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What causes pain in chest and heart after eating prawns?
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My age is 30, weight is 84kgs, height is 5ft and I am a female. Last time when I ate prawns I had severe chest pain. Next day I visited my family doctor. After tests were done I was diagnosed with high VLDL cholesterol(262) and diabetes (182). I started taking medicines and everything was fine for the past 20 days. Today again I had prawns and I had a sharp cramp like pain in my heart for 20 seconds and then heaviness in the chest for more than an hour. Is it because of prawns? Thanks in advance.
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Thanks for your question on Healthcare Magic. I can understand your concern. Yes, this kind symptoms after specific food (prawns) is mostly due to acute gastritis. Some food items produce excess acid in the stomach when ingested. Prawns is one of the these items. So Prawns induced gastritis is common thing and you are having this only. No need to worry for heart diseases. You should take pantoprazole tablet on empty stomach before eating Prawns. If possible better to avoid eating Prawns. Avoid excessive hot and spicy food. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What causes abdominal pain, nausea and loss of weight?
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Hi there, I have been having abdominal pain, feeling nausea and vomiting mostly after meals for the past 4 months. I have lost 8 kg since having those symptoms. I have gone for a GI upper scope, colonoscopy, capsule scope, ultrasound and CT scan of the abdomen and it all came back negative. My specialist is perplexed and have prescribed all types of medicine possible and on anti-depression to relieve the pain as well as Bascupan alone does not seem to be working. He has ruled out being depressed as there are no reason for me have that and any related diabetes related GI problems have asked to seek a second opinion. Not wanting to go through all the test again, are there any specific thing that I should look out for? I am a 32 year old diabetic female and have been diagnosed with gastritis to acute gastritis and now chronic gastritis by the specialist.
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HIThank for asking to HCMI really appreciate your concern, the chances of gastritis and I think could be "Helicobacter" infection is just likely, if I would be your doctor then I would surely treat you on tentative basis keeping in mind the suspicious of Helicobacter, the following would be the line of treatment,1) Tab omeprazole 40 mg once at evening time for six week2) Tab Amoxicillin with Clavulanic acid 625 mg twice in day for five days 3) Tab Metronidazole 400 mg twice day for five days 4) Tab Chlorodiazepoxide one tab three times in day hope this medicine would help you take care and stop worrying have nice day.
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What causes tiredness,pain in upper back and foul odour in urine?
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I have been feeling very tired lately. My upper back is sore most of the day and for about a week now, i notice a foul smell in my urine. Really foul before was not like this.i had a big craving for pure sugar for a while now and sometimes end up putting a teaspoon of sugar in my mouth. Could this be the problem? I also had a cardiomapthy 9 years ago and gallstones about 6 or 7 years ago. I am worried if i got diabetes from the sugar. I am 42yrs old weigh 71kg and am 1.68m tall
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HIWell come to HCMI really appreciate your concern, muscular spasm may be the cause of back pain, it may not be due to anything else, like increasing sugar level, past history of cardiac myopathy, gallstones, general weakness may be the cause and it may not be due to any disease, stress may be likely hope this information helps.
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Why am I feeling discomfort on toe?
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both big toes have a feeling on the top of them (where the little hairs grow out) and it feels fuzzy. like theres a fly or something there for a few seconds. i just had a full physical complete w bloodwork and i have been given a clean bill of health. causes?
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Hi I did review your concernSuch a feeling could be due to loss of sensation or tingling sensation and it can be an early sign of nerve problemI would recommend being evaluated for diabetes mellitus, vitamin B12 and B6 deficiency and electroyte problems.I hope this helpsWish you all the best.Thank you for choosing healthcaremagic.
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Suggest treatment for adenoid carcinoma
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Iam 76 years old known Type II diabetic with nephropathy & mild hypertension. Current medication, Iam taking is - Insulin, Glimipride, Clopidrogl & dilzem. I underwent polypectomy 3 & half years back. Histopathology & PETscan showed adinoid with slight bony erosion. 2 months later, I underwent partial maxillectomy. Biopsy of bone has shown no malignancy. Currently there is recurrence of Polyp from the same site. It is about 2.5 X 2.75 PETscan revealed no metastaysis, no bony erosion & no Lymphnode involvement. Biopsy report revealed adinoid carcinoma, high grade. What is the current modality of treatment? Please suggest.
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Thanks for your question on Health Care Magic. I can understand your concern. Since you are having diabetes and nephropathy, surgery for cancer is very risky in your case. Palliative chemotherapy, radiotherapy, nutritional support and pain management are the option for your cancer. So better to consult oncologist and discuss all these and start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks.
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Suggest medication for tightness and pain in chest
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what heart problems could i possibly have if i feel; chest pains like someone is hugging me too tightly or like my chest is collapsing. i also get dizzy/light headed sometimes. my chest pains make me feel like i can't breathe the way i'm supposed to. also, with my chest pains when i inhale i feel as if someone is stabbing me in the heart (a very sharp pain). my chest pain sometimes feel as if it's heartburn, but much more serious. when i get the chest pain my heart beats very rapidly.
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Hello,Brief Answer: Your symptoms are considered typical chest pain, that needs to be assessed.Explanation: My opinion is that typical chest pain that includes burning, crunching pain that may radiate to the left side of the jaw. Time from five to fifteen minutes and associated with sweating and vomiting sometimes. I suggest my patients the following clinical examination, and good history taking is mandatory, electrocardiography and some laboratory investigations may be needed. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about risk factors such as smoking, family history, hypertension, diabetes, and lifestyle.Conclusion: I suggest you check with your physician.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Mahmmad Gamal
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How can an infected wound be treated while suffering from diabetes?
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Hello, my grandma, who is a diabetic, cut her foot the other day which caused her to get stitches. The doctors then wrapped the foot. My grandma took the wrap off due to drainage from the wound. I am wondering if I should apply some Neosporin, a dressing, and rewrap the foot?
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Hello,Regarding your Grandma, is her Sugar levels under control? Please see that her sugar levels are under control or not.For a wound in a Diabetic patient one should maintain a proper hygiene and aseptic condition, pink healthy tissue over any wounded area is a sign of healing, any pus discharge and foul smelling wound is a sign of infection and Impending wound healing. So, keep the wound aseptic and in a proper hygiene.If the wound is infected, then we need to start an antibiotic, also apply ointment LABODERM-OC to the wound area, please see a general surgeon as a part of follow up care, if the wound healing is delayed, then we need to get this test done, wound SWAB for culture and sensitivity.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Abdullah
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Could smoking weed and alcohol effect heart murmur?
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i have a minor heart murmur like not even a serious one, i have popped ecstacy a couple of times and have smoked weed, i dont smoke cigs but when offered il smoke some. i have popped pills smoked and drink alcohol at the same time, how bad is this for my heart murmur?
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HiThanks for consulting us.First I ve to ascertain the murmur is benign or not.For this Clinical examination and echo cardiogram is needed.Smoking,alcohol in excess,male gender,hypertension, diabetes can lead to heart attack.Do exercise to improve cardiac fitness.cardiovascular risk increases if you don't adapt lifestyle changes.Good luckHope you are satisfied.Please rate our services.
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What does elevated WBC count with lupus signify?
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Just received my lab results everything is normal except, my WBC is 13.3 has been elevated for over 6months, glucose is 102 with triglycerides 694, sgot is low 11 with blood in the urine is this s something o need to be concerned with? I have SLE lupus
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high WBC indicate inflammation and high Triglyceride may be associated by diabetes. For me , concern is very high triglyceride. You need to see your physicians
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Suggest treatment for recurring yeast infection of the vagina
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good night i have been haing yeast infections on and off for yeas i did a paps mare and the result says abnormal bacteria . i have done test for std,hiv and aids they all came out negitave.my partner penis is often chafed and i also feel chafed inside and somtimes itching.i dont know what to do anymore i have tryed it all please help me
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HelloI appreciate your concernRecurrent yeast infection can be related to diabetes or low immunityThis could be due to PID, fungal infection like candida or bacterial vaginosisI would like further information to guide you betterYour age and complete medical historyI would advise you for few investigations like blood for hemoglobin CBC Liver function test , blood sugar, urine culture and sensitivity test and vaginal swab for culture and KOH fixation testYou may require a course of antibiotics or antifungal either in the form of oral drugs or vaginal pessariesMeanwhile maintain good hygieneHave plenty of fluidsUse condom for sex if you are sexually activeHope this answers your questionthanks and regards
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What kind of diet should I take when suffering from epilepsy and thyroid problems?
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I have epilepsy, I take Topamax twice a day, I also have diabetes. I get so tired during the day I fall asleep sitting up about 2-3pm. My diabetes is well under control. A1c's are 5-6. I have them tested about every 3 months. I do have seizures if I get upset or stressed or if I exercise. I have thyroid problems which makes my weight heavy. I do not eat much which is not good for my diabetes. Is there a better diet for me I should be eating?
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Hi and thank you so much for this query.I am so sorry to hear about this diabetes and epilepsy. I have a strong feeling that your hypothyroidism is not well managed. This is because despite decreased food intake, you still complain of weight gain. Also, your fatigue is suggestive of symptoms of hypothyroidism. If your treatment has not been evaluated, I will suggest you get the TSH measured to see how well you are doing on treatment. At least, you know stress and getting upset would provoke seizure, try to stay clear of these provoking factors to spare yourself repeated seizure episodes. I understand it is not easy but then, it is worth it if you want a better quality of life.I hope this addresses your query fully. Thank you so much for patronizing our services and please do feel free to ask for follow up clarifications and information if need be. I wish you the best of health.Dr. Ditah, MD.
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What causes high GGT level?
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Hi. I am a 36 year old female and I had my first baby in January of this year. She was induced 3 weeks early due to pre-eclampsia. While pregnant I was on medication for pregnancy induced hypertension and was given an intraveneous dose of magnesium sulphate during labour. Whilst my blood pressure gradually reduced c5 weeks after labour and I am not on blood pressure tablets anymore, it is still higher than pre pregnancy *125/70 v 145/88). About 3 years before I got pregnant, I went to the doc because I was feeling tired and was prone to stomach cramps. Had ultrasounds etc due to high level of GGT and was diagnosed with fatty liver (didn't have a biopsy but most other tests). Didn't drink a lot but abstain from drinking alcohol now and the GGT level had reduced before pregnancy and back to nearly normal. When I was in hospital my GGT level increased again. I have been having it tested c every 6 weeks since March of this year. Whilst it had been dropping by c60 every test (it was c790 in March) the last 2 tests showed no movement (stayed at c460) and I was tested last week and it's gone up to 560. What could be causing this? I have not touched alcohol, but do feel a bit tired and slightly dizzy from time to time. Thanks.
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Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. There are only few causes of elevation of GGT, among which alchol intake is most common. Apart from this these are:chronic viral hepatitis,lack of blood flow to the liver, liver tumor, cirrhosis, or overuse of certain drugs or other toxins, heart failure or diabetes. So i will suggest you to visit to your dosctor for evaluation for these causes.I hope I have answered your query and this will help you . Wish you a good health
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What is the solution for recurring rash on abdomen which is itchy?
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I get a rash on my lower abdomin a few times a year and it itches like crazy, I have tried every over the counter med and even a prescription for excema (sp?) but nothing help until it just goes away on it s own. i also get it on my elbows at times. any advice?
