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What does bilateral medical renal disease mean?
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what is bilateral medical renal disease? both kidneys are normal in size with mild increase in echogenecity suggestive of medical renal disease. no evidence of hydronephrosis or calculi. a 2.3x2.0 cm simple cyst in midpole of RK. no evidence of renal artery stenosis. pl advise what i shall do?
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Hello Thanks for writing to HCMMildly increased echogenicity indicate renal parenchymal disease.Medical renal parenchymal disease are due to many causes like chronic hypertension,diabetes mellitus,glomerulonephritis etc.You need clinical correlation and complete renal functions test(RFT).Renal function test include serum urea,creatinine. Creatinine level in blood is very sensitive indicator to assess renal functions.Routine investigations like routine hemogram,random blood sugar,urine RE/ME should be done.Further investigations like GFR,creatinine clearance,serum electrolytes like serum sodium ,potassium,calcium,bicarbonate,chloride,bicarbonate etc can be done if needed.You should consult nephrologist for further management.Treatment depend upon renal function test reports.Simple cyst in kidney is a benign finding and it only require follow-up.Get well soon.Hope I have answered your question.Take CareDr.Indu Bhushan
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What causes diabetic neuropathy?
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Does Diabetic Neuropathy come on suddenly? My husband is diabetic and has been for over 25 years with type 2. Back in the first part of August he started experiencing weakness in his legs and arms, tingling and numbness in his hands and feet. He has been diagnosed with Diabetic Neuropathy but it sure came on quickly.
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Hi thank you foe querry,Diabetic neuropathy is the most common complication of diabetes mellitus (DM), affecting as many as 50% of patients with type 1 and type 2 DM. Diabetic peripheral neuropathy involves the presence of symptoms or signs of peripheral nerve dysfunction in people with diabetes.If this develop alot of care is required to prevent the foot from amputation.Diabetic patients who develop diabetic neuropthy should care their feet more than their face.Tight glycemic control,diabetic neuropthy pain mangement,dietry and vitamins supplements.Patients with untreated or inadequately treated diabetes have higher morbidity and complication rates related to neuropathy than patients with tightly controlled diabetes. Repetitive trauma to affected areas may cause skin breakdown, progressive ulceration, and infection. Amputations and death may result.Hope the answer will help you.wish him a goodd health.
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Does untreated diabetes cause psychosis and schizophrenia?
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Hello my name is Shannon I m in a relationship right now with a male whose just turned 30 he has had diabetes pretty much his whole life I believe it runs in his family but, he has not been taking his medicine for over the past year I did not find this out until now ,,symptoms hes have been having include but are not limited to :paranoia ,delusions of things that aren t real and ideas of things that aren t going on indecisiveness, overeating but losing weight, excessive sweat ,lack of sleep or restlessness ,constant fatigue, muscles are always in pain swelling of the lower back area and calf muscles, obsessive compulsiveness, repeating stories over and over again,uncontrollable anger or aggressive decisions or outburst, I read that diabetes can lead to psychosis and even schizophrenia please help it comes and goes so often it s about every other couple days he ll be good for about 2 or 3 days if that and then for about a solid 3 Days To a week he ll constantly have uncontrollable relations to the symptoms listed above
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hi madam.all these conditions are super exactly related to diabetes since he withdrawn medicines one year back,so that sugar levels might become abnormal. fatigue, weight loss ,confusions,uncontrollable reactions all these are due to uncontrolled diabetes. patients may be severely depressed if they have an uncontrolled sugar level in their body. there is the only one solution for this is to control diabetes.control sugar level in blood. if diabetes is under control he can lead a normal life all these symptoms wont persist. thank you
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Suggest remedy to get better erection and increase sperm count
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Kumar | 0 minute agoGood day doctor, I am kumar frm Malaysia,lately I find there is some kind of round thing like small small bearing inside my testical, and I too having eraction problem . And the quantity of sperm is very less compare to last time. I would like to get tr advice and allso would like to get the treatment frm u. Pls advice . Tq. My mail YYYY@YYYY
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Hi, Abnormal sperm count can be due to hormonal imbalance, diabetes and stress. You have to regulate your blood glucose level and hormone levels by respective medication. Basically you can use antioxidants and zinc supplement , with that regular exercise and yoga can help you.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 shaky and weak after walking outdoor?
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came in from out side & started feeling shaky, weak & sat down, then I went into a sweat. lasted quit awhile after drinking water, eating a banana, stomach started burning, burn has lasted for 2 hrs now feel weak & sick feeling. BP was 106/65-P-75-80
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You should get the fasting blood sugar level done by glucometer. you are suffering from recurrent attacks of hypoglycemia which may be secondarily to the diabetes.
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Is Gatorade safe to drink when diagnosed with diabetes?
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if I drink to much water my sodium level gets low, but I need to have more liquids for the Zepatier I am taking. it was suggested I drink gateraide. I am 65 yrs old, have type 2 diabetes, take two meds for the diabetes, and water pills.i am 5'1 and weight 120 lbs.
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Hello,the water pills also may be contributing to fall in your sodium levels. Gatorade does contain significant amount of added sugar. It may raise your glucose levels. You may need to look for a sugar free option.
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Pus cells in urine. Taking antibiotics, white foamy urine. History of diabetes. Prostrate cancer?
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Sir I am diabetic and take alchol too. My sugar level is 150 -170 fasting , although in night before alchol it is around 150. In my recent routine health checkup by employers , doctor found pus cell in urine and wanted to examine more . But then i got transfered to XXXX. Doctor in XXXX has given me antibiotic and combiflam tablest for 7 days . I am bit relived now but i can see white foam in pot after urination . Is it prostrate cancer . I m worried and not going to doctor ........ please advice
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Hi!welcome to HCM!The presence of pus cells in urine is also called pyuria, Increased pus cells reveal some INFECTIVE process in the urinary tract, anywhere from kidney to the bladder. Foamy urine is likely nothing to worry about if it happens only occasionally and isn't getting progressively more noticeable. It may just mean that you urinated rapidly, maybe with more concentrated urine as in mild dehydration. You could drink more water to see if it goes away. However, persistently foamy urine can be a sign of protein in your urine (proteinuria), which requires further evaluation. If you're concerned about Prostate cancer,neither pus cells nor foamy urine suggest prostate cancer.You are suffering from UTI and being diabetic infection takes long time to control,keeping your blood sugar under control helps.I hope I have answered your query.take care!
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What precautions should be taken while suffering from a UTI?
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My wife and I , age 68/68, have sex once a week and she has had a UTI three weeks in a row. We are both disease free and very clean and healthy. I have read online that younger and older (>65) have about the same sensitivity to E.coli infections and clear rates with smx/tmp Rx. She dislikes taking medicine. Is the sex the problem, or could it be something else? Should we use a condom until she is free of the UTI? We don't want to give up lovemaking, but we don't want her taking antibiotics every week. Your input is welcome.
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Hello,This is probably related to her menopausal status. As dry vagina can get traumatized and has low protection barrier to common vaginal organisms. Thus she needs to have a gynae check and evaluated for hormonal replacement therapy.This presents as the urge to pass urine frequently, vaginal itching and vaginal discharge. Also, you need to get your urine culture and prostatic fluid examined for Trichomonas vaginalis and treated.Usually, the docs will treat the males with Flagyl drug {Metronidazole three times a day for 5 days} without testing as this is very common. Lastly, rule out diabetes.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jaydeep Nanda
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Bumps on arm that itch. Is it a food allergy? Take prednisone?
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Hi,My husband is 28yrs old.. He started with itching on his forearm & top of hand about a week ago and then followed tiny bumps you couldn t see unless you really looked closely..Shortly after his chest,arms,legs,tops of feet,and hands were covered in what looks like a rash of some sort.. His hands are the worst.. He has tiny bumps that are filled with clear fluid and come in groups or single spots.. He says they do not hurt just feels really gross.. I have had scabies before and they look NOTHING like that.. We went to the ER today and the doctor told him it looks like a food allergy and prescribed him prednisone and atarex .. I m not sure he is happy with the diagnosis so I am trying to get a second opinion
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Hello, It is not common to develop a food allergy at this age although not impossible. if the rashes he had developed were definitely after eating a specific food (which must happen every time) then a diagnosis of rash secondary to food allergy is plausible. What you describe is something like cholinergic urticaria, a form of urticaria (this is not allergy in >80% of cases) that is triggered by temperature changes and mast cell release of mediators like histamine. Scabies is also a possibility that is intensely itchy and needs to be excluded with a careful examination, skin scrapings or a course of treatment if there is high clinical suspicion. Atarax is a strong antihistamine (sedative, so take at night) and prednisolone must be stopped after 5 days giving atarax a chance to work. You can switch to non-sedative antihistamines like fexofenadine or cetirizine. There is no blood test for a definitive diagnosis but thyroid disease or diabetes need to be excluded along with a complete blood count to ensure there is no infectious trigger. Hope that helps.
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Can good diet reverse stage 4 kidney failure?
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i just entered stage 4 kidney failore,they say in this stage i cant do any thing to protect the kidney from going into stage 5,can diet reverse this? or make it where i don t need dialysis? im type 2 diabetic since 2000. is there a future for me if i try now or is it to late?
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Hello and welcome to HCM.As an Urologist, let me assure you, stage 4 kidney failure is irreversible.Diet must be observed strictly, but,it cannot reverse the failure.Diabetes itself affects the kidneys, causing diabetic nephropathy.You must be careful to avoid more than 6gm salt/day, 40gm proteins/day,avoid extra potassium forming fresh fruits,coconut water,and oily fried foods. Have green leafy vegetables,and egg white.Check your B.P. regularly and take all medications as advised.If you've any doubt,send it as a direct question to me,for expert opinion.Dr.Matthew J. Mangat.
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What is the prognosis for a person diagnosed with MRSA and diabetes?
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Take a 671 yr old man doagnosed with MRSA, diabetic, is sepsis, has one damaged kidney, heart in a fib for six days, Being possibly aspdmitted to nursing home or rehab facility, Also has a fever that goes up and down. What are chances of a good quality of life?
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Hello,There are drugs for methicillin-resistant Staphylococcus aureus (MRSA) as vancomycin and diabetes. If sepsis is control, then i don't think there should be a problem. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Varinder Joshi
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Suggest treatment for restlessness in legs and feet
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I often get the butterflies in my stomach sensation, but in my legs and feet. This usually happens late at night, when I m in bed, and it wakes me up, and then does not go away. I am Type II diabetic, non-insulin dependent, hypertensive, with ESRD and on dialysis.
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Abnormal sensation in your feet may be related to your comorbid conditions of diabetes and renal dysfunction. Most likely you may be having neuropathy and require nerve conduction study for proper evaluation. Some pain modulation may help you. Rest treatment requires strict control of your diabetes and hypertension. May God bless you.
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What causes pain in the right foot while suffering from diabetes?
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Good Afternoon, At my last checkup I was told I had a borderline diabetes condition and was told it would be helpful to lose approximately 10 lbs for better blood tests results. In the past week my right foot has been throbbing the more I am on it. I have had to resort to wearing a shoe on my right foot around the house just to ease the discomfort. I do not have a pins and needle sensation in my foot more like a bruised throbbing sensation. Usually by the evening I am unable to put any pressure on my right foot. So my question is could I have diabetes nerve pain if I am not experience any discomfort at all in my left foot?
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hi friend if your diabetes in borderline then you should go for very low calorie diet and do some easy step exercise which is very much easily manageable.good luck
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What is the treatment for mental illness and depression?
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Dear sir, my name is Somenath Bose and i live in jabalpur, madhya pradesh. My problem is that my mother in law is have some mental problem. from last 4 years she used to tell everyone that i am a danger for my own 3 years old child. she always used to tell me or everyone that may be i will kill my son....or iam sexually harrassing my own child....she doesnt believe me at all. she thinks that iam a criminal and can harm my own family....i am very much tensed due to this behavoiur of her...kindly help me what should i do....
