instruction
stringlengths 3
196
| input
stringlengths 2
1.76k
| output
stringlengths 24
1.71k
|
|---|---|---|
What causes stabbing right-sided pain in the heart and weakness?
|
Hi,I am a 67 year old male, I have diabetes, heart failure, Conns Disease. My blood pressure is now normal, and my blood sugar level averages 125. A few days ago I suddenly developed a sharp, rhythmic, stabbing pain in my right chest, just under my right breast. I also feel a bit ill all over during the episodes. The episodes occur all day long, and last from a few minutes to a few hours, and do not respond to over the counter pain medicines. Should I worry? Go to my doctor this week? Go to the hospital if the condition get worse? Thank you Glen R Davis
|
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I need to know more about the symptoms, like precipitating factors, factors that increases pain etc. Sharp rhythmic stabbing pain is unlikely to be cardiac. However, its better to get yourself examined by local doctor. Mostly it's a gastritis and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis. You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg beforebreakfast once a day for 2 weeks. Secondly does this pain increases on applying pressure over the area, if yes it could be costochondritis and it's a musculoskeletal type of pain and needs prolonged nsaid therapy. Does this pain increases on deep breathing and coughing etc. if yes it a pain arising from lining of lungs and needs nsaids treatment and evaluation. Hope I have answered your query. Let me know if I can assist you further.
|
What is the life expectancy of a person with heart problems, diabetes and on kidney machine?
|
this is a 69 year old man. He has congestion heart failure, one leg due to dibetis, sorissus of the liver non alcoholic, and he's on a kidney machine. The doctor told us that his heart is to weak for the surgery to remove the gallstones, and his stomach hurts and he don't eat. How long can a person live in that condition with galstones
|
Hi. This is a tough question to be honest with you. Life expectancy is obviously dependent on crucial factors like general health. With heart condition, diabetes, and liver problems, life expectancy is greatly reduced. So the answer to your question is that probably less than the average (men in US/UK live till they are 80 years or so). The more important question is if there is any danger of dying in the short term. Gallstones wont kill you, so the answer to that is no, it does not oppose a danger. The problem is that gallstones can cause an infection, in that case they put in a little tube and drain the infection out and most likely it would be ok.In this case I would say that having Diabetes and being on the dialysis machine does not mean that there are just a few months or even very few years to live, with good medical care one can live quite a while like this. The heart condition, however, is more unpredictable. Over all, no danger of dying in the short term. Hope this helps.
|
Suggest treatment for less sperm volume while having diabetes
|
problem discuessMessage i am mohd abdul nisar i was marriage since 3 years back i have sugar since 21 years back now my age is 31 problem is spume is not coming but we have all feeling we have discuses so many Doctor but no solution i am trying to come out spume its only one drop but its jail type
|
HelloThanks for query .Based on the facts you are getting climax of sexual satisfaction (Orgasm ) but there no ejaculation of semen (Anejaculation) This is due to either of the two reasons 1) Either your semen is going backwards in bladder what is called as Retrograde Ejaculation .2) Blockage of the ejaculatory duct Retrograde ejaculation can be confirmed by doing urine test immediately after sex which will detect presence of sperms in urine. If this is ruled out consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Trans Rectal Ultrasound Scanning (TRUS)2) MRI of pelvis .Further treatment (If possible)will depend upon the result of these test and final diagnosis .Dr.Patil.
|
What is the recurring pus filled cyst on the top of the head?
|
my husband had this kind a cyst in the top of the head it started like an ingrown from the hair and becomes inflame, now this cyst when it become riped in color, it will ooze with a pus followed by the blood what is this and why this keep coming back.
|
HiWelcome to hcmThis can be infected sebaceous cyst. Check sugar since diabetes can cause repeated skin infection. See a skin specialist for confirmation.Regards
|
What signs confirm the presence of Parkinson s?
|
Why is fibromyalgia so difficult to diagnose? I have been told that it is all in my head. I just feel like there is no help for us. Just throw another medication at me. Was recently hospitalized with a severe allergic reaction to a new prescription for parkinsons, but have never been told that I have parkinsons
|
yes it is tough to diagnose Fibromyalgia indeed, since, unlike other diseases like Diabetes, Hypertension and heart disease there are not many tests to confirm this diseaseit is more by exclusion of other diseases and too much is subjectiveParkinsonism has a few minimum criteria-- rigidity and tremers and a typical facial look, gait and other simple tests-- not at all difficult to diagnose if seen by a good physician
|
Any suggestion for difficulty in ejaculating when taking medicines for BP, diabetes?
|
I have been using Viagra sucessfully for about 4 years . Over the past year I have begun taking metformin for a diabitis diagnosis back in 2011 . I also take enalapril ( 5mg) once a day for blood preassure for the past year . About 6 onths ago I began having difficulty with compleating sexual activity (ejaculating) and over the past week have not been able to acheive an errection at all using Viagra 100mg . I heard that slower acting Cialis might be a more appropiate medication for me ?
|
HelloThanks for query.You are facing problem of Erectile Dysfunction since 4 years and have been taking Viagra 100 mg as on demand .However you are unable to get the same desirable effect since very recently which you think it to be due to oarl anti diabetic and orl anti hypertensive drugs that you started taking recently.Ideally diabetes and hypertension per Se are two major important conditions that contribute to have Erectile Dysfunction .You need to investigate further by doing color Doppler Scan of the Penis to rule out or confirm that problem of your Ed is not due to vasculogenic in origin (Either arterial insufficiency or Venous leak).As regards taking Cialis on daily basis it has more potent action compared to Viagra.You mat try 5 mg of Cialis daily along with 10-20 mg of Cialis prior to planned sexual activities.Dr.Patil.
|
What causes sudden confusion?
|
My husband is 66. No high BP or diabetes. In great shape but for some confusion when driving, I.e. losing his way in a medium sized city he’s riven forever. This for approximately one year. In the last mont I have notices a constriction of the fingers on his left hand when he has his hands to his side. I’ve mentioned both to him but his answer is to ignore both conditions, other than let me drive most of the time. Could there be any connection between these two seemingly unrelated symptoms?
|
Plz consult neurologist for detailed evaluation I need additional information about his behavioural changes in recent time too he needs to hv complete neurological asesment firstRegards
|
Would history of ADHD cause mood swings?
|
This question is acctually for my boyfriend. He tends to have mood swings, particularly after being out in the sun for long periods of time. These mood swings tend to leave him feeling helpless and like he doesn t diserve anything. Most of the time it passes in about an hour. Sometimes we can get it to pass faster with him eating a little something. I want to help, but I m not even sure what to recomend he might have. I don t know if he has a family history of mood disorders. He does have a family history of diabetes and leg problems. He also has ADHD. What do you think it might be?
|
DearWelcome to HMWe understand your concernsI went through your details. I suggest you not to worry much. I sincerely opine that the given description is not enough to have a proper diagnosis. The tem mood disorder may not be relevant here. Yes. Mood swing problems are part of ADHD. But those symptoms are ever present. You should ask your friend to consult a psychotherapist / psychologist.If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to over come your problems.Hope this answers your query. Available for further clarifications.Good luck.
|
Does blood clots in head cause anxiety, breathing and nervous problem?
|
Hi doctor my name is azad singh My age is 34 years old my problem is my father has blood clotting in his head due to this he has two stroke within a year his age is around 75 years health problem due to this i am very nervous and anxiety breathing problm so request you to please solve my problem due to this my personal life also going to spoil please help me regards azad singh
|
Dear Mr Azad,I can understand your problem that your father has two strike within one year, for this I advise you to consult a neurologist near you who can start preventive medications and make good control of risk factors if any like Diabetes, hypertension, cholesterol. you can take help of physiotherapist for regular physiotherapy. Please do not feel anxious and nervous as troubles feels less if you perceives them with courage and happily. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing your fathers good health.
|
What causes raised ESR level of 70 and fatty liver?
|
my dad is 58 years old. he has severe dry cough, fatigue, slight fever at times. hes slightly diabetic and has blood pressure too.hes lost around 12kgs over the last 4 months. he used to smoke around 5-6 cigarettes till last month. hes stopped drinking alcohol 3 months back. performed ultrasound and endoscopy and detected fatty liver and mild gastritis. his blood test was totally normal 2 months ago. but his latest blood test shows ESR value of 70. some other variations are also present. doctor has ordered for a CT Scan as well. what could be the reason?
|
Thank you for posting query at HCM.noted that your father has a history of Diabetes, hypertension, fatty liver disease and respiratory tract infection.He was a smoker but quit last month.he was alcoholic but quit 3 months ago.though he quit smoking and alcohol recently but the damage may have been done.ESR is elvevated. elevated ESR represents chronic inflammatory disorder in the body. liver cirrhosis/ chronic alcoholism and smoking are risk factors for malignancy (cancer) in liver and lung respectively.therefore , a CT is ordered to rule out any benign or malignant lesion in the liver and/or lung. Fibrscan would have been an option too to rule out liver cirrhosis.sudden weight loss also points towards malignancy though confirmation maybe done by the scan reports.wish him good health.if any further questions, feel free to ask.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik
|
What causes lumps in the vaginal region?
