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How can diabetes along with shortness of breath be treated?
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I have a 45 year old brother who is a brittle diabetic, according to enzymes he had a heart attach last week. 2 catherzations, that found a blockage from a bad stint. He had new stints put in. That was 5 days ago. since then his heart rate has remained around 130 only falling to 104 for an hour or so. His BP is being kept up at 90/60 with meds. It falls to 60/40 without meds. His o2 sat. is good, but he is SOB with labored breathing. they are using a B-PAP and are considering a ventilator. The doctors are stumped. They found nothing remarkable on the 2nd cath. He is extremely fatigued and confused most of the time. We are considering moving him from the hospital he is in to Cleveland Clinic in Cleveland in hopes of finding the underlying cause. He also was septic at admission but that seems to have been resolved with antibiotics. help
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Hello,Your brother needs drug support to maintain Blood pressure (BP) for a few days and ventilator also. You can move him if you want but he in critical condition.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Varinder Joshi
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What causes stiffness and low blood pressure in the morning?
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i have morning bp of 102/68 with pulse of 59. i'm 47 5'9" 185 lb and do very little physical activity. i do have alot of stiffness and body aches in morning . i have consistant blood sugar of about 82 in morning. is this normal or should i have tests done? if so what tests? also my morning urine has a fruity sort of smell to it.
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Hi ThereAfter going through the details i would like to tell you that all you parameters are within the normal recommended limits. But the as you are telling that your morning urine do have fruity smell to it which could be a sign of pre diabetes situation so i would like to recommend few tests to you like HBA1c for 3 months diabetes control, Urine routine and microscopic examination. Its advisable to consult a doctor personally for a proper evaluation.You have not mentioned any history of fever so for your bodyache and stiffness i would like to suggest you to consider changing your sleeping mattresses, probably that will help.I wish you good health
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Diabetes, high BP, high creatinine levels. Suggested dialysis, 80 yrs old, weak, no appetite. Is it an option ?
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My mother has diabetes ,high blood pressure and she has had several admissions into hospital for breathlessness.Recently her creatinine level is 700.She 80 years old and dialysis had been suggested in the past.Now she is hospital again and she has decided to have the dialysis but at this moment in time she is rather weak and has no appetite .Is dialysis now an option?
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Hi in view of your mother's age,best form of dialysis would be CAPD.It is very safe,convinient,can be done at home by the patient/attendant.In this type of dialysis fluid is instilled into the abdomen through a pipe attached permanently to it.You can get in touch with a Nephrologist in person to learn more about it in details.I am of the opinion that if dialysis has been thought of then she will definitely get benefitted by this .Best of luck
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I am only 18 yrs old, Could I have Type II Diabetes ?
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Could I have Type II Diabetes? I'm only 18 yrs old :'( ? a few days ago i had a routine blood test done and this was the first time the doctor checked my glucose and insulin levels... i just got the lab results back and i m worried because they don t look very good..i m seeing the doctor again tomorrow to go over them. fasting glucose: 5.1 nmol/l (normal = 3.5 - 6.0) fasting insulin: 31 mIU/L (normal = 5 - 13) my insulin is 3 times normal? whats up with that? i m 5 2 102 lbs so im not overweight, i dont have any medical problems, and i m not on any medication. ok so i ll admit i have a high sugar diet -- major sweet tooth -- but i didnt think it was that serious since i wasn t gaining weight. in a typical day i probably eat about 10 chocolate biscuits, 2 chocolate bars and 3 cups of ice cream -not including normal meals like lunch and dinner. i skip breakfast.
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Hello once your bloodsugar are high. immeterial whether you are thin or obese you have to alter your diet. Have regular meals and maintain timing for your food daily. consult a dietician for the food chart to be followed. have regular exercise/work out lead a stress free life avoid sugars Consult a diabetologist for other lab investigation and treatment. Hope i have tried to clarify your doubts.
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Enlarged fatty liver. Udizia prescribed. What is the medication used for?
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my liver is mildly enlarged in size(18cm) and normal shape.echotexture is uniformly increased suggestive of fatty liver .no focal lesions seen.the intra-heptic biliary radicles are not dilated.portal vein, hepatic veins and ivc show anechoic lumen and thin walls.portal vein is normal in caliber.cbd is not dilated. sgot (ast) 51 IU/L. sgpt ( alt ) 116IU/L. cholestrol(total), serum 143mg/dl. hdl 51mg/dl ldl 68mg/dl. vldl 24mg/dl. triglycerides 124mg/dl. my height is 165cm & weight is 75kg. what i have to do ? how to overcome the situation? for what purpose udizia-300mg is used?
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Hi,Thanks for posting your query.Udizia contains urso deoxy cholic acid. This medication is prescribed by doctors for many conditions especially cholestasis. In your case, it has been prescribed for fatty liver.You have not mentioned whether you consume alcohol.Based on your liver function test report, I presume you do not consume alcohol.Your fatty liver is probably due to nonalcoholic fatty liver disease.Your cholesterol level is normal. Other factors should be looked in to which includes obesity, diabetes.If you are obese, you need to reduce weight.If you are a diabetic, then you need to take medications to keep blood glucose under control.This will help to resolve fatty liver.I hope that answers your question.Regards
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How to treat spot on pancreas,liver and gallbladder with stomach pain,weight loss and high blood sugar?
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my mom has been sick, stomach pain when she eats, lost a lot of weight & blood sugars are high, fasting or even if she hasn t eaten anything. went in to doctor to find out more, they did sono & ct scan. No gall stones, however she has a half dollar size spot on her pancreas, liver & gallbladder. She has never smoked or drank. She is 72 years old. What could this be?
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Hi there,Thanks for your query.Firstly, your mom is suffering from diabetes Type II. Ask her doctor to control her sugar levels at the earliest, with anti-diabetic drugs.The spots are either due to deposits of calcium in the affected organs; old parasitic infections which-following healing- have now been 'buried' in calcium grave; or, may be metastases from a distant underlying/undiagnosed malignancy.You have not mentioned the opinion given by the radiologist, which would have given me invaluable input.Stomach pain is apparently due to stomach ulcers or hyperacidity without presence of ulcers. Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised.If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries. Take careDr. Rakesh Karanwal
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Have high sugar level. Tingling, numb muscles. Fatty liver, high iron level. Negative for hepatitis
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I have been tested for heredity hematochromosis and it came back negative, I have high sugar level from my my diabeties, checked me for hepatisis and it came back negative. I am tire, joints trobs, muscles tingle and numb. blood preassure is fine. I have a fatty liver. high level of iron in liver. now it is to the point they want to do a liver bioposy.
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Hello, Thanks for the query.Fatty liver is there, but from , how many days , you are having this problems. High blood sugar level , how many days. Joints pain, muscles pain, numbness all these symptoms may be due to diabetes , if you are a chronic diabetic or blood sugar level is not under control. Liver biopsy is very important as this will reveal exact nature of damage to liver. Hope I have answered your question. If further any question I will help. Good luck. Dr. HET
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Pain in lower back, legs, no feeling in feet, unstable. Diagnosed neuropathy. History of having multiple back operations. Treatment?
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just what is neuropathy. what is treatment. my husband has so many back operations, now his neurosurgeon states that he has neuropathy. symptoms pain in lower back and down legs .his feet has no feeling. balance is a problem. like I said what is neuropathy. we do have an apt set to see a neurologist. what can we expect. he does not have diabetes. thank you
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Hi,Thank you for posting your query.Neuropathy refers to a disease of peripheral nerves (nerves of hands and feet). This is most commonly caused by diabetes, but can also occur due to vitamin B12 deficiency or thyroid disorders. The severity of neuropathy can be confirmed by clinical examination and nerve conduction studies.Seeing a neurologist would help identify the cause and plan a treatment. I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/
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What causes shaky hands with diabetes and depression?
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hi sir my father is a diabetes and chronic depression patient for last 8 yrs. he is on regular medicines. from last 2 months his hands are shaking without reason. the doctor is telling its not due to any of the depression medicines and told to see a neurologist. can u plz suggest me wt to do?
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Hi, First of all, diabetes causes our body to loss important vitamins such as: vitamin B complex, besides uncontrolled blood sugar can cause a direct nerve damage, resulting in tremors and loss of balance. So, he should regulate blood sugar and take some vitamin: Vitamin B complex twice per day after meals and one ampule vitamin B 12 every week can help with his case. Some anti-depressant drug such as: Fluoxetine 20 mg can cause tremors. The routine check of blood pressure is mandatory for him. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mustafa, Neurologist
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What is the treatment to get rid of genital warts?
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I recently went to get checked and found out I had genital warts I haven t undergone any treatment but as a male with diabetes the warts seem to be spreading. Some warts seem to disappear after a while but new ones just keep growing in place. I just basically wash the infected area (uncircumcised hood) to try the best I can to keep it from getting out of control. I don t have a Family doctor or a normal doctor for that matter. I need help and I don t know what to do, should I go to the emergency room? What are my options?
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Good day and thank you for being with healthcare magic!The best treatment for genital warts would be surgical treatment either with electrocautery or cryotherapy. Often times some ointments might work like salicylic acid but surgical will give you the best clearance rates.Yours truly,Manuel See IV
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What are the side effects of agent orange exposure?
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Hello...I am 62 yr old male with non insulin dep diab mell. Though mother is diabetic, am viet vet and found to have agent orange exposure and so given presumption of service connected disablity. I have peripheral neuropathy both feet. Getting worse rapidly. ques #1...can this reverse? #2what is likelyhood of progression?
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Hello,Already your suffering from diabetes along with this agent orange exposure may aggravate neuropathy. 10% of the population disabilities is exposed. In mild cases and more due to diabetic component then there is chances of recovery. The disease appears within one year of exposure to a degree of at least 10 percent disabling by VA's rating regulations.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist
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Swollen eye due to spider bite. Taking benadryl. What else have to be done?
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Hi, i seem to have a reaction to what i think may be a bug or spider bite , my whole left eye area is swollen for the last several days, and it seems to be getting slightly more swollen progressively. It is a bit itchy, but doesn t seem infected, tho i have disinfected the area numerous times, done warm compresses, and took benedryl finally this morning, no results yet. Any advice on what else i could do, and would something like this take a certain amount of time to run its course? thankyou Olivia
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Dear Concerned., By history ,it seems to be an eyelash hair follicle infection/tarsal gland which has grown bigger and bigger with a collection of inflammation underneath. The anti histaminic Benadryl use has done no good because it is infected .Even the bug or spider could have bitten and introduced infection. You have not indicated whether you have had fever/ local temperature raised over the area. In case it is present then it confirms the presence of infection. How about your age and whether you have family h/o Diabetes. Kindly investigate and consult an Ophthalmologist who will drain out the collection of pus and prescribe an antibiotic as well.Pls do not neglect. Wishing you a speedy recovery. regards, Dr Lt Cdr ASN Bhushan.
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How can a foot ulcer be treated while suffering from diabetes?
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My boyfriend is a diabetic with very bad foot ulcer. He discovered through researching the web to find out it is a foot ulcer. He has been treating it with Terasill cream for 2 weeks. Now he is running a fever just under 103. He has ordered Keflex onlin, but it won’t arrive for several days. What else can he do?
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Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Foot ulcers in diabetic should not be taken this lightly. These are very difficult to treat and need expert management and examination of the ulcer. I don't think keflex would be sufficient for it and make sure with a doc as this can be serious. The ulcer needs to be seen and graded, as treatment is different for a different grade. Good Glycemic control and daily wash /cleaning with saline is necessary. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Mahboob Ur Rahman
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Brain tumor anaplastic astrocytoma, diabetic, have psoriasis. Had chemo therapy, radiation. Suggest?