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Hi,After reading your query it appears to be due to Fungal infection of the area which is quite common due to heat and humidity. Fungal infection of the skin is quite common due to infection and hygiene as well as most commonly due to diabetes.If I were your dermatologist then would have prescribed clotrimazole cream or terbinafine cream over the affected areas under medical supervision. I suggest you to take antifungal tablet by mouth such as fluconazole 150 mg alternate days for 15 days.If itching is present then you can additionally take antihistamine benadryl or loratadine by mouth.To prevent the further spread maintain good hygiene wash it two times properly. Stay away from hot and humid climate.Take care.
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Suggest medication for burning of knee after knee replacement
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My mom had a total knee replacement 8 days ago and has severe burning on the front of her knee. It s worse when she s sitting and extends her knee to straighten her leg. She s considering going to the Emergency Room. Is this level of burning pain normal at 8 days post op?
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HiWelcome to healthcaremagicI have gone through your query and understand your concern.You are likely to be having burning pain due to some of cutaneous nerves may have been damaged during surgery of knee replacement. You should also look for other causes of neuropathy such as diabetes and thyroid disease by ruling them out. Analgesic such as ibuprofen for pain relief can be of use. Mecobalamine is of use to reduce burning sensations. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care.
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What causes abdominal pain, diarrhea, headache and dizziness?
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My blood pressure is 106/76. I have a pounding headache, dizziness, nausea and malaise. I am a type 2 diabetic with hyperthyroidism. I am extremely overweight with a family history of stroke and heart attack. Last year, they removed my gall bladder and said my liver enzymes were elevated but could never give me any idea as to why I always have abdominal pain or chronic diarrhea. I just really feel like crap but I am tired of going to the doctor. Should I be concerned?
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Hi.Thanks for your query and an elucidate history about your complaints of headache, dizziness, nausea and malaise; and hyperthyroidism with overweight, type II diabetes, gall bladder removal, raised liver enzymes and now worried about abdominal pain and diarrhea.With the multiple problems and contradictory findings like overweight in spite of hyperthyroidism indicated me for a rare problem that has to be researched and found out or ruled out. I would advise you the following:-Get an opinion of an Endocrinologist to rule out the possibility of hormonal syndrome of MEN I and MEN II, where you get such pictures. You will need MRIs and CT scans as an investigations.The pain in the abdomen with diarrhea can be due to uncontrolled or not so well controlled Hyperthyroidism. It is possible that once the thyroid is under control as well as you diabetes and obesity, everything is fine. You can also consult a center dealing with Obesity and Metabolic surgery for medical management and / or surgical management that all your problems will be under control.
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Can you suggest natural ways to control sugar?
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Sir in past two months I was in severe stress so first time high blood sugar has been detected now doctor prescribed 10 days medicine and after that some test will be conducted,now i am exercising regularly and taking proper diet also my age is 39 years.sir can i manage my sugar level without medicine thanks
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**1. since high blood sugar is detected, [stress induced], make sure your PPBS [post prandial blood sugar] is under control.2. Since the diagnosis was made after Investigation thus it is wise to check with a diabetes specialist, who will look clinically for:. Weight. blood pressure. Examination of peripheral pulses on the legs.. Examination of the feet: especially the inter digital spaces and soles, for infections, ulcer and sensory loss3. say NO to: Sugar, all sweets, cakes, sweetened biscuits-drinks, sweet fruits like mangoes and grapes, jam,honey, canned sweet fruits.4. Eat in Plenty: all leafy vegetables, tomato, cucumber, brinjal, cauliflower, lady's finger, soup [tomato/vegetable], butter milk, sugar free drinks, tea/coffee with sweeteners, all cereals, sprouted pulses.5. Eat restricted quantities: chapati, bread, corn flour, plain or salted biscuits, rice, meat, eggs, chicken, fish, skimmed milk.6. Regularize timings and quantity of meals.. be careful in festivals and marriages, compensate for extra sweets by reducing previous and subsequent meals.. do not remain starving for long periods. avoid alcoholic drinks.7. wash the feet daily, dry them, inspect them & then sprinkle lot of talcum powder.. avoid walking barefoot, even at home.. wear soft cotton socks and canvas shoes, avoid tight fitting shoes and chappals.. cut nails carefully and always after bath, when they are soft.8. good prescription medicines are: madhumehari granukes, HYPONIDD tablet, Diabecon tablet, Jambu assav, chandan assav, vasant kusumakar ras
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How to cure a scab on penis?
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have a scab on my penis, about 1/2 inch below the head. usually takes about 3-4 days to fall off. after sex or masturbation it turns pinkish red and is raw and then goes back to a scab the next day and the process starts again. this started about 3 weeks ago, any suggestions??
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HelloI share your concern, I had gone through your question diligently and I will try to help you out in best possible waySuch a scab or pinkish red ulcer on the testis can be caused by infection from urine or stool, Sexually transmitted infection and can be allergic as wellIf you can upload me a photograph and answer my these questions I will be able to help you betterYour age and relevant medical history if any like diabetes or liver disease?Have you ever had similar problem in pastany recent exposure to unprotected sex?In my opinion you should see your doctor for physical check up and investigation to rule out infective conditionMeanwhile you can apply antibacterial or antiseptic ointment like mupirocinMaintain good hygieneyou can take Ibuprofen for pain.Hope this answers your question, Please feel free to ask for more clarification, I will be happy to help youBest wishesThanks and regards
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Suggest treatment for left axis deviation
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I recently found my ECG report is showing Mild left axis deviation . ECG result is abnormal they have mentioned .I completely depressed those things i am male 167 cm and my wt is 83 kg.Please guide me is it no problem or otherwise further step what I have to do?
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don’t worry ECG machine sometimes shows these type of readings if u have hypertension or diabetes then go for 2D ECHO to exclude any heart disease.
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What is the treatment for rash bumps and itching on ankles and legs?
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Yes. I am allergic to sulfa drugs. I have swelling of ankles and legs and rash bumps with terrible itching. Saw my dr on Friday and he thought it was from my connective tissue disease. Well today is sat and swelling is down but itch is still bad and nothing I try stops the itch. The only thing different I m taking is mucinex and I m allergic to sulfa. I have takin before and no problems but got the dm max this time. Ugh. Help
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Hi, The rash could be a diabetes induced erythema of foot or could be due to arthritis (inflammation of joint). As I could not be able to make a final diagnosis without proper clinical examination. I request you to consult your doctor to arrive at a diagnosis and to provide proper treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian, Dermatologist
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Does trigil tablets cause swelling of legs?
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I have used trigil tablets for 3 months, and then stopped as per doctor advice for non-availablity of medicine and ban. After that, for the past 2 to 3 months toe (Kanukkal) swelling both the legs. Is it the side effect of trigil or some other reason. now I have taken tribose m3 2 tab twice in a day i.e. morning and evening. Even after taking diabetic tablets, I feel banning sensation on right leg patham upto upper side. Please answer
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Hello sir,The tablets are not responsible for your complaints.The diabetes is; diabetes causes the complaints over feet due to neuropathy .To stop the progression of this,you have to control your blood sugar level ,exercise and life style midification .and it has to be measured every month and also the status of you control can be estimated by doing Hba1c evaluation.Kindly consult your diabetologist for sugar control.Thank you
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Suggest remedy for problem of loosing balance
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dear sir iam 42,when i was 29 i had problem of loosing balance,when i lay down in the bed at night. it was like spinning.then i consulted a doctor and advised me vertin 16 tab for 10 days. and i felt ok.After 4 years i got the same problem and consulted the same doctor and asked me to take some blood tests and advised me the same medicine.and told me it was the problem in the ear and i felt ok then. Actually have been traveling from sea level to 1500ft high place everyday 4hours(up and down) for my job since last 4 years.Now i feel loosing balance while looking down. Sir is it a serious problem? I beg your valuable advice.
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Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query. As the scenerio explained by you,the most probably cause of your vertigo is menneire's disease(related to ear). yes this is serious problem if not get treated on time and if treated its nothing just like blood pressure and diabetes problem.. so i would like to suggest you to visit ENT consultant and get the underlying cause of this problem so that you can enjoy comfortable life ahead.Hope this may help you. Let me know if anything not clear. Thanks.
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What does sudden tingling and dizziness indicate?
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Something strange happened this evening. I was walking through my house and felt a shock like feeling start in my heals and go all the way to my neck and felt dizzy. Ever sine I'll get a shock like tingle just about anywhere and feel a little dizzy. What could that possible be?
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Hi, dearI have gone through your question. I can understand your concern.You may have diabetes or vitamin B12 deficiency or some other cause. It can leads to tingling sensation. You should check your fasting and post postprandial blood sugar level and vitamin B12 level. Then you should take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
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What is the cause of chest pain?
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I am 71 years old male. Had a lot of gas last week or so. yesterday evening and this evening had sharp chest pain 4 inches above left nipple lasting less than 10 or 15 seconds about for times within the hour. took one regular aspirin. i am type 2 diabetic. I m taking metformin 500mg twice a day. my A1c is 6.1. also taking Losartan25mg, once a day, and,PravastatinSodium 10mg once a day, plus vitaminD, a baby aspirin a day and some antioxidents wine extract and pomigranet for improved urination. I am 5.7 tall and weigh 147lbs. In very good health condition including cholestoral and triglesorites nothing exceeding range limits, as a matter of fact much below range limits. right now i feel great. no arm pain or other pains. might consider visiting urgent care tomorrow for the peace of mind. would aappreciate your assessment. Thank you.
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Thanks for your question on HCM.In my opinion you are having GERD (gastroesophageal reflux disease) mostly.But better to rule out cardiac cause first for your left sided chest pain.You are having following risk factor for cardiac disease.1. Old age2. Diabetes. So get done ECG. If ECG is normal then no need to worry much for cardiac cause.You had gas problem which also favours GERD more in your case. It is due to laxity of gastroesophageal sphincter.Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain and gas.So avoid hot and spicy food. Avoid stress and tension. Avoid large meals. Start proton pump inhibitor. Go for walk after meals.Don't worry, you will be alright.
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Suggest treatment for fatigue after doing small work
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dr i am diagnosed grade 2 diastolic disfunction and taking triolvance 20 tab and metpropelol kindly advice me. i am diabetic also taking glycomet . i get fatigue with small work . shall i need to change treatment. my email is YYYY@YYYY
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hello, I have gone through your query.Thanks for using HCM. I would like to know your status of diabetes .YOur fatigue and weakness may be related to uncontrolled diabetes.I suggest you to check for Fasting and Post Prandial Blood sugar,HBA1c,Lipid profile done to find the further course of action,Diastolic function may not be responsible for your symptoms. My best wishes Dr.Rajesh Teli,MD
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What could cause an acute elevation in platelet levels?
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What could cause an acute elevation in platelet levels? I'm a 27 year old female. I was recently diagnosed with Hashimoto's Disease and 2 days ago I had an initial eval with a Hematologist regarding chronic elevating platelet levels over the past few years. My platelets Monday were around 500. Today I woke up with an unquenchable thirst. I have been drinking water non stop. It feels like my mouth is so dry. After drinking a lot of water I wasn't feeling so good so I took my temp, it kept decreasing, although I never felt cold. When it got down to 95.5 I layed down to try to sleep it off. Woke up with a bad headache and pressure in my chest. I went to an urgent care, they ran labs and everything was normal except for my platelet count which is 656. What could cause it to increase by 100 in 2 days? I do not have diabetes, my blood glucose was checked today to rule it out and it was 74. I'm still thirsty and feeling pressure in my chest. I'm supposed to follow up with my Endo and Heme/onc but I would like to know what's going on to ease my mind a little bit. Thank you for your help!
