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Suffering from white spots on whole body. Diagnosed as hypomelonasis. Home remedy?
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Hi , I am deepa 28 years old and suffering from white spots in my whole body from last 2.5 years. Doctors detected it's a hypomelonasis, but they are not providing any treatment ,as saying it can't be treated. I am currently residing in US from last three months. Can you help me out with it or can you recommend me any home remedies that I can apply on it? Please do the needful. Waiting for reply?
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hi welcome to HCM-i had gone through your query and understand your concerns. i would come up with the possibility of VITILIGO is the cause for your sufferings.important known factors are;-nutritional ; defects in copper,proteins,and vitamins in diet-digestive upsets like amoebiasis,helminthes,chronic diarrhea,dysentery-endocrines;associated with thyrotoxicosis,and diabetes-trophoneurosis and autonomic imbalance-emotional stress and strain treatment option; i advise you taking Homeopathic medicines gives safe and permanent cure for your complaints the principle remedy in homeopathy for effective cure of vitilgo is ARSENIC SULPHURATUM FLAVUM- i seen similar cases in my clinic and treated very well with constitutional similimum. consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints I hope this is helpful for you, thank you
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Suggest treatment for dementia in a diabetic
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My 98 yo Mother in skilled nursing; has dementia. Suffers from Hi Bld Pres. diagnosed with Diabetes 3 years ago. I want to understand the side affects of her medications. = 5 with 2 that are intermittent. How do I proceed with obtaining this information from you?
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Hi, Thanks for your question. Noted your. I want to know - - Current medication she is taking. - Level of blood pressure. - Current blood sugar levels. In such a case there is a need for Detailed physical examination. Depending upon it following investigations may be suggested - Complete Blood Count. - Renal Function Test including Urea, creatinine, electrolytes. - Liver Function Test including Bilirubin, liver enzymes. - Blood sugar levels Fasting, Post-prandial, HbA1c. - Urine examination. - Brain imaging. Hope this helps.
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What would cause high FBS levels in a person who exercises regularly?
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Hi, I recently tested for diabetes with a local lab here in Chonburi Thailand the results are: FSB 261 HbA1c 12.9 Is this bad? I have no other classic symptoms of Diabetes, I excersise every day I walks briskliy for 6 kms and play badminton 3 times per week for 1.5 hours a session, I dont smoke and eat a healthy diet, I am 63 years of age
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Hi, Thanks for posting in HCM. I understand your concern. Fasting glucose levels with 261mg/dl is quite high as normally it should be less than 110mg/dl. Your HbA1c levels also with 12.9% is extremely high indicating poor control of glucose over the last 3 months, as it should be below 6.6%. Although you do not have symptoms pertaining to diabetes and doing good amount of exercise with healthy diet, it is advisable for you to get treated by means of medications by consulting Diabetologist promptly. Hope the information provided helps. All the best. Regards, Dr.Ashakiran.S., MBBS., MD.
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Pre-requisites for kidney donation
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What are the requirements for donating Kidney . I am 32 yrs old and healthy. I want to give my kidney. Please mail me at YYYY@YYYY .
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Before donating an extensive evaluation would be done to check your fitness You will be tested in detail for Diabetes HTN Kidney disease Hidden viral infection Psychological status
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What does cortical thinning in right kidney with focal cortical scarring mean?
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There is mild cortical thinning involving the right kidney with the cortex appearing mildly echogenic. There is focal cortical scarring in the upper pole of the right kidney as well. Correlation with renal function studies is recommended. what does this mean?
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HiThe finding indicates that the kidney has suffered from some sort of damage either by drugs, by infections, by inflammation or by other means like diabetes or hypertension etc. I will advice you to see a nephrologist who will do some blood tests and urine tests to find the cause of damage and advice ways to limit the damage
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How can intense itching on the soles of the feet be treated while suffering from diabetes?
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I am occasionally having intense itching INSIDE one of my feet. Usually during sleep and wakes me up. itch in the arch or along side. I have type 2 diabetes under control without any meds. I took Metformen for years but dont need it now since blood reading in am is under 120 every day. Scratching foot sometime helps but lately makes itching worse! Can you recommend topical cream or pills that will help? Sometime Acetal L-Carnatine seems to work. Thanks
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Hi, You should use a topical ointment containing Beclomethasone. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Varinder Joshi, General & Family Physician
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Suggest ayurvedic treatment for diabetes
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I am a diabetic patient for the last 8 months. I want to take ayurvedic medicine instead of allopathy medicine. I dont want to take allopathy medicine because if one takes it, it is to be taken for a life long time. What medicine I can take. My sugar level is FBS 249.
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Hai,I appreciate your concern. Diabetes is not a disease,it is a disorder.. more clearly it is not like taking medicine for some period will cure the disease.what ever system of medication for diabetes you should take treatment or manage for life long. As your fasting blood sugar is moderately high. as per Ayurveda system of medicine diet,yoga and medication combined together will help you in maintaining diabetes.As per your Body mass index you should schedule your diet.Foods having high glycemic index should be reduced and eat more leafy vegetables in your food.Add millet group of foods (ragi,bajra,)in your daily intake.you can split your daily intake into 5 to 6 times without altering daily total intake.(minimal intake at one serve.)wheat and wheat products and fruits like guava,orange,papaya,can be added. comparing to physical exercise, yoga will give refreshment to the physical and mental health. certain yoga posture will help in inducing pancreas to secret insulin. (hormone much needed in glucose control.) herbal like,amla,turmric,neem,guducci (tinospora cordifoila,) etc many herbal composition available in market will control blood sugar level. medication like nisaamalaki,setebid. Above advise will help you in controlling diabetes.however i advise you to consult Ayurvedic specialist to go for a proper investigation and medication.wish you a healthy life.thank youHope i answered your query.
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What causes childlike behavior in an adult?
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My father is 66yrs old. Recently he was being hospitalized due to ill health. From then his behavior is becoming different. Sometimes he behaves like a child, doesnt eat, speak etc. majorly he remain sleeping or laying on bed. He never shows interest to sit, watch tv, going out etc. Can you suggest me what am I supposed to do.
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Hi dear,Childish like behavior in this age is may be due to atrophy changes in brain.so first of all do MRI of brain if possible.how's your father's memory?in past any psychiatric illness?any medical illness going on like hypertension diabetes etc?any accident history?Consult psychiatrist or neurologist.Thank you
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Sonogram of kidney done. What does report indicate?
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I had a sonogram that indicated that there was an increased echogenicity of the renal cortices bilaterally, consistent with chronic medical renal disease . The right kidney measured 9.5 and the left measured 9.7 cm. The impression: findings are most consistent with chronic medical renal disease nonobstructing bilateral nephrolithiasis. Can someone put this into plain english for me?
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Hello Welcome to health care magic Dear patient , your USG report shows that there is an elment of kidney injury along with some stones in the kidney that do not cause any obstruction to urine flow. The cause of kidney injury can be diabetes, auto immune diseases like glomerulenephiritis, infection like pyelonephiritis , drugs like Pain killers, etc and in an injuired kidney chances of stone formation are always high than in a normal kidney, and more over stone formation causes more kidney injury, so what you need to do is to consult a nephrologist who will get your further testing done like renal function test along with serum electrolytes, urine routine and microscopic examination, blood sugar test and other necessary tests and will then advise you accordingly and if needed a urologists consultation for kidney stones can also be sought thanks D Arshad
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How can erectile dysfunction be treated while on Dextroamphetamine-Amphetamine?
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I m a male 57 years old and is really hard to have full erections and don t last long caused by taking Dextroamp-amphetamin for 14 months. I took Cialis 20 and no results. What can I do to achieve better erections ?, is this permanent ? for how long do I have to stop taking my prescription and recover my normal erections
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Hi and welcome to Healthcaremagic. Thank you for your query. I understand your concerns and I will try to help you as much as I can.Erection problems can have many causes. These include:Physical problems, such as injury to nerves or loss ofblood supply to the penis . Other health problems, such as diabetes, high blood pressure, anxiety, anddepression.Side effects of certain medicines. Stress. Drinking too much alcohol or smoking. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Tretament is based on cause and include avoiding tobacco and drugs and limiting alcohol.Also, talking about the issue with your partner, doing sensual exercises, and getting counseling may be beneficial. Finding and then stopping medicines that may be causing the problem. In some cases you can take a different medicine that doesn't cause erection problems. Taking prescription medicine that can help you get erections. These include pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis). In most cases this is sufficient for treatment but you should just be patient and do necessary tests.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.
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Could bad cold lead to blurry vision?
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As of yesterday i suddenly noticed when i left work i could'nt drive due to severe blury vision. The blury vision has continued into today. For the last four days prior to this condition , I had symptoms of dry mouth night and day and had to drink water every half hour accompanied with frequent urination every hour during the night and every two hours during the day. I have been fighting a bad cold for about a week during which time I have been killing my constant thirst with water and orange juice, alternating each,.These symptoms are still here, all of them. I borrowed my fathers blood sugar tester and tried it three times, the tester says my blood sugar is at 551. I am a male aged 5' 10 " , 48 yrs old and overweight for last 6 years, aprox 330 lbs, and one more thing, today i noticed somehow i've lost 20lbs.thanks in advance, Domingos
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The symptoms you describe are consistent with the onset of diabetes. It sounds like it has been quickly getting worse over the last few days. A blood sugar of 551 is extremely high. This is an emergency. You need to be seen and treated for this immediately. It may cause brain damage, coma, and death if not promptly treated. Go to emergency or call an ambulance. Hope this helps.
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What causes stomach bloating and odor after ingesting sugary foods?
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hi my mum was diabetic i am on a lot of medication mirtazapine quetipine amolodipine duloxetine i have started to go to the toilet all the time my stomach looks blown out and i have a offensive smell i have been eating a lot of sweets and sugary drinks more than usual
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Hi, thank you for posting.I have gone through your query and I understand your concerns.Your symptoms are caused by Helicobacter pylori. High amount of sugar has caused odor smell. So I recommend you to avoid minimize the sugar amounts.By doing that you will prevent Gestational Diabetes too.To confirm the diagnosis you need Helicobacter pylori test, complete blood, count, liver function test, urine test and fasting glucose test.Consult your gastroenterologist.Wish you good health.Dr. Behar.
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What causes high fever and constipation in COPD patient?
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Hi Doc, My father is a patient of COPD since 2006 and recently he was admitted for the same. He also suffers diabetes and has been taking insulin for the same. He is currently having high fever (103 F) and also facing issues of constipation. He has been consuming luke warm water as it is winter here since 18th Nov 2011. Kindly advice what medicine can be given. Age: 72 yesrs Height: 160 cms Weight: 63 kgs
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Hi thanks for contacting HCM...You have fever ...So there could be acute inflammation or infection...You are also more prone for infection as you have diabetis...Take antibiotic like levofloxacin for 5 days.Maintain hydration with more water.Over the counter laxative can be taken for constipation....Fruit juice taken more like orange juice , apple juice with low glycemic index fruits.Take fiber foods more like wheat bran , whole grain etc which suits in diabetic case.Ginger tea also helpful herbal remedy...If cough and other congestive symptoms present then chest x ray needed to rule out bronchitis like condition....Healthy and balanced diet needed....If bronchi constriction occurs then bronchodilator given....If inflammation and congestive symptom occurs benadryl like drug needed .Take care.Dr.Parth
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How long does pneumonia take to heal?
