instruction
stringlengths 3
196
| input
stringlengths 2
1.76k
| output
stringlengths 24
1.71k
|
|---|---|---|
Suggest remedy for swelling and pain in feet after constant use of tight shoes
|
Hi I have been wearing tight shoes for over a week, and since Friday my feet, epecially my left foot becomes extremely painful if I do not walk or movve on it, Both legs are bloated from the instep to the foot, and the legs feel solid and almost like plastic, and quite numb.
|
Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have swelling and pain in feet. Well there can be many reasons for symptoms you mention in query like nerve compression , diabetes , neuropathy or multiple Sclerosis . Sometimes the symptoms you mention in query can also occur due to organ failure like kidney failure or heart failure. If condition doesn't get well then consult orthopedic surgeon for proper examination. Doctor may order blood test , urine test or RH factor , CT scan or MRI along with physical examination to confirm the diagnosis . Doctor may prescribe methotrexate , anti inflammatory , gabapentintand recommend physical therapy . I would suggest you to lower your salt consumption , apply warm compresses on entire leg and take muscle relaxants like noval MR . Doctor may also refer you to cardiologist in case of cardiac problem or to nephrologist in case of kidney problem , who may prescribe diuretics .Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
|
Burning sensation, painful rib cage, inflammation, numbness and tingling sensation. Is it kidney problem or fibromyalgia?
|
I have a burning sensation, lightly painful under my rib cage and reflects to my back. It feels like an inflammation traveling down my right leg. I also have frequent tingling and numbness of finger tips and toes. How do I know if I'm having kidney problems? What can be causing the tingling and numbness?I have thoughts that I may be suffering from fybromialgia sp(?)
|
Hello sir ,Your symptoms are vague , not pin-pointing to a particular diagnosis.I would suggest few basic investigations that could help rule out common conditions like renal problems , Thyroid related problems and diabetes.Hemoglobin , Serum creatinine, urine routine ,Serum electrolytes, FBS, PPBS ,serum TSH.Kindly get these invetsigations done and review with your physician.Hope i was of help.
|
What causes a sore lump at the base of spine with blood in urine?
|
My son, 19, was diagnosed with Celiac 3 months ago when he was hospitalized at 6', 120lbs, after fainting. (The hospital ran 4 days of tests- everything negative.) It was 2 years of being sick and losing weight prior to the diagnosis. He has been eating gluten/dairy/soy free since. He has gained a little weight, skin has color again, and energy is picking up. Today he had visible blood in his urine. He also has a sore/lump on the skin at the base of his spine. He sits at his computer for hours. Could easily be an infected ingrown hair. He has no insurance. Could this be related?
|
DEAR,Good Evening,Thanks for the query.I studied it in details and understood your health concerns regarding it.Sore lump at base of spine and blood in urine ? the cause could be-a-Diabetes secondary to Celiac disease with UTI leading to blood in urine b-OR due to the kidney affected by the Auto-immune disease process of Celiac Disease.Yes the reply-is Yes it could be Boil at the base of the spine ..!!and Yes the blood in urine is related and could be due to UTI secondary to Diabetis due to secondary hyperglycemia-in Celiac Disease.Hope this would help you to plan your treatment with your doctor.Wellcome for any further query in this regard.Wishing you good health.Good Night.Dr.Savaskar M.N.From INDIA.
|
What does this CT scan indicate?
|
I was recently diagnosed with Type II Diabetes and idiopathic sclerosing mesenteritis. I am experiencing bouts of dull to severe left sided abd pain that is now being felt in my left mid-back. I have had a CT scan (2 wks ago) that says that the hazy area on my left side has worsened since the last CT scan (June 2014). I can tell that the physicians in my area are not familiar at all with the mesenteritis and really don t know how to treat me. My last HGBA1C was 6.1 and I am not on any insulin at this time as my blood sugars are always between 80-120, yet I feel a little funny after at least 1-2 small meals daily. I am becoming depressed, have lost over 50 lbs in 4 mths, and having a hard time understanding where to turn next. Is there an institute in the US that deals specifically with this type of diagnosis?
|
Hi.I have read and understood your query- very specific and neat.I would advise you to consult a Gastroenterologist and he may take a help of a Cardio-thoracic Surgeon. This is going to be a multi-disciplinary problem, where super-specialists of many field will be involved. Although your diabetes is under control and HbA1c is normal, such type of mesenteric arterial stenosis is caused as a long term bad-effect of diabetes.Fortunately with the advent of stents and a role of interventional Radiologists you can certainly get a relief after putting in a stent in the artery with an occlusion. It is similar to stent in the heart arteries. Go for further investigations and management, Keep the diabetes under control with proper diet, exercises and medicines to avoid further complications. Wishing you a proper diagnosis and treatment.
|
What causes wound to turn purple in foot after tumor surgery?
|
Had a surgery to remove a tumor in my foot and it has been two months and recently it has become infected and starting to turn purple even though I have been using idoform to pack it and taking 2 antibiotics. Is turning dark purple good or bad. (Diabetic)
|
Dear patient Since you are diabetic chance of infection is increased. Packing wound with iodoform may also make it look purple or brown or or of its turning black onset of gangrene should be anticipated. Since its two months and still infection is not controlled you need to consult expert plastic surgeon and get yourself examined. Proper would debridement and daily dressing with strict control of diabetes is must for wound healing. All the best.
|
Having peripheral neuropathy. Prescribed to take Gabantein Forte small dose. Use of tablet? Side effects?
|
For peripheral neuropathy I have been asked to start with Gabantein Forte starting with small dose and after a week to go upto 3 tablets per day...my symptoms are numbness, at times burning in the peripheral parts of both feet for last 8 months..how does this tablet help and are there any side effects...I read that they are also prescribed for Parkinsons, hence am a bit concerned...I am 55 years old...65 kgs...6 feet , a hypertensive for long on minimal tablet...no ..mydiabetes....cholesterol on borderline....otherwise in good health...kindly advisemy email is YYYY@YYYY
|
Hi,Your symptoms are consistent with peripheral neuropathy .Hope you have undergone nerve conduction study for confirming the diagnosis and extent of lesionGabapentin specifically a GABA analog. It was originally developed to treat epilepsy, and currently is also used to relieve neuropathic pain in neuropathy.It is not used for parkinsons disease.Gabapentin's most common side effects in adult patients include dizziness, fatigue, weight gain, drowsiness, and peripheral edema (swelling of extremities);these mainly occur at higher doses in the elderly. Gabapentin should be used carefully in patients with renal impairment due to possible accumulation and toxicity.Medicines are not poison they are used to alleviate the symptoms hence don't worry be in touch with your treating doctor for any hypersensitivity or skin reaction and watch for urine output.Hope this will help youRegardsDr Sandhya ManorenjNeurologist Hi tech city Hyderabad
|
How to heal swollen red leg?
|
My husbands right keg is red warm and swollen. It usually is swollen due to a vein taken for bypass surgery. He was in ER yesterday for what seems to be a viral infection. He does have diabetes. Also he now has a headache. Any answers? Send to YYYY@YYYY
|
Hi Hope this message finds you in good health.I have gone through his complaints and understand your concern.If he is diabetic,1 st get his blood sugar levels checked, If the part is painful and warm,he needs to take anti-inflammatory and antibiotics tablets.Keep leg elevated.Ice pack,crepe bandage should help.Nothing to worry about. I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless.
|
Suggest treatment for tooth abscess
|
I am diabetic and I found out in Jan 2011 that I have a tooth abscess. I have been to five different dentists, but no one has been able to help me. So, being diabetic can this be a cause for a tooth abscess and considered a medical health issue rather than just dental?
|
Thanks for your query, I have gone through your query.The abscess could be because of the tooth infection or gum infection. Yes, you are right, the diabetes increases the risk of abscess formation in the oral cavity(multiple periodontal abscess).Consult a oral physician to rule out these conditions by taking a radiograph.If it is gum or tooth infection You can take a course of antibiotics and analgesics like amoxicillin 500mg and metronidazole 400mg tid for 5 days(if you are not allergic). After taking antibiotics you can get the tooth treated with RCT(if bone support is fine) for tooth infection.if it is gum infection then get your teeth cleaned once and maintain the oral hygiene. If needed grafts can be placed to make the tooth firm. I hope my answer will help you, take care.
|
Can diabetes cause constant headache and lightheadedness when blood sugar is 102?
|
Hi!I have been having headaches (waking up with them sometimes and sometimes they come on later in the day). Also feeling lightheaded (don t know how to explain it, but it s overwhelming. The nerves in my eyes are twitching (especially left) and I feel like I m fighting anesthesia to stay awake...Just overwhelmingly sleepy, and I can sleep up to 16 hours - sleeping away my days off work. Blood sugar 102, BP 115/77, P 92, 58 YOWF, 172# at 5 7 .This has been happening more often lately, and has been clinging to me most of the day today...
|
To answer specifically if diabetes can do this, it really depends on what your blood sugars are are like over a 24 hour period. Are you running a lot of lows and highs? Even if your blood sugar that you checked is normal (102 is a good value for a diabetic), that one snapshot in time doesnt represent what your diabetes is doing in a day. This sounds to me like it could be a different medical condition, a lifestyle issue, or a medication side effect. However, if you want to rule out if the diabetes is doing this, i suggest checking your blood sugars first thing when you wake up, before and after each meal, and before you go to bed. do this for a week, and then show the values to your doctor. The response written above is a medical opinion, and does not substitute an evaluation by a medical professional. I cannot guarantee accuracy in my answer, especially when I cannot physically evaluate you, and do not know your past medical history, all of the medications you are on, your lifestyle habits, etc; therefore I cannot be held liable for any consequences that occur as a result of my opinion.
|
Can dizziness, blurred vision, weight gain and weakness be a sign of diabetes?
|
I have SLE diagnosed in 1983during my pregnancy. Also have renal tubular acidosis, Medulary Sponge Kidneys, shorten syndrome. I have a very inactive life. Last three days having severe edema in legs, dizziness, blurred vision, and weaker then usual. I take 10mgs prednisone a day plus a host of other medications. Over the past 2 years my weight has gone up higher then it s ever been, even during my pregnancies. I m 5 6 weight @187lbs. I m worried about diabetes since it runs in the Family. Could this be what s causing these symptoms?
|
Hello, Since you have a history of Diabetes running in your family you should get Blood sugar (F) & (PP) done at the earliest. Uncontrolled blood sugar levels may trigger & worsen the symptoms of the other illnesses from which you are suffering. Avoid a sedentary lifestyle, it is very unhealthy. Do regular exercises & walking. Maintain healthy weight. Stay away from junk & oily food. Since you have a history of SLE, dizziness, headache, blurred vision are due t it. Get treated. You have a history of Renal tubular acidosis and severe edema in the legs at present, you are suggested to get a follow-up treatment done to detect & get evaluated for the degree of the kidney disease from which you are suffering from. Get physically examined & treated at the earliest. In the meantime, restrict your salt intake, take plenty of water, veggies, fruits & berries. Stay away from addictions & stress. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician
|
Suggest treatment for a leg injury
|
I fell out of my truck while loading my bicycle a month ago this Saturday. It has not hurt to walk on it at all, but a month later, my lower leg is still slightly swollen, bruised, "tingly feeling" , feels really tight and is hard. Today I noticed that it is turning red and feels warm. I have not been to the doctor because it hasn't really hurt, except to touch it, but not to walk on it. I have not done any running or biking on it since it happened, but have done normal walking. Wondering if I need to go to doctor now, even though it has been a month.
|
Hi,Thanks for writing here.Firstly I need to know your age and if you have diabetes?Slightly swollen leg,tingly and tight feeling,painful on touch,red and warm,all these features describe cellulitis of leg.Therefore I suggest you to visit surgeon as early as possible.With regards,Dr.Akash Jain.
