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What could be the clogged gland on the buttocks along with cyst?
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Patient: Just had a cyst removed from left buttocks. The surgeon said it had a pus sac underneath and he said he put a chemical in there to see if it would work. He said I would probably have to have an outpatient surgery to ubclog a gland which would take about four months to heal. He never specifically said what it was. Doctor: Hello, thanks for posting on HCM.The gland he might be referring to is probably ‘sebaceous gland’These glands are present over most of the part of skin and helps secrete oily material or ‘sebum’ to keep skin lubricated and water proof texture.Sometimes the opening of these glands get clogged or blocked due to factors like- dust, trauma, bacteria etc. and cause increase in the secretions which accumulates inside. If it gets infected with skin bacteria it forms abscess and pus formation.Or the accumulated sebum forms a cyst as it happened in your case. I hope I answered your query well.Thank you
| 32,767 |
Is ECG required for hemoglobin level of 9.8 and chest pain?
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Patient: Sir, I am facing chest pain problem since last 3 month my hemoglobin level is low 9.80gm . we are taking advice of Cardiologist he has prescribe the Iron Tab and Multivitamin syrup for continue 3 months. He has advice to me we will do the ECG after 10 days but ECG showing the paches . Pls suggest me Doctor: Thanks for your question on HCM. I can understand your situation and problem. Yes, ECG is needed in chest pain with anemia. Hemoglobin is very important for body. It is the only substance which carries oxygen to all organs of the body. So when hemoglobin is low, all body organs are getting less oxygen and so heart needs to pump more rapidly to fulfill the body 's demand of oxygen. So anemia increase cardiac work load and thus can damage heart. So chest pain in anemia patients should be evaluated for cardiac damage. So ecg is must in your case. And correction of anemia is must for you. So start your iron and multivitamin tablets.
| 80,372 |
Suggest medication for high BP
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Patient: Hi im 29 year old male have high blood pressure run or work out 3-5 a week also im anemic. Resently started gaining weight and not too happy about it eat pretty healthy for the most part hardley ever drink sodas or beer/liquier and have become very tired all the time what can i do Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern.I will try to explain you something and give you my opinion. We talk about hypertension if we have mean value that exceeds 140 / 90 mmHg.A person might have high value during emotional and physical strees so its mandatory to judge on mean values. Hypertension is divided into two groups. Essential hypertension, without any identifiable cause,usaly in older age and secondary hypertension, meaning that it's a secondary couse of it.This is found in younger ages and the cause might be renal, endocrine or any cardiovascular anomaly.So,in your case we have to evaluate if we do realy have hypertension and than find its cause,becouse you are very young.According to your other symptoms like weight gain,feeling tired they might related to thyroid gland problems. So, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and walls. A pressure holter monitoring to check your mean values.A full blood analyze, your urinary catecholamines, your thyroid hormones and an abdominal echo to check renal situation. After all this maybe we can find the cause and judge how to treat it.Hole I was helpful.Wish you good health. Best regards.
| 25,314 |
Suggest treatment for a lump under the nipple
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Patient: there is a lump under my right nipple and i don t know if its cancer. its the only thing wrong with my body and right now i need an answer. if it is, tell me, if it isnt, reassure me. i m 14 years old and i eat well and excersize regularly and there has been no history of cancer in my family. i m just really worried because its been there for a few weeks now and it hasnt gone away. i dont know what it is. Doctor: hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be a cyst, a benign breast lesion. it could also be a fibroma or fibrocystic lesion. these lesions are best evaluated clinically. further diagnostic examinations, such as breast ultrasound, will be requested as needed. regular breast examination and follow-up with your doctor is highly recommended in these cases. management (medical and/or surgical if indications are found) will be directed accordingly.hope this helps. good day!!~dr.kaye
| 61,858 |
Upper back pain when coughing, sneezing, laughing. Comfortable to sit straight
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Patient: hi i have upper back pain it started on friday and when i went to bed it was very painful when i lay down and moved in bed. at one point i was cryin with the pain. the pain is still there constantly it hurts when i cough , sneeze , laugh and even when i eat. it feels more comfortable qhen i sit up straight. the pain is from the middle ov my back and goes across my shoulders and my neck , i seam to get a shooting pain up my spine to my neck every now and then. thanx lisa aged 31 Doctor: Hi Lisa, Thanks for writing your query.. After reading your post, it seems that you are having pain due to muscle spasm. You should get yourself clinically examined by an Orthopedic surgeon and get properly investigated. Get a MRI of your neck and back done. You can take pain killer like Ibuprofen one tablet twice a day after meals along with an antacid like Omeprazole 20 mg. Hot fomentation and application locally of pain relieving gel will be helpful. Avoid lifting heavy weights. I hope this is helpful to you. Thanks.
| 113,197 |
How to heal knee injury?
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Patient: Hi, I m a trail runner and recently hurt my left knee. I ve completely stopped running for the past two weeks, taking anti-inflamitory, ice, etc. Yesterday the area that is hurt started itching and today there is a rash in the spot. I ve always been able to work through running injuries but I ve never had one that is ichy and developed a rash on the skin. Suggestions? Thank you. Doctor: Hello, The symptoms seem to be related to the injury. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also recommend using ice compresses at the are of the injury. The area should be immobilized to prevent further damage. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
| 122,485 |
What causes convulsion?
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Patient: My Son, Soham Basu has effected with seizure on 09.06.14m The convulsion lasts more than one and half hours, in between the convulsion I called my friend, Dr Kaushik Seal and he attended him half an hour and instructed me to admit my son to Medica Superspeciality Hospital where my friend practiced as Neuro Surgen. After admission, the hospital has done EEG, MRI, CITI scan and ECG, but no cause and abnormility has found and the Doctors advised to take LEVIPIL - one tab - 250 mg. at morning and 500 mg at night and they realed my son on Wednesday, ie, 11.06.14, But again he was effected on 13.06 for half an hour. Doctor said the medicine will continue. After taking medicine he is sleepy and sometimes mild headache. My querry is why this convlsion is being happened again and again when no disorder is found ? and whether LEVIPIL is good for taking , since he is student now and studying at 7th class, Whether it is Epilepsy really and how long days this medicine will be taking ? and whether this hampers his brain for future . I am his father and we are too much worried about him since he is our only son .Please advice us accordingly. Moreover, He has fallen down from our balcony of the first floor to the ground at the age of one and half years of his age and we admitted in AMRI Hospital, Dhakuria , but nothing has come out as irregularities. He is 12 years 6 months now and his weight is 62.90 KG. Whether the Convulsion is happening for the transition period from minor to Teenager and because of hormone secretion .... Please have look into the case of my son and reply us. Dr. Arnab Chakraborty , Neurologist, will be best person in this case , since he is handling so many cases of Epilepsy as I heard. Doctor: Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you Question 1 : My querry is why this convlsion is being happened again and again when no disorder is found ? Answer 1 : Sometimes, the cause of seizures are found immediately. Sometimes, it takes more test to find the exact cause of seizures Question 2 : Whether LEVIPIL is good for taking ? Answer 2 : Yes. Fits have to be prevented. So Levetiracetam has to be taken. Question 3 : Whether it is Epilepsy really and how long days this medicine will be taking ? Answer 3 : We need more tests to know the answer for this I understand your apprehensions as a father. I would request you to please wait a bit more and ensure that your son takes the tablets regularly and really swallows them. Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care.
| 144,193 |
What causes dizziness and disorientation?
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Patient: I am 44 years old and have been a professional sportsman. Still into coaching and fit or my age. Just woke up this morning with my head reeling. As i sat up, in bed, head was wobbly and as I got on my feet, I was disoriented. It happened through the morning and got better late afternoon. I am a teetotaller and have no pressure issues. Doctor: OH MY! I couldn't decipher the word "teetotaller" for a minute or so...I finally got it....but I THOUGHT IT SAID, that you had grown "two feet taller!" and that you had just some how just mistyped something--- what a difference one letter can make!Well, good for you. I'm a Teetotaler as well, always have been and though I'm not nor have I ever been a professional sportsman I continue to avidly stay in the sport of wrestling entering both collegiate Open and freestyle tournaments. I'm 10 years your senior and I coach wrestling as well at John Carroll University.Your symptoms are not uncommon under the scenario of a variety of different situations such as dehydration, hypoglycemia (low blood sugar), intercurrent illness such as either a respiratory infection, viral syndrome, bladder infection, side effects from new medications, or the interaction between a medicine you have always been taking, and something new, an ear infection (viral or otherwise).Your best bet is to keep yourself well hydrated, water is best, take your temperature, get something substantial to eat instead of being a Toast-totaler in the mornings if your habit is to skip or not have much to eat. Are you in acceptable physical shape for where you want to be right now in your life. I don't know which professional sport you are referring but I know they all have their standards of conditioning and fitness while people are actively in the sport Of course, this wanes as we get farther away from the sport and as we age.Notice that I phrased your level of physical conditioning as acceptable FOR WHERE YOU WANT TO BE right now....as opposed to the way you phrased it which was FIT FOR MY AGE. I would expect a former pro athlete to be FIT for their age AND MUCH MORE in all probability at the age of 44. But is that WHERE you want to be. So the coach part of me is telling the COACH part of you that you could probably do better in that department....as can we ALL.I still actively compete in my sport and get head to head with Division I college Bucks....I shouldn't be eating that 1/2 quart of Cookie Butter ice cream I just polished off 10 minutes ago as I began writing this to you....and boy are my kids going to pissed to find it missing from the freezer. Gotta try to get out of the house now too before my wife figures out that I dove into this thing....but hey, I'm also being minimally productive answering questions for folks....don't I deserve it? LOL!So, the point is there are a number of things that could contributing to your sense of "less than optimal" well being. The question is, which is it for you? If you have not had a GOOD SOLID physical with some blood work to include cholesterol, thyroid hormones, perhaps even some other hormone checks such as testosterone, cortisol, and so forth, maybe a good screening EKG to be done, and then, a tight neurological assessment (which is my specialty and BIAS to boot! I put a high premium on brain function---) then, COACH....this is a good chance to take care of business just like you tell your boys or your team.If you would care to address further questions DIRECTLY TO MY ATTENTION for consideration you may find me at:http://doctor.healthcaremagic.com/doctors/dr-dariush-saghafi/68474Would you be kind enough to leave a little feedback on the response I've given you as well as a star rating if you feel the information has helped understand your question a bit more?Best of luck to you and your team this season.....as long as you're not the PITTSBURGH STEELERS! LOL! Just teasing you....I've got a neighbor who used to play for both the Falcons and then, afterward the Steelers...we still talk to each other and he's been allowed to move into the neighborhood...so it's cool! ROFLMAO!Cheers my friend!
| 146,793 |
How to remove red patches from back of my teeth?
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Patient: I am a pan masala (read Rajnigandha but not Gutkha) chewer . My teeth(s) have got red patches from back though not in front and have formed a sort of layer at the back side. There is as such no problem like pain etc but i am getting worried now on how to clear the back of teeth and getting rid of those red patches. Brushes normally cant clear out those areas. Can you suggest me some techniques or any equipment which can help me clean out those patches? or visit to a doctor needed? Doctor: Thanks for posting your query to HCM.Firstly, I would suggest you to stop eating any kind of pan masala as it is injurious to your health.For cleaning of the stains, you will have to visit a dentist for scaling and polishing of teeth.Hope my answer will help you.
| 186,019 |
Suggest treatment for difficulty in breathing in infants
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Patient: hi . thx for ur online servises . my question is that i hv son of 4 mnth he is usually no problem of breathing but during night time his nose usually sounds like dry cough , i dnt know the right words hope u understand i mean he is having breathing peoblem during night , please suggest me some thing which i do to relieve him ,,, thx Doctor: Hello, I think you should start steam inhalation. If the child is a mouth breather, then you should visit the ENT doctor for evaluation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Varinder Joshi, General & Family Physician
| 161,928 |
How can a cone shaped tooth be treated?
