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Heart palpitation with excess sweating and heavy breathing. Could this be exertion onset of Asthma ?
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I get heart papatations excess sweating and heavy breathing after doing any type of exertion vacuuming mopping doing laundry I had a total thyroidemecty 10 2009 due to papillary thyroid cancer I am on SYNTHROID 125 MCG TAB LETLIOTHYRONINE SOD 125 MCG TAB first thing in morn for thyroid replacement then 1 hr later I take LANSOPRAZOLE DR 30 MG CAPSULE METOPROLOL SUCC ER 50 MG TAB for rapid heartbeat LISINOPRIL 10 MG TABLET for hypertension FLUOXETINE HCL 40 MG CAPSULE for depression , and ADDERALL XR 30 MG CAPSULE for EDS due to narcolepsy. At about 3 hrs later I drink 1 5 hr energy. At bedtime I take 6mg melatonin and AMITRIPTYLINE HCL 50 MG TAB for sleep problems due to narcolepsy,ALPRAZOLAM XR 1 MG TABLET for anxiety, JANUVIA 100 MG TABLET for type 2 diabetes ,1 81mg aspirin and 2 stool softeners. And lastly I change my HRT patch twice weekly which is VIVELLE-DOT 0.05 MG PATCH. I feel like this is possibly asthma onsert by exertion but I am not sure. Any info. anyone can give me will be appericated.
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Its not Asthma. Its all due to your Hypertension, Thyroid replacement and Depression. However to confirm you may have your Spirometry done.
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Can the high glucose level be a result of chemo treatments?
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I was diagnosed with non-Hodgkins lymphoma 2 years ago..I am receiving Rituxan..I was diagnosed as NED...my most recent blood work was excellent..I just received more results and the glucose level was 102...My question is 1. Should I be alarmed and 2. Can this be a result of the chemo treatments? Thank You
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Hello. Good day. Thanks for writing to HCM.1. You need not be alarmed with a value of 102. It would always be better to do a proper fasting and a 2hr post meal venous sample assessment for glucose. 2. Rituxan will not cause diabetes. Its not a result of chemo treatment unless you have been put on steroids.Wishing you good health. Please hit thanks and rate this answer if you have found it helpful.Warm regards, Dr Praveen
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What causes severe swelling in the right foot?
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I have type 2 Diabetes. have had longe bouts with unemployment so it has gone untreated for over a year. in the last two weeks my right foot has swollen twice ists normal size. I can no longer bend my toes and walking is hell. I my foot looks like its dying. Im scared and the worse part is i have no heath care. ANY SUGGESTIONS?
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Hello,Welcome to Healthcare Magic.I have read your question fully and understand your concerns.From what you are mentioned, with your foot swollen and in pain, I suspect it could be either cellulitis or Charcot’s foot. Cellulitis is an infection of the skin of your feet. There is swelling, pain, redness and increased warmth. Treatment is by antibiotics for about 10-14 days. Charcot’s foot is a complication of uncontrolled diabetes. Diabetes if not properly controlled can cause damage to nerves-called peripheral neuropathy. The patient may lose sensation in the feet. So, he cannot feel trauma or irritation, thus a small wound may become a festering infection. Diabetes also causes poor circulation of blood. Due to poor circulation the bones and joint weaken and result in fractures or dislocations. As patient cannot feel the pain of fractures, he continues to walk and this worsens the condition. Ultimately the foot gets swollen and deformed. Prompt offloading of your foot is very important, if not the deformity would be permanentHence, I would advise you to see your doctor as soon as possible. I am sorry, I do not understand much about health insurance in USA, but your health is important too. Hence, kindly see a doctor.I hope this answer has helped you. Thank youRegardsDr Sunita Sayammagaru
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Suggest treatment for the puss filled lump on the back
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Hi my husband has had a rather good size lump on his back for well over a year now. It has just started to open up and pus is coming out. He insists that I squeeze the pus out, which I have done several times, well today when I squeezed it, pus just flew out of it. The lump seemed to have flattened than it seemed to have filled up again. What should we do?
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Hi,From history it seems that he might be having Carbuncle on the back.There is possibility of having infected Sebaceous cyst.Consult surgeon and get examined.Rule out Diabetes.Ok and take care.
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What causes wrist pain and swollen legs?
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my hands have been swollen for almost a month now they get tingley n i have wrist pain i heard it was carpel tunnel n have an apt on jan 3rd but for some reasone every morning my feet are also swollen and hard to walk for about 20 mins couls i have a blood clot
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Hello,The tingling in the hands is suggestive of carpal tunnel syndrome, which is probably related to the swelling. In my opinion the most important issue in this clinical situation is the swelling which needs further investigation. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests:- A cardiac ultrasound and NT pro BNP levels for heart failure- Kidney and liver function tests- A complete blood count, PCR, ESR for inflammation- HbA1C for diabetes. You should discuss with your doctor on the above tests.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
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Fever, loose motions. Ultrasound shows features of colitis, grade2 fatty liver, ascending colon. Conclusion and diet?
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My husband had fever and loose motions 3 days ago. When we consulted the dotors he asked him to go for ultrasound. The results were - Features of Colitis anf Fatty Liver Grade 2, Mild diffuse wall thickening of cecum and ascending colon is seen ( up to 4.6 mm) Can u please explain the disease and its seriousness and diet?
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Hi, Welcome to HCM After going through history most likely he suffered a infection by amoeba or bacteria,but colitis it may be chronic and thickning of cecum makes to suspect other diseases like TB and Malignancy. Another thing is Fatty liver common causes are Diabetes,Obesity,High Cholesterol level and Alcohol consumption. You should check for FBS,PPBs and Lipid Profile. If by chance he takes alcohol then stop it completely,rest depend on test result. If thickning in cecum and colon persist after treatment go for Colonoscopy with biopsy to know exact cause of thckning and once cause is known it can be treated accordingly. He should take light and easily digestible diet and take care of potable water. Plenty of fruits and green vegetables cooked in less spicy way may be taken. Good Luck to you.
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Does pancreatic dysfunction cause diabetes?
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My husband was diagnosed with Diabetes last week. His health is exacerbated by the fact that he is also fighting Pancreatic Cancer. He had a Whipple surgery 3 years and 8 months ago, leaving only the tail of his pancreas. I wonder if the new diagnosis of Diabetes is because his pancreas has stopped working. CT scans done do not show any new tumors. He is also receiving Immunotherapy, with Opdivo because a tumor on his liver removed a year ago went thru a genomic test and found he was positive for the protein PD-1.
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Hi thank you for querry.yeah the pancreatic beta cells produce insulin which regulate the blood glucose level,if pancreas is removed in whipple procedure so it may cause either type 1 otlr type 2 diabetes due to defeciency of beta cells that producing the insulin.So RBS,FBS and GTT should be performed for proper diagnosis you must consult your diabetalogist to rule out diabetes and proper medication.Hope the asnswer will help you in making decision.Wish you a good health.
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Precaution from getting aggravated charcot feet?
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I am 50 yrs old and diabetic for 11 yrs. Recently I am identified with early stage of charcot feet. I am asked to wear special footware. But I am not given any medication related to this. What are precausions to take? Shall I need to get the issue re visted? pls. advise me
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Dear patient Charcot foot happens in long term diabetic patients. This happens due to micro vascular pathology affecting small nerves of foot with resultant decreased sensation in feet and repeated injuries goes unnoticed. Increased sugar levels leads to delays healing. This combined factors results in charcot foot. Proper control of diabetes and foot orthosis is the treatment prescribed. Since you must be on antidiabetic drugs foot orthosis is given to you. Never walk barefoot. Self examination of feet everyday is must. Even minor abrasion needs examination by doctor and aggressive treatment. hope this is useful
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Is congested feeling in chest with increased BP while having type 2 diabetes concerning?
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I have a congested feeling in my upper chest and it has coincided with a BP increase (currently at 153/95 - normally sits at around 135/80) Should I be concerned? I am Type 2 Diabetic (diet controlled) Female aged 53 but fairly fit and undertaking strenuous exercise on a regular (5 times a week) basis. I am not short of breath and was able to do a fast cycling training session yesterday.
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thanks for asking your question I completely understand your question yes hypertension in a diabetic patient is surely a matter if concern and medications should be started to control the blood pressure.congestion can be due to a variety of reasons like cardiac - failure , or lung related like lower resp tract infectionyou need to visit a cardiologist and a pulmonologist to evaluate the causes by having sone investigations done like chest xray , ecgthanks / regardsfeel free to ask more questions may god bless you with good health
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How to treat mild cerebral atrophy?
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Sir, My father is 72 years old.He has diabetes for last 12 years.For last 4 years he is taking medicine.Earlier he was on diet control.Blood sugar had remained normal.Also he has asthma for last 25 years.Earlier it was severe but from last 15 years or more he is taking bricanyl syrup.Also he was taking TR phyllin which he is not taking now.20 days ago he took the diabetes medicine(Diapride plus) but did not take any food upto 12 Noon and was on tour.He could not talk for some time. Immediately some sugar syrup(Syrup of local made sweets,rossogolla) was given to him.He had high fever and admitted to hospital & paracetamol injection was given.Also he had memory loss.We consulted doctor and due to high fever malaria course was given.But temperature was around 101 Fahrenheit.Dengue test was conducted and antigen positve & antibody positive (One of two) was found.He was treated.The platllete count was around 99 thousand.After treatment he was discharged from hospital having Plt count 198 thousand.He had given one fresh full blood. After getting dicharged from hospital on 3-09-11 he had memory loss continued.So a neurologist was consulted .He advised for CT scan.He report indicated he had mild diffuse cerebral atrophy.For last six months or so he was having some memory loss but not so high.What will be the treatment for my father and how to minimize the effect.
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cerebral atrophy is an imaging finding and not a diagnosis and doesn't correlate well with any specific problems such as memory dysfunction. as people age certain types of memory dysfunction are considering normal and whether or not a specific person progresses to dysfunction depends on his other medical problems that affect the brain and what his/her natural predisposition to memory problems such as Alzheimer's disease. the treatments as of today consist ofcontrolling comorbidities and mental exercises
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Suggest treatment for type 1 diabetes in a child
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My 6 year old granddaughter was diagnosed with Type 1 diabetes in April of this year. She is constantly complaining about her stomach hurting. She is just starting to recognize when she is low. She is constantly down to the school office with a stomach ache, dizzy, her legs, arms hurt her. Most of the time we have her blood in the normal range. They just called from the school and her blood is in the normal range but her tummy, legs, and head hurts.
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HelloIf blood sugar is well controlled and is within the normal range,these symptoms can be due to some other cause and not related to diabetes.The treatment of diabetes is injectable insulin.The Units may vary according to blood glucose,but other than insulin there is no other choice.The child should be educated about the symptoms of hypoglycemia like dizziness,sweating or anxiety. There must be something(containing sugar )with the baby always and whenever she feels these symptoms,she should have that.The low vitamin D land calcium level can cause generalised body ache.I would suggest you to get her evaluated by a pediatrician to find out the cause and any investigation if needed should be done.Regards
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What does elevation in the coronary calcium score indicate?
