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How to cure gum injury?
Patient: Hi I was flossing my teeth and cut my gum. I had a deep cleaning a couple weeks ago and have kept up great dental health. I cut a little to deep, but the first day wasn t bad at all. The next couple of days it grew worse pain throbbing and I couldn t eat anything. Then it stopped hurting but woke up with a small nick in the gum. Now today there is pus...What should I do? Doctor: HiIn regard to your query,while doing flossing extreme care should be taken not to hurt the gums.Sice you have mentioned you have good oral health your pus formation might be a gingival abscess which does not lasts for more than 48 hours and it gets bursts by itself heals on its own.If symptoms persists please consult your periodontist for further help.
185,726
What causes swollen lymph nodes in back, neck and shoulder?
Patient: I am 43 years old, and about 2-3 months ago started having pain and swelling in the right side of my back. Gradually over time, I have started having pain and swelling in my joints. Yesterday evening my neck swelled up on the right side, with one very large lymph node. I have noticed all my lymph nodes are swollen somewhat, but especially the back, neck and shoulder on the right side. I have within the past 2 months taken a zpack, acyclovir for shingles, and now another zpack. I have blood work pending. Any idea why I would have so many lymph nodes swollen for so long? Just started running a fever last night. Doctor: HI, thanks for using healthcare magicEnlargement of lymph nodes most commonly occurs in response to infection or inflammation in the particular area but they can be due to other causes as well.The other causes are autoimmune diseases, leukemia,lymphoma, other forms of cancer.These would not be as common as infectious causes.Your blood work would help to identify the exact cause.I hope this helps
34,771
What to do if 87 tr old broke her pelvis after falling on tailbone and is in unbearable pain?
Patient: my 87 year old mother broke her pelvis. while in convalescence at home with my wife and me she then had a subsequent fall landing square upon her tailbone. i have no car at this moment, my wife is away and am located in a very rural area. she is now suffering SEVERE..UNBEARABLE pain. from all research i have conducted her symptoms indicate her pain is due to some sort of trauma to her sciatic nerve. i am a retired psychologist and have more than just nominal medical knowledge. i am quite certain that some sort of surgery will be needed to correct this. but.. my question is: what can i do NOW..i mean right NOW, as she is in dire pain to give her SOME degree of relief. Would an injection of novocaine to the area offer her temporary relief? if so, would it be available should i call 911 and have her taken to a trauma center.[i really don t even know of one nearby] she is VERY stubborn and would refuse any prolonged stay. considering the information provided, and the circumstances what would you recommend i do? she does have strong narcotic pain medications [oxycontin] but oral administration of them proves futile at any dosage. again let me reiterate: i am very sure her pain arises from some sort of pinching or damage to her sciatic nerve. please advise. thank you, alex smith Doctor: Hello, Consult an orthopedician and get evaluated. Surgical correction may not be possible at this age. Consult an orthopedician and plan for conservative options like splinting or skeletal traction. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
124,639
What is causing my child s fever, sores around mouth and swollen gums?
Patient: I have a nine month old baby. She has had a low grade fever (38.6) since Saturday night. I have had to administer tylenol every four hours since 9pm Saturday evening. She initially woke and had a bad case of hives which have returned periodically over the last four days (assuming from the fever). She has developed red sores around the outside of her mouth and chin that have raised white bumps in the middle. She is hardly sleeping and constantly moaning like she is in pain. She has her two top front teeth in fully but they have almost receded into the gums because the gums are so swollen. She is still eating and drinking (seems very thirsty for water) but far less than normal. She is still having bowel movements and urinating. Is she just teething or is something else wrong? Doctor: Hi,Can you send a picture of the lesion? She might be suffering from herpes infection or other forms of gingivo-stomatitis. Kindly take her to a pediatrician, as this may need antibiotics or acyclovir depending on the condition. Meanwhile, continue tylenol (maximum 4 times a day) and make her drink plenty of fluids and give frequent breast feeds.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician
160,398
Have menegioma, Dilantin level lowered, feeling lightheaded. Advised surgery, going off dilatin. Suggestion?
Patient: Have a menegioma and Dilantin level lowered to 200 mg pm 100 mg am. Down 800 mg per week. Level is 6.7. Am lightheaded (not dizzy) balance off once in awhile. Is this level to low. Dr. wants to lower lever 100 mgmonthly. Had a grandmal sizure 5 yrs ago. Previous dr. kept my levels between 10 and 20. Lately levelshave been inconsistent 6.7 to 24. Previous dr. would change amt taken to keep it balanced. New dr.says 6.7 is fine and I should consider surgery. She want me to go off Dilantin totally. I'm 74 yrs old withfairly good health. By the way... want a excellent neurologist in Menifee/Murrietta/Temecula calif. area Doctor: Hi,Thank you for posting your query.There are two issues here-1. Whether or not we should do surgery for meningioma?2. The appropriate dose of dilantin.Meningioma can only be treated by surgery. There are no medicines to make it disappear. So, if the tumor is large or is in a critical part of brain or it is growing in size, we should do the surgery for meningioma.The correct dose of dilantin (phenytoin) is 5 mg per kg body weight. So, if your weight is about 60 kg, then, you should be on 300 mg per day- either 100 mg three times daily, or 200 mg pm and 100 mg am.I hope it helps.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 blog: http://bestneurodoctor.blogspot.com/
149,273
What causes colorless bump on the forehead?
Patient: I have a small colourless bump on my forehead, it s not painful but looks like a wart but doesn t have the bumpy effect if a wart. It s like a lump, nothing inside it. I m 33 years old ice seen this sort if thing on elderly people What could it be? Thanks Doctor: Hi, dearI have gone through your question. I can understand your concern.You may have soft tissue tumour like lipoma, neurofibroma or some skin adenexal tumour or benign cyst. you should go for biopsy of that lump. It will give you exact diagnosis. then you should take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
65,715
What causes swelling and clicking of the jaws?
Patient: my daughter is clicking her jaw and has jaw pain and facial swelling. Went to the ER and he said it could be swollen muscles. She cannot stop clicking her jaw but is in pain. I am waiting to see a specialist because she has lots of twitches and tics Doctor: Hello, I think a neurologist examination of the cranial nerve is advised. As she is kept on doing this and pain is there this sounds to me like trigeminal neuralgia due to inflammation at the trigeminal ganglion. With medicine, the pain can be controlled. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
123,166
Possible GOUT, losing memory, dizziness, swelling in feet and redness. On Doxepin, allopurinol. Why are there suicidal thoughts?
Patient: Hi there DoxepinThis is medication taken by 80 yr old father While staying a few weeks ago he confided in me that he had suicidal thoughts when waking in the morningHe is also taking Allopurinol possibly for gout but his feet are very swollen and redHe is not very activeBut while with him last week he said he had been feelling dizzy, and unwell for a week since my husband fixed the car (that was actually 2 months ago) Could be be losing his memory from these drugs.My mum was unwell at time and in bed, may be he just did not get the medicine, so felt better!Are these medications OK taken together?Thanks for your time Regardsconcerned daughter Doctor: HIThank for asking to HCMI really appreciate your concern, It is all the age related problems, if your father developing suicidal tendency it means that he is being neglected, he might be need some moral support, he may be looking for some one who can spend the time with him, he must be feeling lonely, these all factors playing the role behind his health, I would love to advise you that just think in this direction, then he will feel better, of course you may be taking extra care of your father but not in above said matter, have good day. and take care of your father.
211,578
Hematoma due to surgery of removal of appendix, swelling and hardness. Advice
Patient: I have a hematoma as the result of surgery to remove my appendix.. The operation took place 3 weeks ago and although I was advised that it may dissipate naturally the swelling and hardness has barely reduced (akin to having part of a softball sticking out of my side).. I was quite heavily bruised all around the front and side waistband area following the surgery but this has greatly improved. However, the hematoma remains. I would be grateful if you could advise on possible next steps. Does it just require patience on my part?Many Thanks Doctor: HiSometimes,because of continuous bleeding from small blood vessel,there will be haematoma after any surgery.As your surgery was 3 weeks ago,it should get subsided by now.Please go for an Ultrasound abdomen and see the nature of the swelling.If it contains fluid,it could be haematoma.Sometimes,after healing of the wound,there will be induration which will be hard.So,get it confirmed by ultrasound abdomen.IF haematoma is confirmed,please get it drained as it may get infected.Wish you good healthRegards
92,924
Has brain tumor, possibly astrocytoma, mixed cystic, hemorrhage component. Done MRI. Serious?
Patient: hello DoctorMy father in law who is 64 years old and height possibly 5ft 6in, weight under 60 is diagnosed with Brain Tumour possibly Astrocytoma. His MRI report says that Right temporo parietal lobe white matter well defined large T1 hypo/T2 hyper intense signal multiloculated mixed cystic/solid peripheral enhancing SOL measuring 7.5(AP)/5.3(TR)/5.6(TR)cm seen with T1 hyper intense signal dependentsub acute haemorrhagic component. also uncal herniation. What does this mean? should we opt for biopsy or surgery. Is this really serious??thank youTammy Doctor: Hi, Thank you for posting your query. MRI report of your father-in-law is most likely indicative of a brain tumor. However, the exact type needs to be idetified to plan further treatment (total removal of tumor, radiation therapy , etc). The first step should be to do a brain biopsy of the lesion. This can be done by either stereotactic method (minor surgery) or open biopsy method (major surgery). Sometimes, if the tumor is big and is pressing on the vital brain structures, doctors may prefer an open surgery method so that the biopsy as well as tumor removal can be done in the same sitting. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected]
150,536
What are the symptoms of sinusitis?
Patient: Hi, may I answer your health queries right now ? Please type your query here... hi doctor. i am 25. its been approximately 5 years that i am suffering from headache. i thought its something minor as i thought its just tea addiction, because on the days i had tea in morning i dint suffer (maybe psychological) but sometimes tea too fails, its rare though. but the headache is acute. i suffer from blurred vision wheneve i standup in the times of headache. i feel dizzy, and have to stand still for a few seconds to stop myself from falling. i feel very weak, even sitting whole day in my room, and doing nothing but study! is this sinuses doctor???? what kind of?? and what do you suggest?? will i be operated on or medication will help? plz help Doctor: Hello. Thanks for writing to HCM.I read and understand your question very well.I try my best to help you in this.As you have headache ad blurred vision and sometimes vertigo. This may due to some ENT cause or eye pathology.In sinusitis , symptom like headache ,nasal discharge ,toothache , bad smell , tenderness on sinus etc.In treatment it is control by antibiotic and some other drugs. Also if needed than surgery also done.I also suggest to check your eyes with good ophthalmologist .Also consult a good ENT (ear , nose, throat ) surgeon for this.I hope my advice will help you a lot.Thanks and Regards.Dr Vijay
33,456
What does this semen analysis report indicate?
Patient: my semen test report is herecolor:Buffvolume:4.2 mlviscosity:thinLiquificatin:30 mlcell count: 16 million/mlMotility:1/2 hour:25 % 1 hour :15% 2 hour :Nil 4 hour Nilforward progression(+)Morphology 30% Abnormal cellwbcs 9+) Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It indicates that sperm motility is not up to the recommended value. You can either repeat semen analysis with 3 to 6 days abstinence or consult an urologist to rule out varicocele or any genital infection. Hope I have answered your query. Let me know if I can assist you further.
195,771
Full tooth extracted. Used anesthetic, swelling in arm. Is swelling common in tooth extract?