|
How can pain in the lower back and legs be treated?
|
My mom is 67 and typically in great shape. 3 weeks ago her lower back started hurting. It’s increasingly gotten worse with the pain moving down into her bottom, back of her legs and now into the front of her legs and knees. MRI and CT scan at the ED this weekend were both negative. Doctors said she was very constipated and most likely had pulled muscles in her back. They prescribed rest, pain meds, muscle relaxers and PT. She felt better after the first day, but has been in more pain the past few days and is having difficulty walking. This seems like more than constipation and strained/pulled muscles to me and I’m worried she’s getting worse and not better. Any advice would be much appreciated. Thank you
|
Hello,After going through your case history, I would suggest few more tests for your mother which are:1. Vitamin D3 analysis2. PPBS (Postprandial blood sugar) and FBS (Fasting blood sugar) tests3. Blood Pressure (BP) checkupBecause the most common reason for such pain is disc prolapse which has been already ruled out in your case as MRI and CT scan are negative.So, now it can be some neuropathic pain which can arise due to either diabetes or hypertension or due to Vitamin D3 deficiency.And if I would have been your treating physician then i would have started some neurogenic pain revealing medicine like Neurobion Forte along with the other medicines.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Medhavi Agarwal
|
Suggest treatment for stroke
|
HI My Mom is 64 age old, She has some stroke on head while sleeps. We met with an accident 2 months back but there was some small pain on shoulder.But because of Ayurvedic therappy it got cured. But now some time she has a stroke like feeling on head while she sleeps. Please advice?
|
Hello!Thank you for asking on HCM!I understand your concern and would explain that these symptoms may be related to anxiety. Have you measured her blood pressure during these episodes? It is important to prevent another stroke. So it is important to control her blood pressure, using an effective antihypertensive therapy. Statins, which lower her cholesterol levels, are necessary to be taken daily, to prevent another stroke.The last, but not the least would be anti-platelet therapy or anti-coagulation (based on the type of stroke she has had (atherothrombotic or thromboembolic). You should discuss with her doctor on the above mentioned issues. Meanwhile some modifications to her lifestyle (a healthy diet with low salt intake and low fat, a lot of physical exercise) and the treatment of other health disorder (cardiac disorders, diabetes, etc), which could be a risk factor for a possible stroke, is needed. Hope to have been helpful!Best wishes, Dr. Iliri
|
Is dental bleeding associated with yeast infection?
|
I had to take an antibiotic for a possible infection in my mouth. I have had oral cancer (toungue resection) with radiation 12 years ago. The last few years I have had to have lower teeth extracted. Long healing time and infection. I live in Mich. But am in Florida now. I think I now have a yeast infection in my mouth. I s bleeding associated with oral yeast infection ? I have nystatin liquid with me and have been using for a few days.
|
Hello, Thanks for your query.Yeast infections such as Candida were an indicator of much larger underlying diseases such as diabetes mellitus, malignant tumors, and chronic infections. (Sort of the miners canary.) When antibiotics are used, there is a flip-flop in the balance of the natural occurring flora in the mouth (and elsewhere) where the normal flora is damaged by the antibiotic therapy to the advantage of the fungus, which then blooms. Antifungal drugs are available in different forms: for example as mouthwashes, ointments, lozenges, syrups, tablets or infusions. Topical antifungal agents include nystatin and clotrimazole (or other closely related agents), either of which may be applied directly to the oral lesions as a dissolving lozenge or in a liquid wash. I do hope that you have found something helpful and I will be glad to answer any further query.Take care
|
Is infection possible by being pricked by needle used on diabetic patient?
|
Hello..im a nurse and i was doing diabetic accucheck..i was accidentally pricked by ze lancet used by a diabetic patient??i press my hand to get the blood out...i washed wiz detergents...but did nt get myself tested on same day.after 2 days i did a rapid test which was negative.can i get infected?
|
Hello, thank you for your contact to health care magic. If I am your doctor I suggesting you that diabetes is not infection, but you can be infected with HIV or hepatitis B, C. Squeezing a finger after prick is wrong practice. It causes pathogen to enter in the body. You can check the HIV and hepatitis B and C status by laboratory test of the patient. If he is positive than you should worry, otherwise there is no point of worry to you. If you have to ask me anything you can contact me. Dr Arun Tank. Infectious disease specialist. Thank you.
|
What causes pain in right shoulder,light headedness,dizziness,pale hands,fatigue,sleeplessness and night sweats?
|
I am 38 years old, male have had no heath issues untill now. I quit smoking but today is only my 5th day, quit any type of soda for about 2 months now. Eating better and exercising have lost about 32 lbs. Feeling bad for 3 weeks now but this week the worst, i am convinced I have lung cancer. I have pain in right shoulder, light headed dizzy spells, hand look pale and get tingly as do my feet, fatiguied, cant sleep and wake up with bad night sweats, i am scared to death. I have an appointment at 10;30 today but really nervous and scared.
|
helloi can understand your concern. But directly thinking about lung cancer at this age should not be your attitude, despite the history of smoking. And its always better to rule out the causes rather than thinking on it. please do a chest x ray, an EKG, fasting and post prandial blood sugars, BP, complete blood count. this would give you a fair idea. further course can be decided after the reports. stay positive, eat healthy, avoid smoking. rule out diabetes also. wishing you good health
|
What causes a lump on the back of the neck?
|
Hi, I have this lump on the back of my neck (right in the middle of the back0 for about 5 years. It seems to get bigger every year. It is about 2 inc. length wise. It is not visible unless I lean my head backward then I can feel it in between my middle and index fingers if I press them on the area.. It feels hard but it does not seem to stay at the same place like if I bend my head forward then it disappear and I won't feel the lump. I've seen by my primary doctor and even a neck specialist and they sent me for a neck x-ray, an ultrasound, and a cat scan but all came back negative. The docs think that maybe I have a "thickened' muscle or tendon ....What else should I do ??? This lump does not cause pain or hurt when touched but it is so annoying whenever I remember it. I'm afraid I might have cancer. Pls advise. thank you.
|
HI,Dear,Welcome to HCM.Based on the facts and data of your query,you DON'T have CANCER.and Seem to have a NECK FATTY HUMP,which you may be feeling in 2 inch lump on the neck, with your fingers.As all the CT/X-ray and specialist doctors have negated the CANCER possibility and LUMPS existence you should just NEGLECT the NECK LUMP IN QUESTION.So unless Surgeon gives his final opinion,DON'T worry at all.So RELAX and consult your Physician to check for Diabetes/ or other medical causes with the fatty neck hump.Hope this reply would help you to resolve your sever anxiety.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!! Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS
|
What causes chest infection , low blood pressure and inflammation in the rib cage?
|
I have low blood pressure, a chest infection and inflammation on the left hand side of my rib cage. I have had it for 2 weeks and it isnt getting any better. I am 5'2 and weigh 14 stone I have tinnitus in both ears and am tired all the time. I have 3 herniated disc in my lower back and nerve problems in my legs. I had gestational diabetes with both childrena dn have been having problems with my blood sugar levels for a few years - they have been good for the last couple of years.
|
Thanks for your question on Healthcare Magic. I can understand your concern. Since you are diabetic, we should treat your chest infection (pneumonia) very vigorously. Pneumonia is the cause for your chest pain, chest inflammation, low blood pressure etc. So we should treat your pneumonia first. Best treatment for pneumonia is identification of causative organisms and start appropriate antibiotics. So get done sputum culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. By this we can prevent haphazard use of antibiotics and achieve faster recovery. So don't worry, you will be alright. Consult pulmonologist and discuss all these.Hope I have solved your query .I will be happy to help you further. Wish you good health. Thanks.
|
Does diverchylladis cause semen and urinary problems?
|
my doctor diagnosised me with diverchylladis. I was reading also noticed my semen has a green tinit to it and my urine looks like there is oil in it. I had pain in my testicles and thought it was a hernia. but the doctors thinks it is diverchylladis. Since taking day 5 of the ciapro my semen has become white again and the oil is clearing up. Does this make sense for diverchylladis?
|
Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Don't worry, your history cannot be a proper parameter to say what is your problem. Hernia won't develop in a day rather it takes days to months. Have you noticed any abnormal swelling while coughing or stressing the stool, any mass in the scrotam? Testicular pain may be due epididymitis or orchitis etcetera. Oil like urine with green semen may be due to prostate infection, so after taking medicine, it is cleared. Other causes of oil like urine include chyle, excessive vitamins intake, ketosis in fasting or diabetes. Diverticulitis rarely causes oil like urine but yes oil like urine is noticed in the case of recto vesical fistula.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Penchila Prasad Kandikattu
|
Had hip replacement surgery, causing excessive pain below knee to toe. Can we give a daily dose of crocin?
|
My wife has undergone Total Hip Replacement Surgery on 8th November,2013. She is diabetic which has been kept under control.She has started walking with walker in her Flat. But there is excessive pain below knee to Toe throughout the Day. Temporary relief is felt from Hot water Rubber Bottle. She does not get sound sleep during Night time. So we tried one tablet of Crocin / Calpol-650mg before Bed time. She got some relief from pain and is able to sleep. Can we give same dose Daily before Bed time without any adverse effects..
|
Hi, Thanks for posting your query. With the available described symptoms, there could be possibility of radicular pain running from thigh to toes due to compression on nerve roots. You should consult with your treating doctor/ internal medicine specialist/ neurologist and should go for thorough neurological check up. There could also be possibility of persisting inflammation at hip replacement site. As such there is no harm in taking single dose of Crocin/ Calpol at night times. But she should go for renal function test before using calpol as diabetes is associated with renal function derangement. If renal function test is found to be normal then she can use calpol safely. She should also take cholecalciferol sachet once in a week. Take care, Dr. Mayank Bhargava
|
Suggest treatment for low semen count
|
Good Morning Doctor Chetna Jain. My name is Ahamed and i am living in Dubai right now and my question is i am the diabetic patient since 2000 and i have no children nearly 16 years. Do you give any medicine to husbands only like less counts in my semen etc. please advise. Thank You very much.
|
Hi, Yes, there are medicines available to increase the counts. Still, you need to know the cause of your issue. If diabetes is the only reason then keeping your blood sugar under control it self can help you. Share more details. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist
|
Is NovoLog safe to be taken instead of Glipizide for diabetes?
|
i have type 2 diabetes i checked my blood sugar earlier this evening and it was 430. It has never been that high before, but I have missed taking my glipizide rx for about a week because it ran out and it is too soon to have it refilled at my pharmacy. I took 1,000 mg of my husband's metformin (which I used to take) and checked it again about a 1/2 hour later. my sugar had dropped to 380. should I wait to see if it continues to drop or would it be safe to use my husband's novolog 70/30 mix to bring it down? if so, what is a safe dose?
|
Hi, I advice you against any such self medications for diabetes. And also avoid such abrupt stopping of antidiabetic medications in the future. Diabetes is a chronic condition that requires long term medication. You need to take the medications as prescribed. Getting off on an antidiabetic drug is extremely rare. The dose and medications depends upon your blood glucose control. For now, I suggest you against using your husband's insulin. You need to get yourself evaluated by an endocrinologist or a physician. As you are insulin naive, it's difficult to predict the effectiveness of insulin dose. And the metformin in your system can exaggerate insulin action. Please do follow the prescription as suggested by your doctor. Medications will be based on blood glucose levels and glycemic control. You will also be advised to get HbA1C values that predicts your average glycemic control over few weeks as you are not compliant with medications. I hope the above information helps you. Thanks for writing into healthcaremagic. Take care.
|
What causes pounding of heart with cholesterol?
|
Hi, may I answer your health queries right now ? Please type your query here... My heart is pounding often without reason. I am very well otherwise. I exercise often (no cardiovascular exercises) and I have a little bloodcholesterol which I control through diet. I am 63 and a female.