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Hi, dearI have gone through your question. I can understand your concern. You may have reactive thrombocytosis. There are many causes of reactive thrombocytosis. Infection, anemia, haemorrhage, surgery all can lead to reactive thrombocytosis. So no need to worry. You should go for peripheral smear examination. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. Don't forget to click thank you.
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Could high hemoglobin a1c be cause for not ovulating?
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Hello Dr. I am trying for a baby for almost 16 months now. I first went to OB because my period were very irregular since I started TTC like once in 3 months before that it was 40 - 45 days. i had PCOS 8 - 10 yrs back. i am 28 now . My OB put me on CLOMID 50 mg no ovulation. then 100 mg clomid i ovulated only after 45 days. i had to move over to another state due to my husbands job transfer. Hence, after that i visited a RE. She told all my tests and confirmed i have no PCOS , did a HSG and my tubes were normal and other hormone levels are normal. But she also prescribed me METFORMIN . my hemoglobin A1C was 5.9 . then clomid 100 mg and HCG trigger later. My question is hemoglobin A1C be the main cause for not ovulating? and also Do i have type 2 diabetes? or highly prone to have a diabetes??? my paternal grandfather had high and paternal grandmother died of kidney failure. will metformin help me ? do i have to be cautious with my diet ?? i am 5 2 height and weighs 132 lbs.
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this hba1c is quite normal. so p?s do not bother about it. continue Metformin. the main reason of not having ovulation is increased weight along with thyroid problems and high prolactin. pls check them and then consult doctor.
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How long can a person with malignant mass in chest, severe emphysema and diabetes live ?
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Hi please tell me in medical term my dad had a mass in the chest soft tissues density in the intercostal space was concisistent malignancy pulmonary and also had a severe emphysema And his has diabetes and the mensia his not candidate for any treatment please tell me like how much time a person could live with this
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Thanks for your question on HCM.Outcome and life expectancy is very low in lung malignancy. And it is decreased further if emphysema and diabetes are present.Life expectancy is also depending on type of tumour, distant metastases occured or not etc.On an average life expectancy in lung malignancy is not more than 1 year. In your father 's case it may be around 8-9 months.
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Is Vanadyl Sulfate effective in the treatment of diabetes?
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I am type 2 diabetic and discontinued Metformin 1 1/2 yrs ago. This last A1C was 7.4 due to several reasons of which I have eliminated. I don t intend on using any medication known to increase the chance of amputation, so look at supplements. Am starting Vanadyl Sulfate with Gymnema Sylvestre as insurance along with diet to avoid another bad A1C result. Is this an okay formula or not?
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Hello,Please look that you may take Vanadyl sulfate drug as long as your blood sugar level remains under control.In addition to the HbA1c test, also take help of other short-term blood sugar levels monitoring tests such as FBS and RBS.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 renal disease while suffering from diabetes
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Hi, I am 63 years male suffering from Diabetes, my fasting sugar is 154.6 with sugar absent in urine and PP is 244 with sugar prsent in urine (**). I am taking Glimmy1 one tablet before breakfast and Glycomet SR 500 one tablet after dinner. In my last pathlogy reports I have been identified with Bilateral Grade I Renal Disease. Please advise what should I do?
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Hi, the renal problem is due to Diabetes. Please control your Blood sugar and blood pressure if you have, very strictly. And there are medicines to protect your kidneys. Please consult a kidney specialist--regards
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Acanthosis nigricans, homoeopathic treatment gives no relief, fungal infection, dark patches on arms and back
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hello doctor i have been undergoing homeopathic treatment for acanthosis nigricans . however even after 9 months of homeopathic treatment i have not yet achieved the desired result. as the doctor said it was fungal infection and prescribed me silicia powder and homeopathy pills for the same however it has made little difference. i have dark fold blotches on my back, arms, and elbows i am not overweight i do not even have diabetes. kindly advise.
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1. Acanthosis nigrican (AN) is usually found in body folds and is associated with diabetes, obesity (both are ruled out in your case), but also with hormonal disorder (hypothyroidism,problem with adrenal gland) or with use of drugs which have high high doses of niacin/steroids,. 2. were your hormonal profile,USg done? and whether there is any history of use of above said medication? 3. people with acanthosis nigricans are at risk of developing diabetes, so check your blood sugar level regularly, and also for any Cancer? 4. has anyone in your family suffered from this problem or from diabetes? 5. complete blood count, endoscopy,x-ray may be required to exclude cancer as a cause. 6. as told by the doctor to be a fungal INFECTION, it's totally wrong, neither it's an infection nor its contagious. 7. because AN is usually involved with change in skin color, no definite treatment is directed toward it, your health care provider has to look for any underlying disorder. 8. because it occurs on neck,elbow,hands,they can be a concern of embarrassment, self consciousness and probably low self esteem, thus medicated oils and lotions can be applied to lighten the marks. 9. treatment will depend upon the cause after further evaluation by your Physician, till then eat healthy,exercise regularly, and remain calm,cool and stress free.
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Can a stroke cause arm numbness with armpit pain?
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Hello, My dad is 89yrs old and had a heart bypass 17yrs ago. Since then he has become a diabetic the type that effects the nerve endings. This can cause him alot of pain but for the last while his left arm has gone very numb and he is finding it very difficult holding anything without letting it fall. A couple of weeks ago he complained of a pain under his left armpit, that has gone now but he is still getting a very strange feeling there and all the muscel and skin have gone very flabby. The hospital are doing an MRI scan on him next week, they were going to do an angiogram but thought better of it because of his age, We were wondering could he have had a mild stroke without us knowing or is it the diabetes.
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Hi dear ,have noted all your detailsPeripheral neuropathy is a long term complication of diabetes mellitusdue to long term uncontorlled blood sugar levels the nerves in the body are demyelinated(withered and damaged),hence causing abnormal sensations like tingling ,numbness or as if insect is crawling like feeling is thereFrom your history its highly unlikely that it is stroke ,though a mri of brain should be done to rule out its possibilityperipheral neuropathy can be treated by methylcobalamine ,1500mcg of methylcobalamine should be given daily for 3 months to see yhe effectas his age is 89 and he is a diabetic it can be any thing from coronary blockage to peripheral neuro to a mild stroke,hence mri ,angiogram should be done and methyl cobalamine should be startedthank you
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Is it advisable to take Aspirin daily for suspected heart conditions?
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I went thru all the test for heart health, the first group of dr's said I need a pacemaker and possible triple bypass surgery, the other hospital said I have a healthy heart and do not need anything. Just to be safe, should I take asparin dailey and how much? I am 67 and over weight but do not smoke or drink. Thanks
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Hi,After going through your case it is evident that there are two contrasting opinion regarding your heart.I want to know-1) Your height & weight (BMI) we can estimate degree of overweight.2) Any associated conditions like diabetes, high blood pressure, cholesterol problem.3) I want to know symptoms for which you have underwent evaluation of heart.4) Any symptoms like palpitations, sweating, dizziness, fainting episodes. 5) Whatever the tests done their results.I will advise to do following tests that may be help full if not done earlier.1) ECG.2) 2DEcho of heart.3) Stress test.4) Coronary angiography (CAG).Sorry, I can not advise you regarding continuation of aspirin without knowing more about you.If it is already started by your doctor then better to continue it.Otherwise consult the cardiologist along with all previous tests records depending on it further evaluation if needed can be planned. Try to reduce weight by following diet and exercise (exercise pattern needs to be decided depending on your heart condition).If you find it helpful please vote helpful.
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What causes thrush after every period?
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i keep getting thrush after every period,but i have also found when i wee it smells funny,could i now have a water infection.is there anything i can do about this,i have just had a smear and that came back clear but i did have a letter to say i was suffering from thrush then when i was examined,i am 26
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Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Usually thrush occur in the dirty condition, diabetes, HIV and other immunocomprmise condition.It is not heard that such infection occurs with the periods.But if you have doubt than you can take the smear done at the time of period. If it states that you have infection with yeast than you can take the treatment.At that time treatment with fluconazole are advised. You can take it 150 mg once a week under doctors guidance.You can also put clotrimazole vaginal pessary. This will give local effect to yeast.Cleanliness and hygiene is also important. This can equally play good role in treatment.Avoid sex till you are cured. Otherwise the infection will maintain in between the two people. Please maintian good glycemic control. Change the sanitary pad as scheduled daily.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
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Suggest treatment for Multiple sclerosis
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MS sounds a lot like diabetes neuophthy , My husband is losing all movements, cannot walk or hselfardly sad, A lot of pain,burning,no feeling upper and lower.Now cannot dress himself ,losing control of Bowels, and urine. I am his wife he has fell over 100 times since 2012. EMS got a record, I went to get it. trying to get him into a 24-7 home.I cannot take care of him by myself. Don t know what to do,,he refuses to go. But needs to safer for him . Went to judge he said they cannot do anything to help me.Doctor says he needs to go in but he cannot make him,He is alert and knows what is going on with his body.
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if it is multiple sclerosis then we can try disease modifying therapies like interferon. ...Tecfieda. ....if not responding then natalizumab will be an option.....along with this he needs medicines for symptomatic benefit like tab Baclofen....Etoshine MR....Continue physiotherapy and good nursing care.. avoid aspiration and bed sores..regards
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How can sensitive gums with loss of teeth be treated?
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Hi, My Mother and I have the same problem, we have sencetive gums when eatting certain foods, my Mom is now starting to lose teeth and nobody seems to no why we have this problem, could it be something else going on? Stomach problems?? When asking our family Dr for Blood work to be done he said No....no need for that....we need answers please
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Thanks for using Health Care Magic.Read your query.Loosing the teeth can be due to many factors of which the most prominent one is improper maintaining of the oral cavity ,leading to the periodontal support destruction. Falling of the teeth will follow with it soon.I would advice you to visit a good periodontist and have the periodontal and gingival status of the teeth evaluated .Have the teeth cleaned and maintain it well.Systemic conditions like diabetes also has to be checked along with the blood work.Hope this was useful.Thanks and regards.
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Can swollen face and puffy eyes be due to fluid retention?
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I woke up with face and eyes swollen. i keep getting hives but this is not allergy related. they keep treating as such but in know it fluid retention. its either from heart or kidneys. my son is a kidney transplant and this was happening to him. my heart has enlarged 3 times its size in 3 weeks what do you think
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Hi,Yes swollen face, puffiness of eyes with enlarged heart may be the signs of fluid retention.Fluid retention may be due to-1) Kidney problem2) Heart Problem (decreased hearrt pumping).3) Liver problem.4) Severe anemia (low hemoglobin). In case of allergic reaction swollen face and puffy eyes may be there but not the enlarged heart, though concomitant presence of heart problem with allergy may rare possibility.I want to know-1) Presence of heart problem, diabetes, high blood pressure, cholesterol problem.2) Any medicines are you on.3) Any symptoms of difficulty in breathing at rest or on walking, decreased urine output.4) Changes in sleep habit any breathing difficulty in lying down position.5) Cause of kidney failure in your son.6) Habits like smoking, alcohol.I would like to advise you to consult your doctor and get detailed clinical examination done.Following investigations help in establishing the cause of fluid retention1) Complete blood count.2) Kidney function test, liver function test.3) Urine examination including urine protein.4) Ultrasound for kidneys and liver.5) 2DEcho & EKG for heart.Depending upon clinical examination and test result further treatment can be planned.