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IF YOU A HI CALCIUM SCORE DOES THAT MEAN YOU HAVE A BLOCKAGE OR BLOCKAGES IF YOUR TOTAL CALCIUM SCORE IS 1037.72,IT HAS INCREASED FROM YEAR 2008 ,WHEN IT WAS 698,DOES THAT MEAN YOU HAVE INCREASED CORONARY ARTERY DISEASE,EVEN THOUGH,YOU ARE COMPLETELY ASYMPTOMATIC-NO CHEST PAIN,NO SOB ,WITH NORMAL DAILY WORKING ACTIVITIES . CARDIAC STRESS TEST,ECHO,AND EKG ARE COMPLETELY NORMAL. DO YOU NEED TO BE STENTED . MILD TYPE 2 DM A1C IS 6 . I AM AGE 73 WT 168 LBS BP 130/84 PULSE R 84
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Hello,A high calcium score means that you have a risk of developing coronary artery disease. Calcium gets high with age too, and it is normal, but you also have other risk factors for a coronary artery disease like diabetes, age, high blood pressure. Lack of symptoms doesn't mean that your arteries of the heart are clear, symptoms may develop any time. You should take an extra mg of medications that slow heart rate, called beta blockers (these protect you better). I would suggest an angiography (CTA) of the coronary artery to see if you have stenosis of the cardiac arterial.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Anila Skenderi
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What causes tightness and pain around the heart?
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for the last few days i have had this tight feeling around my heart, It usually didnt last long and then last night it happened again but when i breathed in i got this sharpest pain in my heart like someone stabbing me. i went to bed and when i woke it was gone and 30min after waking it has started again. i have type 2 diabetes and i also have pcos and im 110KG
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Hi,Chest pain due to cardiac cause is diffused & has no effect of respiration. It increase on exertion & stress and decrease after rest.Considering your risk factors like like Diabetes & obesity, I'll recommend you for a ECG & cardiac enzymes. If that is normal you should do a stress test to rule out future risk of heart disease.Thanks
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Diagnosed with clot in brain. Unconscious. Position very critical. Suggestions?
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My Cousin got into unconscious stage at Midnight. So we immediately took him a hospital in our home town. They treated him and my cousin was able to get up an wake the very next day. He was able to identify all of us and was talking quite good with us. But unfortunately all of a sudden he again dropped into unconscious stage. MRI was taken and it was not showing any thing. They hospital team was unable to diagnose the problem. We got scared and immediately shift my cousin to a multispeciality hospital in Hyderabad. All the tests were performed. All the vital organs were working absolutely fine. No issues were found in Vital organs. In this mean time 4 days has passed away and doctors at a multispeciality hospital could not fine what was the problem. Upon over request and force they have again took the MRI and now saying that there is clot in the brain. And the position of the patient is very critical. My cousin is unable to open eyes. He is always in unconscious stage. It would be great full if any one can post or reply with some important information.
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Hi, Thank you for posting your query. It is unfortunate that there was a delay in the proper diagnosis. The most likely cause in this case could be a brainstem stroke (more specifically in the pons area of the brain). This can result into loss of consciousness and paralysis of hands and legs. The common risk factors for the same are diabetes, high BP and cholesterol. I would be pleased to see all the reports and offer my medical advice for further treatment. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Jubilee Hills, Hyderabad
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Suffering with diabetes and arthritis, have white lesion in lower gums. Biopsy showed squamous carcinoma. Guidance?
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hello sir.. My father has some white lesion in lower gums on 10.09.12 first biopsy made in Lal lab..negative wd mucosal plasmacytosis second in tata memorial in oct`12..negative with hyperblastic cell with chronic inflammation but in third biopsy report at tata on 6 nov 12 show superficial, invasive, well differentiated squamous carcinoma in begining surgeon at tata said ..need for minor surgery but yesterday said that they will remove lower jaw bone...without explaining the region in which disease occur..nd also replacer with the bone of leg.. further my father is a diabetic person with artritis.. fasting sugar 150.30-152 what i should do
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Hi there, Tata memorial is the leading centre with international repute. If the surgeons are offering mandibular removal with recontruction from fibula, I'm sure he will have good results post operatively both for cancer removal and also for his cosmesis. I highly recommend you to go ahead with the surgery after understanding the risks and benefits of the procedure. Take care Regards
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Any suggestion for "prostate enlarged in size median lobe enlargement 16.1 mm, U.V 118 ml"?
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usg finging shows prostate enlarged in size median lobe enlargement 16.1 mm, U.V 118 ml. doctor suggest for review USG pvr & PSA , DOCTOR ALSO PRESCRIBE wing medicines for ten days 1 cefpodoxime proxetil 2 Tamsulosin hydro chloride 0.4mg+dutasteride 0.5mg. please suggest it is good treatment for patient of diabaties
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Heelo and .As an Urologist,i must suggest you continue the same treatment now.Median lobe is seen in many patients. It's called trilobar prostate gland. It has nothing to do with diabetes. Diabetes should be well controlled.You must have had urine routine and culture test,with fasting sugar, HbA1C, kidney function tests,and PSA. Urine culture should have been checked before starting the antibiotic.A TRUS (trans rectal ultrasound scan), is better to assess the prostate gland.If you've any doubts,you may contact me directly, with all reports.Dr.Matthew J. Mangat.
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Any suggestion for having intermittent A-fib but do not feel anything?
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I have intermittent a-fib but do not feel anything .age over 80 yrs/blood pressure normal/no diabetes I I am I chad 1 md s have several opinions on medication.i am taking Cardizem 120 and a full aspirin.some drs wan t me on Coumadin,some say pradaxa others say eloquis.what next?
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Hi,In your case with CHADS VASC score you have more than 1 point, so you will surely need anticoagulation, unless there is high bleeding risk.Three medications, Coumadin, Pradaxa and Eloquis, are option, you should discuss with your doctor which medication is more convenient in your case. In case of Coumadin, it is medication, which we use for years, there is a lot of experience. But it needs blood testing frequently. In case of Pradaxa and Eloqius, they both are new medications, but the results are good and there is no need for blood testing.Wishing you good healthRegards,
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Is mould bad for people with asthma?
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I work in an office where mould has been discovered within the walls. It would have been present for quite some time; at least in excess of 3 years or more. I have juvenile diabetes, had borderline stage 4 colon cancer and surgery/kemo in 2011 and was diagnosed with asthma approximately 4 years ago. I have developed severe allergies to scents, grasses, flowers/plants, foods, etc in the past number of years. I am 63 years of age and thankfully cancer free since my surgery and treatment in 2011/12. Are any of these conditions a result of or exasperated by the presence of mould in a place I work 8 hours per day. Trying to get it removed as soon as possible. At least 3 of my co-workers suffer from various symptoms such as respitory problems as well as headaches and lethargy.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, inhalation of moulds is harmful in your case. Moulds are highly allergic and can worsen underlying asthma. So it is advisable for you to avoid mould exposure. So better to think about mould control or use face mask at work place. Hope I have answered your query. Let me know if I can assist you further.
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How can frequent urinary tract infection be treated?
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I have frequent urinary tract infections. A few years ago I was taken to the emergency room with a temp of 106.7 after passing out in the kitchen. I was septic. I am diabetic, drink lots of water and other fluids. What can you suggest for me as a home remedy?
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Hi ThereAfter going through your query I understand your concern.I would like to tell you that Urinary tract infections are more common, more severe, and carry worse outcomes in patients with diabetes & oftenly caused by resistant pathogens. Poor immune system, poor metabolic control, and incomplete bladder emptying, fungal infection may all contribute to the enhanced risk of urinary tract infections.The treatment for your UTI will depend on what type of infection it is. But You can prevent UTI by practicing good Hygiene techniques like- Wiping front to back is essential- Go to the bathroom and empty your bladder immediately after sexual intercourse.- Every time you empty your bladder, try to make sure it is fully empty.- Keep your diabetes under the best possible control.Hope to have been Helpful. Kind RegardsDr. Navneet Bansal
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What causes severe soreness and stiffness in the legs?
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I feel like I have worked out my legs, they are sore. Mostly in my upper thighs and quad area. They have been for a few weeks, I feel all stiff when I sit, sometimes causing me to not be able to rise quickly. I am in the beginning stages of diabetes. I have gained a few, about 20 extra pound, but I don t believe I would be sore. I have had orthoscopic surgery on both knees and had rooster comb injections about 1 year ago.
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Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have severe soreness and stiffness in the legs . Well there can be many reasons for symptoms you mention in query diabetic neuropathy , sciatic nerve pain , arthritis or deep vein thrombosis . I would suggest you to consult orthopedic surgeon for proper examination . Doctor will take history , order nerve conduction test , blood test and MRI of knees to rule out post surgery complication and condition like fibromyalgia . Doctor may recommend physical therapy , prescribe muscle relaxant , anti inflammatory nd supplement like neurobion forte . For now put your legs in hot water tun for 15 minutes daily and take ibuprofen or acetaminophen for pain . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
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What are the side effects of Ubicar?
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Sir, I have been advised by my Ortho doctor to take Ubicar one tablet a day for 30 days due to back pain. I have been struggling with back pain for the last 2 yrs. Pl. advice effects and side effects of this tablet. I am 46 yrs old and border line diabetes. Fasting is around 120mg and PP is 143mg, Hba1c is around 6.1
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Welcome to healthcare magic! Are you taking only Ubicar or some other medicines along with it? This medicine should not cause any side effects in the dose you have mentioned. But at the same time, will not be of much use to relieve your backache. The most important thing to deal with backache is your exercise. Learn exercises from physiotherapist to improve tone of your abdominal muscles. DO back exercises because most of the time its mechanical backache. Focus on your posture. Avoid prolonged sitting. Stretching exercises should be done at regular interval. If you are overweight, reduce your weight. Sometimes stress is contributor, so practice stress management techniques like yoga/meditation.
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Suggest home remedy for coughing/vomiting while having diabetes and heart problems
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Hello doc!My mom who is a diabetic patient (68)for the past 15 years having severe cough on her throat of which she is not able to sleep for the past 4 days, 4 days before she was having it in her chest after taking medication from the general physician she feels ok and now again she is getting it in her throat and she was not able to sleep in the night due to coughing. shes vomiting for the past 2 days whenever she took tea/milk. she is not having fever but she looks very weak as she already have heart problem too. what home medication can I give for her now??
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Hello,I can understand how distressing your mother's cough is. My opinion is that a proper diagnosis should be made rather than give her some home remedy like ginger and pepper etc.There are some medicines given to people with diabetes , heart disease and kidney problems which can produce a hacking cough. If you let me know your mother's medicines, I can tell you if any of them is responsible.You are welcome to contact me for any further query.Dr. Noble Zachariah
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Should i be concerned of having pain in mid back while taking deep breath and pain and swelling in legs?
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I am having a pain in my mid back on the right and on the left when I take a deep breath on the left. My right leg and foot are painful and swollen. I have had a CABG and I have diabetes. Should I be overly concerned. I have had a kidney stone in the past and also pneumonia.
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HiYou should get ecg and fresh digital x-ray chest pa view and decibutius view to see the condition of your heart and lung. It will also show if fluid in lungs. As you give history of pain in both lung while breathing it might be mascular or something related to lung may be pluritic pain. Plz consult physician if needed.Get well soon.Thank you.
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What is the cause and treatment for the itchiness and redness on my penis?
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Hello doctor, I am a 29 yr old man married for last 2 yrs. Recently I have seen that I have itching and redness on my penis. Also there is a foul smell and discharge on my penis when I pull my foreskin back. This has become quite regular. Pls help. Is there any medication or application of any lotion required? Thank you.
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HelloThanks for your query,based on the facts that you have posted it appears that you have itching of the foreskin with discharge from penis .Many a times this is first presenting symptom of Diabetes .Please get your blood sugar levels test on empty stomach and 2 hours after lunch done to rue out diabetes.Your symptoms are mostly due to Muco Cutaneous Genital Candidiasis.Please take anti fungal medication like Flucononazole twice daily along with topical anti fungal jelly for local application .Ensure to wash your genitals with warm water twice daily.Dr.Patil.