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Patient: i have super numerary problem.In the upper jaw between 2 front teeth exactly in centre line i have a small cone shaped teeth.its perfectly stable and i have no problems with it except the smile.What solutions do your team has for my problem and what is the estimate cost and time. Doctor: helloo...read thru ur query...and accordingly i must say that best treatment esthetically is removal of that supernumerary tooth(mesiodens)..and closure of space will occur either automatically or you can go for orthodontic treatment...estimated costs depends on the place and local rate of extraction cost and orthodontic correction rate(if at all required).extraction is better because it cant be crowned or bridged because it will make an awkward smile...thats my opinion..ui suggest you to go to a dentist and get it treated based on clinical presentation and xrays...be cool its just a usual procedure(wont cost much).hope ur benefitted something from this reply..have a healthy day!!!
| 183,210 |
What does abnormal consistency in semen analysis mean and is natural conception possible?
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Patient: Hi, my husband has just got the results of his semen analysis back. Two abnormalities were found, abnormal consistency and 94% abnormal morphology. Firstly I do not understand what the consistency results tell me. Secondly what are our chances of conceiving naturally would ivf be required? Any help would be appreciated. Doctor: HelloThanks for query .The report of semen analysis of your husband has revealed abnormal consistency .The semen on ejaculation is always like a jelly which gets liquefied within 20-30 minutes so that sperms can move and swim through cervical secretions to enter into uterine cavity for effective fertilization of a female egg .The abnormal consistency signifies delayed liquefaction of semen .As regards morphological abnormality it suggest that 94 %of the sperms are abnormal as far as anatomy of the sperms is concerned what is called as Terratospermia .In a given situation it is highly unlikely to have natural conception .As regards success of IVF or ICSi it will all depend upon the the presence of normal active motile sperms present in his semen .Consult qualified Infertility specialist for guidance and further treatment .Dr.Patil.
| 197,897 |
What causes severe fatigue while suffering from essential thrombocythemia?
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Patient: I am 66.jUST DIAGNOSED WITH ET.DR AT UAB in Alabama told me AVERAGE life expectancy is 4 years.That seems a little pessimistic from what i read.Any thoughts?I am very active and dont smoke.I do Crossfit 3 times per week.Also i have felt somewhat fatigued .Is that from et or hydroxy treatment.Thanks Bobby Boone Doctor: Dear Bobby, I don't know with which reference your doctor is telling such low life expectancy. Most of the ET patients have near normal lifespan. Only those who have thrombosis or transformation of ET to acute leukemia have reduced survival. This is the reference: http://emedicine.medscape.com/article/206697-followup Please continue your daily physical activities without any restriction. I feel your fatigue is more psychological. If your hemoglobin level is more than 10gm/dL, then there is no need to worry about fatigue. Please get your blood tested for hemoglobin level. Hope I have answered your question. If you have any further questions I will be happy to help. With regards, Dr. Girish Kamat
| 114,569 |
What does "duplex moiety of kidney/renal pelvic prominence of lower moiety" mean?
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Patient: my sons age is 1year radiology report shows there is a difference in the size of the left kidney . the size of the left kidney is measured 7.7cms while the right one is 7.1cms. and the report shows duplex moiety of left kidney with renal pelvic prominence of lower moiety. what does it mean. Doctor: Good Day and thank you for being with Healthcare Magic!You son has a congenital abnormality in his left kidney. It is called a duplicated collecting system meaning other than one tube draining the kidney, your son has two. It will depend if he has a complete duplication meaning he has two ureters(tube that connects the kidney to the urinary bladder) all the way from the kidney to the bladder or incomplete duplication where the two tubes will fuse somewhere in the middle and would have one insertion to the bladder.When we have a duplicated kidney we call the collecting system in the upper pole of the kidney upper moiety while the lower pole is the lower moiety. Prominence of the lower moiety means that it is more dilated than the upper pole. This means there might be some form of obstruction happening and should be investigated by CT SCan or MRI. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes.
| 48,772 |
Suggest treatment for pain under the leg and knees
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Patient: I was at the gym this morning and I must have stepped wrong, severe pain on the left side of my leg just under the knee. Very tender to touch and it hurts like heck. Going up and down stairs does hurt. Knee cap and all is in one place. Could I have pulled something? Some pain does radiate down the leg and up the thigh. Doctor: In my opinion you are describing lateral meniscal injury , i recommend an MRI to confirm start on NSAIDs (alphinturn) 3 times a day till then , also wear a knee brace physical therapy can easly fix the problem and help you avoid surgeryGood Luck
| 130,976 |
Suggest treatment for left abdominal pain
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Patient: 66 year old male pain in abdomen located at left side front beltline, pain centered about an inch below and 6 inches to the left of my naval. 243 pounds, 5'10", obese belly. just returned on Nov 23 from California desert camping at Cargo Muchacho Mtns, near Yuma, AZ. At desert camping I had very mild headach and loose brown stools, starting after group "potluck dinner" a few days when camping in desert there, but after Thanksgiving here in San Diego, stools got solid but very soft and brown color, and headach got worse during Thanksgiving day, and a mild pain about diameter of a silver dollar has become more tender and getting worse. Pain level was about 1-2 yesterday with temp 97.7 deg F, now pain 2-3 with temp 98.7 deg F. If sleeping on right or left side or stomach, or sitting position, I can position myself to get pain down to almost zero, but sleeping on back causes pain to increase, and any muscle movement or finger pressure around the affected area causes pain to increase to about 7 level. My appendix burst about Nov 2009, and removed by micro surgery about Mar 2010, so cannot be appendicitus. Gall stones perhaps? Kidney stones perhaps? Desert Fever or aomeba in colon perhaps? Had colonoscopy about 5-10 years ago, clean as a whistle then, no pollups or cancers. Any ideas? Doctor: Hi this is dr Subhadeep.thanks for the opportunity to help you.as per your description of the location of the place,it can't be gall stones.gall-bladder is to the right.it can be a renal stone but then you should have difficulty in passing urine or blood in urine.as u haven't mention any of these symptoms,I assume you don't have problems due to urinary stones.if u have some extra information you can provide.that will help me to deduce a diagnosis.regarding brown coloured stools it can be due to lower GI bleed which can be due to various reasons as enlisted 1) Angiodysplasia2) ischemic colitis3) mesenteric ischaemia4)acute episode of ulcerative colitis5)intussuception6)Malignancythough colonoscopy done 10 yrs back was normal.there can be changes within the time period of 10 yrs.so a repeat colonoscopy is mandatory.i am interested to know whether you have any cardiac disease misty MI to give a clue for possible vascular insufficiency.why was colonoscopy done in the first case?is there family history of any cancer?kindly get a colonoscopy done and show it to your surgeon.angiography is better as it can detect a bleeding rate of 0.5ml/min.therapeutic emboli zayin can be done.ct angiogram,nuclear scintigraphy can detect 0.1ml/min bleed.as you had altered blood (brown stool) you can do an UGI scopy to rule out peptic ulcer.finally fecal occult blood test,platelet count if low then do serological test for dengue,widely and peripheral smear along with an USG to rule out any enlargement will be helpful.kindly let me know if you found this consultation helpfulRegards
| 89,642 |
Does new maxillary sinus polypoid mucosal thickening/lesions indicate cancer?
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Patient: Please be kind enough to explain to me what does "new maxillary sinus polypoid mucosal thickening/lesions; stable left air cells hypoplasia and opcaification:" mean? Does this have anything to do with cancer in the skull bone or face or sinuses or nose? Thank you for your time. Doctor: Welcome to Healthcare Magic.. Thickening of the maxillary sinus and polypoid appearance may be due to anything from simple sinusitis i.e. inflammation to something sinister as cancer.. You have not mentioned your age or symptoms... You will need an endoscopy and Biopsy and based on the results your condition will become clear.. Please revert to me with details of age, symptoms and clinical findings so that I can help you further.. If you are young and relatively asymptomatic then it is likely only sinusitis with polyp that will need medication and probably a small surgery to remove the Polyp.. Hope this answered your query
| 156,185 |
What does a knot inside the knee indicate?
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Patient: MY HUSBAND WAS JUST RELEASED FROM THE HOSPITAL AND WAS ON BLOOD THINNERS TO HELP WHAT WAS FIRST DIAGNOSED AS A STROKE BUT MRI SHOWED NOT STROKE.HE IS 49 YRS OLD, IN GOOD HEALTH,BLOOD WORK WAS GOOD.HE HAS DEVELOPED A KNOT ON THE INSIDE OF HIS RIGHT KNEE ABOUT THE SIZE OF A MARBLE.CAME UP SUDDENLY Doctor: Hi,Greetings from HCM.Since you were initially diagnosed as having stroke doctors will put you on blood thinning medicines as a first line of treatment.Problem with anticoagulants like aspirin clopidogrel will produce bleeding complications if the dosage is not titrated.This has resulted in heamorrhage or heamarthrosis.Since MRI is not suggestive of stroke you can stop or withhold blood thinners for time being and wait to subside
| 65,512 |
What is the treatment for numbness in feet after the injury?
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Patient: I have had Cauda Equina for 5 yrs w/tingling feet. I fell 3 weeks ago now my whole right foot is numb??? I m seeing my PCP had head CT, X-RAY OF HIPS & spine, and just had MRI OF SPINE! My foot is now swelling. My body hit a solid wood floor from head to toe! I THOUGHT THIS WAS FREE??? I m not paying! DO NOT SEND ADVERTISING EMAILS! You can t HELP ME WITH AN AD!!!!! Doctor: Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.I generally see many cases like this at my clinic.there may be a soft tissue or ligament injury. may b a bone fractured. i advice u to get an mri,xray done to find out whats wrong.You should eventually get back to normal in coming few days.Nothing to worry about. I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless.
| 132,500 |
Can extraction of wisdom tooth cause ear pain?
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Patient: I had a tooth taken out wisdom 2 weeks ago it still sore but now my right ear hurt dentist say my tooth extraction can last but the ear hurt also my daughter walk pass it a few times it close after she move it opens then it hurt I washed my hair yesterday could it be water Doctor: Hi, thanks for consulting HCM. Pain after wisdom tooth extraction can persist from a few days till up to a month.hope your extraction was atraumatic and no root fragments left out. If u had to open your mouth for too long your jaw joint must have got a bit stressed which can cause ear pain like symptoms. Limit your mouth opening for a few days and consume soft diet.also suggest you rule out ear infection. If pain persists visit a dentist for a thorough examination.get we'll soon
| 183,397 |
How many days will it take to get normal SGPT?