Patient: had #32 extracted 3 days ago, anesthetic used xylocaine w/ epinephrine; 3 hrs after extraction started amoxicillin 500 mg (tid), percocet 5/325 mg (q6h prn), ibuprofen 600 mg (q8h prn); 4 hrs post extraction my rt arm swelled up, & yes, I may have slept on it, (tossing & turning); called the DDS, he stated go to ER & he never hear of such reaction; called ER, (I have MD friend), ER stated, prednisone, H2 blocker, benadryl, repeat & watch ; did that; now, 3 days later swelling to rt arm, rt cheek returned, pain diminished; had no ax to lidocaine, amox, ibuprofen or percocet ever; current ax: latex, nickel; no one heard of swelling post wisdom tooth extract?; if not ax to meds, since swelling is ipsilateral, (no trunk/leg involvement), what gives? any ideas? Doctor: Hello, It is highly unlikely that extraction would cause swelling in one arm. Even a reaction to the Local Anesthetic or any of the post operative medication would have been systemic i.e The reaction would not have localized itself to one arm. You also have a possible history of possibly having slept on that arm. Most likely you may have unknowingly sprained or pulled a muscle. Rest assured that it has nothing to do with your extraction Hope you feel better soon.
190,492
Suggest medication for high BP and joints pain
Patient: im 65 5ft. 10in. 295lbs. im white im on ssi i have health care im alone no family i smoke not much 3 pack aweek i donot use drugs or alchol im in trouble i need help my blood presure is high my joints hurt i sweat heavy how can i stop or slow down my eating with a eating suppress drug can i get a fatbuner drug is trere a blood presure drug i want to live i need help i beg you please Doctor: Hey,First of all dont worry. You are going to be absolutely fine. If your bp is persistently high than you will need a medicine for bp. Also u need to decrease the salt intake and QUIT SMOKING. Try taking pain killers for the joint initially but you have to get a x ray of knee done to see the joint space. You also need to get a stress echo done to rule out any associated coronary disease. You will be perfectly fine but you need a will power and proper tests.Good luckDr Sameer
23,803
Diagnosed with epilepsy, taking Epilem. Had seizures and test showed low levels like body not absorbing medicine. Cause?
Patient: Good day Doc I'm a 35yr old male ,dx with epilepsy both grand mal & generalised / partial.I've been on the epilim for 6 weeks however had a seziure last week & when test was done it showed my levels where so low as if i'm not compliant with meds.I was on 300MG morning & 600mg at night doctor now uncreased to 600mmg X 2 for PD.What would be the reason for epilim not taking to body? Doctor: HelloWelcome to HCMEpilim or sodium valproate is a nice medicines for seizures. It is a broadspectrum anti-epileptic drug with good effect in grand-mal epilepsy. You have been taking the medicine in 900 mg per day dose and there occur one seizure episode. The levels of medicines came in lower range. Best thing that can be done is to increase the dose of epilim and that the doctor has done already. Normal doses of the drug depends upon the body weight. For a healthy male with average built the doses are about 1000 mg per day, so if the levels came in low range there is no need to worry. At optimum doses the levels will come in therapeutic range.Thanks
149,330
Have asthma and bronchitis. Taking prednisone. Lips and fingertips turning blue. Go to cardiologist?
Patient: I have asthma and chronic bronchitis and have been on prednisone for 18 months. my lips and left hand fingertips are turning blue sometimes. my 02sat was 96 @ pulmonologist's office and he noticed my fingertips were blue.this was a new pulmonologist that I saw to get a 2nd opinion. I forgot to tell my pulmonologist about it.I don't see himfor another week. Should I go to my M.D. or make an appointment with a cardiologist? Doctor: BETTER TO GO TO CARDIOLOGIST AS YOU ARE HAVING STEOIDS FOR 18 MONTHSBLUENESS MEANS YOUR BLOOD SUPPLY TO THESE PARTS ARE NOT POROPEERIN RESPIRAORY ASTHMA PATIENT ONLY HAS BLUE FINGERS DURING ATTACKSO GET FULL INVESTIGATIONS OF HEART AFTER CONSULTING CARDIOLOGISTMIGHT BE YOUR MEDICINES FOR ASTHMA ARE GIVING EFFECTS ON HEART
103,876
Could irregular heart beat be a matter of concern?
Patient: My father-in-law has been in the hospital recently with irregular heartbeat. His doctor said that having an icy feeling in his chest is a symptom of this. During his last stay a couple of weeks ago in the hospital, his heart went back into rhythm on its own. I just checked his heartbeat and it felt irregular to me. It was about 99 bmp. Is this something we need to see a doctor immediately for? Doctor: Hello, Regarding your concern, I would explain that his symptoms could be related to paroxysmal atrial flutter. For this reason, I recommend bringing him to the ER for a physical exam and a resting ECG. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
17,384
Suggest remedy for low hemoglobin and hematocrit
Patient: I am a male, 63 years old. I just had a lab test two weeks ago and the result shows that my hemoglobin and my hematocrit are both low. How can I get them at a normal level? What vitamin supplement can I take that I can buy over the counter? I can go to my doctor to get medicines but If I can just buy one, I will. (I had prostatectomy five months ago.) Doctor: Hello,This means you have anemia. If there has been a drop in the hemoglobin from your last reading, it requires to be investigated at your age. A man who its a wide variety of normal foods usually does not become anemic. Do you have any abdominal pain, irregular bowels or do you pass black colored stools? Have you lost weight? If any of these is present, you would require to be investigated. If you only have been a poor eater or on a restricted vegetarian diet, then it is probably iron deficiency due to food deficient in iron. In such a case you can take a supplement which is rich in iron and vitamin C as vitamin C promotes absorption of iron. You had a prostatectomy . Have you checked your kidney functions? If they are abnormal, that can also be a cause of anemia in which case iron supplements would not help. If you were my patient, I would advice a kidney function test, serum Iron and a stool examination for occult blood as primary investigations.You are welcome to do these and get back to me and I shall be happy to be help.Have a good day!Dr. Noble Zachariah
117,275
What causes left sided chest pain radiating to jaws and arms?
Patient: i have left sided chest pain radiating to jaws, arms and teeth for weeks now but my stress echo from two months earlier is normal or negative for IHD. i have done 4 echos and 2 stress test and one stress echo....is the chest pain from the heart. do i need to do any more test... Doctor: Hi Dear !! Thanks for your query to HCM .Read and reviewed your query and health concerns. IN the given situation of Yours, seem to suffer from-Coronary Angina with partial block.Though your latest stress echo and stress test are normal,You seem to have recent Coronary Artery Blockage with ? IHD.Do's Suggested-So you please take the latest EKG and go for Coronary Angiography and needful treatment with stent/ angioplasty-as needed.So Consult Cardiologist and evaluate the current left chest pain with radiations to jaws and arms.This plan would reduce your dilemma of treating left side chest pain with radiating jaw and arm pains.Hope this would help you to plan further of this complex illness of yours.If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.If you want to update more details and ask more update queries ,You are most Welcome herewith !!Good Day!!Wishing Good Healthy Life in time to come!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS
76,321
What is the treatment for severe abdominal pain?
Patient: For more than 3 weeks I've had lower right abdominal pain that increases with movement of any kind. I had a CT scan that showed no abnormalities. I have no other symptoms. A year ago I had a hysterectomy and 6 weeks later I hemorrhaged due to a slow healing process. The internal stitches dissolved before I had healed completely. I had endometriosis from age 12 until my hysterectomy. I am now 55 years old. Doctor: Hi.Thanks for your query and an elucidate history.You have has a history of Endometriosis till you got your uterus out by Hysterectomy. This is the most probable cause of pain in the right side of the abdomen which increases on movements and the cause is not detected in the CT scan , Endometriosis is not detected. on CT scan . I would advise you to undergo diagnostic Laparoscopy and get needed procedure done so that your symptoms are abated.
87,421
Is there any substitute for dialysis ?
Patient: hi ,my father is 76 years old and has renial kidney faliure.currently he is on capd.is there any way to take him off dialysis.he has been on hemodialysis for four months but was uncomfortable with that because he was loosing weight very rapidly and also his taste for food was becoming bad,consequently he started getting weak,but now with capd he has started gaining weight and also signs of weakness are going down.he has no other problem,his sugar is normal,he is not a bp patient and his critnene is around 8.but may i request any method which u can recomend by which his kidneys can start working again or he can be taken off dialysis.thank u. Doctor: welcome to healthcaremagic your father is having renalfailure the treating doctor will guide you best with differnt treatment options which are not much hope your father's pain is relieved and gets well
51,989
What causes severe pain in upper back?
Patient: I had severe pain in my upper right side of mu back last Nov. to April. Tow MRI showed I had a disk protusion or a piece of a disk had broken off. I no longer have the pain but I can stlill feel something there. I started with a burning towards the end but now it is worse and is throughout my body. I have taken gabapentin for it but still have the burning. I had my nerves tested and they were fine. Is there anything I can do? Doctor: **1. It could be pressure symptom on the nerve thus causing burning sensation, thus an opinion with orthopedic surgeon is necessary since the said symptos likely point towards sciatica.2. stop alcohol. rule out diabetes. take B complex capsules along with methylcobalamin.
108,714
Suggest treatment for memory loss
Patient: I am 48 year old woman. In recent weeks I have become very forgetful. Have experienced a lot of fatigue and just general weakness, even though I sleep a good 7-8 hours/day. My words get all jumbled when I speak some times. I have been making a lot of mental errors at work (miss filing, forgetting to do tasks). My vision is a bit more blurry. I go to speak sometimes and just can t get the words out. help! Doctor: DearWelcome to HCMWe understand your concernsI went through your details. I can understand. At the age of 48, your problems could spell out to be stress related. You can find numerous examples like people forget many things because of their busy schedule and misplacing things. Such forgetting is due to stress and sometimes due to anxiety. I am providing these examples because I care and I don't want you to be disturbed because of misconcepts or irrational thoughts. Have an introspection and see inward. Understand your stress and work-life balance. If you insist, that your problem is not stress related, You may consult a psychologist or neurologist for memory testing. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Please feel free to post follow up queries. Available for further clarifications.Good luck. Take care.
144,519
What are the symptoms of lung cancer?
Patient: My daughter had an mri scan 6 weeks ago and it has finally come back. Before the scan was completed it shows the start of a shadow but then the scan finished. They now say she has to have a scan of the middle back ?near the lungs, shes worried it could be lung cancer. What could it be. Doctor: Symptoms of lung cancer areA cough that does not go away or gets worse Chest pain that is often worse with deep breathing, coughing, or laughing Hoarseness Weight loss and loss of appetite Coughing up blood or rust-colored sputum (spit or phlegm) Shortness of breath Feeling tired or weak Infections such as bronchitis and pneumonia that don’t go away or keep coming back New onset of wheezing I will suggest u do CT scan of chest with contrast.If any space occupying lesion is found then do biopsy from that lesion.Also do CT scan of upper abdomen and Bone ScanRegardsDR De
156,401
What is the treatment for swollen left eye in a child?
Patient: i have a newborn who is 2 weeks old. she has alot of swelling in her left eye along with yellow gunk and it is very water. it started out with her eye watering and has gotten worse over the last day. just today alone there has been alot more watering swelling and yellow gunk.. what should i do? Doctor: Hi...by what you say this looks like a viral conjunctivitis. But it could be due to chlamydial infection too. I suggest you consult her pediatrician or take her to the nearest emergency room as the condition is related to the eye.Regards - Dr. Sumanth
166,967
Is orange discharge from eye with runny nose and cough in an infant serious?
Patient: My 12 month old daughter has been really congested for the past week , runny nose, wet cough, fevers going from 101 to 104 , diarrhea and this morning she woke up with an Orange discharge from her one eye. Does she need to be seen again? I took her to the Drs three days ago and he said there s nothing wrong. Doctor: Hi... looks like a viral illness. Don't worry about orange discharge. Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do.Regards - Dr. Sumanth
164,154
Can renal failure be cured with herbs?