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High potassium levels. Had left ankle fused after accident. Could this be the cause for high potassium?
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I have high pottasium in my blood tests, I had a serious accident in 2002 where my left leg and ankle were crushed it was reconstructed with titanium plates and screws, it wasfound to be unstable in April 2012 and I had the metal removed and my left ankle fused, I have delayed union and I am having further surgery in March 2013 could this be the cause of the high pottasium.
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Hi and thanks for the query, Potassium levels will certainly have nothing to do with the accident. The commonest and most serious cause of high postassium levels is renal or kidney failure. It is advisable for you to carry out renal function tests, and offcourse consult an internist for a complete clinical evaluation. Uncontrolled diabetes mellitus also could cause high potassium levels and certain drugs. Remember uncontrolled high potassium levels at a particular point in time could lead to a heart attack. Thanks and hope this helps. Please do carry out renal function tests and diabetes screening, and consult your internist for a proper evaluation and management. thanks and best regards, Luchuo, MD.
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Why does my lower lip twitch?
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Hello! Recently I have developed a twitch on the skin just under my lower lip on the right side. I felt inside my lower lip (while the twitch was happening) and felt a pulse on what seemed to be an artery or vein. I checked and also have the pulse on the left side, but have not developed a twitch.... Is the twitch/arterial like pulse related? What is that? Thank You, Sharon
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HIWell come to HCMI really appreciate your concern, this could be nonspecific involuntary twitching more or less this is common condition, if you do not have nay risk factors like diabetes, hypertension, hyperlipidemia, then no need to worry about this else you need to be careful and this could be matter of concern and may demands the clinical examination, take care.
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How to treat vibrating right thigh muscle?
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Since yesterday I have a frequently a vibrating sensation in my right thigh muscle lasting about 1 second. Sometimes they are longer gaps in between this sensation, even minutes or a few hours and then only seconds. I am a 66 male, fit, non-smoker, non- drinker but due for a right-side hip replacement.
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Hi, It is unlikely to be due to to fracture of femur.kindly get a neurologist opinion. This treatment is being suggested on bases of the information provided. However, I would like to examine & investigate the patient in detail. Control hypertension, diabetes or any other metabolic disorder, if there is any. Any way it may be tried: - Dolokind Plus (Mankind) [Aceclofenac + Paracetamol] 1 tablet OD & SOS for 5 days. - Caldikind plus (Mankind) 1 tablet OD for 10 days. (You may need help of your local doctor to get these medicines.) - Fomentation with warm water. Let the part not be exposed to cold air. - Sleep on a hard bed with soft bedding. - Use no pillow under the head. - Avoid painful acts & activities. - Do mild exercises for neck and shoulders and hips and knees and ankles. (Take help of a physiotherapist.) - Do not ignore, let it not become beginning of a major problem. - Do ask for a detailed treatment plan. - Make sure, there is no allergy to any of these medicines. - For emergency treatment visit nearest hospital. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon
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Taking Byetta. Having lot of hypos after discontinuing Diamicro. Can Byetta cause depression?
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Hi I have been taking Byetta (5mg) for nearly 30 days now. Have found Iam getting a lot of "hypos" but after discontinuing Diamicron have these under control. My question is.. can Byetta cause depression? I seem to be constantly depressed and can't shake the feeling of gloom. Thanks for any help you can give me. Also have not lost any weight. cheers Mandy
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HelloByetta or Exenatide is a new drug for diabetes mellitus. It has been marketed few years back for DM type 2. Although there are no major studies that prove that the drug cause depression but a lot of case reports prove that the drug is known to cause depression even at 5 mg doses. The drug is known to cause loss of weight, and wait for some time with drug and you will see improvement.Hope this helps you, thanks
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Diabetes, asthma, hypothyroid, chronic Epstein virus, upper abdominal pain, swollen glands in elbows and underarms, pelvic pain, had cervical cancer. Treatment suggestion?
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I have chronic epstein virus . Over the last two years I have had many episodes of my glands swelling in elbows, underarms and neck region. Just last weekend I had sharp pains in my upper left abdominal. CT scan indicates a simple cyst on my spleen , nonspecific subcentimeter lymph nodes are seen. I was given byntle for spasms and pepcid and discharged. My symptoms had been pain in the upper let abdominal area with swollen glands symeterically in both elbows and underarms. I also have pelvic pain and my bones just ache in my lower extremities. I also have tenderness on either side of my breast bone. Diarreha off and on and feeling of fatigue for the last 3 weeks. My past medical history is: Cervical cancer, diabetes, asthma, epsten bar virus, cellulitis, & hypothyroidism. what should I be concerned about? What type of doctor should I see? should a 3.1 cm cyst be taken off or will it disolve on its own? should I be concerned about the swollen glands? My blood cultures do not show anything as being panic high or low.
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hi , i felt very sad about your illness, your symptoms with epstein is indicating infectious mononucleosis , although there is no specific treatment not even any antiviral drugs effevtive against it but its symptoms slowly disappear within 4 to 6 month, and if not then chronic fatigue syndrome is suspected. steroid is used to shorten the period of recovery. i think you should consult an immunologist or a medicine specialist . i wish you all the best.
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Treatment for stomach upset, difficulty urinating, and kidney issues?
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hi im 34 have CF ive had a livertransplant . I have very little lung probs its mostly in my tummy.im very thin and have tummy upsets all the time.theres times were all I do is cry. ya also have hard time going to the restroom. I also have diabetes from the meds I take. my kidney r not doing very good ither. what do u think I can do to help me live alittle better or just ezz the pain /
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Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.These symptoms are suggestive of uroinfection and this is common in your age and usually is manifested with pain during urination, fever and changes in urination frequency. Also, blood traces may be present in urine which can have odour or colour change or abdominal pain. Other common cause are urinary stones. Diagnosis is established by doing urine analysis and urinoculture and after this antibiotic treatment may be started if necessary. If there is negative urine analysis then you should do ultrasound of kidneys to check for stones.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.DR. Ivan Rommstein
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Suggest better treatment for pyleo nephritis
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hello doc,my mother 49 yrs of age is suffering from pyleo nephritis..she has been suggested antibiotic treatment..but the response in improvement is really slow..she does not like to eat,n feels nausea all the time..wat should be the correct medication.she has diabetes and hypertension also
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Hi,Thanks for writing in.Pyelonephritis is the infection of the kidney and upper urinary pathway. This requires a longer course of antibiotics than usual. Partially treating pyelonephritis will cause the disease to not get eradicated and lead to antibiotic resistance.In the case of your mother it is suggested that she gets a urine culture and sensitivity test done. This will tell which antibiotics are required to eradicate the bacteria causing the pyelonephritis. The culture and sensitivity test will show which antibiotic will work the maximum and give relief in a short time.Having diabetes makes treatment difficult and this is probably the reason why she is taking longer to recover. If she does not like to eat then her diet is to be modified to include healthy food which can be given like fluids and juices. Hydration is important and she should be told to drink adequate fluids.Once the treatment of the infection is over then the urine culture should be done again to confirm that there is no persisting infection. If infection is still there then for few weeks specific urinary system antibiotics like nitrofurantoin can be started and monitored. Please do not worry.
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Suggest treatment for swollen legs
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My sister has swollen legs she drinks alot of water and is still dehydrated cannot atke diuretics. Her legs are so swollen she cannot walk on them some days. She has been checked for heart disease and that has been ruled out and so has Lupus, she need s some snswers. and yes she is overweight but cannot excerise, because the swelling is so bad. any advice would be appreciated
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Hi ! I appreciate your query of health concern. Heart disease is not only a cause of legs swelling. There are so many causes. After venous insufficiency, obesity is the next most common cause of lower extremity swelling. Abdominal obesity partially obstructs venous outflow and lymphatic outflow from the legs. Obesity also accelerates the stretching of the leg veins due to the effects of gravity, thus contributing to the progression of venous insufficiency. Diabetes Insipidus also causes excessive Thirst and swelling over body. other causes of swelling are Hypothyroidism, drug Induced oedema, malnutrition low protein state,Nephropathy, etc. Hope this will help you.. Regards,
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How to treat penile infection?
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I am a diabetic and continously suffer from penile infection in which my foreskin cracks after intercourse. What are the disadvantages and advantages of getting circumcision done? What medical term do you refer to in this cracking of the foreskin in diabetics?
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Hello,Welcome to HCM,The histroy and symptoms are suggesting me that you may be having Balanoposthitis. This type of infection are more common in patients with reduced immunity like diabetes. I would suggest you to follow1.Proper hygiene and regular washing of prepuce is useful for the prevention of balanoposthitis.2.Topical antibiotics like metronidazole cream and antifungals clotrimazole cream.3.Circumcision is helpful in recurrent cases like you.Thank you.
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Have kidney infection and UTI, sepsis. What can help?
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A week ago I went to urgent care And my urine was positive for kidney and urinary tract infection, both blood and pus were in my urine. I now have been on antibiotics since but the side and back pain has not gone away. I January I had a horrible kidney infection and turned into sepsis. Since then every month I have been getting them, but only without fever, but all other symptoms. What is going on with me, is this just a regular kidney infection or could it be more, should I go to hospital? Please help
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Hi you have not mentioned your age, if u have Diabetes? Getting recurrent urine infection is not a regular kidney infection. First need to look for any organic cause for urine infection by doing sonography, or CT scan . Also further tests like urine culture, RFT, blood sugar level are required. If you are elderly or diabetic you may not get fever during infection. Antibiotics has to begiven based on urine culture report and for long duration. If there is not any organic pathology long term antibiotic prophylaxis needs to be considered. But everything above has to be done only in consultation with your doctor. Take care
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Done urine test. Am I suffering from kidney disease?
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hi i am 68 years old male my urine test report colour straw, specific gravity-1.014, deposit-absent,appearence-clear, ph-acidic,protein-present,sugar-trace, ketone bodies-nil, bile salts- negetive, bile pigments-negetive, urobilinogen-normal, pus cells 3-4/HPF, rbc-nil, epithelial cells 2-3/hpf, cast nil, crystals nil, others nil. so am i suffering kidney diseases?
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good day!I have reviewed your urinalysis result and i saw the ff abnormalities:1. sugar - trace - you might be needed to be tested/screened for diabetes mellitus since no sugar should be seen in the urine. the screening test for DM is a fasting blood sugar.2. pus cells - 3-4/hpf This means that there are inflammatory cells in your urine. if you are feeling urinary frequency, urinary urgency, and pain on urination you might UTI and you might need to take antibiotics (e.g cotrimoxazole, ciprofloxacin ) after consultation with your physician or urologist
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Suggest treatment for itchiness on the skin , joint pain and eye pain
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My dad, who is in his mid 60, is getting progressively sicker, for 4 months. All his tests, cat scan and ultra sound have turned up nothing. He is experiencing joint pain that moves around his body, pain behind his eyes, and itchy skin. Symptoms worsen after eating. He is losing weight as he cannot eat. No one has been able to diagnose or treat his symptoms. Please help!
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Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have itchiness on the skin , joint pain and eye pain. Well there can be many reasons for symptoms you mention in query like allergic reaction , multiple sclerosis , sinusitis , diabetes , hay fever , sleep apnea or mononucleosis. I would suggest you to consult general practitioner for proper examination . Doctor may order allergy test , blood test or CT scan for sinusitis . Doctor may prescribe immunosuppressants along with analgesic or may refer you to ENT specialist for sinusitis or endocrinologist for diabetes . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
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What could cause weakness in lower limb?