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Patient: I got my blood report,my liver became a bit fat,its right lobe measures 18.5 cm,whats the normal size?my S.G.P.T(ALT) is249 ,so m taking some medicines now,how many days will it take to get normal sgpt?will i be able to take alcohol(1/2 pegs) in future? Doctor: HelloIncreased SGPT indicates liver injury and it may be due to many reasons like hepatitis,alcohol intake,altered lipid profile, medicines,auto immune causes etc.Liver is also enlarged in size.You need few other investigations like random blood sugar,liver function test,lipid profile.You may need to take some medicines after proper evaluation.I suggest my patients to take tablet ursodeoxycholic acid 300 mg twice daily for three months.It helps in regeneration of liver cells.It may take 4-6 months to get SGPT to normal level,but you should avoid alcohol completely.You should also increase your physical activity and avoid fried and fatty food.Get well soon.Take CareDr.Indu Bhushan
| 56,731 |
Does odimont FX have any side effects?
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Patient: Hi , my son who is 19 yrs old, has allergic rhinitis. The doctor has prescribed Tab Odimont FX once daily and Osonase nasal spray - 1 spray in each nostril twice daily. Does Odimont FX have any side effects. Is it safe for him to take this tab ?? He was previously on Cetzine 10 mg. Please advise Doctor: Hi, Yes, there are. There can be restlessness, irritability, hypersensitivity reactions, dry mouth, dizziness, inability to concentrate, defects of judgement, behavior and mood related changes, sleeplessness, nightmares etc.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ajeet Singh, General & Family Physician
| 84,550 |
Suffering from asthma and chest infection, please help
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Patient: My husband is suffering from asthama.He regularly inhale seroflo250(twice a day with two puff each) and levolin(sos).But for the last two yrs he is suffering with chest infection in addition in rainy season. Last year he admitted in hospital. How I take care of him in this year ? Doctor: Hello.welcome.Asthmatic patients have tendency for recurrent bouts of chest infection.Try to avoid getting infection by staying away from people having infection,keeping a handkerchief tied around his nose and mouth whenever outdoors and most importantly whenever he gets some throat or chest infection he should be given a course of antibiotics in consultation with your physician.Try to get rid of infection immediately lest it becomes big.good luck.
| 105,992 |
What follows after brain damage?
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Patient: w long can you live if your brain is dead but you are still breathing. My uncle had a cardiac arrest one week ago and has been in intensive care for nearly a week, it has come to light that it took 20 minutes to recusitate him he is breathing on his own has a strong heart beat, when we touch him he opens his eyes, but there are no other responses from him we have been told he is probably brain damaged due to the lack of oxygen. How long could he live like this if he is still breathing on his own, & just on a morphing drip ONLY?! Doctor: Hello!Thank you for asking on HCM!As far as I understand from your description, your uncle has suffered a hypoxic brain ischemia. His actual state seems to be a vegetative state, with diffuse damage of his brain. Unfortunately, we can not predict how long this situation will go on. It may last even for years, if his heart and other organs are intact. Common complications in these situations are infection and decubitus ulcers from lack of movements. Hope to have clarified some of your uncertainties!Kind regards, Dr. Aida
| 143,441 |
Is pregnancy possible after menopause?
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Patient: Hi, I m 52 years old and I ve had the Mirena for just about 5 years. Due to come out in June 2018. I ve had my FSH levels tested to see if I have gone through menopause. My levels were at 116. Does this mean for sure, that I don t have to worry about getting pregnant? Or should I make plans to have the Mirena replaced? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Usually absence of menstrual periods for around 12 months without any medical or iatrogrnic causes can be considered as menopause. Though your fsh levels are elevated that alone cannot be taken as conformative evidence of Menopause, as sometimes in perimenopausal stage also fsh levels can be elevated and also hormonal supplements can alter the levels.So, better to recheck the levels of FSH before the due date of Mirena, if levels are persistently high and endometrial thickness in ultrasound is less than or equal to 4mm, there is possibility of of nearing menopause.In that case you can wait and observe your menstrual cycles for two to three months , if you are not getting menstrual periods, no need of Mirena.But till that better to use barrier contraception like condoms to be on safe side.Hope I have answered your query and I will be happy to answer any further queries.Take care.
| 218,490 |
AST and ALT abnormal, liver area pain, illness, dizziness, weakness. On citalopram. Cause of pain?
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Patient: Male, 37yr old, 105kg. AST of 56 and ALT of 122 and some liver area pain. 6 weeks ago I started feeling ill and fainted, and the Dr found I was Type 2 Diabetic. Feel week and ill since and have no energy. Doctor prescribed Citalopram 20mg a day 3 weeks ago and the pain started the next day. Could Citalopram cause this pain? Lost 2 stone 2lbs in the last 6 weeks. Doctor: Hello! Hope You may be well.There are four issues.1. Obesity 2. DM 3.Raised AST and ALT. 4. Pain in liver area. Visit either Gastroenterologist or Physician who may ask for few tests like USG abdomen to see for Liver echotexture (to see for Fatty liver- NAFLD, if you are not alcoholic. You also require to undergo some of the blood tests like lipid profile, HBsag, Anti HCV ab, ANA, SMA, S.ceruloplasmin to see the cause of abnormal AST and ALT as they suggest that there is ongoing liver injury which if persist for a longer period of time will be harmful. It is further advised:1.Good glycaemic control with help of Antidiabetic drugs may be Insulin 2.Regular exercise which includes brisk walk for at least 30min/day. 3. Very low caloric diet as per your BMI to reduce your weight which is must. 4. If your lipid profile is also derranged then lipid lowering agents also. 5. Cause of abnormal AST/ ALT as per scenario you have given appears to be more likely due to NAFLD which will require some medications like ursodeoxycholic acid , apart from measure which I have already mentioned. Pain in liver area may be due to streching of the Glissons capsule which is over the liver due to hepatomegaly or enlarged liver.Also if you are taking alcohol please stop that. I hope this will be sufficient and will resolve your problems. Further best of luck. Remain in touch. Good bye
| 58,937 |
Does antibiotics interfere with efficacy of birth control pills?
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Patient: I am taking falmina birthcontrol and for the last week I was on amoxicillin for a gum infection. The day after being done with my antibiotics I had unprotected sex. Should I take plan b being that antibiotics mess with birth control or should I be okay since I waited 24 hours after my antibiotics? Doctor: HIWell come to HCMI really appreciate your concern, if you are already taking oral contraceptive medicine then no need to take any other contraceptive pill even if are on some antibiotic because antibiotic will not interact with the oral contraceptive, but let me inform you that not contraceptive devise is hundred per cent promising hope this information helps.
| 224,036 |
How to cure dark spots on the shaft of the penis?
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Patient: My son is fifteen and he has dark spots on the shaft and some on the head of his penis they are no larger than the size of a penny. They are not raised and do not cause him any irritation he is worried however that they might be permanent is there any way to treat these spots Doctor: HIWell come to HCMI really appreciate your concern, is this is recently happened then this could be skin disease and if this is since many years then it could be pigmentation disorders and this is nothing to worry, hope this information helps, take care and have a nice day.
| 198,734 |
How to treat kidney stones?
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Patient: I am 11 weeks postpartum with twins. I have a hx of kidney stones especially when pregnant. Since delivery of my twins I have passed 2 stones. I have felt an urgency to go to the bathroom since delivery and it hasn t let up. I thought I had another stone but weeks have passed and nothing. This morning I started urinating blood and it has lasted all day and now my back is hurting. No fever or other symptoms at this point. Doctor: HelloThanks for query .Pain in back ,frequent urination and blood in urine with history of passing stones strongly suggest presence of stone in ureter .Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis.In the mean while take antibiotics lke Norfloxacin with pain killers like Diclofenac twice daily .Ensure to drink more water .Further treatment will depend upon result of these tests and final diagnosisDr.Patil.
| 47,579 |
Suggest treatment for swelling and itching especially in the groin area
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Patient: My husband started itching all over his body earlier today and especially in his groin area. Broke out in bumps in several places on his body the his testicles and penis became swollen and have stayed that way for several hours. He took Benadryl and the itching is better but the swelling hasn t gone away. Doctor: Hi, It can be a fungal infection. As the first line of management, you can apply topical antifungal ointments like clotrimazole for symptomatic relief. If symptoms persist, better to consult a dermatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further.
| 195,124 |
What is the cause of hives?
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Patient: For about 5 days I ve been getting bites or hives. They show up at night when I am in bed and are pretty itchy initially, however, the itch becomes very minimal within 12 hours even though the bump remains. I think I ve eliminated bed bugs and am now trying to eliminate spiders and fleas. The only thing I can think of in my diet that has changed is blood pressure medicine. It is possible to get hives from Byhstolic (nebivolol) tablets? Doctor: Hello,Based on your symptoms, you seem to be suffering from Acute Urticaria. This can occur as a result of medications (yes even BP meds), insect bites, food allergies, airbourne allergens like pollen grains, basically just about anything can cause you urticaria. However, since you have a clear history of BP medication being changed, this may be the culprit. You can report this to your treating physician who may change the medication. Meanwhile you may take non sedating antihistamic like levocetrizine in the morning and sedating (if itching is severe) antihistaminic like hydroxyxine 10mg at night/before sleep. This alleviate the symptoms of itching.RegardsDr. Tushar [email protected]
| 14,831 |
Wisdom tooth pulled, pain in jaw line. What should i do?
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Patient: Hi I had my left top wisdom tooth pulled going on 5days ago and it was a simple pull and grab technic and he did not give me any antibiotics to take after words and though I haven t had a whole lot of pain I m starting to have a little discomfort and pain below my jaw line down towards my throat should I be alarmed and go to emergency because it will be another 2days before I can get seen by my dentist and this has been going on since yesterday and today Doctor: Hi, Thanks for asking the query, Pain , swellling nausea , fever are common complications after wisdom tooth extraction. If the pain is very intense and does not go away in few days it can be the sign of dry socket . At home eat a soft diet , Maintain a good oral hygiene . Use saline water gargles 3-4 times a day. Visit to your Dentist and get complete clinical evaluation done. take tab odoxil 500mg TDS , tab brufen TDS for 3 days . Hope this helps out. Regards..
| 189,565 |
What causes shoulder and back pain after ectopic surgery?
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Patient: I ve been leaning on my right arm alot lately watching tv and it feels like my elbow is going out also shoulder aches its also been five weeks since ectopic lap surgery I ve been depressed restless and once I lay down its hard to lay all the way flat like I can t relax my back I have to ease into it what s wrong with me? Doctor: Hello,Causes for lower back and hip pain are:-Injury / blunt trauma-Referral pain to surgery.-Sprain or strain-SpondylosisSpine-related problems-Improper postureHence I would like to advise you the following:-You can take the tablet aceclofenac. -Apply diclofenac gel or cream. --Apply ice locally. -Do x-ray and MRI back and hip region. -Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with orthopedics. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale
| 127,736 |
71 years old, MRI showed split cord abnormality. Physiotherapy helpful?
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Patient: I am a 71 year old female. Today I saw a Neurologist at the University of Washington in Seattle. My MRI showed split cord abnormality. I went to see this Doctor because I m in alot of pain and I hate to increase my pain medications . He said I should see doctor that deals with sports injuries. The appt. is in the works. Also some phyicial theropy may help. He was reluctant to consider surgery because of my age. Would like your opinion. thankyou, Maryellen Person Doctor: Hi,Thank you for posting your query.I agree with your doctor. Split cord abnormality (diastematomyelia) is generally a congenital condition, and presents with symptoms in early childhood. So, if you have remained almost asymptomatic till now, surgery may not be needed (not considering the risks involved in a spinal cord surgery).So, I think physiotherapy is the way to go.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected] blog: http://bestneurodoctor.blogspot.com/
| 149,747 |
Pain in gallbladder area, difficulty swallowing. History of GERD. Treatment?