Patient: Sir.There are several persons here, who are saying that they can cure renal failure with herbs, is this possible my father is suffering from kidney failure,can u help me for right treatment. he is above 66 years doctors says they cant take a risk of transplant.what should i do, can u please help me! Doctor: Hello and welcome to HCM.As an Urologist, i can't recommend herbal treatment for kidney failure.However, if you can send the last reports of his kidney function,with present medication being taken, i can give you an expert opinion.Send them to me as a direct question, and i shall give you a professional advice, regarding further course of treatment.Wishing your father good health.Dr.Matthew J. Mangat.
47,665
Suggest treatment for severe pain in the lower abdominal pain and groin area
Patient: I'm experiencing pain in my right lower abdominal area or sometimes in the middle area of my pelvic and my groin.I only experience the pain when I'm standing or walking.when I sit down the pain stops.i noticed too tat I fart after the pain.What is the causes of my pain. Doctor: Hi.Thanks for your query.You have given the classical history of farting after pain. Also noted that you have pain in the lower abdomen and groin and the mid part of the abdomen. I would advise you the following.To get the X-ray of the abdomen when you have pain and when there is bloating. Most probable diagnosis is partial volvulus of the colon or sigmoid colon. Once the diagnosis is made further treatment can be planned. If required further investigations like colonoscopy, CT scan of the abdomen can be done only if required. Consult the General Surgeon for clinical evaluation and investigations and further management.
86,313
What are the side effects of masturbation?
Patient: Hi Doctor I am 28 years old and was addicted to mastrubation. But now I am doing it once in a week. My problem is I get ejeculated within 30 seconds. Is it normal or it may affect my sex life in future.As I am going to get married soon. But very much anxious about my performance. Please help me. Thanks Doctor: Thanks for asking in healthcaremagic forum Masturbation is not harmful, if done when excited and within limits and also by not making it a habit. It does not affect your future sexual life if done when excited. All the best.
200,460
What causes pain in heart while breathing?
Patient: in Michigan u get your medical marijuana card for a irregular heart beat or chronic chest pain im 21 5'11 i have a heart problem where it hurts when i breath and walk and its stabbing they say i have a irregular heart beet but don't know where the pains coming from would u have a idea its coming from the right extremity of the heart Doctor: Hello!Welcome on HCM!Regarding your concern, I would explain that chest pain that is triggered by deep breathing and walking indicates an extracardiac cause (musculo-skeletal pain, costochondritis, inflammation, pleuritis, pericarditis). It is not related to coronary artery disease. Anyway, I would recommend performing some tests to investigate for the possible underlying causes: - a chest X Ray study- a resting ECG- complete blood count, PCR, ESR for inflammation- a resting ECG and a cardiac ultrasound to examine your heart. An ambulatory 24-48 hours ECG monitoring would help exclude possible cardiac arrhythmia underlying your palpitations. Other tests (thyroid hormone levels, blood electrolytes) are necessary to exclude possible metabolic causes that can lead to palpitations. Hope to have been helpful!Kind regards, Dr. Iliri
21,898
What causes pin prick feelings and scary thoughts?
Patient: Hi i have pins and needles in left hand i also feel like my heart flutters with a pin prick feelung every so often i also feel like my head is cold inside with things crawling insids my brain it makes scared to sleep incase i dont wake up i feel like im crazy Doctor: HiThanks for using healthcare magicI think, you have anxiety disorder and due to this, you are feeling all these symptoms. better to consult a psychiatrist for proper medication and it would help you to come out of the problem. You can also try relaxation exercise that would keep you calm and relax. In case, you need further help, you can ask.Thanks
210,024
Why is the foreskin not going straight downwards?
Patient: Hi,im 22 years old and I am uncircumcised, and every time I pull back the foreskin I'm able to go back up until the head.the problem with that is that when I pull it back ,it doesn't go straight down ,it kinda goes backwards like inside out.I'm worried and don't know what to do or if its normal for that to happen please help. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Penis foreskin normally will be attached to the urethra opening with the help of a small thin strand which is also cut during circumcision. Your condition of due to that reason. You do not have to worry about it. If you are able to have your foreskin back and forth without pain or irritation, you do not even have to go for circumcision.For psychological / sexological counseling visit http://psychocure.webs.com/Hope this answers your query. Available for further clarifications.Good luck.
203,560
Would controlling one s ejaculation during intercourse impact the function of the kidneys?
Patient: I am 29 male. Sometimes, I hold-onto orgasm for hours, I mean during sex for 3-4 hours. And continue to engage in sex. Now my question is: Does holding on to ejaculation and preventing orgasm for such a long time effect Kidneys in any way? Proving that, during this period I urinate also for few times. Because sometimes pain occurs in my back and i think it may be due to lying in one position for such a long time during sex. Thanks. Doctor: Hi, No, it has got different mechanism and doesn’t affect your kidney function at all. You can take analgesics like Ibuprofen for pain. Wishing all the best. Hope I have answered your query. Let me know if I can assist you further. Regards,      Dr. Shinas Hussai
45,770
What causes difficulty in conceiving a child?
Patient: I wanted to talk to someone about concieving a baby.My husband and i have been married for a year and have been together for 6 years.We are wanting to start a family and we've been trying and nothing has worked..please help us.we dont understand what were doing wrong. Doctor: Hi,I understand your concerns.Following is my reply:1)     Please get your husband's semen analysis doneYou can contact me anytime directly to ask question by pasting following link in your browser:XXXX
787
Is extra muscle formation around the heart dangerous?
Patient: I've recently had investigations such as an ECG after having been diagnosed with high blood pressure which was underlying for years. My doctors mentioned something about extra muscle forming around the heart from it working harder for a long time. Could this extra muscle be serious? Doctor: Hello,I have gone through your query.Thanks for using HCM.I would like to know your exact report of echo and ECG.This term extra muscle around heart is uncommon term and i need to know what exactly it is!I can presume that there may be thickening of walls of heart due to long standing untreated Hypertension what we call as LVH.If it is the same then what you need is good control of BP with regular medicines.I would be glad to guide you if you send me the exact reportsMy best wishesDr.Rajesh Teli,MD.
26,825
How to prevent hair loss?
Patient: Hi I am a female and 28 years old. I have been loosing my hair, wanting to sleep all day long and have not been wanting to eat very much. The hair loss has been going on for a couple months but the other stuff have gotten worse over the last 2 weeks. Doctor: Hello,Thank you for posting on HCM.I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions,drugs,cosmetic products etc.From your description, it seems you might be having Telogen Effluvium, which is hairfall secondary to stress.If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc and recommend some basic investigations like CBC,blood sugar,Thyroid function test.Some other special investigations like trichogram and dermoscopy and further aid in diagnosis and prognosis.I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma.Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.Hope your queries are resolved and wish you best of health.Thank youDr Hardik Pitroda
11,430
What is the solution for Obsessive, compulsive disorder ?
Patient: hi doctor my sis is 24 old and she is having habit of wasting much water like if anything to give for wash she use plenty of water so her hands become rough.we are taken her to sycologist he advice her that her mind set is like that so admit her in hospital for 5 days or 1 month and she is becoming very thin please advice what i have to do.i am not have intrest to admit her b coz in that hospital many different people i found and i feel that may be my sister will fee lthat we r admiting her in pagal hospital. Doctor: thanks for choosing health care majic.she is in need of psychiatrist help.I can understand your concerns for admitting her in mental hospital.But speak to your doctor and ask him if you can try something initially at home.some times a trial can be taken.In mean time explain her that this is not normal and why all of you are not doing this ? so this is not acceptable.Repeated counseling by counselor and relative support will really help
213,750
What do lumps inside penis shaft indicate?
Patient: Have very big lumps inside penis shaft . Very hard to the touch like rocks. Started with one growing larger in the inside middle of the penis shaft now I have 4 . 2 formed at the base of the interior penis head ans another one seems to be growing off the original large one in the middle. Please help very worried. Doctor: Thanks for asking in healthcaremagic forumIn short: may be wartExplanation: Any swelling whether it is wart/any other swelling is an indication for its investigation. So, visit a doctor immediately(not an emergency) and get it investigated. Good luck.
200,957
How to treat penile indented crater like skin?
Patient: skin on penis glan near edge, has indented crater like skin that when pulled tight looks more normal and can see a few small white pimple like things. dermatologist took biopsy of part and said it was just skin cysts? but i can't find anything online about this topic. doesnt really affect me at all in terms of pain or anything, just looks different and not smooth. indents seem like they may just be raised skin that isnt everywhere rather then indented into regular skin if that makes sense. Doctor: DearWe understand your concernsI went through your details. When you are cleared by your dermatologist, you should not have searched the internet. You need not worry. Unnecessary worries create anxiety and mental disorders. They are cysts. Keep the area clean and dry and within some days, they vanish. Take care.If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck.
199,181
What are the symptoms of herpes simplex infection?
Patient: Hi , I might have a herpes simplex , probably in outbreaks time already for a week or more ! I don t see much of any sores , maybe one only and burning ! I called my OG who didn t called me back yet , probably will call me on Monday ! So question is what I can use to help that burning ? Doctor: Good Evening,Thanks for info given,According to symptoms herpes simplex virus suggest you Cream. AcyclovirApply on infectious every 4 hoursthis Will be helpful Take antiallergic to relief itching or burning Tablet. Pheniramine(Avil) 25 mg Thanks for consult, Regards, Dr,Naeem. MD
29,244
What causes sudden shock like feelings in the chest?
Patient: I have had in the last year tests for sleep apnea, wore a heart monitor for 48 hours, had blood work, tests in the hospital Ekg and 6 hour enzyme tests, two days later, had a test on the treadmill, everything is fine? I seem to get these shock like feelings in my chest about twice a week and then they go away for a month or so and come back. They last no more than a second but it hits you so you would almost drop your coffee, it truly feels like a shock, my doctor has no answers, can you help? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Your extensive cardiac work up is normal, so no need to worry for heart diseases for your symptoms. Sudden shock like feeling is also seen with stress and anxiety. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
74,130
What causes a red hard lump on the neck?
Patient: 8 days ago I came home from work and from when I got out of the car to the house a red hard lump appeared on my neck under my ear lobe. The lump went down, but tenderness under my jaw and in my neck soon came along with a lot of post nasal drip, but barely any congestion in my nose. The doctor told me that it was probably just a cold and advised me that she felt no lymph node swelling. The next morning, I woke up and I felt better. My husband checked my neck for me to make sure the swelling was still down. 20 minutes later I went into the bathroom and there was the red hard lump again in the same spot. Looks very much like a mosquito bite, but without itching or pain that always accompanies bites I've gotten all my life. That was 2 days ago. The post nasal drip has continued and now I have a sore throat from the post nasal drip. Negative for flu. Negative for strep. I also had a full blood work up done in a hospital 30 days ago and no problems were noticed. Doctor: Hi, dearI have gone through your question. I can understand your concern.You have sore throat, post nasal drip and cold with some neck swelling. You may have upper respiratory tract infection. Your lump may be reactive lymphnode or mosquito bite. You should take a course of antibiotics like azithromycin, amoxiclav, levofloxacin or cephalosporin. You should also take antihistaminic drugs like chlorpheneremine malate or cetrizine. Don't worry about neck swelling. Consult your doctor and start treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
62,239
Is there any medication for winged scapula?
Patient: My daughter of 6 years has winged scapula. A small area near the right scapula is soft and she has started feeling regular pain. what could be the reason. The doctor I consulted has suggested surgery. I am a little apprehensive for surgery. Is there any medication possible. Doctor: Hi dear .I understand your concern. You should be worried,but not too much. With such presentation in my clinic I suggest:-Massage with Diclofenac ointment, -exercises, -physiotherapy,- swimming.If nothing is helpful then go on surgery.Hope it helps
172,735
What treatment is needed for the increasing swelling and redness around the leg due to fall ?