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Hi, Mr Bose,Thank you for writing to HMC.Considering whatever your mother in low is thinking is wrong then the symptoms you described look like false belief which in medical language is Delusion.the delusion may be a symptom of variety of mental disorder.One would like to know her behavior and belief about many other thing apart from relating to you.If she is otherwise fine than delusion disorder can be the possibility. Or if she also have other behavioral problem or thinking problem then one need to rule out possibility of schizophrenia which is not common after middle age.One more thing is her memory. if memory problem is present then dementia can also be the cause. Does she have diabetes or hyper tension? if so then chances of dementia due to lack of blood flow to her brain may be the the cause of symptoms. This all what i have discussed are common causes of false belief but it is not the complete list.Now the best possible way to get help is to visit Psychiatrist and trying to find out the cause of her symptoms. In this kind of symptoms Antipsychotic medicines usually helps but this should be given under care of psychiatrist only for best possible outcome.Hope you find this helpful.Regards.
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Suggest treatment for severe wrist pain
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Hello i am an 19 year old male who has just recently been told i have carpal tunnel, two weeks ago i started getting unbearable in my wrists and went to my GP and was told that i have carpal tunnel and i have looked alot into it and i m very scared, i am only young and don t want to have wrist pain for the rest of my life. Currently the pain isn t that bad i m not having trouble sleeping or anything and have been using wrist splits while sleeping and resting and also been using panadol extra as pain killers for when it is bad. I know that i caused it from using to much computer and not being very ergonomic but i am trying to not use the computer too much now. Is there anyway that i will ever be able to restore my wrists back to normal without having to get surgery? From this test i did at http://www.carpal-tunnel.net/diagnosing/questionnaire apparently the severity in my left wrist is 1.8 and in my right its 2.0 out of 6. I would really like some help if at all possible. thank you
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There are many causes for pain in wrist other than carpal tunnel syndrome.It must be investigated, particularly when you are just 19 yr.(male). kindly ruleout diabetes Or any othr metabolic disorder.For the time being you may take paracetamol 250mg along with SOME MULTIITAMIN TAB. FOR 4-5 DAYS.Kindly contact me again, if you need further assistance.
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What causes high pulse rate?
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My daughter is type two diabetic and slightly overweight. She is taking metformin for diabetes and amnitriptolin for IBS. She has had her gallbladder out. My question is: she has tried to give blood and they won't let her because her pulse rate runs between 107 and 116. What may cause this. Before she was on the meds. it was fast then too.
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Hello!Thank you for asking on HCM!I carefully passed through your question and would explain that it is important performing some tests to investigate for the possible cause of her elevated heart rate: - a complete blood count for chronic anemia- blood electrolytes for possible imbalance- thyroid hormone levels for possible thyroid gland dysfunction- a cardiac ultrasound to examine her heart function and structure- a cardiac stress test to investigate for possible coronary artery disease (as she has coronary risk factors like diabetes)- an ambulatory 24-48 hours ECG monitoring to exclude possible cardiac arrhythmia. You should discuss with her attending physician on the above tests. Hope you will find this answer helpful!Greetings!Dr. Iliri
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Can Zzzquil cause elevated liver enzymes?
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CAN DIPHENHYDRMINE IN ZZZQUIL CAUSE MY LIVER ENZYMES TO BE HIGHER. I WENT TO THE DOCTOR BECAUSE I HAD SOME BLOOD WORK DONE AND MY LIVER ENZYMES CAME BACK A HIGH. THE NIGHT BEFORE I COULDN T GO TO SLEEP AND TOOK A LOT OF ZZZ QUIL AT 10 PM AND 3:30 AM. I WENT TO THE DOCTOR AT 8:00 AM THEY DID BLOOD WORK AGAIN AND THE RESULTS CAME UP HIGHER THAN THE LAST TIME. I HAVE T DRANK ANY ALCHOHOL IN A MONTH. AND EXERCISE REGULARLY AND AM IN A LOW CALORIE DI ET
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Hello, tusher8604, Liver enzyme elevations are not an expected side effect of Diphenhydramine. You mention you drank alcohol a month ago. If you were drinking on a regular basis before, it is possible that your liver enzymes could remain abnormal especially ALT,GGT, not so much the LDH & SGOT. You also mention that you are on a low calorie diet. You must be doing this to lose weight. If you are 10-15 % overweight , it is possible you may have Fatty Liver (Non-Alcoholic-Liver-Disease). Get a complete liver profile, blood count,diabetes check, and also screening for Hepatitis B & C. If you are on any other medications such as Ibuprofen,Naproxen (NSAIDs) , they can cause liver damage. Hope this helps you so that you can discuss with your doctor. I wish you well.
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Suggest treatment for high BP
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my husband went to the dr. and his blood pressure was 240/130. granted he was nervous but that is extremely high. they gave him bp meds and sent him for bloodwork and a sleep study and he is going back to dr. nexxt week after bp comes down from meds. in the meantime, he is stressing out b/c bp was so high and he thinks they should have sent him to the emergency room. he is having no other symptoms.
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Hi, Thanks for your question. I can understand your concern. For better opinion I want to know more about your husband - - His age. - Family history of blood pressure, diabetes, cholesterol problem. - Height & weight. - His profession. - On what medicines he is on currently. With this high blood pressure level he may need evaluation for any cause of high blood pressure and it's bad effects on various organs of the. Following investigations may help - - ECG, 2DEcho of heart. - Renal function test - Urea, Creatinine, Electrolytes. - T3,T4, TSH. - Liver function test. - Lipid Profile. - Urine examination. - Blood sugar levels. - Fundoscopy to know any changes in retina due to high blood pressure. Depending upon detailed clinical examination and above test results appropriate medicines for blood pressure can be suggested. Hope this helps your husband.
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What causes recurring dizzy spell with palpitations?
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I just had a spell where my hearing became very dull, my heart beat fast, my eye sight was going in and out and i became very dizzy and had the urge to sit down and pass out. I experienced this a month or two ago at work during a hot and busy day and assumed i was over worked and dehydrated but it happened again not 10 minutes ago, and I havent been at work today, although I did just come back from the pool and took a shower. After sitting down and drinking something i felt a bit better but Why does this happen?
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HI Well come to HCMMost common cause of these symptoms could be hypoglycemia and this need to be ruled out because diabetes could be the reason for this, second would be some cerebral pathology and for this CT brain is the option, you have not mentioned your age and gender else something more could be taken into consideration, have a nice day.
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Severe nausea after getting discectomy done. Abdominal cramps. Cause?
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I had a discectomy 7 weeks ago so I m on medication . However, the query is regarding awful nausea . For about 3 weeks but getting worse. I feel almost hunger sick and want to eat kind of dry stuff. Once I start eating I m hit with serious nausea and abdominal cramps . Lasts hours but haven t felt without sickness in weeks! Any idea?
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Hi magsmail! Here we go! If you have nausea take domperidone tab, for abdominal cramp and bloating take dicyclomine tab. Now you feel hunger sick take soup, juice or light food not at once but in small quantity and many times. If undigestion take gelucil or any antiacid like eno. Well do checkup for diabetes at once. Be healthy and safe. Bye.
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High BP. Diabetic. mild cholesterol. Practising yoga, exercises. Premature ejaculation. Try Musli power?
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I am 56yrs male. My Bp is 85/140 taking olsar 10 once a day. Sugar leverl is 116 fasting and 120/140 pp. Mild cholestral but no medication . Practice yogasana and excercise daily for one hr and walks a lot. Have problem of premature ejaculation . Is musli power extra suites me and benefits me. What are side effects if any. Thanks.
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1. the company claims it to be the new herbal viagra, and looking into your problems, it will thus exert more pressure on your heart (being a aphrodisiac), which can be dangerous. 2. is PE associated with performance anxiety or any psychological trauma. 3. diabetes, BP,cholesterol are the aggravating factors, so apart from sexual Counselling also try to bring these profile to normal levels.
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What causes bloating, breathing trouble, back pain and pressure under shoulder blades?
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my name is cliff,my question is,i have a case of bloating and at times find it hard to breath,sometimes awakening casping for air.I have pain in my back and if i lie down on my back i get severe pressure just under my shoulder bades and then also find it hard to breath,can you help me find an answer,thankyou.
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Do you have diabetes or any other disease. Bloating may be sign of either having digestion problem, eating high protien diet leading to abdominal distension. You can take carminative agents such as soda to relieve that bloating. Also pain in shoulder can be a different issue and might not be related with this. Try avoiding over head activities and apply local gel and warm saline for it. I hope this will relieve your shoulder pain.
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What causes depression along with anxiety and joint pain?
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I feel disconnected from every one and everything in my life. I feel overwhelmed all time, I cannot sleepwell. I have racing thoughts. If I fall asleeep I awake with a start in an hour or so. I am always hungry. I am experiencing pain in several joints. I am diabetic and my sugars have been around 200 whether I eat or not.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Anxiety and body pains can co-occur with depression. As depression will improve these symptoms will subside.Depression can affect anyone and you can overcome it completely. Depression symptoms include feeling low all the time, loss of interest in previous pleasurable activity, feeling lonely, low in energy, hopeless, helpless, worthless feeling and sometime even suicidal ideas. Few of them or all can be present at a time. For diabetes you need to visit a physician or endocrinologist. Diabetes can be a reason for worsening depression symptoms. Hope I have answered your query. Let me know if I can assist you further.
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What can be the cause of shoulder pain?
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ive had shoulder pain for about 10 months now which goes down my arm to my hand some days its fine but other days i can hardly lift my arm and putting a coat on is not easy i have also noticed i have a hard lump on my collar bone near my shoulder blade was just wondering what thisw could be?
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**1. initially seek an opinion of orthopedic surgeon, it might be possible that your range of motion/movement, might be/is compromised.2. shoulder pain can occur independently due to over exertion [strain], overuse [tendonitis] or due to certain disease state[rheumatoid arthritis, diabetes, over active thyroid], thus examination becomes necessary.PS. further testing may be required like plain X-ray, [revealing narrowing of space or damage to bones], MRI [reveal details of shoulder joint] and blood tests [ to rule out any inflammatory conditions]3. since collar bone fracture is one example of shoulder pain [as there is hard lump on collar bone in your history], so it could possible be example of pinched nerve pressing on the nearby structures.4. In Ayurveda we treat frozen shoulder on the line of Avabahuka:. Initially dry heat. . successful and result oriented prescription is:I. vatakulantak ras, rasraj ras,panchamrit lauha guggulu.II. rason sura,dashmoola arishta.III. erand pakIV. Lehsun ksheer pak. avoid eating spicy, fried, pungent and oily foods. [The aim of the Ayurveda treatment is to bring the vitiated vata in equilibrium. The most popular kerala therapy is pizhichil, you may ask an experienced Panchkarma Doctor about the same]
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How to prevent fungal lesions on body and in mouth?