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Patient: I was in the ER yesterday with a bad pain in my upper right stomach . It feel like in the gallbladder area. I have had my gallbladder removed years ago. I have gerd and have had very bad heartburn and i am taking protonics. In the ER they did a cat scan and blood work and said everything is normal. I have not been able to eat anything because I feel like food gets stuck, plus it causing me shortness of breath. Doctor: Hello, mika, I don't hink the pain you are experiencing is related to your old surgery of the gallbladder. You mention that you have GERD and have been on Protonix. You are on the right treatment , but it is important that you are taking the drug properly. The best time to take the drug is about one to one half hour before your big meal of the day. If you are on 40mg. daily and still having symtoms, you can increase the dose to twice a day and see if that makes any difference. With your symtoms of "Food sticking" , I am a little concerned that you may have still considerable inflammation of the lower end of esophagus at the juction with the stomach or you might even have a little narrowing at that area. What you need is an endoscopic evaluation to look at that area and biopsy it. CT-Scan cannot show that. You might see some changes if you have an upper GI series X-rays at the minimum. I wish you well.
| 59,637 |
What is the reason for low phosphorus in bone?
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Patient: Hello, I have problems with low phospherous and normal calcium which is unusual for a.person with 3-1/2 parathyroids removed. I was working on my truck today and when I was finished I walked to.the sink to.wash my hands. I was extreamly tired and shaking and feel really really worn out in a very short prior of time. My heart rate went to 110 and I have a prickley feeling in my left hand and arm. I took phos-nak and hour earlier before this happened. I know you need more history so if you want me to write me please let me know. Doctor: Hi, Yeah, there's a metabolic problem underlying this. Especially if others in the family have had this it is a kidney phosphate wasting disease. OR, it can be an abnormality of the parathyroid. Paradoxically when the situation with the parathyroid gets BETTER, the calcium and phosphorus PLUMMET. (hungry bone disease) it will have to be monitored. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist
| 121,517 |
Would polycystic kidneys of mother cause any effect in daughter s?
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Patient: hi doc just a quick question. know someone age 16yrs went to remove her appendix but as per the hospital afterwards was not the cause of the pain. her mother has Polisistic kidneys. she currently has sever pain and swelling over her lower back. feeling nauseas and bringing up little bits of blood. is this the same as her mother has or is it more than that. do we need to panic as it looks like the hospital does not knw what is wrong. they are refering her to a different hospital but only in june of which this child cannot bare the pain. hope you can share some light what the next step is. thank you abigail Doctor: Hi,Thanks for writing in.At 16 years, there can be many causes that need to be considered and investigated for a pain and swelling in the back. With available advances in medical practices, imaging and blood tests reveal a lot about any condition. If the pain and swelling appeared recently then an infection or inflammation is the first possibility. Concerning that her mother has polycystic kidneys, doing an ultrasound scan will confirm if she has the same condition. If an appendix has been ruled out clincally then other causes which can cause pain can be from the liver and gall bladder, kidney stones, and conditions to do with uterus and ovaries. A complete investigation is required to confirm the diagnosis. Depending on the type of polycystic kidney condition, the daughter might have the same condition depending on genetic transmission.
| 48,542 |
What causes sharp pains in abdomen and back?
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Patient: I just finished going through a nasty cold, I had pain in my ribs which transfered to my back and near the end of it I started feeling sharp pains in my lower abdomen that will not go away. The cold is pretty well over but the sharp pains won't go away. I have been eating and having regular BM's so I 'm wondering whats hanging around in my guts? CK Doctor: Hi ! Good evening. I am Dr Shareef answering your query.If I were your doctor, I would advise you for some blood tests like a CBC, LFT, serum amylase and lipase, a urine routine/microscopic/culture and sensitivity test and a stool test for ova and cyst. I would treat any one of these if positive, and also advise you not to eat from outside if you do to prevent any intestinal infections creeping in and also to prevent any kind of sensitivity reaction of your intestinal mucosa to some components of fast and fried food. Management would depend on a physical examination and reports of investigations. Till then, you could go for some anti spasmodic drug, and add sufficient roughage and liquids to your diet.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.
| 87,839 |
Is it safe to extract wisdom tooth when on Orencia?
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Patient: Have RA..take Orencia infusion. Last infusion was June 12th..is it okay to have my wisdom teeth extracted tomorrow? What do I need to do or what exactly should I tell dentist. What are the risks? I was scheduled for another monthly infusion but I waited. Doctor: Yes it is safe for you to go for a wisdom tooth extraction. Just inform the dentist that you are taking medicines for arthritis.
| 184,302 |
Have been on anti-depressants for years. Is the withdrawal causing me depression?
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Patient: i am 38 and have been on anti depressants for 10 years, prodep and now nexito. i have tried to reduce the dose slowly and am now on 10mg nexito every other day, but reducing dose further causes horrid dizziness and makes me very low - i feel that it is the withdrawal rather than my psyche or depression issues that makes me low. is this normal and should i grit my teeth and bare it? sorry no credit card here Doctor: Hi, Thanks for using healthcare magic, I have gone through your history. You should have taken psychiatrist for detailed evaluation and proper dosage adjustment. You should not do it on yourself. Your psychiatrist will decide whether you require further medicines or not and if not, how to reduce it or omit it. Sudden stoppage of Anti depressant drugs after use of these many years may cause withdrawal features which are usually temporary in nature. But in some case it may last longer. Meanwhile you can do stress management and yoga for better control over depression. Thanks.
| 212,148 |
What causes decrease in S-Ferritin level?
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Patient: I'm 49, obese and putting on more weight by day. I'm getting headaches in the night when I've had read meat for dinner... patalogy test showed that I do not have any allergics.14 June 2010: S-Iron 3.8 mol/L & S-Ferritin 9mg/mL I've used an prescribed iron supplement.25 January 2011 : S-Iron6.8mol/L & S-Ferritin 7mg/mL According to the South African pathology report Normal S-Iron levels must be between 9.0 & 30.4mol/L & normal S-Ferritin levels must be between 15 & 160mg/mL How come the iron level picked up but the ferritin level went down? Doctor: Hello and welcome to HCM,Serum ferritin is the storage form of iron.The level of ferritin decreases in case of iron deficiency.Initially there is depletion of serum iron followed by ferritin.Thus, Thus, low ferritin implies low storage form of ferritin.Iron supplement will correct the iron deficiency and also the depleted ferritin levels.Once the iron level improves, the ferritin level will also pick up.Do not worry and continue with iron supplement.Thanks and take careDr Shailja P Wahal
| 115,997 |
Lymph nodes swelling two years after diagnosed with renal cancer and had partial nephrectomy. Mesenteric nodes removed in kidney showed PTGC. Any thoughts?
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Patient: I have had clear cell stage one renal cancer, and partial nephrectomy. Following this, had hives and was diagnosed with carcinoid. Now two years later, lymph nodes swelling bigger and having left external iliac biopsied. I am 57. Biggest is 2 plus cm. Some are in inguinal and some mesenteric. Mesenteric nodes removed in kidney surgery showed PTGC. Any thoughts? Doctor: Hi and thanks for your question.Metastasis(spread) of renal cancer to other organs must have taken place.you need to urgently see an oncologist for further evaluation and management.hope i answered your question,
| 157,205 |
What can I do for raw spots on the skin ?
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Patient: I was riding a horse and when i got off i saw i had a small raw spot on my skin where my saddle was rubbing. What can i do. I already wraped it with vet wrap. :) Doctor: hi u have minor abrasion due to friction u need to apply antibiotic cream over it three times a day take analgesic tab if u feel pain wash it with running water it will heal within 5 days dont pick it
| 16,471 |
Need medication for jaundice
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Patient: Hi Dr. I was detected with slight jaundice my stats being bilirubin as 1.6 (std 0-1) and SGPT 138 (std 0-40). I took LIV52 as suggested by my Dr. After three months when I tested my bilirubin level where normal but I still had slight rise level of SGPT- 90 (0-40). Is this concerning? Please note that: I don t have fever nor vomiting or nausea but still my urine is sometime slight yellowish Doctor: Hello, I read your question carefully and can understand your concern very well. I would like to tell you that it takes few months for levels of SGPT to come down to normal after having viral hepatitis, which is exactly in your case. If you have no associated symptoms and your bilirubin level is normal, then no need to take any kind of medications at this point of time. Just give some time and your SGPT will definitely come down to below 50. If it continues to remain on higher side even after 6 months, then you need to go for ultrasound to rule out other liver pathology like fatty liver. Hope this will help you and feel free to ask your further queries.
| 56,143 |
I can not swallow food
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Patient: Hello...im a 15 year old female who is very overweight and food is sort of a comfort for me. As of late i can't swallow barely 3 bites of food out of fear of choking. I have choked many many times in the past few months on food but it seems to be getting worse. JUst about every other bite of food i take feels like it gets stuck in my throat and as it may seem it is very frightening. I have been taking prilosec for about 3 days now and my doctor said i shoul feel better soon. Nothing is happening...please help me! Doctor: hello jasmine,how much overwt. you are ?and plz also tell me your diet shedule,then i can do some thing for u?
| 96,024 |
What is the remedy for lower back pain and difficulty in moving the feet with with facet arthropathy when on celebrex?
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Patient: Hi I have had an MRI that showed I have L4-L5 Mild disc bulge abuts the ventral thecal sac without significant narrowing. L5-S1 small eccentric to the rt disc protrusion superimposed on disc bulge effaces the ventral thecal sac without significant narrowing. Mild left greater than right neuroforaminal narrowing due to facet arthropathy. Lumbar spondylosis involving inferior lumbar spine. No evidence of root impingement. That being said I have been in the medical world since I was 18yrs old. I am now turning 45. For the past 6 weeks I have had severe lower back pain, started out like sciatic pain on the left side and after 2 days turned ugly on me and has progressively gotten worse. Some days I can not raise my feet up 3 inches to dress and getting up from a seated position or vice vers is the worst. Have been taking celebrex and flexeril and robaxon? spelling for last 8-10 days. Been manipulated by a DO and had massage done form head to toe. meds do not help at all. I have hot tubbed, iced, heated my self to death nothing makes it better. Finally got my PA to order MRI and here I am. What do I do? Doctor: your MRI report is showing not very significant compression. I would like you to recommend back muscle strengthening exercises. These exercises are very easy and important point is, you stick to this. Because in initial stage you may have severe pain, but gradually after few months you will feel that you are having good relief.
| 111,954 |
What causes blood clotting and pigmentation after donating blood?
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Patient: my name is ramkumar from hyderbad male is age-30,weight-79,heught-5.5. the thing is exactly last week saturday morning iwas donated blood to heart patient in durga bhai deshmukh govt hospital,vidyanagar,hyd.since dan i am facing problem of blood cloting in my right hand and becoming very black color.present iam using thrombophob ointment for this problem.last in april in kamineni hoaspital iwas donated blood to pregnant patient and at that time i was fine and i never faced like this problem.please solve my problem???? Doctor: hi, after donating blood hematoma formation occurs some times, its not at all worrisome. its just due to some technical error at time of venepuncture. so some amount of blood goes outside the vein in surrounding tissue. it will produce black colour. just relaxed. it will become faint later on and will go away after few days. just apply some ice on it,. no any treatment or intervention is required. you are absolutely normal. dont worry.thanks for using health care magic.
| 117,774 |
Is Pyeloplasty the only available treatment option for renal pelvis obstruction?