Patient: My dad fell about 10 days ago. He had alot of bruising and swelling. Hospital tests showed no breaks or blood clots( he is on blood thinner.) They told him to elevate it and use ice, but gave him no medicine. The bruising started going away, but he still has swelling and redness and the leg feels warm. He went back to the doctor on Monday. They told him to continue the elevation and ice, but still no medicine. When the swelling, redness and warmth of the leg had not improved, I took him back to the doctor yesterday. They called it cellulitis. They gave him a shot of antibiotics and a prescription for cephalexin (to start taking today). I have been measuring his leg in about the same spot everyday and it has been about 14 inches around at that spot (including this morning) I measured it about a half hour ago and it is now 14 and 3/4 in that spot.The redness has also increased. Do I need to take him back to the hospital or give the antibiotics more time? Thanks. Doctor: Dear patient Your father has got rapidly spreading cellulitis possibly with abscess formation. He needs urgent attention as swelling is rapidly increasing. Take him urgently to hospital and get him admitted. He needs course of intravenous antibiotics and ultrasound of local part to rule out abscess formation. If abscess is seen under ultrasound incision and drainage is must. Do not take more time and shift him to hospital. All the best.
137,716
Suffer from chronic urticaria. Food allergy test advised. Vaccination suggested. Curable?
Patient: actuly m facing chronic urticaria problem from past 7-8 months....first i consulted to a doc he did several food allergy test...he suggested to take vaccine for allergy... i was not satisfied with that so i consulted some another doc. who has given me some medicines. here i want to ask only one que that i have to suffer whole lyf with this allergy or it is curable? Doctor: IF YOU CAN GET BLOOD SERUM TESTD FOR COMMON FOODS LIKE MILK WHEAT AND POTATO OR COMMON FOOD YOU EAT YOU WILL GET RESULT AND ELIMINATION DIET WILL CURE YOUINJECTION OR VACCINATION IS NOT GURANTEEYOU HAVETO INJECT THREE VACCINES OF HISTAGLOBE AFTER 1 WK INTERVAL FOR ONE SET AND THIS SET TO BE REPEATED AFTER 3 6 9 MONTHS FTER TO HAVE FULL IMMUNITY BUT NO GURANTEEWITH MEDICINES YOU CAN ONLY SUBSIDE BEST IS TO GO FOR ALLERGY TSTS
103,786
Will there be swelling in Cerebral Palsy?
Patient: Hi-- I have a question. I have Spastic Diplegia Cerebral Palsy and have had many operations on my legs and also heal-cord lenthening. From the surgery, their is a scar on the back of my calf. One random day it got swollen, not sure why or how. Their was pain at the beginning and now their is no pain at all. It has been a few months that my ankle has been swollen and it still is. Is it common for people with Cerebral Palsy to have this issue. What is going on? Doctor: Hello,In my opinion, the problem may arise from blood circulation in your calf. An ultrasound of your calf is necessary to evaluate correctly this possibility. Discuss with your Doctor for these issues.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical
139,571
Is it safe for sperm to be inserted few days after bone scan contrast?
Patient: I am 54 years old, 6 -1 tall and 270 lbs... I recently had a bone scan contrast and was curious about the effects on sperm. Is it safe for sperm to be ingested 5 days after the procedure and if not, how long is it necessary to wait for it to be non-toxic? Doctor: Hi, Yes, it will be completely safe. There is no effects on sperm by the contrast, you can go ahead without any fear. Thank you. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon
120,212
Suggest remedy for bad smell from mouth in the night
Patient: hello doctor i want some information to u that firstly i tell u that my age is 18 and i am always tooth the brush daily but some people said me that the smell is coming from mouth only in night and spread in the room so plz tell me that its this possible and when i meet with frds and relativies they donot say anything i mean the donot say about smell and i tell u i eat only rice,pizzas,chips, white peeta bread,tomatoes,chips and wings.howi save from this problem i am very worried Doctor: Hello, Thanks for consulting HCMRead your query, as you have bad smell from mouth in night dont worry I understand your concern this bad breath can be due to poor oral hygiene, deposits like plaque , calculus , material alba causing bad smell , drug induced , sinus related or diet containing milk products , garlic. For this I will suggest you to consult dentist and go for oral prophylaxis , in meantime you do warm saline rinses in day and do chlorhexidine mouthwash twice daily or during night after meal.Hope this will help you. Wishing you good health. Regards Dr. Priyanka tiwari
182,982
Diagnosed with Hepatitis C,COPD , depression & high BP
Patient: hi my name is julie i have few questions about 500mg niacin pills i stopped smoking over 97 days now i i m around people who smoke all the time but my questions are i have hep-c copd- and depression and high blood pressuer i have lisinapril 10mg 1x2 day i take 1x4 zanax and my breating treatments inhauler and nebulizer too and i at bad risk ? i did take 2 hits off a joint and everyone says to take the pills and drink alot of water and cranberry juice Doctor: Hi welcome to HCM.I understand your query and concern.Your medication list does not include drugs against hepatitis C.You are correctly receiving treatment for COPD and depression.But its extremely important to receive drugs like Harvoni which is a combination Sofosbuvir and Ledipsavir 90/400 mg.This drug is recently approved by USFDA for Hep C in terms of only single daily administration of the drug over a period of 12-24 weeks is all that is effective.You can continue Cranberry juice to prevent urinary tract infections.Continue Nebuliser therapy for COPD management.Consult your hepatologist for expert management.Post your further queries if any.Thank you.
56,703
Getting stomach ache while having cold and swallowing nasal mucus. Any solution?
Patient: my entire life, I m 51, whenever I get a cold and swallow nasal mucus , I get a very localized stomach ache that has intense pain. It feels like a small, condensed gas bubble. I m incapable of belching for some reason. The bubble is palpable and is located on the far right (my right) side of the front of my abdomen. HELP! Doctor: Hello and welcome to Healthcare Magic. Thanks for your query. It is possible that whenever you have a cold or fever, you could be having hyperacidity, probably because of the poor intake and stress. This is the probable cause for having stomach pain during such times. During such times, I would advise you to take an adequate intake, eat a bland diet and drink plenty of fluids. You can also try an antacid for symptomatic relief. If the problem is persistent or severe, please see a doctor for further evaluation and investigations. Wish you all the best. Regards, Dr. Sheeba Stephen Emergency Medicine Specialist
94,461
Brown discharge after stopping birth control pill. Have polycystic ovary. Negative pregnancy test. Symptom of stopping pill?
Patient: I came off the pill 6 weeks ago and had my normal withdrawal bleed. I have been on the pill for 10 years from when I was 17. Before being on the pill my periods were extremely irregular (about once every 3 months) and I was diagnosed with a polycystic ovary but not full syndrome. 4 weeks after taking the pill I had some brown discharge which I assumed was the start of my period however this only lasted about 5 days then stopped. 2 weeks prior to this I had egg white discharge so I assumed I had ovulated. I home pregnancy tested one week after the brown discharge in case it was implantation bleeding and it was negative. I am 27, weight 9 stone and am 5 foot 2.My question is whether it is sensible to test again or if this is just a sympton of coming off the pill. Also if my periods remain as irregular as they were when I was a teenager what are the chances of me conceiving naturally and what medications are there to regulate periods? Doctor: Hi,In the present clinical picture, you may opt for the serum beta-hCG measurement to give you better confirmation of the presence or absence of pregnancy; also, home pregnancy tests may not be of much use when the last normal menstrual period is vague. It remains to see if the PCOD has returned and if it happens, if you wish to conceive now, the ideal method would be to go for induction of ovulation after proper investigation and necessary corrections. Natural conception can still happen with the occasional ovulation and combined pills, metformin along with weight maintenance and exercise help to regulate the periods. Hope you find this answer useful. Good luck.
225,695
Pain in right kidney, nausea, vomiting. Surgery?
Patient: I have been having right upper quadrant pain, pain over my kidney on the right side and nausea, vomiting, and diarrhea for the past 2 months. I went to the ER, and they did an ultrasound of my gall bladder/kidney and it showed "slight gall bladder disease and fluid over my kidney on the right side" i was told that i was being referred to a surgeon, who i see wednesday and i was being scheduled for a hida scan, and to come back to the er if the pain was still there after taking tylenol. i went to my hida scan, where the rn doing the injection, of the tracer, had me stop 3/4 of the way through the procedure, and get out of the bed of the scanner, because nothing was happening. then they just had me get back in the machine, and did the other injection of the stuff that makes your gall bladder empty, my gall bladder didnt move much, and then they sent me home. well the pain got worse about 48 hours later and i went back to the er. the NP i saw said my ultrasound and hida scan were both normal, gave me pain meds and sent me home. I'm still vomiting everything i try to eat, and i still have diarrhea, not to mention the pain is just as bad. im just wondering what the probability is that i will need surgery... Doctor: Welcome to HCM.It would help if you got your urine examined for infection as nephritis can cause acute vomiting and nausea along with pain .Pancreatitis also needs to be evaluated.Other causes which can cause similar symptoms include acute Gasteroenteritis,Food allergy and gluten intolerance.It would be best to discuss this with your doctor.
50,652
Suggest remedy for feminine features after being treated for depression
Patient: im 23,male. took pschiatric drugs for 6 yrs. for severe masturbation(since 13,3-4times/day ),depression,suicide wish,ocd,etc had 3 relapses .when i took drugs my overall health changed.i was weak ,i became live and healthy . a few months ago i stopped the drugs. after that i had severe headache(in centre,and around but not on forehead) then sudden weightloss and muscleloss ,hair loss and thinning,premature ejacuation,change in voice,memoryloss(cant find the right words(spelling mistakes-never had those)),weak bones and joints,fatigue,no appetite or thirst,no libido,leak from nipples,NOW HAS MORE FEMININE APPEARANCE. did i make a mistake goin for psychtrst other than physician?? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. No. you did not make any mistake. You are just getting anxious about you. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Life style changes, change in thinking pattern, relaxation etc are as essential as medicines. Psychotherapy can help you changing your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
206,423
What causes throbbing chest pain along with shortness of breath?
Patient: I have a throbbing pounding pain in the middle of my chest between my breasts. I am not short of breath. The pain is constant. I noticed today that after swelling my food when it gets to that area it hurts going down. Also hurts more when I bend. The pain is constant and radiates across my back. Doctor: Thanks for your question on HCM. In my opinion you are having GERD (Gastro Esophageal Reflux Disease). But as a rule in chest pain, we have to rule out cardiac and pulmonary causes.So get done ECG and 2D Echo to rule out cardiac causes.Get done chest x ray to rule out infection in the lungs.If all the above are normal than it is mostly GERD.It is due to laxity of gastroesophageal sphincter. Due to this acid of the stomach tends to come up in the esophagus and cause the central chest pain.Try to follow these for better control of GERD.1. Avoid hot and spicy food.2. Avoid stress and anxiety. 3. Avoid large meals. Take small meals.4. Start proton pump inhibitors. 5. Go for walk after meals.6. Keep 2-3 pillows under your head in bad.
82,437
Suggest treatment for spinal headache and back pain
Patient: Hi, I am a 64 year old lady. I have had a morpine pain pump for 8 years at 8.59 mg day. Was doing great until my 2 physicians moved out of stat and have a new replacement which removed the pump on Oct 1, since he does not believe in the pump. I had no choice. Since I have a spinal headache,diarrhea 25-28 times a day with vomiting, cold, clammy dizzy, severe back pain awful sweet smell comes off of my skin. Unable to sleep for 49 hours and absolutely misserable. Today he ordered 25mcg fentanyl one patch every 3 days plus compazine. He just told me I had to tough it out. Do you have any suggestions it is very hard to take care of myself when husband is at work. Thank you so much. Donna Doctor: hi Donnai can nderstand your depend on morphine pump and finding hard with switch over....but it is well documented that fentanyl patch is equally effective and dosing has to monitored for optimum level of relief.cause of diarrhea may be diagnosed by a gastroenterologist and treated according to cause, only maintain good electrolyte and water balance with plenty of fluids intake.spinal headache may be rrequiring a review by a neurons specialist, usually cerebrospinal fluid examination and CSF pressure has to be measured and tap is donebest wishesregards
216,830
What causes abdominal pain towards pelvic area?