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My wife was treated for brain tumor anaplastic astrocytoma discovered 4 years ago. Surgery removed lemon size mass followed by 8 weeks of radiation and chemotherapy (temador). then Temador 5 day monthly for 24 months. The tumor is stable but she has developed several what I think are side effects. Diabetes , controlled by insulin injections. Fatty Liver and what dermatologist are calling psoriasis It started in th scalp in the area of the radiation treatment and now appears in various locations. So far they only give her ointment and creams that sort of relive the itching but do little to stop the outbreaks . Is psoriasis typical with this cancer treatment? Where can she actually receive help?
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Hi, Thank you for your query. Radiotherapy has only local effect,that is effect/side effect is seen only in organ or site where radiotherapy was given.Psoriasis is unlikely to be due to radiotherapy.In fact there are reports suggesting radiotherapy can flare up psoriasis,which may be the case with your wife. Similarly Fatty liver and diabetes also seem not related to the chemotherapy. A dermatologist can help with her psoriasis. Good luck
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Should I go for blood and urine tests at 25 weeks of pregnancy?
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hi,im in 28 weeks of pregnacy n my doctor told me i need mke blood n urine test n this i mk eit when i was in 8weeks of pregnacy,now i ask him if i need any test n he say me no,the baby is ok all is ok , my question is if realy i dnt need mke any test?
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Hello dear,I understand your concern.In my opinion the basic blood and urine investigations are needed to rule out any abnormalities.The investigations are done at the initial visit like:-1)HB- to check for HB level and rule out anaemia.2)Blood grouping and typing.3)Bleeding time and clotting time- to rule out any clotting abnormalities.4)Random blood sugar - to check for diabetes.If abnormal and there are any risk factors for diabetes then GTT(Glucose tolerance test) is advised.5)HIV,HBSAg,VDRL- to rule out infections 6)Complete urine examination - to rule out urine infection,any protein loss in urine.Then HB is repeated at at 28 and 36 weeks to rule out anaemia.Hope this helps.Best regards....
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How can septal infarction be treated?
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Hi there. I am a 52 years old female. I was diagnosed, in 2012, with anomalous right coronary artery arising from the anterior aspect of the left sinus of valsalva. The artery demonstrates an intra-arterial course between the aorta and the pulmonary arteries/RVOT. The take off of artery demonstrates an acute angle and .....(I have all the details) I was recommended to undergo an open heart surgery but I declined. Over the past two years I had so many episodes of chest pain and discomfort and my recent thallium stress test shows septal infarct and ... . I am now considering my options including the surgery and I would like to have the consult and opinion of different cardiologist. Your input is highly appreciated and would help me to decide.
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Hi, Developed infarct demands the therapy now either to change the life style reduce the risk factors (hypertension, diabetes, obesity, alcohol, smoking, stress) second angioplasty can also be thought, it is all depends upon the EKG stressing and the lesion of arteries as long as the open heart surgery or graft is concern, let me inform you that such case need complete evaluation, just to need a concrete second opinion with very little information nothing specific can be said. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Akhtar Husain
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Suggest treatment for ulcers on legs
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hi i have leg ulcers of which the one is taking ages to heal ive just had a course of iv antibiotics and still weeping bad i was getting severe pain from the inside top of the keg of which bumps apeared had a scan which resulting it telling me i had infected lymph nodes the doc has not prescribed any anti biotics for this which has led me to more pain i cant sleep i have been up now for 2 weeks n more without a gd nights sleep i feel like a zombie if i do nod off iits feels like hours but only 10 mins at the most with the jumps im throughly xausted now feel like i dont wanna be here no more can u advise me plz
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Hi,From history it seems that there might be having some vascular insufficiency leading to leg ulcers with delayed healing.You might require a course of antibiotic medicines for 5-7 days with proper dressing preferably done by doctor.Rule out diabetes as well.If require consult vascular surgeon to rule out any clot in the vein or varicose ulcers.Ok and take care.
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How can bipolar disorder and drug addiction be managed?
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My son is an addict and bipolar. He recently stopped all his meds and went manic for 3 weeks. Quit his job bought an expensive car, infidelity. A family member called his psychiatrist and he was prescribed Abilify. My son is 37 and now his life is in shambles.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Addiction and Bipolar are two different diagnosis...let's see about addiction first - which substance addiction is it??Addiction a disease, with very good treatment options and in general Divalproate sodium also contributes a little in reducing addiction by actually reducing the impulsivity and if your is addicted to alcohol, medications like acamprosate, naltrexone, topiramate etc are available which definitely helps in reducing the alcohol intake...and for Bipolar Lithium and Divalproate sodium acts well...aripiprazole is generally preferred when there is risk of obesity, Diabetes, cardicac disorders etc and it might not be as effective as that of divalproex sodium or lithium...Either Divalproate sodium alone or in combination of any of the anti craving drugs will definitely help in reducing the addiction and also controlling bipolar disorder...Attimes intake of alcohol or any other substances which causes addiction may also shift from normalcy to Mania... So, deaddiction treatment is a must...Hope I answered your query and feel free to ask any furtherThank you...
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What causes variation in blood pressure?
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I work home health & have a 58 ye old female patient with history of high BP & strokes. Lately her BP has bounced between 94/54 to 156/100 & every where in between. She can bounce 20 to 30 points in less than 15 minutes. Why is this happening & what kind of complications could this cause?
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This problem occurs due autonomic disturbances which mean there is problem in nerve which controls your blood pressure and it can occur due diabetes , drugs especially antihypertensive drugs and simply due to aging.You should some precautions.Arising slowly, in stages, from supine to seated to standing.Avoiding straining, coughing, and walking in hot weatherMaintaining hydration and avoiding over-heating.Raising the head of the bed 10 to 20 degrees The use of custom-fitted elastic stockingsRegular exercise may help
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What causes trembling in little finger?
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Hi , I have cervical rib. A few years back My left hand fingers were numb but after some exercises it was Ok. Now I have occasional pinky finger tremble ( two or three times a day for about a minute or less) but no numbness or pain. Is it due to again Cervical rib or PD ( Parkinson disease) I am 61 healthy without any Blood Pressure , Or Diabetes problem and absolutely no history of PD in family. I am very active , nice sleep at night , no sleepy sensation in the morning , no urinary inconsistency etc.
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Hi,Actually it may be a case of Trigger finger, ulnar nerve pathology, ganglion, cyst, also this happens with overuse I suggest MRI for proper evaluation. I don't think it is related to your old injury due to absence of numbness and pain . Please click THANK YOU and consider a 5 star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask.Regards,Dr. Ahmed Aly Hassan
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What causes severe cough?
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Hi.I m 30 years old.From last 2 years I often had cold n cough.I use to take medicine from local Dr.But now from last 2 months I had severe cough which was not going after taking many medicines.My Dr suggested to do blood test.N it shows diabetes 147 while fasting n average is 7.4.n was having high bp.From last week having severe headache.dr suggested MR I n XT scan.report says extensive polyp oil inflammatory soft tissue is seen I bilateral maxillary,ethos, frontal n spheroid sinuses.so now Dr is suggesting surgery.wat shudder be done.i want a 2nd opinion
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Thanks for your question on HCM.In my opinion, you should definitely get done surgery for nasal polyps.No medicines or treatment other than surgery will be helpful in your case.Following are the indications of surgery in your case.1. You are having multiple polyps.2. Bilateral polyps3. Symptomatic (coughing) since 2 years.So, all these favour surgical treatment in your case.So get done surgery for symptomatic relief.
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What causes tingling sensation above waist while i stand, sit or lay down?
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my hands tingle of and on.they have been like this for 15 or more years.they are most likely to tingle when raised above thewaist.when lowered the sensation goes away.this may happen standing,sitting or lying down.I am65 year old male and I am thinking it is back related.
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DearI am glad you shared with us your problem.Those symptoms (especially tingling)can have a lot of causes, all of them are benign and curable.The first cause to be excluded is cervical problem, which is seen on cervical MRI!You should undertake blood laboratory tests to exlude anemia or diabetes.A neurological exam is needed because the examination give a lot of information about the cause.So the first thing you need to do is contacting a neurologistWish I had helped youBest regardsDr Eris Ranxha
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What causes white bulging lump on the tip of the penis head?
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Ive noticed a white bulging lump about 2-3mm in diameter(its like a bit circular lump) on the tip of my penis head, meatus. Its on the right side but is in the middle of the whole right side of the penis head split. It doesn t hurt or anything its just there... Is it serious?
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Thanks for your question on HCM. I can understand your concern. Possibility of fungal infection is more as it is white and painless lump. The most common cause for fungal infection is diabetes and poor hygiene. So consult dermatologist and get done sugar level checked.Also get done clinical examination of lump. Avoid moisture and keep proper hygiene of private parts. Wear cotton undergarments. Avoid perspiration. Hope I have solved your query. Wish you good health. Thanks.
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What causes enlarged heart?
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Hi. my wife is 49 and was diagnosed this afternoon with an enlarged heart. what are the causes of this. the doctor said that it is early cardiac failure. about two to three years ago she was diagnosed with sarcoid. currently she is on treatment for hypertension and diabetes.
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hi,now there are two possibilities one since you already have sarcoid, it may be due to sarcoidosis affecting heart. You mentioned patient is on treatment for hypertension and diabetes, so it's possible that patient has blockages in heart leading to enlargement.So she should undergo mri heart and if needed heart biopsy and then treatment for sarcoidosis otherwise it's a progressive disease. Also she ll angiography for knowing blockages. so do visit local cardiologist and get back if you have any questions.
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What to do for elevated liver enzymes and gallbladder level?
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my son is 34 yrs old and obese(about 300lbs) and now his blood work shows elevated liver enzymes as well as a gallbladdder number that is not normal. his tryc.,his sugar,his colesterol are all high. what can he do quickly to get on the right track. the dr is doing a 2nd blood test to make sure the first one was correct.he is already on blood pressure pills,including fluid pills. I am so worried about him and knew his over weight problem was going to turn into something much worse. he is a very stubborn guy but he is scared now,really scared. He might see that a Mom does know best and he should have listened to me.help!
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HelloElevated liver enzymes may indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes,obesity etc.High liver enzymes may be due to altered lipid profile in your son's case.Findings also suggests altered lipid profile.He may need few investigations like routine hemogram,viral markers,ultrasound of abdomen.I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It helps in regeneration of liver cells.I also suggest combination tablet of atorvastatin 10 mg and fenofibrate 160 mg single dose at night after dinner.It will control increased lipid level.He also need diet and life style modification.He should avoid saturated aft and go for brisk walk regularly.He also need medicines for diabetes mellitus.Get well soon.Take CareDr.Indu Bhushan
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High BP, elevated creatinine level, have swelling and burning in legs. Is the condition critical?
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Hi , My father is around 73 years old recently in a medical checkup it was found that his creatinine level is 1.8,Yes he has high blood pressure as per the test and quite few days back he had swollen legs, though he doesn t have any sugar problem, its been a years ago when he felt some burning sensation in legs, just want to know is his condition is critical.
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Hi Akhil, Thanks for using the HCM. I am happy to address your questions, the normal creatinine range for a man is 0.6-1.2 with a critical value being >4. Creatinine is used in skeletal muscle contraction and is excreted entirely by the kidneys. There are slight increases in creatinine levels after meals, especially after eating large amounts of meat. Certain medications can increase your creatinine levels as can diabetes, reduced renal blood flow (from CHF or dehydration), or a urinary tract obstruction. There are other conditions that can cause an elevated creatinine as well but you would be symptomatic with them. Also, simple dehydration can cause some elevation. Prolonged high blood pressure, or hypertension, is the most common cause of kidney damage, the worst is kidney failure. Try to control high blood pressure to prevent kidney disease, cardiac disease and stroke. It may be brought under control through exercise and diet (especially salt avoidance). It may need drug treatment. Your doctor can best guide you on this. If you improve blood pressure, the serum creatinine may go down, but more importantly, it is less likely to go up, meaning your kidney function is less likely to worsen. Hope I have answered your query. If you have any further questions I will be happy to help. Thanks
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CT scan after severe headaches showed small chronic infarct in caudate nucleus, chronic ischemic changes. Diagnosis, treatment?