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hi Dr im 19yrs old, 2yrs ago i went on a camp nd when i came bck home i started getting fungal lesions ever since then i get them every single year around summer and they cover up my body nd i also get them in my mouth. there was a time where i was osolated for about a week because of them nd i could not evn eat solid food because they were sore now i need to know what i can i do to prevent myself from getting them again
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Hi.Thanks for your query in HCM. I am Dr.Aliem, and I am pleased to answer your query.Fungal infection in the body, especially in groins, is a fairly common skin condition, especially among youngsters. It just goes off with the application of certain anti-fungal ointments or medicated powder. Whitfield's ointment is a time tested remedy for this. It is availabe in the pharmacy over the counter. But it causes the formation of a whitish layer over the applied area, which disappears in a short time. Better medications are available, please consult your physician or dermatologist. I have a few suggestions for you:1. Keep the area dry as far as possible. Especially, avoid getting wet with sweat.2. Keep the area cool.3. It spreads by contiguity. Avoid sharing clothes/undergarments.Fungal infection in mucosal areas, like mouth, may be indicative of some conditions which will suppress your immunity, like Diabetes. So please consult your physician, who will order some blood tests for you. If you have difficulty or pain on swallowing, an upper G.I endoscopy may be needed. Hope this helps. Feel free to send further queries if any. I wiil be glad to answer.Dr.Aliem
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Having memory loss. MRI showing chronic ischemic infarction in right occipital region with gliotic changes. What does it mean? History of CVA
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Hi, my mother is 75 years old, had a CVA last year. She has now become forgetfull since a month or so and the report of an MRI done yesterday says previously noted ischemic infarction in right occipital region now appears chronic with gliotic changes, rest of the report is same as was done last year....so what does these gliotic changes mean??? Kindly answer, thank u.
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Dear gliotic changes are a report of brain hypoperfusion which in most cases is caused from chronic illnes such as arterial hypertension, mellitus diabetes or dislipidemia.So if you want to treat the brain problem first you have to treat those desease.Aspirin is needed at a dose of 100-300mg per day.Brain protector such as piracetam 1000mg per day or memantine 20 mg per day startinf from 5 mg per day and rising the dose each week.Don't hesitate to contact me for further advice, wishing you all the best
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What does small lump under the testicles indicate?
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i have a small lump under my left testicles and it hurts lately when i applied small pressure on it, it bit hard compare to both of my testicles. i just found it a week ago...i am a sexually active person at the age of 46...i also take a sexual enhancer pill like Robust brand every time i make sex with my partner. it's like an oval shape as i touch it...i want to know what may cause this and how threatening this to my health?
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HelloI share your concernAt the outset, I would like further information for better assessment of the conditionSince how long it has been thereany history of discharge or pain?complete medical history like diabetes or other metabolic diseaseIf possible upload a photographI would advise you for a battery of tests after physical examination to establish a diagnosisMeanwhile clean it with antiseptic solution and keep it moist.Apply antiseptic ointment if it is a open and dischargingPlease write back to me with these details so that I will be able to tell you more precisely.Best wishes
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What causes swollen and redish lump between toes?
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Concern: Foot pain Personal Information: Male, age 54, 240 Lbs, Type 2 Diabetes Symptoms: Started with a cyst like feeling ball between 1st and 2nd toe on left foot. Minor redness started to appear at the toe line on the top of foot, accompanied by minor foot swelling. This redness was rashlike and itchy at first, but not rash or itchy now, just red. The skin between 1st and second toe became dry and peeled off (healed - no open wound) - ball under the skin is still there though. On a scale of 1-10, foot pain is about a 5 (today), but can vary from day to day. This is not athlete s foot, and I don t think it is gout either (not that painful). The redness now extends 3/4 of the way up on the top of the foot. Top of foot, including 1st and second toe are swollen, as well as the bottom of the foot. Circulation in the foot is fine. The redness turns purple when it gets wet. These symptoms have gone on for about 3 weeks. Any idea what could be causing this?
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Hi,From history it seems that there might be having some infection following something bite.Due to having diabetes infection spread fast giving all these problems.Consult your doctor as soon as possible.You might require one course of antibiotic and anti-inflammatory medicine courses for 5-7 days.Clean local part with antiseptic lotion and apply antibiotic cream locally.Ok and take care.
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Have diabetes. Have mental stress. Personal desire for negative events. Very emotional. Help?
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Hi. I m quite young. But I ve always felt like I ve had a disease. I don t believe I m depressed, because I am very happy. But even if something small happens that makes me mad or sad, and I wish bad things will happen to me. I know that I will NEVER go through with anything, so thats good. But I kinda wish that something slightly bad happens, just to see what my friends & family will do. If they even care. I also think I have diabetes . But thats another story. I frequently feel like I m someone else, but myself, I fell like Im gonna make a difference in the world. I had bacterial meningitis when I was born, and I have a very low immune system . I ve always had migraines too. And I cry over almost anything. Please help. I scare myself.
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Hi and welcome to Healthcare Magic. Thanks for your question... You seem to have an anxiety-related or a personality-related problem. Many of your symptoms are indicative of borderline personality traits. You will need a detailed psychological assessment to plan therapy accordingly. There are good psychotherapy / counselling techniques which can help you handle your emotions better. Please consult a psychiatrist in your area for help. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist
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Can a person with liver cirrhosis travel to another city for treatment?
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Hi, my uncle has been diagnosed with esophageal varices and liver cirrhosis, he is also a patient of diabetes, the current doctor has given him medication for 2 weeks and then wants him to go for further tests. Can he travel (fly) to another city for treatment? he has also had problems of lightheadedness.
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Hello and thanks you for your query. I am Dr. Rommstein and I will try to help you as much as I can with my answer.Yes he can travel,it won't have significant influence on his condition so if there is a need,he can do it.I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health.
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Can ALT values be lowered just by altering diet habits?
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Hi,I've done liver function tests a couple of times in the last 2 weeks. I've higher values of ALT (Liver Function Test). Value varying between 65 and 85. Can these values be brought to normal just be improving my diet?I'm 31, Male, smokes 5-8 cigrattes a day. I'll be grateful for your advice. Thanks
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Hi welcome to HMC. thank you for posting your query. yes, ALT levels can be brought down by lifestyle changes and regular physical activity. ALT is the most sensitive indicator of liver cell injury. elevated ALT levels occur in fatty liver, hepatitis, liver cancer,cirrhosis.liver problems can also cause kidney problems, heart problems, strokes.i advise you to avoid alcohol completely and quit from smoking, have a healthy and balanced diet. avoid fatty foods. go for regular increased physical activities, if you have diabetes keep the blood sugar levels under control. go regular check ups from your doctor.
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Suggest tests to diagnose hypoglycemia
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my doctor recently said , unsure if its an actual diagnosis, I am hypoglycimic. I am puzzled because I ve been measuring my blood sugar levels and they seem to be in the normal range. 95-98 in the am, 105- 110 within a half hr. to an hr. after eating. I feel pretty awful after I eat, as if my sugar is off. UNsure of when I should measure and what I am looking for
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Hello, The blood glucose levels mentioned (both fasting and after food) look absolutely normal. I am giving below the range of blood glucose levels for your information:1) Normal : Fasting : 70 to 110 mg / 100 ml, PP 2) Pre-diabetic : Fasting 108 to 125 mg, PP 141 to 199 mg / 100 ml, HbA1c%5.9 to 6.4 3) Diabetes : Fasting :126 mg and above, PP 200 mg and above & HbA1c%6.5 and above. Considering above criteria levels mentioned by you are within the normal range. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Prabhakar Laxman Jathar
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What causes elevated blood sugar despite taking medication?
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My dad has type 2 diabetes. He recently has been discharged from the hospital. He was prescribed ciprfloxacin 2 times a day, metroNidazole 3 times a day, & metroFormin 2 times a day. Today when I checked his sugar levels they were high (289). He has been complaining about a nauseous feeling in his stomach. Do I need to take him to Emergency ?
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HelloThanks for usingHCM for your health problems.I read carefuly your question and understood your concern.You doesn't explained clearly why your dad was prescribed the antibiotic and antimicrobial therapy anyway i presume that it has an infection when he was discharged.The infectious disease and maybe the psychologic stress that is caused by the infection can raise the blood glucose in a diabetic person.His blood glucose is high and nausea can be a symptom of diabetic ketoacidosis.Diabetic ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones.For this reason my advice is to check his ketone level in the blood and in the urine.If the result is positive you need to take hime in an Emergency Room as soon as possible because it can be dangerous if it is not treated. In most cases, people with diabetic ketoacidosis need to be treated in hospital.If the test of ketones in his blood and urine is negative,i suggest to consult an endocrinologist in your area because in my opinion the metformine monotherapy is not effective and it is necessary to add another antidiabetic drug.I want to remember that the diabetic diet and more physical activities(if not contraindicated)are other important elements for the control of your dad's diabetes.I recommend to not be negligent.Hope i have answered to your question.If you have further queries,feel free and ask.For treatment recommendations, and individual therapy,you can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo.I will be happy to help.Take care.
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What causes dizziness and fatigue post a choledcystectomy?
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I had gallbladder surgery two days ago. I also have Diabetes type 2 and pulmonary fibrosis. I ve been extremely drowsy, weak, and dizzy. I ve also been feeling faint and having trouble with balance. My blood oxygen is 95. I m wondering if I should go to the ER or just go see my doctor in the morning or just wait it out for a few days.
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HIWell come to HCMI really appreciate your concern, Diabetes is such disease that demands the close monitoring for blood glucose level, it has to be maintain on tight rule basis, if you do have a symptom of dizziness then blood pressure and hypoglycemia could be the cause.Cardiac evaluation test, blood glucose level needs to be monitor, along with this CT brain is must, in my opinion it is better to consult the physician, history gallbladder surgery, and pulmonary fibrosis is nothing to do anything with present symptoms. hope this information helps.
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What causes tingling and numbness in feet while sitting?
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Hello. I am a 35-year-old female. I started noticing that my feet tingle and go numb when I sit down about 4 months ago. It began with my long daily commute to work and now extended to sitting down on any surface. I can't cross my legs comfortably.In my day job I often have to hunch over patients and occasionally help lift them. I am also an advanced ballet dancer who goes to the gym and take kickboxing. I think the tingling started around the same time I began kickboxing. I do have long-standing knee and ankle injuries that have been hurting quite badly in the past month or so. I have stopped the boxing classes and go easy in the gym. X-rays of cervical spine and MRI of lumbar spine showed everything is fine.So why do the tingling and numbness persist? What can be done about it? Thank you so much for your help.
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Hello, thank you for your question.Since the results of spine xray and MRI are normal , the next more common medical condition that may cause your problem is Diabetes , by damaging the peripherical nerves of the foot.So I would check you blood sugar and all other tests for Diabetes.Other rare disease might be multiple mieloma or bilateral piriformis syndrome , but that the gives this simptoms when sitting with leg crossing nore than walking.i hope this answer will help you.
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Suggest treatment high blood pressure
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my father is 71, has parkinsons and diabetes, and a massive heart attack 4 years ago ,he has been passing out and his neurosurgeon says its part of the parkinsons but his blood pressure readings are now 165/99 yesterday and 173/108 today. im concerned. should i take him in to see his dr?
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Hi ThereI wonder why your father is not taking any anti hypertensive medicine even after having a massive heart attack. Yes definitely he needs to be started on bp lowering medicines as persistently high BP can later on lead to Stroke and other cardiac issues.I would also like to get an ECHOCARDIOGRAPHY done on your father and then plan other medicines as required after assessing his LV Function.Good Luck
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What causes heart palpitations with and without a cough?
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I am having heart palpitations with and without a cough for about five weeks now. This occurs daily, sometimes throughout the day. For approximately 45 days prior to this starting I started taking prescription Integra F capsules for anemia. I also take Lexapro (10 mg) and I was taking a childrens multiple chewable viatimin. Around the 45 day mark, I not only had the heart palpitations and cough, but was also short of breath, dizzy, and felt confused. I found information indicating never to take the Integra F capsule with any type of multiple viatimin as it could cause viatimin overdose. I immediately stopped taking the children viatimin; however, after five weeks I am still getting the heart palpitations and cough. I feel like I brought this on myself taking the two together, but do not know that for sure and do not want to ignore it.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would prefer if you mention age, and if there any other chronic medical disease like diabetes. But generally, don’t worry of vitamin overdose because it is usually rare and less harmful, if administered orally and the body can get ride of it gradually from hours to days. Regarding palpitations you need to check ECG. Hope I have answered your query. Let me know if I can assist you further.
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What causes pain in rib cage area?