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My husband is a 78 yr. Old type 1 diabetic. He was diagnosed with double pnemonia 8 days ago. He was given amixi clav and one lung has cleared up. the left lower lobe is still not getting air. He was given 4 additional days of antibiotics totally 2 weeks. Is it normal that one could still be filled. How long is normal for this to get the pnemonia out. Ineed peace of mind.
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Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Complete clearance of pneumonia usually takes upto 6 weeks.2. Yes, it is normal, especially with diabetes for infection to be persistent and one lung will heal faster than another.3. Improved diet and deep breathing exercises with spirometer will be helpful. Later, need to get vaccination with Hemophilus influenzae to avoid recurrent infection.4. Even after going back from hospital, regular breathing exercises along with physiotherapy will be required for upto 6 months, to heal all fibrous septae. Diabetes mellitus, being under control is important as it will hasten healing.Hope it helps.Any further queries, happy to help again.
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What causes fatty liver?
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Q : my SGPT is 122 and SGOT is 53, Biliburn is 0.33 . USG reports mild fatty liver what could be the cause and i have befor haptitesc then i take 6month madcion after pcr report nighitev pls til me y i have fatty liver i am not usue aclol and not somking
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Hi and welcome to Healthcaremagic. I understand your concerns..The most common cause of fatty liver is alcoholism and heavy drinking. In many cases, doctors don’t know what causes fatty liver in people who are not alcoholics.Fatty liver develops when the body creates too much fat or cannot metabolize fat fast enough. The excess fat is stored in liver cells where it accumulates to form fatty liver disease. Eating a high-fat diet may not directly result in fatty liver.Besides alcoholism, other common causes of fatty liver include:obesityhyperlipidemia, or high levels of fats in the blooddiabetesgenetic inheritancerapid weight lossYOu need to remove these risk factors and then repeat tests to see if there is improvement.I hope I have answered you queryKindly regards. Wish you a good health.
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Why is there continuous abdomen and lower back pain for my mother in law ?
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My mother in law of age 55 years, suffering from Low haemoglobin count (8.3) PSVT, Diabetes Mellitus (Type 2) - HbA1C - 8.6% and Spondilosis. Recently she have suffered from UTI accompanied with fever (~102 deg F) During UTI, Urine Report shows: Pus cells 110/hpf Protein - present Urine Culture report shows Aerobic culture shows growth of Providencia Viable bacterial count 1,30,000 colony/ml. Medicated with: Levobact-250 (2 daily) - Fever is recovered through this medicine. Although low quantity of Urine and not clear. Blood Report Shows: Neutrophils : 80%, Lymphocytes: 17%, Monocytes: 01%, Eosinophils: 02%, and Basophils: 00%. Diabetes DM(Type-2) Fasting : 254 mg/dl PP: 210 mg/dl Adminstered with 12-14-12 units of (Human Actrapid) Apart from these: Calaptin - SR-120 Ferium XT 100 Recently for UTI, these are the dosages. However a continuous pain in abdomen and lower back (sides) is experienced throughout the day, with loss of Appetite , and swelling of belly (upper abdomen-just beneath the diaphragm). Please advise what to do as a remedial measure and the cause of the pain. Should we consult Nephrologist (as she was suffering from DM for last 28 years) or Gastro-enterologist. USG of the Whole Abdomen reveals normal Study.
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hi its better to consult nephrologist soon. i think the pain in abdomen is due to gastritis induced by antibiotics and back pains due to spondilosis.avoid spicy and heavy food .take antacid like rhanitidin or pantoprezole.usg will not should any result.
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Suffering from fatty liver, diagnosed with H pylori, high Bp and cholesterol. U/S normal.Suggestion?
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I am 36 years old men. Since 2002, I am suffering from Fatty liver probelm. In 2007, I underwent the GI Endoscopy and diagonised the H Pylori infection. I have taken the necessary medication for the same. Since last two year I am also suffering form High BP, High Cholestrol and now this week also diagonised with starting Diabetic Glycosylated Hemoglobin 7.3 Glucose 113 mg/dl Total Cholesterol 312 Triglycerides 244 HDL 45 LDL 204 VLDL 63 HDLC Ratio 6.9 SGOT 33 SGPT 61 Blood Urea 26 Serum Creatinine 1.00 Vitamin B12 241 My current ultra sound report shows normal report but with Focal hypoechoic area of size 20X14X17 mm is seen in left lobe of liver. Liver is normal in size (13.4cm) amd shows increaed echogenicity. I am suffering Hypertension, body fatigue, and body pain. No freshness in body.
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Hello, Your reports suggest dyslipidemia with pre diabetes ( if sugar level of 113 is fasting value ) and low levels of VIT B12. Body fatigue could be because of these problem or may be associated hypothyroidism ( get your thyroid also evaluated ) . You should start taking medications and do the following... Calorie reduction and reduction of weight.( be in your range of BMI ) Regular exercises Avoiding sweets,deep fried fatty foods,transfats,junk foods like pizzas and burgers and avoid colas. Consume more of fresh fruits and green vegetables. Get few injections of VIT B 12 as advised by your doctor. Your cholesterol,high liver enzymes and fatty liver shall be all right in 4 to 6 months time. Quit smoking,if any. Target of your LDL should be below 80 Target of your triglycerides should be below 150 BP should be below 120/80. Keep your fasting blood sugar below 90 Thanks
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What causes severe pain in left hand and wrist while lying down?
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Very intense pain in my left hand (more the back of the hand) and wrist when I lay down.. Then subsides when I return to a upright position. The pain can be very intense and seams to be helped a bit with ibuprofen. It s been lasting for a few night now
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your age & sex please?your symptoms appear to be related to cervical spine.It needs to be investigated. Rule out diabetes or any other metabolic disorder.If you add a tablet of Multivitamin to your treatment, relief may become faster.Use of cervical collar should also help you further.contact me again, if no relief in 2-3 days.
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Are excessive thirst and high appetite signs of diabetes?
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Hi actually my husband has been prescribed wysolon 20 four tablets each morning and we noticed after the medication he started to feel thirst nd hungry nd blood test was done after a month nd his sugar is very high we had to see a doctor who’s prescribed insulin nd tablets nd will taper him off insulin once it’s regu
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Hello, Wysolon (Prednisolone ) can cause hyperglycemia and can also lead to frank Diabetes in a latent diabetic or pre-diabetic. Polydipsia or excessive thirst for water is due to hyperglycemia and consequent glycosuria/polyuria. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist
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What is the painful lump on my gooch?
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hi i have a rectangle shaped lump on my gooch it hurts if it is touched, i noticed it a couple of days ago but it was alot smaller then. Also a couple of weeks ago i had a similar lump on my neck but it looked like a GIANT pimple and now that my neck lump has healed there is no hair growing in that spot. Could this gooch lump be the same as my neck lump and is it harmful?
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Hi,Good Morning,Thanks for your query to My-HCM Clinic.I studied your query in depth.I understood your concerns.My opinion on the gooch lump- is -mostly a -furunculitis with boil.-It appears to be the same as that on the neck.-Coincidence of 2 boils /furuncles -suspects diabetes and needs to be ruled out ASAP.-I would advise-FBS,PPS and consult a physician and surgeon.-Treat with antibiotics and NSAIDs, if does not reduce the lump , then a surgeons help to drain it is needed. -Hope this would help you to recover from worry-some query.Wish you a Fast Recovey.Wellcome to HCM again.
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What causes over sleeping?
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hi, i am using nialip 500 for the past 2 yrs for high triglycides, have also under gone angeoplansty. recently i have developed diabetes type II. Same time i notice that i am sleeping too much. Is there any relation between the nialip-diabetes and over sleeping
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Hi,Nialip-500 is commonly prescribed in the treatment of high blood triglycerides and pellagra. Its most common side effects include itching, flushing (sense of warmth in the face, ears, neck and trunk), skin redness, diarrhea, tingling sensation, and liver dysfunction. There is no documented evidence between Nialip-diabetes and over sleeping.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
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Is gallbladder removal necessary due to its problems?
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I'm 24 years old. I'm have an appointment with a docter today about my gallbladder. Should a gallbladder be taken out? After only a few tests ''confirming'' that it is my gallbladder giving me little problems. And after reading about so many people that gallbladders have been removed and having a hard time coping with their lives now, I dont know what to do? Please help me!
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Hi,Your symptoms may be suggestive of gallbladder stones so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Stones are see more commonly in obese people and those with diabetes. You need to change your dietary habits first. Need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time.Wish you a good health.Kindly regards,Dr. Ivan R. Rommstein
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Suggest treatment for dizziness with low BP
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Dear Doctor today I cheked my Bp it was 90/60 for the last 5 days I was feeling dizzy and not able to concentrate in anything two day back I had an severe backpain for which I took Butaproximan and paracetmol with aceloflam and clorozome. There is an heart burning sensation in my fool cannel today I am feeling very sicky and my head is rolling like anything pls help me out
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Hello, Thanks for posting your query on Healthcare Magic...* Brief Answer: your condition may be critical,should check in emergency room.*Explanation: My opinion is that low blood pressure symptoms such as dizziness ,blurred vision and near syncope needs some attention.some common conditions as dehydration may explain that.I suggest my patients the following if chest pain is a symptom,you should check with your doctor.The information provided by you is not sufficient to provide a good opinion.If someone comes to me with this condition I would ask them about other medical conditions or comorbidities as diabetes ,hypertension,etc.*Conclusion: I suggest you check with your physician. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health.
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suggest a replacement for nystatin
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HI, I have had a yeast infection recently. I used Gyne Lotrimin but it didn't work. I went to the Doctors and was given tercozil. It seemed to ake it better, but I still had the itching on the outside. I went back to the doctor and he gave me fluconazole. The second doctor also gave me a cream for the outside Nystatin with triamcinolone. The nystatin seems to have made it worst. The Fluconazole seemed to take it away almost completely, but the doctor said to keep using the Nystatin until complete recovery was had. I still have the itch on the outside, Please advise the next step.Thank you
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Hello,In my opinion you should stop using this combination of nystatin and triamcinalone.Best is to use FLUCANAZOLE orally 150 mg every week for 6 weeks and ointment CLOTRIMAZOLE locally.Use it regularly for 6 weeks.This should eradicate your problem completely.Rule out diabetes.Thanks
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Suggest natural remedies for the treatment of a UTI
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I have been suffering for the last three months from citrobacter koseri in my urine . Done a urine culture 3 times. Have been on different antibiotics 3 times in the past three months and can’t clear it . What natural remedies can I take or what can I do to clear the infection once and for all
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your description it seems that you are having recurrent UTI that fails to resolve with antibiotic therapy. Natural remedies won’t help in these conditions. You can try natural remedies like cranberry juices as it give symptomatic relief. Do a urine culture and start antibiotics and make sure that you take complete course as prescribed. If symptoms persist, we have to find out the cause for recurrent UTI, it might be undetected diabetes or prostate problems or neurogenic bladder etc. Consult a physician and get evaluated. As of now drink plenty of water. Hope I have answered your query. Let me know if I can assist you further.