|
Hello,Brief answer: No relation is between bounding heart and lipid-lowering drugs, complaint needs to be assessed.Explanation: My opinion is that in your condition, you are doing far well. Exercising regularly without any chest pain or fatigue or even dyspnea that means your cardiac condition is good. Taking antihyperlipidemic drugs is even better to lower the level of cholesterol and to improve morbidity in our patients. But there is no relation with your complaint. Bounding of the heart needs some clarification, if that means some palpitations that is an issue. I suggest my patients the following: • General and local cardiac examination• Electrocardiograph and echocardiogramThe information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about other medical conditions such as diabetes or hypertension also specific details about heart palpitations.Conclusion: I suggest you check with your general physician if any palpitations experienced.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mahmmad Gamal
|
What would be the recovery time after an arthroscopic surgery?
|
Hi, I have osteochondritis dissecans, and a possibly need arthroscopic surgery (I believe a sample of cartilage from the affected area is taken and grown in a lab). I m wondering what the recovery time typically is for such a procedure. I ve had surgery for the same problem ten years ago (though it was a cartilage transplant), and I m wondering if there is any change in the healing time, which was six weeks on crutches. Thanks!
|
Healing time is related to which joint you are referring too and if you have any other medical condition it takes 3 to 6 weeks or even more if you have other medical condition like diabetes Good Luck
|
Have history of ovarian endometriosis, had miscarriage. What i need to check before trying again?
|
hi, im 35 and i have a history of ovarian endometriosis,i got pregnant 2years ago naturally and lost thd baby at 8 few days after 8 weeks, no heart beating although we did hear a week earlier, could not conceive normally after that,my tubes were closed, i tried IVF 2 months ago, i got pregnant but lost the baby at 8 weeks, same thing no heat beat at 8 weeks although we could hear it at 7weeks,every thing was fine with no indications of any problem, what i need to check before trying again?
|
Hello, I would be happy to help you with your question. I am sorry about your prior loss. If the only two pregnancies that you have had are the two miscarriages, then there might not be a problem at all. While we start to worry when a couple has had two unexplained miscarriages, the definition of "recurrent miscarriages" is three unexplained first trimester losses. So, while you have obviously had some major difficulties, there really is not much of an indicated workup. But, your doctor should consider: 1. An ultrasound 2. Labs related to diabetes, thyroid disease, and something called antiphospholipid antibody syndrome I hope that this helps and good luck - Please ask me if you have specific questions!
|
What causes breathlessness in case of uncontrolled hypertension?
|
I am 51years old , hypertensive and diabetic for 10 years.At present on Amaryl,thyronorm,ramipril,amlodepin,nebicard,nurokind-in the morning,gluconorm,ramipril,amlodepin,storvas-at night.My diabetes and hypertension is poorly controlled in spite of taking above medicines regularly. I experienced severe breathlessness in my sleep at 3a.m.compelling me to sit till 6a.m.Then after feeling exhausted,I go to sleep again for2-3 hours.This happened in two successive nights.I feel tired and exhausted throughout the day.what is the future course of action?Istay in a remote place where medical service is very primitive.should I get echocardiography done?
|
Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that your symptoms could be related to heart failure or pulmonary edema. Other possible causes to consider would be sleep apnea or a lung disorder (like asthma). Do you have leg swelling?Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests: -a resting ECG and a cardiac ultrasound (echocardiography)-a chest X ray study and pulmonary function tests- complete blood count for anemia- blood electrolytes- PCR and ESR for inflammation. You should discuss with your doctor on the above issues. Kind regards, Dr. Iliri
|
What causes multiple strokes while treating high BP?
|
My sister has had several strokes and needs to see a neurology sometime in the next week. She has been hospitalized several times and has done therapy for numbness to her leg and arm. Not sure who would be able to help her. She does suffer from high blood pressure. Doctors I have looked up say they help patients that suffer epilepsy, Parkinson s disease or ALS. Never mind, I did not know I had to pay to try and find a neurologist
|
Hello!I am glad to attend you on Healthcaremagic!I read carefully your question and understand your concern. As your sister has suffered several strokes, you should know that the main therapy is to prevent possible future strokes. In this regard, the blood thinner and control of her cardio-vascular risk factors (a better control of high blood pressure or diabetes, dyslipidemia, avoiding smoking contacts, etc. ) is necessary. Physiotherapy is the main cure to her limb numbness and to prevent possible muscle cramps. Unfortunately there are no special drugs for this medical condition. Hope to have clarified some of your uncertainties!Best wishes, Dr. Aida
|
What are the early signs and symptoms of pregnancy?
|
hello i went to the doctor in early october after expieriencing similar symptoms of pregnancy. my doctor tells me after testing that im not pregnant. but im not so sure. it would be my 2nd trisemester if i was and im starting to have fluttering in the area under my belly button. could i be pregnant or do i have diabetes?
|
Hello dear,I understand your concern.In my opinion the first sign of pregnancy is missed period .The other signs of pregnancy are nausea,vomitings,increased urination,sore breasts start at 6 weeks or 2 weeks after missed period.But any of the above signs should be associated with a positive pregnancy test.So in case of pregnancy there will be positive pregnancy test.And the fetal movements are perceived around 5 months of pregnancy.Anyway definite confirmation is done by ultrasound.If nothing is seen in ultrasound and negative pregnancy test the pregnancy is ruled out.Sometimes the thought of pregnancy also makes one to feel the pregnancy symptoms.So relax.Best regards...
|
What could cause thumb swelling?
|
I am a 47year old female with an unremarkable past health history. I am 5 6 and weigh 150. I recently put on 10lbs in the past 3 months, without changing my eating habits. I exercise about 4x/week on average. Mostly walking 5miles at a pretty good pace. About a month ago I started having a different sensation in my right arm/hand. It started out with the pad under the thumb becoming swollen and sore, no burning sensation, just sore to touch. Then a week later, my elbow started hurting. At first I thought I must of hit it on something, it was sore on the outer side. Now I am experiencing a heaviness feeling in my bicep area. I can wake up at night and have to pick my arm up with my other arm. (Its like I cant move it and loss of sensation) It now is a constant sensation of heaviness and radiates down my arm. I have also had some pain in my right hip and right leg. Not near as significant as my arm. In the past 2 weeks, I have been nauseated and eating does not make it go away. My vision has also changed significantly in the past year, mostly my right eye. I have always has a weaker right eye I have worn glasses since the 7th grade. My blood pressure typically runs 115/70. No history of cardiac problems. Parents both with hypertension and cancer (breast and prostate). Dad also has diabetes.
|
Hello, Consult an orthopedician and get evaluated. We have to rule out possible causes like arthritis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
|
Suffer from leukopenia. Could this be due to taking lotrel. Have diabetes
|
my husband who is 80 years old has been told he might have leukopenia and thinks that the medicine he is taking (lotrel) might be causing his problem. They took him off lotrel and we are waiting for blood tests to see if lotrel cause this problem. He never catches a cold or is never sick except he has type 2 diabetes and his legs are so weak he can hardly walk and he is losing weight! his sister was just diagnosed with stage 4 bone marrow cancer. Is this stuff inherited and what is the treatment for leukopenia?
|
Hi, Your husband is 80 years old, he diabetic, legs are very weak, loosing weight. At this age such changes like leukopenia, and weakness of legs are common, there could be ostioporosis, muscle weakness, etc. Besides medicines give him green leafy vegetables, pulses, sprouts, fruits and juices. Don't worry about the bone marrow cancer, it will be the last to think of. Thank you.
|
What causes itchy rashes on the back while suffering from diabetes?
|
I took ct scan and did not follow instructions and took my diabetic and high blood medications.just one dose before I remembered I should not have taken them. I started having an itching problem. the itching is on my but and back, it swells up and makes bumps and does not go away. don t know the cause
|
very unlikely anti-diabetic drugs will cause this,it may be due to other drugsi suggest you to mention all the drugs you are taking & if possible,post an image of the lesion
|
What causes difficulty in taking a deep breath?
|
Hi, may I answer your health queries I am 44 with controlled diabets, hypertension and moderate sleepm apnea. I have been having a hard time with taking a deep breath. I have no edema. I did a chest xray for pre-op and it showed minimal cardiomegaly. Should I be overly concerned?
|
Thanks for your question on Healthcare Magic.I can understand your concern. You should definitely rule out heart diseases for your breathing difficulty. You are having following risk factors for heart diseases. 1. Diabetes2. Hypertension3. Cardiomegaly on chest x raySo better to consult cardiologist and get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test).You may need coronary angiography if above reports are showing abnormality. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
|
Have abdominal pain. Have SGPT 152 and SGOT 63. Diet to make normal range?
|
Hello sir, I m having severe pain in my right side of abdomen.. I had consulted a doctor, and he told me to check my blood and suggested for a ultra sound scan.. My blood result shows that i ve SGPT 152 and SGOT 63.. My scan results shows that i am having fatty infiltration of liver and mild hydronephrosis .. What diet should i take to lower these SGPT and SGOT to become normal range.. Thanks in advance, Rahul
|
Hello, Fatty liver is a reversible disease where triglycerides get deposited in liver cells. The most common causes for fatty liver are Alcohol,obesity,diabetes,high cholesterol and triglycerides etc. There is nothing to worry regarding this as simple lifestyle changes can make you allright. What to do... Quit alcohol ,if taking. Reduce calorie intake and reduce your weight. Avoid junk foods like pizzas,burgers etc. Avoid sugary drinks and colas. Avoid sweets and de fried foods. Daily aerobic exercises for 40 minutes. Take a super B complex VIT with 1000 mg VIT C daily. You should be all right in next 4 to 6 months time. As far as hydronephrosis is concened,you must be properly evaluated by your doctor and look for the cause for obstruction to your urine outflow causing hydronephrosis.You have not mentioned whether it is unilateral or bilateral. I hope it helps Thanks
|
Could swollen neck be due to medullary thyroid cancer?
|
I am being treated for c diff with flagyl (10 days); just noticed swollen neck, no other symptoms beyond slight pain at base of ear, jugular; can't feel any nodule (but, then again, I'm not a dr.), also take Victoza for Type II Diabetes (on/off for 3 months. Concerned about medullary thyroid cancer. Thoughts!
|
Hi,Thanks for writing in.A swollen neck for 10 days is unlikely to be a cancer. However a complete clinical evaluation and further screenin of cancer is advised if your swelling in in the region of the thyroid and neck region. Medullary cancer is a sub type of thyroid cancer. Please note that more than 80 percent of swellings of the thyroid are benign and do not indicate cancer.Pain in the base of ear and jugular vein area can be nonspecific. I suggest that you relax and consult the ENT surgeon. Please get neck ultrasound and thyroid function tests if required. Lymphnodes can also get enlarged in the neck. Doing a complete blood count and peripheral smear as a part of routine investigations can be done. Please do not worry.
|
How dangerous is blood sugar level of 330?
|
How dangerous is a blood sugar level of 330? My husband has been without metformin for about a week, but has been taking a shot and a new pill - neither are insulin, the pill helps block sugar from entering your system and the shot helps the metformin.
|
Hello,a blood sugar level of 330mg/dL causes loss of water and glucose from the kidney. This leads to dehydration. Sometimes (usually in type 1 diabetes, very rarely on type 2) it may end up in ketoacidosis. Chronic problems related to high blood glucose include diabetes complications like kidney damage (chronic kidney disease), cardiovascular complications (acute myocardial infarction, stroke, etc), neurological problems (diabetic neuropathy etc), eye problems etcI guess the injection must be a GLP-1-agonist(exenatide or similar drugs) and the pill must be acarbose. Both are good drugs against type 2 diabetes but it seems they are not sufficient for your husband and it's a strange combination too.Why did he stop metformin? Another important piece of information would be his glucosylated hemoglobin level. Treatment plans depend a lot on this test.I hope I've helped!If you'd like further information, please let me know and I'll be glad to answer.Kind Regards!