|
Since this past weekend i have developed these bumps between the butt and inner thigh and vaginal region. But it isnt affecting the inside of an vagina like an std, its just around it, where my hair grows and where my butt rubs together. they contain no pus but it seems to be getting worse. Im not sure if it has to do with sweat from the heat, last minute dry shaving, or what. what do you think?
|
Hi,Dear,Good Morning from India.Thanks for your query to HCM Virtual Clinic.-I studied your query in depth.I understood your concerns.-In my opinion-you may be suffering from -mostly from-furuncle of the hairfollicles of the peri-vaginal area .This may occur due to associated diabetes mellitus.-From the facts given-you mostly have -Furuncles of the peri-vaginal area.-You need to consult your Surgeon-and get fbs/pps done to rule out the diabetes issue with you-which could be causing it.-This would help to recover fast.-Not to worry for its recurrence and its definitely not a Cancer for sure.Hope this would help you to recover fast.Wellcome to HCM again for any more queries.Have a Good day.
|
Which specialist should I consult for erectile dysfunction?
|
I suffer erectile dysfunction. Occasionally I awake with an erection and feel pain at the base of my penis. It goes away. When I lose my erection. I use testosterone gel on my shoulders and use cialis 1-2 times a week .what specialty Doctor should see. BK
|
Hello,You can consult with a sex expert for erectile dysfunction. As common causes of erectile dysfunction are:-1) Psychological2) Stress3) Fatigue4) Diabetes5) Other chronic illness.6) Spinal cord injury.You can tablet sildenafil, one hour before intercourse after consultation. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with sex expert.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Michelle Gibson James
|
What causes headaches and blurred vision when suffering from high BP and diabetes?
|
Hi, I'm 40 years old, I'm 5'2'' and I have a medical history of diabetes and high blood pressure. I have a question, I was just diagnosed with high blood pressure last year. I've been taking my medicines just as the doctor instructed me to. But lately, I feel like I'm eating to much salt. I get very intense headaches and my vision go blurry. Today I ate half of a small bag of cheese covered popcorn and a brownie. Now I feel awful! My head is spinning, my right side of my chest is hurting, and I feel like I'm going to vomit! Was all of this caused from all the salt I ate? The headaches I always get but the blurried vision and chest pains are new. Could you assist me in what I should do?Truely,Trinya D.
|
Hi,This could very well be gastritis and reflux problem. You continue to monitor blood pressure reading and avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Eat lots of green leafy vegetables, fruits, fish once or twice a week, and avoid meat. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode
|
Suggest remedy for hemochromatosis
|
I am Diabetic II and have Hemochromatosis -I take warm fresh lemon water for breakfast and lemon on anything I can- it has cut my Accucheck (SUGAR READER-PIN-PRICK DEVICE) from 163 to 68 in 2 weeks !! So the lemons and meds are working. However, the Hemo may have brought on the Diabetes, Im told. SO- the lemons have helped reduce my blood sugar, but are they helping to keep or get rid of the Hemochromatosis?
|
Hi, dearI have gone through your question. I can understand your concern. You have hemochromatosis and it leads to diabetes. Your lemon diet or drugs will not take care of hemochromatosis. For hemochromatosis you should take iron chelating agents like desferoxamine or defiperone. All this are prescription based medicine so consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
|
How can recurrent balanitis be treated?
|
What s up Doc? I have reoccurring balanitis and the ointment my dermatologist gives me works well but is not a cure. I have it now since September last month and I am monitoring it w/o using the ointment to keep a record on how long it runs its coerce.
|
Hello,Thanks for your clinical history on HCM"As"per your clinical history is concerned please follow like this -1)Retract foreskin and wash in warm water regularly.2)Use the cream as advised by your doctor and discuss with your treating Doctor to add [1% pimecrolimus cream, Tropical clotrimazole and bacitracin]Do take preventive measures like this -1)Take care proper personal hygiene2)Try to control of diabetes and other chronic underlaying medical disorders if present.3)Try to reduce your weight if obeseHope that helps
|
Internal hot flash in right foot, right ovarian cyst, gastroparesis, allergy. Tests normal. Suggestions?
|
started in AUgust i had seemed to eaten a slice of cake then right foot had internal hot flash , i had nerv conduction test sept that was normal & xrays normal. Oct the first week i had a sandwich for breakfast & then i started vomiitting , the follwoing week my menstral cycle came on & i had left side & back pain like something was attacking me inside. i found out later i had a right ovarian cyst . Since than i m and havin all kinds of problems from digestive system gastroparesis which i do not have diabetes and my glucose seems to continue to rise , now i m having allergy issues with my throat seems like my swallowing and like my throat wants to close or tongue wants to come out - i have had my thyroids , glucose tested and everthing & i don t know what s going on & no doctor can seem to know - i was always healthy prior to all this happening to me, it seems my whole body is affected & i don t knwo what to do --- what does this sound like
|
it sunds like food allergies may be milk or other foodallrgy can develop ay any time at any age with any foodi think start by withdrawing milk and diary completelyyou can get blod serum test for food specific antibiotics for milk wheat potato or other common food you take get elimination aCCORDING TO TESTS AND I THINK IT WILL WORK IN YOUR CASEs
|
Suggest treatment for sensitive foreskin with redness
|
for 2 months skin of tip of penis on one side is very sensitive to rubbing like from underwear or towel. went to urologist who said meatus is fine. its the skin next to meatus. i have to use a bandaid which prevents rubbing but its not improving. doesnt hurt with sex or urinating. but upsetting since i have to keep using a bandaid and change it everytime i pee. help. what can i do to get this away. no itching or blisters etc. just small area min red. not swollen etc. looks pretty normal. it does seem that when i pee. the meatus seems to stay open more and i have some extra drops of pee than normal. im 50 and have been going slightly more freq to bathroom. sometimes it feels like the meatus is getting caught on underwear but urologist felt it was irrit of skin. whats treatment/ thx
|
Hi and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After reading history you provided, I could conclude that most probably you may be having candidal balanoposthitis. It is a fungal infection caused by Candida albicans. Wetness, soap, excessive bathing, poor immunity and DM might precipitate the disease. Consult the dermatologist for the perfect diagnosis and proper treatment. Diabetes should be ruled out. Keep good hygiene and improve immunity. Anti-fungal tab like Ketoconazole and application of Anti-fungal cream like Clotrimazole cream may be considered under dermatologist observation. Wash the area with diluted dettol. Hope I have answered your query. Let me know if I can assist you further.
|
What causes pressure in head, sweating and blurred vision?
|
Profuse sweating in occipital area, pressure in entire head, blurred vision both eyes, dizziness. Second T I A as per hospital. Cat scan neg. T I A one year apart. First T I A both eyes lost vision for two minutes. Last 10 days continued pressure in head.
|
Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have pressure in head, sweating and blurred vision. Well there can be many reasons for symptoms you mention in query like middle ear infection , labyrinthitis , diabetes, type 2 , medication reaction or side-effect , transient ischemic attack , tumor or anemia. I would suggest you to consult general practitioner for proper examination . Doctor may order certain test like blood test along with taking history and check vitals . Doctor may refer you to ENT specialist for ear problem or to neurologist . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
|
What are the side effects of istamet sitagliptin?
|
i would like to know the side effects of istamet sitagliptin i have been using the above mentioned tablet with no noticable improvement in the blood sugar level. is there any combination drugs that i could use for better sugar control. thanks bhuvana YYYY@YYYY
|
Hi, Istamet is a combination of two medicines (sitagliptin and metformin) commonly prescribed to control high blood sugar levels in people with type 2 diabetes mellitus. Generally, it is well tolerated by most of the patients, however it may cause abdominal cramps, diarrhea, metallic taste, low blood sugar, headache, and sometimes a serious lactic acidosis (metformin). For better control of blood sugar another medication pioglitazone may be added to istamet after consulting your treating doctor. 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
|
How to treat obesity and sleep apnea in a diabetic patient?
|
Respected Doctor.My husband is 50 years ,5.8 hight and 80 kg weight. having type 2 diabetes and obesity ,sleep apnea.he don t do physical activity ,no diet control.He is taking azulix 1 tablets daily 2 for 10 days in a month.remaining 20 days he doesn t take any care..will he out of danger?
|
Hi,If patient has diabetes and is also overweight, like your husband (BMI26.81 kgs/M2), then it is absolutely necessary to control blood glucose within the prescribed limit like fasting closer to 100 mg, Pp 150 to 160 mg & HbA1c%. To control sleep apnea, weight reduction is a must. Lifestyle changes that help reduction of weight will help in reducing sleep apnea. Particularly weight reduction. That means patient has to follow a strict dietary restriction, taking calories based on his ideal body weight (72 kgs X 25 cals = 1800 calories/d), avoiding alcohol completely and exercising for at least 1 hour a day. These changes will help in reducing body weight. Plus there are devices like CPAP, which can be used to prevent sleep apnea. But taking specific medication, controlling blood glucose, following dietary restrictions, adapting changed lifestyle and regular exercise is the only way to overcome the present situation. If he is unwilling to follow these necessary adaptations then it is difficult. Thanks,Dr. Prabhakar Laxman Jathar
|
What causes increased blood sugar readings despite taking Metformin?