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What causes elevated A1C levels while on Metformin?
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I have type2 diabetes. My blood work just came back and A1C is 12 has been high for awhile on metformin 1000 mg 2 x a day and trajenta 5mg. My doctor tested c-peptide and it was .87 and he says my body is not producing much insuline. Last A1C was 13. Should I go see and Endorse or just take lantus like my Md of over 10 years suggest?
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Hello,I understand your hesitancy to go on insulin. It is a natural very normal concern to question a major move such as this. Most certainly if there is any question about a plan of care; seek out a second opinion from a specialist. I do not think your personal physician would take offense at this.I cannot express an opinion on this matter without seeing all of your labs and health history, however, I noted that a c-peptide test was done and that was low indicating to your doctor that you needed the insulin.One thing I would be concerned with is whether or not you received any type of medical/nutritional advice on controlling blood sugar with diet, exercise and lifestyle. Such interventions can reduce need for medication.Regardless, the blood sugar needs to be controlled to prevent cardiovascular and neurological complications without delay. If you decide on obtaining a second opinion, I would do so without hesitation as time is of importance.If indeed your body is not producing insulin, then you will need insulin injections. If it is a matter of insulin resistance, this may be a different situation where perhaps insulin may be used until other lifestyle modifications are made such as losing weight if overweight, et cetera.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kathy Shattler
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Diabetes lymphoma/leukemia, on copegysus and pegysus, hairloss, lesins in underarms, genital area, pain. Oncologist not reachable. What should I do?
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i have diabeties lymphoma/leukiema hep-c and recently started copegysus and pegysus...i recently attempted to change doctors and was called today to be advised that they are not taking new patients and run out of insulin sunday. i am losing my hair and have developed lesions under my arms and genital area and ache all the time. this is a rural area and i m quite some distance from my onocoligist and liver specialits and am disabled and scared
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you need to keep your sugar levels under control till you see your doctor. the lesion also need treatment. There can be due to multiple causes cause of which can be pinpointed after clinical examination. it is very important you consult your doctor as early as possible since lymphoma patients with diabetes and viral infection cannot tolerate any kind of insult to the body. worry and getting scared doesnt solve your problem but see your doctor at the earliest
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What alternative for crestor is recommended for a diabetes type 2 person due to muscle cramps?
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Hi, I ask myself if my muscle pains chronic are coming from CRESTOR and if so, what replacement can be suggest to remedy to that fact? I am diabete type2(janumet 1000mg and gliperimide (half little pill) and have some high pressure(olmetec 40mg) and so, I m takingevery day a 81 mg ASPIRIN Thanks a lot for the answer.
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Hi Sir /Mam, I have gone through your query and understood your concerns. Crestor doesn't cause cramps. Muscle cramps is one of the most common symptom in Diabetics. You can take daily one tablet with B12 plus pregabalin combination. With this after 2-3 weeks, you find difference. Thank you .
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Suggest treatment for abdominal migraine and dehydration along with diabetes
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my 17 yr granddaughter has abdominal migraine and diabetes and is currently stil in the hospital but is off the iv and dehydrated and still sick the dr don t know more to do for her HELP MAYBE ANOTHER HOSPITAL ???????????????? Help I have already lost two adult children I am so afraid . Help
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Hi.Thanks for your query and proper history. I have some say before I answer your query in full. The abdominal migraine is diagnosed after an CT Angiography has been done. So get this done is not yet done to know the exact problem your grand-daughter has. If such an young girl is diabetic, this means this is type I diabetes and she has to be on a lifelong Insulin. In fact in such a case dehydration has to avoided at any cost as it can precipitate a complication. Yes, I would advise you to take another that is second opinion and if required shift to another hospital with proper records as to what was done in the present hospital.If the diagnosis, investigations, monitoring and all such things are well maintained , your grand-daughter will be fine;do not worry.
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Why am i having pain in my testicles?
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I had pain in my right testicle for a few weeks and as of tonight it seems to have switched to my left. I got an ultrasound today and I'm waiting to hear back the results and I've already been treated for epididtymitis. Is this testicle pain switching normal?
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HelloI appreciate your concernLooking at your description this could be due to Infection like epididymoorchitis , allergy or inflammation and varicocoeleIf you can upload me a ultrasound report, I will be able to help you betterI would like further information like your age, History of other metabolic or skin disease or diabetessince how long you have this problem?In my opinion you should consult a VD and Skin specialist for physical examination colour doppler of testis and confirmation of diagnosisMeanwhile you can apply any antiseptic or antibacterial ointment like mupirocinUse condom during sexHope this answers your questionThanks and regards
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Suggest treatment for sharp pain in the head and shoulder blade
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On Friday Sept 4th I was waiting in the waiting room for my dad to come out of surgery and all of a sudden on the left side of my head I had a very very sharp pain that went down the left side of my face and under my left jaw line. The inside of mouth hurt a little. It lasted about 5 minutes then started to go away. I also have left shoulder and shoulder blade pain and when I push on the top my shoulder I can feel how tight it is, what in the world was that? I thought I was about to have a stroke! Ever since then I ve been having these sharp little pains come and go in my head
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Hi Thanks for consulting us.Pain described by you is most probably neurologic.have you had similar problems in the past?Causes could be diabetes, viral and vascular including stroke. Multiple Sclerosis if you are Caucasian. Cervical Spondylosis is a possibility.My advice is to get a physician review urgently.Meanwhile you can get pain killers for pain.Hope it is useful for you.Feel free to contact
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Suggest solution for accidental pricking with used diabetics injection
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HI, I am a female,23 years of age,weight=45, i am tall in height & has no medical history, i accidently go pricked by my dads diabetic syringe(when i got prickd,a very small drop of blood came from my finger) which was empty but was used in the morning where Human Actrapid was used in the syringe... kindly advice thanks
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Hi,I had gone through your query and understand your concern.Since diabetes is not a blood borne disease ,there is no chance of developing diabetes due to needle prick injury.So please do not worry about diabetes transmission.Diabetes is hormonal disorder mediated by impaired insulin action.In case of type 2 diabetes,the probability of developing diabetes increases to those who have positive family history.On the other hand,we should be careful when dealing with blood related events during injection,shaving etc because blood borne diseases like Hepatitis B,AIDS etc may transmit through this from affected person.But you need not to worry because you were just pricked and bleed a bit.So relax.Hope this answers your query.If you have additional questions,please do not hesitate in writing us.Take care.
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What causes cold sweats at night in a diabetic patient?
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I have a female neighbor (over 65) who is a Type 2 diabetic. Sometimes she gets really cold at night, even though she s sweating. She just can t get warm when that happens. She doesn t know if it s her neuropathy, which flares up periodically, or if it s something else. Any suggestions?
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Hello,Sweating is a part autonomic nerve dysfunction usually seen in patient with long standing diabetes; also most commonly sudden low blood sugars can cause sweating.Kindly, check your blood sugars when you get cold sweats and review with diabetes specialist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Deepak M R
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Suggest remedy for tingling and swelling in the feet
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My mom is experiencing red pin dots on her feet. Occasionally they swell too. This started about 2 months after she had received anesthesia in both feet. Not sure if a factor or not. Do you know what this could be? She has seen a dermatologist, an internist and a vascular surgeon and has gotten no help. Thank you
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HiWelcome to healthcaremagicI have gone through your query and understand your concern. Your mom is likely to be having heart disease or kidney disease as you are having swelling of feet. She should get her heart and kidney function test. As she has neuropathy also so she should get her investigated for thyroid function test, blood sugar for diabetes , Vitamin D and vitamin B12 test to see neuropathy. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care.
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What could cause low blood pressure in one leg?
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what is the cause of low blood pressure in one leg only? I often have terrible cramps in that leg and also inside the leg it feels as if it is my arteries that are hurting. The cramps are mostly during the night and the internal ain during the day. I am 71 and have Diabetes type2
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Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that your symptoms seem to be related to a peripheral neuropathy induced by diabetes. But a careful differential diagnosis between other causes, like a venous insuficincy or peripheral arteriopathy should be performed. I recommend consulting with your GP for a careful physical examination and tests: - A nerve conduction study to examine the lower limb nerves- A Doppler ultrasound of the lower limb vessels to examine the blood flow-blood lab tests (complete blood count, HbA1C, fasting glucose, PCR, sedimentation rate, kidney and liver function test, blood electrolytes). You should discuss with your doctor on the above issues. Greetings!Dr. Iliri
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What could discolored or stained soles of feet in diabetic patients suggest?
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Hi Doc, I have noticed (since this past Sunday) that the soles of my feet have a distinct orange color, as if it is stained. I have not noticed it fading after several showers. I am Type 1 Diabetic (since age 10, I am now 43 yrs old), hypothyroid and have HBP. I am on an insulin pump, take Synthroid and Valsartan. I have not eaten any carrots, pumpkin, etc. recently. I am thinking its an external sign of something malfunctioning in my body.Please advise.Thanks.Nicola Jarrett-Smith
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Brief Answer:Suspected secondary carotenoderma but require a physical examination of foot by physician to rule out diabetic foot.Detailed Answer:Warm Welcome. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services.I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems.As you are diabetic, colour changes in skin of foot is concerning and warrants a physical examination by physician. There are also some queries you need to answer to like:• Is your sugar level maintained?• Have you noticed decreased sensation or tingling in foot?If early diabetic foot changes are ruled out, then it is most likely to be secondary carotenoderma. High carotene levels result in orange tint of skin. You have both diabetes and hypothyroidism which are linked to it. Carotenoderma itself is harmless and require no treatment.Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. Keep a follow up to see how you doing.Regards!Dr. Ali Raza
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What does thick mitral valve in diabetic people suggest?
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hie sir.My father has been suffering from diabetes past 10 years..In the recent visit to a doctor he suggested to visit cardialogist as there is some problem that he identified in the ecg..The cardialogist had taken the TMT,ECHO,ECG..In Echo the EF ratio is 40% and aorotic ,Mitral valve were thickened were in the report
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Hi,Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.heart has four valve 2 on right side n 2 on the left side the mitral n aortic are 2 valves on left side.mitral valve is located between left atria n left ventricle.. thickening mean valve size is increased that may cause difficulty in opening and closing that can cause some symptoms of it is thickened enough n causes impairment of blood to go from left atria into left ventricle..but if the valve is functioning well then need not to worry ..but if it is then it can be managed ..I hope this answered your question, if you have more feel free to ask.Regards.Dr.Asad Riaz.General and Family Physician..