|
Suggest treatment for albuminuria
|
helo sir i am a diabetic and now in my urine sample the albumin present at +++ and ++ it is varies. i examine by kidney specialist. and i tested blood urea and creatinine. and ct scan for kidney they are all normal but the albumin is going in my urine. the doctor say to kidney biapsee. what should i do.
|
Firstly how long is diabetes history...if it is more than 5 years and how much is proteinuria if is less than 5gm / dayand how is ya retina and what's ya serum creatinine levesl. The decision regarding biopsy depends on these four factors.U need to use ACEi or ARBs and have strict sugar control.Biopsy may be indicated if ranal failure is present or proteinuria greater than 8gm /day.
|
What causes fever and pleural effusion in case of tuberculosis?
|
Sir, My mother is having tuberculosis and is on ATT for last 3 months. SHe took PZA for 2 months and she just stopped ethanbutol 2 days ago after taking it for 3 months. She continues taking R Cinex empty stomach. Well, she had mild fever in evenings since 2 months from correct diagnosis (mar end) and was diagnosed of TB on May 17. She had false cross results fr widal and hence was on Toxim O for 2 weeks and them changed medicine for another 2 weeks in April before we got alrmed that fever of grade 99+ still persists withs ame pattern. Post her plueral effusion on May 17, her fever subsided for 2 days and tehn rose to persistent 100- (99.6-99.8) and with ATT came back to her previous igures of 99+ (99.1-99.3). It has happened for last two weeks that her fever went away sometimes but it returns now rarely crosses 99.5. I must say fever has broken its stuborn pattern but still after 3 months of medicine, she has not out of it completely. Question: 1. Is this normal ? Add info: Her ECR was 60+ at teh tiem of diagnosis which ahs dropped to (5-6) . Her recent chest X-ray is normal.She did stop enthanbutol as advised by her doc last month and we are due next visit next week. 2. She had border line Fasting suger which have raised to 117. Is thsi side-effect fo R Cnex? As she mistakenly got tested for fasting after she took R Cnex assuming it has no effect and her sugar came out to be 135 and PP at 138. I repated the test as the range was too less, it was 117 next day comapred to 111 prior to having TB.
|
Hello,Generally fever subsided after 3 months of ATT and then again fever start two cause:1. MDR TB2. Secondary infectionsIf you are thinking that she has diabetes mellitus type 2 then:1. Get her HBA1C done2. GTTIf diabetes present, then starts controlling sugar it hinders TB treatment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chandra Shekhar
|
What causes a ring of vein on the penis with premature ejaculation?
|
dear doc. I am a male of 33 years and from last 17 years i have been masturbating. Its been more than 4 years of my marriage but I never had any intercourse with my wife as I ejaculate just before entering. A ring of vein is also clearly visible on upper portion of my organ. is that some thing to be worried and can it be cured along with premature ejaculation. I also feel completely exhausted and weak after each ejaculation.
|
Hi, The ring of vein may be due to regular use and the premature ejaculation is due to hormonal imbalance, stress induced, improper diet, lack of exercise, diabetes, hypertension and prostate infection.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist
|
Diabetic, kidney problem. Creatinine & uric acid level concern. Opinion to overcome kidney problem?
|
sir, I AM A 55 YR. IRREGULAR DIABETIC PATIENT (SINCE 1998)WITH KIDNEY PROBLEM FROM 2007 (S. CREATININE WAS 4.57) THEN AFTER TREATMENT IT GOES DOWN TO 0.90.AND AFTER THAT.MY S. CREATININE LEVEL IS VARY FROM 0.9 TO 2.18.TODAY IT IS 1.98 WITH BUN-42.7(MAX.-60),& URIC ACID IS 8.7 (MAX 10.6).I AM A INSULIN -HUMAN MIXTARD(30-70%)15&10 UNITS -BASED SINCE 2007(MAX 20-16 UNITS) .MY B.P. IS VARY FROM 140-90TO 110-70.TODAY IT IS 110-70. PL.GIVE YOUR VALUABLE OPINION SO THAT KIDNEY CAN BE SAVED.
|
HelloThanks for your query.Based on the facts that you have posted it appears that you have what is called as Diabetic Nephropathy.Your serum creatinine levels seem to be fluctuating .This is mostly due to improper conroll of Diabetes.Please monitor your sugar and creatinine levels frequently and consult your Nephrologist on regular basis for change in dosage of medications to keep both under control. This is the only way to prevent further damage to your kidneys.Dr.Patil.
|
Diabetic, minor heart problems, has drain fluids post mastectomy. Advised chemo with combination medicines. Right treatment?
|
My mother 69yrs,underwent Mastectomy on right breat on 17-11-12. Still her drain pipes are on Fter 3 weeks the fluid came down to 35ml and yesterday went up to 60ml. Her tumor is a triple negative with 1.8cm size with out involvement of any lymph nodes. She is a diabetic having minor herat related problems too. Oncologist suggests for 4 -6 cycles of Chemo@3weeks with combination of Paclitaxel and Epirubicin . My question is whether we can start Chemo with drain fluids still around 40ml/day.Whether the Chemo drugs combination prescribed by the doctor is good. I want a frank second opinion.
|
Hi, Your mother has got post sugery complications. her background medical problem of diabetes may be the cause. triple negative breast cancer has got bad prognosis. chemo has to be started early. choice of chemo is perfect as epirubicin is cardiosafe. Infection to be controlled agressively and chemo to be given. consult your oncologist.
|
What causes ketones in urine of a 2 year old?
|
I have just been told my 2 year old possibly has ketones in her urine, it has gone for testing.She has been potty trained for about 2 months and ha sonly recently started wetting the bed. She has also complained of a tummy ache, however this is usually only in the morning.
|
Hi....high ketones in the urine could occur due to many conditions like early onset or juvenile diabetes or due to fasting or due to dietary issues.I suggest further workup based on these lines.Regards - Dr. Sumanth
|
Anxious, constantly tired, at times weak, constantly thirsty, frequent urination, lightheaded. Causes ?
|
Hi, I am a lifeguard at my local pool as i was last summer. Last summer went good and I had never been dehydrated or felt like i do this summer. But this year I have felt anxious, constantly tired, at times weak, i feel constantly thirsty, i have to urinate almost every hour of the day,i feel lightheaded and sometimes nauseated. Can you give me any ideas of whats causing this?
|
Hello Good Evening,As per your description you did not mention your age and your weight and history of your weight gain or loss.Your symptoms can be just physiological, nothing to worry or can be of Diabetes.Because in Diabetes there are major symptoms are:1. loss of weight2. frequent urination3. increased thirst4. increased hunger.Other symptoms can occur, because you are loosing weight but same physical exertion.So you should rule out, that you are suffered by Diabetes or not, by following investigations:1. Blood Sugar levels (Fasting and PP)2. HbA1c levelRegards.
|
What causes recurrent headache, dizziness and fatigue?
|
For the past several months, my 42 year old husband has been experiencing headaches, dizziness, light headed, weakness, fatigue, unstable blood pressure going really high or really low with no in between, night sweats, and says he s freezing a lot in the evening hours. No fever. He s had exams/blood work for diabetes, etc. along with MRI and stress test, which all report back normal. He has passed out with these symptoms. It appears to get worse each week. There s definitely something going on with him but we re not getting results from family physician or ER physicians. I truly feel he may have a blockage decreasing blood flood to the brain. Yes, he has smoked since he was 15-16 years old. Please advise.
|
Hello!Welcome on Healthcaremagic!I understand your concern and would explain that his symptoms could be related to blood pressure fluctuations. It is important to investigate for the possible causes of these blood pressure fluctuations. For this reason, I would recommend performing some tests (if you have not performed them yet): - blood electrolytes- PCR, sedimentation rate for inflammation- thyroid hormone levels for possible thyroid dysfunction- a Head Up Tilt test for possible orthostatic hypotension. Considering the fact that he has been smoking for such a long time, I would also recommend performing a Doppler ultrasound of the carotid arteries. Hope you will find this answer helpful!Best wishes, Dr. Aida
|
Recurring rash, itchy, hard bumps under skin, hard piece of grit while squeezing. Any ideas?
|
I have a rash which comes and goes but is more often there than not. It presents as itchy, hard bumps under the skin but the itching doesn't last long. When the bumps shrink back down again (after a couple of days) you can pop the middle out of them but not squeeze like an acne pimple. What comes out is like a hard piece of grit or sand not greasey but solid and when you touch them it sends like a nerve shock through the skin.could this be to do with fybromyalgia or my kidneys ?
|
Thank you for your question. Need following details before answering your question. How old are you? Do you have any disease like diabetes or kidney problem? Have you tried ant treatment? from your description possibilities are aquired perforating dermatosis or prurigo nodularis. get back to me with above information. Thank you.
|
Tingling, numbness in testicles with increased sensitivity, no pleasure on ejaculation, numbness in arms and fingers, leg swelling. How can I regain the feeling in penis?
|
i am 24 and have never had problems with sex or masturbation but resonantly it hasnt been feeling right at all my testicles are tingly and my end feels numb and sensitive an the sensation is no longer there, there is no pleasure when i ejaculate and it feels really wrong! i can still get an erection but i dont no what the problem is? I have also been getting numbness in my left arm and at times can not feel my 2 index fingers and it goes up to my elbow and sometimes my left leg aswell, i have been getting lower back pain and have been gettin pains in my testicals. The other day i feel 2 the flour in pain because something felt like it poped by my lungs and i felt it hard 2 breath or move for about 10 mins then it went and i have rashes all over my chest and back? i dont no wether these are all related but my main issue is my penis and will i ever get the feeling back!
|
You should get checked for diabetes.If your diabetes is uncontrolled you can have these problems.Please rate 5 stars. I strive to provide you the best answer for your question!
|
What is the treatment for abdominal pain and constipation?
|
Husband had cabg 12 wks ago. 3 days after d/c rt. artery graft failed and repaired with stent. Dx with diabetes, high cholesterol, hypertension. all under control with meds, following dietary guidelines, and participating in rehab.Now having rt. abdominal pain and can hear his stomach rumbling across the room. also has constipation.
|
Hi.Noted the findings and history.The rumbling, what we call as borborygmi is a symptoms of intestinal obstruction. Both have relation to each other. The pain and rumbling are suggestive of intestinal obstruction and I would suggest such a patient to go to ER and get an X-ray of abdomen in standing position. Get admitted - nil orally or allow only water orally till then. X-ray will tell the site of and extent of obstruction.
|
What is the treatment of puss formation on body ?
|
Hi, iam 22yr s old girl , i have bn suffering from puss formation last 2yrs, it is started with my elbow got drained then after few months my legs got affected , m taking antibiotics like ciplox,septilla,pentakid but still puss formation is not stop still i am suffering what should i do?
|
hi; If it is a long standing check to rule out diabetes;or any other major illness.Get blood investigation like CBC;ESR;BLOOD SUGAR;BLOOD CULTURE;to find the reason of infection. Also do culture & sensitivity of the pus coming to get a idea as to which antibiotic will work nicely & will cure you.Please consult a doctor to go ahead for this treatment. thanks
|
What could cause pins and needles feeling in hands?
|
The last few days I ve noticed a pins & needles feeling in my hands & feet. This morning, I noticed in those same areas, I have tiny red bumps under the skin. I ve a cold with hot/cold sweats since the beginning of the week. Could they be related?
|
Hi, These could be symptoms of peripheral neuropathy. Kindly rule out diabetes and any other metabolic disorder. Let a physician look after the patient. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon
|
What causes non erection in the penis in diabetic patient?
|
Hi i am a 40 year old male with v high Diabetes. I have lost interst in sex from almost 3 years. Now since 2 months I have realised that i am unable to get an erection and the size of my penis is getting smaller and very soft. Please advice a doctor who would solve this problem> im very troubled by this.