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CT scan of brain after severe headache in 77 year old elderly male with recovering from hip fracture 1.5 years ago, with asthma, hypothyroidism , eczema and high cholesterol/triglycerides (no BP or diabetes or obesity) - Small chronic infarct in left caudate nucleus, minimal bilaterial periventricular white matter - chronic ischemic changes are seen, - Ventricular system basal cisterns and cortical sulci are prominent suggestive of cortico cerebral atrophy What is the diagnosis, prognosis, treatment and preventive care with nutrition?
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Hi, The headaches in this gentleman does not seem to be related to any of the findings on the scan. The chronic infarct means that at some time in the past he has had a minor stroke which he may or may not have even noticed. the rest of the changes are suggestive of shrinking of the brain which can occur with age. Therefore, both these are not the cause of the headaches. If there are no contraindications, he should be on a medicine like aspirin to prevent strokes in the future. Hope this helps.
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What causes burning sensation in arms/legs/stomach/rectum?
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I am 24 years old. I am having burning sensatins in my arms legs stomach rectum areas. It is getting worse. I have had a cat scan and a rectum test. Everything is negative. I have been tested for stds, hiv and several other things. they were negative to. What do you think the issue is.
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Hi, thanks for using healthcare magicBurning sensations may be related to peripheral neuropathy.The peripheral nerves carry nerves to and from the brain. Abnormal sensations can occur due to abnormal structure and function of these nerves.It is possible that this may be the cause of the burning.Causes of neuropathy are: (1)vitamin b12 or folate deficiency(2)trauma(3)liver and kidney disease(4)diabetes(5)some hormonal diseases(6)exposure to toxins(7)neurological diseases- such as stroke, ms(8)idiopathic- cause not knownYour doctor may be able to assess you or refer you to someone such as a neurologist.I hope this helps
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What causes high blood pressure of 142/88?
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Hello, my name is Kylie. I have had a Blood pressure check a few weeks ago and it was 146/95 the highest reading was 143/110 and it was monitered over a 4 week period by my doctor, the last check was 142/88. im 36 non smoker, non drinker and im not overwieght. i have to have some blood tests done and to check my renal arteries for maybe a blockage, but other than that i dont feel unwell at all, always have had lots of energy and do not have any other health problems, my blood pressure was last checked 1 year before and was 120/80. any suggestions what could possibly cause it to be high??
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HiThanks for query. Looking at your complaints my opinion is as follows.1. Causes of High blood pressure is multifactorial. Apart from the parameters you mentioned, there are other factors too like stress, lifestyle, type of personality, exercise and workout, nutrition, history of hypertension/diabetes in family, history of myocardial infarction in family, hypercholesterolemia which contribute to pressures. 2. Keep a checklist on the factors I have mentioned and if your answer is yes to any or few of those then chances of developing hypertension and complications arising out of hypertension is more.3. Get a lipid profile tested to rule out high cholesterol as possible cause.4. If your BP reading is consistently high on multiple occasions then its better to start on antihypertensives, and make necessary lifestyle modifications.Hope this helps. Any questions happy to help again
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What causes lots of white matter on the brain on MRI?
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I recently have had an MRI of my brain because I was diagnosed with central sleep apnea. I was told that I have a lot of white matter on my brain, everything else was ok except of some age related issues. I am very fatigued always, hard to stay awake. I m a nurse, working full time. I have been on antidepressants for 3 years (Effexor) and also aderall for depression (loss of daughter, Son with TBI after Iraq deployment). My question is, about this MRI white matter disease, could this be caused by antidepressants, should I see a neurologist? I do not have hi BP or diabetes but my family has had autoimmune issues. Carol Chiesa So surprised that I have to pay for an answer! Not told of this before. Web MD is not being honest about this service, therefore I will go to a neurologist, in person, to answer my questions.
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Most likely you have been told finding "white matter changes" in your MRI Brain report. white matter and grey matter are normal parts of the brain. Few CNS disease involve specifically white matter like demyelinating diesese (e.g. Acute disseminating encephalomyelitis, Multiple sclerosis, Leukoencephalopathy). Also white matter ischemic changes can be found in patients suffering from Hypertension, DM)You must go to neurologist to decide nature of your white matter lesions and to correlate clinically too.
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Is the weak liver be a reason for pin and needle feelings?
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hi, my dad is 56 years old and for the past months he experienced this pin and needle feelings leads to itch. and it gets really bad at night to the point that he can's sleep. he thinks it's his weak liver since he used to drink a lot when he was young. what should he do?
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Hi there are various causes of itching...Detail physical examination and history needed....Causes can be dry skin, dermatitis, thyroid problem, diabetes , eczema , iron deficiency anemia etc....Yes liver problem can lead to pruritus ...Especially cholestatsis or gall stone induce obstructive jaundice can lead pruritus.USG done with LFT for detection of liver problem....Take care.D.Parth
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What causes swollen foot when diagnosed with elevated protein levels?
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I am a 46 type 2 diabetic with elevated levels of protein in my kidneys but which is coming down. creatinine level is normal. my last A1C is borderline and also coming down. i have a swollen left foot, excellent pulse, no pain at all and the swelling is mid foot to toes. also very dry on my toes. i have been to kidney specialist he gave me water pills those seem to have reduced swelling some he said all my blood work would not indicate there is a problem with kidneys or diabetes but has not given me a clue as to what the problem is and i cannot afford to keep going to doctors!! What should be my next move?
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Hello, Since you have a history of swollen foot & elevated protein levels you are suggested to get clinically examined by a Nephrologist / Urologist. Get Imaging tests, Kidney function tests, Urinalysis, CBC, etc done. Healthy kidneys do not allow more protein to pass through the filters. But when the kidneys are damaged, albumen leaks out from blood into urine. Presently you should cut on salt & avoid taking dairy products, cheese, canned food, cut on noodles & bread. Fish, eggs & meat can be taken once in a day. Get assessed & treated at the earliest. Nutrition & amount of protein to be taken will depend upon the stage of the kidney disease & body size(BMI). Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nupur K, General & Family Physician
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Can diabetes in men cause infertility?
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i had been married for the last 3 years.i am 32 and my husband is 37.we have sex always but never had penetrative sex.he is diabetic from the age of 30 but he masturbates.we think of having a kid.he too keeps on telling me this.i dont know what is his problem.is his problem because of diabetics?
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yup, diabetes causes erectile dysfunction. but its treatable. just take a tablet of tadalafil for his problem it will help a lot. and will make his penis penetrable. so dont worry just take a single tablet before sex, it will solve your problem. hope my message is thankful and helpful to you. take care.
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Is it normal to have night sweats after undergoing knee replacement?
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Good evening. My dad is 67 years old and had a full knee replacement 7 weeks ago. Hw saw the surgeon after 6 weeks and was told he was doing better than most after 6 weeks, however he forgot to ask about the major night sweats he is having. Is this normal?
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Hello, As your father is doing well after the TKR I will advise for the knee replacement rehabilitation program for best outcome score. Regarding the sweating in the nights, this will be due to other factors like the healing process, past medical history of diabetes or Hypertension. Please see that the sugar levels are fair and blood pressure is not too rise or dropped. This is some of the possibilities which happen in aging. It can be controlled by medication post examination. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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What causes polyneuropathy and herniated disc?
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Polyneuropathy, two herniated discs, emg test positive for polyneuropathy, I have had all kinds of tests all are negative for the root cause, I am not alcoholic. I was on klonopin 4mg for twelve years, I came off last year and developed the neuropathy. What could be causing it?
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Hello. Thanks for asking from HCM.I can understand your concern. It is good that you are no having symptomatic disc disease. Presence of disc on MRI is not considered significant if it does not cause any symptom. Disc bulge or protrusion occurs normally after 35 years age and by 60 years age, around 60% humans have positive disc bulge on MRI spine. It is not symptomatic in all. So do not worry about disc if you are not having any symptoms due to it. To avoid further disc bulge, you can follow few tips: Avoid forward bending: Avoid weight lifting more than 5 kilogram: Avoid prolonged sitting or strain over back: You can consult physiotherapist and learn back strengthening exercise.Regarding polyneuropathy, I am not able to find out the cause of polyneuropathy in your case. It could be due to:Diabetes Melitus: Thiamine deficiency: Vitamin B 12 deficiency: Genetic causeIt can only be confirmed by blood tests like Vitamin B 12/Thiamine level, chromosomal evaluation, Blood sugar (fasting and post eating) and evaluation of symptomatology. Further treatment will be given after confirming diagnosis.Meanwhile, you can take some precaution: If you are having numbness of extremities, you should wear gloves/soft shoes while doing work/touching hot or cold objects. : Maintain hygiene to prevent any fungal infection: Daily examine your extremities to rule out any painless cut/wound: Start exercise to increase muscle strength if there is motor weakness: You can take multivitamin capsules/decrease sugar intake and increase green leafy vegetables intake/curd/cod liver oil to get better nutrition.Hope it will help you. Still no relief, you should consult doctor. Thanks. Take care.Dr Ishu Bishnoi
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What could cold inside,flshed outside feeling while having cryprococcal meningitis, shunts, atrial flutter and diabetes?
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My wife, 58 YO, caucasian, post-menopausal, hx of cryptococcal meningitis w/ shunts, atrial flutter w/ ablation and cardioversion, moderately-well-controlled type II diabetes, says she feels cold inside but warm, almost flushed outside but only immediately after eating.
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Hello!Welcome and thank you for asking on HCM!I understand your concern, and would explain that these symptoms could be related to different causes: - sexual hormone changes due to menopause- autonomic neuropathy related to diabetes. I would recommend you to closely monitor her blood pressure in sitting and standing up position. A head up tilt test would be necessary to examine for possible orthostatic hypotension which is a part of autonomic neuropathy. A nerve conduction study would also help investigate for diabetic neuropathy. I would recommend avoiding eating in large meals and eating frequently during the day in small meals. Avoiding hypercaloric food would also help avoid these symptoms. Hope you will find this answer helpful!Kind regards, Dr. Iliri
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Prolonged hiccups. Jaundice suggested in the blood test. Kidney and liver affected. Not able to stop smoking. Any advice?
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My dad who is 67 is having prolonged hiccups till now (started 2 weeks ago). The doctors told there is sign of jaundice in his blood test . They said it effected his liver and kidney . He is also a heart patient. He has gone through a bypass surgery 9 years ago but he is unable to give up smoking . He has diabetics and high blood pressure. He has become very thin. He has got no proper sleep due to the hiccups He is also unable to eat well. His skin looks very dry.We are worried about his health condition. Can anyone please advise us how to help him.
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Hiccups in ur case may be caused by a simple gastritis, or a gastroparesis (delayed emptying of stomach) caused by diabetes. If ur father has liver and kidney problems, I want to know the values of bilirubin and urea, creatinine. Till then he may try metaclopramide tablets thrice daily along with pantoprazole twice daily for a week. Or he may try chlorpromazine tablets under ur doctor's supervision. There r various methods to stimulate vagus nerve and stop hiccups. Encourage him that he can be without smoking and boost up his confidence to stop it. Tell him some success stories. Then u can go for nicotine gums or lozenges to replace cigarettes
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What precautions should be taken after triple bypass surgery?
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I'am 47 years old, 4 years ago I had a triple bypass and a ventricular septile defect closed. Since then I have had to get eye glasses (never needed them before) anyway everything has gone down hill since then. I'm only taking crestor, tricore and vitamins; C, omega3 fish oil, and a multi. I'm kind of scared to try cialis, would it be OK for me to take?
