. Doctor: Hi, dearI have gone through your question. I can understand your concern. In psedogout calcium pyrophosphate crystals are deposited in your joint space and causing pain and inflammation. He should take anti inflammatory plus analgesic drug. He should search for the cause of high calcium level loke hyper para thyroid function. Then he should take treatment according to cause. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 115,099 |
How to cure bacterial infection?
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Patient: I have had two urine cultures done in the last 3 weeks. The first one indicated that I showed 10,000 - 25,000 cfu per ml. Dr. prescribed cipro 500mg, but test said it also appears susceptible to levofloxacin, nitrofurantoin, penicillin and vancomycin. I have no symptoms but am quite nervous about taking any of these, and regarding cipro - especially because of the side affects in joints - I have an elevated ra factor. (plus vit d and b12 deficiency) I had a second culture done and while I don t know the results, Dr s nurse said to fill cipro and it s not a big deal. I ve been told in the past that I have metro valve prolapse and to take antibiotics before dental work and was told I didn t need to any more. 4 questions: Is this level of bacteria alarming? Is it possible this is in my bloodstream and dangerous? What penicillin do they mean, amoxicillin? Is there any healthier way to treat the bacteria in a more natural, less damaging to good bacteria way? Doctor: For urinary tract infection to be diagnosed, the bacterial count needs be be above 10^5 i.e. 10,00,000. Unless that is the case, the count is not considered to be high. However, your doctor has decided to play safe and given the antibiotics. Ciprofloxacin can be taken safely and you need not worry about that. Please complete the full course of antibiotics as prescribed.Though there is a possibility of the bacteria being in the blood stream, the chances are quite less as you do not have other symptoms.Amoxicillin is an antibiotic of penicillin class but not same as penicillin.A healthier way to manage such bacteria is to drink plenty of water which basically flushes the bacteria out. You also need to maintain proper hygeine.
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What is the recovery time for fever in case of glandular TB?
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Patient: 75 yr old patient ,male, diagnosed with glangular TB[side of neck] since 1 month Yesterday had no fever.Today he had only a glass of milk in morning, and by night had high fever and extreme weakness.Taken to hospital-PGI,chandigarh How fast will he improve? Doctor: Hello,I had gone through your query and understand your concern. Short a answer: Usually it takes 6 months.Detailed answer: Thanks for asking on HCM.The treatment for an active tuberculosis is given for 6 months. Anti-Tuberculosis drugs are given for 6 months. Once this course is completed, tests will be repeated to know whether TB is cured or not. Depending on this treatment duration may continue even after 6 months or stopped. Hope this helps.If you have any other queries, feel free to ask. Regards, Dr.Prathap Kumar
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Scoliosis, sounds from back when lying down. Related?
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Patient: Hi doctor, hope you are fine,, I m 18 years old, female, diagnosed with scoliosis last year , with 28 degrees C shape, and a fracture in the L5 ..lately I here sounds from my back when I lay on my back,, it s like pop sounds ,, I feel like the bones coming back to there places with small pain till the sounds are off.. I don t know if it s related to scoliosis ,, I wanted to know the reason of these sounds,, thnx Doctor: Dear I am sorry for health problem you are experiencing.I think that the thing more important to do is to control what happens with fracture during time.You should take contact with an neurosurgeon and realize periodically radiological examination.Those sounds you are are caused because spine vertebra have lost their physiological posture probably due to lumbar fracture.I would recommend lumbar fortress and talk to a neurosurgeon.Wish you all the best
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