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How to normalize increased creatinine level?
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Dear Sir,I am 33 yrs old male, was diagnosed renal parenchymal disease two yrs back and since then I was under treatment. At that time my creatinine was 4 and I was taking medicine, Alphadopa 500, MinipressXL5, Amloguard 5, Dytor 10 and the vitamins. But the creatinine level increased each month and it reached up to 10 and my Nephrologist advised me to go for Dialysis. I am on dialysis now since six months but the condition never improved. Now my thighs are jammed and I am unable to walk freely. My BP is always high like 140/95.Pls advise me whether it is curable or not? And also advise me what should I do next to survive healthily?
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Hello,You are suffering from chronic kidney disease(CKD). it's a non reversible disease in which both kidneys are affected leads to reduction in kidney size along with decrease in function. When kidney function decrease less than 30% then dialysis is the mainstay of treatment to washout the toxic products. But dialysis is not the cure of this disease. In fact, dialysis only helps to improve your quality of life and decrease the morbidity. According to your description, you are too young to develop this disease. Generally this disease occurs in some high risks like Diabetes, Hypertension, connective tissue disorders.As your blood pressure is high but CKD itself leads to high blood pressure so your medication is good according to your disease. If BP is more than 140/90 then increase your Tab Arkamin 0.1 mg thrice a day.So there will be two approaches. First to manage regular dialysis to keep your serum creatinine lower side along with improved quality of life. Second is to find out the exact cause for CKD in this young age and treatment according to that. And for future, if possible then think of kidney transplant also for permanent treatment or in your word for cure of this disease. Thank you
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What causes abdominal circumference to be on 140 percentile at 29 weeks?
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Hi I am 37 years old and 29 weeks pregnant. I had a scan yesterday and have been told that the abdominal circumference is at about the 140 percentile. The amniotic fluid level is normal and I am not diabetic. What coudl be the possible causes? Thanks
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hii..most common cause of increased abdominal circumference is diabetes.. if u didn't check your sugars recently get an oral glucose tolerance test done rather than random blood sugar..if there are no abnormalities in baby then it may be a big baby..
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Treatment for congestive heart failure and poor kidney function
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My mom was just diagnosed with congestive heart failure due to a visit to a kidney specialist. Her kidney function is poor. She said the doctor told her they were functioning half of what they should be. She had sonograms of her heart and kidneys several weeks ago. She goes back on Sept. 7 for results. I am very concerned and live 5 hours away from her. She is 66 years old and has suffered two heart attacks when she was 55. She has smoked for years and has diabetes. I know the diagnosis with that combination isn t great but I really don t know what type of questions to ask at this follow up visit to get results from the sonograms. Could you advise me what to ask? Thank you for any help you could give me. I am her daughter and very concerned.
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Hihow are the cardiac and kidney functions nowis protein and glucose leaking in urinehow are the kidney function testsif deranged how are you going to manage how much fluid should she take every dayideal blood pressure for herwhat is the life expectancy in current scenariolife style modification is it going to helpdoes she needs dialysis in future
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What does sugar level of 109 indicate after coming off pills?
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Hi, may I answer your health queries right now ? Please type your query here... hello, i lost my weight in 2months by skiping meals, then after drinking 2 glass of cane juice,after that 4 glass of pepsi,mango,cashew nut ,next day i got high sweat out.i tested for diabetes sugar lvl was 337. dr percribed glakine M, WHICH LOWERED SUGAR LVL , BUT 5 DAYS BACK I FELT LOW SUGAR AFTER TAKING THE TAB, I USALLY TAKE 1/2 TABLET PER DAY. THEN I STOPPED TAKING TABS,SUGAR LVL TESTED 109 AFTER TAKING TEA 2 HR BEFORE. IS MY CONDITION IS PRE DIABETIC.
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Thanks for your query, I have gone through your query.The blood sugar level can vary according to type of diet you follow and the medicines you take. So i advise you to get a glycocylated hemoglobin level checked, which give a mean value of blood sugar level in your body. So that we can diagnose whether you are diabetic or not. Consult a good diabetologist and get it evaluated. Do not take or stop medicines without doctors advise or prescription. Other wise you will end up in trouble.I hope my answer will help you, take care.
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What causes bleeding from ears, red eyes and twisted mouth?
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Hi there, I lost my mother 2 weeks ago. She slurred speech, talking in different languages, vision was impaired seeing white lines, and confused. I found her in the bathroom, her mouth was twisted and her eyes were red. My sister told me blood was coming out of her ears. Did she have stroke or aneurysm? it was too expensive to get an autopsy 3600.00
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HiI'm very sorry to hear about your mother.Yes it's intracranial bleed which may be secondary to hypertension, diabetes, aneurysm, any vascular malformation, etc. Patients have spurred speech, weakness of a part of the body, facial palsy, etc.Thank you for contacting healthcare magic.
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What causes a severe tingling sensation in the big toe of the left foot?
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I have a sharp tingling sensation/pain in my big toe on my left foot. it has become really bothersome especially when I am in bed. I do not have diabetes. I had bunion surgery on this foot in 2015, but my foot doctor said that it is not from my surgery. What can I do to relieve this pain????? thank you so much in advance for your help.
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Hi, Consult an orthopedician and get an MRI scan. As of now, you can take analgesics like Acetaminophen or Tramadol for pain relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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Is Carbophage 500 mg the right medicine for type 2 Diabetes?
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Hi Doctor, My husband is type 2 diabetic from last 2 years. And his sugar levels are in control. he didn t take any medicine for last 2 months.. and his recent report for average blood sugar is 6.4, before fasting 140 and post food 150... what medicine is recommended to keep sugar under control.. he was taking carbophage 500mg morning and night.. He feels the dosage is more, please suggest.
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Advise:1. Diabetic diet, i.e. no to sweets and eat in plenty all leafy vegetables, sprouted pulses and regularise timings and quantity of meals.2. Regular exercise (Weight reduction if obese)3. Check Blood sugar after 15 days, if normal; check every 6months.4. Regarding dosage you should consult your attending physician for adjustment of the dose.5. If a good control is maintained by a very small dose, then stop the drug and observe, whether the patient can be maintained on dier and exercise only.
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Suggest treatment for pain in heart
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hi.Drs.I had done open heart surgery11 years before andnow outof 4 blogs byepassed 3 byepassages againblogged.i was again done one baloon angioplasty stent and doing well.some times i am gettingpain inmy heart duetoover work or exhausting,at that time i am taking NIKORANDIL-5MG.FOR YEARLYCHEAKUP WHETHER 3D-CCG.will be helpfulalongwith all blood tests and echo cardiogram?.pl.answer me
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HiWhat's the rest of medications you are taking?What's 3 D CCG?However you have significant cornary artery diseae.And it needs adjustment of your risk factors like diabetes, hypertension, cholesterol and stopp smoking.And needs to review and adjust your trarment specially beta blockers
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Suggest treatment for extreme anal itching
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Hi, I have had extreme anal itching for 7 years, I had 2 polyps removed in 2009 via colonoscopy. I also should tell you that in 2000 I had a very large cone biopsy done due to abnormal cells from HPV. I have recently discovered a perianal high fistula which is extremely painful and itchy. My gyno did a punch biopsy of it last Friday and am currently waiting the results. I am seeing the gyno due to a large calcified cyst inside my right ovary and am waiting for a radical hysterectomy. Should I be worried the fistula is a symptom of cancer from the HPV? and what kind of over the counter cream can I use in the meanwhile?
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Hello,Welcome to HCM,The usual causes for perianal itching is a fungal infection or a parasite called enterobius vermicularis (Pin worm). In pin worm the itching is mainly at night and if you inspect your motion or the perianal region you might see the worm. The fungal lesion can also be diagnosed by a KOH preparation, which can be done at most labs. Check your blood sugar if it has not checked recently, as diabetes makes one prone to fungal infections. If you are unable to meet a doctor, for the symptoms you can try with Albendazole tablet and canesten cream locally.THank you.
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What causes hypoglycemia?
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ok ive been having the symptoms of hypoglycemia going on 4 days now, when i eat something i feel better but only about 30 minutes. nothings changed in my diet for years. same routine, work out a little every other day. nothing new, but my dizzyness and confusion, concentration levels, and eye sight are affecting me, i get up from bed in the morning with a headache, and all the symptoms above, and when i eat or drink something im fine but the symptoms come back almost emediate unless i eat i full course meal. then it takes about an hour. nothing like this has ever happened and im usually making sure im in good shape, im just wondering if somethings wrong i may not know about, and if you can help me i appreciate it every much.
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HIWell come to HCMI really appreciate your concern, if you are facing symptom of hypoglycemia then this could be due to hyperglycemia, and chances of diabetes could be very likely because this is kind of fluctuation going on in level of blood sugar and this need to be ruled out, hope this information helps, take care.
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Diagnosed with dengue fever. Diabetic. Platelet count 0. Recommendations for diet?
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My relative who is 24 years of age has dengue fever, his platelet count has dropped to 0000 and also has diabetes. His grandparents have diabetes, parents do not have. what diet do you recommend for this scenario.His before food sugar level is 140 and after food is 200. He has been undergoing treatment for the last 7 days and when he was admitted his platelet count was 0000.
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Hello, Thanks for the query to H.C.M. Forum. Without knowing the exact value of platelets it is very difficult to evaluate any diagnosis.As I have seen so many cases where platelets falls below 8000 and there were no any complaint. This type of cases known as thrombocytopenia and cause may be else. 2nd point is diet of diabetes , so mention about the type of diabetes , H B A 1 C value , condition of pancreas . As you mentioned that his blood sugar level is 200 mg /dl after food , 140 mg/ dL before food . This sugar level is not so high, so in my opinion only diet plan can cure this patient. Verology test prove whether patient have dengue or not.Consult a physician and get his opinion and treatment . Good luck. Dr. HET
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Suggest treatment for low pumping in the heart while having diabetes
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hi, my mom had a low pumping promblem in the heart 15-20% she is a diabetic patient sugar is always around 400-500 an had a thyroid while her heamoglobin was around 8 she was under the observation our local doctor given 2 bottles of blood now blood is around 10 whether it is curable or not?suggest me some best cardiologist doctors why heart pumping get slower? plzee ans herage is 52, height 5'4,weight 65.
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I am sorry to hear about her condition. Based on your description she probably has dilated cardiomyopathy. It is a chronic progressive disease with unfortunately no permanent cure. there are drugs which improve the pumping of the heart (digoxin) ,and reduce the fluid overload ( frusemide,torsemide)but it needs to be given under supervision. Also her blood sugar is very high which can aggravate the condition.Giving blood is generally not a good idea as it may increase the strain on the heart. Keep her water intake to less than 1 litre per day and limit the salt content in her food also.It is best that she is monitored under the care of a cardiologist and a diabetologist.
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Which medicine should be taken for high creatinine level?
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i am 31 years old, 5.7" height, 85kg weight & a diabetic patient .My blood pressure is 100/149. Recently i was found my cretnine level high by 1.9 mg/dl. so my doctor suggest me to take insulin along with some medicine like BenFORCE TABLETS, NEPHROCAPS CAPSULE,AZTOR-10,VOBOSE-0.3, GISSICOR CAPSULES & RAMISTAR-5 . SO I WANT TO KNOW WHICH Medicine is for which desises ?