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Hello! Welcome on HCM!Considering your previous heart issue (coronary artery disease and CABG) it is necessary to properly control any possible coronary risk factors like hypertension, diabetes of glucose metabolism disorders, dyslipidemia, close smoking contacts, etc. Your actual therapy seems OK, but it is more important to follow a healthy life-style and diet.Cialis doesn't significantly interfere with any of your current medications; nevertheless, you should be careful as it may lead to hypotension and cardiac ischemia.In addition, several ocular complications have been observed, like:- retinal vein and artery occlusion,-optic neuropathy and visual fiend defect,- hearing lossComing to this point, you should discuss with your attending doctor on the possibility of using Cialis as a preliminary medical checkup (including ocular and hearing level investigations) are advisable.Hope you will find this answer helpful!Kind regards!Dr. Iliri
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Could disk shaped lump in the middle of back be cancer?
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I have a disk shaped lump in the middle of my back next to my spine. It hurts to touch it and its only on one side. I have also been very tired lately and get winded going up the stairs. I have also been have my veins show up more all over my legs and boobs. Do you know what is wrong with me? Could it be cancer?
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Hi.Thanks for your query and suspicion of a cancer.The site of back you noted as not the site of any cancer as such.This can be a lipoma, sebaceous cyst or so. Get an examination done by a General Surgeon, FNAC or removal for getting rid of the swelling and and to get a histo-pathology diagnosis. The causes of your loosing weight , showing up of the veins on the body and the boobs, getting tired easily can be due to a general problem like anemia, asthenia, or some medical condition like diabetes or so. I would advise you to visit a Physician to get an appropriate diagnosis and get treated accordingly after investigations.
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End stage renal disease, awaiting transplant, on dialysis, diabetic. What could be the causes ?
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Hi, I am a 65 year old woman with a history of smoking and have been smoke free for six years. I have end stage renal disease, and am currently awaiting a kidney transplant, which I have medically qualified for. While awaiting my transplant, I've been receiving dyalsis and am diabetic. Lately, I have been getting periodical "night sweats.' I am wondering what could be causing this as I know it cant be menopause. I am on several medications for high blood pressure, cholesterol and insulin.
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Welcome to HCM.The commonest cause of night sweats in your case would be nocturnal hypoglycaemia,also if you are on any painkillers/analgesics ,they may also induce night sweats,as would any systemic or urinary infection.Autonomic neuropathy secondary to Diabetes,and certain antihypertensive drugs will also cause night sweats.It would help discussing this with your doctor who can investigate and isolate the cause.
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What does high WBC count indicate?
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Sir my father is for the past three days in ICU. For last 33 years he is sufferer of diabetes. Now the wbc count reads 37000 yesterday. And is creatinine is 1.3 and urea is normal. Fever has gone completely. Would you like me to tell about his condition becoz i do not know about medical terms
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Hi, I have gone through your question. I understand your concern. your wbc count isvery high. Most ccommon cause of high wbc is the infection. Moreover you have diabetes so more chance of infection. But you should go for differential count and ps examination to find the exact cause.and than take treatment accordingly. hope i have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. wish you a very good health.
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Suggest treatment for parkinson s disease
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person unable to co ordinate movements and balance ,age is 62 years,male,slight loss of memory is there and he is suffering with hypertension and diabetes and having one time brain stroke..general physician told parkinson and prescribed levodopa and carbidopa,atorvastatin. but a neurologist prescribed strocit plus,ecosprin,diamox,eldervit-zc,telzy-h,and gemer. which therapy we should follow
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Hello,I will suggest you to continue with neurologist suggested medicines as they have more strong diagnostic abilities as compared to a general physician as evident by the drugs he has written are for diabetes, hypertension, neurogenic multivitamin, memory medicines and drugs which reduce brain pressure. I am confident that neurologist has worked on your patient thoroughly and has given you a better medication list as compared.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist
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Why am I feeling numbness in my fingers in the mornings?
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sir from last 4 month i am feeling numb in my hand fingure when i wake in morning but the day time its normal.as per doctor direction I gave some test where in ESR reports says it 42..pls let me the reasons.or its any serious diseases inside my body. What are precaution need to be taken for future
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Hello, The possible causes of numbness in the early morning are: 1. Sleeping in a bad posture like on one side with flexed elbows. 2. Diabetes. 3. Carpal tunnel syndrome. 4. Alcohol consumption. 5. B12 and vitamin D deficiency etc. So keep armrest while sleep. Use pregabalin. If symptoms not improved please consult your physician/neuro physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist
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Suffering from kidney disease. What treatment should be done? Options other than dialysis or transplant?
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My brother aged 18 years has been diagnosed by doctor for kidney disease. The following results were shown after test report1. Bilateral renal parenchymal disease.2. Ascites.3. Bilateral pleural effusion.what should be done to cure it. Is there any possibilty of not doing dialysis or transplant.Please give me an advice.thank you
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Hi, Prevention is always the goal with kidney failure. Chronic diseases such as hypertension and diabetes are devastating because of the damage that they can do to kidneys and other organs. Lifelong diligence is important in keeping blood sugar and blood pressure within normal limits. Specific treatments are dependent upon the underlying diseases. Once kidney failure is present, the goal is to prevent further deterioration of renal function. If ignored, the kidneys will progress to complete failure, but if underlying illnesses are addressed and treated aggressively, kidney function can be preserved, though not always improved. Regards, Dr.Sharmila
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What causes left arm pain, heaviness, tingling in stomach and fingers?
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i have been having left arm pain and heaviness for about and hour sick to my stomach tingling in fingers and pain in upper back and the pain in my arm is getting worse and going up my shoulder,could i be having a heart attack? some tightness in chest
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hi and pleased to answer youwe need some infos to be more precise : smoking use, age, diabetes ...etcbut when a patient present symptoms like you, we need to evaluate firstly a coronary heart disease first, cause it s a life threatening diseases.Then the symptoms you presente are more likely to be attributed to heart diseases, and you need urgently to do an EKG and a troponin blood test.but if all the cardiologic test become negative, some gastric diseases can be the causes.best wishes
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What causes rise in kidney function after coming off from Metformin?
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taking this med about 8 months now I am diabetic I was told about a month ago to stop taking 1 metformin and to increase my water intake went back for lab work 9/5/14 got a call today kidney function elevated if i m not a complete idiot doesn t by doing the above increase the amount a fluid passed through the kidneys therefore increasing your kidney function correct me if i m wrong
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Hi, dearI have gone through your question. I can understand your concern. You have diabetes and you were taking metformin. Diabetes is most common cause of repeated urinary tract infection and it also cause kidney dysfunction. You have stopped metformin. So you may have high blood sugar and that increase the chance of infection. You should go for complete kidney function test. Check your blood sugar level. Start metformin or other anti diabetic drug accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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Is it safe to take a flight after heart stroke?
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My father had a stroke last Jan. he is flying back from the Philippines to New York this June (16 hr flight). Is is safe? i was told that there is a very high risk that he may have another stroke while or right after the trip. i was told that he may never return to NY because of his condition. He can walk with assistance. No paralysis. He just manifests symptoms of both Werneckis and Brocas aphasia. Would appreciate your advice
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A patient with history of stroke always remain under risk of recurrent stroke. But if the risk factors are well-controlled say hypertension, diabetes, -hyperlipidaemia etc ,if any in addition to usual anti-platelet drug/s, one remain fairly stable and can travel safely a short flight.
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Suggest treatment for constipation and anal itching in a child
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Hi, may I answer your health queries right now ? Please type your query here... My baby seems to have worms in her stomache. It s 20months old baby boy.He is getting itching in his bowel area,also facing constupation since last 1 week. Denying to eat his food. I though of taking him to the pediatrician, but I have read somewhere that the medicines given for treating stomach worms causes type1 diabities in children.I am really confussed, what to do? Can you please suggest me some ayurvedic medicine without side effect or may be some home remmidy.
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Hello, Anal itching is most likely due to pinworms. He needs medication that you can often get at the pharmacy. These medicines are very safe (which is why they are over the counter) and used millions of times a year in many parts of the world. I've not seen a link to diabetes. Although I'm an MD, I also pay attention to home remedies and the like, but for this one, you need the medicine that kills the eggs so that the worms stop hatching in his intestines. Pinworms are not serious, are very common, but won't usually self resolve. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Lisa Baker
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Diagnosed as syncope neurocardiogenico. Can this be controlled or cured?
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I fainted two days ago in the middle of the night in a hotel all by myself , I hurt my self badly, big cut in my forehead as well as several incisions in the back of my head. I was completely out for about 2 to 3 hours until I finally came back. This is not the first time I faint, but it is the first I really hurt myself plus I was alone. I was diagnosed in mexico city in a hospital by a neurosergeon as having had a "Sincope Neurocardiogenico" do not know how to translate that into english. How serious is this? Can this be cured or at least controlled? I travel a lot by myself for working reasons, I am 53, and I need to travel, needless to say I am very scared this may happen again!!
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Welcome to HCM.Syncope is a transient loss of consciousness(LOC) for a few minutes ,loss of consciousness for 2-3 hours does not appear to be due to syncope.It would be prudent to rule out any cardiac arrhythmias by getting a 24 hour Holter testing(Mobile ECG) to rule out any bradyarrhythmias or abnormalitiies of rhythm and rate.A EEG,other causes of LOC need to be looked for ,this includes seizures,TIA and other cause.Syncope needs to be checked for causes of orthostatic hypotension like drug induced/primary autonomic failure like in parkinson's disease/secondary autonomic failure like in Diabetes/volume depletion.Other causes of syncope like micturition /sneezing /neurogenic/vasovagal or carotid sinus syncope needs to be looked for.It would help getting a thorough neurological,cardiac and medical check up done to establish thew cause of such symptoms.
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What causes breathlessness when mouth is opened for dental procedure?
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I have OPMD and I am about to get some dental work done, do I need to notify my neurologist or will it be alright to have the dentist work on my mouth? Thank you for your answer I am 5 5 weight 191 pounds, and suffer from diabetes, OPMD, high blood pressure, ulcerative colitis, sleep apnea, high cholsterol, in order words, my health is in poor but stable condition. my sugar is not under control, and my muscular dystrophy seems to be getting worst, and I suffer from schio affective and other mental issues. I hope that you can help me. When I was at the dentist office yesterday and while my mouth was being opened, it felt like my breathing was cut off. Why is that?
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Hello, The breathing difficulty during the dental procedure is combination of anxiety with voluntary breath holding in the fear of pain from the upcoming procedure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon
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Suffer from chronic kidney disease, diabetes and hypertension. On hemodialysis. Had a hip surgery. Diarrhea and vomiting. Remedy?
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My dad is suffering frm Chronic Kidney Disease(CKD), He is on Hemodialysis twice a week from july 2011. His S.Creatinine is between 5.1 and 5.8. Heamoglobin level 9.2. He is diabetic and High blood presure for past 10yrs. Also now he is not getting sign of motions, it happens in pants frequently. Last month he was operated for Hip bone implant surgery n recovering. Vomitings are frequent . From Last 2 days he is suffering from watery looose motion which are continues. and pain near his heart. Suggest some home remedies for loose motions.
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Hi and thanks for the query,Diarrhea and vomiting are frequent conditions seen in chronic kidney disease. they actually constitute part of what is called the uremic syndrome, due t accumulation of uric acid and other urea related metabolites.Management of this condition is dependent on an appropriate management of the chronic kidney disease. first, a kidney function test ascertaining whether you deserve dialysis, and the particular frequency is mandatory. An appropriate control of kidney function and follow up will lead to regaining of normal gastrointestinal function on its own.A complete reevaluation to examine kidney function, and tailor appropriate management for kidney disease is the mainstay of the treatment now. I suggest you consult your nephrologist, or while waiting, get to the emergency room for reevaluation and renal function tests.Poorly controlled diabetes with raised blood glucose levels could also present as abdominal pain and nausea. Poorly managed diarrhea also lead to neuropthies that could affect the gastrointestinal tract and predispose to diarrhea.Your hemoglonim level is low and it might necessary to great appropriate treatments like erythropoeitin.I suggest you consult your internist or nephrologist for an appropriate review and mmanagement.Thanks once again and best regards,Bain LE, MD.