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Have CKD and fatty liver. Treatment?
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hi all doctors i want a big question from all of u u r a big pannel i wanna know that if my three cousions from my two uncles sons ,,,mean to say that the ckd prob and liver fatty prob if in family so what should be the treatment or how can we save our lives ,caus three had died and we two bro are suffering from ckd ...
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Hello, Very sorry to learn about the demise of your cousins with CKD and two brothers still suffering from it. The fact is there is no treatment of CKD. There are treatments employed like slowing the progression of disease and treating the cause,contributing factors and complications of CKD. Treatment involves restriction on your protein,potassium,fluid ,analgesics,anti biotics like gentamicin etc. Treatment involves controlling high blood pressure,diabetes,loosing weight,taking care of anemia and low VIT D,etc. The fact remains that you may prolong the progression of your CKD status to end stage kidney disease but you can't prevent it happening. Since you have not mentioned your stage of CKD,I am telling you the general guide lines. Ultimately you would have to go for dialysis and kidney transplant. You must discuss with your doctor and start planning for the kidney transplant ,so that you may be able to enjoy your life normally. Thanks
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What causes a wry neck with hot flushes?
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I have been experiencing a stiff neck (on one side only) that isn t eased very much by a chiropractor, could it be related to recently switching from Micardis 40mg to Micardis Plus 40/12.5 mg. My normal blood pressure while taking Micardis was 120/70. I had no stiff neck prior to this change. I m also experiencing severe hot flushes (since switching to Micardis Plus), but most severe on my face on the side of the stiff neck. They can last for more than an hour. I have Diabetes 2,(controlled with one Diabex XR tablet a day, and diet and exercise. My most recent (May 2014) HbA1c was 6.1, but my morning blood glucose level readings have started to steadily climb from my usual 5.5 to 7+, but return to 5.5 two hours after breakfast.
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hiPossibly it is not due to drug.It could be spontaneous.I may suggest hot fomentation and application of muscle relaxant gel to the affected side and tylenol tabs.it should settle soonDont do exercise or any chiropractic procedure, instead just rest till spasm gets over.See an orthopedic surgeon if necessary to obtain muscle relaxant oral drug prescription if spasm continues longerbest wishes
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Can cold and hot treatments help reverse frayed rotator cuff in an elderly?
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My left arm, only when I lay down to sleep, aches and becomes at times very painful. If I get up and walk a few minutes it gets ok, until I lay down again. A MRI showed a frayed rotater cuff but surgery is not possible. Could I use cold and hot treatments to help reverse this. I am 73 and do still work.
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Rotator cuff if frayed in mri means little mor can be done to prevent further. Detioration like graded exercisesundra physical therapist ultrasonicC massage to retin remains mass tissue and strength and power.if very painful, xylocain mixed metghylprednisone injection infiltreration may help.also aleve or Motrin and Dolo neurobion tabs.rule out any blood sugar or diabetes
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Suffering from ITP and recently underwent spleenoctmy. On wysolene. Any side effect of this steriod?
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Hi doctor, My wife is suffering from ITP and recently underwent Spleenoctmy.Though her platelet count has increased,she is still on steroids(30 mg of wysolene).Once she takes the tab she starts to shiver and would be out very low till the effect comes down.This may be for 4-5 hrs. Is this a a sympton of Wysolene? Also she feels heaviness in her body,Also are there any food intake that would reduce the tablet effects?Thanks in advance
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Hello Sukumar, ITP is an autoimmune disorder. And Wysolone (which belongs to the class of corticosteroids) is given to suppress the immune system. However, once the platelet count improves, the dose of corticosteroid is gradually reduced and the possibility of relapse is monitored. Long-term steroids usage is associated with certain side-effects like: 1. Increased susceptibility to infections 2. Abnormal fat distribution 3. Osteoporosis 4. Diabetes 5. Hypertension 6. Cataract, etc Symptoms aggravate if medication is stopped abruptly. Make sure while discontinuing the medication, its dose should be tapered gradually instead of stopping it abruptly. Food products which strengthen the immune system should be taken like fresh fruits & vegetables, milk, etc. Wishing a good health. Let me know if I need to clarify further. Thanks & take care.
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What causes the inner lips to be scaly and dry?
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Three years ago I under went Chemotherapy treatment and one year of herceptin for breast cancer. I'm a survivor and doing ok. Since then I am experiencing, chemobrain, diabetes II, high blood pressure, and yes I am overweight and a woman 49 yrs old. But my inner lips in my mouth always seem scaley and dry. I am constently chewing on my inner lip because the roughness I feel about it. Where is this coming from? I've never had it before.
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HIWell come to HCMStop chewing the lip because this is the only reason for your lip lesion and nothing else as you go on chewing your lip for dryness as the lesion would go more dry, this is kind of vicious cycle that takes place, but you can forger it this easily if you could wish for this, take care.
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Is it safe to take instaflex for diabetes patient?
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Hi Dr, I have a small query My Mother is suffering from Severe Joint Pain and also she has Disbetes. Is it safe to consume Instaflex for her? will the Blood Sugar gets increased because of Instaflex ? Please confirm its a matter of my Mother..who is everything for me..
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Hi, Yes, it can be taken safely while having diabetes.Instaflex is a dietary supplement used to treat joint pain associated wit osteoarthritis and other such conditions. Although it contains glucosamine, a type of sugar however it does not affect the blood sugar levels hence can be taken safely while suffering from diabetes. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali
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Is it safe to take prednisole for temporal arthritis?
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my age is 64 yrs,height is 5ft 10.5 inches and weight is 75 kg i have BP which is stable at 119/69 on allopathic medicine for the past 2 yrs.i was diagnosed for diabetes type 2 in feb this year. and was under control till 2 months back on medication. in july this year i was diagnosed for temporal arteritis(giant cell arteritis)and was put on 60mg prednisole(steroid) and am now on 30 mg daily. now my blood sugar fasting is abt.76 to 86 and post lunch(after 2 hrs of breakfast )it remains around 160 to 200. however 2 hrs after lunch(ie afternoon meals) it jumps tp 350. i also suffer from cramps of feet and wrist fingers now and then. please advise.
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Hello, Steroids can cause rise in blood sugar.However nothing much to worry and it will return to normal by itself. Predensole is effective for temporal arteritis. Nothing much to worry and your treatment is in the right track. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain
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What caused dizziness, lightheaded feelings with twitching and tongue movement?
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My fiance had an accident the other day in the shower. He bent down and came back up again but stood up fast (and the water was really hot) but when he stood up he got light headed and dizzy and fell to his butt. I was in there with him and I knelt down in front of him and he was twitching & his tongue was moving in and out a little bit. I thought he had a seizure. Doctors took blood test to check for diabetes and blood pressure, but it came back okay. Then I thought maybe it was just fainting with muscle spasms. He's never had this happen before. And he was lacking food in his system because he had not eaten much a couple days before. I just want to know if this could be something really serious.
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Hi, It can be due to alteration in his BP. Check for diabetes, thyroid issue and blood pressure. For dizziness, you can use betahistine.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist
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What causes loss of erection in mid of the intercourse?
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HI my boyfriend sometimes loses his erection during sex, sometimes he cant get hard at all through various different mehods, sometimes it workd but doesnt last very long. He is 40, smokes and drinks, he has a refactory period of about 4/5 days, never can he managed twice in one day...help is it me
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Hi, It can be due to diabetes, hypertension, thyroid issue, low testosterone and stress induced. I hope I have answered your query. If you have further doubts , I would be happy to help you. Happy day.Regards, Dr. S. R. Raveendran, Sexologist
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Suggest treatment for lung infection while having diabetes and heart blockage
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my mother is suffering from lung infaction from last six months. She has diabetes,thyroad,BP & ven blockege in heart. She has been admited 4 times due to lung infaction & every time she need ventilater to breath normal. Please advice proper treatment to make my mother s life easy. She is retaired teacher.
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Hello!Welcome to Ask a Doctor service!I understand your concern and would explain that considering the repeated lung infarction, it is important taking anticoagulation therapy (warfarin) in order to prevent future episodes of pulmonary embolism. I would also recommend performing a Doppler ultrasound of the leg veins in order to investigate for possible varicous veins and treat them if present. Hope to have been helpful!Wishing good health, Dr. Ilir Sharka, Cardiologist
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Suggest medication for pus filled bumps on the hips
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i had some sites of pus accumulation in my anterior side. Among those were my both thighs,areas just above penis,and below the politeal area. all of them i ve got rid off by pressing and getting the pus out and filling it with betadene and bandaging,now all of them are gone but now a similar kind of thing have aroused in my hip s medial side. what should i do now ?
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Hi, dearI have gone through your question. I can understand your concern.You may have pustules or abscess formation. You should take a course of antibiotics. If it does not respond to treatment then go for culture and sensitivity test and then take antibiotics accordingly. You should check your blood sugar level. If you have diabetes then you should take treatment of that also.Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
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Do Simvastatin, Levothyroxine, Enalapril, Clonidine and Metformin cause mental dysfunction?
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Yes...I am helping a person who is mentally deficient and has a list of drugs which I think are causing most of her problems...they are Simvastatin, levothyroxine; enalapril ; clonidine; metformin; omeprazole, amlodipine; atenolol;; meloxicam plus cinnamon tablets, and vitamins. she is experiencing weight loss , insomnia and does not have a history of high cholesterol or heart disease. She has diabetes with related pain in her feet. She has no money or computer so I am asking about this for her...
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Medication are there to take care of illness. Every medication can have some side effects which are manageable and if not the medication are changed or dosage is decreased. Its not advisable to stop any medication without consulting your practitioner. If there is any problem arising its better to consult your practitioner to know the reason behind it. Hope I have answered your query. Let me know if I can assist you further.
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What causes severe pain in upper left side of abdomen under ribcage?
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I am 54 yrs old have never had any bowel problems over the yrs, never constipated, eat a good healthy diet and do not smoke or drink. My question is that I am having moderate to severe pain in the upper left side of my abdomen, directly under my rib cage. I have had the pain for 2 and half weeks.......I am getting a coloscopy next week. I have had blood wrk just the standard CBC which is normal and no injuries to my abdomen, why am I in so much pain?
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Hi,Thanks for writing to HCM and for your detailed history. but i need further information regarding any recent history of trauma . have you lifted any heavy weight recently ,what are the factors aggravating your pain,any history of hypertension/diabetes if i were your treating doctor i would first take ECG considering your age ,and ultrasound abdomen and pelvis most probably it is just muscle spasm as your CBC is within normal limits infectious cause can be ruled out, and no history of altered bowel habits(so intestinal disease unlikely),my advise is to take T.ZERODOL SP 1-0-1(after food) and T.PAN 40 mg 0-0-1 (before food)for 3 days .before that i advise to consult physician with ecg and ultrasound abdomen if both are within normal limits and symptoms not relieved with above mentioned analgesics ,consult neurologist to rule out spine pathologyHope I have been helpful .RegardsDr.kumaraguru
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What causes swelling on leg and knee?