|
I have Type 2 Diabetes, and my Doctor prescribed Metformin 1000mg . It does not lower my blood Sugar. The readings are 178 166 203 212 198 156. I told him about the readings. He reduced the dosage to 500mg. The readings readings are still high. What alternate medication should I take?
|
Hello,Take a tablet with combination of Metformin 500 and Glimepiride 1mg. Take this tablet in place of plain Metformin you are taking.Also take care of low sugars, during which you need to take a sweet or biscuit. Exercise for about 40 minutes, at least 5 days a week and Eat less carbohydrates.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Phanindra Dulipala
|
What causes an increase in the body weight during pregnancy?
|
Hi, I just found out that I am pregnant. My first appointment is Monday. I am already overweight and within the past month and a half I have noticed that I've gained around 18 pounds and that is not normal for me. I'm not sure what I should do and I know that the doctor is already going to not be happy that I'm overweight to begin with. I'm so stressed out, I just don't understand why I have gained so much in such little time..
|
Hello dear,I understand your concern.In my opinion the excess weight gain needs to rule out the diabetes.Changing the diet pattern is important like take low carbohydrate diet.Avoid all oily and high calorie food.Take healthy nutritional diet like fruits,veggies etc.Practice antenatal yoga or pregnancy work outs daily.Walking for an 30-40 minutes daily also is helpful.And diabetes and any hypothyroidism should be definitely ruled out.Don't worry.Avoid stress.Due to change in lifestyle the overweight is a common problem these days.And with good care leads to happy pregnancy and delivery.So relax.Hope this helps.Best regards...
|
Is blood glucose level of 191 cause for concern?
|
I went to my doctor last week at 11:30 am. I had breakfast about 8:30 am and an orange about 10:00 am At about 12:00 noon, I had some blood work he wanted and the blood glucose level said 191. Is that an indicator of anything? or is that because of what I ate so close to the blood work? I NOT diagnosed with diabetes.
|
Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. Your blood glucose levels were evaluated at random timing that is glucose evaluated irrespective of the timing of meal intake. 2. Random glucose levels need to be within 140. 191 is high, which needs to be evaluated for Diabetes Mellitus.3. You can go for a glucose tolerance test which will evaluate your fasting sugars and postprandial at timed intervals. Also your glucose intake will be quantified before testing.4. You can avoid any erroneous results with this test and have a reliable result.Hope it helps.Any further queries, happy to help again.
|
How safe is taking Augmentin for citrobacter koseri in left thigh?
|
My husband was hospitalized last august with a high fever,high white blood count. They thought at the hospital he had meningitis,but was diagnosed with citrobacter koseri.He had a hugh=e pocket of this bacterial infection in his left thigh. The dr. did surgery,cleaned it out and left it open to drain. it healed nicely in a couple of months.We then found out he is diabetic,and he began having problemms with the big toe on the same leg. We just found out last week it is citrobacter k.He is being treated with augmentin,,is this the right medicine to treat this infection with.He is 63,has a stent in his heart,is a diabetic. I have been cleaning this wound every day with sterile saline,and putting an aquacell patch and gauze on it.Is this the right treatment?Thanks
|
Hi, The treatment, you are receiving right now is adequate.If i were your treating doctor then i would suggest,1) To continue full course of the antibiotic.2) diabetes is itself a mild immuno- suppressant condition, hence strict DIABETIC CONTROL is a must.3) Always clean the wound with strict aseptic condition.4) Should not stop heart medications, without consulting your physician.Hope I have answered your question. If you have any further questions I will be happy to help.
|
Liver enzymes and GTT elevated. Is it possible to normalize?
|
Hi I have known that my liver enzymes are elevated.Now i want to know that can it be normalize by some precaution or care or it can not be ever.I can not show my reports cause my doctor has those.But as she told me that my gtt and one more thing is elevated.she ask me to control my diet .Now i m thinking is this possible to normalize it.
|
Hello, Since you have not mentioned the type and value of any particular liver enzyme ,I am going to tell you in general. The most common causes for high liver enzymes are consumption of alcohol,diabetes,triglycerides,obesity,consumption of lot of pain killers etc and various types of hepatitis. Your life style change can normalise these levels in few months time. What to do... Quit alcohol. Reduce your calorie intake and reduce your weight. Avoid sweets and deep fried foods. Avoid junk foods and colas. Consume fresh fruits and green vegetables. Do regular aerobic exercises. Take super B complex vitamin with 1000 mg of VIT C. In next few months time,you should be all right. Consult a gastroenterologist if liver enzymes persist or get elevated,even after the lifestyle changes. Thanks
|
Suggest medications to treat diabetes insipidus
|
I have low ADH. I have been tested for Diabetes Insipidus and do have it. The only two Endocrinologists where I live do not what it is. All my mucous membranes are dry, especially my eyes. My eyes are very sensitive to light. Any ideas what I can do? Are there any solutions?
|
Hello, Thanks for the query.The condition diabetes Insipidus is a rare entity. There are two types 1)Neurogenic- where there is deficiency of ADH secretion & 2) Nephrogenic where kidney is resistant to the action of ADH.Since yours is a ADH deficiency disorder, if not very severe then adequate water and other fluid intake should be enough to control the condition. If it is severe, then hormone supplemetation with Desmopresin can be dose. This drug is availabe as tablets, nasal spray and Injections. But better to use it under the guidance of an endocrinologist. It will help reduce water loss and improve all the associated symptoms. Thanks.
|
What causes bump on tailbone?
|
i suddenly had a U shaped bump on my tail bone, right where the buttocks ends, and slowly it began to swell and hurt. Today, i wiped just because it felt too... moist, and there was blood. i get home and check myself and the pressure is mostly gone but now i m...unbelievably leaking and i m not sure what s going on.
|
Hello and welcome to Healthcaremagic.I am Dr Asad Sami.I have read your question and i can understand your concerns.I will be answering you.What is your age.??What is your profession.??you have to sit for long hours..??Any history of diabetes or other Iimmunosuppressant conditions.??Any history of chronic diseases such as tuberculosis or inflammatory bowel disease..??According to the information you presented you probably have a Pilonidal abscess or Pilonidal sinus.If I were treating you in my clinic i would have examined that area to look for fluctuation of fluid underneath.this is positive in abscess.for abscess i would have aspirated the pus and I would have sent it for culture and sensitivity.I would have prescribed a trial of antibiotic such as ampicillin plus flucloxacillin 500mg four times day.It usually subsides with antibiotics and if doesnot subside then it will need incision and drainage.Pilonidal sinus is another possibility.it is a branching tract beneath the skin lined by epithelium which has opening outside the skin.Its treatment is surgical exicision of the tract by karydakis procedure.I would suggest you to meet a general surgeon.In the mean time remain calm and keep that area clean with hydrogen peroxide or pyodine.Thanks.Hope the answer is helpful.Feel free to ask further questions.Regards.Dr Asad sami
|
What causes muscle weakness in an elderly person?
|
my mother is 61. over the past 10 months she s developed muscle weakness throughout her body. at the end of December she was walking with a cane, end of January she was using a walker full time and now she barely walks with a walker by dragging her feet. she has little strength to lift her arms. she currently has seen her pcp, neurologist, neurosurgeon & pain management specialist. pcp thought MS, after mri neurologist thought spinal stenosis, neurosurgeon ruled out both with contrast mri. they all seem to be stumped at what is causing her rapid decline. im just curious if there are any other suggestions.
|
Hello, Thank you for your query. *Did she have any illness prior to the onset of the muscle weakness?*any family history of neuromuscular disorder? * does she have any other medical issues (like diabetes, for instance) or take any medications *had a MRI of the brain been done? Results? *how is her cognitive function? Is she able to tell the right time and date, able to remember & recognize people, names and places? Is she able to to have a conversation? I would like to rule out auto immune disease like guillain-barre syndrome. I recommend :-Electromyography, nerve conduction studies -lumbar puncture for cerebrospinal fluid analysis -muscle biopsy to assess neuro muscular junction-blood tests (complete blood count, vitamin b12 levels, immunophoresis, heavy metal levels, Thyroid profile, blood sugar panel, folic acid levels, Creatinine, Creatinine kinase levels, liver function tests, erythrocyte sedimentation rate, auto immune panel). Based on this, we can have a better idea as to what is happening. Hope this helps. Please let me know if there is anything else I can help you with. Wish you both good health
|
What causes frequent urination with increased hunger after doing exercise for fatty belly?
|
Hi Doctors, I am having more frequent urination from yesterday, almost once in an hour a must. I fee no pain, no color of urine. I feel hungry after meal very early as compared to before. I have a lumbar lordosis and a fatty belly. What could be cause of this is that I started exercise for belly fats and lordosis. My age is 24. Here you can see what exercise I started. http://www.youtube.com/watch?v=Cypm7NibSEk&list=PLRIGfw8q_5gByeJ0c8oAWeMXwpyG6SnQl Also I feel like I loose fats or feeling belly very light weight in my lower portion of belly.