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Hello. Thank you so much for being available. I am 66 years old and just started taking glimperide (smallest dose) for diabetes. I started feeling weakness and pain in my lower limbs that is really uncomfortable. I stopped taking statins because of this pain, and I wonder if it comes from the glimperide it is not on the common list of side effects. I am under doctors care for high blood pressure as well, but I do not have any trouble from the Toprol and Benicar I take daily. I am taking glimperide for the past 6 weeks. Thank you. Esther D
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Hi,thank you for providing the brief history of you.Since you are diabetic and Hypertensive, you are already on the symptomatic management. Your age also is 66 so how long you being diabetic or hypertensive is not mentioned in the history.Also, i will recommend a thorough musculoskeletal assessment.This will help us understand the weakness of the muscles in the lower limbs as well as if it is due to the spine Pathology. Based on the symptoms and diagnosis, the special test will be performed clinically as well as the diagnostic procedures may come to affect if needed. Based on this, you will be advised to under go physical therapy . As with physical therapy you will be taught the exercises for strengthening the different muscles of lower limbs and also the overall body conditioning. With physical therapy you will be benefited with improved metabolism, reduced blood glucose level, energetic, confidence, strong bones and muscles, improved cardio respiratory endurance as well.I recommend you to consult a close by physical therapist who can assist you further.RegardsJay Indravadan Patel
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Suggest treatment for loss of muscle mass in a diabetic patient
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I am 58 years old I ve lost alot of muscle mass, due to age I would guess. I have a large stomach and although i m loosing muscle mass, mu gut will not get smaller. It s hard to the touch and very embarrassing. Im on lithium carbonate, Zoloft, blood pressure and diabetes meds. I also take tamazepam to sleep. I am bi-polar
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Hi, You need to add protein to your diet. Best is to have eggs daily but if you are vegetarian then you should take protein powder with milk daily. Also add regular walking to your daily routine to build up your muscles. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anuj Gupta, Spine Surgeon
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What causes dryness and tear on the penis?
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I have lost weight 91 lbs my penis has always been what I call an inny. Now the weight is gone it comes out more offten. I now have a white ring around the middle of it (dry skin) and it's almost like when it gets hard it stretches to much and tears the skin. There for making it very sore
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.You might be suffering from Candidal infection of penis. Do apply Clotrimazole cream or Sertaconazole cream twice daily on the rash. Make sure that steroid is not the ingredient of the cream. If you are elderly, do check blood sugar as Diabetes is commonly associated with Candidal infection of penis. Continue Clotrimazole or sertaconazole cream for 2 weeks. In case of non-response, do consult your Dermatologist.Hope I have answered your query. Let me know if I can assist you further.
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Recurring thrush post depo after a long gap, no relief with medicines. Alternatives?
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i have just had my second depo injection after being off it for 5 years. Now i seem to be suffering from recurring thrush. I have increased my water intake, stopped using soaps and also had a script from my gp, for the tablet to help clear up my thrush. Which has only served to clear it up for about a week. It is very strong smelling down there and i m beginning to get worried even though my doc said there is nothing to worry about. Can you help with any other ideas ?
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Hello, There can be various reasons for recurrent thrush in you. 1...The symptoms may not be due to thrush,as generally thrush infection is not smelly.There are other causes of a vaginal discharge like a bacterial vaginosis or a mixed infection.You may need tests such as vaginal swabs to clarify the cause of the symptoms. 2....Most bouts of thrush are caused by Candida albicans. However, about 1 in 10 bouts of thrush is caused by other strains of Candida spp., such as Candida glabrata. These may not be so easily treated with the usual anti-thrush medicines. 3.....You may not have used the treatment correctly. 4....recurrence is more likely if you are taking antibiotics, or if you have undiagnosed or poorly controlled diabetes. 5... Change in vaginal pH. Consult your doctor and get the vaginal swab done to know the exact cause for the infection. Thanks
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What to expect in the last stages while having crest disease?
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My sister has battled with CREST disease for many years. Last fall a port was put in her chest for direct medication. Its the artery that pumps from the lungs to the heart. A month ago she has some testing done that showed the port was doing the job effectively. This past weekend her entire body went numb but she never lost consciousness. The feelings on the left side of her body came back within the next 24 to 36 hours. Doctors told her it was similar to "have a stroke". They also suggested that it could be neurological; thus she will be seeing a neurologist in the next couple of days. Can you please tell me what I need to expect going forward for end stage of CREST disease? Thank you for your time.
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what is your wife's age.is she having diabetes also?reasons for this kind of pain could be multiple,depending upon other associated conditions.still if she experience this kind of pain multiple times better to get cardiac evaluation done,including an echocardiography and TMT,if these are not panic attacks,which can be ruled out only after proper history.also you need to check her blood pressure and heart rate whenever she has this blurred vision to rule out high and low blood pressure.
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Suggest remedy for gout
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i am a 47 year old women with high blood pressure, diabetes, copd, overweight, 350 lbs. and 5 foot 3 i have been diagnosed with gout and i have some nuropathy in my hands and feet but the worst is the swollen and inflammed and itching joints very painful can not hardly tolerate it have actually stractched my joints on my fingers till i leave small hole like sores on them.
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Hello,The symptoms seem to be related to gout. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. Cold compresses can also be helpful. To treat the gout I recommend specific treatment such as Allopurinol which is a prescription treatment.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
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Have chronic asthma with diabetes and high BP. How long can I live with the help of asthma breather?
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A friend of mine is 67 years old, she is obeise she has a asthma after walking few steps she has to take a asthma breather. She has high blood pressure and she is diabetic. Her lifestyle is sedentary and she has no control over food she eats whatever she wants. She takes medicines regularly though and she breaths oxygen from oxygen cylinder for one hour daily in the evening. Besides these she has a thyroid too. How long can we expect her to lead a life like this.
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IN MY PRACTICE I HAVE SEN MANY PATIENTS LIKE THIS WHO HAVE MULTIPLE ORGAN DISEASES BUT CAUSE IS SAME THE BODY PROTEINS START SUDDENLY REACTING WITH FOOD PROTEINS WE TAKE DAILY AND THEY CAN CAUSE MULTI ORGAN SYSTEM PROBLEMS LIKE WE CAN GO ON CONTROLLIN AS COMPLICATIONS ARISE WITH SYMPTOM SPECIFIC MEDICINES BUT CANT CURE ITIN MY OPINION WHEAT OR MILK OR BOTH CAN REACT TO CAUSE THISI ADVISE YOU TO GET BLOOD SERUM TESTS FOR SPECIFIC ANTIBODIES FOR MILK WHEAT POTATO OR OTHER FOODS WITHDRAW THEM TO GET RESULTS WITH SAME MEDICINES YOUR MEDICINES QUANMTITY AND DISEASE WILL BE CONTROLLED MUCH BETTER USE NON SPICY NON GREESY NON OILY FOODS USE PLENTY OF FLUIDS TO INCREASE PLATELETS WHICE ARE IMMUNITY BOOSTERS USE LOW PROTEIN HIH FIBER DIET AS THE PROTEIN INCREASES THE DISEASEDONT TAKE MEDICINES WHICH INCREASES ASTHMA LIKE PARACETAMOL DISPRIN ASPIRIN DIETRY SUPPLIMENTS AND VITAMINS AND IBUPRUFEN AND STRONG ANTIBIOTICS THIS IS MY EXPERIENCE AND IT IS GIVING EXCELLENT RESULTS IN MY PATIENYS
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Took antibiotics for fever, dizziness. Severe infection in blood. Have recurring growth in different body parts. Solution?
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Hi, my 24 yr old son has had a re-occuring problem. About a month ago, he was admitted into local ER for high fever, & dizziness. He ended up having a growth ( ? ), of some sort in his groin area that, was removed. He was told he had a severe infection in his blood ( white cells destroying red cells ), which caused the growth/pollup ? My son only took part of the antibiotic prescribed for him which, resulted in 2 more growths on his back just this month ( 1 week ago ). After having those removed, he has been taking his meds religiously. He has just informed me this evening that 2 more growths have developed ! I have not been @ hospital to be able to ask questions of the doctor/s. I need to know what this could possibly be from. All they have told him is, he has bad blood & nothing can be done except to medicate & try to slow the growths. ?????
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Hi and kind regards,It would be of interest actually characterizing the growths described. Knowing if these are elated to the infection or not is very important. the two processes, growth and infections could be either related or not related. Your doctor will for sure be able to make this clear distinction.Concerning the recurrent infection, four main possibilities in my humble opinion should be reviewed. The choice of the drug, the doses, possibility of resistance of the causative agents to the drugs being prescribed and a state of immune depression in the child. Screening for HIV, diabetes, and other immune depressing conditions could be a good starting. Doing a blood culture and sensitivity test, coupled with a proper clinical review to identify an infection focus is my opinion. Thanks and hope this helps as I wish you the best of health. Kind regards.Bain LE, MD.
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Diabetic, have BP, undergone angioplasty. Taking Glycinorm M 40. Any natural medicine?
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Dear Dr, Greetings of the day. I am 59 years & having diabetes for the last 14 years.I am also having hypertension for the last 6 years also & undergone angioplasty 1 year before. I am doing yoga & pranayam for the last 20 years & walk daily min. 5 KMs. I take Glycinorm M 40 two tablets daily.PP 2 hours ranges 150-180. What should i do.Do you recommend some effective natural medicine. Regards, N.K.Gupta YYYY@YYYY 0000
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Dear Guptaji, Take maximum mental rest.Yoga is better.Application of narayani taila all over body is benificial to you.Take the kadha of masi+vidanga+bala+nisshotar+pimpali+nagarmotha alng with Dhanwantar ghritam(2 tps)with empty stomach in morning+before lunch+after dinner.Your all health problems will reduce.Have to take for atleast for 3 months regularly.Then do write again.Thanks
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Severe upper abdominal pain. EGD shows hernia, gave medication for constipation. Relief from pain?
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My family suffers from severe upper abdominal pain.. It s never been diagnosed .. I ve had this problem over four years . The pain feel exactly like gallstones.ive had 4 EGD s they show only a hernia the GI doctor put me on a medicine thats for constipation & said its going to work I ve been in the hospital 9 times since September because the pain is SO bad I ve been checked for diabetes, h-pylori , diverticulitis & had my pancreas PLEASE HELP
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Hi If you are suspecting gall stones,you should go for an Ultrasound abdomen. If they have diagnosed Hiatus hernia,it may also cause pain. Please take Rabeprazole with Domperidone and antispasmodic Dicyclomine. Get an Ultrasound abdomen and come back. I will clarify further Wish you good health Regards
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Can you suggest the best insurance cover for my father suffering from Type 2 Diabetes and going for Dialysis
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I want to know the best suited medical cover for my 65 years old father he is having Diabetes Mellitus Type II and BP from past 8 10 years Very recently he is under going Dialysis too is there any one who can advise me the insurance Policy which will help him to cover his dialysis cost I want to know the best suited medical cover for my 65 years old father.. he is having Diabetes Mellitus Type II and BP from past 8-10 years. Very recently he is under going Dialysis too. is there any one who can advise me the insurance Policy which will help him to cover his dialysis cost.?
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Hi,Praveen,I am sorry dear there are very few or one can say no such policy.At his age no company would like to insure him.Even if somebody does it he will do it with great difficulty they will not cover the pre existing disease till next three years.Still try to talk to your local doctor if he can help. wishing you good health.
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What causes pain in the leg and foot with a history of heart attack? Is it related to kidney?