|
HelloThanks for query .You are known to have severe diabetes and facing problem of loss of libido and erectile dysfunction since couple of years .This is due to following reasons 1) Uncontrolled diabetes resulting into Diabetic Neuritis which involves nerve involved in process of erection 2) Diabetic vasculitis causing loss of elasticity of arterioles in erectile tissue of penis .3) Diabetic atherosclerosis causing narrowing of blood vessels (Penile Artery ) carried oxygenated blood to erectile tissue resulting in to reduced blood flow to erectile tissue .Consult qualified Urologist for clinical evaluation and get following basic tests done to establish cause of your ED 1) Blood tests for sugar to see status of Diabetes2) Blood Tests for Free and Total Serum Testosterone levels 2) Color Doppler Ultrasound Scanning of penis to rule out /confirm vasculogenic cause for your ED ,Further treatment will depend upon results of these tests and cause of your ED .Dr.Patil.
|
I am affected by kidney failure and criatinine, please tel some ideas
|
sir I am affected by kidney failier and criatinine 4.3,nitrogen 40[blood] and also diabetic patient stil i'll prepared for Balanced Acu treatment please tel some ideas about this treatment [age]47
|
Kidney failure is a result of uncontrolled Diabetes. So it has become a complication now. At this young age, I would recommend you to take the opinion of a good Nephrologist, as there are many key things that you should do in the form of diet, medicines, lifestyle.
|
Black heads, pimples, occurs more in hot climate. Prescibed Xerina cream, fucibet, no relief. Treatment?
|
Hi doctor this is XXXX. my mom have got skin problem in which she first got black heads on all over the body ....then that black heads get converted into pimples so i consulted a doctor here, in XXX Doctor recommended Xerina Cream , Fucibet cream to apply in affected area, but still the disease is there. now tell what exactly this problem is? She is very upset due to this problem. this problem get more in hot weather.
|
Hi, Your mother probably is suffering from folliculitis and furunculoses.Since the lesions are increasing during summer it could be due to hyperhidroses. I would advise her to take bath twice daily and toapply Dermicoolpowder after bath and to wear only cotton dresses.For now she can use antibacterial soap like Medsop and systemic antibiotic Azithral250mg twice daily for 5 days.Fucibet[steroids]actually exacerbates the lesions.Get a fasting and postprandial done to ruleout diabetes.
|
Suggest treatment for gestational diabetes
|
Hi, My wife is 4.5 month pregnant. She is having diabeties. Specially in the morning we noticed her blood sugar level go between 120-125. We have noticed that her after meal (2 Hrs) we measured her blood sugar level is between 130-140. She is having diabetic food and walk everyday for almost 3-4 KM. Please advice.
|
if you take my opinion then I would suggest you that at this early stage it is best to go for a diabetic diet and regular exercise ,but still low dose human insulin can be started as it can keep sugar levels at normal range and is also safe in pregnancy
|
Need treatment for brain aneurysm with diabetes
|
I have a brain Aneryusm and Im waiting for an appt for a nero surgeon. there i s a family history of them. My dad passed away at the age of 47 and his brother age 43 and his daughter 46. it is a small one . But I have been in the hospital (er) 2 times all ready with serves headaches and Im having alot of pain in my left side of my face and jaw. What do i do?? if it burst them I will ended dead like that.. thanks Michelle. Im also a type 1 diabetic.
|
Hi Michelle, I understand this must be a tensed time for you. During the "window" from Diagnosis of brain aneurysm to the actual surgery, you need to take extreme care. High blood pressure, severe pain, even emotional stress can cause it to rupture. I suggest, you make an appointment with the neurosurgeon at the earliest. An unruptured brain aneursym without neurological deficits has excellent results as compared to an already ruptured one. Your diabetes is not a problem, that will be controlled anyways during and after the surgery. I reiterate, your aneurysm is of paramount importance. Make an appointment as soon as possible. Hope this helps!
|
Suggest treatment for nausea and light headed with coronary heart disease
|
I am 63 with history of coronary heart disease and diabetes, for some time I have been suffering frequent days of nausea, sometimes physically sick and light headednes. My doctor put me on a course of tablets to supress acid, which helped but I am still suffering albeit less often.
|
Hello,It looks like acidity problem only. Also you check your blood pressure frequently and maintain the chart. Some times low BP also lead to same. Try to take pulse rate reading during lightheadedness, it shouldn't be very high like 140-150.Avoid spicy and fatty foods. Avoid smoking and alcohol if any. Also maintain sleep habits regular and also do regular exercises. Have some walk after meals instead of taking rest immediately. You can take acid suppressant like tab pantoprazole.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode
|
Suggest remedy for tiredness in asthma patients
|
Hi, I am 19 years old and a female. I am 5'2" and weigh about 140 pounds. A bit of my medical history includes, mild asthma and hsv1/coldsores. My concern deals with constantly feeling tired. I try to get 6 to 8 hours of sleep and wake up feeling exhausted. It has gotten to the point that it is difficult for me to even get out of bed and continue on with my day. Just today, I woke up and went right back to bed meanwhile, class was in session. I woke up again to head to my internship and I was still tired. My neck and shoulders always feel tense and sore. This has been going on for as long as I could remember. I used to do yoga, but it has become a hassle to even get to yoga class. I feel as if it is getting out of hand and I plan on seeing a doctor soon. I just want some sort of insight...Thank you.
|
HI, thanks for using healthcare magicPersistent fatigue can be due to different causes, some of the more common are anemia, hypothyroidism, depression, chronic illnesses (diabetes, heart disease).The tense sensation in the neck and shoulders may be due to stress.You may need blood tests to rule out some of the conditions mentioned . This would include full blood count, thyroid function test I hope this helps
|
Suggest medication for high cholesterol, edema and prostate enlargement
|
Dear Gentlemen: I am 69 years old residing inSaudi Arabia since last 37 years. I have following multi disease:- 1. Diabetes Type 1 ( Insulin ) 2. Angioplasty ( Oct 1998 – 2 Stent ) 3. Kidney Stone ( Left Pelvis since 1986 ) 4. Cholesterol Little High 5. Neuropathic ( Both Legs and Feet since April 2006 ) 6. Edema ( Both Legs/Feet since last 2 and Half Year ) 7. Prostate Enlargement Using following Medication:- 1. Lyrica 300 Twice a day 2. Neurobion twice a day 3. Concor 2.50 mg Once 4. Xtral 5. Asprin 6. Plavix 7. Calcium Tablet 8. Lipitor 20mg Kindly let me know if thee is any treatment for Neuropathic and Edema Thanks and regards, Abdul Aziz Somani I have also excruciating pain/extreme burning sensation in lower legs/feet with edema. No doctor seems to understand how horrible the pain is and has yet to look further in to the problem. do or have done? I have tried compression socks. Further, Can I use Foot Massager? Thanks and regards,
|
Hello,As you are already under treatment, continue all the medications as advised. For edema, I will suggest tablet Lasix after cardiologist opinion. For prostate enlargement, you can take tablet Urimax or can undergo surgery after ultrasound abdomen and pelvis after consultation.Along with that do daily exercises, walking for 30 mins, eat low fatty diet and keep your legs elevated. I will suggest you to review here with detailed history or consult with the cardiologist with reports and do regular follow up.Hope I have answered your query. Let me know if I can assist you further.
|
Can a diabetic lose weight through a low carb, high protein diet?
|
yes I have diabetes and I have been trying to lose weight on a no carb high protein. Then I tried low carb and high protein but my sugar will bottom out 1 or 2 times in a day on either meals. Would like your feed back please. My email is blocked at this time please answer my question here.
|
Hi. Would be happy to assist you. Low carb diets tend to be beneficial for weight loss. One possible suggestion may be to increased your fat intake, excluding processed fats or high omega 6 foods like vegetable oils. I would suggest moderate protein intake and low to moderate carb intake (preferably low glycemic) to avoid hypoglycemia or hyperglycemia. Both fats and protein will decreased carbohydrate absorption and result in more steady state insulin levels. If your are taking insulin or oral hypoglycemics, these may need to be decreased and sometimes stopped depending on how your blood sugars are doing. That should be adjusted by your healthcare professional.
|
Is the stinging around the wound after applying cream?
|
I hurt my leg around the beginning of Feb. Got internal and external stitches. Had the external stitches removed about 20 days later and the externals were visible and apparently not doing to well in my body. The wound is now a 4 cm circle about 2 mm deep. The internal stitches were removed Friday as they just weren't welcome by my body. I was given a cream to help tissue form, intramuscular antibiotics, and an NSAID. It's stinging really bad about 3 inches around the sore area. Worsens when I wiggle my toes. Is this normal? I am diabetic and take steroids for Mixed Connective Tissue disease. I am also in Mexico where the accident happened to the drugs are different that what I'm used to.
|
Hi,It seems that you might be having non healing ulcer on the leg following removal of stitches.It requires utmost care for that non healing ulcer as you are diabetic.Consult foot surgeon specialist in diabetes (deiabetic foot specialist ) and get examined.If remained not particular it might give complication like gangrene.Merely applying antibiotic cream has no meaning.Ok and take care.
|
How can herpes virus with lung problems be treated?
|
sir now iam 46 yr male.i attempt first sex in 18th year.at this time i have affected herpes in my pennis.but i have clearing water to my pennis every day.but iam sugar patient.nowadays i have affected lungs problems. what can i do for solve this problem. i know very well heerpes viruse is not curable
|
Thanks for your question on Healthcare Magic.I can understand your concern.First of all consult pulmonologist and diagnose your lung problems.Diabetes can cause lung infection, bronchitis, pulmonary fibrosis etc.You will need chest x ray, PFT (Pulmonary Function Test) and CT thorax to diagnose lung disease.Treatment is based on diagnosis.You may need antibiotics, inhaled bronchodilators (formoterol or salmeterol) and anti fibrotic (Perfinodone) drug.Don't worry, you will be alright.Consult pulmonologist and discuss all these.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
|
How to treat painful lump on buttock?
|
49, 5 9 , 170 lbs. DVT in the past. I have a painful lump on the inside of my lower buttock. I can t see it, only feel it. When I m on antibiotics, the pain and infection symptoms disappear. When I m not on antibiotics, the symptoms come back. I can only feel this lump when I squatting. Been to many doctors, they are unable to feel or see it.
|
Hi,Dear thanks for the query to HCM.I went through details of your query and understood the health concerns you had.Its a complex issue for you.I would suggest-USG when the lump is painful would resolve your issue of diagnosisIn my opinion its chronic Boil and needs to be treated with Surgeon ,as follows-a-Rule out diabetes by FBS and PPS.b- Antibiotics with Ornidazole combination -x 10 day timec-Tb Nsaids x 10 days d-Surgical In Toto Excision of the Chronic Boil .This would resolve your issue.Wellcome for further query in this regard.Wish you fast recovery.Have A Good Day.With Regards
|
Suggest remedy for metastasizing ringworm in children
|
Hello, my daughter has ringworm. It has metastasized. It started on the right arm then moved to the legs, hair, back, buttock and now on her stomach. She is currently taking griseofulvin and using ketoconazole shampoo. I really don t think that it is working. Is there something else I can do or use. I ve washed all of her belongings and toys. Please help. Thanks
|
Hi,What is her age? Can you post picture of a lesion? Ringworm is a fungal infection, and usually responds well to above said medicines. It may take 7-10 days to see the result. If no response visible by 7 days, kindly get back to your dermatologist, as this indicates either the organism is resistant to the above drugs or the diagnosis is not correct(conditions like atopic dermatitis sometimes have lesions resembling ringworm). Testing skin scrapings from the lesion will help to confirm diagnosis. Also, extensive ringworm may suggest underlying immunodeficiency conditions like uncontrolled diabetes. Meanwhile, try changing to ketaconazole ointment instead of shampoo, as this has more retention time.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician
|
What causes trouble while taking deep breath with copd?