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Hello...I am a 63 year old male with a swollen left leg, foot and knee. I weigh 350 and am 6 1 . I have had a doppler vein scan...no blood clots. I have also had a blood test for diabedes and a thyroid blood test...both normal. I have intense pain in my knee and heat or cold do not seem to help. The back of my calf has 3 deep dimples that look like healed over knife slashes. All the hair is off the calf and it is very hard. I have been to a dermatologist who diagnosed it a edema and refered me to the wound clinic at the local hospital. (appointment is next week). I am on benicar hct and atenolol for blood pressure and have take pravastatin and then crestor (13 weeks). This was about the time when the swelling appeared, about 10 weeks ago. Any help you can offer will relieve my anxiety. Thanks
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Hi,i can understand the pain and discomfort you are going through.you have cleared that you have no DVT which is the most dreaded complication, but let me tell you that DVT can still develop if you do not keep the feet moving, you have no diabetes or thyroid problem, now the only source left for unilateral (only one leg) edema is lymphatic obstruction and the edema in such cases is non pitting.you will need an lymphangiogram to see if this system is blocked, moreover you also need to rule our infection as a cause, although it is unlikely, as it manifests fast, but still possibility has to be kept in mind.take care and consult your doctor to get investigated, till then keep limb elevated, put a compression dressing like a crepe bandage over the limb, do not walk more and keep your toes moving constantly.
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What are the episodes of pain in chest along with gas?
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I have been having pain across my chest. It comes and gies, longest maybe a minute or so. I have also had a lot of flatulance over the last couple of days. No pain in my jaw or left arm. I am a 52 yr old woman, on meds for cholesterol, blood pressure and statin. All symptoms under control. I am at rest when this happens.
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Thanks for your question on HCM.In my opinion you should be first investigated for cardiac cause. The risk factors for these in your case are1. Age more than 502. High cholesterole3. Known case of diabetesand hypertension. So please get done ECG and 2D ECHO to rule out cardiac causes.If these are normal than it must be GERD (Gastro Esophageal Reflux Disease).Try to follow these for better control of GERD.1. Avoid hot and spicy food.2. Avoid stress and anxiety.3. Avoid large meals.4. Start proton pump inhibitor.5. Go for walk after meals.
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What is the treatment for abdominal pain and hepatoma ?
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This is to get information for my relative;s condition. he is a diabetic , hypertensive and is on treatment. 2 weeks back he developed acute abdominal pain and went in to shock. emergency laparotomy was done and it was found that he was having a hepatoma which bursted and segmentectomy liver was done. eventhough tumour was completely removed doctors say prognosis is poor. what is the next step? his height is 5 ' 7" and weight 75 kg and age 74 years
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Hi.Thanks for your query and history about your relative.Diabetes and hypertension cause multiple complications and can cause emergency situations if not controlled.You relative was in shock, means the condition was already critical. IF the Doctors are saying that the prognosis is poor, means either there is a complication of surgical or medical cause or the tumor is thought to be a cancer. Age is another factor against the good prognosis. 74 years is an old person and the recovery time, withstand time for anesthesia or / and surgery can have its own complications.
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Type 2 diabetic. Diagnosed with Microcytic hypochromic anaemia. Supplements for iron deficiency?
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My HB is 9.5. I am Type 2 Niddm with fasting levels around 150. My ferritin is low at 4.5 and so are haematocrits at 34.4. The serum iron is 14.3 and MCV at 71.6. The MCH is at 19.8 and MCHC at 27.6. The RBC show moderate anisopoikilcytosis. I have been diagnosed with Microcytic Hypochromic Anaemia. All other tests i,e, creatinine, OTPT, TLC etc are within normal limits. Please guide me the best supplement for increase the iron deficiency.
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Hello! Thanks for being with HCM. Microcytic hypochromic red blood cells means red blood cells are small in size and amount of hemoglobin inside the cells is less. Variation in size and shape that is called anisocytosis and poikilocytosis. You have Hemoglobin of 9.5 gm%,hematocrit 34.4,mcv 71.6,mch19.8,mchc 2876,serum iron is 14.3 and normal leukocytes and platelets. These changes can be seen in: 1.iron deficiency anaemia 2.chronic blood loss due to peptic ulcer,hemorrhoids,heavy menstruation,etc 3.Anaemia of chronic disease such as chronic kidney disease,tuberculosis,malabsorption. Serum iron of 14.3 is very low.It indicates iron deficiency. Hence iron supplement should be started.Oral iron supplement foe 3 months will be sufficient as HB is 9.5 i.e. mild anaemia. Tab. Orofer-XT,Tab.Levogen Or syp.RB tone or dexorange are good iron supplements. Consult with your treating physician for treatment of diabetes as your FBS is also high. Hope this could help you. Wish you good health.
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Suggest treatment for frequent urination
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Hi my 1 year old son is urinating a lot he went through 4 diapers within a hour radius the doctor i took him too is running a test for a uti and sugar in his blood but im worried because he is so younge and i dont know if i should wait or take him to the er to see if they can ultra sound his kidneys
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Hi, I think the possibilities which need to be considered here are - 1. Pollakiuria. 2. Renal tubular acidosis. 3. Diabetes insipidus. I suggest you discuss these possibilities with the kid's pediatrician please. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology
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What causes back pain with sickness, tiredness and headaches?
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Hi, I have woke up today feeling really sick, I have been sick multiple times and I keep getting really tired, also I have been suffering from bad head aches aswell all day and my skin feels sore and my back is in excrutiating pain, what could this be?
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Hello, Thanks for your query. After going through your query I think you are having muscle generalized pain all over the body. In my opinion these pains are likely to be due to vitamins and trace element deficiency specially that of vitamin D. Second important cause of this can be hypothyroidism. I also consider diabetes and anemia in differential diagnosis. I will suggest you to got following test to see cause (if these are not done earlier).1.Serum Vitamin D2.Serum Vitamin B12 3.T3,T4,TSH(Thyroid profile) 4.Blood sugar fasting and PP 5.Hb Furthermore Empirically treat my such patients by:-1.EVION LC 2.VITAMINE D3(if it is low) 3.VITAMIN B COMPLEX AND VITAMIN C 4.CALCIUM 5.Mecobalamine 6.ANALGESICS such as diclofenac for pain relief. 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.
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Is Insulin shot advisable while having acute bronchitis?
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I have type 2 diabetes and take slow acting insulin, 50 units. My blood sugar is 123, just a few minutes ago and I have acute bronchitis, having beening eating well or at all. Do I still give myself the insulin shot? I m afraid that my sugar will drop more while sleeping!
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hi , I have gone through your question. In your case you can continue insulin shot ,since it's a basal or slow acting insulin.Have frequently small amount of meals and check your blood sugars frequently when till you become normal.
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Are vitamin B1 supplements, helpful in kidney disorder patients?
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Hello,My grandfather is a diabetic for the last 32 years. He has 72 years now. He has undergone a bypass surgery in the year 2000. Recently he has been diagnosed of having kidney disorder.latest tests have revealed the following:Albumin 495 in urine Kreatine 1.5 Can you please suggest the steps that we should be taking?Can health supplements like vitamin B1 help?
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As of now do frequent monitoring of the kidney function will be required. Make sure that his blood sugar level is well controlled as uncontrolled diabetes can worsen kidney status. Consult a nephrologist and he might require drugs like Diuretics to make his kidney functionally good. Vitamin supplements like vitamin B1 doesn't has got any role in the treatment of kidney disease. However nothing wrong in taking health supplements and he can safely take vitamin B supplements. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain
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What is the recommended daily intake of sugar?
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Hi I have 5 teaspoons of sugars in my cup of tea, now I only have 4-5 cups a day and i don't eat any chocolate, crisps or sweets i also cant / don't drink juice or frizzy drinks . I am 4ft10 and weight 7stone5 so not anyway over weight but my mum says I'm going to get disabilities from having all that sugar in my tea. Is this correct? Do I need to cut down?
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Hello and welcome to ask a doctor service. I reviewed your query and here is my answer.It looks like you are adding alot of sugar to your single cup of tea. If you are slim and not overweight and no history of family diabetes, then it may pose a little problem like having a risk of diabetes in future. So you need to lower intake of sugar in your diet and start eating other things more instead of sugar or take sugar less in amount. Else i have seen many patients who do take sugar even more than you with no problems, but one should be careful and cautious about health. So decreasing intake is in your own good.Hope i answered your question. Feel free to ask if you need further assistance. Thanks.
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Is masturbation safe while suffering from diabetes?
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Sir, Am having diabeties, due to that i did whole body check-up, in that result my kidney proteins result is ++, for that am using medicine name nefrosave , i even went to eye doctor for kidney, eyes are normal, in this situation does it cause any problem if i do masturbation daily twice
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Hello,As per your concern I would like to tell you that you can easily masturbate as many times as you want unless and until your facing any penile related complication like early discharge or any pain during the process, as far as your proteinuria is there it has no relation with the sexual activity for that purpose you should be just taking care of your kidney by taking your medicine regularly.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Medhavi Agarwal
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What causes lack of erection after having frequent masturbation?
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hello doctor i am nitesh. before i used to masturbate a lot. n now a days my pennis does not stand properly and even it does not stand for a long time. just a minute as such. so please tell me what should i do in this case. is this because i masturbate lot or any other physical problem. please advise me. n i am thinkin lot abt it.
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Hi,You shouldn't think about this, Looking at your description it seems to be a treatable condition so you need not to worry at all. Here, I would a like further information for better assessment of the condition like your age. Do you smoke or drink? Is there history of any other disease like diabetes or high blood or thyroid/ liver disease. Excessive indulgence in to masturbation may cause weakness and fatigue, mostly it doesn't affect erection.In my opinion you should take Sildenafil or Tadanafil group of drugs for 4-5 days under medical supervision, if you are married to regain your confidence. Please write back to me with all the details I have asked for so that I will be able to tell you more precisely.Hope I have answered your query. Let me know if I can assist you further. Best wishes,Dr. B R Hudda
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Can high blood pressure and creatinine level of 2.5 cause problem to kidney?
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Hi, I am 55 years old female. I am diabetic and have high blood pressure. Recently my creatinine level were at 2.5. I got them tested again, it came down to 2.2. can I be normal again? how badly are my kidneys affected? once the creatinine levels go up can the kidneys come to normal position again?
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Hi, your creatinine level is high.but you can get back to the normal. Kidney function become normal or not is depends on the amount of permanent damage you have. If you dont have any permanent damage then you can get it normsl. Moreover diabetes and blood pressure both affect the kidney so its also a issue.just consult your nephrologist and take treatment accordingly. Thanks for using health care magic. .
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Is stem cell therapy helpful in treating renal failure?