|
Hi.Thanks for your query.Get your blood sugar checked, let us confirm you are not diabetic.The reason for frequency can be due to urinary tract infection or can be due to diabetes - the reason being there is more sugar in the urine which draws more water into the urine causing the frequency.Hunger after food again is an indication of diabetes .Once the diagnosis is done, treatment is easy and with proper treatment the symptoms will be abated .
|
Is there any cream penis for cure of yeast infection?
|
I am diagonised penis yeast infection and given oral tablets and onabet cream. But no relief since last 5 days. (I am diabetics, but under control medicinally and were on heavy antibiotics recently for some allergy). Is there any better cream can I apply for getting quick releaf from this bad itching (especially at night)
|
HelloThanks for your query,based on the facts that you have posted it appears that you have genital Candidiasis which is common in diabetic individuals.Please take anti fungal medicines like Fluconazole with topical anti fungal jelly like Daskyl for local application Please recheck your blood sugar levels to confirm that your diabetes is well controlled..Ensure to wash your genitals with warm water twice daily, Dr.Patil.
|
What causes pins and needles on body with burning eyes?
|
hi dr. for the past 1 year i have been having some health problem , but still now they don`t know what`s wrong with me. burning feet, pins an needle all over my body, pain on finger nails, burning eyes,tingling on my face, bum. burning tongue an me head. i have done all test but all negative.
|
Hi,From history it seems that this can be due to neuritis or long term diabetes.There is another possibility of having Vitamin B12 deficiency.Go for B12 estimation and blood sugar estimation.Take vitamin B12, B6 and other multivitamin supplements.Ok and take care.
|
What does mild left pelvicalyceal dilatation with mild thickening of urothelium mean?
|
Could you please tell me in lay terms what this means? And what treatment you d recommend if any? Small kidneys with diffuse increased echogenicity of renal parenchyma billaterally and loss of corticomedullary differentiation. Likely related to chronic medical renal disease. Mild to moderate left pelvicalyceal dilatation with mild thickening of urothelium.
|
Hi,Thanks for writing in.I guess you have got ultrasound scan done and the report findings are mentioned by you.The details in simple language are below.1. Small kidneys with diffuse increased echogenicity of renal parenchyma billaterally and loss of corticomedullary differentiation. Likely related to chronic medical renal disease.This means that the kidneys have slightly shrunken in size and the appearance of the renal cortex is increased. In other words, the kidneys have started to function below normal and this might be related to conditions like diabetes or high blood pressure should you be having either or both of them.2. Mild to moderate left pelvicalyceal dilatation with mild thickening of urothelium.The left kidney shows a suspected block in the collecting system and also the thickening of the lining of tubes connecting the kidney to the bladder on the left side.The above findings are indicative of a decreasing kidney function. This needs to be reviewed by a nephrologist and they might suggest further testing to know the quantitative functioning of kidneys by doing tests like creatinine clearance and radioisotope renal function. Treatment is based on controlling any other medical condition that you might have and delaying the progression of renal failure by giving medicines.
|
Diabetic, have rare form of spina biffida, pinched nerve in hip. Abdominal pain, sonogram scheduled. Pain relief?
|
I'm 65 years old with type 2 diabetes, and a long history of health problems beginning with a rare form of spina biffida. I have an Indiana urinary continent diversion, and am suffering from a pinched nerve in my left hip. But that's not my problem. About 2 weeks ago I started having a weird pain in my right upper abdomen. I am scheduled for a sonogram to check my gaul bladder on Nov. 4th. Is there any thing I can do to reduce the pain until then?
|
Hi,Thanks for writing in.If a gall bladder problem like stones or sludge is suspected you may have to do the following:1. Avoid fast and oils in foods.2. Avoid chicken and meat in your meals.3. Drink plenty of fresh fruit juices and include foods in your diet.4. Do not fast or skip meals.5. Avoid milk or milk products like cheese.6. Have boiled vegetables and soups.7. Eat small and frequent meals.Hope this helps
|
What causes intermittent numbness spreading from head to arms, vomiting and diarrhea?
|
I have episodes or spells to where a numbness tingling that goes from my head to my arms all the way to finger tips but no further not below chest area then pass out ive had two or three episodes where my daughter in law finds me in floor, then i have diarrhea and vomiting after or while im out i have diarrhea
|
Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have intermittent numbness spreading from head to arms, vomiting and diarrhea. Well there can be many reasons for symptoms you mention in query like peripheral neuropathy , food poisoning , gastroenteritis , irritable bowel syndrome , lactose intolerance or side-effect. I would suggest you to consult gastroenterologist for proper examination . Doctor may order stool test , ultrasound along with taking history . Doctor may prescribe anti emetic drug , lopramide , omeprazole along with ornidazole . Doctor may also refer you to endocrinologist for diabetes or orthoedic surgeon for arm problem . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
|
What does PP level of 257 indicate and diagnosed with hyperglycemia?
|
1. I am a aptient of HyperGylcemia . PP Level is 257 ( Recent ) . I have visited a lot of doctors without ay success. Can yo advise medicines on line . All precautions are being taken by me regarding eating habits / drinking. Kindly help
|
Hello and welcome to HCM,I suggest you to take a fasting blood glucose level and a post prnadial blood glucose level again on the same day.The fasting blood glucose level should be taken after overnight fasting.After fasting blood sample, brakfast should be taken followed by post-prandial blood glucose level should be done after two hours.A fasting blood glucose level more than 126 mg% and post-prnadial blood glucose level of more than 200 mg% is diagnostic of diabetes mellitus.Treatment can be started after these two tests are done.Diabetes Mellitus is of two types- type 1 and type 2.Type 2 Diabetes occurs in middle life and is commoner of the two types.Management of Diabetes Mellitus involves diet control, regular exercise and medication.Management can be planned after clinical assessment and relevant investigations.Thanks and take careDR Shailja Puri
|
Suggest medication for COPD and infection
|
Hi Dr. I wanted to ask you about my father s health. He is a patient of COPD. He easily catches infection. Would like to know what would be the ideal choice of antibiotics for him? Kindly suggest medication which can give him some relief from continuous cough also. His Profile: Age 60 years History: Hypertension, Diabetes (both in control with medication), He is on Aspirin 75 mg as well. he underwent an BPH operation 6 months back. He has cough throughout the year.
|
Hi,COPD is a chronic condition and recurrent attack is very common.Every time he might not require antibiotics.Give him some broncho-dilator medicine or inhaler if require.Quit smoking if he smokes.Ask him to go for Deep breathing exercises daily and regularly.Avoid fried, spicy and junk food.Avoid cold drinks.Ok and take care.
|
Will Bigomet help one lose weight and regulate menstruation?
|
Doctor, This is rashmi. I haave PCOD since 6years. i was put on Dianne-35 for 1year thn since i gained weight i was put on Loette for last 7months. I've put on weight again.... now my gynaec has stopped loette and has told me to take Bigomet 500 twice a day for 2months... will i lose weight and will my irregular period problem come to an end?? please tell me... I am 23 years old.(married) will i be able to conceive??
|
Bigomet may help to restore ovulation so that your irregular period can become regular and it improves the chances of conceiving. The drug may help to reduce the weight but we cannot say that it will definitely reduce the weight. However it may not increase your weight; further it may help in the treatment of hirsutism which is common with PCOD. Further it can reduce the incidence of early miscarriage and the development of gestational diabetes, both of which are more common with PCOD.
|
How can i control the SGPT by diet ?
|
MY NAME IS FARHAN I AM FROM PAKISTAN HIGHT 5 8 WEIGHT 176 LBS AGE 31 MALE SGPT IS236 SGOT 94 ALKALINE PHASPHATASE 331TOTAL PROTEINS 7.2 ALBUMIN 4.3 GLOBULIN 2.9 A/G RATIO 1.48 HOW CAN IT MAY BE NORMAL DIET HOW CAN I CONTROLE HIGH S G P T
|
hello farhan thanks for the query SGPT is an enzyme which is normally released from the liver cells. the increase in sgpt more than sgot and associated mid increase in alkaline phosphatase tells us that there is a problem with the liver. this could be an associated infection. in case you are otherwise healthy and this is just a routinely done lab result. you should avoid alcohol, reduce weight , check if you have diabetes, check if your lipid profile is normal. hope this helpful
|
What is the treatment of pain in foreskin ?
|
yes initially i had a itchy in my foreskin and after ward my foreskin started to drowning, i took the medicine and applied the lotion. since for three months i avoid the sex also. now my foreskin cannot strecht and its painful when i get erect pls help
|
HelloThanks for your query,based on the facts that you have posted it appears that you have itchy foreskin and painful on erection.This could be mostly due to Muco Cutaneous Genital Candidiasis (Fungal infection) which is common in person with diabetes.Please get your blood sugar tests on empty stomach and 2 hours after lunch done to rule out/confirm the same .If positive you will need to take medications to control your diabetes.Take anti fungal medication like fluconazole with topical anti fungal cream for local application.Get the prescription of medicines from your family Physician.Ensure to wash your genitals with warm water twice daily .Dr.Patil.