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Hello and welcome to HCM.As an Urologist, i can understand your concern.Your reports suggest a diagnosis of diabetic nephropathy, with hypertension(high B.P.) and renal failure.You should mention duration of diabetes,hypertension and kidney failure.The treatment will aim to gradually bring levels of blood sugar (diabetes), creatinine(kidney failure),and B.P.(hypertension)to normal levels.Repeated tests of blood routine,FBS,PP2BS, creatinine,uric acid,electrolytes and B.P will be done,to assess progress. Dr.Matthew J. Mangat.
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What causes numbness in toe tips in left foot?
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Why do the tips of my second and third toe on my left foot go numb, tingling and experience minor pain? Thid has been happening about 3 weeks now, just those toes. Diabetes runs in the family, but I have been recently tested (3mo;s ago) and have no flags un my bloodwork. The endocrinologist insists on me taking Metformin to prolong any onset of diabetes. Could this medication be causing this numbness? It happens no matter what type of she I wear, so he can t be the shoes.
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Hello, Thanks for writing to us, I have read your query,Toe numbness can be due to pinched nerve in spine.Due to compression of nerve root there can be tingling numbness in your foot.I will advise you to do MRI spine and EMG-NCV [Nerve conduction study] and consult to orthopaedic surgeon.Peripheral numbness is common in diabetic but incidence is low in prediabetic. Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate peripheral neuropathy. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetable.Vitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take Inj methylcobalamine.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care
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Having noticed cholesterol level to be 154 & triglycerides as 80
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I am 39 years old and have been on Lipitor for 14 years. My dosage is 10mg. My liver tests has always been normal. My last physical my AST was 67 and my ALT was 106. I don t drink alcohol and I m not over weight. I ve been called a health nut . My doctor wants me to retest my blood in 2 to 3 months. My cholesterol was 154. My triglycerides were unusually high for me, at 80. I have been eating more almonds lately, but other then that no big change in my diet. Have I been damaging my liver since I ve been taking Lipitor? Should I be alarmed? Could it have been some flu virus or cold virus in my body?
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Hi, For better interpretation of test results I want to know-1) Your height and weight.2) Presence of diabetes, blood pressure problem.3) Family history of Diabetes, high blood pressure, cholesterol problem. 4) Lipid profile at at the start of Lipitor.If you don't have diabetes, heart problem or family history of abnormal cholesterol problem your test reading of Total cholesterol 154 & Triglyceride 80 are absolutely fine and it wont require medical treatment.In the treatment of dyslipidemia values of LDL & HDL cholesterol are more important than Tryglycerides and total cholesterol. In your case you have not mentioned about it.So you can stop lipitor if -You have no diabetes, heart problem.Normal LDL & HDL values.You have to monitor your lipid profile once in every 3 months.Lipitor is known to affect liver function.
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How to get rid of cyst in umbilical cord in pregnancy?
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hi doctor i have pcos and am pregnent and recently discovered in ultrasound that my baby having cyst in cord i.e;in brain iam 20 weeks pregnent iam concern about my baby will that cyst effect my baby in any ways and can i get ride or is there any permanent cure for this pcos
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Hi,PCOS and cyst in brain of your child are two unrelated things.Cyst in brain or spinal cord are called as neural tube defects and can affect the development of the baby, depending on their size and location.You need to get a detailed scan done by an fetal medicine specialist, to know that exact nature of the cysts. Also the babies head needs to be checked for excessive fluid (called Hydrocephalus), as these are known to occur together and can affect the baby.The fetal medicine expert can further guide you regarding the prognosis of the baby depending on size and location of the cyst.Some of these cysts are correctable after delivery for which you will need to be in touch with a pediatric neurosurgeon.You have conceived, so it means your PCOS is in control. If you have irregular periods after 6 months of delivery, then you can take medications for it.Also Women with PCOS are prone for gestational diabetes, do get your sugar levels checked.Also consider folic acid 5 mg at least 3 months before the next pregnancy as folic acid is known to protect against neural tube defects.Hope this helps.Regards.
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What does the following blood sugar level indicate?
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My doctors assistant told me my glucose was 88 I had blood work done last week to check my diabetes levels because I was told six months ago that I was borderline prediabetic and only thing she told me was I was it 88 and couldn t explain to raise my doctor was busy waiting for her to call me and I m nervous on with that is the 88
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Hello,Blood glucose level of 88 mg/100 ml, is within the normal range. (Fasting 70 to 110 mg) PP To clear the doubts you may get an HbA1c% done, which will give a clear indication. HbA1c% Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar
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Is turmeric intake safe along with Metformin while treating diabetes?
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I am Diabetic and have severe neuoropathy on the arms and hands. Some believe it is arthritis but have not been diagnosed as such. I wanted to know if there is any interaction with taking Tumerac with Metformin. I use the Tumerac for inflammation and pain. FORGET IT....I THOUGHT THIS WAS A FREE CONSULTATION. SORRY BUT I CANNOT AFFORD IT. THANKS ANYWAY.
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Hello, I have gone through your query and do understand the concern you have.However, in long standing diabetes peripheral neuropathy does occur. But the effect is most often seen in lower limbs - legs and feet first. Later it may spread to hands and arms. Most often uncontrolled high blood glucose remaining for many years is the cause. But even with fairly well controlled diabetes of long standing these symptoms are seen.First and foremost is to achieve a strict blood glucose control, maintaining fasting blood glucose closer to 100 mg, PP 150 to 170 mg & HbA1c%As regards taking Turmeric and metformin, there is absolutely no interaction between the two. You need not worry at all. Thanks
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How can diabetes be managed?
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In taking metformin do I still watch everything I eat. My level was 146 and it has been up and down every day. I have been taking an herbal medication Equilibrium that was recomended but it is a battle trying to keep Anything in my house I can eat. Which is the best med. I can take. YYYY@YYYY
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Hello,Metformin is a good medicine for diabetes. Maintain a diet dairy and regular blood sugar checking by checking at fasting and 2 hours after meals.Avoid herbal products and also avoid high Glycemic index foods.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Varinder Joshi
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What is the treatment for mild parenchymal disease?
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what do you mean by mild parenchymal disease and what is the treatment. is it malignant or can be curei am 55 years of age and have diabetes. my father and mother died of old age i wonder where did i get this sickness. i have no child and i am a widow with no job and helpless
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Thanks for your question on Healthcare Magic. I can understand your concern. Parenchymal infiltrates on chest x ray are seen mostly with pneumonia (lung infection) and tuberculosis. Lung cancer is less likely to cause such parenchymal infiltrates. So no need to worry much for lung cancer. You are also having diabetes, so infective cause like bacterial pneumonia and tuberculosis is more likely. So consult pulmonologist and get done clinical examination of respiratory system and sputum examination for pneumonia and tuberculosis. You may need antibiotic or anti tubercular drugs on the basis of these reports. Strict control of diabetes is needed. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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How can bad breath be treated?
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Hello. My boyfriend got a Nissen surgery for 6 years ago and unfortunately, he got bad breath after that. . His doctor is not really aware about that and he is not looking that as a n issue. Hmy boyfriend is very good in his tooth cleaning and his dentist said that is not a mouth problemPlease, do you have any advise?
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Hi..Thanks for the query..As per your complain bad breath also known as Halitosis can occur due to a number of causes like poor oral hygiene, oral and dental infections,post nasal drip, sinusitis, acid reflux,respiratory infections, diabetes etc..As he has undergone Nissen surgery that is for acid reflux then first of all I would like to know that are his symptoms relieved?Also if he is on any medication?You should consult an Oral Physician or an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations depending upon suspected cause can help in diagnosis..Treatment of underlying cause will relieve the symptoms..As of now he should start gargling with a flavoured mouthwash twice a day..You should chew flavored sugarfree chewing gum..Do warm saline gargles twice a day..Limit the intake of high aroma foods like onion and garlic..Drink plenty of water and maintain a good oral hygiene..Hope this helps..Regards.
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How effective is pregnacare for conception?
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am female aged 27,am type two diabetes i have beeeen trying hard to conceive without succeeding,i attended one of specialist doctor he adviced me to take diabetes pills called ploglactin if not mistaken,till naw a year has passed without conceiving,some one told me to try pregnacaire ,kindly advice will it be possible to conceive by using pregnacaire or otherwise?.
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Hi,If you are trying for a year and not conceived it implies that it could be due to some underlying cause which has to be identified.You will need a complete evaluation including your partners semen analysis to know the cause.Pregnacare is just vitamins so they will not help you in conceiving.Your diabetes needs to be in control before you plan pregnancy as, diabetes can have a lot of negative implications on you and your baby.Hope this helps.Regards
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What causes fluctuation in blood pressure?
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i am 7 months pregnant and just found out that i have a blood pressuare ranging from 162/92 and if its low it is 154/70 so i was wondering if this is caused by food or stress level i have and if its food is it healthy for me to eat maggi 2 minutes noodles
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Hello!Welcome and thank you for asking on HCM!Regarding your concern I would explain that these values of blood pressure are really concerning for possible preeclampsia which is a serious situation during pregnancy. It is very important to consult with your attending physician for a careful physical examination, a resting ECG, an urine analysis (albuminuria) and some blood lab tests (complete blood count, fasting glucose, kidney and liver function tests, blood electrolytes, plasma total proteine). You need to start therapy and treat the possible triggering factors (like urinary infection and diabetes). An ultrasound to examine the fetus is necessary, as this disorder is harmful for the baby and the mother. Hope to have been helpful!Best wishes!Dr. Iliri
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What causes extreme coldness in feet and shin area?
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My boyfriend suffers from extremely cold feet and shins. Even in summer. They do not feel cold to the touch, but are very painful to him. during day he now wears double socks, leg warmers under his pants and still has to have a heater blowing warm heat on him. At night he has the same plus a heating blanket just from knees down, The rest of his body will be sweating. He has asked his MD and she says he is getting older and has not done any testing. He is on various meds for blood pressure, cholesterol, acid reflux. Always has sweaty palms.
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Hello, Extreme coldness in the shin & feet are commonly due to peripheral vascular disease, diabetes, arteriosclerosis, etc. It is due to decrease in the blood circulation in the arteries or narrowing of the arteries due to fatty deposits that decrease the blood flow. You are suggested to get him clinically examined by a GP. Get all the blood workouts, Urinalysis, CT, MRI, Nerve conduction tests, etc done at the earliest. He should also get cholesterol tests, chest x-ray, Duplex scanning, an echocardiogram, an electrocardiogram (ECG or EKG), an exercise stress test done to detect arteriosclerosis. If diabetic, get blood glucose level controlled at every cost. Neglect may trigger the symptoms. His vitals should be normal. His treatment will depend on the pathology detected, reports of the investigations obtained & his clinical condition. In the meantime give him vitamin D, vitamin E, B6, B12 rich food or its supplements. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Nupur K
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What does it mean by Inferior Wall Ischemic Changes in an ECG report?