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been moveing for two days and started having pains in back on side area kinda like around the ribcage. I know I am some what dehidrated even thou I had water, I was in the heat moving stuff 4 am into til 2pm. I am type 2 diabetic and also on zoloft help!
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If you have taken care of dehydration and your diabetes type 2 well, the only cause evident of this pain is over exertion.I would suggest simple analgesic like PCM 650 mg sos, take rest for few days, relax, have hot water baths/ steam, do little breathing, meditate a bit and if possible do stretching yoga exercises.If still it persists, go for complete check up.Hope it helps.
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Have nephrotic syndrome. Can I get married? Any issues in the future?
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Good Afternoon sir, I am 25 yeas old girl.I have completed my mba in hr..and working since 1 and half years.I am a nephrotic syndrome patient. and relapse in the interval of 4 to 5 yrs.I am going to get married in the next year in feb.Can u please suggest me can nephrotic syndome people get married and have issues in the future?
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Hello and welcome to HCM Nephrotic syndrome does not interfere with conception. It is a kidney disorder. There are various disease processes which lead to nephrotic syndrome. Yhe most common disease process is glomerulonephritis which is caued due to damage to glomerulus of the kidney. Other diseases like diabetes mellitus , SLE, amyloidosis also lead to glomerulonephriris and thus nephrotic syndrome. Glomerulonephritis are also of various types. Some glomerulonephritis repond well to steroids and other do not. So it is important to get a kidney biopsy done and to know the exact cause of nephrotic syndrome. Relapsing and remitting is a feature of glomerulonephritis. You will heve to take the steroids whever there is relapse. Managing the dose will minimize the side effects if any. The disease process will not hinder conception. However, drugs have to be taken with caution during pregnancy. It has to be done in consultation with your treating doctor. Thank you and take care Dr Shailja P Wahal Majority of cases do not have underlyning cause. Others are secondary to infections, drugs and malignancies. There are various disease processes which lead to
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What causes excessive sweating in a child?
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hi my 6 1/2 year old sweats excessively overnight and soaks the sheets and bedding in minutes. it also is very acidic and stains the sheets. he is large for his age (over 90th centile for height) could this be related? sleep has always been very poor too
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Your concern is What is hyperhidrosis?Hyperhidrosis ,is the medical term for excessive (too much) sweating.We usually sweat to keep our body temperature constant. Sweat evaporating from the skin creates a cooling effect for the body. When the body is producing much more sweat than it needs to keep cool, this is called hyperhidrosis.Hyperhidrosis most commonly affects children, teenagers, and young adults. Its onset can occur at any age and developmental stage. Increased sweating may be triggered by certain things such as anxiety, spicy foods, cola drinks, exercise, warm air temperature, and fever. You may or may not be able to identify a specific trigger in your child. You should see a doctor if you think that the amount of sweat being produced is more than is needed to keep the body at a constant temperature. WIth his obesity ( you have not mentioned his weight and family history ) we have to investigate for Type 1 Diabetes in him esp if any family member had it. Please come back with all details as on a personal talk with your doctor. Just asking a few questions online cannot help give a scientific answer. Regards. YOu have already discussed with many doctors and I hope they have asked some questions before asking any test and deciding on their action. Take care.
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Suggest remedy for recurring psoriasis in diabetic patients
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My sister is having psoriasis problems since 18 years and having diabetes too she was visiting p k banerjee since 18 years it was curing nicely and almost gone bt now again it started coming out due to may be diabetes so please advise me what to do sir.
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Hi,Psoriasis vulgaris is an autoimmune skin disease. Diabetes has no bad effect on psoriatic lesions. But, diabetes should be controlled with perfect medicines to avoid systemic and skin complications.Kindly consult the dermatologist have proper drugs to control the psoriasis.I would give...- tab. Methotrexate 15 mg per week in devided doses 5 mg 12 hourly in two days- cap acitretin 25 mg/d ...may be reduced to 10mg/d after control - apply salicylic acid with steroid oint like clop- S oint twice day- avoid soap bath,keep the skin moist with moisturiser - avoid stress,tension and worriesTreatment should be continued even after clinical cure to prevent the relapse.I hope this would help your sister.Thanks.Dr.Ilyas Patel MD
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Suggest treatment for heart block with diabetes
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Sir my father age is 61 years and from last two months he has been suffering from complete conduction blocks along the entire course o both peroneal nerves with no recorable CMAPS. sUGGEST US this was the report given emg. now he has problem in walking, lifting his foot , and he is diabtic since 25 years
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Hello,Noncorrect treatment of diabetes and continuous high level of glucose in the blood can cause the nervous. Start with the good monitoring and treatment of diabetes. These can prevent the evolution of the damage.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Anila Skenderi
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What causes watery and thin blood?
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I checked my sugar with a meter and noticed my blood was very thin and watery to the point my strip did not want to draw it in,Why?My age is 48,weight 116 medical history is diabetes diet control only,COPD,Diastolic heart failure,dual chamber pacemaker,CAD etc
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Hi, dearI have gone through your question. I can understand your concern.You should go for routine blood examination for your hemoglobin level. Thin blood may be due to low hemoglobin. Investigate for that 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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What causes edema in legs, joint pains and hair loss?
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hi, I had edema in both my legs, after elevating them, i felt hot sensations in my legs and hands. Have been experienceing joint pains for a while, hair loss, inadvertent itching on my face and chest. Fatigue is my nemisis, as it comes and goes. I noticed lately that i have sensitivity to sun. All my work up are normal. What could this be?
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Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have edema in legs, joint pains and hair loss. Well there can be many reasons for symptoms you mention in query like medication reaction or side-effect , rheumatoid arthritis , multiple sclerosis , anemia or diabetes, type 2 . I would suggest you to consult orthopedic surgeon for proper examination . Doctor will examination physically order blood test along with other test and treat it accordingly . You should also consult dermatologist for hair loss to rule out factors like fungal infection genetic factors and side effects of some medicine . Doctor may prescribe betablockers , methotrexate , furosemide and analgesic for leg pain and joint swelling and minoxidil along with finpecia for hairs . For now keep your scalp clean , keep your legs elevated while sleeping and take ibuprofen or acetaminophen for pain . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
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What are the symptoms of diabetes?
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I have been extremely busy and have forgotten to drink fluids and eat for a 8 hour stretch. Due to this I have felt very light headed and have had head aches from this. I have noticed occasional cloudiness of my urine and recently an occasional acidic smell. When I drank plenty of fluids these things went away. I have also felt a bit jittery as well. I'm backing off of sugar, due to the fear of diabetes. My grandfather on my Mothers side, my mother, and my aunt on my Morhers side all have type 2 diabetes.
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Hi,As you have mentioned your symptoms get relived after drinking fluids, these are most likely due to dehydration (lack of water).You also mentioned there is strong diabetes history on maternal side, that make you prone for diabetes.Following things also make person prone for diabetes-1) Over weight. (BMI >25)2) Sedentary life style, lack of exercise. 3) Family history of diabetes (as in your case)I would like to advise you 1) Drink adequate fluids.2) Daily exercise (at least 150min/week)3) Regularise your meal plan.4) Yearly screening for diabetes by doing OGTT/ HbA1c.5) Watch for symptoms of diabetes like weight loss, increased thirst, increased frequency of urination, increased hunger.
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How much time do liver bruising and crack rib take to get cured?
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I fell in the shower, the hospital said cracked rib, very bad bruising internal liver e.t.c. been nearly 2 weeks ,still very bad to cough ,laugh or especially sneeze, how long will this take to heal please? I keep taking a big breath, and not aware of it coming ,is that normal? Thank you .
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Hi thanks for asking question.The healing will take still few weeks as injury seems to be serious according to history given by you.First rule out diabetes by doing random blood sugar.If diabetes present healing might delayed.Second do your blood examination also, it may reveal high count suggestive of infection.it also reveal anemia that also delay healing.Malnutrition may delay healing.So Take healthy nutritional diet with vitamin c reach fruit also like orange.Take enough rest and avoid heavy weight lifting.Avoid smoking.If inflammation more at site brufen can be taken.Wish you fast recovery with good health
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What are the symptoms of bowel cancer?
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I have a strange feeling in my left side near my abdomen and sometimes round towards the back. My bowel habbits have been a lot looser than normal could these be signs of bowel cancer. Im waiting to have blood tests done for anemia.I am 37, female, factor viii clotting and on warfarin to prevent more pulmonary embolsm. I went to the docs today about feeling rubbish, and am waiting to have bloods done for anemia, diabetes.
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Hi,Thanks for writing in.Cancer symptoms of bowel includes sudden change in bowel habits like constipation or diarrhea. Some people also experience bleeding in stools. Unexplained loss of weight can also be seen in bowel cancer.Since you have recent onset diarrhea then you should get a detailed cancer screening examination done. I suggest you get your stools tested for occult blood till the time you have to wait to see your surgeon. If there is occult blood in stools and as you have strong family history therefore you should get a colonoscopy done. It will locate any abnormal areas of polyps which are precursors to colon cancer.Doing colonoscopy and ultrasound scan of abdomen might highlight any suspicious area causing you the strange feeling whether inside the bowel or anything on the outside. Please do not worry.
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Suggest remedies for cough with phlegm after I fractured my ribs
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I fractured my ribs two weeks ago and also have bruising to my sternum. I have a couph ever since and very Flemish and low grade temperature. I have diabetes and high blood pressure. No medication because my doctor says flen not dark green,has been light green. Just rest for 8-10 weeks.
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Thanks for your question o HCM.Rib fracture causes pleural breach and pulmonary contusion on lungs.So due to this inflammation is present in that part of lung which gives you phlegm and chest pain on coughing.Better to start anti inflammatory and broad spectrum antibiotic to prevent infection.Also wear chest belt for minimal mobilization and thus rapid healing of fractured ribs.Avoid heavy weight lifting and strenuous exercise.
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Suggest treatment for shortness of breath, anxiety and headache
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client is female, aged 54 YO, complains of shortness of breath, anxiety,headache, investigations done blood sugar is normal, what happens if TMT is positive but the patient have no complain of blood pressure, diabetes, her sugar level is normal, cholesterol is 204 mg%
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Thanks for your question on Health Care Magic. I can understand your concern. TMT (trade mill test) can be positive with normal blood pressure, lipid level and sugar levels. Positive TMT is suggestive of coronary artery disease (CAD) Stress and anxiety are independent risk factors for heart diseases like CAD. And risk of CAD is high in post menopausal woman (54 years). So your client should be evaluated for CAD. So ask her to consult cardiologist and get done Coronary angiography to rule out CAD. If there is obstruction then she will need stenting or bypass procedure depending on the angiography report. Hope I have solved your query. I will be happy to help you further. Wishing good health to your client. Thanks.
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What is the treatment for degenerative disc disease, spinal stenosis and fibromyalgia?
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I live in Indiana and due to the new laws regarding Family practioners not being allowed to write over 60 pain meds per month I have been referred to find a Pain management doctor. I made an appointment and went to one yesterday and he treated me like I was a drug seeker and refused to even examine me other than to have me squeeze his fingers. I have been diagnosed with Degenerative Disk Disease, Spinlal Stenosis, a herniated disk, diabetes and fibromyalgia. This doctor went on to tell me that I didnt have anything wrong with me. Im not even sure he looked at my medical records that were sent to him by my GP. I have an MRI to back up my disc problems so I dont see how he could have the attitude he had unless he didn't bother looking. Anyway I have to try to find someone else but I'm now gun-shy as to how to go about it. The one I went to yesterday was highly reccomended but was a very big dissapointment. My question is how do I find someone to listen to me and not treat me like a criminal because I'm in pain and need medicine to deal with it? By the way I'm not a bum. I'm an educated woman that is employed as an insurance agent. I just happened to be in the wrong place at the wrong time in 1998 and was hit by a drunk driver.