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Hi I am taking omeprazole 40 mg capsules and started getting pins and needles in my left leg and foot. I have just had blood tests done and the Dr s nurse rang to tell me to drink lots of water as my kidneys were doing something not quite right. I am 69years old. I am taking sotalol and asprin as I suffered from A.F and had a heart attack 18 months ago regards Cheryl
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Hi, dearI have gone through your question. I can understand your concern.Your pain in foot is not related to heart attack or kidney problems.You have pain with pin and needle sensations. It can be due to diabetes or vitamin B12 deficiency. You should check your vitamin B12 and sugar level. Also check for your creatinine level once to check kidney function.Hope I have answered your question.If you have any doubts then feel free to ask me.I will be happy to answer.Thanks for using health care magic.Wish you very good health.
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Is creatine level of 8.9 a cause for concern and suggest diet plans?
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Hi, I am detected for a S creatine value of 8.9. I have the below questions : 1) How serious is my Kidneys affected 2) Will diet help getting my kidneys better 3) How long i can continue without doing dialysis ? 4) What is the Diet i need to follow ?
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Hi,Telling only one report of S. creatinine is insufficient to give the opinion. I require more addition report like what is the course of creatinine overtime, amount of urine output, associated other medical problem like hypertension or diabetes, size of the kidney disease, urine examination and amount of proteinuria. You have to take an appointment with a Nephrologist nearby.
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Can swelling of feet and ankles be related to heart disorders in middle age woman?
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Hi, I m a woman in her late thirties. I am experiencing significant (obvious) swelling in my feet, ankles and calves almost every day. It goes away overnight (while I am asleep in bed) but seems to show up again every evening. I also experience puffiness in my face. I am overweight but not obese, and I walk at least 1.5 miles every day. My Grandmother has congestive heart failure (has had it a long time) and she began getting symptoms like this in her thirties. Do you think that is my future as well?
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Hello dear user!I have gone through your query and understood your concerns!Thank you for sharing them on healthcaremagic.We can't be sure that these symptoms you are experiencing now indicate heart failure without doing some examinations. Usually swollen ankles and feet are found in heart congestive failure, but in these cases, feet and ankles are more swollen in the evening and less in the morning. Kidney problems, diabetes, thyroid problems etc, may lead to similar symptoms. So to determine the real cause of these concerns I would recommend you to do some examinations to let us know more about your health.- Blood pressure monitoring- Blood sugar and lipids- Urine test, proteinuria- Liver enzymes, and kidney function indicators (creatinine, urea)- ECG- Heart ultrasound examination and cardiologist consultationThe doctor may ask for more examinations if he sees reasonable. After we get these results we'll be able to determine your condition and treat it accordingly. Feel free to ask us again on this website.I hope this answer was helpful to you!Please kindly rate it as helpful and write a short review about your experience with me! I would appreciate that a lot.Thank you and best regards!DR ERIOL.
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Is there chances of survial while having bleeding in esopahgus and liver bleeding, ammonia in blood, diabetes and ascites fluid?
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Hi doctor. My daughter s father 59 and he is in the hospital. He has hep C for over 30 years and now he has esophagus and liver bleeding and 200 level of ammonia in his blood, diabetes and ascites fluid. The doctors placed a shunt in his liver to stop the bleeding and a ballon in his esophagus. He is sedated for 6 days. The doctors tried to keep him awake, but he became very agitated, so they put him back to sleep. Would you, please, tell me if there is any chance at all for him to survive. My daughter is on denial. I m concern about my daughter. She has many emotional problems. If her father dies, she will go insane; literally.
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hello,based on what you said, the patient is probably suffering from chronic liver disease (liver cirrhosis) with esophageal variceal bleeding alog with ascites. Such patients require urgent banding of esophagus and shunting.Such patients based on my experience in wards do not last very long i am afraid. Shunting may lead to decreased blood supply to brain and cause another complication called hepatic encephalopathy. That said life is in hands of GOD and you should support your daughter during such time.
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How can deteriorating heart condition in an elderly diabetic with kidney disease be managed?
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My 83 year old mother had quadruple bypass in July of 2006. According to the cardiologist who treated her, she had severe coronary artery disease. At the time of the surgery we were told that this surgery would prolong her life by 5 to 10 years. (It is now 11.5 years- so we feel very blessed) My mother has deteriorated rapidly over the last few months. She is a type 2 diabetic and she also has kidney disease. Her latest lab work indicates that her GFR is 39 and that her pro BNP is 1499 pg/ml- this high result was confirmed with a follow up test (In April of 2017 her GFR was 43 and her pro BNP was 1031 pg/ml) . Based on this information should we be prepared for her to continue to deteriorate rapidly?
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After going through the medical details provided by you I understand your concern and i would like to tell you that considering her age and current status with her diseases , failed kidneys, diabetes and quadruple CABG with diseases arteries, it looks like she doesn't have much time but never loose hope. For now consult a Nephrologist and get her dialysis done and follow up for further management. Hope I have answered your query. Let me know if I can assist you further.
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What causes pain/warmness on back of head and trouble breathing?
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i feel the back of my head very warm it hurts to i feel very distracted i forget about things my lips are always dry my trought feels very dry to i get really sweaty sometimes on my arms and my neck aND SOMETIMES HAVE TROUBLE BREATHING WHAT SHOULD I DO?
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thanks for your questionyou need to consult a general physician if i would be your doctor i would rather examine you first and request for certain investigations like complete blood countchest xray ecgblood sugarget your blood pressure checkedthis will probably lead to a diagnosis. i would rule out hypertension, diabetes , infection , anxiety.consult a physician and doo discuss theae points , so that he can guide you betterthanksfeel free to ask more questionsmay god bless you with good health
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Can any online doctor help me with the following results?
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what does blooming in left frontal subcortical white matter mean? Also Old infarcts seen in right cerebellum which are hyperintense on T2 weighted images. T2 shine through seen in these areas. Features of small vessel disease with scattered hyperintense areas throughout cerebral white matter. Old right cerebellar infarcts. Area of petechial bleed in left frontal subcortical white matter. Thank you.
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HelloThanks for writing to HCMBlooming is MRI finding related to blood.You have blooming in left frontal subcortical white matter and it is due to petechial bleed.There are also scattered T2 weighted hyper intensities in white matter of brain .It is due to ischemic changes(decreased blood supply) involving small blood vessels.It is most commonly due to systemic diseases like hypertension, diabetes mellitus etc. so you should be screened for these conditions and need treatment if suffering from these diseases.Hope i have answered your query.Take CareDr.Indu Bhushan
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Suggest treatment for swelling in finger joints
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My middle finger on my right hand has been swelling gradually more over the past 3 days and is increasingly stiff and tender around the main joint on my hand. Today I feel a creaking inside it when I try to bend & straighten it. I have not injured it in any way. I am 50 yrs old and menopausal and wonder if this is somehow related to low hormone levels. Ibuprofen doesn t seem to be helping it as it continues to swell today. What does this sound like to you? Thank you.
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Hi there.You have a condition called Trigger finger. Common in Diabetic persons. You can apply warm soaks around that joint. Try to straighten the finger within comfortable limits as much as possible. You can take Tab. Ibuprofen 200mg twice a day for 7 days and note if you have improvement in the symptoms. If you have Diabetes, it needs to be in control. If the symptoms do not relieve in 4-5 weeks, you may need steroid injection in that area for better relief.
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65yrs old with cerebral atrophy. Taking medicines. Lost speech and health condition worsted. Suggestions?
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DR...Good night i,m T.P. Bhusal From Nepal.my Query for my father my father was affected by cerebral atrophy since 2 year.he takes medicine regularry but day by day he is loosing wait,speech.now a days he can not speech...we do city scan, MRI ,Npl also but he,s health is goijng worse day by day...his age is 65 at present time.what can i do Do..plskindly help me.
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Hi, Thank you for posting your query. Your father needs evaluation by a neurologist and physician. Weight loss needs to be evaluated- whether it is due to poor intake of food, diabetes, thyoid problems, any infections or malignancy. Then, the underlying cause can be treated. Regarding cerebral atrophy, it can not be reversed. However, if your father has memory loss and dementia, he would benefit from medications such as donepezil, memantine, rivastigmine, etc. Best wishes, Dr Sudhir Kumar MD MD (Neurology) Senior Consultant Neurologist
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What causes feeling faint?
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Hi, my mom is taking 20 mgs of lisinopril for her high blood pressure, as she had symptoms of TIA back in January of 2014. On Thursday morning while standing in kitchen preparing lunch all of a sudden out of nowhere she feels like she s going to faint and lays down on the kitchen floor. My dad took her blood pressure and it was not too high or too low. He took her to a walk in clinic and from there she was taken to ER for CAT scan because he thought there may have been some left-sided weakness. Mom stated she began to feel better before she even got to the hospital but then when stands for any length of time she will begin to feel weakness. Like today, could not stand in church. She has been having low blood pressure so doctor said to take half of the lisinopril since her blood pressure has been low. What could be causing her to feel faint when the CAT Scan doesn t show any heart issues. Anemic? Is it okay to take lisinopril and also be anemic? She is scheduled to go in for blood tests next week, but is there something to be aware of about anemia and lisinopril and is there something she could do to help the weak feeling, low blood pressure feeling in the meantime?
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Hi Your mother is having faintness due to low BP caused by lisinopril.So either the drug is to be changed or its dose is to be changed.Lisinopril has no relation with anemia .Anemia and low BP both ca cause faintness.Lisinopril has lot of interaction with drugs and specific situations .Consult with physician before starting any medicine like for diabetes and in pregnancy.Thanks
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Functional range of HR increase in an orthostatic test using HRV?
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I am a doctor and perform HRV testing. When performing the orthostatic test, one of the paramaters that is measured is heart rate. For example, A 53 year old woman has a supine HR of 83 And an pright HR of 105. This is a 26% increase. My work is primarily in functional and optimal ranges of values, not merely patholgical states. My Question: What is the functional range of HR increase in an orthostatic test using HRV. I am concerned that she has insufficient vascular compensatory recovery or her heart is deconditioned.
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Hello,A 30 beats per minute increase in heart rate from supine heart rate within 10 minutes of standing from a supine position along with symptoms of postural hypo-tension is indicated as significant and is labelled as postural orthostatic tachycardia. if the case is so (not in your case), you should work-up for its causes like hypovolemia, diabetes, autoimmune disease, autonomic nerve dystropy, multi system atrophy etc.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist
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What causes loss of sensation in fingers?
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I have issue with my little finger in left hand.I don't have any sense in the same and now the issue moved to next finger.I verified with Ortho doctor and He told there will be some issue with nerves.Let us know what could be the issue and how i can cure the same.
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Hi, thanks for using healthcare magicThere are different potential causes for loss of sensation. Some possible causes are: trauma, vitamin deficiency, diabetes, compression of a nerve, infections, autoimmune disease.Your doctor may consider investigations to determine the exact cause and treatment would depend on the findings.I hope this helps
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Is sneezing a cause for sharp headache?
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As soon as she sneezed she felt a sharp pain in her head. Front and back so bad to the point we took her to the er. After waiting and sitting for a while she felt better but still had a headache. They had her take a CAT scan and everything came back fine. Low to normal blood pressure, she's a smoker, no diabetes, everything else is fine according to the doctor she went to see. He also gave her celebrate to relieve any inflammation and to help with her headache but she says there is still something there. What could be causing this?
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Hi . As the CT scan is normal , please do not worry. Try decongestant nasal drops and do steam inhalation.