|
I had a pluric effusion of my left lung almost 10 years ago caused by a near drowning and likely ingestion of some foreign body that lodged in my lung at the time of the drowning incident. Since then I have had trouble with deep breathing and have been diagnosed with COPD. Whenever I fly I seem to get a lung infection shortly thereafter which is the case now. I also have had an area on my right chest that feels tight and often results in off an on pain when I breath. Is this pleurisy? To complicate things I have Diabetes which causes me nuropothy problems as well.
|
Hello dear, thanks for your question on HCM. I can understand your situation and problem. Yes, this can be pleurisy ( inflammation of pleura ). Since you are having COPD ( chronic obstructive pulmonary disease ), lung infection is very common due to poor lung defence. You are also having diabetes, which makes you even more prone to infection. So possibility of pleurisy due to lung infection is high.So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x ray. You may need antibiotic and inhaled bronchodilators.
|
What causes pain radiating from the knees to the thighs despite taking Naproxen?
|
Approximately two days ago I began to experience severe leg pain. This includes the calf and knee. I had a TKR 7 years ago, have had no problems. I have Type 2 Diabetes and High Blood Pressure. My glucose has been high, averaging 130. I take Metformin, Vytorin, Lisinipril, Oxybutinin, Trileptal and Cymbalta. Am debating if I may have a blood clot or worse and if I need to see a doctor. I did take 660 mg of Naproxen approximately 6 hours ago. Seemed to help, but pain is now in back of thigh. Suggestions
|
Hi, Radiating pain from knee to thigh or thigh to knee is called a sciatica pain. Other possibilities like hip osteoarthritis or lumbar spondylosis with back pain etc., can contribute to this. Until examination is done it is difficult to say what it is. Please get it done X-ray lumbar spine and then consult your doctor, 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
|
Is kidney transplantation necessary for person with creatinine level of 8.3?
|
Age 64, Height 5'7" Having diabetes since my 31 years old, Creatine is now 8.3, the doctor asked me to do dialysis, I don’t have heart problem and pressure… Please advise me whether I can do transplantation? I am from srilanka, advise me how much it will take for the full course? Thanks Sam
|
At any time renal Transplantation is superior to dialysis in all aspects. However first year post Transplantation is very important. You should be regular in medicine intake that will be prescribed. Diabetic patients will be evaluated little carefully for fitness prior to Transplantation. In India it costs 4-6lakh rupees if you have matched donor from family. I'm not sure of cost in srilanka. All the best. if you have any questions feel free to consult me.
|
Have diabetes, asthma, on prednisone for cough by infection in lung, contemplated not to use prednisone. Suggestion?
|
I have type 2 diabetes and asthma...I have been taking prednisone to alleviate the symptoms of constant coughing that may have been caused by an infection in my right lung. Right now my lungs feel like they are bearing water and my blood sugars are well beyond my normal level. I have contemplated not to use the predisone as it appears to be worsening my condition.
|
hello dearthanks for your query at HCMpredisone may aggrevate infection chances in diabeticcs.discontinue the drug until symptoms comes under control.do not abruptly stop drug as it might cause side effects , gradually taper drug and then discontinue.blood sugars levels are also effected because of the prednisone.once infection comes under control visit your asthma specialist for restarting drug .regards
|
Suggest treatment for blood clot in lung
|
I am a 59 year old male. In 2005 I had a major blood clot enter my left lung. I have problems breathing and need to lose a lot of weight. I have been a type 2 diabetic for the past 14 years. How is the best way to lose weight. YYYY@YYYY
|
Are you talking about clot in the airways or in blood vessels of left lung. For clot in blood vessels u should consult a pulmonologist and also a cardiothoracic surgeon for need of any surgical intervention if required. Avoid severe exertion.To lose weight have high protein , low carbohydrate diet and do a regular brisk walking for atleast 30 mins 5 times a week.Have your diabetes under control with regular glucose monitoring
|
What causes unconsciousness and seizures while on medication for BP/diabetes?
|
my father in law age 78 having sugar, BP, since last 4 months, once in every month he is getting un conscious and then he gets seizure at night 1 AM to 2 AM always. not sure what is happening. he is taking all BP, Sugar , levipil etc medicines regularly. pl suggest.
|
Hello!I read the question and understand your concern. I would recommend another blood routine test to rule out metabolic changes like uncontrolled high blood sugar which can cause increase in seizure frequency. Another matter is the levetiracetam dosage. It may need to increase. An EEG may be needed.Hope to have been helpful!Thank you for using HCM!Dr. Abaz Quka
|
Suggest treatment for delayed ejaculation
|
I have a problem with delayed ejaculation. All the feeling is there but it is very difficult to ejaculate. One research hospital report researchers from NewYork-Presbyterian Hospital/Weill Cornell Medical Center in the February issue of the British Journal of Urology International. Cialis is currently approved for the treatment of ED, benign prostate hypertrophy (BPH) and for treatment of men with both conditions. What do you think? DJD
|
Hello,,Delayed ejaculation is an uncommon condition compared to premature ejaculation. Some of the causes of delayed ejaculation are hygonadism. It is said that thyroid disorders also cause delayed ejaculation.But the most common cause for delayed ejaculation is loss of nerve sensations over the tip of your penis and also because of certain masturbation techniques. Here are some suggestions on how to go about this1. Meet a urologist to see for local causes like loss of sensation over the glans penis. This could have caused by trauma to the nerves. 2. Rule out systemic issues like thyroid disorders, diabetes, Vit D levels3. Certain medications like anti depressants and anti psychotic agents can cause this issue. If you are on it then please go to your psychiatrist for an alternative.4.Complete relaxation and avoid anxiety of delayed ejaculation. Anxiety can be relieved by performing yoga and breathing exercise.Thank you.
|
Suggest remedies for recurrent vaginal yeast infection before menstruation resumes
|
Hi I keep having reoccurring yeast well at lease that s what my doctor said. I m tired of going to the doctor. It happens every month around the time my period is dew, it s itchy the discharge is white and clumpy and I urinate a lot each time I go to the doctor I get medication it disappears until my next cycle
|
HI, thanks for using healthcare magicThere are some women who do have yeast infections before or just after each period due to changes that occur in the vagina at this time.You can try to reduce the other risk factors such as tight or occlusive clothing, rule out diabetes or other causes of decreased immune system.In some women the use of probiotics help to decrease the frequency of these infections, it may work for you.I hope this helps
|
Is it normal to urinate frequently?
|
Hi Doctor, I am 24 year old male. I have a problem of frequent urination. Everyday I go to restroom 12-15 times. I drink 5-6 glasses of water everyday. Most of time I'm afraid to drink more water thinking that might lead to even more frequent trip to the restroom. Is it normal to urinate that frequently? Thanks so much in advance.
|
Hey.Welcome to HCM.Well, urinating 12-15 times a day is definitely not normal.In my opinion you should get few tests done like RANDOM BLOOD SUGAR levels, COMPLETE URINE EXAMINATION.If your Random blood sugar levels are elevated, then confirm it by getting FASTING BLOOD SUGAR and PPBS tests done to rule out Diabetes.And drinking 5-6 glasses of water everyday is very good for health, so do not limit that.Hope I have answered your question. If you have any questions, then i will be happy to answer it.Take care.Regards.Dr. Surender sharma.
|
Can pneumonia cause blood in urine?
|
My father recently passed over the weekend. His body was fighting an infection along with pneumonia for 1 week. During that time, he would urinate bloody urine into the foley. The doctors said that was completely normal. It was very dark red. Is that normal?
|
Hello, * The pneumonia does not give rise to red urine called hematuria. * There can be possible causes for red blood cells in the urine as - uncontrolled urinary tract infection - kidney damage via systemic sepsis - abnormal clotting factors or platelet function - side effects of drugs - dehydration related - secondary effects of diabetes - others * Kindly share all reports if available with you for further discussion ahead and guide in details. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon
|
Advised dialysis, kidney transplantation. Reports show kidney size reduction, low hb levels, high creatinine levels. Opinion?
|
Dear sir. i am bipin, a male, age 23, height 5 ft, weight 38 kg, i am a student. my doctor says i have kidney problem, and i need dialysis or kidney transplantation . please guide me, what should i do. my reports are below. ULTRASOUND KIDNEY- RK is appx 65x25mm and LK is appx 64x27mm. Increased in Cortical Eechogenicity on either side with loss of C-M differentiation. no evidence of calculus or hydronephrosis is noted. no evidence of solid or cystic mass id noted. HAEMOGRAM REPORT Hemoglobile :- 8.6 gms/100ml URINE ANALYSIS Transparency :- clear color :- P.yellow reaction :- acidic Albumin :- ++++ WBC :- 2-3/hpf Deposit ,Acetone,RBC,Epithelial cells,Casts,Crystals,Amorphous,Microorganism,and Spermatozoa :- absent RENAL FUNCTION TEST Serum Creatinine :- 11.90 mg/dl Bicarbonate(HCO3-) :- 26.80 mmol/l serum Potassium(K) :- 3.30 mEq/l i have no diabetese, and controled Blood pressure. dear sir please guid me whot to do.
|
All labs refer to the direction of Renal Failure with low Hb, Increased Serum creatinine with albumin in the urine. You should have dialysis to prevent complications related to chronic renal failure such as altered level of conciousness. Also perform the renal scan for GFR estimation to check for remaining function of Kidneys. As your both kidneys are decreased in size that is labelled as Renal Atrophy.
|
Pain in abdomen, back, low grade temperature. Took methylprednisolone. Blood test were normal. Is it pinched nerve?
|
I have pain and extreme sensitivity to touch on the right side of my abdomin, back and side. It was excrutiating pain a couple of weeks ago waking me up in the middle of the night. I also had chills, low grade temp and fatigue for a week. My doctor gave me an antiviral med for shingles then ruled that out since I never got lesions. Then he gave me Methylprednisolone. He did a blood test and also an ultrasound to rule out gall stones and said the ultrasound didn't show any problems. Now he thinks I must have a pinched nerve. What other things should he consider in addition to a pinched nerve or what other tests should he do for me?
|
HI, thanks for using healthcare magicNeuralgia is pain due to the abnormal function or structure of the nerve. It can occur in any aspect of the body.There are different possible causes of neuralgia such as : (1) diabetes (2) vitamin B 12 deficiency (3) trauma (4) side effect of medication (5) the cause can also be unknown There are not many diagnostic tests for neuralgia but you may want to consider visiting a neurologist who may be better able to diagnose and treat you.I hope this helps
|
How to get rid the swelling in the ankle?
|
My son fell and hurt both feet about 10 days ago. We went and had x-rays but the Dr. did not see anything. We ice the ankle at night but he is in school and walks on it every day. His ankle is still swollen even in the mornings and it still hurts him a lot when he walks on them. Should we have it reevaluated?
|
Hi, This treatment is being suggested on bases of the information provided. However, I would like to examine & investigate the patient in detail. Control hypertension, diabetes or any other metabolic disorder, if there is any. Any way it may be tried -- Dolokind Plus (Mankind) [Aceclofenac + Paracetamol] 1 tablet OD & SOS for 5 days. Caldikind plus (Mankind) 1 tablet OD for 10 days. (You may need help of your local doctor to get these medicines.) Fomentation with warm water. Let the part not be exposed to cold air. Sleep on a hard bed with soft bedding. Use no pillow under the feet & ankles. Avoid painful acts & activities. Do mild exercises for knees and ankles and feet & toes (take help of a physiotherapist). Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. Kindly make sure, there is no allergy to any of these medicines. For emergency treatment visit nearest hospital. Wish you a quick recovery & good health. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon
|
How to reduce ALT and AST levels while having diabetes?