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HelloI am sorry to learn about your predicament. You deserve every bit to be listened and provided with best possible management. I suggest you to consult a psychiatrist who will listen you and help in pain management. very few people know that pain management is a part of psychiatry curriculum as well . He may prescribe you SNRI medicines like desvenlafaxine or Duloxetine to help in pain,anxiety and depression. Please be very particular in controlling Diabetes and if you can, start 20 minutes brisk walking.DR SAATIISH JHUNTRRAA
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How can erectile dysfunction in a 60-year-old man after overcoming low testosterone levels be treated?
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I ve just started dating again after close to two years. I m 60 years old. I can feel stimulation, but I m having trouble getting a sustaining a full erection. A friend of mine is using trimix, but I m not sure I want to go that route. Also, a few years ago my testosterone level was low I started taking shots, but I was advised to quite taking them. It was nothing about a medical issue, my doctor just said he was glad that I stopped taking them. Can you give me any advice as far as any pills or what I should do? Thanks.
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Hi, thank you for trusting Healthcare Magic.I understand your concern.Erectile dysfunction (ED) is one type of sexual disorder in men. By definition ED is the lack of ability to maintain the erection process to perform sexual activity well. While an erection is the ability of the penis to tighten with the process of draining blood because of stimulation as part of the process to have sex.Erectile disorders can be caused many things, including:1. Blood vessel disorders2. Abnormalities of the nerve3. Drugs4. Abnormalities in the penis5. Psychic problems that affect sexual arousal.In order to be erected, the penis requires adequate blood flow. Therefore, blood flow disorders can cause erectile disorders. Nerve damage due to diabetes mellitus, alcohol, drugs, can also be the cause of erectile dysfunction. Cigarette chemicals also affect blood flow, so it can also contribute to this erection disorder. Approximately 25% of cases of impotence are caused by drugs that is the type of antihypertensive drugs, anti depression, anti psychosis, sedatives, cimetidine, and lithium.Complete evaluation is required with additional required investigations on suspicion of cause. Nutrition that can help overcome your erection problems is zinc and calcium. Do not take any potent medication without a doctor's supervision to avoid side effects that can harm your health.Thank you,dr. Nurul
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After taking cetrizine HCL 20 mg and nasal spray feel sleepy
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I am 49 years old male with diabetes2 high bp and high cholestrol. I worked very hard, two weeks back , I have dumped clear rocks with dust from my drive way to my back yard, its very hard job. After that I am not feeling well , I had dry cough , no energy in my legs and arms, I went to see my family doctor , he gave me Cetrizine HCL 20 mg and nasal spray, he said I have allergy but after taking pills I get sleep and no energy again, just sleep and sleep and constipation too. I have no energy in my legs. A little yellow stuff comes out only in the morning otherwise whole day no yellow stuff , there is no throat infection, no fever, I am so upset. I am very active and energetic person but not feek=ling well. Please help me. Thanks
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Hi,thanks for query.Your doctor is right you have allergy.The drug that you are taking sometimes causes sedation in some patients,so you should talk to your doctor about this to change the drug or reduce the dose.Please make sure your diabetes is in control.You can also take vitamin supplements like b complex and vit e for your weakness,please discuss this with your doctor and you will be fine. wishing you good health.
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Suggest treatment for gum bleeding with diabetes
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I had a tooth extracted on Wednesday. I needed some stitches. Since Wednesday my tooth has been bleeding, less and less but still bleeding. I went back to the doctoer today and it seems that the bleeding is coming from the side of the gum and not where the stitches are. I am diabetic and concerned. Doctoer prescribed a mothwash with antibiotics, ples I am taking an oral antibiotic every 8 hours. Anything else I could do?
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Hi...bleeding gums can due to your poor oral hygenc so have proper oral prophylaxis and root planing. Use mouth wash and oral gel like metrogyl- DG . so gradually it will solve your problem.take care ..as you are diabetic healing will be little slow.
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Are having dizziness and fainting suggestive of having microvasular brain disease?
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Since 2009 I have been seeing one neurologist after another for several symptoms that have presented themselves over the years. I finally learned that on an MRI that was done in 2009 that Microvascular Brain Disease was noted in the written report, but nothing was ever said to me. Finally three months ago, I was told that I indeed had Microvascular Brain Disease. I was experiencing dizzy spells, falling down, lack of balance, dropping things, and extreme fatigue. Are these typical symptoms of Microvascular Brain Disease or should I keep pushing for more answers?
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Hi, . The answer to your question is yes, these symptoms may be justified by microvascular brain disease and probabe ministrokes. The main cause of this condition is high blood pressure. Other factors include diabetes, atrial fibrillation, high cholesterol, etc. So, you should be checked and treated for these possible causes of the microvascular brain disease in order to prevent progression. Hope I have answered your query. Let me know if I can assist you further.
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What does fatty liver and high SGOT levels indicate?
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Dear Doctor, I am aged 35 and weight is 106. I had been to doctor on 20/11/13. My USG SCAN Diagnosed as GRADE 1 FATTY LIVER. My blood levels SGOT & all related are very high. Almost the double of the maximum prescribed limits. After endoscopy the diagnosis was LAX CARDIA & DIFFUSE EROSIVE GASTRITIS. Is it something serious. They have advised me Heptral 400 , UDILIV tablets.
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Hi thank you for using HCM. i had gone through your query. SGOT and SGPT are the liver enzymes that indicate the liver cell injury. fatty liver is the abnormal accumulation of fat in the liver cells.I would suggest you to continue the medication prescribed by your doctor and follow the instructions given below to lower sgot levels and to get rid off fatty liver as it is a reversible condition. This can be achieved by simple lifestyle modifications for weight loss.I would advise you to follow these instructions given below. Try losing 1 or 2 pounds per week not more than that, as it would lead to health problems. Go for cardiovascular exercises like brisk walking, running, swimming for 45min a day, 6 times a week. Strength training 4times a week.Avoid alcohol , quit from smoking.Avoid fatty foods, junk foods, deep fried foods, simple sugars, pizzas, chocolates, ice creams, soft drinks. Have a balanced and healthy diet that should include complex carbohydrates like brown rice, oats, brown bread. High protein foods like egg white, pulses, beans, sprouts, soya beans, milk, cottage cheese. Low fat foods. Use olive oil. Have 4 to 5 servings of green leafy vegetables along with all mixed vegetables. 5 to 6 servings of all fruits except banana, mango, chickoo.Drinky 3 litres of water per day.If you have diabetes keep your blood sugars under control.Get regular check ups for cholesterol and triglycerides from your doctor. Hope i have answered your question, if you have further questions i will be happy to help.
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Have grade 1 fatty liver. Fullness in chest. Taking Dompan and Gelvel. How long to recover?
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hello doctor, i have grade 1 fatty liver i am 23yrs old and i weigh 110kgs .i am not diabetic , thyroid reports also show normal behaviour, i have this fullness in my chest area which makes me feel more heavier and i hate this feeling . i am taking dompan and with it gelvel. i want to know in how much time will my liver recover and what to do about this fullness in my chest?
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Dear sir, Fatty liver is commonly associated with alcohol or metabolic syndrome (diabetes, hypertension, obesity and dyslipidemia) and i hope so that alcohol isnt the cause in your case. You should definitely lose some weight(at least 10-15 kg). This is probably the main cause of your liver disorder. You need to change your lifestyle, diet and sport habbits. The treatment of fatty liver depends on its cause, and generally, treating the underlying cause will reverse the process of steatosis if implemented at an early stage. It usually last for 4-6months if u do what i ve advised. Fullness can also be symptom of obesity, liver enlargement, gastritis or colon disorders. You need to see if your dietary changes would affect on your fullness feeling. If not u should do gastroscopy and colonoscopy to rule out some other diseases. Wish you good health.Dr. Ivan Romich
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I have recurrent ulcers in the mouth, How to treat it ?
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I am a 45 year, with diabetes. I have recurrent ulcers in the mouth.. Can some one suggest what might be the cause ? How to treat it?
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DEAR welcome to Hcm You should keep your Blood sugar level with in normal limit by Ahar vihar and Aushadhi [ diet , daily routine and medicine] try taking some Liver tonic in tab form at least for one month for local application irimedai tail this measures will bring recovery completely
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When should I take Istamet for diabetes treatment?
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Hi ,am a type 2 diabetic patient.Recently dr prescribed istamet 50/1000.1-0-1.am also taking pioz 7.5mg o-1-0.My fasting b.sugar was144.6&post lunch 184.9.&HbA1c was8.8.I started taking Istamet from 16 th Nov. DR .please advise me when should i take istamet ?before or after food.Then when hould i do my next blood test. My other problem is Hypocalcemia.i was on tab.shell cal 500mg od.NOw my ser.calium level is10.9. What should i do now ,should i stop taking shell cal ?
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Hello, You should take your anti diabetic medication istamet before food, or withen 15 mins of starting your meal at the most for optimum action. Your hba1c is still higher and after the change in medication, do repeat the test after 3 months. However you may do a fast and post lunch sugar after 2 weeks or so to know the trend. Your calcium levels are , yes you may stop supplement and rather concentrate of acquiring adequate calcium and vitamin D from . Regards Dr Priyank Mody
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What causes severe lower abdominal pain while having gallstones?
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I am having severe pain in my lower abdomen. It s across my whole abdomen, from side to side. It is a constant stabbing pain. It gets worse when I walk, stand up or sit down. It hurts if I even barely touch my stomach. It hasn t gone away since yesterday around noon. I was told several months back that I have Gallstones, but I m not sure i this is related to that. It is extremely difficult to get seen by my doctor and I don t know what to do. I tried ibuprophen, advil and mortrin and nothing helps. What could be going on? Should I go to the Emergency room?
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Hi, Your symptoms may be suggestive of gallbladder stones so you should do at least an 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. Other causes include pancreatitis or pleurodynia and should be considered if gallbladder stones are ruled out. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon
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What causes a brown bump on the back with pus formation?
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Hello. I have a brown bump on my back. It appeared as if a balckhead was in the bump so I squeezed it. Brown (what I assume to be puss) came out and it seemed to be quite a bit. The bump did flatten some once I squeezed some of the puss out. I squeezed it and more brown puss came out but no bleeding. Seems to be a lot of puss. The bump is about the size of a dime. What is this?
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Thanks for your question on HCM. By your history and description, you are mostly having infected sebaceous cyst. Back is the most common site for sebaceous cyst. It is skin swelling in which sebaceous cyst are enlarged due to obstruction in the sebum flow. So sebum accumulates in the cyst and enlarge. This sebum can get infected and cause pus formation. The most common association is diabetes and poor skin hygiene. So better to get done sugar level to rule out diabetes. You need surgical dressing to prevent recurrence. You also need antibiotics and anti inflammatory drugs. So consult surgeon for all these.
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Hi friend, Welcome to Health Care Magic In this situation, only the examining doctor can give a proper diagnosis. Otherwise, it is just guesswork! Probably you are having recurrent furuncles (boils) / you may have to exclude Diabetes...some forms of immune deficiency and so on... Take care Wishing speedy recovery God bless Good luck
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Diabetes, non-insulin dependent, hypertension under control, diagnosed with general brain atrophy, have intense headaches regularly with short term memory loss. Which medicine can I take?
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Hi. I just found out I have general brain atrophy and specific atrophy in the right temporal lobe. I am a diabetic who is non insulin dependent. I am a 35y/o male. 6 0 , 235lbs. I also have hypertension that is controlled well by medication and am an ex-smoker. I have noticed a severe lack of short term memory and am having severe daily headaches. Do you have any ideas on the headaches? My neurologist doesn t think the headaches are because of any atrophy, and the medicine I have at home (aleve/tylenol) don t help. Is there anything you could recommend? Thank you in advance.