Patient: Hi there. I am a 27 year old male. I am experiencing lower left abdominal pain more towards the pelvic area. It started about 3 days ago and since then have not gotten better. The pain sometimes spread to my back as well. No vomiting only nauseas at times. Doctor: HiThanks for posting your query. There are certain causes for left lower abdominal pain . It could be due to infection of gut stones in kidney or ureter urinary infection prostatitis . I advise you to get Ultrasound abdomen pelvis and urine routine tests and revert back with reports .
89,644
Suggest remedy for stiffness and numbness of thumb after a severe cut
Patient: 2 days ago I cut my thumb out the outer side of my left hand the cut itself is about half an inch long and went bone deep I held it together and I has closed up without stitches but now my thumb can't bend at the tip and it feels numb and at times feels very cold. What should I do? Doctor: Hi,Thanks for your query.After going through your query I came to know that you cut your thumb on outer side of my left hand . In my opinion you might cut one of tendons and outer digital nerve cut.You should visit orthopedic surgeon and should get your nerve and tendons repaired . You can discuss with your treating Doctor about it. I do hope that you have found something helpful.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
96,681
Suggest treatment for pain around chest when suffering from pleurisy
Patient: Hi, I am 65 yr female with Lupus and Fibro, suffering from pleurisy. I spent one night in the hospital to confirm it was not my heart, and was sent home next day with the diagnosis of the pleurisy. This was 2 weeks ago, and I am still having pains in my chest from it. How long will this pain last? I have hard time breathing, too. I am so tired all of the time, and can hardly get out of bed to do anything. My doctor gave me motrin to take for the pleurisy. I hate being tired all of the time and want to get on with my life. Please help me. Thank you, MP Doctor: Thanks for your question on HCM.I can understand your situation and problem.In my opinion you should consult pulmonologist and get done clinical examination of respiratory system and chest x ray to rule out causes of pleurisy.Since you are not improving with treatment for 2 weeks, better to investigate causes for pleurisy.Following are the possible causes for pleurisy.1. Pneumonia2. Tuberculosis3. Pleural effusion4. Pulmonary contusions5. Pulmonary infarction (due to lupus).So get done chest x ray to rule out above mentioned possible causes of pleurisy and start appropriate treatment.
81,083
What causes Lymphadenitis with palpitation and dizziness?
Patient: Dear Doctor. Below is my Medical Summary:Age 31 Y Sex: MaleProgress Notes:HTN (-) DM (-)H/o left cervical caseating Lymphadenitis + PT - -> S/P ATT 3 yrs ago, took ATT for 1 year Very brief palpitations of 2-3 minutes on and off 4 yrs with dizzy feeling.Palpitation goes away with deep breathingNo h/o prolonged palpitation needing medicationsTMT Oct 10: Bruce 8 min 9 mets 91% THR, -ve for ischemia/arrhythmiaRPT Holter(27.12.2010): Seven short run of narrow QRS tachycardia-- > regular at 220/min, max for 3 min or so Euthyroid status.Came for routine review:Brief palpitations 2-3 minutesHad palpitation on (17.05.2011)Holter Min 34/min at 2:30 AM, Max 200/minRegular narrow QRS tachycardia initiated by 3 VPCs (triplet) at 200/min, no definite P waves, fixed rate + Abrupt termination? AVNRT,? Orthodromic AVRT (concealed pathway) Rx:T.Seloken XL 50 mg 1-0-0 ( to be stopped 5 days prior to EP study)Plan:EPS + RFA1% risk of CHB explained. Should i proceed with EP in 2d or 3d. My previous Doctor ask me to implant a Pacemaker without an EP study . makes me confused. if so which pacemaker is good for my condition . waiting for your advice. Doctor: DEAR FRIENDthe EP study will clearly establish the cause of your palpitation and in case there is an aberrant path which can be ablated. The need for a permanent pacemaker then will not be there,it is a good idea to undergo EP studies before taking the decision of pacemaker implant
30,564
Can I take levoxyl for rapid heartbeat?
Patient: I just got a report back that my heart has extra beats. The only thing I take is levoxyl. I'm 60, female, not over weight, don't excercise but have a lot of stress at this time, don't smoke (quit 9 yrs. ago). I think in pretty good shape for my age. What does this mean and should I go to a cardiologist? I started a low dose aspirin about a month ago because my heart seemed to be beating faster or harder for a second or two at times, not often. Doctor: Hello I am Dr Mody and I would be addressing your concern, The reason for those extra beats can be 1) anxiety : because of anxiety more adrenaline is pumped into your circulation causing those extra beats 2) levoxyl : levoxyl can itself cause extra beats. Whenever there is over treatment of by thyroid hormone there may be a state of hyperthyroidism, which may cause arrhythmia ranging from just increase in normal heart beats, extra beats or some times irregular beats. 3) there is no role of aspirin in extra beats, except when ischaemia / angina is the reason of those extra beats It's better if you can get a fresh thyroid profile (Tsh, free t3/t4) and adjust the dose of thyroxine. As such extra beats are benign and so if no symptoms because of it, you may ignore the same. The only reason the cause has to be determined is to prevent further arrhythmia. Regards Dr Priyank Mody
26,394
What is the treatment for swollen neck vein in a child?
Patient: my 2 year old son fell on his head from bicycle today, since his fall, his neck veins are bulging when he is not happy (on the right hand side). He does not seems bother by it, but the bulging is quite impressive but do not show when he is happy, should I go to emergency? Doctor: HI...even though the kid is aymptomatic, as the finding you are observing has started after the fall, I suggest you take him to the nearest emergency room and get him checked.Regards - Dr. Sumanth
168,104
Suggest treatment for left lower quadrant pain that increases while breathing
Patient: Hi, may I answer your health queries right now ? Please type your query here... tnx. hi.i have left lower quadratnt pain that increase with breathing and i think that is due to the pleuritis ,i am 30 women and think that is due the alergy and want know about thats treatment. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Chds pain on breathing is commonly seen with pleurisy (inflammation of pleura).And common causes for pleurisy are bronchitis, lung infection (pneumonia), pleural effusion etc. Allergy is not causing pleurisy. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test).Chest x ray is needed for lung infection and pleural effusion. PFT is must for the diagnosis of bronchitis. If all these are normal then no need to worry much, simple musculoskeletal pain will be there. So take painkiller like ibuprofen or acetaminophen. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
72,382
Is it safe to take Paxil during pregnancy
Patient: Hey my name is Amber Mamerow, I am 19 years old and I am having a really difficult time. I guess the only way that i can really explain how i feel is to start at the very beginning so i hope you all have time. I have no one else to ask and no one else is taking me seriously. So i decided that i would try one more time to talk to someone. Since around the age of 13 i was on paxil, it helped A LOT with anxiety, i never found a need to get off of it until i accidentally found myself pregnant at age 18. When i was at the OBGYN the nurse told me that i could not be on paxil while i was pregnant and that i needed to try Zoloft. I never saw the Dr, i never talked to them or anything, i just discontinued my paxil and i began zoloft. The first few days i didn’t feel too bad, i didn’t feel quite right, but i didn’t feel terrible. Than for the next month almost (give or take) after that i had every bad side effect that i could have imagined. I read the side effects for the zoloft and i had 90% of what was listed. I told the Drs several times that i didn’t feel good and that i didn’t want to try any other pill i just wanted to stop taking all of them. After i stopped taking everything all together i felt like i was having withdrawal. I have not felt good since. I am no longer pregnant... i did have an abortion.. but that is a touchy subject.. but i figured that’s also involved with health so i needed to not leave out any details. It has been about 8 months since i have stopped all together and i still to this day do not feel good, every single day i have this odd headache. It feels like pressure in my head. I still have some of the issues that i developed while taking zoloft, which i was told would go away once i stopped and 8 months later i am still dealing with, such as my ears ringing, constantly. I never had that problem before this. I have had countless problems since zoloft and i have been trying to feel better without resulting back to paxil, i like being able to know that i can live without it, i no longer have panic attacks, and if i do on a rare occasion i can control it. I feel i have no need to go back on to paxil, but my dr pretty much insists that i go back on it because he is convinced the way that i feel now is all because of that. The way that i feel right now is a pressure in my head, mainly in my forehead and in the back of my head. If i press on certain parts of my head its sore as if its a soft spot. I have a chronic sinus infection that i have had to treat on and off the allergy seasons with antibiotics, which make that clear up, and strangely enough make my head feel completely better. Many of the Dr s thought that it was the sinus infections that was making my head feel weird. But i asked them why than would i feel pressure in the back of my head when i have no sinus s there? So that blew that theory out. I have also had bacterial and yeast infections every once in a while that also had to be treated with antibiotics, and again, (no sinus infection issues at the time) my head would feel better. Another example of this was when i had another bacterial or yeast infection of some kind and while i was taking my antibiotic it began to make my head feel better, but before i was done taking them it started to feel weird again... So talking with my nose dr he decided that it would be a bad idea to take anymore antibiotics because he thought that they were treating SOMETHING in my head, but no one knew for sure what that SOMETHING was. But he said that if we kept miss treating it with antibiotics than it would soon become immune to them. So since then i have refused to take another antibiotic because i do not want to make anything any worse, but the problem is we have made ZERO progress on what is actually wrong, i have spent over 500 dollars trying to find out what exactly is wrong and we have gotten no where. I began to get worried and i asked for an MRI, and a CT scan, apparently they both came back normal, but i had no one read them to me or go over what exactly there was... but they did assure me that i had no tumor or anything. So that helped reassure me for the time being. I have had multiple blood tests for many different things and they assure me that i have no infections or anything, (which confuses me, because if i have a chronic sinus infection.. shouldn’t that show up?..) but either way they assure me that there is no infection. So i am feeling like i am on my own. I have done research trying to find something, anything that could give the same kind of symptoms of what i am feeling, and i stumbled across meningitis. Now i understand that meningitis is usually severe and can do damage in as little as one day... but i have also found and i will quote it exactly as i found it Occasionally, if someone has been on antibiotics for another infection, the symptoms can take longer to develop or may be less intense my source is from WEBMD. Meningitis can also be caused by the spread of an infection occurring near the brain, such as from the ears or the sinuses. It is also an occasional complication of brain, head, or neck surgery. which i was thinking could have something to do with my sinus infection ( which i now have AGAIN, but cant treat because i cant take antibiotics until we find out what is wrong with my head and why it feels better with antibiotics). I have tried talking to 3 different doctors. My primary, My ear nose and throat doctor, and they both ended up sending me to another doctor... which i cant quite remember who or what he is suppose to do.. but all i remember is him being extremely rude and ignored anything and everything that i had to say.. so i got absolutely no where with him. I left his office in tears and had to pay 80 or more dollars just to be in the same exact spot I’ve been in for months. I have had blood work done and many other things done, i asked my primary doctor out of desperation and last measures to see if i could get a spinal tap to make absolutely sure that it was not meningitis. I am exhausting every option, i am running out of money and i am desperately searching for an answer. I am 19 years old and i have no idea what is wrong with me, it is effecting my everyday life and i have spent so much time, energy and money into figuring out the possible cause of what is going on. I feel like no one is taking me seriously now because my primary doctor has just suggested that i try taking my paxil again. Its very frustrating because i feel like no one takes me seriously once they learn that i have anxiety and they assume that it is all in my head or just taking a simple pill with help make everything better. It just seems like whatever it is, is getting worse, and i would really appreciate help from anyone that is willing to help. I have not taken antibiotics in many months and i feel like my head just keeps getting worse. I don’t know how to explain