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What causes leg tremors and abdominal soreness in a diabetic patient?
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I had extreme shivering in my legs and stomach, a headache and soreness in my stomach last nigh. I went to bed early and the shivering went away and the soreness reduced. Today it s just lethargy and some stomach soreness. I have Type 2 diabetes, ate less yesterday and had cellulitis last October. YYYY@YYYY
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Welcome to HealthcareMagic please see that your blood sugar level must be adequate your bp should maintained within normal range the symptoms which has been given by you are seen in low sugar level .take a multivitamin antioxidant combination one per day .If you have any further query then you can come back to HealthcareMagic i will definitely help you and guide you appropriately With regards , Dr VARINDER JOSHI
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How can shoulder pain be treated while suffering from diabetes?
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I m 50 and just been diagnosed type 2 diabetes. I ve comp!etely changed my diet and exercise daily. I m on Glucophage 500. Diabetes is under control. However I have a constant pain on my right shoulder. What can I do about it or what medication can I take. I m from South Africa
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Hello,Pain that you have on the right shoulder may not be due to diabetes (Unless it is being proved clinically). It could be due to an arthritic condition, frozen shoulder, muscular spasm, these conditions need to be ruled out or differentiated, till then you can try tablet Acetaminophen plus Chlorzoxazone three times in a day. Shoulder pain needs medical attention and MRI is the golden test to know the underlying cause, in my opinion for a correct diagnosis, you can see the orthopedic surgeon till then you can try the suggested medicines.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Husain
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Tingling sensation on lower left ocipital, hands, feet, dizziness. Taking losaratan potassium. Advice?
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Hi I have been having tingling sensation on lower left ocipital as well my hands and feet fall asleep on my easily, I work out daily taking 50mg of losaratan potassium even when I work out on an eliptical my feet feeling tingly in the process, I also get dizzy spells I'd say 2 to 3 times out of the week is there any reason for this
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Hi,Tingling sensation in hands and feet could be usually caused by peripheral neuropathy which is damage caused to the peripheral nerves. This in turn is most commonly caused by Diabetes Mellitus, Hypertension, Smoking or excess alcohol consumption. In some cases, Vitamin B 12 deficiency may also cause these kind of symptoms. If you were my patient, I would recheck your BP, fasting blood sugar, do some blood tests to know vitamin deficiencies and make necessary changes in drug regimen.Take Care!
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Is it possible for TIA as my father has episodes of shaking?
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Hi, My dad hs Azheimers he was diagnosed over 3 yrs ago. He has beehing weird spells. where he starts shaking and having little episodes. my mom had his heart checked and had the doctor rule out seizures. after my dad has these spells he is tired is it possible he is havng Is
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Welcome at HCM.. I have gone through your query and being your doctor I completely understand your health concerns.... What is his age? For how long he has been diagnosed with Alzheimer disease.??? What medicine he is taking?? Is there any other family history if tremors? For his long he has developed this tremors? Are tremors confined to specific part of body or not? Are they continuous or comes intermittently ? Is there any balance abnormality? Any shaky gross bodily movements?? Any history of diabetes or hypertension?? Based upon the history you have provided it is very difficult to diagnose whether it is Physiological tremors or pathological... He needs to assesd properly by neurologist for accurate diagnosis....you should meet neurologist ..he will examine his cerebellum along with basal ganglia function and add any necessary tests if he feels to be done..... Meanwhile he should continue with the routine chores and don't miss his medications... Hope your query is adequately answered if you still have any feel free to ask... Stay healthy Dr Saad Sultan
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Suggest medication for leg pain from amputation
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Yes, I just recently in April became an amputee. I lost my foot and limb. I experience real bad phantom pain, along with neorapathy, and I have charcot foot due to diabetes. I have no insurance. My question is I am on pain medication due to phantom pain...etc...and I hate telling my Dr about my pain cause I dont want her thinking I want more pain medication. I don t, I am on 30mg oxycodone 4x daily and oxymorphone er 15mg 3x daily, is there anything that isnt that strong. But will keep me pain free
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Here you are already taking a good dose of pain killer.I suggest to do regular exercise suggested by your physiotherapist so that increase blood circulation with reducing stiffness in your soft tissue will help you to get some more pain relief. You can also use hot and cold pack frequently at home to get some more pain relief by reducing inflammation and relaxing soft tissues.Here have some patience and control your diet and sugar as well keep doing exercise with that only you will have good pain relief. Otherwise the drugs what you are taking is fine. Any time if you have watery or pus discharge from your amputed leg then do consult the doctor to rule out infection chances. Take care.
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What is the cause of having cracked skin on outer part of foreskin?
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Hi I have 2 - 3 points of cracked skin on the outer part of my foreskin near the tip which tend to open from time to time. I am a 57 year old male heterosexual and always practice safe sex with condoms. Could you please give me some guidance on what this could be?
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Hi cuts of the foreskin can be due to balanitis.it can be mainly due to peukorrhea in ur partner.diabetes..alcoholism.smoking etc.It presents as cuts on the foreskin sometimes associated with candidiasis.it can be treated with antibiotic like azithromycin 1gm on day one followed by 500 mg daily once for four days and application of fudic cream over the lesions can cure the condition
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Suggest treatment for nerve pain in the hip and thighs
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Have gone to chiropractor for 13 visits for nerve in neck down to shoulder.Now I can barely walk do to nerve pain in hips and thighs.Have neuopraty and can barely walk with assistance of canes. Who do I need to see and what do you think? Take metformin and other pills- 68 years old
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Hello!Welcome on HCM!I understand your concern and would recommend consulting with a neurologist for a careful physical exam and some tests: - a new nerve conduction study- HbA1C levels to make the proper adjustements to antidiabetic therapy, in case this test is altered. Further tests may be needed to investigate for other possible causes of neuropathy. You should know that polyneuropathy is a common complication of diabetes. It is necessary to treat well diabetes in order to stop the progression of the disease. Physiotherapy is also helpful. Hope you will find this answer helpful!Best wishes, Dr. Aida
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Nurse, accidentally pricked myself while preparing used lancet of a patient infected with viral hepatitis. Suggestion?
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Hi, I m a nurse, 25 y/o. Last week, I was preparing my patient s lancet and was about to prick him for his blood glucose monitoring when I accidentally pricked myself instead. I didn t notice I was holding the lancet backwards and so I pricked my index finger after pushing the releasing button. I asked the patient if the lancet he gave me was new and said it has been used once, a few hours ago. My patient has diabetes and has jaundice . He was tested for Hepatitis B ( HbsAg ) last week which came out non-reactive, but he s still being considered as having Viral Hepatitis. Is there a possibility of me getting infected with whatever hepatitis virus the patient has after a lancet prick? What should I do? Should I get tested?
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Hello, welcome to HCM, I am Dr. Das. Firstly, hepatitis viruses can not get transmitted through needle prick injury, except hepatitis B. As the patient was found to be non reactive, then you have low chance of getting the infection. But, you have to be tested for hepatitis B at the end of 3 month. If that is also negative, then you have nothing to worry about. Regards.
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History of ovarian cancer. Have kidney stone, elevated CA 125 level. Reason?
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hi mother have a past history of ovarian c she now have elevated level of 364 last friday and when we re did yesterday it was 332 , she is suffering with a kidney stone for which she strated treatment this saturday, does ca 125 elevation is any way connected with kidney stone , please advise its painful nights and stress
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Hello,Although elevated levels of CA 125 can be found in many non cancerous conditions like endometriosis,cirrhosis,diabetes,many ovary conditions etc but a high level of CA 125 in a known treated case of ovarian cancer raises suspicion of recurrence of cancer.You must consult the treating doctor regarding this.Elevation of CA125 has no connection with kidney stones.Thanks
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Taking Phenytoin and Keppra for grand mal seizures. Special diet needed?
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Dear Physician,Currently I'm taking Phenytoin Sodium EX capsules and Keppra capsules for Grand Mal seizures. Is there any special diet or anything I need to avoid daily other than the well known things (alcohol, ect.)? I'm curious about some of my side effect that I seem to have sometimes, and wonder if I may be ingesting something accidentally that may be increasing side effects (household items) unknowingly? However, Diabetes run in my family history.It seems sometimes as if I'm taking a lot of this seizure medication. After researching them individually I noticed they all seem to have similar side effects. Changes of : blood sugar, pressure, diet, appetite, sleep, ect. Simply, all of the negative battles that a typical diabetic may struggle with. Please, can you give me (5'7 ft and 155 LB ) some advise on taking : 2- Keppra 500mg tabs and 4- Phenytoin EX 100mg capsules daily.
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Hi,Thank you for posting your query.I agree with you that anti-epileptic drugs (AEDs) can cause side effects. Common among them are drowsiness, dizziness, lack of appetite, etc. However, these side effects stop after a while of use.Regarding effects on blood sugar, phenytoin can increase the blood sugar level, and also has more side effects if taken for long, such as imbalance while walking, gum thickening, etc. Please discuss with your doctor regarding these side effects.There is no special diet while on these drugs or for epilepsy. However, you should eat food on time and avoid fasting.I hope it helps.Please get back if you require any further information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/
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Suggest management of kidney cancer, diabetes, neuropathy and dementia
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My father in law is terminal due to kidney cancer, and also has severe diabetes. Hospice nurses come to his home to monitor him. Last week he he a red vein traveling up his leg, which the hospice nurse said was a flare up of his neuropathy. The red vein progressed and his wife took him to the hospital to find out that he had an infection in his blood. He was treated and released from the hospital. Recently he has shown signs of dementia and yesterday had a loaded gun ready because he was convinced that his daughters boyfriend took money from him. What can be done in this situation in the best interest of everyone?
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Hi, dearI have gone through your question. I can understand your concern. His neuropathy is due to diabetes. It also increase the chance of infection. He should control his diabetes first. Insulin or oral anti diabetic drugs are useful. After control of diabetes he should take treatment of kidney cancer according to stage of cancer. In early stage removal of kidney is helpful. In late stage chemotherapy and radiotherapy is the treatment of choice. 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.
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What is the use of blood transfusion and Wepox injections?
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hi my father aged 63 was on ATT medication and we didnt know till then that he had hiv suddenly he had a fall in hemoglobin its 5 .5 right now and his cd4 count is 26 he has started taking his hiv medications since last week tuberculosis was almost cured when this problem occured tomorrow he will be admitted to the hospital becaiuse today is a holiday. he has diabetes since last 8-10 yrs under control. last 5 days he has been on blood transfusion and has been given wepox injections ..please advise what problem he has ?
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Hi,Thanks for asking.Based on your query, my opinion is as follows.1. As his hemoglobin is low, he will need blood transfusion.2. similarly Wepox injections are erythropoietin injections. It stimulates the bone marrow to produce more RBC and hence improved hemoglobins.3. Secondary to HIV, there is reduced immunity and this is possibly causing difficulty in treatment of tuberculosis. The CD4 count is low, indicating poor immunity.4. He will need good nutritional diet to improve immunity. At present, his major problem would be anemia, which will require blood transfusion and Wepox injections.Hope it helps.Any further queries, happy to help again.
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Repeated gall bladder infections
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Hi doc, I?m 39 year old with repeated gall bladder infections. means i have pain on right side of stomach, vomiting high fever, loss of appetite. is it that? What causes this infection? What are treatment options?