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Hi,Thank you for posting your query.I have noted your symptoms and brain scan findings.You have two distinct problems- atrophy (shrinkage of brain) as well as headaches, and they are not related.Headaches could be because of migraine, and it would be useful for you to take preventive medications such as topiramate or divalproex.You need to be further investigated to exclude mild dementia, in view of memory loss and brain atrophy.Memantine and donepezil could help in dementia.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/
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Are rapid heartbeats for a few seconds normal?
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I am 32 years old and for the last two years I have had strange random heart palpatations. I have had multiple EKGs, stress tests, blood tests etc. Other than a few low results from iron and vitamins B and D everything has been normal. I am over weight and have diabetes, however my diabetes is extremely well controlled (my a1c is 5.3) and my cholesterol and blood pressure is good and my triglycerides are great. Because they couldn't find anything they said it must be anxiety, even though the episodes only last mere seconds and I am fine until the next time it happens which could be hours, days, or weeks away. Lately I have had a new "sensation" of what feels like vibrating actually in the upper section of my left breast but with no pain. last night it was so intense it actually scared me. My doctor already thinks I am a hypochondriac and each time I go in with these syptoms I am told it is just anxiety...so do I ignore it or not?
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thanks for asking your queryprobably you may be suffering from anxiety if ecg and echo and all stress tests are normal .next test you can consult a cardiologist regarding 24 hrs holter ecg.you can try an antianxiety medication like fluoxitine or others after disscussing with a physician or a psychiatrist hope your problem will be resolvedthanksmay God bless you with good health
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What causes severe back pain ?
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I am 54 years old female with a history of back pain.microdiscectomy december 2008 L5 area which was a success. in the last 2 weeks have had severe back pain down rhs leg and buttock, unable to stand sit or walk, chiroprctor states its a flare up, I cant afford to be off work as dont get paid or the chiroprctor fees, on full pain relief and cold compresses but no relief-have gp appt on friday for unrelated medical problem should I see gp sooner as have type 2 diabetes and right foot numb?
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Dear patient Severe pain in whole leg with numbness in foot indicates significant disc prolapse either at same level (L5 ) or higher level. So its a serious conditions and you need to consult expert spine surgeon asap. MRI of lumbosacral spine with screening of whole spine is required to ascertain level of disc prolapse and amount of nerve compression. Please do that and visit spine surgeon asap and do not neglect your health.
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Low ferritin level, high meat intake, overweight, bad life style. Liver ultrasound shows fatty infiltration. All other tests normal. Any possibility of cancer?
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PE in 2006 due to traffic accident, no liver disease , high ferritin level, 729ng/ml Mar 2011, increased to 939ng/ml in September 2011, Decrease to 679ng/ml last week. Chinese, transferrin saturation at 42%, bad life style. zero excess , high red meat intake. over weight . pain at liver area only at running , no other symptoms.liver function normal, full blood count normal. done liver ultrasound,showing fatty infiltration within the liver , with an area of slightly reduced echogenicity adjacent to the porta which measure 3.5cm in maximal dimension. It may be a small area of focal tally sparing but follow up ultrasound of the same is indicated.no other significant findings identified. Gallbladder, common bile duct , aorta, spleen, pancreas and both kidneys appear normal. report attached. my questions is: is any possibility this could be cancer related? thank you
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Hello david.lee,, high feritin level- seen in iron storage disorders-hemochromtosis, hemosiderosis, porphyyria or chronic disease process, alcoholic liver disease , adult onset still's disease, hemophagocytic lymphohistiocytosis, hemolytic anaemia,sideroblastic anemia, autoimmune disorder, chronic infection - In USG-fatty liver- increase risk of diabetes, hypertension,obesity, dyslipedemia, with reduce echogeniccity- may be seen in so many disease, in hepatocellular carcinoma- hyperechogenic &hypoechogenic area present, in metastic carcinoma of liver diffuse foci present in liver from breast cancer, colorectal cancer, advice- CT SCAN with contrast if doubt MRI, PE(pulmonary embolism)- risk increase in prolonged bed rest,or cancer investigation-D-dimer test,CTpulmonary angiography, your history is not proper,you wants to rule out which cancer, can you mention, hope my advice is useful yo you, thank you.
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What could lump on butt after fall suggest?
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I m 53yr female. Generally in good health. I fell down the stairs 2 months ago. Severely bruised my left butt cheek. Now, the bruise is gone, but I have a lump that is sensitive to touch on my butt. Went to Dr., took x-ray, and there was nothing broken. Lump is still there. What can I do to make it go away?
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Hi, It could be intra/inter musecular hematoma. This treatment is being suggested on bases of the information provided. However, I would like to examine & investigate the patient in detail. Control hypertension, diabetes or any other metabolic disorder, if there is any. Any way it may be tried: - Dolokind Plus (Mankind) [Aceclofenac + Paracetamol] 1 tablet OD & SOS for 5 days. - Caldikind plus (Mankind) 1 tablet OD for 10 days. (You may need help of your local doctor to get these medicines.) - Fomentation with warm water. Let the part not be exposed to cold air. - Sleep on a hard bed with soft bedding. - Use no pillow under the head. - Avoid painful acts & activities. - Do mild exercises for neck and shoulders and hips and knees and ankles. (Take help of a physiotherapist.) - Do not ignore, let it not become beginning of a major problem. - Do ask for a detailed treatment plan. - Make sure, there is no allergy to any of these medicines. - For emergency treatment visit nearest hospital. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon
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What causes bleeding from tooth?
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MY GUMS AROUND ONE CERTAIN TOOTH JUST STARTED BLEEDING PROFUSELY OUT OF NOWHERE. THIS HAPPENED YESTERDAY WHILE I WAS JUST SITTING WATCHING TV. IT WAS ONLY FOR A FEW MINUTES THEN TODAY THE SAME THING HAPPENED INVOLVING A DIFFERENT TOOTH. WHAT MAY HAVE CAUSED THIS?
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Brief answer:Gingivitis or Periodontitis.Hi..Can understand your concern..As per your complain it seems you have gingivitis that is infection and inflammation of gums or Periodontitis that is inflammation and infection when involves deeper tissues like underlying bone.In case of gingivitis there is inflammation of gums causing swelling, redness and bleeding from gums.At times when any one area of gums gets more inflammation bleeding can initiate from it.Or different areas may be inflamed and any region can bleed at any point of time.It can occur commonly in case of poor oral hygiene leading to deposits over the teeth which creates a constant source of infection leading to gum problems.There can be other underlying medical conditions which can cause gum bleeding are Diabetes, Pregnancy.Oral contraceptives intake can also cause gum bleeding in women.If the gum infection is long standing and ignored can lead to bacterial multiplication in the pockets which are formed between the gums on one side and jaw bone on other leading to damage to the bone and further infection goes deeper with bleeding and loosening of teeth..I would suggest you to see a dentist soon and get evaluated for the cause of bleeding and treatment can be based on the diagnosis.In case of gingivitis scaling followed by gum paint can be helpful.Hope your query is solved..Thanks and regards..Dr.Honey Nandwani Arora.
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Suggest remedies for constant high pressure in spite of medication
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My husband is 53 and has been in the hospital for a week. They can't get his blood pressure down. They have tried all different typs of med. and it only get higher. This AM it was 217/96. He went to the hospital because he had a bad headache and pain in his back and chest on the right side. He also has numbness under his ritht arm. With testing they ruled out anything with his heart but so far have just tried med. to lower his blood pressure. To me it is not working and I feel they should be looking for another reason not just try to treat it with med. I worry that it has been so high for so long that major damage could result but I don't know what type of question I should be asking. He also has diabetes and is overweight. We have changed our diet at home and he has lost 22 lbs. in the last month. Can you help!
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Hello!Welcome and thank you for asking on HCM!I carefully passed through your question and would explain that it is important investigating for possible secondary causes of high blood pressure (like kidney or liver disease, adrenal gland dysfunction, metabolic syndrome, diabetes, thyroid dysfunction, pheochromocytoma, etc.).For this reason, I would recommend performing some tests to investigate for possible underlying causes: - a chest X ray study- complete blood count for anemia- inflammation tests (PCR, sedimentation rate)- thyroid hormone levels- cortisol and aldosterone plasma levels- fasting glucose and HbA1C- urinary metanephrines- kindney and liver function tests. If all the above tests result normal, I would recommend making some changes to his antihypertensive therapy (add new drugs).Some lifestyle modifications will also help control his blood pressure: - reduce salt and caffeine intake- avoid smoking contacts- perform a lot of physical activity- try to lose some other pounds. Hope to have been helpful!Kind regards, Dr. Iliri
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What causes swollen toe after cutting the toe?
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I cut my pinky toe slightly when cutting my toenails. It looked as if it got infected a couple of days later. I then went to the doctor and she prescribed an antibiotic called ciprofloxacin. She tried to release the swelling that was causing me pain, by pricking the toe with a needle and squeezing the toe. But no puss would and little blood came out. I hurt it a little over a week ago and it is still hurting, a little swollen and somewhat blue. Not sure what to do next - other than return back to the doctor. I was told that if I hadn't had blood work done recently (which I had) that I should have myself checked for diabetes.
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Hello,Welcome to HCMYes, your doctor has advised you correctly.Check your blood sugars once,to rule out diabetes.As you have not mentioned your age, Type 2 diabetes most commonly affects people>40 years of age.It is usually diagnosed incidentally.Diabetes is one of the common causes for delayed wound healing.Also take analgesics like ibuprofen and serratiopeptidase containing tablets.That will help you to decrease then pain and swelling.Hope you are happy with the answer.Thank you
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How can I help my diabetic son who is suffering with frequent urine infection and extreme thirst?
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age 50, my son, schizoaffective, diagnosed 10 yrs ago diabetes and after yrs of intermittent noncompliance now finally stabilized thanks to shelter home life. He is not a good informant re: symptoms. He visits me once a month, 5-plus days at a time. We never discuss his meds or his health. I know he s on injections of insulin I have concerns (due to ignorance) about his ongoing extreme thirst and extreme urine frequency. I don t know if those two symptoms are a precursor to a worsening of condition or further organ problems. Any information you offer will certainly help with my knowing what possible expectations lie ahead and my ability to assist him if needed. Thank you
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Hello, The symptoms you described are suggestive for high glucose levels, he needs to increase the insulin dose. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Mirjeta Guni, Endocrinologist
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What causes high BP and pain in kidney area?
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Hi. My blood pressure was 154 over 76 2 hours after lunch time, and was 146 over 72 this morning after waking up. I have pain on my left kidney area, some pain in my left rib cage, and sometimes dizziness. My mom had a history of Diabetes, high BP, CHF, and I am 44 years old, 188 lbs and 5 ft 11 inches.
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hi,your blood pressure is certainly high and you need to monitor blood pressure frequently. Have low salt diet, low fat, sugar, diet. regular exercises and get your lipid profile and sugars tested once.you need to start on medicine and I usually start my patient on tab Telmisartan 40 mg once a day. you can discuss this issue with local doctor.Still you need to keep track of bp so that it's should be controlled and will not affect kidney and heart.Regarding your pain it can be gastritis and kidney problem is less likely. however you avoid spicy, oily food, avoid alcohol, smoking if any, and try tab pantoprazole 40 beforebreakfast once a day.you can do one ultrasound abdomen done which can make picture Clear.
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What causes abdominal pain post masturbation?
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After I masturbate for a long time and ejaculate, I get an intense cramp on the right side in my abdomen. The cramp is about 3 inches below my belly button and 4 inches to my right. The cramp goes away in about a minute. It feels just like a leg cramp, but it is in my groin. It is on about the same level as the top of my hip. It feels like it is just a couple of inches below the skin, not very deep down. This happens about once a week. I masturbate at least twice a day. I am a male, 60 years old, have diabetes and high blood pressure.