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Patient: I have a urological problem? I have got renal pelvis obstruction on the right side of the kidney. Surgeon advised pyeloplasty. whether it is necessary to go for this surgery or treatment through medicine is possible? How pyeloplasty is conducted? Your guidance and advice is highly solicited. With regards Arun Doctor: Hi,Thanks for writing to HCM.The renal pelvis obstruction is due to narrowing of the junction between renal pelvis and ureter...this narrowing cannot be treated by medicine... this narrowed junction needs to be excised surgically and a new wider junction is created by using a part of the renal pelvis wall...usually done in spinal anaestheia...Dr. Ashish Verma
| 49,277 |
Suggest treatment to improve penile size and erection
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Patient: Hi, may I answer your health queries right now ? Please type your query here... ssir my age is 24 year and weight about 67 kg, my heigt is 5'7 , actully sir my problem is before 3 years my penis is becom thin n dull, its hardness also gone , when i am exited my penis become hard but as quick it become dull, it cant stay long time, befor three years i have habbit to masterbating twice a day, and some times its like 5 times in a day, plz sir tell me the treatment of it, what should i do? Doctor: Hello, As per your history, it may be due to anxiety. For that avoid stress. Take proper rest. Take balanced diet. Avoid smoking and alcohol. You can take tablet sildenafil one hour before sexual act after consultation. Avoid strenuous activity. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician
| 194,030 |
What causes loss of balance?
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Patient: I have been falling down about 8 or so times within a period of about 1 1/2 yrs. I also veer to the side when walking straight, left more than right, sometimes fall backwards. I am going to chiropractor for 8-9 mths. lately, bending down to like at an item on bottom shelf in store and when I squat down to floor, I can only get up about 1 foot and I don t have stremgth to push up further, and I fall back, onto my back. Today, this happened in Home Depot, DIY store! Please advice on possibilities of what this could be causing this to happen. I am 61 and always been in good health, a multi tasker etc. Thankyou, Linda Doctor: Hello, It is important to perform a careful differential diagnosis between different possible disorders that could lead to falling: - a neurodegenerative disorder - orthostatic hypotension - chronic degeneration of the cervical vertebral column - an inner ear disorder - a cardiac arrhythmia. For this reason, I would recommend first consulting with a neurologist for a physical exam. Some tests to consider would be: - a resting ECG and a cardiac ultrasound - a cervical spine X-ray study - thyroid hormone levels for thyroid gland dysfunction. A Brain MRI and an ambulatory 24-48 hours ECG monitoring may be needed. If all these tests result normal, I would recommend consulting with an ENT specialist and performing labyrinthine tests. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist
| 140,277 |
What causes lump on the under side of the penis shaft?
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Patient: a lump found on the bottom side of shaft of penis, young age still basically a virgin. larger lump, bigger then average pimple. researched some STD s, do not seem to feel any symptoms or differences in body. quite embarrassed and do not see ingrown hair Doctor: Hi, dearI have gone through your question. I can understand your concern. You may habe folliculitis or skin infection or dome other lump. You need examination. Consult your general surgeon and go for examination. or send me the image do that I can help you further. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 62,870 |
What causes bleeding and swollen gums?
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Patient: I was wonderind what causes bleeding and swollen gums/ Is this a curable disease? I am 54 years ikdm 5 '2 and weigth 172 pounds. I have been in good condition except for bleeding gums recently. THat is very alarming. My mother have had this for many years. Doctor: Thanks for your query, I have gone through your query.The bleeding gums could be because of the deposits causing gum infection or it can be because of bleeding disorders like thrombocytopenic purpura.Consult a oral physician and get your teeth cleaned and take topical gum astringens like stolin gum paint. Get your blood investigations like BT,CT, PT AND INR to rule out bleeding disorders.I hope my answer will help you, take care.
| 184,593 |
Should Meftal-P or Meftal P-125 be continued for the fever?
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Patient: Hello Doctor, My daughter is 2 years old and is having 10 kg weight and she is having fever and yesterday evening I gave p-125 5ml but it didn t come down and mid night fever increased to 102. So I gave meftal-p 5 ml and fever came down and now she is normal. so now I need to continue meftal-p or p-125. Could please advise. Thanks Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.1. P-125 is safe for this age. Continue only that.2. Meftal-P should be given only for high fever (more than 102°F [38.8°C]).Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Arun
| 178,635 |
What causes pain from the groin area to the legs?
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Patient: I am experiencing server pain from my crotch to my feet. I ve had a triple by pass in the past. In the last 6months I ve had swelling and extreme pain throughout both legs. The pain often brings me to tears. What caI do to comfort my legs until I see the doctor on Monday. I need relief. Doctor: Hi, It's likely a sciatica. You're Vit D level, x lumbar spine AP/ Lat view and further may need mri if x rays are not informative. The treatment for this is physiotherapy to release the nerve compression so may visit the nearby physiotherapist. Till the time you can have tab Neuronion forte once a day which is a nerve vitamin and Diclofenac/Ibuprofen . Also, you should get nerve stabilizer prescribed like Tab Pregabalin will stabilize the nerve and reduce pain. etc. You need to visit orthopedician for all these investigations. Hope I have answered your query. Let me know if I can assist you further.
| 126,938 |
Should Glycomet GP2 dosage be increased to manage sugar level in the body?
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Patient: Dear sir I m diabetic patient from 5 years. I was taking diabeta 500 mg tab in starting after 3 years i hav started glycomet gp 2.. I every day go for jogging 30 minutes and after that i m taking tabelets of gp2 in morning before breakfast. But still my sugar level is 150 in fasting and 220 in pp. Please sujjest wt to do? Doctor: Hello, Look if you are taking Tab. GLYCOMET GP 2 once in a Day & FBS = 150! You should take Tab. GLYCOMET GP 2 before lunch. Then you need to modify as follows: 1. Short & Frequent Diet plans to follow. Always have breakfast & evening snacks on time. 2. Avoid junk foods & oily & spicy foods. 3. Include more of green vegetables, veg soups, curd, sprouts in the daily diet plan. 4. Cut short dinner diet by 10% & avoid potato & rice for some days. 5. Before changing, Drug Doses just check at least 3 readings FBS & PPBS on 3 different days may be on Alternate days whether it's in this range only after following all diet plans. I would suggest if after all these precautions: sugar levels FBS = doesn't come down to 110 then. You need to modify Drug plans. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ajaygupta009, General & Family Physician
| 191,213 |
What causes itching vagina after stopping birthcontrol?
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Patient: I recently stopped taking birth control and have itching inside my vagina, no discharge or smell. I thought it was a UTI, because it burned when i peed, but then i thought it may be a yeast infection. is it possible that me quitting birth control could have caused this itching? Doctor: HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that if you are taking hormone containing pill for contraceptive purpose then such itching symptom is common and this would come around as soon as you stop the pill, take care and have a nice day.
| 224,596 |
Suggest treatment for psoriasis for years
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Patient: Hai doctor, gud evening. My dad suffering from psoriasis since from 5 years.He took treatment in ayurvedic n private hospitals.Can u help me for suggest where should we go for best treatment.For my dad the skin disease spreaded all over body n slightly on face. Age is 52 years n height is 5.2. Doctor: hi, welcome to HCM & Thanks for asking,There is no cure for psoriasis, but treatment will usually help keep the condition under control.apply emollient containing urea+ lactic acid.apply potent steroid clobetasol+salicylic acid+coal tar twice daily.avoid scratching and rubbing, as it will increase you disease activity.thanks
| 12,283 |
What causes pain and cramps in the calf muscles?
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Patient: hi dr! i am living in malaysia with my husband. actually the problem is with my husband. he is having painful calf muscles specifically and cramp like pain in his legs, consistently for a more than a year. he become tired and lethargic with an average or a bit more activity. he has pain his heels also but then he consulted the doctor and he suggested the cholestrol test which was quite high, he took medicine for it and the problem was solved, but now a days he is again feeling pain in heels at times. kindly suggest something Doctor: Hello I have studied your case,These symptoms are adverse effects of statins medication which doctor might have given to lower blood cholesterol levels..Continue your nutritional supplement.Take plenty of water, fluid intake will dilute toxins.Eat fresh fruit and juice and soup they have anti=oxidant.Physiotherapy with ultrasound and Tens will help you,Yes you can do exercises like swimming, riding stationary bicycle, but do not overexert yourself.Take potassium rich diet.Hot and cold fomentation to leg. You need to continue you medication for couple of month to see effects.Add tab methylcobalamine 1500 once day or Inj methylcobalamine1500 mcg once week for 6 weeks.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care
| 138,338 |
What causes itchy rash on the body after taking hcg drops for weight loss?
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Patient: . I read all thdear doctor, I am 71 years old and began hcg drops after observing two people lose weight with out major proplems. My weight was 204 lbs. I followed the instructions to force eat the first two days gaining to 212 lbs. I have been on the drops and diet for two weeks. i began to have itching and then broke in a painful rash. i did lose the weight I gained on the two day feed and 14 lbs altogether. I take medications that I could not stop for blood pressure and thyroid. I read the research and there was no indication that these symptoms would occur. My doctor says it is an allergy. I did not tell him I was using hcg. Will these drops show up in my blood work? Doctor: Hcg drops can cause allergic skin reactions that is itchy rash on body. It has side effect like that. Yes hcg can be tested in blood after tking drops. Hcg diets are sold as homeopathic medicines. Dont go asyray consult your family doctor. The best way to reduce weight is diet planning and excercise. We advice excercise not only for rducing weight but also for strenthening the body and vital organs.
| 98,795 |
Large lump on right side groin area, cough, tired and weak. What could it be ?
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Patient: Hello I have a lump on my right side groin area its rather large and on the inside not outside, also I have this wicked cough and feel weak and tired at times not sure if it is any relation. The coughing,weak,and tiredness has just started with in the past 5 days. I noticed the lump on Oct 4th. In 2009 I us to get checked for skin cancer to sum that up I was being treated as having mycosis fungoides which is in several spots. No one,however, has actually dignosed me with this.The doctor is worried because in the area of my right hip is a spot which is somewhat by the lump in my grion. I have a biopsy on tuesday. In you opinon what do you think this could be? Thank you for your time! Doctor: Hello Kaylee, Thank you for your query. The main reason of a lump in group could be 1- Inguinal hernia 2- Enlarge inguinal lymph nodes 3- Benign soft tissue tumor, or lipoma Inguinal hernia could be one of the common reason, and it might cause due to the cough, i.e. increased lower abdomen pressure leading to protrusion of the abdominal contents through a weak point in groin. Age and weight of a person and chronic history of cough are important in ruling out this. This is sometimes reducible i.e. by putting manual pressure or it can be irreducible. this gets more prominent while coughing As you have a history of mycosis fungoides..there is also this possibility of enlarged lymphnodes. these are usually painless and do not change with cough or strain. Lipoma or the soft tumor can be detected by the biopsy. As you are scheduled for the biopsy it would be more clear the causation of the lump Thank you Dr. Shalu
| 159,554 |
Addicted to speed, cannibis, antidepressants. Anorexic, burn marks like scars, bald patch by pulling out hair, mood swings, breaking down. Options of rehab?