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Hi This Irfan MY ECG has yielded evidence of Inferior Wall Ischemic Changes (T Wave Inversion in III,aVF). My BP was also slightly high 150/90 and after 15 minutes it was recorded at 146/82. My blood sugar (non-fasting) was at 59.What exactly does it point to? Off late, I haven't been able to have good sleep, lots of stress due to peculiar family circumstances.Please help.Thanks
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Hello irfan. Thanks for posting at HCM. Your ECG says inferior wall ischemic changes which means that the lower part of the heart is struggling with its blood supply. It is possible that you have sustained a heart attack already. Since your sugars are low I suppose you are on medications for diabetes. Diabetics do not have symptoms of chest pain during a heart attack. You should definitely get checked up at the earliest. You have to see a cardiologist (heart specialist). You have to get a 2D echo done which will confirm the ECF findings if you really had a heart attack. If 2 d echo shows inferior wall changes then next step is an angiography which is an invasive procedure done through a small prick on your hand or leg. It will show whether your heart arteries have blockages and their severity. You may be advised angioplasty or bypass surgery or medical management on basis of angiography findings. This is important and you should get evaluated at the earliest. Please revert back with 2 d echo findings and also if you have any queries. Don't take this lightly. Your fasting sugars are also low so you also have to monitor your sugars closelyWishing you good health. and skip respective dose if sugars are lower than 100. Also you have to see your diabetologist for medication optimization. Regards
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Is blood sugar level of 446 a cause for concern?
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Hi ..I recently found out I have Diabetes. I was perscribed 2 medications..& the 1 touch Verio Blood tester. My question is Should I go to the Hospital..if I get a much Higher than normal reading than ever before. My average reading was in the 200's and 300's. My last reading today was 446..what should I do. ?
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Hi,This is Dr. NiroopI am Sorry About your Problem.as you are diagnosed with Type 2 DM, this is sure that your pancreas are working. we cant say 100% but to a certain extent, its better.if you are diagnosed this for the first time, your medication is going to be Tab. METFORMIN 500mg.take this tab twice daily half an hour before meal. and acutely you no need to worry about your high blood sugar levels.But in along run you may face problems with other organs and all.so take care and monitor your sugar levels and maintain below 120mg/dl.Happy Recovery :)
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Suggest treatment for diarrhea , fatigue and high blood pressure
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No energy - fatigue Had severe diarehha for two days and ate very little. Have dark stools, but they are no longer watery. Have eliminated nuts, berries and raisins from diet thinking it might be from diverticulitis. Have blood pressure problems - which I am prescribed Lisinopril/hydrocloothiazide 20/25 and because of the illness with diareaha my blood pressure is running 110/81 . I feel slowed, am 66 years old and have had history of colon cancer, diabetes and high blood pressure and high heart rate. My last colonoscopy was October 2014.
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Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that dark stools are very concerning about a gastro intestinal hemorrhage (related to diverticulitis or any other disorders). Your past medical history for diverticulitis and colon cancer could be related to these symptoms. But a common viral gastro enteritis as the cause of this symptomatology can not be excluded. I recommend consulting with your gastroenterologist for a careful physical examination, an abdominal ultrasound, a stool analysis, some lab blood tests including: a complete blood count, PCR, sedimentation rate, CEA, CA19.9 (tumor antigenes), etc. A GI endoscopy is necessary to exlude possible lesions of the digestive tract if suspicions are raised. Meanwhile, I agree with your decision to temporary reduce the antihypertesive drugs doses (because of low blood pressure and dehydration) and take plenty of fluids. Hope to have been helpful!Best wishes, Dr. Iliri
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Does itchy dry skin after drinking juice indicate diabetes?
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I am concerned about being diabetic.1/ drink a lot juice. 2/ itchy dry skin. 3/tingling sensation of toes on both feet.However, urination is normal, no weight loss, no increase in appetite, no blurry vision. Cuts are healed quick quickly.I am wondering if I do symptoms of being diabetic.Many thanks.Danny LAU
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Hello Danny,Thank you for your question.First of all let me tell you that symptoms in diabetes can be very misleading. Some patients with diabetes have no symptoms at all and some with symptoms pointing towards diabetes may have normal sugars. That is why we clinicians rely on blood sugar values alone for diagnosing someone with diabetes. So the symptoms of feeling thirsty too often (drinking lots of juices) and itchy dry skin and tingling in the toes can point towards diabetes. I would suggest you to get a blood test for the following tests: 1) Fasting blood glucose2) Post meal blood glucose after 2 hours3) HbA1c4) Renal function tests5) Liver function tests6) TSH7) Vit B12 levelsThese test results will guide us to tell whether the reason for your symptoms is diabetes or something else. You can get back to me once you get these results.Hope this helps.Take care.Dr Shreya Kunder
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How to treat a bed sole like infection on right side of leg?
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hi my sister is having a bed sole like on her right side leg. is that the bed sole is curable. she is already going under treatment. Last week the docters removed some flesh from her right side leg for research and investigation. the reports are not yet ready please advise
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Treatment depend on age ,other diseases along with e.g; diabetes.Change the position of leg frequently .Keep it clean & dry.Your doctor may graft skin for non healing ulcer.Give good nutritious diet.consult dietician.Do not worry she will be alright.care the patient with treatment.
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How serious is chiari malformation?
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Can Chiari kill you? My mom s already had around 20 ministrokes (don t remember the exact number) and she has, among things, Chiari Malformation 1, a-fib, and diabetes. Could Chiari have caused her ministrokes? Other than surgery, is there a way they can make her Chiari better? What can I do, as her adult daughter who doesn t live near her, to help her with this?
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After going through the medical details provided by you I understand your concern and i would like to tell you that Chiari Malformations comes with many other complications which may require frequent follow ups and invasive treatment. Brain strokes can be due to atrial fibrillation or Chiari which requires a brain surgery to decrease the pressure. So, its recommended for you to consult a Cardiologist and Neurologist for further management. Hope I have answered your query. Let me know if I can assist you further.
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What causes back pain with fuzzy vision?
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I am a 37 year old woman. I have family history of ms and leukemia as well as heart disease and diabetes. I have had pain in my lower back and eye "floaters" especially right eye for about 2 weeks. Constipation also. I never had these problems in the past. I have however had loss of feeling and numbness in my left leg in the past and recently intense pain in my upper left thigh the last 2 days. Also weakness in my left arm and numbness. Do you think I might have ms? Or maybe a slipped disk?
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Hi,Welcome to healthcare magic.After going through your query I think You are suffering from acute backache. It may be due to slip disc as you have I have loss of feeling and numbness in left leg . Treatment of it is rest and analgesics . Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as ultracet three times a day after meals) is required. OMEPRAZOLE 20 MG before meals prevent acidity caused by analgesics .Sometimes vitamin D deficiency is the cause so get your vitamin D checked .If it is low then vitamin D supplementation(Bon DK 60K weekly with milk) can be taken.To further investigate and to exclude multiple sclerosis MRI of the region is advised. I think your query answered.Welcome to any follow up query.
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What causes frequent thirst & urination?
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My 13 month old daughter if one of twins. She is excessively thristy, especially throughout the night and drinks lots and lots of water. She also pees so much it seeps through her diaper. Should I be worried? Could there be a kidney problem. Should I bring her to the pediatrician?
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Hi.... by what you say there is a definite clinical indication that she might be having a kidney problem like Renal tubular acidosis or Diabetes insipidus. I suggest that you get her to her pediatrician and get her evaluated to rule out the above 2 problems. All these becomes even more significant if she is underweight.Regards - Dr. Sumanth
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Suggest remedies for lower leg pain
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I have pain to the back of my lower leg. It is related to running. I have no pain as I start a run, but 5 miles in start having pain. Not sure if it is an Achilles or calf muscle issue. Irritated area is probably 5 inches above ankle, near the back center of leg. I have been icing the area. How do I diagnose and treat?
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Your age & sex please?rule out diabetes.warm water fomantation should help you more.Take multivitamin 1tab ODx10paracetamol 250mg SOS.kindly cotact me again, if no relief.
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Stopped taking metformine after experiencing abdominal discomfort and nausea. Should i continue the medication?
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hi doctor ,i am 19 years old.4 years back my doctor find out that i am a pcod patient .but vi didn't took continuous medication. since 6 month back i took Femilon for 3 month course.she told me to stop the course now.and i am also taking metformine-500 (gluconorm).But i temporary stop taking because recently i feel like abdominal discomfort and nausea.why?can i continue metformine?
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Hi,Metformin is a diabetes medicine sometimes used for lowering insulin and blood sugar levels in women with polycystic ovary syndrome (PCOS). This helps regulate menstrual cycles, start ovulation, and lower the risk of miscarriage in women with PCOS.The most common side effects of metformin are:Nausea.Loss of appetite.Diarrhea.Increased abdominal gas.A metallic taste.These side effects occur 20% to 30% of the time. Side effects usually decrease over time. The dosage of metformin is usually increased gradually to prevent these possible side effects.You should not discontinue medicine. Take it regularly as advised by your local treating doctor.Do consider a positive feedback as a credit to my work Let me know if you have any further questions.
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What causes fever,migraine,back pain during kidney infection?
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I went to the Urgent care and they said I had a bad kidney infection. They gave me a shot but nothing has happened I still feel the same. I have the chills, fever, migraine that can't go away, my back hurts bad! The only thing the shot took away was pain when I pee. What's wrong with me
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Welcome to Healthcaremagic. I read your question carefully and I understand your concern. From the signs and symptoms you prescribe it is a possibility that you have a Pyelonephritis. That was also the suspicion in the ER. I would like to know if you did any lab or imaging studies or did in the ER prescribe medication for further treatment? I also would like to know your age and if you have any chronic disorders that would complicate the treatment like diabetes, chronic lung or heart diseases). This is important because if your diagnosis is confirmed, in some cases there is a necessity for hospital admission. I recommend to you to do the following workup: urinalysis (with microscopic analysis), urine culture, CBC and ultrasound of the kidneys and bladder. Regarding the therapy, if the diagnosis is confirmed and if you will be selected for outpatient treatment, you require initially a vigorous IV or oral fluids, paracetamol for fever and a dose of parenteral antibiotic. Then you need a antibiotic therapy at least 7 days in uncomplicated cases and the recommended first line therapy is ciprofloxacin. I hope my answer was helpful to you. And I wish to you a fast recovery and a good health.
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What does the MRI show?
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Hi I am a 51 year old female with a month history of paresthesias of the left trunk area as well as down my left leg and toes. My FP ordered a MRI of brain. Results showed few punctate foci of abnormal T2 signal hyperintensity within the periventricular and subcortical white matter with largest 1.2 cm. Chronic small vessel ischemic changes versus exterminating type disease. Doctor said normal and just age related but concerned because of symptoms. Now has ordered MRI of thoracic and lumbar spine. What do u think about the MRI results???
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Well the area of problem you are describing -- the left trunk area and left leg -- would not really fit into a lesion in the brain so it's good he ordered and MRI of the spine. If the thoracic and lumbar are normal, you should still have an MRI of the cervical spine.Regarding the current MRI results -- over the last 3-4 decades that MRI has been around, many patterns have been seen and studied. Chronic small vessel ischemic changes are like having "plaque" in the brain in parts that usually don't manifest clinically. There are lots of tiny blood vessels in the brain that can get "clogged" over time which can be accelerated with smoking (second-hand as well), diabetes, hypertension, hyperlipidemia, etc. This is the pattern that appears.Now if the MRI of the spine shows something, that pattern could be somewhat indicative of demyelinating disease (not "exterminating" I believe). Then you will need the rest of the work up for Multiple sclerosis which would mean a lumbar puncture (also known colloquially as a "spinal tap")
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Diagnosed alcoholic liver disease. High levels of ammonia, confusion, fatigue, not responsive. No relief with medication. Help
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My Father has alcoholic liver disease, he is currently in the hospital for it. for the last few weeks he has been having High Levels of Ammonia in his system and is getting very confused, Trembling hands, very very tired, Not responsive unless you pasture him. His eyes are yellow which they have been for the last few years. Currently the meds the Doctors here are giving him are not working. The Doctors here have basicly said theres nothing ells they can do for him. My Father is in his 50s, hes not in shape, hes got high blood pressure, hes diabetic. I was wondering if theres away to cure him.... to make him better.... This is his 4th or 5th time hes had to much Ammonia in his system in 3 weeks.