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Hi, i'm Balkrishna m.joshi from lunawada,gujarat. Age 67 yrs male suffering from crf with h.t. Since last 10 years. I'm taking regular medicine & consult doctor in civil hospital ahmedabad every months since 10yrs. My s.creatinine 9.25 s.urea 150. Dialysis done 2times on last 20jun and 24jun 2011. Now i want to stem cell therapy,can it possible? I've no diabetes. PTHS IS NORMAL. Hb 12%. What is the process for stemcell therapy? If i want to kidney transfer, doner is available in civil hospital ahmedabad or in gujarat? What is process for transplant kidney and how much expences for both therapy? Please guide me. Thanks to all doctors. From: B.M.JOSHI LUNAWADA. MOBILE: 0000
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Stem cell therapy for Renal failure is not yet established management. Few trials are going on. Renal Transplantation is best available therapy at present. All the best. If you have any questions feel free to contact me.
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Suggest medication for diabetic nephropathy with elevated renal profile
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my mother is heart Patient is a known case of uncontrolled diabetes and diabetic nephropathy hence her urea and creatinine levels are above the reference range at the time of joining it was 109 on 27.01.10 then it came down to 55 on 16.02.10 and at present it is 83 on 02.03.10 hence Chelation is contra indicated at present because of her elevated renal profile. So the patient has been referred to specialist dialectologist and nephrologists for their expert opinion and management
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Hi and welcome to HCM.As an Urologist,i can understand your anxiety.You should write her age.Your mother has Diabetic nephropathy,CKD and CAD.In CKD treatment,she needs follow-up,with a nephrologist and tests like :1. urine routine,culture and ACR.2. blood routine,creatinine,FBS,PP2BS,HbA1c,LFT,platelets and electrolytes.3. ultrasound-KUB,with residual urine.According to the reports,the kidney functions will improve after treatment.The cardiologist treatment needs,ECG,echoscan and B.P.check.Dr.Matthew J. Mangat.
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What is the cause of blood clot in my tonsil after tonsillectomy?
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I am 10 days post op tonsillectomy. I can see a good sized blood clot where my tonsil use to be. I bleed a lot yesterday went to my surgeon and she pulled out a blood clot and the bleeding stopped. This blood clot is new. I'm scared to fall asleep because I just notice this blood clot. what should I do?
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hello,Mild bleeding after a surgery is common. The bleeding is usually stopped by formation of a soft clot (platelet plug) initially followed by a hard clot (clotting factors). As it is a wet area and your oral cavity is constantly mobile, healing takes a longer time considered to other places. Clot formation is natural and it will dissolve by itself. You must be already on antibiotic cover, so secondary bacterial infection chances are low.Blot clot are usual and it is nothing to worry. It is just like a superficial skin wound, where clot formation occurs, which becomes brown, then black and the crusts fall off. It might be taking a bit longer to heal as i explained above.I do not know your age. If you are middle aged, Diabetes if present could slow healing.Hope i answered your query. If you still have any queries, will be happy to help again.
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What causes low blood pressure along with dizziness?
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I am a male, 68 yoa, no heart conditions, quit smoking. I have hypertension for which i take meds for. I have Type II diabetes for which I take glipizide 10 mg tabs 2 x daily and Metformin 500 mg twice a day. For the first time since I quit smoking (July 1, 2015) I have noticed my blood pressure drops significantly between meals. Just within the last half-hour I was feeling a bit dizzy and my lips and tongue was feeling numb. My blood sugar was 57. I have not experienced this YYYY@YYYY
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Evidently you have to many medical conditions you have not adored me if you have COPD this can cause respiratory insufficiency and hence your symptoms you may have neuropathy due to diabetes which may cause low blood pressure but it could also be to deep blood pressure medications that you are taking you make consult your regular physician to adjusted the dose of your medications if your blood sugar control is not a very good then this level of blood sugar can also cause numbness and dizziness that you're complaining are you should check regularly with your physician once a month and go over to your medications
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Will follihair capsules,flutivate cream, help in regrowth of lost hair?
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Hi , I am 30 years old female. I had hair loss on Right side , near to fore head. A dermatologist diagnosed it as alopecia areata and gave me TRCORT 10mg/ml vial , Topgraf 0.1% , Flutivate cream and Follihair capsules. Please suggest me if it is fine to use these and confirm if it helps in Regrowth of hair lost.
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Hi.As per your case-history you have alopecia areata.My treatment advice-1. Eat good balanced healthy diet.2. Be stress free3. It is associated with diabetes and thyroid dysfunction. So if your family history has these disorders get it checked.4. Treatment given to you is proper. Just add tab.levamisole 50mg three days a week for 6 weeks .It takes 8-12 weeks for complete regrowth.Thanks.Dr.Harshit BhachechM.B.B.S, D.D.V.L
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Does galvus met 50/100mg cause cancer in diabetic?
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My mum has diabetes and her doctor prescribed galvus met 50/100mg. She is worried of the side effects related to this medecine. Does it cause any kind of cancers? She is taking other medecines for diabetes, but heard a lot about galvus met...Any highlights about it? Thanks in advance.
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Hello, Galvusmet is a combination drug of Metformin and Vildagliptin, it is safe and side effects are very minimal. Nothing much to worry and she can continue glavusmet without any concerns. You can assure her that cancer and related serious complications are very very unlikely. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best. Regards, Dr. Shinas Hussain, General & Family Physician
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Would any of those tests signify if I may possibly have diabetes?
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I was taken to the emergency room by ambulance because I suffered severe abdominal pain, which the doctor diagnosed to be acute pancreatitis. A lot of x Rays, ultra sounds, echo tests, blood and urinal samples were taken. Would any of those tests signify if I may possibly have diabetes?
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Hi, Thanks for your question. After acute pancreatitis there is less possibility of development of Diabetes (Pancreatic Diabetes) For confirmation of diabetes test called OGTT (Oral Glucose Tolerance Test) is recommended which is ddone on blood sample taken after fasting and again 2 hours after giving Glucose. Hope this helps you, if so do vote helpful.
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Suggest treatment for peripheral neuropathy and sural nerve damage
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Hello Doctor, On January 15, 2014 I had spinal stenosis surgery to open up space in the L3, L4 and L5 vertebrae. The surgeon found torn tissue wrapped around my spine and it was leaking fluid. I had been having headaches. I have been having muscle spasms in both legs and pain. There has been numbness in my feet and burning sensation. This has been going on for three months. The surgeon had a Nerve Conduction Study done and the results are Peripheral Neuropathy and Sural Nerve damage. He told me no physical therapy which I don t understand why not. I m going to ask him. What do you recommend? Thank you! I m hoping to make an appointment with a neurosurgeon or Neurologist.
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Hello. I have been through your question and understand your concern.It is a bit unusual to report these problems after a spinal stenosis surgery. Anyway, at this point you have peripheral neuropathy which is mainly seen in diabetes and probably you had it before surgery. Another cause is intoxication generally by drugs. In this case gabapentine and amitryptilline would help a lot on nerve repair and relief from numbness. While sural nerve damage can cause burning sensation but other than that it is not very concerning because it is a sensory nerve and does not causes weakness or major problems. As for the burning sensation gabapentin and amitryptilline are recommended.Hope this helps.
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Suggest treatment for numbness and cold sensation
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Hi I m wondering if you can help me I m experiencing slight numbness around middle of the right side of my kinda feels like there was numbing spray sprayed on it like a cold sensation would be the best way to describe how it feels. Is it any thing I should worry about? It has only started to happen in the last 2weeks. Thanks
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Hello, The symptoms you have described suggest the possibility of neurological conditions like peripheral neuropathy. Detailed evaluation is needed to find out the cause for this condition. As of now you can check your blood sugar level as uncontrolled diabetes can cause this symptoms. As of now you can take vitamin B12 supplements for symptomatic relief. If symptoms persist, better to consult a neurologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further.
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What treatment is suggested for enlarged prostate?
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Hi, my father has an enlarged prostate and is affecting his health. His urologist suggested that he should undergo an operation, but first, they must check if his heart is capable of such. So his cardio would like him to undergo angiogram. Is it advisable for him to undergo such process knowing that he is already 76 years old and is diabetic? and What is the difference between 2-D Echo and Angiogram? please enlighten me. thank you.
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HelloThanks for query .Enlarged Prostate is a disease that affects man after the age of 60 years when most of the men have cardiac problems and diabetes .However there is no risk in operating after proper evaluation as far as cardiac status and diabetes is controlled .It is not mandatory to do angiogram to assess the cardiac status .The 2D Echo Cardiogram is an ultrasound study of heart and is an invasive procedure and routinely carried out before any surgery in elderly patients to assess the cardiac function and ejection factor where as angiogram is invasive procedure where radio opaque dye is injected in to femoral vein and mainly done to study the status of coronary arteries (blood vessels supplying blood to heart itself) .It is not done if one has to undergo endoscopic surgery for Prostate removal(TURP) .Dr.Patil.
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What causes stomach cramps with a feeling to have bowel movement?
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Hi, my name is Marie, I have been having these symptoms for quite a while and no one seems to know the answer. I will get the erge to have a bowel movement and then once in the bathroom the erge turns into severe abdomnal cramps, my heart starts to pound, I feel lightheaded, break out in a cold sweat and become very weak. When all starts to disapate I`ve had a large loose movement and I am so weak and lightheaded that I can hardly walk the 10 feet to my bed only to colapse and sleep for about an hour or so. For several days after my sbdomanal muscles are sore and I am very weak. I am 65.7 yrs. old. Thank You for any help or advise tyou can give.
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HI Marie Madam.The urge- ramps- weakness, sweats and associated symptoms- large loose motion - very weak- all are suggestive of the following. Severe form of Entero-colitis. In this the symptoms are classical as you have. I would advise :::To get admittedComplete investigations including that for diabetes , kidney function tests.Stool tests Ultrasonography of abdomen Intravenous fluids and antibiotics.Colonoscopy, biopsy.CT scan abdomen if required. You have to get treated and investigated simultaneously so that you are cured.
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What could itchy, white, spreading spots around penis indicate?
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Hi Doc I am 21 year old man...and I recently saw this itching spots they appear whitish below and arund my penis I thought I t was something normal so I really didint pay attention to it but Doc its been only a couple of Weeks and they have spred widely and I think its getting serious...I need help
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Thank you for query.It may be due to fungal infection.Please take following precautions.Use loose cotton clothes.Keep area dry.clean area with warm water twice daily.Apply antifungals like clotrimazole cream.Take oral antifungal like flucanazole 150 mg weekly once for 4 weeks.Check for diabetes if any and have a good control to prevent recurrence.Treat the partner also with antifungals.consult doctor if does not subside.You can get back to me for any clarifications with the photos.Dr Bharatesh D Basti Dermatologist and Venereologist
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Mild itching, exfoliation of skin on fingers after touching one with psoriasis vulgaris. Is it communicable?