|
Have asthma along with prednisone induced diabetics type 2
|
Hi, My name is Gladys. Been diagnosed with Asthma for years, also on first admittance to hospital was told I had Prednisone induced Diabetes type 2.. In last few days been on Prednisone and antibiotics for chest infection. In last 2 years this has been almost constant with deteriorating Asthma.
|
Hello Gladys,Welcome to HCM,You are vicious cycle of alloathic medicine. Your problems are mostly due to side effect of medication like long term use of antibiotics had converted your chest infection into Asthma which is troubling you more and prednisolone had gifted you DM type 2.Homeopathy has better solution for asthma. With help of homeopathic treatment as you improve, you can taper off prednisolone and stop it. This treatment have no side effect. For proper homeopathic treatment detail history is must. So consult to homeopath for proper treatment.Have a better health.
|
Suggest cause & medications for lump in finger
|
Yes I am a 49 year old woman and have just noticed a small pea sized fairly solid lump in the palm of my hand in the middle of the soft tissue at the base of my middle finger .I have had pain in both hands and up my arms since november and have been wearing braces at night which has helped to limit the pain.I have been waiting for my appointment to check for carpal tunnel and just discovered this lump. What could it be and what is treatment?
|
hi,greetings from HCM.It may probably be a subcutaneous nodule which is due to thickening of facia or subcutaneous tissue.You have to consult a physician and check for diabetes or connective tissue disorders which present with carpal tunnel syndrome.Best treatment is to consult a neurosurgeon or orthopedician and do carpeltunnel release and decompress the medial nerve
|
How can reduced sexual drive and weak erections be treated?
|
Hi sir, my age is 30 years. I got married recently.when ever I participate in sex with my wife Iam unable to insert my penis.Penis is folding due to weak erection. When compared I used to hav a bigger one when erected in past. Iam also feeling that feelings are also decreasing day by day in me. My weight is 94 kgs and I don t hav diabetes or bp till now. Which doctor should I consult to over come this issue .
|
Hello dearI understand your concernErectile function treatment will depend on the causes.Medical causes like: obesity, smoking and alcohol use, problem in the back nerve/neurological disease, low testosterone.Psychiatric cause: performance anxiety/depression, anxiety about partner's satisfaction,Marital disharmony if any, ongoing stress at home and at work place(if any), I think it could be due to obesity and performance anxiety as you married recentlyI would like to advice you for health check up and get the following test done to rule out any underlying medical concerns in the first place : Fasting and postprandial blood sugar, lipid profile, serum testosterone level, Ultrasound pelvis and scrotum.If all of those investigation results comes within normal range, then you should go for sexual counselling and psychotherapy by visiting a psychiatristFollowing advises will help you:During sex, you have to give proper time for foreplay before going for penetration. Foreplay should continue even during the intercourse also.Try women on top position.Do regular exercise like running, yoga, kegel's exercise, breathing exercises.Free communication and mutual understanding with partner will help.Take high protein diet with fresh fruits and green leafy vegetables.Avoid sex when you feeling fatigue and low.Following medicine will help you after complete evaluation:Paroxentine, sildenafil and testosterone shot (for low testosterone) will helpful.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar
|
Should Metformin be taken regularly for Pituitary brain tumor?
|
My husband has a pituitary brain tumor He takes Cabergoline, Synthroid, Prednisone, Amlodipine, Lisinopril, VitD3 and has been taking Janumet50/1000. Since ObamaCare started we lost our insurance.... Now his Cabergoline is $674.00 a month for 24 pills & his Janumet is $368.00 we cannot continue to pay for this because he also lost his job in the coal mines!!! Before he took Metformin, but he always forgot his morning dose, so therefore his endo doctor hanged him to Janumet....if he would take the metformin correctly wouldn't that be okay?
|
Hi, dearI have gone through your question. I can understand your concern. First of all metformin is not used for pituitary tumour. Metformin is used in treatment of diabetes. It is oral anti diabetic drug. You can take metformin to control sugar level according to your doctor's advice. For pituitary tumour he should continue his previous treatment. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
|
Irregular periods, spotting. D&C scheduled. Uterine cancer? Have menopause and prediabetes
|
I am 53 years old, recently went through menopause and have prediabetes . I have not had a regular period for over 5 years now. I recently had minimal spotting, but my doctor ordered an ultrasound . My endometrial stripe is 7.5 mm thick. I am scheduled for a D & C this Wednesday. Should I be scared and worried about uterine cancer? What else could this problem be cause from? Thanks!
|
Hi, thanks for using healthcare magic Bleeding after menopause is unusual and needs investigation but may not be necessarily due to a life threatening condition. It can occur as a result of polyps (overgrowths of tissue) which may be benign, thickening of the endometrium, excess thinning of the endometrium can also cause pv bleeding. It can also be as a result of endometrial cancer but the exact cause will not be known till all the tests have been completed. Endometrial cancer occurs in about 24 out of 100000 women and effective treatments are available if detected in early stages. I hope this helps and wish you the best
|
How to treat echotexture in liver?
|
ok.... I'm female 53.... weight 145.... 5'4 alt was 52 and ast 32 had a ultrasound and the results are... the liver is diffusely increased in echotexture. no masses or intrahepatic biliary ductal dilatation. visualized portions of he pancreas are unremarkable. no gallstones. no gallbladder wall thickening or pericholecstc fluid. common bile duc measured 3mm. right kidney measured 10.0 cm in length and was unremarkable ... impression: fatty liver, stable no other significant findings.I'm stressed out, and not sure how serious this is.... I eat normal and do have cocktails.... my email will not be posted correct
|
Thanks for your query.Taking you clinical history and imaging findings in to consideration, your BMI, is 24.8 (on the higher side). Fatty liver can arise due to a number of coditions - mainly alcoholic and non-alcoholic (diabetes and hypertriglyceridemia are common conditions). Your liver enzymes are within acceptable limits though and you have no other gross abnormalities (no gallstone, normal CBD). Stage 1 fatty liver is reversible. You need a weight reduction (by a healthy regimen, crash dieting not advised as it may aggravate the condition) and reduce the fat content of your diet (mainly the saturated fat). If possible you need to avoid alcohol. I would also advise you to get your Fasting and Post prandial blood sugar checked along with your lipid profile (if deranged may need medications)Weight reduction and fat restricted diet should be sufficient at this stage, you can get yourself retested in 6 months.
|
How can fasting sugar level of 303 be treated for elderly women?
|
Sir. My aunty age 77 fasting sugar is 303.which medicine should she take.pp not done.before one year she took vozuca.2active for the same condition for 3 months and it was helpful but thereafter she stopped.please advice me what to do now.should she continue the same.
|
Good day,Noted your question. Why did she stop Victoza. It is good drug in Type 2 diabetes mellitus along with Metformin. Please get an Hbaic, Fasting blood glucose, creatinine,Liver function test , Lipid profile and Urine albumin tests to decide the best choice of drug in her. If her kidney and liver function are normal, my first choice would be a combination of Victoza and Metformin. In addition, she need a diet counseling and exercise plan.RegardsBinu
|
Experiencing burning sensation ans pain in urinary track
|
Hi doctor, I have diabetise but it is under control. Iam having urinary track burning sensation and pain for the last 4 months. the pain is not in one place. it differes through the pennis. can you please what could be the problem and how to identify the problem and how to rectifiy it . thanks,
|
Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Diabetes puts you at a risk of urinary tract infection or UTI.High sugar in urine makes bacterial growth more favourable.I advice you to do Grams staining, culture and sensitivity from the urine.If the report said any bacteria more than 1 lac colony per ml of urine than you should take the drug under your doctors guidance and as per the sensitivity report.Please maintain good local hygiene as it can be helpful equally in the treatment as antibiotics do.Please drink plenty of water as it can be helpful to flush the bacteria out of the system.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
|
Can I conceive at age 36 with controlled diabetes ?
|
I am 36 yrs old have diabeties after my first delivery at age 30. I got my first baby after infertility treatment and had metformin tablets during pregnancy(for pcod). I had cesarian during 8th month. That time also my sugar level was normal. I became diabeties only after 4months of my delivery.Now I am using metformin 500mg 2 times ,but for the past 6months my sugar level is normal. My question is whether I can concieve another one without any risk.
|
hi sheena! u can certainly do so esp if u are a well controlled diabetic . all u need to do is get some investigations done --hb/tlc/dlc/esr/ HbA1c/ urine r/m/ fasting & pp bld sugars / lh & fsh levels in fasting --- do consult a physician in person as well as your gyna dr. keep taking your anti diabetic medication now . later on during pregnancy your physician will switch you over to insulin --which is best anti diabetic of pregnancy
|
How does Insulin administration affect Liver Glycogenesis?