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Gallstones are solid accumulations of the components of bile, which occur when the components of bile are not in correct proportion to each other. A gallstone blocking the outlet from the gallbladder usually causes acute gall bladder infection, so that bile cannot get out. The bile can become concentrated and infected, causing the condition. Chronic gall bladder infection occurs when the gallbladder walls have become permanently damaged by repeated attacks of acute gall bladder infection. Rare causes of gall bladder include severe burns or injury, massive systemic infection, severe illness, diabetes, obstruction by a tumor of the duct leaving the gallbladder, and certain uncommon infections of the gallbladder including bacteria and worms. To treatment includes removing the gallbladder, either immediately after diagnosis or after the patient has improved. Occasionally, patients with complications require surgery immediately after diagnosis. Patients who have infection with no gallstones have about a fifty percent chance of death if the gallbladder is not quickly removed. If the patient has other serious medical problems that may increase the risks of gallbladder removal surgery, the surgeon may decide to leave the gallbladder in place. In this case, an operation called a cholecystotomy may be performed to remove obstructing gallstones and drain infected bile.
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What causes a hard lump on upper eyelid in a type 2 diabetic person?
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I have had a redish lump on my top eyelid for over 1 week now. I thought it was a sty and I've treated it with a warm rag and it hasn't gone away. Now, there is a hard lump about the size of a pimple on my top eyelid. Does this mean I have lupus or Type 2 Diabetes?
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This is a stye which has gone into a stage of cyst formation . It may resolve on its own or may open up to extrude the pus. Rarely required is its removal. Most important is control of diabetes.
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What factors cause left ventricular thickening?
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What are some other possible factors that cause left ventricular thickening other than hypertension? I am in good health (other than some ankle ortho problems) and was recently told this by my cardiologist's nurse. Trying to do some homework before I meet with my cardiologist again in a few weeks. I do have high high BP family history, but mine is excellent. Also have family history of diabetes.
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HelloWelcome to Healthcare Magic.I can certainly understand your concerns and have worked through your query in detail.Left ventricular hypertrophy is primarily due to elevated blood pressure over a long period of time.This will mainly cause increased external workload on the heart against which it has to pump blood to meet the body demands.This over a period of time will cause the heart muscle to increase in muscle thickness leading to ventricular hypertrophy.This can serve as a risk factor for heart disease particularly ischemic heart disease like Myocardial infarction.Hence, it is important to keep the blood pressure under control to prevent such events.I advise you to take anti hypertension medication that can reverse this ventricular hypertrophy and eliminate the risk for heart disease.Drugs like Ace inhibitors ( Losartan) will be helpful in this regard.A periodic echo and ecg of the heart will also be helpful in monitoring the reversibility of ventricular hypertrophy.Diet low in sodium content is equally important.Please check with your Cardiologist if he shares my view and if can prescribe these pills and investigations to you.Post your further queries if any.Thank you.
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Had a mild MI with stent, increased creatinine level , medications aspirin, lisinopril. Can level increase be due to medications?
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I am a 65 y/o Black female without any heart attack risks, no HBP , Diabetes, obesity , family hx. I had a mild MI 9/2013 with stent . Prior to this I took no medications. Recent creatinine level 1.40, medications are aspirin 325, lisinopril 2.5mg, clopidogrel 75mg, simvastatin 20mg. Now PCP wants repeat blood work. Can level increase be due to medications ?
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HIThank for asking to HCMYes mam certain medicines causes renal damage, some time it does some time it may not, I would advise you to reduce the dose of Aspirin for some time say couple of weeks then repeat the creatinine test it will surely comes to normal but the value of your serum creatinine is said to be marginal, it does cause any symptoms, if I would be your treating physician the I would ask for sonography for kidney status, at this stage no need to worry, your creatinine value will definitely comes to normal try what I advised you, or discus it with your docotor have nice day.
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What causes bad breath even after using mouth wash?
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hello, I am a 31 year old female, I suffer from bad breath no matter how much I brush my teeth, tongue or use mouth wash. I go to the dentist every six months no visible problem other than a normal cavity treatment. no stomach problems what so ever or constipatation, I am even taking fibers to regulate. what could be the problem?
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Hi ! gone through your query.Diabetes is one among the medical conditions causing halitosis. You did not post blood sugar levels. check HBA1C every 3 months. Make sure diabetes is under good control.Get professional scaling done every 4-6 months.Brush twice daily. Floss once a day.Mouth wash thrice a week(diluted in 1:1 ratio with water).Do not overuse mouth wash.Smoking,other tobacco habits,old unclean denture and gum infection can also cause this.Diabetics,liver and kidney disease ,tonsillitis and other respiratory infections potentially cause halitosis.Check if you have a low salivary flow.If any of the above includes your general health, this has to be corrected immediately.Use saliva substitutes if you suffer low saliva flow.Keep away garlic,onion,tobacco products.Have plenty fluids., 3-3.5 liters per day.Keep hydrated.regards.
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What could it be if having abdominal pain in xiphoid process area and area is little concave in that spot?
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I have abdominal pain in xiphoid process area that goes down to the upper abdomin. Tender to the touch, I have had 2 ct scans done, with and without contrast. xrays and an esophrogram. All test negative. I have seen an orthropedic, gas. doctor, Rheumatologist, and a general surgeon for a hernia and they see nothing. Abdominal area is a little concave in that spot and never was like that before
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Hi.This can be a classical xiphoid syndrome .A nice course of steroids ( if you do not have diabetes and hypertension), anti-inflammatory medicines like Ibuprofen in proper doses , local heat fomentation, Avoiding any movement that causes stress on this area , like getting out of the bed in straight-up position ( roll over), bending , stretching, take mild laxatives for good motion, helps a lot.IN such patients if the above things do not help , I do take the patient on my own to the Sonologist and ask him to do USG with the highest frequency probe to see if there is a gap in the central line with protrusion of small fat lobules in linea alba. Please discuss this with your Sonologist.I hope this will really help you a lot.I few of my patients I do advise to remove the xiphisterum and explore the linea to see small hernia entrapping the fat. If yes treat accordingly. This is done only if medical treatment fails.
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What causes thirsty, headache and ketones in urine of a child?
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My 6 yr old has been very thirsty and hungry lately. She also has been peeing alot more too. She has occasional complaints of headaches and stomach aches and she has had a decrease in energy. I took her to the doctor and he did a urine test and said she had some ketones in her urine. We went for bloodwork today and I am nervously awaiting results. Any thoughts? She is hot all the time too...
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Hello. I just read through your question. many times this turns out to be a harmless virus. however, what your doctor is investigating is the possibility of Diabetes. If the blood work confirms this diagnosis, treatment will begin immediately. Keep in mind that if this turns out to be the case, your daughter's daily activities (ie: school, social life) will not change. This is treatable. Good luck.
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How to cure sharp pain and increased palpitations in chest?
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Hi, may I answer your health queries right now ? Please type your query here... I am increasingly experiencing palpitations in my chest, regular occasional sharp pain in neck and aches in left chest. Family history dad triple heart bypass at53. Grandfather stroke at 47. I smoke. Since I was 17. I am 36 hrs. My doc keeps saying it stress. Is it?
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Your question cannot be answered completely without more information. However, at 36, as long as you have no major risk like diabetes, smoking or cocaine use, the chance of heart as a source of symptoms is low. Your family history does count and low is not zero. I usually will review symptoms of reflux (burning, sometimes meal related, often lasting longer than 30 minutes or occurring at rest) and musculoskeletal pain (positional and localized with a finger) and recommend a trial of over the counter heartburn aid. If the symptoms fail to improve. You may find reassurance in a calcium scan. If your calcium score is very low, you can be reassured. If it is high, you and your doctor can use the information to decide how to address your risk and if any further testing is needed.
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What causes red rashes on inner side of thighs and under arms?
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hello doctor, i am 36 weeks pregnant and have recently got diabetes. that i am trying to control by diet food. I have noticed a day before that i have got developed small red daane on the side walls of my thighs, near knee and sides of under arms. what could be the reason? is it simple fungal infection or prickly heat rashes or any side effect of something?? like hormonal change and fluctuation during pregnancy
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Hi, You are pregnant and you developed rash at 36 weeks of pregnancy. I feel that you might have pregnancy dermatosis known as pruritic urticarial papules and plaques of pregnancy. Consult the dermatologist immediately for the perfect diagnosis and proper treatment. After thorough examination and investigations, he me might give proper medicines to improve your condition. Antihistaminics like Cetirizine may be taken and apply soothing lotion like calamine and aloe vera lotion. Hope I have answered your query. Let me know if I can assist you further.
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How to get rid of yeast infection from anal region?
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I have a yeast infection for about 2 weeks now, how can I get rid of it. I've taken diflucan, started eating plain yogurt, been eating garlic, but I still have it. Also I think I have it in my anal region too, I've noticed white flaky skin around my anus. Please help im so tired of this. I am a 21 year old male
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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.Diflucan is the right treatment. You should continue it under your doctors guidance.Anal fungal infection can only be possible if you have severe immunocomprmise state.I suggest you should check your HIV and diabetes status. If it's HIV immediately treatment for HIV is necessary.Please also apply candiderm ointment this is also helpful for you locally.Anal region is potential dirty site. If you maintain good hygiene there than infection can be cured early.Other house hold remedies won't work like garlic and other.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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How to cure juvenile diabetes?
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Dear Doctor, My son is 3 years old.He is suffering from Juvenile Diabetes.Doctors say insulin is not generating in his body.Daily twice a time we are injecting insulin to him. Dear Doctor can it be cure permanently. Can his body will start generating Insulin in future. Regrads, Thanks.
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Hi! im sorry to hear that about your son. Juvenile Diabetes or what we call as type 1 Diabetes is when the cells that produce insulin are destroyed. Insulin is needed to help move the glucose or the sugar inside the cells for it to function well. So treatment for Juvenile diabetes is basically Insulin. Many patients with this kind of illness can still live a healthy life as long as the blood sugar levels are within the normal range. Your doctor will advise you to monitor blood sugar regularly. There are insulin pens that are easier and more convenient to use. You can also ask your doctor about it. It will be a big adjustment to you and your family but it will get easier in time. You can join organizations and support groups to give you 1st hand advise and guidance. I hope I was able to help. For more questions and clarifications, don't hesitate to contact me.Sincerely,Hannalae Dulay-See, M.D.Pediatrician
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What diet plan should be followed to keep blood sugar levels under control?
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I am a 76 yr old male who was diagnosed with type 2 diabetes. I am not overweight. I am 5 8 and weight 155. I have been on metformin and lisinopril since diagnosis. My A1c is 6.5. I am not on insulin. I need to get a meal plan and diet to help control my disease. I have been having hypoglycemia episodes for the last couple of months. My glucose is running anywhere from 71 to 244 for the last month. When I have an episode to goes down to 35 to 53. I am looking for a food plan to help know when and how often and what to eat. I would appreciate any help I can get.
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Hi, For controlling the blood sugar two possible ways are there, one is drugs and the second is diet. Plasma glucose level needs to be maintained on the tight rule basis. As long as the diet is concerned, avoid taking high calorie diet, along with this exercise is equally important. Here, in your case it seems that everything is alright and no need to worry. Hope I have answered your query. Let me know if I can assist you further.
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What causes chronic fatigue along with neuropathy in feet and hands?
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I have had a stroke and 4 tias since on metformin for 18 years. Everyday chronic fatigue weakness, loss of contraction ,nervous breakdown high by ,neurological disorders,neuropathy in feet and hands .I am 64 yrs. old and do not have a happy life. I worked 42 years on public jobs now drawing 500 dollars a month
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unfortunately it all relates to the diabetes. diabetes is a devastating disease that affects all aspects of your body. your blood vessels, kidneys, heart, nerves etc. the fact that you have neuropathy and are on metformin is concerning. perhaps have your pcp reassess your A1c to determine if you may need to be placed on insulin. other causes of neuropathy includes excessive consumption of alcohol as well as poor nutrition. not knowing you, I am unable to glean the information necessary to explore these hypotheses
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Done semen analysis. Taken Clomifene and Supradyn. Right treatment?