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Patient: hi i am enquiring on behalf of a friends daughter who is in a very bad state at present, i actually drove over to see her and stay with her last night , she has a baby of 2years old, and she is only 21 years old herself, shes addicted to speed, aswell as cannibis, and also on medication for depression from her gp. The weight loss is drastic and she looks anorexic, she has scars resembling burn marks from where she constantly picks her face, she has a complete bald patch from where she constantly pulled bits out of her hair, her mother lives nearby but has recently given birth to twins, she is very manic with mood swings hyperactive breaking down constantly, and is not able to cope with anything, i managed to talk her into admitting she needs help and discussed options of getting her into rehab, i fear this is her only hope and fear if something isnt done quick, she wont be here much longer. Doctor: she needs urgent hospitalistion, and the diagnosis needs to be revised ....it seems she is having substance induced psychotic disorder or may be she is having schizophrenia. Talk to her GP and start her on antipsychotic medication and arrange for deaddiction treatment. Speed is a appetite suppressant and also long term use may cause sleep problems , mood swings and paranoid symptoms so she need treatment for amphetamines dependence and stay at rehabilitation center.
| 212,141 |
Suggest remedy for pain in arm and shoulser
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Patient: I have a pinched nerve c5 c6 do to abnormal vertibre today the pain incresed drastically to almost unberible.My arm feels cramped more than numb and my shoulder feels like its being crushed ive also got a bright red rash around my neckand shoulders should i go to ER or will this pass Doctor: Hello, It may be due to muscle sprain. For pain you can take tablet acetaminophen. Continue physical therapy. Avoid strenuous activity. Watch for symptoms tingling and numbness in arm. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Shyam kale, Family and general physician
| 121,261 |
What causes back pain on the right side?
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Patient: I have pain on the right side of my back I had this pain for three to four days n I been drinking water since then Ithought it was going away but it is still there what is it please iIneed some answers to why? my name is terra Iam 41 years old i use to drink alot of cokes n the pain seems to get worst no matter what I do I cant lay down walk nor breath at times what is it? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.It would be advisable to show to a doctor and get an ultrasound of abdomen done. The symptom goes more in favor of a renal stone. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Fahim Sheik
| 106,763 |
What causes difficulty in conceiving despite normal test results?
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Patient: hi i live in pakistan and am married for 9 months. I wanna concieve ,although all my hormonal tests are normal along with ultrasounds also normal.. my husband semen analysis is also normal,but m unable to concieve.. i wanna concieve fast can u guide me plzz... Doctor: Hello,I have gone through the query and understood your concern. If the blood, urine, hormone levels, tubal patency tests and sonogram of the pelvis are normal, you can wait for 6 months to one year. If you still do not conceive, you should be tested for anti-sperm antibodies and other incompatibilities. Regular sexual intercourse should be practised atleast on alternate days during the fertile period. You should liedown flat for 30 minutes after the act, on your back if you have an anteverted uterus and on your stomach if you have a retroverted uterus. Hope this helps.
| 2,348 |
What causes burning sensation and swelling in the arm of a kid?
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Patient: Hi. My 9 year old daughter has a swelling on her outer arm about a hands width up from her wrist. She says its painful if touched or squeezed and comlains of a burning sensation there. I dont recall her ever receiving an injury to that area or having any significant bruising. She is a very active child though who rides a bike, scooter and plays on the trampoline a lot. I cant get an appt with my gp for 2 weeks and my mind is running in circles about it now. I would describe it as a swelling as opposed to a lump as when you look at her arm at the right angle, the difference is gradual rather than very pronounced. Can u help? Could it be fluids protecting an injury? Its been there a couple of weeks that i am aware of but she says its been there a lot longer. Doctor: Hi.... I understand your concern. By what you say I am putting forth these differential diagnoses -1. Angioedema2. Defective lymphatic circulation probably congenital lymphedema which has been overlooked3. Evolving rheumatoid arthritis keeping in mind the age and gender of the kid.I suggest you consult your pediatrician regarding this.Regards - Dr. Sumanth
| 167,126 |
Suggest remedies for injury on the shin
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Patient: I was hit in the shin with a discus today at a track meet. It swelled immediately with little pain. When I got home 4 hours later, it was considerably swollen and I saw that the discus broke the skin slightly with minimal bleeding. I iced immediately and took ibuprofen. I have had my leg elevated. Anything else to do? Doctor: Hello. thank you for writing us here.it doesn't seem to be too serious though but I would suggest you to make sure the wound doesn't get infected. You can take ibuprofen which is a good analgesic. and also make sure you don't exert too much pressure in your leg or do heavy exercises or get indulge in sports which could cause injury again at the same place. take some rest and you'll be better in a couple of weeks.Best regards,Dr Gunjan
| 132,530 |
Is it possible to conceive with polycystic ovaries?
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Patient: I am 24 year old and went to doctor for back-pain and irregular periods. My height is 5' 2" and weight 54 Kg. I got married 6 months back and found irregular periods since my marriage. Scan report shows impression of poly cystic ovaries and blood test shows TSH 0.01 and prolactin 40.45. Other tests carried out where Haeomoglobin 13.0 gm%, platelet count 305000 /cumm, and Fasting Blood Glucose - 78 mg/dl. Request you to suggest remedies and whether i will be able to get pregnant. Doctor: Hi.I would first recommend the use of either birth control pills or metformin for weight loss (if required) to help with regularisation of your menstrual cycle. Once that is done, along with a normal thyroid profile the initiation of clomiphene citrate can be taken about and then trying to conceive on specific days of your cycle should be advised.Best wishes.
| 1,243 |
Is gamma globulins level of 2.79 with in normal range?
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Patient: I recently received blood work results which indicated my total protein count was high (9.1 g/dl). My primary care physician then ordered a few other labs including a serum electrophoresis. The results of that test indicated my gamma globulins are elevated (2.79 g/dl). My Lambda flc was elevated, however the kappa/lambda ratio was within standard range. I understand that the gamma globulins are the antibodies and when elevated can indicate inflammation or disease. Is 2.79 a serious range? I am scheduled to see a hematologist, but until my appointment I want to become as informed as possible. I am also anemic and have tested positive for ANA since 2000. Since that time, I have been told by medical professionals that I have a predisposition for autoimmune conditions, although I have not had enough symptoms to be diagnosed. I appreciate any information or expertise you may be able to give to me. Thank you. Doctor: Hi, dearI have gone through your question. I can understand your concern.Your globulin is slightly high. In case of infection it is poly clonal in nature. In paraproteinemia rise of globulin is monoclonal. Please send me your serum electrophoresis report so that I can help you further. you should also check your ESR and bense johns protein. your protein spike is poly clonal then no need to worry.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
| 114,973 |
What causes abdominal and lower back pain with bloating?
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Patient: Hello my name is Lauren, I am 23 years old and been having lower abdominal pain as well as lower back pain for 2 weeks now. constant bloating, also. I took a pregnancy test and it was negative, I am also on birth control pills. I am wondering if this is a gynecological matter? Doctor: HI. This looks to be a sub-clinical intestinal infection with colitis. Do you have any symptoms associated with the stool like loose motions or altered bowel habits or the nausea and vomiting. You already have a bloating.In cases of PID= pelvic inflammatory disease- you again get the similar symptoms with pain in abdomen and backache.
| 91,358 |
Suggest remedy for sharp pain in ribs
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Patient: Hi, I have had a cold/flu for three weeks now. Generally feeling better, but two days ago it felt like I had pulled the muscles on back when coughing and today my ribs (in the same area) are sore to touch and coughing is extremely painful. The pain has gone from a sore muscle pain to a sharp pain - almost like cracked ribs but not quite as bad (I ve had cracked ribs before, but on the other side). Is there anything I should be doing? Doctor: This is nothing but irritated costovertebral junction.You just stretch your pectoralis and do upper trunk rotatation stretch.Further you can add strengthning of rhomboidus and lower trapezius i.e. upper back
| 217,031 |
Any suggestion for tailbone pain when having solitary kidney?
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Patient: Bad tailbone pain/coccydynia , please suggest a pain killer that is safe(very very safe) for kidney , as i have a solitory kidney.Thanks..Any urgent respnse will be highly appreciated because pain is getting severe.I have to work long hours sitting position , and its just worseining. Doctor: Hello, As I went through the history I could figure out that you have too much of gluteus muscle weakness. Off late losing the fat tissue from the hip muscles is common in most people having a desk job. Noticing every other individual losing fat tissue from the muscle has become common. This issue leads to instability in the lumbar spine and also high pressure over the coccyx region. You can definitely have medicines like ibuprofen or ultracet. But over the long run, you need to strengthen the hip muscles and the core muscle to stop recurring the symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 124,287 |
What causes sudden pain in heart and dizziness?
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Patient: I am a night care worker and last night i had a bad pain in my heart ut felt like a stitch sensation , and. i seem to breath very heavily and then my heart begings to race and everything goes back and i feel very dizzy almost as if im floating? what xould be causing these pains? Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern. I will give you my opinion and explain something.You should know that heart pains usually has some characteristics. They are retro-stern pains, like squizzing, tightness. They might be irradiated to neck, shoulders, jaws. Usually they last from 5 to 20 minutes. They might be associated with heart palpitations, nausea, shortness of breath, dizziness.You explain a pain like stitch, heart racing. In my opinion this is not a typical heart pain. It seems more like a rhythm issue. Sometimes a simple sinus tachycardia, meaning that the heart beats more than 100 for minute, might be the reason of this symptoms. You might experience heart racing, heavy breathing, anxiety, dizziness.This rhythm issues might have different causes like sleeping problem, stress, excessive coffee consumption, alcohol, so you have to avoid them.Other pathology like anemia, hyperthyroidism, ischemic heart disease might be other causes.If I was you treating doctor i will recommend a fool blood analyze, your thyroid hormones, an electrocardiogram, a cardiac echo and if it is possible a holter rhythm monitoring and a stress test.Only after this fool check up we can be sure what we are dealing whith and how to menage it.Hope I was helpful. Best regards.
| 25,355 |
Suggest medicine to stop producing mucus after coil fitting
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Patient: I had a coil fitted around a year ago, its great, but i have started producing far too much mucus and i am upset and embarassed about it! it is ruining my sex life, can i take something to stop it happening? i am very healthy, i have had no children, and i dont smoke. I am 47 years old! please help me, i really dont want to go to my GP! Doctor: Hallow Dear,I would have appreciated had you mentioned what type of coil you have got in your body. There are two types of coils - copper coil and hormonal coil. In fact hormonal coil reduces the vaginal discharge. Copper coil is known to increase vaginal secretions in some cases. In fact at the age of 47, vagina is more dry. Increased vaginal secretion is from the uterus and mostly due to the reaction of the uterus to the copper coil inside. However, the possibility of infection should not be ignored; however it will more likely cause yellowish foul smelling discharge. Vaginal infection (bacterial vaginosis) also causes increased mucous discharge. Increased discharge due to bacterial infection will require a course of antibiotics treatment. If the coil is the source of infection, it needs to be removed. Please report to your Gynaecologist to find out an evidence of infection and treatment if it is found. If the coil is making you so uncomfortable, you may get it removed and opt for other suitable contraceptive method more suitable for you with the advice of your Gynaecologist. I hope this helps you.Dr. Nishikant Shrotri
| 223,668 |
What could cause diarrhea after glandular fever?