|
what happens if I have an administration of insulin to Liver glycogenesis Liver gluconeogenesis GLUT 4 in the liver plasma membrane GLUT 9 in the liver plasma membrane Muscle glycogenesis Muscle gluconeogenesis GLUT 4 in the muscle plasma membrane
|
Hi thanks for asking question.Insulin decreasing blood glucose level.It will stimulate glycogen synthesis in liver...Insulin inhibit gluconeogenesis...Insulin also promote glucose mobilisation and entry of glucose in muscle or fat cells using Cell membrane GLUT4 receptor transporter....So overall insulin act to decrease glucose level in blood in diabetes....I hope your concern regarding action of insulin solved....Take care.Dr.Parth
|
Suggest treatment to cure fluid retention in body
|
My mother had a small cut on her leg which is already swollen with water retention now the fluid is leaking out of her leg and causes a large wet patch on her bed. She is now on two water tablets (normally one). To me the small cut looks bigger because water comes through the area that was cut (it was only a small nick).
|
Hello, I feel you need to check your mother's blood pressure, diabetic profile and also the blood profile. In some cases due to diabetes, there will be delayed healing. Also, if one having lower platelet count the clotting factor is not good. Also, if the wound is infected it will not allow healing to occur soon. Having an examination with a physician will be of great advantage as some reports may need to be done. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
|
What causes chronic headaches and hair loss in a diabetic patient?
|
Hi, my name is Oslyn. I have been diagnosed with diabetes a year ago. As of three weeks ago I have been loosing my hair, loosing weight and having sever headaches. I have Lost 16 lbs, not intentionally. My hair is falling more than usual. I m having headaches at nights only. I m currently taking Junuvia 100mg daily.
|
HIThank for choosing HCMYour query and concern is appreciated, if this is the diabetes then it may not cause the hair loss of weight loss, hair loss could be due to age and gender related like in male it could be male patron baldness, for the weight loss underlying disease condition needs to be ruled out, you have given very little information here, you have not mentioned the gender, neither mentioned how much you are weighing now, hope this information helps.
|
History of spinal fusion surgery. Loss of strength in arm and leg. Jaw numbness. Suggestions?
|
in 2003 i had spinal fusion surgery C5/C6. i have had significant size and strength loss to my left arm and leg (varied by as much as a full inch). today i suffered a partial paralysis of both arms after lifting boxes in the garage and also a numbness to the entire upper jaw. the entire event lasted less than thirty minutes but has me freaked out. i am 44 years old and do not want to be paralyzed. can you offer any suggestions?
|
Hi, Thank you for posting your query. The most likely possibility in your case could be a transient ischemic attack- TIA. In this condition, the blood supply to a part of brain is reduced for a short period of time. This is more likely to occur in presence of risk factors such as diabetes, high BP, cholesterol, smoking, etc. You may get screened for these risk factors. Cervical spine problems may lead to weakness of both arms, but the numbness of jaw can not occur with spinal problem. You may consult a neurologist for evaluation. Wishing you good health, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist
|
What are the effects of having high blood sugar levels?
|
My boyfriend just took his blood sugar by pricking his finger and it is 380. He has not been keeping track or taking his meds for quite a while due to lack of insurance- he does have some of his meds left , but I want to know what can happen when it is this high and what we can do to get it lower
|
Hi thanks for using healthcaremagicSugar value of 380 is really high,it has to be treated properly.High blood sugars can cause acute(sudden)complications or chronic(late) complications.Acute complications like sever dehydration and its complications,infections,blurring of vision,sever lethargy etcChronic complications include Vascular complications(small vessel and big vessel).It is called diabetic retinopathy(eye),diabetic nephropathy( kidney),diabetic neuropathy(nerves).It can also cause cardiac and brain problems.To lower the sugar values we have to take proper treatment like drugs and if necessary insulin.It depends on the type of diabetes .Hence please consult a doctor and take his advice.Thank you....
|
I am suffering from belly pain, bledding naval and diarrhea
|
Hi, i m a 22 year old female, very overweight at 18 stone and 5ft 2in in height, I suffer from depression, diabetes and reflux but have been consistent with taking my meds and have never had a problem with them! A few days ago the area around my belly button i noticed was becoming very painful, i was crying with it last night i was in so much pain, today however i noticed there was dry blood all around the outside of my belly button so i cleaned it off and noticed it was still bleeding, its only bleeding a little but its been like this now for quite a few hours, i have also been suffering from chronic diarrhea which started at the same time as my tummy pains, I have felt very sick but not actually been sick, what can I do to help myself ? Thankyou
|
hello u need o consult some surgeon u need to be properly examinied u need to have some investigations done
|
Suggest treatment for painful and numb bump on shin after injury
|
I fell down the stairs almost four months ago, and my leg is still sore and numb. I had a very large goose egg on my shin and the side of my leg. I had X-rays and a test for blood clots that were negative. I also have diabetes. Is it normal to still have pain and numbness?
|
Welcome to Health care magic.1.No its not normal to have pain and numbness through out - there could be some nerve involvement causing the above symptoms.2.After injury, collection with pain - can think in terms of infective process.3.Get an ultrasound to evaluate the type of lesion, where it is from and what content. A needle aspiration to assess the cells.4.After the results - a small incision and drainage followed by a antibiotic course will be helpful.5.If money is not an issue - MRI of the area / leg will help in good anatomical and biochemical delineation of the lesion. Good luck.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you.
|
Does adenoidectomy cause chronic fuzzy head and lethargy?
|
Hi, my husband had his adenoids removed about 3 years ago because of recurrent infections. It helped the infections but since the surgery he has had a chronic 'fuzzy head' and lethargy. Could this be a long term side effect from the surgery or could it be something else unrelated? My husband is 40yrs, 90kg, suffers from dust mite allergy and has lactose and fructose malabsorption.
|
Hi, There is less relation between adenoid surgery and lethargy. There can be other reasons - thyroid issue, malnutrition, vitamin deficiency or diabetes. Share more details. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist
|
Can ulcers inside foreskin be totally cured?
|
Dear Dr, I m 33 year old, married male with a ht of 5ft 5 inch & weight of 73kg. Since last 3 days, I have developed ulcers on the inner part of foreskin of my penis, which is very painful. I waited for 2 days before i went to a dermatologist yesterday when he prescribed me NUFORCE-3 kit along with FUCID ointment. I just want to know is this very serious & can be cured with this treatment as I m very worried & have never developed such conditions in past. Also I never had sex with anyone except my wife & she too never had such diseased condition. Pl help.
|
Hello I share your concern.At the outset I would like further information for better assessment of the condition likeIf possible upload me a photograph?your age, any relevant medical history like diabetes or high blood pressure?Looking at your description it seems to be treatable condition so you need not to worry about this.Nuforce 3 kit contains azithromycin, fluconazole and ornidazole drugs which takes over of bacterial, fungal and other infection, so you will be alright by the time you will finish this course.In addition to the medicines I would advise you to wash it antiseptic solution and keep it clean and moisturised and apply Fucid ointment.It may take 5-7 days to heal completely so don't worry and if doesn't please write back to me with a photograph so that I will be able to tell you more precisely.Best wishes
|
Why is Korandial 5 and Ismo Retard prescribed for ?
|
Sir what is kore dial 5 for and ismo retard 40 mg for I have been given medicine by two different cardiologist one has given me korandil 5 andnitrocontin 2.6mg to be taken twice a day by other doctor was given ismo retard 40mg to be taken one daily second clopitab-a 75 to take after lunch I visited two doctores for second opinion my email YYYY@YYYY
|
Hi, Thanks for your question. After going through your question, I want to know - 1) For what reason have you visited doctor. 2) Your age and gender. 3) Presence of Diabetes, high blood pressure, cholesterol problem. 4) Presence of Heart disease. 5) Family history of heart disease. 6) Any investigation done like ECG, 2DEcho.
|
What causes frequently occurring respiratory infections?
|
I am an RN and my mother keeps getting respiratory infections with high fevers and SOB. They keep treating her with Doxycycline and I am afraid her immune system is compromised. I also worry about super bugs. I have suggested that she see a pulmonologist, she also was hospitalized with Influenza A this spring as she was struggling to breathe. She has hx of asthma, hypothyroid, hypertension, obesity, borderline diabetic, BLE edema frequently. What is your suggestion to this problem? She again just yesterday came down with a severs respiratory infection overnight with a sinus infection and AGAIN is on Doxycycline. I am getting frustrated because they are not coming down to the bottom of the problem. Some type of fungal problem? CHF? Help?
|
Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* There are various reasons behind this as - decrease respiratory compliance - alveoli damage from various reasons- recurrent allergy - immunocompromised state- pulmonary basic pathology not detected - infection of previous state half way treated or the drug regimen were non respondent - associated ailments supporting frequent infections as low hemoglobin diabetes or others * Needs intensive work up with laboratory tests , x-ray chest , pulmonary function tests , diagnostic bronchoscopy or CT chest according to the concern of the pulmonologist .Hope to clarify your query .Welcome for further questions .Thanks for using Healthcaremagic.com & giving opportunity to assistWishing her fine recovery .Regards dear .