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i touched a patient who is suffering with psoriasis vulgaris. Next day, i got mild itching and exfoliation of skin on my fingers. i want to whether psoriasis is communicable. My dermatologist has said to me that i am suffering from contact dermatitis and he prescribed me initially propyzole cream and levocetrizine . i have no relief with symptoms. once again, i consulted him and he changed the drug to HH Salic 6 ointment and oral flucanozole and levocetrizine. i am suffering from diabetes for the past 6 years and i am in good control with oral medications.
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Hello Psoriasis is not communicable. Doctor is treating you for a fungal infection as well as for contact dermatitis. That's the rain he had given fluconazole and propyzole cream. I would recommend that you continue with HH Salic 6 ointment. If the diagnosis is contact dermatitis that will be helpful.
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Have an oral thrush, burns every time. How to get cured?
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I have an oral thrush. Had them for about 2 weeks now. Realized my threshold towards spicy food significantly reduced. It burns every time I have curry or even when in contact with pepper. It s that sensitive. However, most of the white spots( candida ) bacteria is gone. My mouth looks totally normal, yet these symptoms still persist. I have taken Betadine mouth gargle for a week and haven t tried anything else.
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Hello, I am Dr.Neha Gupta (dentist) and am glad to address to your query here. Thrush is a yeast infection of the mucus membranes in the mouth and on the tongue. Thrush causes white patches in the mouth and on the tongue. Thrush is also common in the elderly because of weakened immune systems. Some people get thrush when they take certain medications like antibiotics or inhaled corticosteroids. Some conditions make thrush more common such as diabetes and HIV. Thrush is not serious and can be treated with antifungal medications. Usually a liquid or lozenge is prescribed first and then a pill if these do not work. Doctors generally can diagnose thrush by just looking in your mouth. Take care and please keep me informed of your progress at healthcaremagic through my profile directly. Regards
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What causes patches of skin in arm pits in autistic kids?
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My 9 year old autistic daughter has developed a thick layer of dark crusty patches under her arm pits, under her breasts, and around her neck. Do you know what this is called and how can it be treated? When she was born, she went to the NICU at 6 hours old with blood sugar of 15. She was there for two weeks then D/C home only after she was forced fed every hour to keep blood sugar above 60. She outgrew this problem at 4 months, and was D/C from Endocrinologist care. Could these darken areas be associated with blood sugar issues? Also just to let you know she has no controll to stop eating and her current weight is at 150 lbs and she is very active.
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This could be acanthosis nigricans which is often a skin symptom of diabetes or a warning sign that diabetes is developing. I would recommend addressing this concern with her primary care physician to obtain bloodwork to test for diabetes.
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Is Chromium Picolinate too dangerous for a 16 year old?
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I m 16 years old and am taking chromium picolinate, for my weight. I weigh 8stone 5pounds. I ve been told that it can give you anemia , liver damage and kidney failure, also diabetes . is this correct?I ve had headaches since i ve been taking them and felt really weak and shaky. But i ve also been a lot happier on them. should i keep taking them or is it too dangerous?
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Chromium picolinate is not that effective and can cause the problems you mentioned above in high doses. Take it in the minimum dosage if you require to take it. Scientific facts: 1. Chromium has NOT been proven to cause weight loss or lower cholesterol 2.Chromium has been shown to damage chromosomes. When chromosomes are affected, even cancer might be caused, though rarely.
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Will Glipizide and Meteor help control diabetes?
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Thanks, I have been taking pioglit/met 15-850 twice daily for a few years with a am fasting sugar between 100 - 120 . My doctor retired and my new doc told me there had been som neg imfo with pioglit so he changed med to glipizide er 5 mg one time and a 1000 mg meteor in one time daily and my am sugar have been between. 150 to 200. I don t go back for 2 1/2 months . Do you think I should call and as him about the differance in the dosage. Thanks..... David
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Hi,Thank you for asking your query on HealthcareMagic.I have gone through your history. Your doctor is right. Pioglitazone class of drugs have been found to have some serious side effects. Glipizide and Metformin are good drugs to take care of your diabetes. However, based on you AM sugar levels, it seems you need a revision in your dosage or addition of another anti-diabetic drug. Kindly consult your current doctor for the same. Also, lifestyle changes are equally important with right medications. See you are having the right diet and regular exercise (at least brisk walk for an hour daily) for better results.I hope I have answered your query. Let me know in case of any further questions. Best,Dr Vishesh
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Is tender lump in armpit sign of any cancer?
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Hi, I'm a 22 year old female, medically fit, no Cancer history in the family . about a month ago I had an abcess on my left elbow and I went to the ER and they gave me Analgesics and Augmentin and I went home and drained it.. 10 days later it was almost gone but another one appeared 2 days later on my right inguinal area. I managed this one by myself through draining and applying Fucidin ointment and it receded in about a week. Now I have a tender lump in my right armpit which is kind of worrying me; I try ti connect the three conditions to each other and yet I find myself fearing it being breast cancer or a lymphoma. its the size of a Hammus and it's a little red .. Please Dr I need a satisfying and calming answer as I'm afraid so much right now :(
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Hi.Thanks for your query.The first and the foremost thing is that you are just 22 years and no cancers occur at your age. All these swellings are small boils/ abscess and will settle well with a small course of an antibiotic and anti-inflammatory medicines like Ibuprofen. IT is definitely advisable that you go for the blood and urine tests to rule out anemia, infection and diabetes, which again I feel will be normal.It is best to apply liquid povidone iodine to the affected areas as it practically kills al the bacteria, and you may avoid further infection lesions like this. Just do not worry. This is definitely not a cancer.
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Can diabetic person donate kidney ?
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Iam an 29 years old man sufffering IGA nephropathy for the last 2 years . My creatnine level is became 6.8 mg .My mother is ready to donate the kidney to me . But she is diabetic . Kindly reply me diabetic person can donate kidney or not .Thanks and regardsMahesh
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Hi, welcome to HCM.Kidney donor require stringent evaluation before consdiering him/her as a donor.Diabetes is contraindication to kidney donation. It is not advisable for your mother's health.I think this would be helpful to you.Best wishes. TC.Dr Jay Patel.
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Will metformin and glipizide help in curing lactic acidosis and pancreatitis?
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what is lactic acidosis...how dou get this ...i am takeing medformin 500 mg 2 pills n morn plus 1pill glipizide 10 mg then in evening 2 pills metformin 500mg 1 pill glipizide 10 mg n evening....i was takein janumet 50-500 2 pills in morn with glipizide 10 mg then 2 pills janumet 50- 500n evening 1 pill gliptizide 10mg n evening ....i got pancriatitus n my doctor switched my meds he cancelled janumet n put me on metformin.....thanks marty
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Hi Marty, Lactic acidosis is a condition in which a particular form of acid accumulates in the blood making it very acidic. This happens when patient has severe infection/ sepsis; or patient with kidney failure takes metformin tablets.In your case the doctor changed your diabetes drug because, janumet has a compound called sitagliptin which has been associated with pancreatitis in studies. Hence he stopped the combination janumet and put you only on metformin with glipizide. As long as your kidneys are normal you need not worry about lactic acidosis.
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Can erectile dysfunction after controlling ejaculation for 2 hours during foreplay be treated?
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I am having trouble in getting hard or having the right solid eraction after last foreplay . Actually i had foreplay for about 2 hours but dint ejaculate now after one day m having pain in mya testicals and also having problem in getting the normal eraction . What to do now
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it is psychological problem take counseling from clinical psychologist.i is simply psychological problem take balanced dieat fresh fruits and vegetable yoga and meditation may helpyou.change your life style.exclude diabetes. you are having anxiety neurosis. control your anxiety
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Any suggestion for suffering from final stage neuroendocrine when having type-2 diabetes?
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Hi.. hope you can give me some advice. My mother is in her final stage of neurendocarinoma cancer of the liver. SHE HAS TYPE 2 diabetes and has frequently been hospitalized for hypercalcemia. what can I do for my mom to give her physical strength as she is bringing up everything we ( myself and the drs) try to give her, including water. Her tumor has grown to 75 percent of herliver, but I still hold hope. is there?
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Thanks for your question on HCM.Neuroendocrine tumours are very notorious in their course. They tend to have frequent fluctuations. And in terminal stages only palliative care can be given. Surgery is contraindicated. Give her nutrition support in the form of multivitamins, iron, blood transfusion etc.If pain is there than you can give transdermal patch of centrally acting pain killer. It is very effective in terminal cancer pain.You can also dry low dose sedation for pain relief. Debulking surgeries may give symptomatic relief but oncosurgeon's consultation is must.
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What causes mood swings with weight gain?
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What is wrong with me... I'm tired all the time, I have been putting on weight for the past month and nothing helps. I feel like crying all the time, I'm cranky and moody and I feel like I move in slow motion. People just say to get over it but I can't.
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HiI understand your concern.Sudden change in weight indicate metabolic changes.We have to rule out certain cause like diabetes , thyroid etc.Require certain basic investigation and proper chart of body mass index.Consult physician and do all reports.After reaching prper cause we will able to do treatment properly.Dietary control.avoid fatty and junk foods.Follow proper diet plan from dieticians.Exercise and walking regularly.Thank you.Take care.
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What causes severe lethargy while having type 1 diabetes?
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I have been very lethargic for the last 3 days, i am type 1 diabetic so i checked my ketones in my urine and according to the stripnresults there are a large number of them in my urine. Should i trybto flush my system myself or go to the ER to get IV fluids?
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Hello, Thanks for the query.If ketones are present means blood glucose is not in control. So You should control that . But it is better to go the ER and get proper treatment. At home it may be difficult to manage. Because ketones present indicates very high blood glucose, which needs to be managed at ER setting. Thanks.
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What causes a lump on the sternum?
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I have a lump about the size of a pea on my sternum between my breast. I noticed it in Oct but it has grown some in the last few weeks. It is tender, but I think a lot of the tenderness is because I am constantly messing with it. It is hard (but not bone hard) and it does not move. It feels like it is attached to my sternum. It did develop kinda like a pimple over the lump that had white liquid (smelly) drain from it. I have an appt with my doctor next week, but really concerned.
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Thanks for your question on Healthcare Magic.I can understand your concern. By your history and description, possibility of infected sebaceous cyst is more likely.And the liquid you are talking about it nothing but sebum (infected material of cyst).It is common in anterior chest. Best treatment is complete removal of cyst. This will prevent recurrence.So better to consult doctor and discuss about need for incision and drainage (I and D).Also rule out diabetes as this kind of infection is common in diabetic. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Suggest treatment for trace mitral regurgitation, tricuspid valve regurgitation and pulmonic valve insufficiency
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I recently had a ultrasound on my heart due to palpitations and feeling very fatigued, extremely sluggish, chest pressure, numbness down my arms at times, and feeling like i could not go for days on end. Hard to breathe, etc. The results of my ultrasound came back saying this: Report Pulmonic Valve: Trace pulmonic valve insufficiency is noted. Pericardium: No evidence of hemodynamically significant pericardial effusion is noted. Venous: The IVC is normal in diameter. Conclusion: Otherwise normal echocardiogram. At the time of interpretation, no previous studies were available for comparison. Summary 1. Estimated Ejection Fraction of 55 to 60%. 2. No tricuspid stenosis. 3. Trace mitral regurgitation. 4. Trace pulmonic valve insufficiency. 5. Trace tricuspid valve regurgitation. I would like to know if all this is normal or something I need to be watching or monitoring?