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Hi Thanks for writing to Health Care magic Alcohollic liver disease results from damage to liver. This causes difficulty in the elimination of toxic wastes like ammonia from the blood. Their levels accumilate and cause the symptoms described by u. Ammonia is toxic to brain. The treatment of alcoholic liver disease would reverse the condition usually. But in case of a severe problem we need to get dialysis done and sometimes doctors advise for organ transplantation. Elevated ammonia can also occur with renal problem. So please get his renal parameters also checked. Tremors, confusion, anxiety, restlessness, fatigue etc canalso occur with alcohol withdrawl. Diabetes and hypertension themselves are risk facotrs for kidney and liver disease. Strict abstinence from alcohol is very important. Hope this helps u Thanks and regards
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Suggest remedy for foul breath
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I have bad breath all the time but mostly during and after I eat. It is a foul smell that people around me can smell. I can't eat in public because of this. Also I brush, floss, scrape my tongue, and rinse and still have the odor. I think it is coming from my throat or stomach. I have been to my Gastro doctor, my dentist , and my ent and no one can help me. Please can you help me.
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Hello,Evaluate your diet and try to eliminate foods that might contribute to this condition. Rule out any deficiencies or excesses in your diet and maintain balanced vitamins. Make sure that you have had blood tests to rule out systemic factors. Diabetes is known to have as associated condition that changes your breath due to ketone production. Bacteria studies of your oral environment may show an imbalance in your oral flora. I generally do not do this during routine dental exams. Consider visiting a periodontist to further evaluate tissue and bone health.Your comments concerning the throat describe the possible condition of tonsil stone formation or tonsilloliths.You have consulted the correct doctors. Continue to try and determine specific triggers. Tank you for your inquiry. I hope my suggestions are useful.
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What causes severe cramps under breasts and lower part of stomach and back?
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Hi my name is . I just experienced severe cramps in my lower right and left part of my stomach and in my lower right and left part of my back. I also am cramping under my breasts. In myhands and feet.. I feel dehydrated. I am adiabetic. and have fibcan u help me fybromyalgia. I have copd. Can help me understandwhats going on?
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Hi.All the fibromyalgia patients have a stress problem which may be the reason for most of your problems . You may be having IBS. Diabetes may add on the problem by super-added infection.COPD may not have to do anything with the present problem . Get the treatment first to control the diabetes if it is not under control. Get a course of an antibiotic as you need a support to cure the problems and as an antibiotic cover is needed when there are so many problems at the same time .Get properly investigated and consult a Doctor,. Try to get a muti-disciplinary approach to tackle all the problem at the same time to get a chance of recovery and a control for a long time.
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What causes swelling and inflammation around ankles?
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Ankles are inlarged. Red in colour. Also over the last year I have gained lots of broken red veins especially on one foot now starting the other.Burning sensation in feet up back of legs. I put into the pool to relieve the heat.. It is not a hot day.
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Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion you need to be screened for diabetes or vit deficiencies, such symptoms are common with these conditions. swelling may be due to edema from infection or may be due to any renal or protein def cause.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.Special note- Any medication prescribed needs to be taken after consultation with your personal doctor only.
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Suggest the dosage of Humalog instead of Tresiba
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Hello I ran out of my Long acting Insulin Tresiba 100 units and I am on medicare and I do not have any Prescription coverage (partD) can I use this short acting insulin --Humalog 75/25.. if so How many units.. with the longacting I gave my self 28 units twice a day.. with the short I have taken 15units before each meal...what do you suggest///
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HelloI have gone through your question.I can understand your concern.You actually have a basal-bolus injection regimen with 28 UI long acting insulin twice a day and 15 UI before each meal.This means that your total insulin dosis is 101 UI/day.You need a large daily dosis of insulin to control your diabetes,so in these circustances it is not recommended to change the regymen of isuline therapy and to start using Humalog 75/25.(You can discuss the problem of prescription coverage with your treating endocrinologist and find a way how to solve this problem.)Humalog Mix75/25 is a mixture of insulin lispro solution, a rapid-acting insulin and insulin lispro protamine suspension, an intermediate-acting blood glucose-lowering agent.This insulin is used with another insulin regimen(different from your actual insulin regimen) that in my opinion is not the right choice to control your diabetes,for the moment.So,My answer is :No,You ca not use Humalog 25/75 for the moment.Don't change your insulin regimen without your treating doctor opinion.It can be harmful.Hope this is hepful.Best regards.
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What causes dizziness while suffering from depression?
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Hello, I am unsure what is causing me to feel distant and somewhat dizzy. I thought I had depression, but the pills make me worse and I don t struggle with constant sadness, my issue is constantly feeling distant as if I am in a dream. My dad had diabetes, but I have normal sugar levels when I get blood work done. I seem to be constantly thirsty, needing to drink more than 32oz. of water alone, but feeling thirstier if drinking it all in a short succession of time. My bowl movements become atery when I drink more than 32oz. a day, but is hard when I dip under 32oz. of water. I do not smoke, drink alcohol often, or drink coffee. Please help. ~S.Parker
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Dear patientI need to know the medications u r taking as some medicines hv hypertensive effect and may lead to dizzinessOther possibility may be psychological if all medical parameters ate normal We need to asses u properly if dizziness is disablingRegards
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Does throbbing sensation in knee indicate nerve issues
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Hello, I am experiencing issues with my back and left knee. When I sit for a while and stand up I cannot walk right away I have to stand and stretch for a while before I can walk. Sometimes I get a throbbing sensation behind my knee and have to keep my leg bent. I cannot sit on a flat surface such as the floor or even the bed with my feet straight they have to be bent. I cannot kneel down at all once my toes press on the floor I get a throbbing sensation shooting up my body. I think there is something wrong with my nerve endings.
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Your age & sex please?kindly rule out diabetes or any other metabolic disorder.Physiotherapy will help you.you shoul take Multiviamin 1 tab.OD & paracetamol 250mg SOSX 10days.kindly keep me informed about your progress.
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How to prevent miscarriage during pregnancy?
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just found out im 4weeks pregnant and i had a miscarriage last year, im scared that the same is gonna happen again, is there anything i can do to prevent it happening again, i went out at the weekend and had quite a bit to drink because i didnt know i was pregnant could this effect the baby? i am also a vegatrian so is there anything i need to take to substiute meat
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Hello dear,I understand your concern.There are various causes for miscarriage like genetic anamolies,hormonal abnormalities like thyroid abnormalities, progesterone insufficiency,uterine anamolies,infections,diabetes,anaemia etc.All the above causes should be ruled out by necessary investigations like ultrasound,thyroid profile,HB etc.Nothing to worry.Once the cause is treated miscarriage wont repeat.Drinking once might not cause any problem.But avoiding drinking is good because alcohol might lead to growth retardation of fetus and other complications.Even vegetarian foods are rich in protein like dry fruits,pulses etc.Take healthy nutritional diet like green leafy veggies,fruits and fruit juices.Take adequate fluids upto 3 litres per day.Avoid physical strain and intercourse.Intercourse is best avoided in first 12 months.Hope this helps.Best regards...
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Extremely aggressive behavior, says nasty things, denies it. History of diabetes. Will relicalmor help?
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My mom is very aggressive and is also a diabetic. She is. 77years old. She says a lot of nasty things and all of sudden she denies it. I cannot say whether she suffers from Alzheimer s because her answers she give is not o f a person suffering from Alzheimer s. ca She is a state patient and we cannot afford expensive medication . Can we give her Relicalmor any other arming medication. Thanks.
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Hello and welcome to Healthcare Magic. Thanks for your query. Agressive behavioural change in the elderly can be due to various causes. Some of the common causes are late-onset psychosis, depression and dementia. Certain types of dementia like frontal lobe dementia can present with a predominant change in behaviour, without any significant impairment in memory initially. Your mother will need a detailed psychological assessment in order to find out the probable cause of her problem. It is not advisable to start medication on your own since they can have untoward side effects, especially in the elderly. Relicalm is an anti-psychotic medication which has to be prescribed only for specific indications in the appropriate dosage. So, please take her to a doctor for an evaluation, so that appropriate treatment can be started. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist
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Why doesn't my penis getting hard?
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my penis has been going soft or not becoming hard as it used to,about a year I had bypass surgery on my heart,for a while nothing happened as the meds I was taking certainly killed any arroseal I had, however,since then,the feeling has come back,but just not what it should be,
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Hi.i had gone though your quey.It may be due to medicines that have you taken specially beta blockers,need to consider and check.2nd if you have diabetes or hypertension then it may cause erection problems.3rd is stress and lifestyle stress and busy life style make u fatigue and secondary to this it makes less desire in sex and erectile problems4th Relationshipfree communicative and mutual understanding will helpsex is mutual act so try to do mutually and tell your problem to partnerthis will reduce your anxiety and able to erect easilyso stress free lifestyle and mutual communication will helpInvestigations likeRoutine check up,penile Doppler to know blood flow and chance of erection with medications etcI hope i have answered your query.Thank you.
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Itchiness, increased sensitivity with spells of twitching pain under the penis head, skin is dark red in color. Cause?
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51 male, I have an itchy,,sometimes moreso, on underside of penis head, shiny red, to darker red thin skinned, kind of senceitive also, with spells of twiching pain ,not bad just know its there.
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HelloThanks for your query,based on the facts that you have posted it appears that you have itching on under surface of glans penis and your foreskin is red and thick .Many a times itching of the genitals is a presenting symptom of Diabetes .Please get your blood sugar tests on empty stomach and 2 hours after lunch done to rule out diabetes .If you turn out to be diabetic you will need to take opal hypoglycemic drugs as per advise of a qualified Physician,In the mean while take anti fungal medication like Fluconozole and topical anti fungal jelly for local application .Dr.Patil.
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What should be done to prevent blockage in the arteries?
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If there is a patient who had endyoplasty in the past and after the time period of 1 year again there was a blockage at the same area. The patient do not consume alcohol or smoke, follow all neccsary steps to avoid blockage. what can be done? Doctor says that it in the gene of the patient.
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Hello, Sometimes atherosclerosis, which is the main cause of blood vessel blockage is a genetic disease. This means that there is no way to prevent it, besides following a healthy lifestyle, take blood thinners (aspirin, clopidogrel) and statins (atorvastatin, simvastatin), closely monitor blood pressure diabetes if present. It is also important avoiding straining physical activity and stressful situations. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist
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What causes tremors in the left hand?
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hi iam 47 yrs old female.i am suffering from tremors in my left hand rather than right .but some times i feel tremors in my whole body.i have gone to each and every dr ie neurologist and genral physician they says that i am suffering from high blood pressure and diabetes my blood pressure is 110/140 and my glucose level also increases ie 120 fasting and 160 post lunch . iam taking betacap tr 40 mg ans telsar 40 kindliy advise me what to do as iam not satisfied with this medication as the tremors is not in a control
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Hello!Welcome and thank you for asking on HCM!I carefully passed through your question and would explain that your symptoms could be related to different causes: - thyroid dysfunction - a neuorological disorder (like Parkinson, essential tremor, a cerebellar lesion, etc.)- epilepsy seizures. For this reason, I would recommend performing thyroid hormone levels and a brain MRI. If the tremor is episodic and lasts for a few seconds or minutes, I would recommend performing an EEG to exclude seizures. Hope you will find this answers helpful!Kind regards, Dr. Iliri
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Is dettol effective against fungi?