|
Hi I am 25 years old. and I have fatty liver disease last seven years and I have diabetics last 3 years my liver function text very denger but no hepatitis c and b.my Alt 350 and Ast 159 every day 2 time I workout walking work hard. No drinking alcohol .I also like eating vegetables like kale collards many more .I am very upset .tell me what can I do
|
HelloYour findings suggests raised ALT and AST level.Increased ALT may indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,fatty liver,auto immune causes etc.Increased ALT may be due to fatty liver in your case.AST is non specific and it increases in many conditions.You may need few more investigations like routine hemogram,lipid profile,ANA estimation.I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It helps in regeneration of liver cells.Further requirement of medicines depend upon findings.It is good that you do not take alcohol.Get well soon.Take CareDr.Indu Bhushan
|
What causes increased blood sugar after taking high calorie diet?
|
My boyfriends blood sugar on a good day is normally between 70-80. Sometimes after eating a large meal or one high in carbs it will spike up to 100 or more. He becomes very disoriented ,lightheaded, slurs his words and is very shakey. Sometimes it takes a few hours to get back to his NORMAL in the 70's. His doctors say that he isn't diabetic. They never see the spike and won't listen to him. What do you think the problem could be and what should we do to make them listen. He is a former combat medic and EMT. His doctors are at the VA clinic and they instantly discount him because it is always so low when he goes in for a check up.
|
Hi, As you have mentioned Blood sugar levels of your boy friend, all Blood sugar level reading are normal, there is no evidence of diabetes. For diagnosis of diabetes one of the following criteria need to be full filled 1) Oral glucose tolerance test Fasting Blood sugar level more than 125 and/or 2hours post glucose blood sugar level more than 200. 2) HbA1c level more than 6.5. 3) Symptomatic for diabetes ie increased frequency of urination, unusual thirst, unusual hunger, weight loss, along with this random blood sugar levels more than 200. Whatever symptoms mentioned by you like disorientation, slurred speech, abnormal shakiness, light headeness do not denote Diabetes. Taking in to consideration of profession of your boy friend it looks like a possibility of anxiety. Better to consult another doctor during period of symptoms or you can make video during symptomatic period.
|
High BP, diabetes, have negative thoughts, disinterested in work, like to be aloof, no improvement with treatment. Treatment advise?
|
one year ago my dream was to admit my son in an iit college but he could nt complete in iit jee xam and as a result he was to be admitted in private engineering college with large donation and from may 2011 my behavior started changing, i stoped watching t.v news, no intrest in vising relatives, morning walks,etc. every time i felt nervous in all situation and i started hating travelling and journey. i went to doctor k.k singh patna for treatment but still 1 year passed bt nt feeling much comfort, i m always feeling sleepy maybe due to his medicines, my thoughts have become negative and always confused and i am loosing intrest in my bussiness which is on the verge of collapsing, do help me as soon as possible, someone told me that u are a gud psychiatrist so consulted u, please note that i m a patient of diabetese and bloood pressure also and diabetese is 233 mg/ml
|
Hello. Your loss of interest and other symptoms makes the diagnosis of depression very clear. Also the medical disorders you have mentioned makes one prone to it as well as a stressor like this in your age group. I m sure you have been treated for depression by your doctor but you are not getting benefitted . There can be many reasons for it. Firstly as you have mention your blood sugar is still raised , it means your diabetes is not in control and despite treatment you are not able to get full benefit of it. Secondly your son despite being in a college may not be performing as per your expectations and you are in a persistent stressor and thus not getting benefitted Thirdly your medication need a change as they are not helping you as you want Fourthly you may be in need of psychotherapy along with medication to make you learn to cope with these stressors and which help you to come out of it. According to me you need to evaluate which problem is most likely and get a intervention done according to it.
|
Suggest treatment for infection in the finger
|
hi, my husband has an infected finger. i think it is due to the fact that he bites his nails. it is now large and very puss infected with blood around it. he doesnt like needles or the doctor. what should i do so his finger wont fall off. Plus her has a low tolerance for pain. any ideas?
|
Hi.. I see patients of similar complaints in my day to day practice. History of nail bite is characteristic of paronychia which is a infection of nail of finger.If I would start treatment empirically by giving antibiotics Tab.cefadroxyl 500 mg 1 twice a day for 5-7 days .Additionally wound care is utmost importance. Antibiotics treatment will make pus sterile and pus needs to be drained.To prevent pain from occurring, pus can be drained under use of local anaesthetics injection around the affected area. I would also recommend you to check blood sugar level in order to rule out diabetes. Wound dressing and care is also importance for healing .I would suggest you to consult your doctor and get the treatment done I hope this has answered your question.If you have further questions,feel free to ask .RegardsDr.Hamid
|
Does sizopin tablet affect pregnancy and childbirth?
|
I am in India. Doctor prescribed Sizopin - 100 mg Tablet to take at 7.00 P.M daily to my daughter whose age is 31 Years. She is consuming this tablet since past 5 years. Kindly advise me whether we can perform her marriage. If so the baby to be born is normal or problem. Thanks Y.J.Reddy INDIA
|
Hi,It is considered to be safe during pregnancy. There is no documented evidence that sizopin cause fetal malformations if given during pregnancy. However, it may increase the risk of developing gestational diabetes. So wherever possible the minimal effective dose of sizopin should be used. So, there is no problem in getting her married.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
|
Suggest treatment for sharp pain in the chest and arm
|
50 year old male, smoker. No diabetes or high blood pressure, get regular check ups. Today all of a sudden I m having sharp pain in my extreme left chest, which feels like it radiates into my armpit. Certain positions of my arm seem to affect it, though it s not coming from my arm. Seems VERY slightly tender to the touch, but too slight to really be able to say, that s the spot. Deep breaths don t seem to bother it, but exhaling does a bit. could this be a muscle strain? could I have turned the car wheel awkwardly and caused it? Never felt anything in this area before. .hx
|
Get yourself evaluated with ECG with just to be sure everything is fine otherwise. Though no co morbids still it better to get evaluated.
|
Stone in gall blader. What is the treatment for this ?
|
My father has stone in his gall bladder. what is the right treatment for this
|
You have not mentioned his age.Size of the stone,number of sones in the gall bladder,other medical condition like diabetes,high cholesterol level are all factors to be considered when we plan the treatment.in general ,patients with multiple stones,single large stone , diabetes and those who had complications due to stone are candidates for removal of gall bladder.medical treatment can be done in selected patients but not for large stones.Removal of the gall bladder is done without making large opening in abdomen.The procedure of choice is Laparoscopic cholecystectomy which has become the gold standard and it is a common procedure
|
How to overcome the pain after spine surgery and the numbness on my hand and bottom of my feet?
|
Yes, I had spine surgery 2 months ago and my hands and the bottom of my feet are numb. I am in pain all the time not only the numbness but the pain. I was told that the nerve ending would take up to four to six months to heel and maybe even up to eight months to a year. I am not sleeping at night either - wait up every night around 1:30am and can't get back to sleep most of the time. Your suggesion.
|
Hi,Thank you for posting your query.The recovery depends on the amount of nerve decompression achieved after the spine surgery.It also depends on whether there was any other reason for nerve pain in hands and feet such as diabetes or vitamin B12 deficiency.As of now, you could take pregabalin capsules for pain relief.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in
|
What causes ulcers on the tongue?
|
Hi, I am 70 year old. I have finding problem inside the tonge.Always two wound comes twin side of tonge. I hd checked so many times. It will correct for some time. after some day it will automatically started with pain. for that I am not able to eat. Plz suggest me what I will do
|
Hi..Welcome to HEALTHCARE MAGIC..As per your complain recurring episodes of eruption of ulcers on either side of tongue points towards a condition Recurring Apthous Stomatitis or Recurring Apthous Ulcers..It can occur due to a few common conditions like tongue injury caused by sharp teeth, Nutritional Deficiency iron, Vitamin B12 and folic acid, stress, immune deficiency conditions like Diabetes, acid reflux etc..You should consult an Oral Physician so that a thorough clinical evaluation can be done to rule out the exact cause and treatment can be planned accordingly..Aa of now for relieving the pain you can apply a numbing gel containing Lignocaine or Choline Salicylate over the sores for relief..Gargle with 1:1solution of milk of magnesia and Benadryl can help..Soda bicarb solution in water can also be used for gargles..Sucking ice pops and gargle with cold water can also relieve by reducing Inflammation and pain..Hope this information helps..
|
How does scrotal abscess develops and how it causes cellulitis?
|
Good evening Doctors,My name is Clark B. Llamera a graduating nursing student here from the Philippines.Can I ask a question can you tell how an scrotal abscess develops and how it causes cellulitis? I mean its pathophysiology?...Your answers well be much appreciated...Thank You
|
HelloThanks for query.The scrotal abscess develops due to Staphylococcal infections of the hair follicles in scrotal skin (Folliculitis)or due to infection of the epididymis and testicles which in its turn is secondary to UTI.It may result from the bacterial infection through blood born infection any where else in the body.This is very common in person with Diabetes.Dr.Patil.
|
What is the medication for bilirubin 2.0 with fasting sugar being 125 after being on posmeal tablet?
|
Hi DoctorMy Father is 58 years and his fasting sugar is 125 and in a report billirubin came 2.0. which seems to be a jauncdice.Please suggest. though he is taking posmeal tablet with meal but his fasting sugar is always above normal range but post meal sugar is controlled. please suggest how can we cure from jaundice in this case. also can diabetese be also controlled.
|
HIThank for asking to HCMOnly bilirubin is not sufficient to come on conclusion for jaundice other parameters are missing like, direct and indirect bilirubin, SGPT these tests will give better idea, of course glucose level can be controled with increasing the dose of anti-diabetic drugs or changing the drugs, I think this is nothing to worry, take care of your father, and have nice day.
|
Panic attacks. Done EKG. Family history of heart attack and diabetes. Odds of panic attack?
|
I am a 28 year old female over weight but otherwise healthy. I suffer from panic attacks I currently became a vegan. My paternal grandfather died if a heart attack from diAbetes. I had an EKG a few years on and blood pressure and chilesterol doctor says are on but I feel I am going to have a heart attack what are the odds I will??
|
Hello,A positive family history of early heart disease and diabetes puts you at increased risk for heart disease and diabetes ,even if you don't have other risk factors such as high cholesterol, high blood pressure, diabetes, and obesity.Since you are overweight,your chances increases still further.Do's for you....Avoid fatty foods and sweetsReduce your calorie intakeReduce your weight and be in your required range of your BMIDo regular aerobic exercises for 45 minutes a day.Keep a check on your BP,blood sugar levels and cholesterol levels.De stress yourself by doing regular yoga.If you develop good dietary habits along with exercises and shedding of weight,even a positive family history won't cause any damage to you.Thanks
|
What causes grand mal seizure?
|
Hi i am 34 years old and recently had a grand mal seizure lasting 5 minutes it is my first seizure with no previous family history. My MRI showed small high signal foci in the frontal white matter suggestive of microvascular ischemia what does this mean
|
the MRI findings are likely irrelevant to your seizure episode.Microcascular ischemic WMD is usually noticed in people who smoke, have high cholesterol, diabetes, are hypertension, or have renal disease. It can also be seen in normal individuals with none of the above conditions and simply as a result of aging which can be detected as of the mid to late 30's as small areas of degeneration in the deep white matter. if this answer provided you with useful information I would very much appreciate a little bit of written feedback as well as a star rating for the response to this question.If you would like more information or have further questions please write to me atbit.ly/drdariushsaghafi
|
Severe pain after the root canal treatment. Is it normal? Have diabetes
|
HAD ORAL SURGERY - ROOT CANAL WAS PERFORMED. WAS ON IBUPROPHRRN MORE THSAN THREE WEEKS AGO. HAVING SOME PAIN SCALE ONE TO 10. 10 BEING HIGHEST. MY PAIN IS ABOUT 7. MY PHYSICIAN WANTS ME TO TRY TRAMADOL 50 MG TWO TABLETS FOUR TIMES A DAY. WANTS ME TO CEASE TAKING IBUPHRPHEN FOR NOW. ANY CONCERNS? M HEALTH IS FAIR. HAVE HBP AND DIABETIC.