|
What can cause elevated blood sugar levels along with pain and swelling in the knee?
|
My husband is diabetic. his blood sugar has been running very high for the last few days...158 to 196..also his feet and ankles have been swelling and his right knee is painful and a little swollen. I took him to see his Dr. when it first started...she thought it would be ok.
|
Hi, If 158-196 mg/dL are fasting blood sugar results ,than it is true that these are not good result. If these results are not fasting,than we can say that the situation of Diabetes is Ok! About her swelling in his extremities,there are several possible causes like heart disease,kidney disease ,lymphoedema ,deep vein thrombosis etc. The pain and swelling in his right knee can be signs of a possible local inflammation and this can be the cause of her actual high blood sugars. My advice is to consult physically his doctor because it is necessary to do some blood tests and an X ray of his right knee to check for possible causes that can explain his actual situation. These tests are very important to reach the right diagnosis. An diuretic scan be helpful but only after the right diagnosis you can have the right treatment. Hope I have answered your query. Let me know if I can assist you further.
|
What can I do to alleviate pain and warm sensation on the feet?
|
My feet bother me at the end of the day. I did a blood test I am predisposed for diabetics but in the meantime I am suffering. My feet get very very hot and painful at the end of the day. I am not on any diabetics meds. What can I do to alleviate my symptoms?
|
Hi, In patients with diabetes there is sensory and nerve problems which lead to pain and warmth or tingling sensation at first. I believe Gabapentin can help you to improve your symptoms. You should be careful about the cleanliness of your foot and avoid trauma. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammad Mostafa Ansari Ramandi, Cardiologist
|
Experiencing numbness while lifting hands parallel to chest
|
My fingertips go numb when I either have my hands lifted to they are parallel to by chest. When I put them down at the my sides I get the feeling back and it seems like the blood runs back down to my hand. Could I have poor blood circulation or is it something else to that effect? Low iron in blood perhaps? Can you please help me to understand why this happens? thanks
|
Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your clinical description it seems that you have peripheral vascular disease of your upper limbs. It is a constrictive disease of the blood vessels due to which blood circulation to the peripheries of the limbs decreases. If I were your treating doctor I would have done some clinical examinations and suggested you some tests as follows- Complete hemogram, fasting and PP blood sugar, lipid profile, doppler ultrasound of the upper limb vessels (eg: subclavian, brachial arteries) and regular monitoring of your blood pressure; to rule out any comorbid conditions like Hypertension, dyslipidemia, Diabetes mellitus, and to diagnose the vessel involved in the disease.With proper clinical evaluation and diagnosis you may need to visit a physician and a vascular surgeon for further evaluation and management. Hence, I would suggest you to visit your doctor with these early symptoms to rule out the disease. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Md Firoz Mullick
|
Numbness in legs and feet, afraid of falling
|
Condition has gotten significantly worse, when I sit on toilet, I am afraid I will fall due to numbness in legs and feet , especially left leg and foot . I have to hold on to something for support to walk or crawl when I first get up. If not, I have to physically pick my leg up and move it while supporting myself on whatever is near. This last about 3-5 minutes, but making me afraid of falling. Don t want to have to Crawl.
|
Numbness in the legs and feet could be because of a peripheral nerve problem (nerves of feet). Short-duration numbness after sitting is common and is not worrisome. However, if numbness persists for longer duration or if it occurs without any pressure on the affected area, a nerve disease should be excluded. You should see a neurologist, who might perform a nerve conduction studies (NCV) test. In addition,he may also check blood tests for diabetes, vitamin B12 deficiency and thyroid. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist Apollo Health City, Hyderabad
|
Suggest treatment for pain in the palm and foot
|
Recently I started having pains on palms and foot. My GP has just prescribed Renerve plus. All the FBC I have done in the last years have been within normal values. Though there s a family history of Type 2 diabetes mellitus, I have not been confirmed to have it. I quite bothered. I am 50 and weighs about 63kg.
|
consult a physiotherapist and join a good gym.start good exercises under proper supervision.enjoy life. forget the doctor.you have no disease
|
How common is artery blockage in elderly males?
|
I am a 52 year old male. I had a stress eco-cardiogram which indicated the possibility of some blockage in my arteries. I have no chest pain or shortness of breath and not family history of heart desease. I perforemed well during the test. How common is it for males in my age group to have artery blockage?
|
HiThanks for consulting us.It is fairly common(20%).Risk increases with age,being male,hypertension, hyperlipidemia, obesity, diabetes and smoking. You need further investigation like thallium scan and angiogram.Hope you are satisfied.Please rate our services.HCM shall be pleased to help you in future,too.
|
What causes sharp pain in the armpit?
|
I have a sharp pain in my right arm pit. I feels like it is very deep in there, like muscle. My should is also sore, but I have had that for quite awhile and know that I will need to get it replaced. This pain is new and seems to worsen when I do a lot of movement with the arm and also feel some pulling pain in the neck. I have checked for lumps and due to an upcoming surgery a CBC had just been completed and all was normal.
|
Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Pain in the arm pit may be due to allergies, common cold,sweat gland infection , swollen lymph nodes, heart burn , breast cancer,pulled muscle,cysts , diabetes , shingles and inflammed hair follicles etc. Until examination is done it is difficult to say what it is. Use pain killer medication and physiotherapy. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further.
|
What should a pre-diabetic do to prevent diabetes from occurring?
|
Hi, i was diagnosed as being pre- diabetic two months ago with an A1C of 5.8. I am female, 5 8 and 140 lbs (in a healthy range but skinny looking for my frame). What can i do to hold off or better yet, prevent becoming a diabetic? I am afraid to lose anymore weight (by exercising hard and eating little to no healthier carbs) and my GP said that bumping my weight up to 150 would not be a bad thing as i am on the low end of my healthy range. I am starting vingear before meals to see if it helps lower my sugar levels (but afraid it will make me drop weight). Any advice?
|
Hi With your query, in diabetes to keep the insulin levels normal one have to keep a check to their diet. Yes ofcourse it is necessary to have low calorie diet which helps the body to regulate and utilize the energy that is available inorder to maintain normal insulin levels. Often diabetic patients loose weight but you have mentioned that you are pre diabetic which means you are prone to diabetes so always maintain good health by exercising but not without proper food. Try to consume low carb diet with more fiber content. I would definitely say not to worry about unless you stop working out. You are just pre diabetic have good food with less number of sweets if you are a sweet lover and good protein diet with low calories and more fiber cobtent. No compromise in food unless you stop doing some or the other work out Regards RameshDt
|
What causes protein in urine after kidney stone removal with DJ stenting?
|
I am Type II diabetic individual, a uretheroscopy was performed on me 15 days back for kidney stone and DJ stent is placed in the bladder and kidney. Doctor had asked me to do a a urine routine, CBC and a fast and post sugar report. The sugar reports 158.6 fasting without trace of sugar in urine and post with 220.2 with sugar present in the urine. Also the urine shows protein present (+) as of now i am not on antibiotic and having zyloric, buscospan, fruselac and ganaton and patoacid(gas probelm). I now feel slightly feverish and low in the night. Please advise reason for protein and whether the treatment is in the right direction.
|
Hello,Protein in the urine in your scenario is more likely due to your underlying type 2 diabetes rather than following the Dj stunting procedure.It is however as a possible following Dj Stenting due to small injuries to the urinary tract because of the foreign body causing protein in urine.Ankther possibility given your complaint of fever could be due to infection. I would ask you to review with your doctor if fever persists.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Karthik Rajan
|
How to treat cold related asthma?
|
Yes. Thank you. I have cold related asthma and take qvar maintenance drug. I was recently upped to 40 mg from 20mg by my diabetic educator. My h1c is 6.8. 1 weigh 167, take 9 units insulin ans was back to my swimming 12 laps. Age 72. I am having increased coughing not as bad as astma attack and difficulty with keeping qvar down. Could this be related to doubling my lovastin.
|
Hello, Welcome to HCM and thanks for your query. Statin like Lovastatin can cause cough but this side effect is uncommon. The commoner cause of intractable cough in person with diabetes is the medicines belonging to ACEI or ARB group of medicines given to treat high blood pressure or to treat microalbuminuria. Cold related asthma is treated with Montelukast in addition to inhaled steroids and LABA. I shall be happy to answer any further queries Take care Dr Noble Zachariah
|
Suggest medication for fatigue,sweating,shivering and weakness due to high BP?
|
Sir/Madam My mother aged 79 has had high blood pressure and diabetes since 25-30 years. She is on low dosage insulin once a day for diabetes. She is also taking several blood pressure medicines. Her blood pressure has been fluctuating a lot the last few weeks. She also has symptoms like fatique, sweating, shivering and weakness. How should her problem be treated? She has had a general check up for heart and kidney functioning...all this is clear. How should she deal with these symptoms. Are the medicines not working? or are they side effects of the drugs she is taking? Please advise.