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TB ,Sugar and cholesterol. On novolet, insulin and alorva. Done X Ray and CT scan. What is the outcome?
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Hi Doctors,My husband has got TB ,Sugar and cholesterol and the doctor has prescribed following medicine novolet 4 insulin morning 20 and 30 (Before food)AKT4 1 Pack (Before food)PPG .3 Morning afternoon and night (just before food)x-Metsr morning and afternoon (after food)Alorva night 2 nos. (after food)this medication started from 27th July We also noticed his both legs and hands are going thin(weak) day by day and weight loss by 4-5 kgs ,his eyes are becoming reddish and am scared he has got knee TB where as we have taken CT scan contrast and x-ray on chest only .at any case can he continue the above prescribed medicine.pls confirm .Thanks in advance.
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Hello,Weight loss is an important feature of TB infection.The course of ATT as to be taken at for 6 months.It will at least take 2 weeks for the sputum to become negative and control of infection.Secondly weight loss also indicates uncontrolled diabetes.So all the above drugs need to be taken.You may see an improvement in the weight when both TB and diabetes are well under controll.
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what is side effect of aldonil od?
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what is side effect of aldonil od i am taking aldonil od once in a day after taken I feel stomach problems,i can not digest my food properly. my email address is YYYY@YYYY diabetic, b-12 & d3 vitamin report is not okey I am taking zoryle m2 fort
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Hi, Aldonil OD is an aldose reductase inhibitor used for the treatment of painful neuropathy associated with diabetes mellitus. Its common side effects include vomiting, abdominal pain, diarrhea, dry mouth and headache. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Mohammed Taher Ali, General & Family Physician
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What could cause extreme fatigue, sleepiness, lightheadedness with lowered BP?
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Hi there the last week I keep falling asleep in the day just feel so tired no energy head feels light I do suffer from low blood pressure and I dont drink alot of water I also work nigjts but its just been this last week that I cant keep awake or be bothered to do anything no energy please help whats wrong with me ? Thanks julia lloyd
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Hello,I have gone through your query and understand your concern.There are numerous causes for Excessive fatigue, tiredness and sleepiness.It is very usual after a prolonged work in night shifts and frequent shift changing.Frequent shift changing and night shift usually alters our Circadian rhythm.Circadian rhythm is nothing but a our body's own physiologic and biologic clock.Blood pressure can be low in night shift workers and frequent shift changers due the disturbance in circadian rhythm.Some common medical condition you have rule out are Anemia and Hypothyroidism and Diabetes.Have a healthy life style, eat in time , exercise regularly, try relaxation techniques like yoga and meditation, Spend enough time with your good friends.Plan and do the work so that you can not get frustrated or depressed.If still the tiredness and sleepiness is more, then you should consult a general physician and further investigation may be needed for the diseases which i mentioned earlier like blood check, thyroid hormone, blood sugar etc.Hope this helps.Please write back for further queries.Wishing you good health.
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Suggest treatment for gliosis in the right temporal lobe
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The white matter of brain shows gliosis surrounding area of encephalomalacia right temporal lobe. Mild gliosis is also seen posterioly in the right frontal lobe.several areas of high signal are present in the white matter of the brain suggesting probable small vessel vascular disease. These measure up yo 8mm
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HelloThanks for writing to HCMGliosis with encephalomalacia in brain is an irreversible condition and it doesn't require any specific treatment.High signal intensities in white matter of brain may be related to ischemic changes resulting from involvement of small blood vessels,demyelination,gliosis etc.Ischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia.So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus so that further progression of disease can be halted.You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.Proper treatment depend upon findings.Hope i have answered your query.Take CareDr.Indu Bhushan
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Suggest treatment for gall bladder stone causing vomiting and weight loss
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my sister is suffering from pain in her leg joints and sometimes become swollen.she also have high fever,but her first symthom was loss of hair,she now have stone in her galbladder.she vomits often,she loss weight .doctors dont know what wrong with her
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Hi,These are some typical symptoms of gallbladder attack and she should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Stones are see more commonly in obese people and those with diabetes. You need to change your dietary habits first. Need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health.Kindly regards,Dr. Ivan R. Rommstein
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What causes appearance of tiny blood dots on the scrotum?
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I was told years ago that I have vericose vanes in my scrotum. The only problem that I ve ever had was some blood loss (2 or 3 times) but it would clot quickly. The last time a couple of years ago. My problem now is that a few of the tiny blood dots (I ll call them) are feeling as though I m being pinched (under the scrotum). What type of doctor would I go to see for this problem?
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HelloI share your concern, I had gone through your question diligently and I will try to help you out in best possible wayPus filled pimples on the testis can be caused by infection from urine or stool and sexually transmitted infection or multiple sebaceous cyst and can be allergic as wellIf you can upload me a photograph and answer my these questions I will be able to help you betterYour age and relevant medical history if any like diabetes or liver disease?Have you ever had similar problem in pastIn my opinion you should see your doctor for physical check up and investigation to rule out infective conditionMeanwhile you can apply antibacterial or antiseptic ointment like mupirocinMaintain good hygieneyou can take Ibuprofen for pain.Hope this answers your question, Please feel free to ask for more clarification, I will be happy to help youBest wishesThanks and regards
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How painful is TACE procedure for liver cancer?
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My father is cirrohsis pateint from last last 5 years and Diabetic patient.. treatment was going good for cirrohsis and for diabetes using insulin from last three years..but on 17-6-2014 diagnosed with liver cancer..HCC 7.8*6.4*6.3mm..my whole family is depressed.. ..doctor advised for TACE because surgery is not possible due to cirrohsis and we can not do liver transplant ..meanwhile doctor has advised for taking soranib 200 mg..so my father is taking soranib 200 mg from last 15 days and feeling so week,loss of appetite,nausea,B.P around 150..red rashes in hand..i am totally confused with this disease dont know what is going on..please sir suggest me what should we do??as there is only 1 option TACE..should we proceed with TACE ??how painful it is??how many times we should do TACE procedure..whether TACE have any problem with cirrohsis and diabetes??what would be survival rate??sir i am attaching blood test,endoscopy and CT scan report for your investigation..please help me
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Hi,Thanks for writing in.TACE is trans arterial chemo embolization of tumor. In this technique, the artery or blood vessel supplying the tumor is approached as close to the tumor possible. This can be done by reviewing previous imaging investigations and once this is done, intra-arterial injection of chemotherapeutic drug combinations like doxorubicin, cisplatin and mitomycin into the hepatic artery, followed by lipiodol injection, Gelfoam for vessel occlusion and degradable microspheres. Once major blood supply to tumor is blocked and chemotherapy agents infused, then the tumor will not get its nutrition and will not grow or grow slowly.The pain is controlled by giving sedatives and not more than a puncture in the groin region. The palliative effect in unresectable HCC using TACE allows local tumor control in 15 to 60% of cases and 5-year survival rates ranging from 8-43%. Please do not worry.
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What causes breathlessness and lack of appetite?
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Hui,f fmay I aswer your health queries right now ? Please type your query here... i have been suffering from complete loss of appetite for the past one month. my DR. advised me to go for a thyroid test. the reports are awaited today. i also have breathlessness while walking and climbing stairs and slow speech.. what is your opinion?
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Respected user , HiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* There are different possibilities as - deficiency of iron , vitamins, minerals , anti oxidants , trace elements - lung conditions as infection , effusion , tumor or else - systemic illness as diabetes , thyroid level imbalance , enteric fever or else .* Needs detailed case evaluation with necessary tests depending upon the clinician concern .Hope this makes it clear .Regards .
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Will I get pregnant without ejaculation?
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If my husband ejaculated on my stomach, wiped it off with a washcloth, and then wiped my outer vagina with the same surface of the washcloth, am I able to get pregnant that way? I am 20, 5'0'', and 118 lbs. No allergies, borderline anemic, family history of diabetes & high blood pressure
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No u will not get pregnant.. As semen needs to be ejaculated into vagina for getting pregnant.. So nothing to worry
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What does SGPT level of 96 suggest?
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sir just wanted to know that my sgpt level is 96 and i doc have said to me that my liver is a faty liver,and he said that with faty liver it normal that you sgpt level 96 a bit high ,so i want to know if i can lower it a bit and what vitamins can i take in lowering sgpt
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Hi there, Thanks for posting in HCM.Your SGPT of 96 is significantly high.The most common cause is nonalcoholic fatty liver disease and it is confirmed in your case.You also need to get tested for other common causes that include hepatitis B and C infection.Obesity, diabetes and high cholesterol are common causes of nonalcoholic fatty liver.So try to reduce weight if you are obese. Check your blood glucose and cholesterol levels.I hope that answers your query.Regards.
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Can spinal steno sis cause kidney problems?
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I'm 69 years old and in very good physical health except that I was diagnosed with spinal stenosis 10-15 years ago. I've done pretty well so far, except that my latest blood test showed some problems with kidney filtration. I am having pain in the right kidney area, same side as my L-4, L-5 stenosis. Can spinal stenosis cause kidney problems?
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No spinal stenosis cannot cause Kidney problem unless you have taken a lot of pain killer in the past for your spine problem.. In most of time kidney problem is caused by diabetes, hypertension, kidney stone or medications like pain killer... Spinal cord stenosis doesn't directly related to kidney problems..
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Do chronic cough and shortness of breath indicate lung cancer?
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My 80 year old mother was experiencing a chronic cough that has gotten worse and is worse when she lies down at night. She also has shortness of breath, chest pain and back pain. All symptoms are getting progressively worse. Instead of her primary starting a workup other than general lab work, he has chosen to send her directly to a cardiothoracic surgeon without doing even a chest X-ray. She is relatively healthy, has hypertension and type 2 diabetes and is overweight. Any reason why her doc would choose this path. She is a non-smoker but grew up in a bar and around passive smoke. We are really concerned that he is looking for lung cancer?be
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Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* The chronic cough and shortness of breath at 80 must be first evaluated for emphysema or obstructive lung disease with x-ray chest and other supportive data rather than jumping to cardiothoracic surgeon .* It does not indicate lung cancer at all .Hope this will help to clear your doubt .Wishing you fine recovery .Always welcome for any further assistance anytime .Regards .
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Taking foracort for asthma and diabetes. Should I take progesterone injection after having had a miscarriage?
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Hi doctor, I m 7 weeks pregnant and i m diabetic as well as asthmatic. I ve asked my Gynaecologist if i can take foracort 200mg. He told me its okay. Please advise if foracort 200mg is fine during early pregnancy. Another question, i have done 3 blood tests namely HCG and Progesterone and the doctor told me tha all my tests are normal. So, should i take progesterone injections or not as i had a miscarriage in January where i was 6 weeks pregnant. Kindly advise.
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INHALES ARE OKAY IN PREGNANCY BUT I CA SUGGEST YOU TO TAKE MONTELUCAST IT IS SAFE TAKE SINGULAR OD OR BD SYP ASTHALIN CAN BE TAKEN 1/2 BD ABOUT PROGESTRON YOUR GYNAE DOCTORIS RIGHT IN SUGGESTING YOU THE THINGS
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Suggest treatment for tingling and numbness in arm and leg
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This summer, while traveling I experienced swelling in my right leg. Hee in the last month, My right arm and leg swell and I have numbess and tingling. In my arm, it feels like there is no circulation from my fingertips to my elbow. Almost like when it falls asleep?? I do have a blown out vein in my right calf, just below the knee. Hvae had it for over twenty years. I do experience some tingling in my left arm also.