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Respected sir . I did my semen analysis before 5month . . My sperm count was 12mill/ ml and active Motility was 60 % . . Before 2 month I have started treatment by clomifene 25mg od and supradyn od . . .then after 1 month I again did my semen analysis . . It was as . . Count 22mill/ ml and active Motility 56% sluggish Motility 29%. . . Liquefaction time delayed more than 2 hrs . . . . Dr told me that it may be some infection then so he prescribed me doxycycline100mg bid , clomifene25 mg OD and maxoza l powder sachets OD dose . . . So plz tell me that my treatment going on right way? When I get baby ? . . Is it other treatment available or information important for me . . . . Kindly reply . Thanking u
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hi..thanks for using health care magic...history noted..semen count improved with the ongoing treatment.. certain other causes to be ruled out...like smoking,alcohol,diabetes,infection,varicocoele,along with the treatment take healthy diet,fruits and vegetables..important thing rule out any infertility problems in your partner..consult a infertility specialist with all the investigations and try knowing proper timing and methods of intercourse as per the doctors advice..do not worry you will beget children...bye
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Suggest remedy for giddiness and to control pp level in blood
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Doctor, I underwent CABG in 2006 and I am taking the prescribed medication like Meto-ER, plagryl, atorlip and repace regularly. My periodic health check-up shows normal result from the hospital where I underwent by-pass. I have diabetes since 2005 for which I have been prescribed to take reclide-40 at morning and night, which was keeping me fine till 6-month back. Thereafter, my blood sugar level shot up to over 300 mgdl and the doctor changed me to Glycomet GP1 (500 mg) one in the morning and one at night. While my fasting sugar is in the range 80 - 105, my pp shoots up to 300 by 10:30 am and slowly reduces to around 200 by evening. I have continued dizziness during the day till evening and I become reasonably fresh between 7:30 pm till about 2:00 am next day when I go to bed. I am 61-yrs and 85-kg, 5 3 ht. Can u suggest ways to control my pp and solve my giddiness.Ananthanarayanan
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Hi, thanks for posting in HCM I have understood your concern 1. your post prandial sugars are high so you needs increase in the morning dose as a tablet or basal insulin.I can suggest you to take tab.januvia50mg once in the morning , recheck the sugars after one week and needs dose adjustment.if not getting controlled with tablets , better to take low dose basal insulin.2. reason for giddiness may be due to hypotension or vertigo. or uncontrolled blood sugars or I can suggest you to get done ECGECHO BP check while having giddiness tab.vertin 8 mg twice daily for 5 days3. your weight is more and that is also contributing to uncontrolled sugars suggest you to reduce weight by regular exercise and diet control.hope this helps you any further questions please let me know thanks
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How to cure numbness and chest discomfort after angioplasty?
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I am 56yr old 78kg 170cm with controlled diabetes. I had numbness and chest discomfort last sept 11. I consulted my cardiologist he ask me to have TET and the result shows that I have problems. I had my angioplasty sept17 last week on my left main artery with 95% blockage and 1 stent was placed, i now experience intermitent numbness on my left elbow radiating to my little pinkie also had episode of chest discomfort and feeling fatigue. I had my ECG yesterday everything was normal including my BP. I'm Taking Clopidogrel 75mg, Cilostasol 100mg, Aspirin 300mg, Atenolol 25mg, Simvastatin 40mg, Ranitidine 300mg, Glimipiride 1mg, pioglitazone 30mg.
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There is a possibility that the nerve damage may have taken place when you were up for angioplasty and stenting. It is a know complication of the procedureIdeally diagnosing this needs testing I will suggest an NCV of the affected limb, and both upper limbs would be better still.The best thing you can do for it is to take methylcobalamin. This can be taken till the NCV report is awaited. Thereafter, a more specific treatment may be suggestedbest of luckDr Mittal
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Treatment for impotency
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My boyfriend has experienced impotency issues. He has been drinking 2-3 protein shakes a day I heard this can cause problems with achieving and maintaining erections. He is a healthy 35 yr old mail. He had his prostate checked and its fine. Any suggestions? Shouldn't h stop taking the protein altogether?
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Hi, The protein intake is not related to erectile dysfunction. I suggest you check his sugar level and measure blood pressure to exclude diabetes and hypertension. He need to loose weight if obese. Investigate with his testosterone and prolactin level as well. He can use Tadalafil for short duration. Advise him to practice more foreplay while doing sex. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician
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Why does my son have strong urine at night?
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3 year old has very strong urine when he sometimes wets bed at night....doesn t seem to be so strong during the day....not overly thirsty. His father is type 1 diabetic..not from heredity...it was a virus that attacked his pancreas...so we don t think child inheritednit
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Thank you for posting your question.The strong urine that you sense your child has, is likely to be concentrated urine. Such concentration of urine is likely to occur due to prolonged periods without water intake. In normal circumstances such urine is found in all individuals towards early morning. Thus this finding of yours is most likely to be normal.Diabetes mellitus would present with increased urine frequency, increased thirst, increased hunger, loss of weight etc. If none of these are seen in your child, it is very unlikely that he would have the disease. Still in order to be sure you may get a urine sugar or a random blood sugar done.Also if you notice any associated symptoms like burning or pain while urination, fever etc. a medical consultation would be needed. If you have any more doubts, do write back.
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Suggest ways to control hypertension
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Yesterday I had a high blood pressure reading of 100/120. This is the first time I have had high blood pressure. I am 45 yrs old. I m having some discomfort - like tightness around my shoulders collar bone area, do you think this is anything to worry about. Other tests done yesterday were diabetes, not positive, cholesterol overall was 4.6. Thanks
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welcome to hcm ...please get a repeat checking of bp after 5 minutes rest and still it is above 140/90 mm Hg then please start drugs ..also cut down on salty fatty fried foods ..take fruits milk ..there are various drugs as amlodipine telmisartan meroprolol etc for bp ..as these are prescription drugs please contact your local doctor he will prescribe these ....and you can start morningor evening walk after a few days when BP comes down ...
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Could having moderate ketones in urine during pregnancy effect health?
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I am 31 weeks pregnant and yesterday I had moderate ketones in my urine. I also have a high pulse rate (100-118) and am on antibiotics due to really bad phlemgy cough. Should I be concerned about the ketones as I have been feeling not quite right for a few weeks? Thanks
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HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] Ketones in urine indicate that body is using fat as energy source instead of glucose.2] you need to rule out gestational diabetes, please get fasting sugar and 2 hour after 75 gram glucose blood sugar test done. 3] If you have vomiting use Cap Pan D once a day before lunch.4] Please repeat urine test with glucose test.I hope my answer helps you.Thanks.
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Skin rashes on palm, redness, warm to touch. Taking antibiotics. History of diabetes. Treatment?
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Hallo Doctor, I have a skin rash on the othersie of my right palm its red, warm to the touch, /I am diabeticit started of with two very small cuts on my index fingure never healed, I am to see a skin specialist, also saw my GP who has put me on a course of antibiotics , please let me know what it might be. The pronounsation of the word Dr. said appeared to be scptacocolis. What is it. Many thanks.
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Dear patient , although the rash on the other side of the palm of the hand which we call dorsum of the hand may be produced by a variety of dermatological conditions like allergic contact dermititis, irritant contact dermititis, sun burn , solar keratosis, bug bites or stings, scabies, poison ivy exposure or psoriasis but in your case it seems to be more likely due to a bacterial infection like streptococcal infection may be in the form of a boil, imptigo, erysipelas, ecthyma or cellulitis because as you said that you are diabetic and have a cut on your index finger and also your hand is red and warm to touch , so the chances of streptoccal or other bacterial infection are very high , there fore you should continue to take the antibiotics that your GP has prescribed you while at the same time you consult a dermatologist to rule out other possible cause as you are planning
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Abdominal pain, lack of appetite, hypertension. Pancreatitis diagnosed. Treatment?
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I have had very bad abdominal pain for the past two days. I originally thought it may be muscle pain as I had painted and tiled our laundry the day before. I feel like I am full of gas, but I m not, I can only lie on my side curled into a ball, and when sitting I have to bend over in the chair. My appetite has vanished, and that has been over the past week or so, but as I am diabetic and have high blood pressure, I know I need to eat to take medication. I was feeling a little better today after not eating yesterday, but then I had breakfast and I am in agony again. I am going to the bathroom okay, and I am not vomiting. UPDATE: It was Pancreatitis. I was in hospital for five days on IV drip with fluids only. However, there were no gallstones, (Ultrasound and CT scan were performed) and I am not a drinker, so now they are looking for another cause. An MRI is booked for a few weeks time and a blood test to check for an auto immune def has also been performed.
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Hi and thanks for the query, Diabetes deserves careful monitoring, and abnormalities in glucose levels, leading to hyperglycemia could cause many of the symptoms, including those you just described. High serum glucose levels can cause nausea, vomiting, fatigue and abdominal pain. Frequent drinking, thirst and urination are also very common associated signs. I suggest you get your serum blood glucose controlled and see what is actually going on., This might require compliance to your medication, or adjustment of the medication. Meeting your primary care physician for examination and discussion about the treatment plan is very important to actually elucidate and confirm the causes of the symptoms you are experiencing, and also to exclude other possible causes of these symptoms. Thanks and best regards, Luchuo, MD.
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Suggest an alternative of Januvia and Tradjenta
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I need to find an inexpensive medication to reduce my blood sugar. Invokana causes yeast infection, Glucaphge upsets my stomach. Januvia and Trdjenta are expensive----although both of them do well at reducing blood sugar. Any suggestions would be appreciated. Harld Brown
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HelloWelcome to Ask a Doctor service.I have reviewed your query, and here is my advice.The allopathic agents (Antidiabetic agents) like biguanide and other classes is the best antidiabetic agents besides these several other molecules are available which reduces the blood sugar, and it has been given according the type of diabetes and blood glucose status, in my opinion above mentioned molecules is most advisable (Metformin, Glibenclamide, Glimepride and others ) these can be given in combinations and give excellent result in diabetes.Hope I have answered your query, let me know for further assistance.
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What causes persistent fever with lower abdominal pain?
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persistent fever I have been having a fever for about 3 weeks now off and on but mostly on it happens in the early evening and gets worse at night I am a diabetic and take metformin I get occasional lower back pain on my right side and this week I started getting a few pains here and there in my lower abdomin on my left side I am wondering what it could be
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Hi ! Good morning. I am Dr Shareef answering your query.There has to be a source of infection to get persistent fever, and in your case, with the history you have narrated of evening rise of temperature specially with a known history of diabetes, the most likely source looks to be a urinary tract infection which could also give rise to both your lower back and abdominal pain.If I were your doctor, I would advise you to monitor your blood sugar level very closely, go for a urine routine/microscopic/culture and sensitivity test so that appropriate antibiotic could be instituted if need be, and possibly an ultrasound abdomen. I would also advise you for a fever profile like a CBC, ESR, Typhi dot, and blood for MP, with a peripheral smear as well. The management in your case would depend on the results of a physical examination and reports of the related investigations. Till that you can go for an over the counter antipyretic like paracetamol, and an anti spasmodic for the abdominal pain along with a diabetic diet.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.
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What causes soreness , tiredness and pain all over the body?