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DearWe understand your concernsI went through your details. Please understand you are already 60. I sincerely suggest you to reduce your masturbation frequency from twice daily to twice weekly. Though masturbation do not have any negative health effect, it does consume lot of energy. At your age your body may not be able to manage such loss of energy which is resulting into muscular cramps. Please do consult your physician for second opinion.If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck.
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Could constant breathing of formaldehyde cause liver damage?
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I was recently told that my liver enzymes are 10 times what they should be, resulting in "liver damage." I dont drink, dont smoke, dont have hepititas, and dont think I would have a FATTY LIVER. Im 35yrs old, 5ft 1 and weigh 130lbs. What would cause liver damage in a healthy person??? I am a hairstylist and perform the Brazilian Blowouts in the salon. Its a treatment with controversy surrounding levels of formaldahyde. Could breathing in the air in the salon have damaged my liver?
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Hello,It is possible that inhaled formaldehyde can damage the liver. But do also rule out metabolic syndrome -- abnormal lipids, obesity, high insulin levels in blood, and later diabetes and hypertension. Ask your doctor about metabolic syndrome.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Geeta Sundar
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Along with peritoneal dialysis what can give relief to a patient with kidney disease ?
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Hi, my father is on peritoneal dialysis he feels very weak no much appetite all of a sudden from last week and his fluid his comiing out as dark yellow
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Hi, Welcome to HealthcareMagic Forum. Chronic kidney Disease (CKD) is the gradual loss of kidney function. Since how long is he on Peritoneal Dialysis (PD)? You should be taking to his NEphrologist so that he can examine him and suggest any rescheduling in PD. It is common for a CKD patient to have loss of appetite, not to worry. He will require few blood tests to see for the amount of wastes in his blood and also the hemoglobin level. If the test results show that the dialysis schedule is not removing enough wastes, your doctor may change the dialysis routine. This might involve changing the number of exchanges, increasing the amount of solution used for each exchange or using a dialysis solution with a higher concentration of dextrose. In addition to this, he should be eating right amount of food, low in sodium and phosphorus. Kindly consult a dietitian for this so that he/she can develop a diet plan suiting his weight, personal preferences, remaining kidney function and other medical conditions, such as diabetes or high blood pressure. Finally, he should be taking his medications as directed by his Doctor for achieving the best possible results and go for regular follow up. I Wish him Good Health, Take Care.
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What causes body pain with leg numbness?
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whatever i eat i feel like the food no salt and nth but my parents and family say got taste? my body also always paining and my legs get numb almost everytime! and i start to eat alot nw. like everytime i wanna eat. My head hurts alot everyday. everyday i get headaches. I m 18 years old, height is 162cm weight is 65kg. my dad got diabetes and my mum and brother got high blood pressure.
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Hello, As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician
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Is there any medicine for s creatinine ?
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I am 57 years old. My S. Creatinine is 2.63.I have pressure & diabetics. CMC Hospital doctors think that is for longtime pressure. I took medicine of pressure. Is there any medicine for S. Creatinine. Regards Dr. Saleh (Not Physician )
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hi saleh; welcome to healthcare magic Your s.creatinine is higher than normal.You also have blood pressure & diabetes.The doctors are probably correct in pointing out as long term diabetes causes diabetic nephropathy (weakness of kidneys so they don't filter & produce urine properly).It gets further compounded by long term high BP.The doctors will give you necessary medicine or you can consult a Urologist who will guide you with the diet;medicines to reduce creatinine. wish you good health thanks
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Using cream to keep foreskin moist, burning sensation during urination
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My foreskin on my penis has been bothering me and i have been keeping my skin moist with petroluem jelly. The Pain has decrease but i must have some irritated skin on the tip because i experience a burning sensation during uranation
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Ho burning sensation during urination indicates there is acute infection .rule out balanitis .rule out diabetes first.Treat the condition with azithyromycin 1 gm on day one followed by 500 mg daily once for four to five days and application of fucidin ointment along with moisteriser can cure the condition
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What could squishy sound from right knee when crouching or squating be?
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My right knee makes a squishy sound when I crouch/squat, but so far with no pain present. I even do weighted squats at the gym and hamstring exercises with no pain issues. My right knee also has slight puffiness from a bursa sac? I had at one point back in September injured my knee playing tennis. I never got it checked out, and it eventually heeled on its own, with me no longer feeling any pain while climbing stairs. Any ideas what the sound could be?
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Your age please?The 'squishy sound'IN THE KNEE COULD BE DUE TO SNAPPING TENDONS.This treatment is being suggested on bases of the information provided.I would like to examine & investigate you in detail.Rule out Hypertension, Diabetes or any other metabolic disorder.Any way you may try---. Dolokind Plus (Mankind) [Aceclofenac 100mg +Paracetamol 350mg] 1 tab. OD & SOS. X 5days.--. Caldikind plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water.--.Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.-- .Do mild exercises for Knee & Legs. --.(Take help of a physiotherapist or visit www.drncgupta.com). Do not ignore, let it not become beginning of a major problem.Do ask for a detailed treatment plan.If no relief in 2-3 days, contact me again. (phone.91 9810012688)Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed).For emergency treatment visit nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the answer.-Wish you a quick recovery & good Health.
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What do itchy bumps near buttocks while taking Progesterone shots suggest?
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In the small of my back (close to buttocks) there are two small pockets to the right and left of spine. The one one the right now has a growing lump. I am pregnant (over 40) and receiving progesterone shots on buttocks muscle weekly, but far to the the right of the location of this bump. What could this be? It itches at times, which is how I found it.
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Hi,Dear,Good Mornig.Thanks for your query to my HCM-virtual clinic.AFter indepth study of your query,I understand your concerns.In my opinion-diagnosis -is -Post-Injection cellulitis with itching-mostly caused by Foreing body reaction to the oil base of the depot progesterone you are taking. I would advise to check for the blood sugar profile and rule out Diabetes,as you are in 40's and pregnant.Hope this would relieve your worrysome query.Wellcome to HCM for more queries.
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Suggest remedy for liver cirrhosis
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Hi, I m Ramandeep, recently we have tested our father Blood Urea and haemoglobin report, it shows Blood Urea 157 and normal comes in range 1-47 and haemoglobin shows 4.5 and serum creatinine is not normal. My Father is suffering from Liver Cirrhosis problem.Please suggest remedies
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Welcome at HCM.... I have gone through your query and being your doctor I completely understand your health concerns.... Based upon the data you have provided it seems he has got liver cirrhosis along with deranged kidney functions.... For his long he has cirrhosis? What about serum albumin levels? Serum bilrubin? Any ascites on ultrasound?? What is cause of cirrhosis?? Any other co morbidity like diabetes or hypertension!!! As far as cirrhosis is concerned you cannot reverse it... You can treat it conservatively with diuretics and other supportive medications....try to avoid meat and salt intake..... Use fresh vegetables fruits and fish once a week....consult hepatologist... For kidney function meet nephrologist for proper workup and management.. Sometime kidney failure occur secondary to liver cirrhosis... You need to meet hepatoligist and nephrologists .. His HB us too low he should be transfused whole blood Till his GB vecine more than 10..... May he get well soon...if you still have any query feel free to ask Regards Dr saad sultan
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Can Levaquin cause peripheral neuropathy?
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I was recently diagnosed with peripheral neuropathy. They have not been able to figured out why I would have this. I am not a diabetic. Sugar levels have always been good. I was reading about the drug Levaquin that can cause this problem. I went back in my records and found I have had this drug at least 4 times in the last several years. Do you think that could be the cause?
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Hi,Levofloxacin (Levaquin) a fluoroquinolone, has a strong anti bacterial property. It is used to treat various bacterial infections (susceptible to it). However, it is unlikely to be the cause for precipitating the peripheral neuropathy. Other than diabetes, nerve trauma, alcohol and toxins and autoimmune conditions can cause this condition. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Prabhakar Laxman Jathar
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What causes feeling of head spinning, eyes shaking and dizziness?
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Hey, everyone once in a while like once everday 1or 2 days my head would feel as if its spinning, a sudden oncome of dizziness would hit me and my eyes would feel as if there shaking. It would last from 5 minutes to almost 2 hours. What's the cause of this ? By the way I'm a thirteen year old
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well , it may be a manifestation of seizures, diabetes, worm infestation, Evaluation by ent specialist is a must.child needs to be evaluated thoroghly.
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Diagnosed with fatty liver and elevated ALT, AST and sugar. After test suggested Ursocol and omeprazole. Suggest?
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Hello Doctor,My husband is diagnosed with fatty liver in ultrasound report while he has elevated AST & ALT in blood test report which i am giving here :1.Total Billirubin : 1.06 mg/dl2.ALT : 252.3 U/L3.AST :93.0 U/L4.LDL cholesterol : 139.14 mg/dl5.Cholesterol HDL ratio : 6.54 Doctor has suggested him to take ursocol 300 & omeprazole ....& instructed for more blood test which are liver related.his sugar level was also hiked in the report.( first time observed high sugar level) . he is only 29 yrs old.suggest me pls. i m very much worried.
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Hello,The most common causes for fatty liver and high AST snd ALT are alcohol consumtion,however in absence of alcohol consumtion other reasons which are important are high cholesterol,consumtion of more sugar and diabetes.In your case,probably high cholesterol and diabetes are responsible for your fatty liver and high liver enzymes.There is lot of controversy regarding the medication as many gastroenterologist feel that medicines like URSOCOL have no use.The best and ideal treatment is quit alcohol,if any,control your cholesterol and blood sugar levels,do regular exercises and shed your weight.Get your liver enzymes tested after 3 months.Most likely you should be all right.In case,you don't find improvement,consult a gastroenterologist and get yourself tested comprehensively.Thanks
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What causes dizziness with the feeing of pins and needles on arm?
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Hello this morning I had really bad shakes I felt sick and dizzy. Managed to get strength to go to work and they made me eat chocolate to bring up sugar levels. Nearer the end of the day I got pins and needles down my left arm . I spoke to my dr before the pins and needles and he said to have a blood test which ive booked for monday! This scares me incase its diabetes or anemia. My mum s mum is diabetic and so is my dads dads? Im 18 by the way
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Pins and needle sensation is paraesthesia .it is caused by many causes.mostly occurs due to decreased blood supply transiently .it may be due to compression of the blood vessel, or metabolic.if u have had a good mattress/sleep than compression is ruled out.So it can be metabolic,it can be type 1 diabetes, at your age,but it manifests early in childhood.Mody can occur at your age given history.But,simple blood test can rule out this disease.The possibility of other metabolic conditions is more likely given acute onset.It can be hypercalcemia, or hypokalemia where paraesthesia are common.Also it could be any pathology in cervical vertebral region. So an MRI can rule it out.Metabolic conditions can be diagnosed by blood testing.
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Is it safe to have beer along with Metformin for type 2 diabetes?
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I take Metformin for type 2 diabetes and I drink beer daily, and I would like to know how many beers per day are considered excessive?I am concerned about the condition of Lactic Acidosis and understand that excessive drinking can contribute to this condition.
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Dear Friend, greetings from HCM. I understand your concern... Drinking beer daily is not advisable ... And as you told it may harm your health.. You shall have to reduce the frequency and eat healthy nutritious food too. Because alcohol can cause deficiency of some important nutrients which are. Very much necessay for metabolic process .. Definitely you cannot go more that 350/500 ml as you told metformin itself can rarely cause lactic acidosis .. Noe in addition you may have more chances .. Please do exercise daily at least walk 1 hour everyday .. Eat more of green leafy vegetables .. Fruits and fiber rich diet ..like ots and milets.. Whole grain will have more fibers .. Hope I answered your question and do contact us for more queries,
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Perfect diet chart for a blood sugar patient
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dear sir, my name is bhawri solanki age63 female i have blood sugar frm last 15 years,and 2nd of this month i had suffagation pblm,after consuting with doctor iwas reported a shrinkage in kidney (RIGHT KIDNEY 7.2 x 3.4 and left kidney is 8.0 x3.6) doctors says there is no need of dialysis and not possible for transplant. now i want a perfect diet chart for this disease
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Hi, Welcome to Healthcaremagic Thanks for your query You seem to have a chronic kidney disease due to diabetes. We need to know your serum creatinine, serum electrolytes and current blood sugar status. A diet plan is a specific thing for which you need to be examined by a dietician, but in general, avoid citrous fruits and low sodium salts as these contain high potassium, and a low protein high carbohydrate diet to keep your S creatinine on lower side. Also, water in moderation. Take care
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Are prostrate problems related with erectile dysfunction and low semen flow?