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hi,please provide details like your age sex,habit of smoking alcohol and duration of sitting in the travel u mentioned...are u a diabetic or hypertensive?any previous health related issues..we need to examine you thoroughly and then do necessary investigations if required then we can come to a conclusion..if you are older than fifty it can be because of spine problem or diabetes..even severe anemia can present with these symptoms.so approach a doctor for further workup..
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What causes numbness in hand and loss of equilibrium in body?
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Hello, Ive been experiencing numbness in my right hand (fingers) and my equilibrium has been off. I am a 45 yr old male, 295 pounds, 6 3 ... I had in the past a stroke due to B-12 defficency 6 years ago. Gastric Bypass 7 years ago (450 lbs - lost 263, gained back 100)
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Hi, There can be various reasons for numbness of your right hand. Definitely, it can be due to vitamin B12 deficiency (quite likely since you already have a history for the same). However there are other reasons like cervical disc diseases (neck related problems), carpal or cubital tunnel diseases (local compression of the nerves) or tennis elbow (local damage of muscles and tendons). Even diabetes and thyroid related problems can also cause such symptoms. Since you also have problem with equilibrium then we need to look for ear and brain (infections and swelling) diseases also. Basically, we need to have a detailed evaluation to find the reason for the same. I feel first of all take care of your diet - good balanced diet, lots of fruits and vegetables. For non vegetarians food like animal liver is good source of vitamin B12. In vegetarian diet also many cereals fortified with vitamin B12 are available. You can even start taking some multivitamins. If still the symptoms persist then you need to go for some investigations like complete blood count, vitamin B12 levels, TSH and sugar levels and if further required ENT check up and brain imaging (CT head). Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Milinda Gupta, Internal Medicine Specialist
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Why do I have itchy purplish rash on thighs above pubic area?
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I have a very itchy purplish rash on my inner upper thighs and above my pubic area in the crease where my heavy stomach hangs. It started when I was sweating a lot working in the heat. I have tried Gold Bond powder to try to keep it drier, to no avail. It itches more at night than during the day. It is very ugly!
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Hi,After reading your query it appears to be due to Fungal infection of the area which is quite common due to heat and humidity. Fungal infection of the skin is quite common due to infection and hygiene as well as most commonly due to diabetes. To prevent the further spread maintain good hygiene wash it two times properly. Stay away from hot and humid climate.If I were your dermatologist then would have prescirbed clotrimazole cream or terbinafine cream over the affected areas under medical supervision. I suggest you to take antifungal tablet by mouth such as fluconazole 150 mg alternate days for 15 days.Take care.
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Suggest cure for diabetic neuropahty
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My wife aged 55 years is diognised with diabetic neuropathy very recently (one month approx). She is a diabetic patient for over a decade. Presently on insulin and tablets. 1. Is there a cure for this disease. 2. Request, please refer a Doctor where I can take her for further treatment.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. With control of diabetes, neuropathy will definitely improve. So control diabetes with regular insulin and oral hypoglycemic drug if needed. Alpha Lipoic acid, vitamin B complex and antioxidant can be beneficial in neuropathic pain. Hope I have answered your query. Let me know if I can assist you further.
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Is gestational diabetes and high amniotic fluid harmful for fetus?
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i did 20 weeks ultrasound and doctor said that the amniotic fluid is more so they advice me for stomach bubble sonography other body parts of fetus are normal and my GTT test result is little bit high so doctor said its gestrational diabetes I am worried about all these give me proper answer what happen to baby because of all these.
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HI, Thanks for the query. I understand your concern. Gestational diabetes is a cause of increased amniotic fluid. The explanation is as follows. Due to gestational diabetes, fetal blood sugar is raised & this leads to excessive urination in fetus ( osmotic effect ).. which causes increased amniotic fluid in gestational diabetes. As an effect of gestational diabetes, apart from maternal complications, fetus has high birth weight/pregnancy can turn in premature labor, abnormal fetal presentation during child birth. Please don't worry these can be prevented by controlling gestational diabetes by life style changes & few medications (as per advise by treating doctor ) Thanks.
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Headache, dizziness, blurry vision, pain in ears. Have asthma, ADHD and schizophrenia. Help?
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I ve been sick on and off since April 2011, about 98% of that time I ve been sick. No doctor has found anything wrong with me. In the last six months I ve slowly gotten worse. But the last few weeks I ve had a constant headache , dizziness , my vision goes kinda blurry and dull, slight pains in my ears, really weak and exhausted. I m getting pains that feel like a twisting feeling when I yawn now. I m 24, nearly 25, am 165cm, and 90/91kg. Diabetes runs on both sides of my family, although I ve not been diagnosed with it. Have had family die from heart problems and cancer. I ve got asthma , ADHD , and schzorphrenia.
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he food allergies the culpri can be milk wheat potato hana rice egg nuts get blood serum tested for food specific antibodies milk wheat chana potato rice nuts you will get one or twopositive foods withdraw these from you diet and you will recover
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What causes weight gain and lightheadedness with a decayed molar tooth?
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I have a molar tooth that will need to be extracted. It has decayed to where half the tooth is damaged/chipped. My question is I have gained a lot of weight even though I work out and track calories and have had lots of light headedness. Could these symptoms be connected with the tooth?
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Hello,I can understand your concern. Tooth decay is never associated with weight changes and lightheadedness. Tooth decay can be associated with food impaction in the tooth, sensitivity to hot and cold food, pain during chewing, at night or all the time and referred pain can be felt in ear or temple. Other than these, other symptoms are not associated with the decayed tooth and should be checked by a physician for other diagnosis related to hormonal system and blood pressure. I would recommend to consult a physician before tooth extraction as lightheadedness due to blood pressure changes can cause complications during extraction and hormonal issues such as thyroid and diabetes should also be cleared or kept under control with medications, if present, before extraction. If the tooth causes pain by the time other issues are solved, you can take Ibuprofen 400 mg or Ketorolac 10 mg up to thrice a day for pain relief. Do not do heat compressions or hot/warm water gargles.I hope this information helps you. Thank you for choosing HealthcareMagic. I wish you feel better soon.Best,Dr. Viraj Shah
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How can leg pain, which aggravates while sitting or lying down, be treated?
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I have diabetes and lately I have pain in my leg that starts mostly when I sit .it lokks like pressure in the upper thigh but it also starts in my toes . I take aspirin 2of 325 mg that helps after 30 minutes , but I get this every day in the evening. or when I am in bed. I do not have any symptoms during the when I am active. Do I have to live with this or is there some medication ?
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Welcome to HCM,In view of the fact you have diabetes, you might be developing a form of "neuropathy" a painful condition of the nerves. Topical application of ointments containing Capsicum (red pepper) has given some of my patients relief. If overweight, lose the weight. Try not to sit too long. Use a sacral or ischial tuberosity support cushion to help alleviate the weight on joints as you sit.The doctor can properly evaluate you and if it is nerve pain, there are medications to help with that as well.Best Wishes to You, Kathryn Shattler, MS,RDN
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Suggest cure for multiple ailments
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I am 24 years old and got diagnosed with Type 1 Diabetes 2 years ago. No family history of any Diabetes or auto-immune disorders. Recently I have been sleeping over 15 hours a day and feeling very tired all the time. I have noticed a change in my short term memory and thirst. I have a twitch in my fingers which comes and goes. I am on anti-psychotic meds, anti-depressants and obviously insulin. I also have asthma. I am very worried and feel very ill generally.
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thank you users for your query.First kindly mention the dosage of antidepressant. Get your blood sugar(fasting and post prandial) checked.If it is raised then you need to increase the dose of insulin else if its level is low then you need to decrease the dosage of insulin. Start taking multivitamin as they might increase your vitality. Exercise 30 minutes daily for 5 days. Work up on your diet and make sure that you are on low fatty diet. Can have baked fish. Think this can help you a lot.Do consult your psychiatrist for the antidepressant treatment.God Bless
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How to relieve numbness and tingling in feet despite B12 medication?
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I have tingling and numbness in first 3 toes of left foot. Numbness is on bottom of foot the toes have both numbness and tingling. When foot is at rest the second toe sort of drops down. Saw a neurologist had MRI and blood work. All they could find was That my B12 was low. I take a B12 pill but have not noticed a difference. This was been an issues for a few years now. What should I do next?
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helloThere should be checkup with an neurophysiologist and mapping of muscle power in foot should be done alongwith neurophysiological studies for any conduction defect in nerves, secondly, Blood and urine sugar levels must be checked for ruling out diabetes.Alsoa physician should rule out Hansens disease , although, uncommon now, but may be present in endimic areas.After all this check up, the neurologist will decide for course of futher action, if B12 is normal nowbest wishes
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How often should we have intercourse to get pregnant?
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my husband and i want to conceive another child. We've been sexual inactive for a while. I know this can affect sperm motility. How do we build him back up? How often should we engage in sexual activity and for how long before considering him at normalcy?
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Hi welcome to the health care magic For getting pregnant frequent sexual intercourse done around 14 days of menstrual cycle as ovulation occurs in this duration Your husband not interested in sex, hence psychiatrist or sexologist counselling help can be taken Meanwhile check your husband following reports... _diabetes _blood pressure measurement _cholesterol level _prostate problem _any cardiac history if present _drug history If any specific cause present then treatment done accordingly.. (because these factors can lead erectile dysfunction) Take care Hope your concern solved
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Have fatty liver grade 1 and renal calculus with PCS. Not alcoholic. Reason?
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i am abaan. i m 22 year old prob. in kidneys right kidney, tiny echogenic shadow measuring 2.8mm is seen in middle calyx of right kidney pelvicalyceal system is prominent on right side. LIVER: Mildly increased echogenicity of liver parenchyma is seen. Innference:- 1. Fatty liver grade-1. 2.Tiny right renal calculus with prominent P.C.S. I am not alcohlic then why Fatty liver problem ? i need diet chart
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Fatty liver (FL) is commonly associated with alcohol or metabolic syndrome (diabetes, hypertension, obesity and dyslipidemia), but can also be due to any one of many causes[2][3]:MetabolicAbetalipoproteinemia, glycogen storage diseases, Weber-Christian disease lipodystrophyNutritionalMalnutrition, total parenteral nutrition, severe weight loss, refeeding syndrome, jejunoileal bypass, gastric bypass, jejunal diverticulosis with bacterial overgrowthDrugs and toxinsAmiodarone, methotrexate, diltiazem, expired tetracycline, highly active antiretroviral therapy, glucocorticoids, tamoxifen, environmental hepatotoxins (e.g., phosphorus, mushroom poisoning)OtherInflammatory bowel disease, HIV, hepatitis C (especially genotype 3), and alpha 1-antitrypsin deficiency. Renal calculus with pcs is a seperate problem.The exact cause for this is still unclear.
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What causes numbness in my big toe and a bump behind the mid joint?