it... i have been told that it could be cluster headaches... but i have had headaches, i have had migraines.. they are nothing like this. It is a constant, all day everyday, from the second that i wake up to the minute before i fall asleep the same feeling. Lately i have felt extremely tired, my eyes have started to hurt.. i had to go to the eye dr because my vision has been doing weird things, but they said that i have perfect vision and the only problem i have is i have hard corneas.. or whatever that is that causes you to have higher pressure in your eyes without having glaucoma. I have been noticing trails, i see halos around objects mostly people, i see something that i would consider visual static.. and this has all started just recently.. about maybe a month its been happening and getting worse. At first i could see visual static and maybe every once in a while i would see trails, than i started to see halos. I try to ignore it, because i don’t have enough money to go in for a check up any more, i don’t know whets wrong so i don’t know how to have anyone fix it. The reason that i decided to write to you today and not try to ignore it like i do every other day is because i was in the shower today and out of no where i felt like i was going to pass out, i felt this weird sensation that the room was just getting dark and i was just going to pass out, so i jumped out of the shower and sat on the floor for a minute. I had this stabbing pain in my back and my stomach and i felt like i was going to puke, when i felt as if i could stand i did so, and i left the room to get some fresh air, immediately i felt as if i was going to puke again and i ran into the bathroom and i had one dry heave... and felt completely normal again. That is the first time anything like that has ever happened to me before. So please, i am completely lost on what to do. All i want to know is how do i find out what could be wrong with how my head feels. What could be causing it, why does it feel better with antibiotics and what can i do. Please if you have any words of advice please let me know. I am sorry for such a long note but i am running out of people to talk to. Please and thank you. Amber Mamerow Doctor: Hello Amber. I completely understand how it feels not to be taken seriously. While I was going through your answer, diagnoses like chronic sinusitis, cerebral venous sinus thrombosis and also vascular headaches did occur to me, but they are difficult to prove with a normal MRI or CT (not vascular headaches though, they appear normal on imaging). The paxil you were taking earlier is not only an anti-anxiety drug but also is used in certain intractable pains, hence I feel your doctor had asked you to restart it hoping for some positive results. However, since you are firm that you donot want to restart it, and I appreciate the decision of trying to manage without the anxiety pills, I feel we have to move on to other possibilities - Benign Intracranial Hypertension is one of them. I would suggest you to get Vitamin A levels too. A spinal tap would certainly help in this case to reach a diagnosis. Hope this helps.Regards,Dr Geeta
219,285
Suggest treatment for recurrent yeast infection
Patient: yes I have been married for 10 years and had two babies four years ago and one and a half years ago..the red appearance started after the second baby during pregnancy..keeps coming back after intercourse..my wife went to the doctor in head yeast infection she took a pill and cleared up but after sexual intercourse it keeps coming back to me Doctor: HI, thanks for using healthcare magicYou may have to consider the use of an anti fungal medication as well. If both of you are treated and the problem recurs then you may need to consider a swab.It is possible that the infectious organism is resistant to the medication used.This can be determined by the lab and appropriate treatment started.I hope this helps
35,815
Suggest treatment for back pain during pregnancy
Patient: Hiii Good Morning .. I what to get the suggestion of my wife she has felt down from stress case 12 month ago from that time she having a pain at back we had done the treatment of the same but still she has not getting relief now to this time she is pregnent. Doctor: Hello dear,I understand your concern.In my opinion the backache in pregnancy can be treated by panadol,local irritants,hot fomentation.Pain killers are best avoided.Dont worry.It might not be a hindrance to pregnancy.But the pain might increase in pregnancy due to increased muscle stretching and alteration of spine.Avoid stress.Take healthy nutritional diet.Best regards...Gynecologist
221,134
Suggest treatment for swelling in the legs when diagnosed with colitis
Patient: they said I had corns uclcer colitis and last month precaner stomack ulcer I am trier al l the time mucse lfeel tight bloat swollen in leg and feet pain around my wist hard to get up and down if I get down legs don t left me have to hang on to something sorry can t spell some time I think I see something that isn t there Doctor: Hi, Consult a general surgeon and plan for an ultrasound Doppler. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
126,295
Suggest remedy for back pain with extreme defecation
Patient: hi, so this is embarrassing but i have some very intense back pain for the last few days and i have been defecating much more than usual. I m also very weak and tired all the time.I have just returned from a month long trip in Uganda. I was tested for stds about a month ago, but I have not been tested for pregnancy. Other than that I have ADHD, depression, and HSV1 Doctor: Dear- thanks for using our service and will help you with my medical advise.The most common reason for pain when defecates is an internal hemorrhoid, specially if constipated and had to make a big effort to move your bowel. However, colon polyps or lesion obstructing the colon canal can be painful too. It is important to have a checkup including laboratory exam, to make sure that you don't have anemia which makes you tired and weak. Your medical conditions are not associated with this complaint although some of the medications for depression and ADHD can cause constipation .I hope that my advise has been helpfulDr.Sara
107,669
Itchy hands, trembling in abdomen and neck while sleeping, weakness in legs. Blood work normal. Is stress a cause ?
Patient: Hello, I am going trough a very stressful period in my life. My level of stress is surely high. I am a 42 year old female, caucasian. Due to an allergy which caused my hands to itch , inner trembling in my adbomen and neck while sleeping (which woke my up) and weakness in my legs (I could perform physical exercise though so I guess it was not really a real symptom), I went for blood tests, in total panick and convinced I had pancreatic tumor . The blood tests came out fine, no jaundice , ESR is almost at th bottom value, cholesterol is 185 and fasting blood sugar is 105 (both higher than normal, I usually have 160 cholesterol and a lower fasting blood sugar but sue to nevousness I am eating more and not healthy). I am 5.6 and I weight 171 pounds, so I am overweight. My family doctor, after finding that the blood pressure he measured before the blood tests results (somehow high) went down to 111/76, gave me some omeopathic medication aimed at calming me down. (He s also a phychiatrist). Today....I am somehow quizzy, lihtheaded, and tonight I woke up with the usual shaking, while having horrible nightmares . My new fear? A heart attack. I know, from Xrays, that I have cervical rectification, an apohysis in C7 and reduced spaces between several vertrebrae in my neck. Also I have spondrilosis. Can the trembling in my neck/chest/tummy muscle depend on this or it is purely stress? Any advice will be highly appreciated. Regards Doctor: I THINK THE MEDICINE IS NOT SUITING YOU YOU JUST STO MEDICINE CALM DOWN TAKE ANTI ALLERGIC TAB ALLEGRA 120 MGM DAILY TAB FLUNARAZINE 5 MGM NIGHT SYP MUCAINE GEL 2 TSF TDS AFTER MEALS DO IT FOR 3 WEEK I THINK IT WILL SOLVE EVERYTHING AND AFTER 3 WEEK AFTER STOPP OF MEDICINE YOU DONT GET RELIEF YOU GO FOR OTHER INVESTIGATIONS
105,295
What causes welts at the site of mosquito bite in a 15 month old?
Patient: My son is almost 15 months old, around 30 inches and around 22 lbs and was bitten 2 weeks ago by 2 mosquitos and the raised as they normally would and went away. Well the 24th of this month he woke up from his nap and where the bite areas where, he had large welts. Took him to the doctor and they said he had some sort of skin infection and the put him on antibiotics. Those are clearing now. Now, he woke up this morning and he had a very large welt on the top of his head with 2 pin head sized pustule(sp) sacks and 2 more forming. Please tell me what is wrong with my baby. The doctor that I took him to did no know anything of what he was doing. He told me that he didn t know what my son has and that he would have his wife look at it. Well she did and she told me that she didn t know but it needed to have a culture done because it was pustule(sp). Well he got everything ready and and started to wipe the area off before culturing. Well he wiped to hard and busted the pustule sacks, and then tried to say there was nothing there to culture. Please tell me what is wrong with my baby and what can I do. Thank you so much for your time. Doctor: Hi... I feel that your child might be having urticaria or a sort of skin allergy or insect bite allergy, which is getting secondarily infected as there is pustule formation. I suggest that you use AMOXICILLIN CLAVULENATE or clindamycin as a course for 7 days along with topical application of Mupirocin ointment.Regards - Dr. Sumanth
167,534
Asthmatic, diabetic. What type of nebulizer would suit me?
Patient: My age is now 65. I am an asthmatic ( Bronchitis ) since more than 35-40 years. Due to the prescription of a Bangalore (now deceased) doctor, I used Betsone ( Betamethasone ) Tabs for almost more than twenty years due to which now I became a diabetic II patient also. For Asthmatic attack, I am using 1) Combitide and 2) Duolin inhalers. In severe attack, I use the Duolin inhaler several times in a day. Now I like to use Some desk-top or a portable Nebulizer . Kindly answer the following questions in this regard. 1) Which type of Nebulizer suits to my condition? 2) What type of Respules or medicine (in combination or in single) i have to take in? 3) What are the side effects for the two inhalers, that I am taking now?( I am using them since more than ten years) 4) What will be the effect on my diabetic condition? ( I am using Glyciphase and Glucomet-250 Tabs for this) Certain numbness in the fingers and the sides of legs and also some tingling sensation in some muscles -(I think due to the diabetic condition-Since more than 10 years a diabetic). Doctor: due to your ugar inhalers without steroids or nembulisers without sterois will be helpfulto start with asthalin can be used if suits it will be best for you s per your diabetic history you can also have nembulisation with saline water to disolve mucusin espiratory tract
104,241
What are the treatment procedures for ovarian cancer other than chemo?
Patient: I am a 73 year old woman with a history of ovarian cancer stage 2 since 2004. I underwent surgery and was told they got all the cancer, I underwent 7 cycles of chemo. My cancer returned in 2007 and was again operated on for the cancer, they also removed my appenbdix and fixed a hernia. I have been on different types of chemo since then the latest being the pill VP16. I have had NED several times during this time, only for it to return again. It is limited to the abdominal area, liver and kidney. The organs are not affected, it seems the tumors are outside. I am now at a point wher I don't feel I want to take any more chem, definetly not through my port, and I believe the VP16 is losing its power, as it seems to be active again, although slow growing. So I would like to know about alternative methods and would be interested in knowing about Oxy or Oxy DHO.Can you make any suggestions. I am on the following meds, Benicar HCT 40/25, Warfarin (for blood clots), Proprananol er, lexapro 30mg, macrobid 100mg, vicadin as needed, and vesicare 5mg Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Resistance to chemotherapy develops after 5-7 years of treatment. And you are experiencing the same thing. Your cancer is now inoperable. So better to consult oncologist and ask for palliative newer chemotherapy drugs which are not used in your case till now. You can start palliative treatment in the form of pain management and nutritional support. Consult psychiatrist for end of life issues. Hope I have solved your query. Wish you good health. Thanks.
153,831
Is a heart disease hereditary?
Patient: I'm 39 with a family history of heart disease...with that said I have been having a dull pain my chest with pressure and a constant fluttering that feels like it takes my breath away for a second. I have not changed anything in my diet at all lately. I am concerned because of family history and i am kindof afraid to exercise because of it. I am 6 foot tall, 178 lbs... Doctor: Dear patient thank you for your question If your having family history of heart disease you have to care about yourself... Your just 39...so much is there to do... Here is few heart disease run in families 1. arrhythmias, 2.congenital heart disease, 3.cardiomyopathy, 4. high blood cholesterol. 5.Coronary artery disease leading to heart attack, stroke, and heart failure can run in families, indicating inherited genetic risk factors. Dont neglect your chest pain just get it done ECG, Serum cholesterol, blood sugar, TMT,urine examination, Serum homocisteine etc.... Your doctor will advice right medication to you... Mean while continue regular exercise, low fat diet, eat green leafy vegetables....
19,697
Should I go to emergency for rashes on his back, shoulders and face of a child with cold?