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i am a 26 yr old man and i seem to be pysically tired all the time i recently had my bloods checked that were fine but i wake up aching and sore all over and struggle to get through a days work because i just want to sit down, i eat very healthy and drink lots of water too please help me
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Hi, I cannot say in your particular case, but generally, infection (dental is usually overlooked by doctors), some metabolic diseases (diabetes?), and psychological can be all over diseases. It is quite common for the cholesterol medications to do this and certainly MOST drugs of abuse but only if someone is taking them. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist
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What are the symptoms of MRSA?
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I have a open sore on the bottom of my little toe. it would appear that it is an infected toe but no pus or swelling . very touch sensitive and painful. Could it be MRSA? my circulation is poor and some loss of feeling in the toes is present. what is going on?
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Hello. Feet are generally the most undecared for part of the body. It is in constant contact with the ground from which it can pick up millions of bacteria, one of them being MRSA. Note that I said ONE in a million could be MRSA. You have a sore in the toe mostly due to repeated trauma or single bruise on the foot and have ignored the injury or you have a foot ulcer secondary to diabetes. There are multiple causes for an ulcer/sore. But since you complain only of pain and no swelling or pus I do not think it has reached the stage of infection. MRSA is not your worry now. Kindly give a cold pack and observe for two days. If the pain does not subside it is better to consult a surgeon and he will have a better idea if it is a concealed infection. Even if it turns out MRSA do not panic as we have sufficiently large antibiotic ranges to treat these resistant bacteria. Dr. Karan Shekar.
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What causes vomiting and high temperature?
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my six year old woke up vomiting today, after going to bed with a bit of a temperature. He has not gone to the toilet, and has not wanted food, but has drank sips of water and apple juice (which he threw up). He is also sleeping on and off, and his eyes look bloodshot. He has a bit of a rash in his armpits
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Thank you for contact to Health care magic.I figured your concern. The most common cause of fever is infection:viral, bacterial,fungal,atypical flora, diseases of connective tissue, hematologic diseases, inflammation of kidney,intestine infection, respiratory and etc.Causes of vomiting are various:-increasing uric acid in blood(because infection,dysbacteriosis or overeating of chocolate, peas,meat,sour fruits, overdrinking of market juices)-gastroenteritis-intoxication ,because fever-diabetes mellitis-poisness-hypertension-helmintosisI hope I answered to your query. I would like to meet you again in Health care MagicRecovery soonDr.Svetlana
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Can appendages develop into cancer?
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I am 68 and in a patient with diabetes, pressure, anemia, where the power of the blood of 9 and hardening of the arteries and installed four networks in the arteries and the work of the digestive tract endoscopy found polyps and Bleed bright red blood from the anus Is appendages turn into cancer
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Hi, dearI have gone through your question. I can understand your concern. You have polyps and it leads to gastrointestinal tract bleeding and ultimately causing anemia. Polyp can turn in to cancer depending on type of polyp and genwtic factors. If possible you should go for polypectomy and histopathological 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.
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Diagnosed with COPD, using a bronchial inhaler. What are the available options?
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my wife has been diognized with COPD and we are in the process of changing Doctors as the Dr she was referred to by the hospital is not Board Certified and was not providing adequate care. the problem is she has used up all of her rescue and daily inhalers and has nothing until she gets to a new Doctor. we saw on TV that there is a new Broncial inhaler that I believe is non prescription but we can remember the name of it and cannot find it at any local pharmacies. What are her options until she can get in to see a new doctor?
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Hi rick5547 Thanks for coming to HCM COPD needs staging via spirometry and accordingly treatment has to be given. the treatment also depends on whether the patient has got respiratory failure, is she in acute exacerbation, has she got any comorbidities like heart disease, diabetes, osteoporosis, depression etc... You can try a combination of long acting beta 2 agonists like salmeterol or formoterol plus inhaled corticosteroid like budesonide or fluticasone along with long acting muscarinic antagonists like tiotropium... If your wife is in acute exacerbation manifested by increased baseline dyspnoea, cough, sputum production and its purulency...you can give her a course of antibiotivs like amoxycillin clavulanic acid and azithromycin alon with short course of steroids like prednisolone 40 mg once a day for 10-14 days....and don't forget the nebulisation by salbutamol and ipratropium 6 hrly... If she is continoussly in respiratory failure then probably she is needing controlled oxygen therapy to maintain oxygen saturation just above 90%.... best wishes
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Suggest medical tests required for backache while wearing a heart monitor
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I have been feeling an ache in my right side of my back when I breath and my left arms burns after I eat. My bp is up and down , I ve been rested for diabetes , thyroid problems and I m currently wearing a heart monitor to test my heart . What other tests can I ask my doctor to perform. It mostly happens at night but it happens during the day too, mostly about an hr after eating
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Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.It would probably be good for your doctor to do a chest x-ray and a test for reflux disease.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kathy Robinson
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Suggest tretament for diabetes
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im 57years i old ive done concrete all my life the begening of auguest after work i laid down i was so tired i could not get up didnt hardley eat i lost 30 pound in 3 weaks now its december nothing much has changed . went to emergensy they told me i had type 2 diabetes they gave me metformin 1 time in the morning. my nombers are about 480 and up i dont no wat to do.
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Welcome to H C M .Your blood sugar is 480 mg(normal less than 126 fasting & less than 200 2hour after food).It is very high.you have not mentioned is it fasting or after food ,power of tablet Metformin..Investigations required are.1-blood for HBA1c,lipid profile,thyroid profile ,Hemogram,K F T ,L F T.2- urinalysis & for microalbumin3-Blood Pressure & E C G .4-Eyes for fundus examination .Take more salad,fruits(except sweet fruits).Avod smoking,alcohol,colas,coffee,fruit juices.junk food.consult endocrinologist,dietitian.follow instructions of your doctor very care fully.thanks for query.
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Suggest a natural remedy for painful de quervian thumb
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I am 54 yr old female nurse. I am experiencing painful dequervian thumb to dominant hand, and a couple of weeks ago, woke up with my middle finger locked /bent. I was able to just move it on my own, so I looked up these symptoms, and sounds like possible stenosing tenosynovitis....I do not have any chronic medical problems, or take any prescription drugs. Both on my right hand. I take a lot of systemic enzymes, and serrapeptase......what do you recommend? I do not want allopathic medicine,
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**1. de quervian is more common in women and tends to occur during pregnancy and after Menopause [54 years] and is also associated with other conditions like diabetes, rheumatoid arthritis,and hypothyroidism [so please check with necessary Examination and Investigations to rule out the same] although there is history of no chronic medical problem.. Avoid repetitive motions: constant gripping, forceful bending of wrist,engaging in lifting or pinching activities without sufficient rest periods or stretches.. Avoid or limit the activity that aggravates the pain. [ place the affected wrist in a removable splint to immobilize the thumb and prevent further irritation and inflammation.] . Applying ice at the styloid process may decrease inflammation and symptoms. . when symptoms start to improve, add gentle stretching exercises (Myofascial release techniques) to prevent recurrent inflammation. . Prescription medicines for the same are: Rheumalya forte, rheumalya liniment, Mahavishgarbh tail, MAha vaat vidhvansan ras, Shuddh Kuchla.PS. An ergonomic assessment and training to prevent further damage, along with recommendations for optimal ways for you to continue your activities of daily living.. If conservative management fail to give relief, then surgical management becomes appropriate.
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Suggest remedy for lump in foot
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sir,my father's age is 64 years and his weight is 65kilograms he have diabetes from 20 years.now his sugar levels are normal with below 100 at before fasting and 145-170 after food .now he had a hard particle in his foot .it is bout nearly one inch and he got pain when he is walking .His doctor suggested to remove it in the hospital .but my father is scared .some one told me that with out opening that he can wear slipper which diabetes doctor suggest.is it possible, please suggest me what are those slipper and where do we get that slipper
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Hi.Read and understood the history about your father.The slippers meant for diabetic patients can be made at home, you have to buy thick padded slippers made up of rubber. You can mark the area of affection on the foot with a marker and take impression on the slipper. Cut that part with a cutter to accommodate the lump so that the pressure on it will be nil. Well as a Surgeon I would examine the lump, try to see the reason and then only decide whether to keep it or to excise it.Keeping some lumps can cause more complications later. I would also go for preliminary color doppler study of the foot to see whether the vascularity is compromised or not, a very important aspect in diabetes. Keep the sugars within normal limits.
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What is the treatment for the creatinine level of 7 in a diabetic?
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Dr, My brother is diabetic & hypertensive, His creatine level is 7 now .Can we do anything for this. In his kideny scan everything is normal except a calculus 3mm showing . Waiting for your advice. His medications r minipressXL,amaryl for pressure,statixF for cholestrol. Nebiguard, antioxidants, shelcal , insulin for diabetic.
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HelloThanks for query .Your brother who is known to have diabetes and hypertension is detected to have raised creatinine 7 .Raised creatinine that he has is due to what is called as Diabetic Nephropathy and needs to be investigated further .Please consult qualified Nephrologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Renal function tests 4) Excretion of protein in 24 urine sample 5) Renal Biopsy (If required) to confirm the grade of Kidney disease.Further treatment will depend upon result of these tests and final diagnosis.Dr.Patil.
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What is the treatment for liver enlargement?
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Hi, may I answer your health queries right now ? I had an ultrasound on my liver and i was told that I have a fatty liver, but they also noticed a shadow or a mass in the middle of it. I am supposed to have a cat scan, i don't have an appointment yet. I am a female, 61 years old and Type II diabetes with regulated high pressure and on Lipitor.Please type your query here...
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fatty liver is common finding. if ur not having any symptoms then u must not worry. ct scan will give us clear picture
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Suggest treatment for repeated heart attack
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My husband had a quadruple bypass 18 years ago, 2 years after the bypass he had an angioplasty. He has high blood pressure, diabetes, and now experienced another heart attack where 2 stents were inserted into the artery that was grafted 18 years ago. The cardiologist told him that he only has 30 percent of his heart function. He is extremely tired, nauseated, sweats but does not experience any chest pains. Will he survive this last bout and what will his quality of life be.
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hi Ma'amsee as a cardiac , hypertensive n diabetic patient it is little hard for him than a normal man. His heart functioning is decreased because of two heart attacks ( I think he got the major ones). After a injury nothing can b as normal as it was befor . But with regular check ups with your diabetologist b cardiologist will help him to improve
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What causes erectile dysfunction during penetration while having sex?
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Hi I m xxxx from Bd. In last 10 days I have suffering by erectile dysfunction. I m doing foreplay for 10-15 minutes & when my penis are strong enough for erection then i push into vagina. But after pushing 30-40 sec it becomes loose without any ejacul.ation. In last 10 days always have the same condition during intercourse. Please help to find out the problem & give me treatment
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Hello dearI understand your concernTreatment of erectile dysfunction is depend on the cause of it. So first we have to find the causes behind that. Following are the causes of erectile dysfunction: Diabetes, Prostate Enlargement, psychological like Excessive stress and relationship issues, fatigue,alcohol & tobacco consumption (constriction of penile blood vessel), obesity, Problems in low back nerves, Hormone problem like Low testosterone levels.So first consult the best urologist and get the following test done:Blood tests:Hb,CBC, ESR, blood sugar, lipid profile, urea, creatinine, Vitamin B12, folic acid levels iron, etc.Hormones (total and free testosterone, corticosteroids, DHEAS, Thyroid hormone, seminal fluid analysis, Doppler USG of scrotum and penile area to find out the blood flow problem.Meanwhile take following advice: Start exercising (60-80 minutes in morning with relaxation and yoga), losing weight, stopping smoking and alcohol, Healthy diet with proteins and vitamin A, C, E. Take anti oxident like CO Q, More fore play before sex will lead to more excitment, Do discussion with your partner that help in gaining psychological trust, use more than one condom.Following medicine can be provide by doctor: Tablet viagra: about one hour before sexual activity, Testosterone Replacement Therapy, paroxetine 30-40 min before sexHope this may help youBest regardsDr. Sagar
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