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Hi, I am 51 year old man and it takes longer to get an erection. last shorter, and when I ejaculate, it is less intense and less semen flow than a year or two ago. Also, when I get ready to ejaculate, my anus and left testicle tightens up with some discomfort like a strain or muscle spasm. Is this a potential prostrate problem or something else?
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Hello,Yes, you are right. As in case of benign hypertrophy of prostate, for example, BPH (Benign Prostate Hypertrophy) which cause retrograde ejaculation, so low semen content.The causes for erectile dysfunction are psychological, stress, fatigue, diabetes or other chronic illness.The treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with sex expert.Hope I have answered your query. Let me know if I can assist you further.
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What causes malodorous bleeding discharge from lumps around rectal opening?
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Hello - I have several external lumps inside and around the opening of my rectum (each is about the size of dime is diameter). Every time I have a BM there is blood on the stool and toilet paper. Also, there is a daily foul-smelling discharge from the anus. There is another similar looking lump on the lower part of the penis which is much larger but no discharge.
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Hi,Dear,Good Morning from India.Thanks for your query to HCM Virtual Clinic.-I studied your query in depth.I understood your concerns.-In my opinion-you may be suffering from -mostly from-? multiple Piles ? or with fissure ? with fistula in ano with foul smelling discharge-? or could be hidradenitis suppurativa-or acne inversa?-From the facts given-you mostly have -fistula in ano with anal abscess-The one on the penis appears to be furuncle.-You need to consult your Surgeon-and get fbs/pps done to rule out the diabetes issue with you-which could be causing it.-You should definitely be concerned of this issue.Hence I advise you to take care as advised.-This would help to recover fast.-Not to worry for its recurrence and its definitely not a Cancer for sure.Hope this would help you to recover fast.Wellcome to HCM again for any more queries.Have a Good day.
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Pancreatitis, hital hernia, anxiety, hepatitis, insomnia. Suggest best painkiller for pancreatic attacks?
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Hi, l'm a 27 yearold male, with pancreatitis, hiatal hernia, anxiety, hepatitis, depression, sever insomnia and to top it off l have diabetes. My pancreatic attacks are sever and would like to know which painkiller is the best for me and not too hard on my liver??? So l can possibly ask my Doctor to prescribe it for me possibly? The pancreatitis pains are sever and keep me up all day and night. Thankyou for any information you can provide about my PAINKILLER Situation or any of my health problems.
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Hello, Thanks for the query to H.C.M. Forum. Your query is the best pain killer for acute pancreatitis ?All pain killers are best until they act and after some time you will be addict . The best way is treatment of pancreatitis not pain killers.All pain killer also aggravates Hiatus hernia and make bad side effect over liver if used for long time. As many pain killers contains morphine and its its alkaloids , so this is not good for you as all these are habit forming drugs at least I will not advise. Now a days most potent treatment of pancreatitis available so please get the treatment from gastro-enterologist and be happy. Good luck. Dr. HET
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Suggest treatment for hypoglycemia
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I have a problem with my sugar dropping frequently...I've been seeing an Endocrine Dr. for 6 years for hyperthyroidism, but he hasn't been concerned with my glucose levels...Seems when I do any type of activity, it drops...Usually in the 50's & 60's
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Thankyou user for your query.As per your query I want to ask about the medications you are taking currently? Either you are not taking proper diet as the chances of hypoglycaemia without diabetes are quite uncommon. There are few investigations which you need to get it done:liver function test: As severe illness of liver like hepatitis cause hypoglycaemia.Kidney function test, get your ultrasound abdomen to rule out insulinoma (quite rare).Are you into drinking alcohol? as it also sometimes causes hypoglycaemia.god bless
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How to treat severe back pain with ppm implanted? Unable to empty the bladder,lower abdomen pain
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i am cardiomyopathy case with 20% lvef and have ppm implanted in 2010 and after that i have been suffering from back pain which has become very severe due to gap in l3 & l4. Recently having urine problem as it does not get empty. The bladder is full but unable to empty it fully. I get pain in the lower abdomen. I have uncontrolled diabetes due to which there is burning in thege lower limb . I cannot be operated so was given pain management there. Can you find out the latest development in getting treatment for backpain/prostate gland/ with patient like him who has implanted ppm He already has three stents in his legs and one stent in his heart. Is this the problem due to ppm releasing some chemicals/radiation in his body.
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Hello. Thanks for writing to us. The implantation of pace maker is not likely to cause the pain or bladder problem that he is having. Apart from the pain killers that he must be having already, he can go for physiotherapy and perineal exercises to take care of the problem. A NCV testing will help in finding put any nerve related problem. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal [email protected]
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What could cause swelling and pain in the right elbow in a 45-year-old?
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My 45 year old, athletic, husband has a swollen and painful right elbow (tendon) and tendons , in both feet are swollen and red and both Achilles. This happens about every 4 to 6 months. He does not have Gout, diabetes, or rheumatoid arthritis. Do you know what it might be?
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Hello, If it is not gout then one possibility is that he could have Ankylosing spondylitis. Get his hla-b27 done and send me the report. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anuj Gupta, Spine Surgeon
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How can shortness of breath be prevented?
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I have history of COPD, asthma and inflammation of the larynx. Right after Christmas I began having shortness of breath more than usual. I have had labs done and seen my pulmonary specialist. I am currently on Spiriva, Nasonex, and Atrovent and was on prednisone from Jan 16-20. All tests results are good. I also have Type II diabetes, Nonalcoholic cirrhosis, chronic kidney disease (rt nephrectomy in 2004), ITP. My Pulmonary said my lungs sound clear. Is there anything I can do to prevent from having these episodes.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. No usually in most cases this is the right treatment. Take flu vaccine in autumn to prevent you from getting flu in winter season. Hope I have answered your query. Let me know if I can assist you further.
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What causes the red rashes?
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I have had a red rash for 2 weeks and the spots are turning brown. The doctor said he was stumped because it does not look like anything specific. It itches and is on the groin area as well. I was tested for diabetes and had a score of 97(which seems high since I am on the adkins diet.
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HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that most of the skin manifestation, urticarial rash like picture is always idiopathic in origin but such clinical picture gives good response to "Hydroxyzine tab" some times this medicine need to be taken for long time, and the result would be good for this, take care and have a nice day.
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Why would using whitening strips cause extreme pain and sensitivity?
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Last night I fell asleep for a couple of hours with whitening strips on. After I took them off I had horrible pain and sensitivity to everything. It's starting to get better now, but should I be concerned? I'm diabetic so it scares me even more so in case something may end up going wrong as a result.
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Hello!Thank you for posting here.Stop using the whitening strips immediately.Sensitivity is the most common side effect in whitening treatment.Get a clinical evaluation done to assess the sensitivity.Use a desensitizing tooth paste like colgate pro sensitive.Apply it in the teeth with your finger and leave it for 5 minutes. Brush gently with the same tooth paste gently.In extreme sensitivity, you will require root canal treatment in the affected tooth.Avoid too hot and too cold food stuffs.Also avoid staining foods like caffeine,carbonated drinks.It must get better in a few weeks.Do not worry, it will not get affected because of your diabetes.Hope this helps.
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Suggest remedy for watery blisters on legs while having diabetes
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My dad has many health problems including diabetes and now he has been suffering with a lot of water type blisters on his legs front and back they are very painful and leave major scars is there anything out there that can help my dad get rid of these water blisters that just always appear for no reason
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Dear friend, Greetings.... please get the HbA1c, microalbuminuria, Fasting and post prondial glucose done. It seems his sugar levels are not under proper control. Blisters could be due to some super added infections due to less immunity in people with uncontrolled diabetes !!! .. please visit your treating physician and he will prescribe proper antibiotics and adjust the drugs... mean while keep the part dry and clean see that he does not get injured...take care and do contact us for more queries ....THANK YOU
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Should i be worried of numbness in toe for days?
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My fourth toe on my right foot has been numb for 3 days. I have not been wearing different shoes or running long distances. Should I be concerned? What are some possible causes? It is only one toe, I do not have any symptoms, markers or history of diabetes.
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HiWelcome to healthcaremagicI have gone through your query and understand your concern.Some swelling in the area is important cause of numbness. Elevation of limb is helpful. Mecobalamin is helpful in recovery. 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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Best type of diet to keep the remaining kidney healthy
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I had a kidney removed 4 years ago..cancer. I feel terrific but in the back of my mind I keep asking myself...how do I keep my other kidney healthy since I only have one. ...In other words...what is the best type of diet to keep my remaining kidney healthy. .
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Hi,I can understand your concerns. There is no need to worry too much about the health of your kidney. Any food which is healthy for your heart will be good for the kidney also. Just take care of the following things in your diet:1. Eat food rich in antioxidants. These include red pepper, red cabbage, red leaf lettuce, cauliflower, cherries, strawberries, cranberries, blue berries, plum, apple, red grapes, onion and garlic. Try to take as many colored food items as possible.2. In animal protein, try to take egg white and fish instead of meat.3. Use olive oil and vegetable oil instead of butter, lard and shortening.4. Make sure you take regular and adequate fluids. Prevent dehydration.5. Limit sodium intake (about 2.5 g/day).In addition to these aspects of diet, please note that hypertension, diabetes and hypercholesterolemia can worsen kidney function. You need to get checked for these diseases regularly and control them if you already have any one of them. Regular exercise is important to prevent and control these three problems.Regular medical check-up (as per your Urologist's advice) is important to diagnose and treat any precipitating factors early. Checking 24 hours urinary protein can show early damage to kidney. Proteinuria is a marker of kidney damage. If this is found in follow-up, it can be treated with specific drugs.Be positive...Eat healthy...If you have any queries, please do not hesitate to contact me,Wish you a good health,Dr. Raguram.
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Suggest treatment for sore neck and back after accident
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I was in a car accident a week and half ago (rear-ended- I was stopped and they were going about 45). Physically I am treating a sore neck and back (via chiropractic and massage therapy), but my question regards how tired I am. I have had severe depression for most of my life, so I deal with fatigue from that, but after the accident I feel the need to sleep all the time, find it too effortful to explain things, and generally just feel emotionally/mentally/physically exhausted. What should I do?
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HiWelcome to healthcaremagicI have gone through your query and understand your concern.There are many causes of such symptoms. You should get exclude these such as diabetes, thyroid disease, Vitamin B12 and vitamin D deficiency. You can get treatment according to results of these tests. 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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Why am I feeling cold and having shaking hands?
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Yesterday I was feel very cold and few minutes later my hands shaking so I can not hold anything. because I have Diabetes I though was lower and I took Orange Juice one Glass .Meantime I call the Emergency When the Emergency First Aid Arrives I was feel ok I went to Hospital and I was feel very good so I left, In few hours I have the Same Symptos so I Dring Again Orange Juice same in 30 minutes I was Ok looks that the orange Juice helps. What is your Opinion.
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Hi,It seems that you might be having hypoglycemia giving rise this problem.Go for blood sugar fasting and PPBS to know the blood sugar level.After report adjust dose of your anti-diabetic medicines.Take less diet but frequent diet to prevent lowering blood sugar level.Ok and take care.
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