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My right big toe is numb and has a swelling, soft bump just behind the mid joint. It is not a hard deposit and it seems to be filled with a fluid substance. It can produce discomfort when I wear shoes. I also have diabetes but I only take metformin. Thank young
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hi,thank-you for providing the brief history.As you have diabetes and this lump which appears to you like a fluid accumulation along with numbness in the big toe I will advice you to undergo a thorough clinical examination and the blood sugar test. Some other blood test might also need to check if any infection is there.This kind of lumps in the feet is supposed to be not ignored as it maybe due to some abnormality in the tissues leading to the same. Also checking the uric acid levels is Advised.Based on the clinical examination and diagnostic tests the medical management can be initiated. Also, since you are diabetic you should improve your physical activity to keep the blood sugar levels in controlRegards Jay Indravadan Patel
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Had liver tests. Why the values are increasing? Looking for advice
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In april 2012 I got my liver tests and in the report my BILIRUBIN was 1.31 and SGOT AND SGPT were 26 and 30 respectively . again on 16th June I got all these tests fro same lab.and found my results 1.83 , 305 , and 148 respectively and than again on 20th june I got my results from some other lab. 1.48 , 327 , 258 respectively . now pl. tell me why these values are increasing so fast and what problem is this physicaly I have no systems or any problem. pl. guide
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The values of SGPT and SGOT suggest that there is an ungoing liver inflammation. I need to know certain background information... 1. What is your BMI ? Are you obese/ overweight 2. Do you consume alcohol ? 3. Do you have diabetes or any heart ailment 4. Do you take any medications or health supplements ? 5. Did you have any fever recently ? I would suggest you to get an ultrasound of abdomen and ask the sonologist to tell you if there is "fatty liver" or not. I would also suggest you to have your viral makers checked- HbsAg and anti HCV
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Does Metformin, Atrovastatin and Levothyroxine cause lower back pain?
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Hi Doctor, I am getting moderate pain in my right lower back, it is stabbing pain which comes and goes. i have been taking these pills for my sugar level (metformin 500 mg) Cholestrol (Atrovastatin 20 mg) and for thyroid (levothyroxine 50 mg.) Is the pain relatated to this medication.
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no not at all...these drug is used for diabetes,to control blood cholesterol and hypothyroid...not related to back pain.the backache is due to nerve compression..you should go for a MRI back to rule out any nerve compression.
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What causes painful lumps on the legs and arms in an elderly person?
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I am a 76 year old woman who began to lose weight for no reason . I lost my appetite but have gotten it back now to some degree but not my weight.I have a lot of test and they only showed that I was lacking in magnesium so I am taking this now , so far I am still low in it I have lumps under my skin on my legs and arms which I was told by one Dr. it is nothing to worry about , Having researched this I have found out it could indeed be cancer. I will be seeing an oncologist in a couple weeks , I have had cancer before and radation but it did not advance any more.I look in the face very thin and my eyes look very weak , I do not feel well at all ,Could this weight loss and lumps mean there is a cancer in my body? thank you
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Hi.Thanks for your query.Noted the history and understood your concerns.Loosing weight for no obvious reason that the low magnesium but with history of cancer that got treated by Radiotherapy although you have not mentioned the details of it can be due to recurrence of cancer.But there is no cancer that can have so many lumps in the legs and arms; these could have been lipomas that got visible due to loss of weight. The only sure-shot way is to get this ultrasound, FNAC and/or biopsy to confirm the cause of these lumps. Most important looks to be re-evaluation of the past cancer whether there is any recurrence and to get a confirmed diagnosis. Stress, anxiety and such mental conditions can cause the problems. Since you have mentioned that other tests are normal, we can take that you do not have diabetes, thyroid or liver related problems the cause of weight loss. Take care, anyways a visit to an Oncologist will help further to clarify.
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Are swollen and bruised legs related to diabetes?
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I walk a lot to and from doctors appointments and interviews because, I do not have a vehicle and my legs have been very swollen and bruised. I am curious as to what my symptoms are and if I could have diabetes because, it does run in my family and diabetes is very hereditary.
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Hello, Thanks for the query.Usually swelling of legs is not a specific symptom of diabetes. The symptoms which are often associated with undetected diabetes include excess urination, excess thirst, excess hunger, unexplained weight loss and tiredness. Still you get your fasting and after food blood glucose tested to rule out whether there is diabetes. Swelling in legs is more associated with high BP and/or kidney related conditions as well as hypothyroidism. Thanks.
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How can UTI be treated while suffering from diabetes?
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Thank you. My husband is on a trial treatment for myeloma which includes steriods. His diabetes sugar levels have been excellent prior to starting this trial (the trial started a week ago). He has a urine infection and has been prescribed Augmentin. Two days in, his sugar levels have shot up to 26.1 - they have been below 10 - could the Augmentin be causing this problem? - we realise steriods also raise sugar levels. He attends hospital again tomorrow.Thank you
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Hello,Sorry to know your husband's condition and I really appreciate your concern regarding his urinary tract infection (UTI). The first thing you will have to be very clear about is that your husband's sugar levels have shot up due to the trial treatment for myeloma in which he is being given steroids and not due to augmentin.It would be better to get a urine culture and sensitivity test done. I'd like to add that it will be difficult to treat the UTI until his blood sugar levels come down.So doctors will have to put him on insulin for the time being. Please consult a primary care physician nearby to lower his sugar levels first.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhash Verma
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What causes numbness in the testicle?
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My right testicle is slightly more numb than my left and it can twist around without pain. I haven't twisted it myself but several times I have noticed that it can hang horizontally and I suspect event twist to the point of switching with the left testicle. I am scared that this may be testicular torsion except that I have not had excruciating pain. The testicle usually hangs higher than the other and when i sit down both may start to hurt. This problem has been going on for a while, with no other/worsening symptoms.
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Hi, It can be due to spinal injury, diabetes and disc prolapse. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist
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What causes an infection on the right hand causing pus discharge?
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I have had this nasty infection on my right hand for about 6weeks, it has progressively gotten worse to the point now it is oozing pus and is spreading. I also have had sores in my mouth now for about 2 weeks, nothing like my hand but again it s getting painful and just looks terrible.
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Hi, Thanks for the query. I understand your concern. Infection on right hand you have hs to be cleaned & dressed rdaily.. along with medicines ( antibiotics/ anti inflammatory drugs & vitamins b complex & vitamin C ). Long standing & non healing infection needs culture & sensitivity test of the exudate followed by specific antibiotic .. Get blood sugar test to find/ exclude diabetes...Control of diabetes helps healing. * You need to consult your family physician for expert guidance. Please don't worry. you would be alright with methodical treatment under expert advise. Thanks
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Suggest alternative of starpress and tozzam for hypertension
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I suffer from hypertension for the last 25 years, as of today I take Starpress XL 25mg in the morning and Tozzam in the evening. For the last two years I have developed diabetes, & I take Zoryl M2 in the morning & evening. In the noon I take vobit mo.2 I find these very expensive. Please suggest alternatives
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Hello, welcome to HCM..Thanks for writing to us.The followig drugs may be used instead...1. vinicor XL/METOLAR XR 25 in place of starpress xl2. ZOSARTAN K/ LOSARTAN 50 in place of tozzar3. OZOMET G2 in place of Zoryl M2 Hope this will help to cut short your expenses. Stay fit, good luck.
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What does bilateral hilar prominence mean?
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I just had my right kidney removed due to a clear cell Renal Carcinoma Fuhrman grade 4 there was mention of a few things one of which was a Bilateral Hilar Prominence, What is this or what does it mean, I am a 60 year old male with Lupus but eat somewhat healthy ; no Mcdonalds ,B.King and well you get the point
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Hello, Your X-ray picture is suggestive of the following conditions. 1. Heart failure 2. Emphysema. So please let me know 1. Do you smoke? 2. Do you have hypertension or diabetes or other heart diseases? 3. Do you have breathlessness or cough or edema feet? Please reply to me answers of above-asked questions, so that I can guide you better. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon
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Suggest treatment for microvascular ischemic disease of brain
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I had an MRI recently becasue of a thalamic glioma. That remains stable but I was also told I had microvascular ischemic disease. I have never had high blood pressure or diabetes. Nor do I have MS. I year ago I was in intensive care for a "brain Bleed" which later after more MRI's they discoved the tumor.I do not understand the this ischemic disease. What can I do to prevent a full blown stroke?Thank you.
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I read your question and I understand your concern.The main cause for ischemic disease are factors like high blood pressure, diabetes, smoking, high cholesterol, factors which predispose to injury to blood vessels wall and narrowing which if marked could obstruct blood flow causing ischemia. In your case this narrowing involves mainly small vessels. What you could do to lower the risk of advancement and stroke is address those factors I mentioned as well as a blood thinner such as aspirin.Those factors are more often the cause, but at times there might be also genetic factors involved, metabolic factors like amyloid deposition in blood vessels. Also if you are young should investigate for connective tissue disease or other inflammatory conditions, prothrombotic conditions.I hope to have been of help.
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Taking Insulin, Glynase for diabetese. Increased creatinine and blood urea. Medicine?
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I am diabetic with low dosage of human mixtard insulin inj.(10 U-8U0,GLYNASE 1/2-1/2 and hypertensive with telsatran 40 and easm 5 daily .Taking ALFAD3=SHELCAL.SUGAR and BP under control.Creatinin was 1.6 for long with blood urea under 40 for long..recently creatinin increased to 2.0 and blood urea 55.uric acid crystals seen in urine and blood uric acid is 9.0..what medication should I take in addition to contol this quickly,,No swelling anywhere,no gout visually seen .
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Hi userThanks for posting your query o Healthcare MagicYou are developing diabetic nephropathy which is a long term complication of diabetes.To avoid kidney dysfunction following should be done.1. Round the clock sugar control witn target HbA1c 2. Use of ACE inbitors or ARB drugs (you are alredy on Telmisartan)3. Avoid nephrotoxic agents like antibiotic amikacin, radiocontrast dyesFor further evaluation get USG kidney, urinary blader and ureter. This not only gives you information regarding structural changes of kidney but can rule other causes of raised creatinine for example stone, some time it happen raised creatinine in the presence of diabetes take as diabetic nephropathy and later on turn out obstructive uropathy which can be corrected by releasing obstruction Hope this information may be helpful to you. Takecare
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What are the chances of survival if having pancreatic cancer in both lungs?
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My sister is 52 is overweight had a stroke at 50 and has type 2 diabetes. She was diagnosed in Dec. with pancreatic cancer and it is in both lungs. She is taking gemcitabine only because she is in the 1% of population that is sensitive to meds. What are her chances of survival?
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Greetings. I can understand your feelings towards your sister. She is suffering from metastatic disease. Gemcitabine drug works well in carcinoma pancreas but average survival will be low around 6 months. Your doctor can also think of adding erlotinib(oral drug) or NAB-paclitaxel to gemcitabine which can increase her survival upto 9 months. Take care.regards
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What does this MRI report of brain showing chronic microvascular ischemic foci indicate?
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hi doctor, I had an mri 2 days ago, it says i have a slight amount of chronic microvascular ischemic foci in and periventricular white matter stabel.what could this be? i am a 44 year old woman who worked as a school teacher for ten years! please help me!!!!!!!!!!!!!!
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HelloThanks for writing to HCMSlight amount of chronic microvascular ischemic foci are mainly due to chronic microvascular ischemic changes resulting from involvement of small blood vessels.Iischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia.So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus.You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.Proper treatment depend upon findings.Hope i have answered your query.Take CareDr.Indu Bhushan
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What is the treatment for edema in 54 year old female?
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both lower leg have +2-3 pitting edema new for me to have this much edema not unwell legs sore and feet and ankles are also swollen 54 yr old female medication = celexa immovane stopped estre patch 10 das ago had b12 inj this week what should i do or be concerned about tks
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Hi, This treatment is being suggested on bases of the information provided. However, I would like to examine & investigate you in detail. Control hypertension, diabetes or any other metabolic disorder, if there is any. Any way these may be tried: -- Dolokind Plus (Mankind) [Aceclofenac + Paracetamol] 1 talet OD & SOS. X 5 days. -- Caldikind plus (Mankind) 1 tablet OD x 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. -- Sleep on a hard bed with soft bedding. -- Use no pillow under the head. -- Avoid painful acts & activities. -- Do mild exercises. -- 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
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