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Patient: my daughter was diagnosed with glandular fever a couple of weeks ago, she seemed to be getting better during the last week , she still sufferred from tiredness and moodiness but in the last 48 hours has had diarreah 3 times and has been sick once. i'm going to take her to the doctor tomorrow but im just a bit worries about her. I have read the possible complications witha ruptured spleen and possible other issues please can you advise Doctor: Hi I did review your condition.post viral self limiting diarrhoea can be seen after any viral infection including EBV, CMV and so on. However I would recommend you to consult a doctor if the loose stools are more than 3-4 times a day and causing tenesmus, blood in stools or severe fatigue.In this case the diarrhoea needs to be evaluated separatelyi hope this helpswish you all the best for your health.
| 33,747 |
What is the treatment for stage 4 prostate cancer?
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Patient: My brother in law has stage 4 prostate cancer. He developed an agressice tumor in his back while on chemo and his PSA is 1200+. His dr. has stopped chemo and has said there is nothing left to do. My brother in law has lost significant weight and treatment is now to manage the pain. He is not in hospice yet. How long do you think he has to live. Doctor: Hi,Thanks for writing in.Sorry to hear about stage 4 prostate cancer in your brother. Since his PSA is 1200 and doctors have found an aggressive tumor in the back therefore all attempts must be made to extend his survival and keep him comfortable by reducing pain as much possible. Please discuss with the oncologist if he can take radiation therapy to control the disease progression and whether he is getting adequate pain relief. Additional pain relief medicines like opioids can be added when he develops bouts of sudden pain.In stage 4 disease patients can survive for 2 years with good treatment and supportive care. Therefore if he is able to maintain his general condition then he will be able to survive longer. Please give attention to his nutrition and give more proteins. he should also drink adequate water and fresh juices at frequent intervals to keep himself hydrated. Please do not worry.
| 154,131 |
What is the cause of dizziness and tingling sensation?
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Patient: Occasionally I suffer from periods of dizziness. These last only a few minutes and the world seems to spin. Afterwards I feel fine. The dizziness I have experienced on and off for the last 3 years, but recently I have also been getting a tingling sensation on the inside of my arm. It feels as though something is under the skin wriggling around. It's not painful, but noticable and feels this way for much of the time. I was wondering what it could be? There is a history of neurological issues in my family. My father has cavernomas and now has been diagnosed with MS and my son also has also had surgery for cavernomas. Could this be what is causing my discomfort (I assume I also have cavernomas). Thank you. Doctor: Hello!Welcome on Healthcaremagic!The episodes of dizziness could be related to an inner ear disorder. While the tingling in your arm, could be related to a pinched nerve or a brain lesion. Considering that you have had a history family for multiple cavernoma, I would recommend performing a brain MRI study. An EEG would be necessary to exclude partial epilepsy seizures, which can mimic this situation. Hope you will find this answer helpful!Best wishes, Dr. Aida
| 142,520 |
What causes severe abdominal pain during pregnancy?
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Patient: I had a recent episode of severe abdominal pain and was admitted to the er..I was sent home and went to see a gasteronologist the next day..I am 18 weeks pregnant so he had me leave a stool sample..now I just received a call from his office saying he wants to see me...is this a bad sign? Was something abnormal found.. Doctor: Hello, wellcome to HCM There are different cause of pain abdomen but pregnancy related cause in 18th weeks are mainly.Degeneration of the fibroid,Ovarian cyst,tumors, Placental bleeding,Trauma.etcGo to clinic and consult your doctor as earlyas possible.Hope this is helpful.regards.
| 86,931 |
Suggest home remedies for sore throat and canker sores
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Patient: Hello, I am suffering from swollen lymph nodes on my neck, a swollen tongue, canker sores, and a sore throat. I am taking amoxicillin, but it is not treating my swollen tongue. It is becoming very hard to speak. Are there any at home remedies? What should I be eating and drinking to alleviate the pain?? Doctor: HelloThank You for contacting HCM.As you are already taking medicine so i would recommend you to visit nearby hospital for lab evaluation and further treatment. In the meanwhile take a cup of warm water, add 1 table spoon salt in it and perform gargles(mouth wash) with it after every 5 hrs. It will give soothing effect to throat.Avoid:> Spicy food> Drinking> Chilled waterHope you get well soon.Thank You
| 214,443 |
Suggest treatment for nasal congestion and severe cough
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Patient: Hello Dr, My 88 days old daughter (3 months) is suffering from nasal congestion since last 2 months and she is not able to recover even after she was on antibiotics thrice. But since 3 days she is also suffering severely from cough. I can hear the severity of her cold when she coughs. This makes her to vomit my breastmilk immediately after she drinks and also does not sleep due to cough interruption. Plz help me to rectify her problem, so that she can be at peace and resume her drinking and sleeping pattern. Her weight is also getting reduced lot since last 1 month. Plz help me! Doctor: YES YOU HAVE PROBLEM OF CHRONIC UPPER RESPIRATORY INFECTION,NEEDS TO BE INVESTIGATED BY GETTING DONE HER CBC,X-RAY CHEST,ACCORDINGLY I WILL ADVISE HER PROPER TREATMENT
| 175,662 |
Suggest treatment for low pumping in the heart while having diabetes
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Patient: hi, my mom had a low pumping promblem in the heart 15-20% she is a diabetic patient sugar is always around 400-500 an had a thyroid while her heamoglobin was around 8 she was under the observation our local doctor given 2 bottles of blood now blood is around 10 whether it is curable or not?suggest me some best cardiologist doctors why heart pumping get slower? plzee ans herage is 52, height 5'4,weight 65. Doctor: I am sorry to hear about her condition. Based on your description she probably has dilated cardiomyopathy. It is a chronic progressive disease with unfortunately no permanent cure. there are drugs which improve the pumping of the heart (digoxin) ,and reduce the fluid overload ( frusemide,torsemide)but it needs to be given under supervision. Also her blood sugar is very high which can aggravate the condition.Giving blood is generally not a good idea as it may increase the strain on the heart. Keep her water intake to less than 1 litre per day and limit the salt content in her food also.It is best that she is monitored under the care of a cardiologist and a diabetologist.
| 21,541 |
How to grow my short hair?
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Patient: Hi,My hair doesn't develop into long strands.the upper layer of my hair doesnt grow for more than 3 inches.On a doctors advise I have started taking btn ultra, seacod, nuts, green tea, dates and soy milk.Doctor said its due to hairfall but I am not satisfied.I wish to see proper result and gtowth of my hair.How much time will it take for the nutrition to reach my hair??Wil ozone therapy at parlour help my hair?? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.1. You can try rogaine 2% spray.2. Apply 6 sprays into the scalp once daily at bed time.3. Plan for 3 consecutive months, if visible results are noticed then continue it for 9 more months.4. One hair cycle is 3 months.5. Wash your scalp with arcolane shampoo weekly twice with soft drinking water.Continue other molecules which other doctor had suggested.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sandeep Golla
| 10,645 |
Is Omipital Tuberculosis totally curable?
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Patient: im17yrs old my weight is 64 k.g., height is 5 feet &under treatment for1yr but im having headach. pls, suggest me what will happen after the treatment? is omipital tubroculosis totaly curable or is there any chance of its reprtition in future?what precautios should i take because im becoming down. Doctor: Hi,Tuberculosis is a bacterial infection and totally curable.One year treatment should be adequate. Discuss with your doctor for multi drug resistant TBIt can be dormant in body for life or get reactivated once the immune system is down.Improvement of immune system with nutritional diet and exercise is important.Immunodeficiency diseases can reactivate the disease. However, there is no terminology of omipital TB, check the correct terminology and get back. Any further queries, happy to answer again.Dr. Prakash HM
| 117,980 |
How to control severe anger in a 9 years old child?
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Patient: I am a school nurse and I have a 9 year old male student that has anger issues and seems to go out of control for no apparent reason. I have been monitoring his pulse ox and at times when he is out of control it will drop to the low 80 s and as he starts to calm down it will go back to the low to mid 90 s. There is no history of asthma or any signs of any wheezing, coughing or hyperventilation. Could the low pulse ox indicate that his blood oxygenation is contributing to his moods? Doctor: Hi...I feel that he might be having temper tantrums. If low oxygen in the blood is the reason for this he should be anxious and irritable and not throwing tantrums. Tantrums may happen when kids are tired, hungry, or uncomfortable; or because they can't get something (for example, an object or a parent) to do what they want. Learning to deal with frustration is a skill that children gain over time. Tantrums are common during the second year of life, a time when language skills are starting to develop. As language skills improve, tantrums tend to decrease. This is what you can do to avoid or prevent tantrums - 1. Give plenty of positive attention2. Try to give toddlers some control over little things3. Keep off-limits objects out of sight and out of reach4. Distract your child5. Help kids learn new skills and succeed6. Consider the request carefully when your child wants something7. Know your child's limitsRegards – Dr. Sumanth
| 170,872 |
What causes weird sensation in bottom side teeth?
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Patient: My four bottom front teeth do not hurt, a weird sensation is occuring. By that, I mean its like something is stuck between them and I feel tickling combined with pressure. Its not hurtful, and I cant say that it disturbs me while I eat, drink, or in any of my everyday activities Any advice? Doctor: Hi Dear,Understanding your concern. As per your query weird sensation in bottom side teeth is because of generalized sensitivity in lower quadrant area because of inflammation of gums and generalized attrition of teeth. Poor oral hygiene is one of the contributing factor for this along with decreased immunity of oral cavity. you must have habit of teeth grinding.Need not to worry about it. Maintain proper oral hygiene. Brush and floss daily. Do antimicrobial rinses. Brush with sensodyne tooth paste. Use night guard at night time to prevent grinding. Use sealants to prevent fluid leakage inside dentinal tubules. Visit dentist once and get OPG( full mouth radiograph) done to check oral cavity bone density once and start treatment as per that. Scaling and root planning is treatment option as of now.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari
| 181,632 |
What causes constipation in an infant?
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Patient: My son is 1 Will be two next month and for the past few days he s been having a hard time pooping, when he does go there little hard balls of poop with what look like a long string of green or clear mucous is this normal or do I need to get him in to his doctor Doctor: Hi,Thankyou for your quiry.Using infant formula milk and increased protein powder usage can cause constipation in an infant.As your son is going to be 2 years old than start giving him boiled vegetables and plenty of fruits (banana )and plenty of water too.If he has had constipation for long time, get him checked once by a doctor to check anal fissure or polyp .You may also use syp ..lactulose 5ml at night for few days.Regarda, Dr.Maheshwari
| 176,183 |
What causes red lumps on the legs and high fever?
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Patient: My wife, 59, has had a fever between 99-101.8 for a week. She has red wells on both legs, all over them...probably 20 or more. There is no itching. Her legs feel like they are on fire from just clothes touching them, and bumping into something is very painful. She went to an urgent care center and the doctor put her on amoxycillin for a suspected sinus infection (she recently had a cold, but there is no outward sign of this infection), but she threw up after taking one, and did not replace with another antibiotic. The hives/welps problem started before she took the antibiotic.She has another doctor appt,. on Wednesday. Doctor: Hello,This is dermatitis due to variety of pathogens ranging from bacteria to viruses/fungi. Suggestions till meet the doctor: • Keep parts clean with antiseptic liquids and dry• Local application of dusting powder Clotrimazole (1%) • Tylenol (500) mg with Benadryl helpsHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel
| 61,430 |
What causes constipation and appetite loss in a child?