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Hi, Mild tricuspid regurgitation or pulmonary regurgitation or mitral regurgitation may be seen in rheumatological heart disease or pulmonary hypertension or ischemic heart disease with dilated cardiomyopathy etc. If it is mild no problem but if it is moderate to severe lead to pulmonary edema, palpitations, dyspnea or cardiac failure. So you have to control your blood pressure and diabetes. Regular exercise and eating green leafy vegetables are useful. Please consult your cardiologist, he will examine and treat you with medication to prevent further progression. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist
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What causes vomiting and abdominal discomfort in a 2 year old?
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My 2 year old starting being ill 8 days ago, she would vomit anything including parecetomol after a few days she stopped drinking and we took her to er. No fever at all, checked for diabetes (negative). Tiny rashes around nuckles which go away. We have been giving her electrolites and paracetomol posterior. However, she is still very tired. She is ok when wakes up but by noon all wants to do is sleep. Curls up as if in a bit of stomach pain. Will spend most of rest of day napping, wake up for an hour and then want to go back to sleep. This is day 8, and has never been ill before 8 days ago. She moans alot and appears to have some sort of discomfort.
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Thanks for consulting at Healthcare Magic.As your daughter is suffering from vomiting, abdominal discomfort, drowsiness, loss of appetite since 8 days, you should consult pediatrician for detailed clinical examination and investigations like CBS, USG etc.
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How can gum disease be cured?
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HelloI recently got diagnosed with sever gum disease , I went to see my dentist because of a gum infection 3 weeks ago he put me on anti biotics , they not only did not work but the infection got worse I went to the ER for some penicillin also did not work at one point I had six abscess in my mouth not only did they not go away but they keep spreading ! , to add I've lost about 7pounds , lost appetite , nausea and blood (tar) in stool .I went back to my dentist today and he ask that I get a physical as soon as possible I'm very concerned !What could be wrong with me?
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thanks for your query, i have gone through your query, the multiple abscess could be a multiple peridontal abscess it could be because of poor maintenance of the gums or it could be secondary to diabetes. consult a oral physician and get the radiograph done like OPG and blood investigation to rule out diabetes. if i an your treating doctor i would have put yu on penicillins, metronidazole combination. get your teeth cleaned and if there is a tooth infection it has to be treated. get the RBS AND FBS done. if its high then consult a general physician also. do saline gargling3-4times. i hope my answer will help you. take care.
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Suggest treatment for sore on roof of mouth, nausea and sore throat
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Hi, I was just wondering, at the moment I have a sore in my mouth on the roof, I am feeling nauseous, my eyes feel like they are burning a bit, a slight sore throat......I was reading up on symptoms of "HIV" and diabetes....which also include toe nail fungus with black marks on the nails......these symptoms last me about 7-8 days and then I feel fine. I also have a uncomfortable feeling on the outside of my perineal area. No sores or anything. I've been going through this for about two years. I've been tested numerous times for "HIV" and have always come up negative. I do not conduct my life inappropriate, nor do I do drugs. I am not permiscuous either......what should I be asking my doctor to look at?
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Thanks for your query, I have gone through your query.The soreness on the roof of mouth can be because of the herpetic infection. This can result in ulcers over the roof of the mouth, conjuctivitis, genital ulcers. So nothing to be panic, consult a oral physician and get it evaluated. You can get a smear done and send it for histopathological examination. Mean while you can take topical anesthetic like lignocaine gel and topical analgesics like choline salicylate.I hope my answer will help you, take care.
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Suggest treatment for burning sensation in the feet at night
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I have Neuropathy in both feet ,don t have diabetes, what can I do at night to ease the the burning and the aching from numbness, Also is there any progress for this condition. YYYY@YYYY
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Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!Considering your clinical situation, I would recommend starting pregabaline or gabapentine to help relieve the burning sensation. You should discuss with your doctor on the above treatment options. I would also recommend performing further tests to investigate for the possible underlying causes (thyroid hormone levels, complete blood count, blood electrolytes, iron levels, etc.). Hope you will find this answer helpful!Kind regards!
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Uterus problems at menopause. Is surgery necessary & is there any chance of complications ?
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Dr. my mother 52 yers old, is near to menopause and is suffering from heavy bleeding.her abdomen pelvic scan shows that endometrium is 15.5mm thick and has cystic lesions.her right ovary has 28mm thickening with minute cystic lesions.Is there any chance for cancer ?she is suffering from diabetes from past 22 yers. now her fasting & ppbs sugar is 148 &238 .is surgery necessay ? is there any chance of complications ? is the surgery a minor ?
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Hi my mother also had bleeding and a thickening of the endometrium lining. she was diagnosed with clear cell carcinoma which had spread from the ovaries into the uterus and into the bowel, she has had a full hysterectomy and a colostomy and is now waiting chemo, the prognosis is not good for this type of cancer....get it checked out!!! good luck
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What causes pain in foot of a medical transcriptionist?
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I am a medical transcriptionist and all of a sudden I have pain in my right foot, along the top left part of my foot. This is the foot that I use the pedal on. Can we get conditions in our foot, similar to carpal tunnel in the wrist from repetitive motion? It feels really tight. I am a 38 year old female and I have been doing this for 12 years. Thank you in advance. Steph
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Hi,Based on the history you seem to be suffering from tarsal tunnel syndrome. It is quite similar to carpal tunnel syndrome, which occurs in the wrist. Both disorders arise from the compression of a nerve in a confined space.An injury, such as an ankle sprain or repetitive may produce painful swelling in or near the tunnel, resulting in compression of the nerve. However, other possibilities may include ganglion cyst, swollen tendon, arthritis or diabetes. Advised orthopedic consultation for further evaluation and treatment.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
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Suggest an effective antidepressant for lack of interest in social interaction
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Suffer from depression (difficulty getting out of bed, isolation) and anxiety (overwhelmed by regular activities of daily living). Flat affect, lack of interest in social interaction, sex, eating. Difficulty in sleeping. Feelings of worthlessness. Experience panic attacks. Have diabetes type2 (in tight control), hypertension, CAD. What antidepressant would you suggest?
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Welcome to HealthcareMagic T. Bupropion SR 150mg once a day can be taken.take the medication for 3 days if you start feeling better than consider increasing toT. Bupropion sr 150mg twice a dayRegardsDr Varun
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What causes high BP and burning sensation in stomach with weakness in heart?
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hello Doctor, My mom is 46 years old.recently she told me she had some pain like symptoms and she told me she feels water fountain like symptoms in her head.we check our family doctor,he get Xray and Ecg and he checked blood pressure. the BP is 80/200 and mom told to the doctor like stomach and chest burning symptoms . after this test he says high pressure and heart weakness.then he gave some tablets then today BP comes normal but he says the bad cholesterol lever is higher . please tell me about is it serious situation or the cholesterol tablet will cure and enough?we are from india. and one more question doctor what foods my mom avoid for BP and cholesterol? thank you
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Welcome at HCM I have gone through your query and being your physician i completely understand your health concerns.For how long u are suffering from it? Any other associated problem? like diabetes ? do u have a family history of heart problems? Based upon your history it appear she has got systemic hypertension. Which drug she is taking? You should make a chart and document her BP reading four times a day . It will help your doctor to decide about the titration of the dose If i am ur attending physician i will definitely look for the other associated problems. i will get her ECG along with ECHO. I will look at his kidney function tests as well as lipid profile. Drugs for decreasing cholestrol will help to decrease the sequelae of the conditions since high cholestrol precipitates coronary narrowing. She should have yearly baseline ecg echo along with kidney function tests and lipid profile to elicit the extent of disease. As far as food are concerned she should avoid added salt along with fatty and oily food. Meanwhile stay calm and continue with your medications Get well soon Hope your query is adequately addressed if you still have any feel free to ask RegardsDr Saad Sultan
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Have recurring infecting after gallbladder removal. Tried antibiotics. Suggestions?
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Hello I have been catching infections over and over since my surgery in December where they removed my gallblader. I was put back in the hospital for 7 days after the surgery since then I keep getting infections white blood count is at 0000 and will not get normal. Doctor keeps trying different antibiotics and it last for 2 weeks then I'm sick again and off work for a week at a time or two.
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Hi, Welcome to HCM, It seems that you might have some infective foci or some infection spreads in the blood. If there is local infection at the site of surgery, go for testing of pus for culture and sensitivity test. If there is suspected infection in the blood then go for blood culture and sensitivity test. After reports your doctor will prescribe specific antibiotic medicines for long period to clear the infection. Rule out diabetes. Ok and bye.
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What are the precautions to be taken for nerve pains?
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My age is 21 and i am feeling pains in my nerves what are the precautions to be taken and what might be the reason for this.?
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welcome to healthcaremagic get a check up rule out diabetes have regular exercises and healthy balanced diets nutritional deficiencies may give rise to nerve pain so,be healthy
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Suggest medication to cure premature ejaculation and erectile dysfunction
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Hi Doctor I'm from India & I'm 32yrs, 5'9", 60Kgs and never suffered with any kind of Diseases in my life before my Query is I ejaculate in less than 1 min after intercourse & after one Climax I'm not able to get the Hard Erection again to do Second intercourse even after 1 Hour, I'm married since last 4 years & I love my wife very much I want to satisfy her as well please help and suggest some names of the Tablets which I can get here in Hyderabad (India) and to get permanent relief from this problem of Premature Ejaculation and Erectile Dysfunction. Please Help. Thanks...
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Premature ejaculation and erectile dysfunction at this age might have some other underlying pathology which include high uric acid levels, deranged lipid profile of diabetes mellitus. If you would have came to me I would have done some tests before starting the treatment which would include fasting lipid profile, serum uric acid levels and hbA1c levels. If everything came out to be fine than I would have started you on Dapoxetine 1 hour before sexual intercourse and Tadalafil half tablet one hour before sexual intercourse. Hope I have answered your query. Let me know if I can assist you further.
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What causes numbness in pale finger tips?
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I am anaemic, have been for years, have been living in West Africa most of my life, Have recently just moved to the Netherlands, and have been having numbness and paleness on my finger tips, it feels like my fingers are dying, first time it happened I couldn t feel anything, my hands didn t feel like they were mine, I had to place my hands on the Heater and after about 20mins it came back to life, and this happens everyday, I have also noticed that the bones in my legs hurt so bad especially now I am here, What could be the problem ?
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Hi, dearI have gone through your question. I can understand your concern. You may have diabetes or vitamin B12 deficiency. You should go for blood sugar level and vitamin B12 level. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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