Patient: My three year old son has been fighting a cold for 2 days .... Tonight at bath time I noticed a rash on his back not raised and not itchy, about 2 inches in diameter. After the bath the rash looked better. An hour after falling asleep he woke up and vomited. Now he has nearly a dozen of the rashes on his back, shoulders and face. Wondering if this is cause for an emergency room visit? Doctor: Hi... by what you quote I feel that this could be urticaria or a skin allergy of some sort. I suggest you take him to the emergency room. But meanwhile, you can use Hydroxyzine at 1-2mg/kg/dose every 6th to 8th hourly for 7-10 days. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine but I suggest you get the kid evaluated with your pediatrician.Regards - Dr. Sumanth
175,345
Suggest isomil substitute for breast feeding child
Patient: hi thr... my son is 2yrs old. name benjamin. he cant take any cow milk. but he s not lactose intolerance i guess. he juz cant take any protein.. so mim givng him isomil. isomil is causing him to hv flu wen he takes more than 4 times a day. is thr any substitute for it. im stil breastfeeding him too Doctor: It might be time to stop breastfeeding, since there is hardly any nutritional benefit from it. Secondly, why isomil? Why not open dairy milk like the one from Nestle, for example? Why milk, in fact? If he is already two, he doesn't really need milk, as he should be on a full diet. Good luck to you and Ben.Best wishes,Dr. Taher
172,092
Had unprotected sex after stopping pills. Delayed period. Pregnancy chances?
Patient: hi doc, i used to take pills 3months ago then i stop it 1month ago..but before that while there is left over pills i have contact with my husband.. after that 1 stab , my menstration came..after 5 days, after that we used widrawal.. but now i was delay for 3 days..should i have tendency 2 be pregnant? i test week ago but its negative..should i repaet it? thnks Doctor: HelloThanks for your query.The withdrawal method is not reliable.YOu tested for your pregnancy before you missed your period, which is not the proper time.As you are 3 days overdue now, please take a pregnancy test again.Use a reliable family planning method in case you wish to avoid conception now.Take care.
225,946
Zexter injection given for high WBC. Bone marrow test showing myeloid hyperplasia, dysplastic change in granular cells. Explain?
Patient: Hi my name is mohammed and i am 25 years old 4 days ago i did CBC test and it shows that my WBC was 0000 and doctor gave me Zexster injection and after that i did bone morrow and it show this:Myeloid hyperplasia,sheft to right,granular cells represent in about 59% with dysplastic changeAniso Pickilocytosisleukocytosis neutrophiliaplease help me what is mean? Doctor: Hello and welcome to HCM,Your hemogram and bone marrow report reads that there is myeloid hylerplasia. Myeloid cells include cells other than lymphocytes. This includes neutrophils, eosinophils, basophils and monocytes.An increase in any of these cells is called myeloid hyperplasia.Shift in left means that the mature cells in the myeloid series are increased.In myeloid series (neutrophil series) immature cells to mature cells are present.When there is increase in mature cells it is called shift to right.When there is increase in immature cells, it is called shift to left.Increase in mature neutrophils occurs in bacterial infections and certain malignancies (eg chronic neutrophilic leukemia).Presence of dysplastic cells need to be investigated.Anisopoikilocytosis is the condition when there is variation in shape and size of the red blood cells.This usually occurs in anemias.You need some more investigations to know the cause of anemia and neutrophilia.Stay in touch with your hematologist for relevant investigations and appropriate management.Thanks and take careDr Shailja P Wahal .
118,936
Suggest treatment for subdural hematoma and to dilute blood clotting
Patient: hello sir, my wife age 35 year has moving pain in her head. After CT scan and MRI it is found that there is subacute subdural hematome of 5 mm in right and 3 mm in left side. what kind of treatment is required ? is any medicine is available to dilute the clotting of blood ? Doctor: Hello, There isn't any medicine to make that blood go away. When there is a larger quantity of blood surgery may be done, but doesn't seem to be necessary for that size of the hematoma. The blood will eventually be broken down and absorbed with time, the issue is whether there will be any more bleeding, for that purpose neurological evaluation and repeat imaging is usually required. Also in preventing more bleeding the cause of the hematoma must be clarified, has there been any trauma to explain the bleeding? If not tests to search for coagulation disorders must be done, spontaneous bleed in a 35-year-old is very exceptional in the absence of trauma, an underlying cause must be investigated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Olsi Taka, Neurologist
140,647
Is the sperm count normal?
Patient: I have just had a semen analysis dognosis done which is as follows -Total volume 5 ml pH 8 Liquefaction 30 min Count 85 millions/ml Motility Fast progressive 25% Slow progressive 25% Non-profressive 20% Immotile(d) 30% Morphology Normal 20% Head defects 50% Midpiece defect 25% Tail defect 5% Leucocytes 1 to 2 RBC 0 to 2 My question is - how normal is me semen? Can I father a child with this analysis? Doctor: Hello,Welcome to healthcare Magic.I have gone through your query and Would like to reply in detail as follows:1. Your seperm count is normal.2. Motility is slightly lowI hope your doubt is clarified. Let me know if you wish any other information.Regards,Dr. Mahesh
42,113
Suggest remedy for infection in incision after hernia operation
Patient: just had a hernia operation (near the belly button), and it does not seem like the opening has closed up. I was told that it is infected, what do I do? I am taking a few prescriptions and don t know if they are compatible, these are them, naproxeno, dicloxacilina Doctor: Hi Thanks for posting your query . I need to know is there any discharge from the incision wound ? IS there any tenderness over the incision wound ? Is there any skin redness around the wound ? Infection of the incision wound will prevent proper healing and closing of the wound . Kindly revert back with the details asked . You need to take stronger antibiotics and ,may even require cleaning and dressing of the wound . If there is any discharge from wound it has to be sent for a test called Pus Culture sensitivity . Any clarifications feel free to ask , Happy to answer.
38,630
Suggest treatment for pain, depression and anxiety of my son
Patient: We live on Oahu, my son, Jude, and I. I have to sell my home soon because of a divorce after 33 years of marriage. My son has had several neuro-psych evaluations done. He has many indicators for Aspergers Syndrome. He has been in and out of several treatments centers and psychiatric hospitals here in Hawaii. But Hawaii does not have Medical Detox here so he begins too suffer from pain, depression, anxiety, etc. and ends up back home. This has been going on for over 15 years. I was diagnosed with a rare Lymphoma Cancer. When I went into the hospital to have surgery on my ring finger that I contracted staph from gardening, Jude had a total mental breakdown. When I came home 6 days later I found him in a depressing holding house and promised to come and get him the next day. My family lives in Michigan and I was desperately looking for a good place for him. I thought I did. It was in Battle Creek and called Best Rehabilitation. I checked references, even CARP. He was flown there with supervision. As the days wore on, I began to be treated quite rudely and unprofessionally. I sent my brother to go check the place out. Long story short, it turned out to be a front for Scientology. I had given them $5,000, over $3,000 in airfare. Then they demanded that I send a bank Cashier s check for $20,000 by that day s end or he would be taken to a hotel, given $20 and the rest was up to me. I threatened to call the police if they did this. He was sick mentally and physically. So now he is back on drugs and his behavior is getting worse. He s angry. especially at me, putting himself in dangerous situations, stealing from me, very disrespectful and at times yells and acts out of control. I need help for him. Preferably on the West Coast near upper California, Oregon, someplace. He is more interested into a Buddhist philosophy and not AA. He s very suspicious of other guys because he is teased and thinks everyone hates him. I need help. He is very suspicious and says he won t go to any more treatment/rehab centers again because they never work. He was very traumatized this last time. Any suggestions? Kathe O Reilly 808-261-6711 YYYY@YYYY Doctor: HiThanks for using healthcare magicYou did not mention about medication. In your son case, i would suggest paroxetine along with low dose antipsychotic like olanzapine. These drugs are not available over the counter,so better to consult a psychiatrist. Treatment in his case depends upon the symptoms. In case, you need further help you can ask.RegardsDr. Abhishek Kapoor
210,543
Does a vivid purple bruise on the shaft happen due to rough oral sex ?
Patient: I have had oral with my partner this evening and noticed a vivid purple bruise on his shaft that wasn't there last night why is this? By the way I am suspicious he is seeking sex elsewhere. We have been together 15 yrs and never noticed this before however in the past 6 months this has now been apparent on 3-4 occasions, is this due to rough oral/ sex? Doctor: HelloYes, the kind of bruise can be due to rough oral sex but you should try to find out why he needed to elsewhere? Try to improve your own so that his needs are met with you.DR SAATIISH JHUNTRRAA
203,453
Is there any chance of pregnancy after having unprotected sex?
Patient: I got my period July 18, 2012 . I woke up Sunday morning it was gone . That same day I had unprotected sex with my partner & he claims he did ejaculate inside me. Its been 3 days & I have had major headaches , back pain & a little bit of nausea . Is there any chance I could get pregnant ? Doctor: Dear Ms, the days immediately after your period are not the days of ovulation . this means that your ovary doesn't produce ovum in the days just after your period. there is no need to worry as even if your boyfriend has ejaculated inside you there is no chance that you get pregnant
2,486
What causes irregular heart beat?
Patient: well sometimes ill be sitting, standing or walking and out of nowwhere it feels like my heart juss suddenly hesistates to beat...so it will hesistate then beat what could this be? Doctor: Hello, Your symptoms could be related to anxiety. Nevertheless, I would recommend performing some tests in order to exclude any possible cardiac arrhythmia or metabolic disorders: - a resting ECG and cardiac ultrasound - thyroid hormone levels for thyroid gland dysfunction - blood electrolytes for possible imbalance - complete blood count for anemia. A 24-48 ECG Holter monitoring would help exclude possible cardiac arrhythmia. If these tests result normal, you should consider anxiety as the main cause of your complaints. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
17,282
Suggest remedy for constipation and bleeding in pregnancy
Patient: I m pregnant and am having more then constipation problems. A part of the inside of my anal wall is protruding outside my anus. It s been like this for about a month, and I ve begun to bleed more then I think I should. Should I be worried and go seek medical help now, or wait it out. I only have a month left before my baby is suppose to be born. Doctor: HI, Thanks for asking. I understand your concern. You seem to have extreme constipation resulting in prolapse of rectum... where lower part of rectal mucosa bulges out due to excessive straining. It may get infected, swollen, start bleeding. You need to consult an anorectal surgeon earliest & get the thing treated. it's important to get it corrected before your delivery... for it may get worse during child birth straining. Permanent cure may need surgery, can be performed after child birth. Thanks.
219,893
Can vaginal roughness be due to change in loop position?
Patient: Hi doc I m using loop as contraceptive,the problem since yesterday I feel it with my hand when I m washing my vagina and it feels so rough on my finger and I m even afraid to have sex with my partner now my question is there any possibility that it has slipped from its position? Doctor: Hello, and I hope I can help you today.If you can feel the loop itself, and not the string that is attached to it to ease removal, it is possible that the device had slipped into your cervical canal.When this happens, it is important to see a healthcare provider to evaluate you because if part of the IUD is protruding into the vagina, it decreases it's effectiveness as well as putting you at risk for infection.So in summary, if you can feel the IUD itself, it may have been partially expelled and it needs to be removed. You should not have sex again with your partner until you are evaluated to decrease the risk of infection.I hope I was able to adequately answer your question today and that you seek medical care promptly.Regards,Dr. Brown
223,717
What does late periods with dark pink line in UPT indicate?
Patient: my period was supposed to star on around march 25th and it didnt so I took a pregnancy test march 27 & 28 and they were both negative but then I took 2 more pregnancy tests on april 1st and 2nd and they were both positive.... why? and is it true if the lines n a pregnancy test are darker pink that means you farther along in your pregnancy?? Doctor: Hello,I have gone through your query and here are your answers: 1. Home pregnancy tests are not so sensitive as the blood test for pregnancy; thus, they cannot read a positive result very early either before a missed period or just after. The ideal time is after 3-7 days of a missed period and with a fresh early morning sample of urine. This is the reason why you had a negative test early on and positive tests later. 2. Early positive tests can show faint lines as the amount of hCG excreted in urine would be lower in quantity; as the levels rise, the lines get darker. Hope your query has been answered.