|
Hi user thank you for posting your qurey. Pain after root canal treatment usaually subside after proper filling of the canal and crown .But in your case it still presists there could perapical lesion .so to rule out you may need a x ray done again. To see the rct filling and infection or lesion below the root.if so you need to undergo re-rct and course of antiboitic along with painkiller (like cap.novaclox LB 3 times a day after food , and same tablet tramadol 50) .And skip not your routine medicine for hbp and diabetic.For further help mail back to us.visit your near by dentist. Warm Regards , Dr.leela devi.bangalore.
|
Frequent paralytic attacks due to high BP. Have diabetes. Precautions to be taken?
|
Sir my father is 63 years old.he is suffering from paralysis since 5 years old.he is also patient of diabetes as well as high blood pressure. He recives attack of paralysis due to blood pressure every time.his left side is effected by paralysis but he can move his left arm and hand to some extent.hisb.p does not remain normal.plz sir help me what shshould I do?? What precautions should I take and how can I cope with this problem. I will b very thank full to you
|
Hello,Thanks for the query to H.C.M. Forum.I would come up with these possibilities with measures for this type of case , these includes.1 Avoid greasy, salty , fatty foods .As you mentioned that your father is a diabetic case so regular blood sugar level as well monitor of blood pressure is very important . So deal according to these measures.2 As you mentioned that your father is a diabetic as well hypertensive patient .In my opinion all these symptoms of paralysis may be due to congestive heart failure , diagnosis can be confirmed by E K G and ECHO .3 Essential hyper tension may be the another reason, diagnosis can be confirmed by physical examination as well clinical examination.In my opinion at this age of 63 years all these symptoms are a cause of concern , so consult a cardiologist and get his opinion.Good luck. Dr. HET
|
Been burping, have extreme hunger, dizziness, cold sweats. Is it diabetes or cancer related?
|
Hi Doc good afternoon, am 27 and have been having some problems for a few months now, am burping constantly and very loudly, plus am suffering from a terrible hunger feeling, most times am getting up in the middle of the night to eat because am feeling hungry and at times i get a cold sweat like feeling that lasts for a while and then it goes, sometimes i feel dizzy in my head too, am so worried because i don t know what is going on. have used off the counter treatment for the gas issues that as helped me a great deal but its kinda still there. these symptoms are slowing me down and i don t know whats wrong. Doc can u tell me what can be causing these kinda symptoms, so you know of my family history, both on my mom and dad side they have sickness of diabetes and cancer . both grand mother died from these sicknesses. should i be worried about my health
|
Hi, there is a probability of suffering from diabetes. Your symptoms match with the disease entity.Anyway you should do at least a fasting and 2 hr postprandial blood sugar ( after 75 gm of glucose intake). At present none of your symptoms goes in favor of cancer. So do not worry go for the basic investigations first. Take care.
|
Suggest treatment for a small lump on the anus
|
Hi, okay about a month ago i had soft small lump near my anus and it gradually got bigger and harder and it ended up the quarter size of one of my cheek s, i couldn t walk an couldn t stand and couldn t even lay down proper with the pain, it burst one night in my sleep and i dont want to be graphic but what came out was yellow and was everywhere and it stunk. I noticed it had left a little hole after it burst an the liquid continued to come out for several day s. A week later i had another but only small and that burst and now i ve got another i ve had for about 8 or 9 day s that is just leaking the same fluid and i m scared and i dont know what to do. Ty
|
hi dear thanks for the query on HCMyou have had PERIANAL ABSCESS.1. you need to consult a surgeon urgently who will help you out by draining the abscess.2. need to get your blood investigations done to check for diabetes.3. may need gastroenterology opinion and endo anal ultrasound.4. it may lead to form fistula in ano- please hurry up and meet a surgeon for needful at the earliestthank you
|
Could donating kidney restrict me from high intensity exercises?
|
My father has diabetes which has decreased his kidney functions. If I undergo all the necessary process that is required of a donor, and shown compatible with his blood type; I exercise on regular basis would a transplant limit me from high intensity exercises?
|
Hello... My sympathies for the difficult situation you are in.After a kidney transplant, the donors remaining kidney takes over the function of both the kidneys so as to speak.Which means you have double the amount of blood flowing through it and double the amount of load that it needs to filter. The solitary kidney adapts to this need by undergoing an enlargement in size or hypertrophy.You should be able to maintain a normal lifestyle after the procedure. But you need to keep in mind that you will be at greater risk for diseases such as hypertension ,anemia and osteodystrophy in the future. It would be better to avoid anything which would overload the solitary functioning kidney.(painkillers, high intake of salt and protein )It would be advisable that you maintain a healthy lifestyle and get a moderate amount of exercise, not high intensity on most days of the week.Hope this helps,Regards...
|
Will using Benocide Forte help cure swelling on right leg due to filaria?
|
Hi Doctor, Good Evening.My wife is a filaria patient since last 30 yrs. it has affected her right leg upto knee level. No fevers so far. Can I use Benocide Forte tablets? What should be the supplementary medicime? She is 58 and diabetic.She is 49 Kgs. After a fracture in her right wrist 10 months back she has been experiencing a running pain from her neck to wrist. As per Orthos the wrist joint is ok and advised physiotherapy. Her fingers were swollenup and now it is normal. The finger movements on the right hand is still stiff. She is tense and tired due to this. could you please help me. Alvi
|
HelloYour wife's age is 58 yrs , having filariasis , diabetic and swelling below knee.Such type of of filariasis is known as Lymphatic filariasis .Since she is having active lesion , so this treatment may be useful for her .Patients with active lymphatic filariasis should be treated with "DIETHYLCARBAMAZINE" ( BANOCID) ,(DEC , 6 mg / kg for 12 days ) Albendazole 400 mg twice in day for 21 days .Albendazole +DEC both given daily for 7 days and doxycycline 100 mg bid ( twice ) for 4-6 weeks are alternative treatment .So this is all about filariasis .For wrist joint pain and tenderness , consult an ORTHOPEDIC surgeon and get his opinion because your wife is also having diabetes .Hope this will be useful information for you.Good luck.
|
Can foracort be used for cough and cold?
|
hi, i need to know about two medicine. 1. Glycomet 500 SR. and 2. Foracort inhaler. The dosage side effect of the same. I have fasting sugar level at 109 - 120 (age 31 male) Can foracort be used in caugh and cold condition? is 6 sprays of Foracort 100 is ok in case of emergency. (age 30 yrs female) . Is it alrightd to use if the person has thyroid?
|
It is advised that you write about your present history of illness and describe signs and symptoms.The medicines in question are used for diabetes control and asthma depending on response the doses are modified.With your current fasting sugar it seems the dose is adequate for glycomet.ide effect can be hypoglycemia if diet is inadequate.foracort inhalation can be taken during cold also provided asthma symptoms are persisting
|
How can neuropathy in the limbs, dementia, depression and diabetes be treated together?
|
I was researching some of ur videos on type 2. Diabetes I have been diagnosed approx 2-3 yrs have dementia can t remember dates at all anymore got my A1C down to 6.7 a few months back before my depression took me down deep again and I screwed that al l up. The PA I saw instead of my reg Doc changed my entire approach, it is not working for me! I tried to give it a full month, but today I snapped and went back to the approach my PCP had me on I made that approach work once so I know I can again. I believe I will need more help w/my depression issues though and have set an appt to see my PCP. The nueropathy in my feet is almost more than I can bear anymore and is moving up to my hands as well now. I can t stand anything touching my feet now ( like my shoes, it burns my skin to the touch) I bought some footies for that but they r also uncomfortable to the touch. I have never had a foot exam that I can remember* and have 2 toes 1st & 2nd digit that give me great concern the last 3 digits have been numb almost 2 yrs all digits r becoming numb as well as the foot. Fingers now too, occasionally all the way to elbow. What can I do about this?I ve spent my fixed income for this mos already and do not have 15$ left in my account. I am sorry for wasting your time. I will be able to see my PCP on the 31st when he gets back from his cruise. I do thank you though and will remember the cost when I have more funds for the mos had to buy an a/c for my room this mos & it set me back too much. T U 4 being there. I Willy prepared next time I have a question. T U AGAIN!
|
Hi, Though you have not mentioned your age, you have controlled diabetes. Neuropathy can be treated by Pregabalin while for depression contact your nearby psychiatrist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Peeyush Kumar Saini, Pathologist and Microbiologist
|
Suggest treatment for hair loss
|
Hi, i am experiences hair loss from some months dont know whats the reason behind my age is 22 and after i blood checkup i get to know that i have bit diabetes problem which doctors says not to worry it will be controled by my diet and some excersice and also i have thalasemia rbc count more in blood so what i can do to stop my hairfall .
|
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of hair fall, my treatment advice is - 1. Use a good herbal hair oil and shampoo for routine use. 2. Take good nutritious diet full of green leafy vegetables and milk. 3. Apply a Minoxidil 2% solution on affected part. Hope I have answered your query. Let me know if I can assist you further.
|
Can diabetes cause freckles on the calf?
|
Why have I developed freckles on the back and front of my calf. My Dr. said it was because of diabetes. My pancreas does not work which is why. No enzymes for digestion and no insilin for sugar digestion. My feet hurt and feel weird a lot of the time.
|
dear friend I can understand your concernin chronic diabetes there is a condition called diabetic dermopathy in which there can be frickels regards
|
What causes liver and spleen enlargement?
|
My daughter (8.5 years) is suffering from fever in USG and her liver and spleen is mild enlarged, but maleria parasite test and widal test are negative and in liver function SGPT are 65. Kindly suggest why the liver and spleen is enlarge and medicines for remove fever.
|
Hi,There are many causes of liver enlargement and treatment depends on exact cause. If this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are most common causes and in this case medical evaluation is required. Also if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards,Dr. Ivan R. Rommstein
|
Is swelling in legs and feet during pregnancy serious?
|
I am 23 weeks pregnant, amnio and 20 week screen healthy, no major illnesses, but gestational diabetes in last pregnancy for last 6 weeks. This is my 2nd child. I feel awful: tired to the bone, exhausted, a little queasy. I am waiting for anemia test results. I have minor swelling of legs and feet. I feel like my doctor is not available to me and his staff keep giving me the run around. Is it possible I am only feeling the results of anemia or should I push for them to do a more complete exam?
|
Hi dear, I have gone through your question and understand your concerns.Edema in lower limbs, lethargy and weakness are present in anemia, cardiac illness and pre eclampsia.I will suggest yourself examined and investigated for all these conditions, and get appropriate treatment.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma
|
Can Metformin cause a sensation of ice water running through the entire body?
|
I am diabetic and on Metformin, and am wondering if this could be the cause of the sensation of ice water running through my entire body. I get really weak and have to go lay down for about half an hour until it resides. I never had this sensation before taking the medication.
|
Hello, Thanks for the query.As you have T2 diabetes, if this condition is there for a long time (months or years) or some times even in the beginning there may be peripheral neuropathy developing. The sensation described could be due to that manifestation. Meformin can occasionally cause stomach disturbance, but no other major side effects. It is essential to achieve a strict blood glucose control in diabetes to be free from all the symptoms. Fasting should be closer to 100 mg, PP 160 to 170 mg & HbA1c%<7. Since there is no mention about the blood glucose levels it is difficult to give any specific opinion. If you have any doubts I will be gl;ad to clarify.Thanks
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.