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Patient: pediatric question-my 14 month old has continuouse constipation very bad hard large gum balls...i recently changed whole milk to soy in hopes to help her...i am trying to feed her fiber filled foods but she has become a fussy eater and is not eating enough to make a difference Doctor: thanks for askingI gone through your question, your 14 month old child having problem of constipation. If i was your treating pediatrician then first i would evacuate the loaded abdomen by giving syp lactulose 2ml per kg per day. and after motion passed i would keep the dose of lactulose 1 ml per kg per day. so that your child pass one soft motion daily, for that i would titrate dose of lactulose. The above treatment is one part of treatment, other is giving fiber diet . fiber content is good of whole grain, cereals , . Give your child just 250 ml of mild daily, rest diet should be of cereals . cereals form bulk of stool and frequent motions, Treatment may be continue for 2-6 months. taper the dose of lactulose according the effect. i also give syp multivitamin and iron syp 1mg per kg per day to improve appetite. hope i able to give answer to your query
| 172,564 |
Severe pain in the abdomen, Had two C section and a hysterectomy. Treatment?
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Patient: hi, im a 29 year old mother of 3 I have had 2 c sections and a hystroctomy I have serve pain in my abdomen area it feels like somebody is stabbing me the pain is constant ive gone to more doctors than I can count and at times the pain is so bad I can deal with it and start thinking stupid thoughts ive had all kinds of pain meds and they don t help I cant even touch areas with the tips of my fingers because of the pain what could it be? im desperate and in need of some kind of help so I can get some relief some how Doctor: The agonising,severe & excruciating pain,you have mentioned,is assosciated with fever,etc.or not is not revealed.It may be PELVIC INFLAMMATORY DISEASE OR ACUTE PEROTINITIS OR ACUTE APPENDICITIS.it may be simple neuropathy consequent to the previous surgeries.
| 92,736 |
How to cure a large hematoma on shin?
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Patient: My 83 yr old mom fell 4 months ago and had a large hematoma on shin, no skin was broken, still abit swollen and skin has peeled and a few spots have appeared closer to foot, it looks very nasty and is itchy, is it something to do with damaging lymphatic system? Doctor: Hi, This is most likely to be a hematoma which has gravitated to the leg. It normally takes a few weeks. But if it is persisting then it requires blood examination for any clotting disorder. Consult your physician ASAP. It is not due to damage in the lymphatic system but blood. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon
| 125,333 |
No success in conceiving. No medical issues in both partners. History of delayed periods, no positive result. Reason?
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Patient: Hi. Im 24 years old and my husband is 32. and have bn trying to conceive since the past 6 months but with no success. My husband and i dont have any medical issues, we have trIed having intercourse during my ovulation days. My periods got delayed for 10 days but then i started menstruating... This has happened a couple of times that my periods get delayed for 3-10 days, with no positive results. What might be the cause of not conceiving? Please help. Thank u. Doctor: Hi,When you cannot conceive after trying faithfully for an year, you should get investigated for infertility. As of now, you need not worry as you have been only half way into it. In the majority, it takes at least a year of trial even after taking all precautions. The delay in your periods could be due to the associated stress and if this repeats often, you should test for a chemical pregnancy. Hope this information is useful. Take care.
| 5,012 |
What causes whooshing in ears and recurring headaches to a 10 year old?
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Patient: My 10 yr old boy has been having terrible episodes of whooshing in the ears and temple headaches on and off the last coupe of weeks.they last from 10 mins to half an hour. We are seeing the GP tomorrow but he is so scared when it happens and wondered if you had any ideas. Doctor: HiWelcome to the HCMI have gone through your question and understand your concerns. The temporal headache associated with abnormal sensation in ears is most likely due to an ear infection which seems to have complicated by loculation of pus. It can be due to other reasons like migraine or temporal arteritis as well. So I would recommend you to go for a proper ENT examination along with neurological assessment to come to a definitive diagnosis and management accordingly. For the pain relief you may give him Diclofenac, Ibuprofen or Acetaminophen.Hopefully this will help you. I would be glad to help you in any further questions.Take care
| 172,391 |
Missed a week of bc pills, had unprotected sex. Having yellow discharge, back pain, cramps. Could I be pregnant ?
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Patient: I missed about a week of bc pills and had unprotected sex. I stopped taking my bc 2 weeks ago and took a pregnancy test to be on the safe side and it was neg. For the past few days now I have been having an odorless yellow mucus like discharge, back pain, and what feels like period cramps that come and go. Could I be pregnant? Or would this just be due to my discontinuation of bc pills. Doctor: Hi,As you did not use your pills properly in your previous cycle, your cycle was no longer protected and if you had unprotected intercourse during your fertile days, there is every chance that you could have conceived. To know for sure, you should test for pregnancy 3-7 days later if you miss a period with a fresh early morning sample of urine; for better confirmation you may get a blood test along with a trans-vaginal sonogram. The discharge you are experiencing may not be due to pregnancy; yellowish color suggests some infection which needs to be ruled out by a local exam; please see a specialist for further advice. Take care.
| 225,751 |
Transvaginal ultrasound shows empty uterus. Skipped period. Help
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Patient: Hi, I did not get my period last June which is unusual to me because it's on a regular basis. I took two pregnancy test, both got two lines though the second line is a faint one. I went to an OB and she confirmed I was positively pregnant. I was scheduled for Transvaginal Ultrasound but it showed an empty uterus, only thickened endometrium. If this would be of any help as a basis on your answer, my last sexual encounter (unprotected) was June 14 and I am not really very aware of when I ovulate. My LMP was from May 23 - 26 or 27. Thank you in advance. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.I suggest to undergo serum beta-hCG titre and abdominal ultrasound scan to rule out ectopic pregnancy at the earliest.Following test report, you can consult with your gynecologist for next line management.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. S Patra
| 218,765 |
What causes pain above belly button?
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Patient: stinging just above my belly button hurts worse if I press on it. Just started tonight. EXTREMELY painful but if I lay still and rest no pain. yet as I lay here I can press on my belly and no pain. I am puffy all around my belly. I just saw my doc yesterday for my bp 170/104 I am monitoring it for 5 days for her. Doctor: Hi,From history it seems that there might be having developing umbilical hernia giving this problem.Having high blood pressure might not having any relation with this problem.This might be different entity.Keep blood pressure checking report.consult surgeon and get examined for umbilical hernia.Ok and take care.
| 87,671 |
Suggest treatment for lower abdomen and pelvic pain
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Patient: I am a power lifter and about a month ago I went to workout felt fine all day went to bed woke up and I had pain/discomfort i my lower abdmominal/pelvic region, I had felt this eritation before but is went away with rest and time but this time its been about a month and a half, I have no buldge, but do feel discomfort/pain when coughing, working, going to the rest room 1 and 2. I guess what I realy want to know is it a hernia or a strain? Should I seek medical attention? I am not vomiting and I do not have blood in my urin or in the stool what is it and what should I do? Doctor: Hi.Thanks for your query. Read and understood your problems. You are a power-lifter and has pain in the lower abdomen and pelvis forthe last one and half months. There are no associated symptoms of any bowel or bladder symptoms nor you have vomiting, nausea, ; no bulge.I think you should seek a Direct physical examiantion by hte surgeon as on actual examiantion he will check you in the upright position and ask you to strain or cough to find out whether there is a hernia or not. He can tell you whether this is a strain of the muscle or not. If the abdominal wall is without any tenderness, you have to undergo few investigations like tests of the blood, urine and stool. An ultrasonography to see for any internal problems like appendicitis, lymph nodes or pelvis inflammation of any sort. If required a CT scan of the abdomen and pelvis will be done to rule out any serious problem.
| 87,048 |
Protein spilling over kidneys. Suggested change of medicine. What type of diet should be taken. Suggestions?
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Patient: My doctor changed me from lisinopril to amlodipine 5mg because I had some protein spilling over into my kidneys,I take bp meds, diovan,metoprolol,and a low dose aspirin. Will amlodipine interfere with my other meds. Is there something I can do to keep the protein from spilling into my kidneys. Is their a special diet I need to be on. Mae D. Doctor: HiThanks for the query.Diovan is valsartan which is one of the drugs used to decrease protein loss in the kidneys. Losartan has similar action as diovan and thus there is no role of using these 2 medications together.Thus I agree with change of losartan.Of course you need to discuss with your nephrologist about the possible causes of protein loss in urine and he can suggest further appropriate measures including dietary modifications.Hope this helpsGood luck.
| 50,771 |
CT shows gliotic area at the region on pons in brain. Advise ?
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Patient: My CT scan of the brain shows gliotic area at the region of pons.I am 65 years and under medication for hypertension for the past 18 years.My BP always well under control,monitored on a monthly basis.I am taking 10 mg statin also for the past 3 years.No other health problems except occational acidity and gas formation.My weight is 70 kg ,height 5 ft 8 inch.Please advise me about the CT scan observation. Doctor: HelloThanks for visiting healthcaremagicGliosis is the morphological and neuranol changes of brain cells at your pons area due to mild haemorrhagic insult during past period . This glioal changes may give negative and positive effects of your brain function. But your health condition is normal as far as possible be happy.
| 150,122 |
Reason for bald spots?
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Patient: I have Begun to have bald spots in my hair since my dog has started taking Apoquel. My dr. Said this is an immune system response to something and even though I wash my hands after giving the drug to my dog, I was wondering if I was having a reaction to the drug myself. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history you are having alopecia aerata, my treatment advice is - 1. Take good nutritious diet full of green leafy vegetables and milk. 2. Apply a Tacrolimus 0.03 %ointment twice daily on affected part. 3. Take a zinc supplement like Zinfate tablet once daily for 3 months. If problem persists then consult a dermatologist. Hope I have answered your query. Let me know if I can assist you further.
| 10,356 |
What could tender lumps behind ear that cause headaches indicate?
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Patient: I have 2 nonmovable lumps behind my left ear for weeks now. They hurt at first so I just though it was my lymph nodes swelling up, then I realized they swell up more at night and when I push on them I get a slight headache up to my temple. I noticed today that it feels one more is trying to form above the two and one behind my right ear also. What should I do? Doctor: Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data,you seem to have scalp infection which is causing these lumps behind both the ears.i advise you to consult ER Surgeon, who would treat it accordingly as per the need of the clinical condition. Hope this would resolve your issues.Act fast.So keep cool and Consult your ER Surgeon for opinion, if need be , who would treat it accordingly.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good reviews and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N.
| 63,614 |
Suggest treatment for hurting lump on my gum
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Patient: had a teeth pulled 5/21. molar plus front 3 upper for partial denture. had descaling 6/16.. came down with parotis 6/20. hospitalized and treated. now have lump on outer gum of pulled molar that hurts. also, cannot open jaw..what needs to be done? Doctor: Thanks for using Health Care magic.Read your query.The symptoms you have mentioned in the query, suggests the non healing of the tooth socket and also there is a formation of abscess which is causing you the pain and difficulty in opening the mouth.I would advice you to visit your dentist so that he will have a look at it and if there is an abscess he can do the required treatment to induce the healing of the socket.Additionally you will require antibiotic like amoxicillin three times a day and metrogyl tablets , ibuprofen ( if you are not allergic to any medication).Warm saline gargling will be of major help to you.Maintain a good oral hygiene and avoid vigorous gargling .Hope this was helpful.Thanks and regards.
| 184,731 |
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