220,485
Is weakness, tiredness and stomach pain a result of flu?
Patient: Last night I got extremely weak, tired, and my stomach hurt. I knew i was getting sick again (4mos later) because my skin began to get sensetive. I also got a high temp. When i woke up today I was all better. Wondering what this could be and wonder if it has anything to do with me drinking alcohol or if i caught a 12hr flu..lol ? Doctor: Hi. Thanks for your query.Flu can not contract just for 12 hours.This looks to be due to alcohol consumption only. Since you have improved, just wait and watch. IF the symptoms recur, you may need to undergo symptomatic treatment
90,321
Is there any chance to conceive and how to reduce weight?
Patient: hi i m 42 years my ovaries r hypo functioning no periods without medicine takng pogyluton 4 periods gaining lot of wt i m about 110 kg nd incresing day by day i dnt understand wht 2 do is there any chance of concieve no kids nd how 2 get reduce my wight Doctor: Hello,Best option for you is gastric bypass surgery which will reduce weight and then IVF for having pregnancy.In case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain
41,224
Suggest treatment for orange vaginal discharge
Patient: I have orange discharge and have had it for a couple months now and ive been to the doctors and they keep telling me that it is an infection....and they have treated me for different infections and nothing seems to help. Im scared that something is seriously wrong! Doctor: Hello dear,Do not worry.You are suffering from bacterial vaginosis or trichomonas vaginosisTake following advice.1. Wash your vagina with this water twice a day for two to three days with warm water2. Apply Apple cider vinegar: it has excellent antibacterial and antifungal properties3. Salt Bath- Wash your vagina with concentrated salt water whenever you feel the itch. This will give you great relief instantly and prevent further multiplication of bacteria. 4. Antibacterial/fungal talcs: apply candid powder5. Keeping The Vagina Dry (Not wet, clean well)6. Wear Loose Clothing7. Also take antibiotic You should use following single dose treatment:1. AZEE 1000 mg (AZITHROMYCIN) 2. TINI 1 G (TINIDAZOLE) 3. ZOCON 150 mg (FLUCONAZOLE) or you can take tablet metronidazole 400 mg three times a day for three dayAvoid sex and avoid douching till you get better.Hope this may help you.Take care and stay healthy.
31,248
Suggest treatment for bump on neck
Patient: Today i found a small pea size bump on the back of my neck feels like its right on the main muscle or somthing. Everyone seems to think its were i crack my neck so much. could this be the cause of it? it doesnt hurt or anything. Also ive been getting anxiety alot and depressed over almost anything that happends to me, how an i fix this? My fiance recently had a brain tumor but hes ok now and ever since that i feel like ive went down hill and worry about every little thing that happends to me. Whats the small knot on my neck? cause i really dont want to go to the doctor. Im only 20 years old and feel like i always worry about somthin. please what can i do? Doctor: Hi,From history it seems that there might be having enlarged lymph node on back of neck.This can be due to infection on scalp or having dandruff.Do not worry about tumor.consult your doctor and go for checking for any scalp lesion.Go for regular head wash.Ok and take care.
61,773
Could stopping intake of cerazette cause constant anxiety?
Patient: anxiety hi, I stopped taking cerazette 4 months ago and ever since I ve had daily anxiety which I m struggling with. I ve have about a month off work because I couldn t keep the symptoms under control, do you think cerazette could have been the cause? Doctor: Hello, Cerazette is an oral contraceptive that can produce mood changes in the long term which may persist after withdrawal sometimes. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.T. BALAMURALI, General & Family Physician
85,280
What causes vomiting and stomach pain after taking unwanted 72 pills?
Patient: hello sir,i had sex 3 times in 6 days,as it was unprotected and i took 3 unwanted 72 pills respectively after every sex,suppose 1 pill in 2 days,and now i am feeling like vomiting and my stomach is paining badly,plzzz help me out,plzzz ,plzzzz waiting for your replythankspriya sood Doctor: Hello Priya and welcome,I understand your problem.Please remember that unwanted 72 can be used only once in one month after one sexual act. It is meant for emergency use in cases where regular contraception is not possible like unexpected sexual episodes. Using it regularly is not recommended at all as we do not know if it will provide protection if used more than once in one cycle. The symptoms that you are getting now are due to the pills. They cause an inflammation of the stomach [ gastritis] causing pain and nausea. They may also cause liver dysfunction in high doses. So as of now, pease take an enti vomiting tablet like ondensetrone to help decrease the nausea. An hour later take antaacid like omeprazole 20 mg. With this the nausea and stomach pain must decrease. Please eat a simple diet like clear soup [ not sour] without any spices, or rice gruel until the pain subsides. If the symptoms decrease, continue to take omeprazole once daily for 5 days. If they do not decrease after one dose then you will need to see your doctor and need injectable drugs to help control the condition. Hope this satisfies your query. Thanks for using HCM.     Feel free to ask any more questions that you may have. Dr Madhuri BagdeConsultant Obstetrician and Gynecologist
224,548
Suggest treatment for irregular heartbeat
Patient: any help or advice on these irregular heartbeats and try and identify them and cure them would make me have a full life again. my doctor doesnt want me back for 5 years but at this rate i dont know if i will be here. they are so forcefull and frequent now i dont know what to do. i am from ireland so limited in medical advances. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.You only need a blood pressure check-up plus ECG plus echocardiography and your problem will be clear. I hope that you can get such things in your place. Avoid smoking or alcohol. Avoid undue physical or mental stress.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Varinder Joshi
18,820
Difficulty in exhalation due to allergy. Asthma like symptoms. Not responding to medications. Why?
Patient: gud morning. i am suffering from nasal allergy . i have problem in exhalation not in inhalation . symptoms are similiar to day night asthma as well. i have consulted many physicians and have used a number of medicines as prescribed by doctors but no significant improvement seems to be there. can u please tell me something about it Doctor: Hi and thanks for your query, You certainly have asthma and the management of asthma involves utilization of many drugs. Its not only the drugs that matter as far as the clinical outcome is concerned, but in some cases, some of these drugs might need to be taken chronically for some time before clinical measurable results are seen. It shall be worth consulting a pulmonologist. If he realizes that the allergic aspect of your symptoms is predominant, a coordinated joint management between your pulmonologist and an allergist could be beneficial. I suggest you consult a pulmonologist and suggest integration or an opinion of an allergist. Thanks and hope this helps, Luchuo, MD.
104,656
What causes discomfort feeling in the chest area?
Patient: Hi, I am 49 today, i have been feeling a jittery feeling in the left side of my chest area, kind of like anxiety or something. I have been checking my blood pressure, blood sugar etc. and it has all been fine, what can i do to ease me of this? i also have been having a lot of leg and feet cramps. Doctor: Thanks for your question on HCM.As a rule in left sided chest discomfort, we have to rule out cardiac cause first.So please get done ECG and 2D Echo to rule out cardiac causes.If both if the above are normal than it must be related to anxiety and stress.So try to avoid stress and tension. Be relax and keep calm.There are newer anxiolytics available in the market which are nonhabit forming. So you can try this too for anxiety related problems.
82,386
Feeling of blood in saliva, comes from teeth, throat. Prescribed medication for gums problem, symptoms persist. Solution?
Patient: Hi, many times I feel blood in my saliva. Sometimes it comes from my teeth but sometimes from my throat. My family doctor told me that this is because of gums problem and prescribed me some medicines. But this still happens once in a while (once in two days or so). I am worried. I dont have any other symptoms. I am 26 non smoker non drinker. Please help Doctor: Hi there , Thanks for asking your query,Don't panic.what was the color of the blood (bright or pale red).Blood can be found in saliva because of periodontal infection surrounding your teeth and gums.sometimes due to drug induced gingival enlargement and excessive subgingival calculus there can be bleeding from gums.if your cleared of dental related problems then visit your physician.Due to irritation in your throat ,blood can be seen.many a times due to gastrointestinal bleeding or respiratory infection ,traces of blood can be seen.if the problem persists please visit a physician.hope this helps you,regards,dr.naveen
188,565
Suggest remedy to relieve pain in groin
Patient: When i was growing up we referred to a pain in our groin as the rocks . I am now 73 years old. I elected to abstain from sex for the past 8 days as I am getting married tomorrow. I definitely have what I used to call the rocks. Is this harmful? Is there anything short of having sex that can at least relieve the date scomfort? Doctor: Hi, It can be a musculoskeletal pain due to spasm.You can take analgesics like Tramadol along with muscle relaxants like Baclofen for symptomatic relief. Generally the symptoms will settle in couple of days, you can consult an orthopaedician in case of persistent symptoms. Hope I have answered your query. Let me know if I can assist you further.
215,755
Had miscarriage, bleeding bright red blood since. Left ovary enlarged and cyst appearing. What to do?
Patient: Hello, I had a miscarriage three weeks ago at 6 weeks and 4 day. Everything seemed fine but I have had persistent bright red blood loss about 5 times since then. I went to my Dr & he sent me for an ultra sound & has referred me to a specialist gynecologist . I have had the ultra sound & the report said: Regular endometrial complex measuring 5mm. No sonographic evidence for retained products of conception However, it does also say Right ovary volume 4cc with normal sonographic appearance. Left ovary is enlarged to a volume of 47cc by a 47x38x44mm simple appearing follicle/cyst. There is also a 29mm haemorrhagic follicle. No pelvic free fluid Is the size of the left ovary within normal limits???? Am I correct in thinking that the left ovary is 12 times the volume of the right? Can cysts cause my ovary to enlarge this much? I know these are all questions for the gynecologist which I am seeing in 10 days time but I am worried it might not be as simple as cysts? I am 35 & I have a history of bowel cancer in the family. In fact my nan died last year of bowel cancer that had spread to her uterus, bladder & ovaries. Thanks. Doctor: during reproduction life, cysts will come and disapear due to hormones. i think in this situation, you should not worry. But cancer in the family may caution you to be careful but not to worry. Your Gynacologist may repeat Ultra sound againand she will do some other tests, if suspicious about ovarian cysts such as tumour marks and ct scan etc. At present you should not worry, but don't forget or neglect the appointment by your Gynacologist.
157,265
What causes irrational fear of everything?
Patient: I have a constantly fear. I dont feel safe, not at home, not outside, but still I have friends and a normal life. Its just that sometimes i dont want to go out because i am to afraid of walking home again all by myself. When I am home alone, i feel really bad. I always think that someone is watching me and I dont feel that I am alone, even if the house is totally empty. When I am in the shower, i am afraid of closing my eyes because I alway feel that someone will be there outside the shower. I cant walk up our stair, because i always feel that someone is chasing me. No one knows about this, so its kind of hard to feel alone all the time. Doctor: There is an inner conflict in your emotions. If you do not resolve this conflict, it will eventually start bothering your mental balance. We all go through a stage when we feel immensely lonely and scared. It looks like you have been staying alone and that's making your thoughts irrational. I would suggest you to start living with someone , like a room mate or a sibling. This will help you in feeling less lonely. If that doesn't work out either , you should try to distract yourself by continuing with your hobbies. Try to deviate all your negative feelings by doing something productive.
209,309
Has implant and taking microgynon. Can she get pregnant with unprotected sex?
Patient: my girlfriend has been on the implant for about 2 years, and has also been taking microgynon for the last 5 weeks, i am wanting advice on ejaculating inside the vagina and whether or not he can be pregnant? i know what both contraseptives are supposed to do but i read than using both together can thin the mucus around the cervix??? Doctor: Hi,Thank you for posting your question here, I will try to answer it to the best of my abilities.Yes they do say that taking two contraceptives at the same time can increase the chances of pregnancy, so why dont you ask your girlfriend to stick with only the implant, she doesnt need the pill as well.I hope this answered your question.
225,848