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Is dettol effective against fungi? I have tried everything against a foot odor problem. Broad spectrum anti-bacterial agents don t seem to be doing it. By deduction, since the odor continues, I think it may be a fungus, even though I have no symptoms of athlete s foot. Tried vinegar baths, schol anti-ordor spray, odor-eater spray, black tea soak, anti-bacterial soap, (with Triclosan), carbon filter insoles, boiling socks, freezing shoes, new shoes, and NONE OF THIS IS EFFECTIVE!? please help. many thanks.
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Hi,Based on your history, fungal infection could be a possibility. It is also essential to rule out diabetes since diabetes and other immuno-compromised conditions can increase the risk of opportunistic infections like fungal infections. Anti-fungal creams containing miconazole should be used. Avoid frequent immersing of feet in water. Always keep the feet dry and avoid wearing socks and wear open ended shoes for 2 weeks.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician
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How can bed wetting be managed in a child with ADHD?
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My son just turned 7 in December. He has been diagnosed with ADHD and mood disorder due to the medication he takes for the ADHD. He is on concerta, a mood disorder med, and an anti-depressant. He is usually a very happy child but since very early on, he always seems to over react over the simplest things. I thought he would grow out of it eventually. The medication has worked tremendously with everything but he still wets the bed and still wants to make sure everyone likes him. Any advice with the bed wetting or the crying/wining spells? Should I take him back to his therapist or is this something I should go to his regular family doctor to see if any more tests are needed (he has been tested twice for diabetes). Any point in the right direction would help tremendously.
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HI adhd children with BED WETTING HAPPENS.just encourage your child to go to toilet before sleep and dont give him any fluids 2 hrs before sleep.Wake him up in the middle of sleep after observing the time he usually wet the bed and keep an alarm and take to toilet.REWARD HIM IF HE IS DRY
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How can one treat swollen and painful feet in a carbon monoxide survivor?
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I have swelling in my feet and it appears to be fluid like and painful.I do not have diabetes as of last time checked.I am a carbon monoxide survivor with symptoms of this on my right side but,now my left side is more swollen than the right as of one week ago
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Hello, The swollen and painful feet can be due to inflammation. This can be treated with mild pain killers taken regularly and hot compress to increase the blood circulation in the area. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon
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What causes tenderness and hardness in toe?
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Three weeks ago I went to the urgent care b/c my toe was infected from a pedicure. Doctor put me on Bactrum (spelling?); took all of the antibiotic; did warm soaks, etc. Now the toe next to it is tender to the touch and has a perfect circle of blood in the center of it; toe is hard too.
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dear patient you had developed infection because the pedicurist didnt follow the right hygiene practice. may be bactrim was not that effective for your infection. i advice you to get a complete blood picture and a grbs test just to rule out diabetes because its known to lower immunity and give infections.consult again to the physician with test reports and he will prescribe you another antibiotics accordingly. till then apply topical t- bact ointment on it regularly for two weeks.hope i have answered the question
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What can I do to reduce the high blood sugar level?
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Hi I am a diabetic on medication metformin and galipizide. I have been having a HI readng all day with extreme diaherria I have taken my med. but not eaten much. Do not know why it is high should it not be low f anything? What can I do to feel better?
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Hello there. Thanks for writing to HCM. Its probably HI due to a infection associated diarrhoea. Another possible reason is that your medications are not enough to control your diabetes. Can I ask you since when do you have diabetes and what is your last Hba1c like. That should give us an idea. Please take plenty of fluids now. Lemon juice (salted) will be good. Take your medications. Increase the dose of glipizide to a max of 20 mg per day. If its not settling in a day please see your physician. Another question is have you been on metformin since a long time or was it just started? Regards.
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Should I go to ER for high blood pressure and low pulse?
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Hi i have hypertension, beginning diabetes, adult male 240 lbs 1 m 79, my blood pressure is 144/88 pulse 53Is right now a mix of high blood pressure and low pulse, Feeling a bit weak and some discomfort in the stomach area.should i be worried and go to the emergency room or am i ok?
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You should consult a physician for these.. it could be early hypertension. . Have an opinion and follow the diet and drugs as necessary. .
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What treatment to be taken for the blood clot on penis?
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I have a blood clot under the skin on upper middle of penis shaft. I pinched the skin while drying with towel 3 months ago, since then I can get normal erections but there is aching and pain particularly afterwards and there is an ever increasing network of spider veins emanating from the clot/injured area. the ache is particularly prevalent on left side by testicles. i have pictures
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HelloI really appreciate your concern, please upload the picture, since you have pictures with you.This can be caused by number of reasons like dryness of vagina or lack of lubrication during sex, infection or inflammation of the penis or at times it might be related to allergic reaction.Masturbation may be contributory factor in it.If you can provide me more details like medical history like if you are having diabetes or liver diseaseSimilar complaints in past, I will be able to guide you better.If I were your treating doctor, I would have advised you to keep it clean and apply antiseptic ointment if it doesn't improve or worsens than I would have ordered few investigations like blood for hemoglobin, CBC Liver and kidney function test, blood sugar and urine culture or an ultrasound if need be.you may require a course of anti allergic or antibiotics drugs under supervision of doctor.Thanks for your questionWish you both good health
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What causes back pain, breast pain and pelvic pain?
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Im 28 I weight 170lbs 5'3 I have upper and lower back pains breast pains and plevic I went to my doctor for my annual checkup not pregnant urine was fine no blood was drawn I need to know whats wrong with me and im always tired and I urine alot like 10 to 15 times a day
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Hi,Thanks for your query. After going through your query I came to know that you may be some general disease.You should got your investigated for diabetes, thyroid and vitamin deficiency.You should get your blood sugar fasting and PP checked.You should get yourself check forT3,T4, and TSH checked.You should checked your Vitamin D level. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.
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What causes intolerance for sweets after afib?
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My husband recently had a sudden attack of afib..never had it before and also double pneumonia and lung infection. He spent a long time in the hospital, where he had stents in an artery to stop sudden arterial bleeding. Since being home now for several weeks, he has an intolerance for anything sweet. Can you give us a clue why this is so.. Tnx, PJO
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Hello!Thank you for asking on HCM!I understand your concern, and would like to explain that it is very important to identify whether your husband suffers from diabetes, and if it is so, to check about possible underlying consequences.Regarding this purpose, I would recommend to check first a fasting blood glucose and a post prandial one. If no clear evidence are found, a glucose tolerance test should be tried, too. You need to perform a glycosylated hemoglobin test (HbA1C), to make evidence of the last months glucose balance.Whichever be the reason for the actual clinical symptomatology (diabetes or glucose intolerance), your husband needs to check besides the other routine lab tests, also repeatedly blood glucose, his liver and renal function tests, microalbuminuria, as well as an ocular fundoscopy, etc.Some diet and life style modulations are necessary for a better blood glucose control, and to treat also the other possible coronary risk factors.You need to discuss with his attending cardiologist about these issues.Hope to have been helpful to you. Greetings! Dr. Iliri
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Experiencing dizziness immediatetly after waking up
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I woke up about yesterday feeling dizzy but the night before i felt fine . I puked like 4 /75 times & it gasnt gotten better. everytimr i move the room start spinning but only with the light a bit on .. like tinted a bit or even if its comppetelty on. i havs Alot if pressure in my head & i cant even walk without throwing up or feeling really dizzy .. what do i do??
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Hello!Thank you for asking on HCM!Your symptoms seem to be related to an inner ear disorder. What is your age?Do you have any cardio-vascular risk factors (diabetes, hypertension, etc.)?I would recommend consulting with an ENT specialist for a careful physical check up and performing labyrinthine tests. A brain MRI may be needed, especially if you have known cardio-vascular risk factors. Meanwhile, I would recommend having some rest and take plenty of fluids to remain well hydrated. Cinnarizine or betahistine may be helpful. Hope you will find this answer helpful!Best wishes, Dr. Aida
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What causes water retention in the feet with swelling?
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Hello I think I have some water retention my feet keep swelling, but goes away at night. I am a 40 year old male I am on BPM AMODIPINE BESYLATE 10 MG. No I don t have diabetes. I took test in November of 2013. I have indention in my skin when I push on it
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hiyou can try keeping the leg over the pillow and then do ankle movements. it will help reduce it. try doing straight leg raise which will also help reducing the swelling and water retention.thank you
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How long does haematoma take to heal?
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Following a bad fall, I had an infected haematoma on my shin, which is now like an ulcer. Antibiotics have failed to stop infection recurring. Iodine and now manuka honey dressings have changed every other day. Fall was 6 weeks ago. I am a 54 year old female. Why might it be taking so long to heal?
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HelloThanks for your queryAfter going through your query I came to know that you got injury to your shin and you got hematoma and now ulcer.Slow healing can be due to diabetes so blood sugar should checked. Elevation of limb is helpful. If you have any further questions then don't hesitate to writing to us . I will be happy to help you.You can also write to me directly on below link:https://www.bit.ly/askdrsudhirorthoWishing you good health.Take care.
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How to get rid of itchy sores on foreskin?
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Hi, may I answer your health queries right now ? Please type your query here...i have really itchy sores on the top of my foreskin. I the head of my penis is really itchy but i have no sores on the underside of my penis just on the top. What do i do to get rid of it?
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Hello, If you had unprotected sex, can think of Sexually Transmitted Infection. If not it can be due to balanitis - caused by a fungal infection, diabetes. Doing a swab and blood sugar analysis will help you diagnose. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist
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What could be the reason for having itching in private parts and burning during urination after sex?
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my husband has start complaining and itching in his private parts lately also he said it burns when he pees after sex . I ask is there anything red or flaky on his parts and on the side of his penis there is a dry red area . what is this he is to embarass to go to the doctor
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Hello I share your concern, i will try to help you out in best possible way.Looking at your description this could be STI or infected ulcer may be due to trauma during rough sexI would like further informationto help you better Your age and relevant medical history like diabetes or other metabolic disease Any recent exposure to unprotected sex?You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test as well as pus culture of the discharge from the rashApart from.this blood sugar fasting and post prandial and Blood for CBC and liver function test are also advisable.Maintain good hygieneWash and clean it with antiseptic solution or soapYou can apply mupirocin ointment externally.Use condom during sexHope this answers your question please feel free to ask for more clarificationThanks and regards
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How can diabetes in a person for over 60 years be treated while on Insulin and an appropriate diet?
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I have been a diabetic since I was a child. I am insulin dependent. I exercise for at least 20 minutes a day except on weekends. I am careful about my diet and take my insulin as prescribed. What else can I do? Incidentally I am 80 years old, male.
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Hello,Even at the age of 80, you are doing twenty minutes of exercise. You have type 1 diabetes that is insulin-dependent. Folding things you have to checka. Regular checking of glucose levels including HbA1c (yearly)b. Ophthalmologist consultation for a retinal examination and eye checkup. (yearly)c. Renal function tests for kidney status (yearly)Keep control over glucose levels.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Siddartha
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