|
Hi dear userI have gone through your question. I can understand your concern.Fatigue ,sweating,weakness can be symptoms of hypoglicemia.Hypoglicemia is more frequent in older diabetics with insulin.Shivering may be due to fever caused by infection.My advice is to do some fasting and random measurements of blood glucose with glocometer and to consult an endocrinologist because your mother may need to adjust the dose of insuline accordingly to glicemic results.I suggest to do the blood panel(expecially white blood cells)to see if there is any infection that cause shivering and than to meet your GP for the right diagnose and treatement.If your mother's blood pressure is not balanced with several antihypertensive drugs this means that the drug are not working and she need to consult a cardiologist to adjust the dose or maybe to give another treatement for her high blood pressure.Hope I have answered your question. If you have any further questions I will be happy to help.Thank you for using HCM.Wish you good health.
|
What causes numbness around the mouth?
|
I ve been having numbness around my mouth for about an hour - a feeling that I cannot quite control my muscles around my mouth, but I m talking fine. I ve been having a transient numbness feeling in my legs as well - a weakness type feeling. Am I having a TIA? I have had a TIA before but it only lasted a few minutes, My current symptoms have has been happening for over an hour
|
Hello,I have studied your case and yes it can be TIA. If these symptoms persist then I would recommend you to meet neurologist and get clinical examination done. Your neurologist may ask you to get a CT scan to confirm the diagnosis. TIA is usually due to uncontrolled sugar or thyroid or Diabetes. So I would recommend you to make sure that every thing is normal because it can become a bigger problem in future.
|
Suggest consequences with extreme weight gain in children
|
Hello, I am sitting here with my 9 year old son and he presently lives with his dad and noticed that he is gaining weight. He now weighs 116 pounds and I am trying to explain what consequences this may have on his health. May you share your opinion please.
|
hi.. obesity causes following health problems in children1. hypertension2. hypercholestremia leading to heart diseses3. type 2 diabetes mellitus4. early osteoarthritis5. obstructive sleep apnea6. depression or low self-esteem give less calorie food, increase physical activity like running, cycling, swimming and less indoor games and less tv.if you are happy with my suggestion kindly rate me.regards-Dr.surendra.h.s
|
What causes diarrhea while on Istamet in a diabetic?
|
I am using Istamer 50 mg/500 mg and glimisave 4 for my diabetes treatment .while so I am having loose motions of 4 or5 per day .thinking for it is motions syndrome I used walbeta placid a plus .this has not improved the situation instead the sugar increased and the doctor now prescribe d Apriglim m4,sulisent 100mg januvia 100mg. I am mostly confused whether what is the. Correct course. Ian a female of 60 years age please suggest correct course of action Thank you sir
|
Stool Sample analysis should be doneTake probioticsHigh doses of metformin some time cause increased frequency, Check it by omitting some days
|
What causes eating habits at nights with nausea and vomiting in mornings?
|
Hi my son is 14years old he has been having problems in the last 3 - 4 months where he gets up in the middle of the night for something to eat and drink , has been drinking and eating alot more than usual says that it helps him to feel better, when he wakes in the mornings he has nauser some times vomiting headaches and saw stomachs . he has had an mri which showed a small mark that they are getting a second opinion on , also his creatinine levels are up and have taken several interval test within 2-3 week period and still remain up , are awaiting kidney specialist appointment have been waiting several weeks now for results or appointment , have also tested for diabetes as this is in both sides of the family and came back ok , other than this all the other test are normal , what i want to know is 1st what your opinion is and 2nd should this kidney appointment be urgent and should i be worried. also he is very tired , goes to bed most nights around 7.30 sometimes earlier and plays rugby but that seems to be a challange as well these days , he comes back so tired and wrecked. i look forwar to hearing your opinion Thank you
|
Hi, I had gone through your question and understand your concerns. You should immediately consult nephrologist, because high creatinine can be sign of renal failure, when glomerulus of kidneys died then creatinine can increase
|
Suggest treatment for fever , cough and night sweats
|
I am a 38 year old lady, healthy and been having night sweats for the last one year. I don t have a fever, cough and have not lost any weight. I exercise often, eat well but I am naturally slim, I was found to have latent TB 4 years ago but was advised that I do not need treatment for it. I have a sister with type 1 diabetes mellitus. I am concerned about the night sweats and I do not believe they are due to environment. What is your advise?
|
Hello. I have gone through your question.As i see you are worried about Tuberculosis. Latent TB does not require treatment as it is the active TB that requires treatment. It is very rare that you have developed Type 1 diabetes melitus as 95% of people develop type 1 diabetes before the age of 25 years. Now for your night sweats i need more information from you:-1. Are you taking some depression medications?2. Are you taking drugs used to regulate your hormones?3. Are you taking any diabetic medications?4. Are your menses normal?Please provide me with the answers to above mentioned questions so that i can help you. Please feel free to contact me. Thanks and wish you good health.
|
Why do I feel lightheaded?
|
Good evening, I know that I am stressed but in the past 48 hrs I have been feeling light headed sometimes having to catch myself, bp that's usually normal is running 145/96, and the highest blood sugar I have ever had 248 ( they usually run 90-127). Should I go to the emergency room
|
Hello!Thank you for your question on HCM!I read your question carefully and understand your concern. Your high blood sugar is concerning for diabetes. Was this a fasting glucose test?Psychological stress can raise the blood glucose levels, as well as the blood pressure, but not in such high levels. I would recommend to go to the emergency room and perform a careful physical examination, a routine blood test, HbA1c, kidney and liver function tests, blood electrolytes, thyroid hormone levels to find out a possible cause of these your symptoms. Hope to have been of help!Best regards, Dr. Iliri
|
Acute asthma attack. Taking medicines since three months. Safe?
|
My father (73 years old) had an acute asthma attack in December and was prescribed theoasthalin (1/2, -, ½), dfcort-6 (1, -, -) and Dilzem – 30 (1, -, 1) dosage in parenthesis. He has been taking these 3 medicines for the past 3 months (dec to march) Is it ok to take these medicines for such a long time? What are the effects and should I ask for a change in medicines?
|
From your question it appears that your fathers disease started 3 months back.It is very unlikely for someone to get asthma at 73 years of age.If your father developed breathlessness and cough 3 months back , the possibilities are pulmonary oedema ( cardiac failure ) or COPD ( chronic obstructive pulmonary disease.Regarding safety of the medicinesTheoasthalin - many patients in India are taking it for decades possible side effects -- tremor , increased heart rate , palpitation, acidity, low potassiumin blood( can lead to muscle cramps)Deflozacort - It is a steroid and long term usage is avoided as far as possible. However do not stop it abruptly.As your father is 73 year old and been taking it for 3 months , its dose will have to reduced gradually to stop. But in some patients long term usage at lowest possible dose will be required. possible side effects - diabetes , hypertension, acidity, ulcer , weak bones, puffiness of face , fungal infections , glaucoma , cataractDiltiazem - is usually tolerated in long term usepossible side effects - edema , dizzinessDiscuss with your doctor regarding changing from defcort to alternatives like metered dose inhaler with spacer
|
Do high blood glucose levels and dry mouth require immediate medical attention?
|
I have glucose readings of up to 565 in the last few days. Very dry mouth A(teeth actually stick to my lips) very fatigues (must lie down) dizzy when standing, frequent urination. Is this a medical emergency? Not able to see my regular doctor and will see his stand-in tomorrow morning.
|
Hi ThereAfter going through your query I understand your concern.I would like to tell you that your blood sugar levels are very high and possibilities of developing Acute , major Life-threatening complication of diabetes ( Diabetic Ketoacidosis ) is there according to your symptoms. You need a immediate medical attention, kindly call the Ambulance and go to ED.Kind Regards
|
What causes dizziness upon bending while on Lisinopril and Glimepiride?
|
Lately. I get dizzy when I bend over, I checked my blood pressure just now,, it is 79 over 49 I am taking the following drugs Glimepiride, Trulicity, Lisinipril, Lipitor, Metformin and zetia I recently stopped taking Androgel, because after 16 years, my drug company will not cover it. I have been diagnosed with high blood pressure, type 2 diabetes, and hypogonadism. I have had those 3 problems for 20 years or more.
|
hi, I have gone through your history.You must get checked for postural hypotension which is most common in long standing diabetes.Review with your physician for dose adjustment of antihypertensive medicines.
|
What causes constipation in 2 year old?
|
I have a 2 year old.She has had a constiption problems from day one.I have took her to the doctor so many times.She uses MiraLax eveday.She been on Miralax for a year.If she doesn t use Miralax she has a problem using the bathroom.She had a x-ray and they said she was constipated.I feel a 2 year can live on Miralax.I talk to her dr about this all the time.She tells me that it is her diet.I was wondering if it is something bad wrong?I worry about everthing.I was reading about it on the computer and Neuroblastoma came up.I have lost sleep over this.Would the x-ray show if she had any of that?Now this week she tells me her right side on her lower back hurts.Please help
|
constipationin children is due to many causes mainly hypothyroidism, intestinal pseudo obstruction,hisprung disease.these are following causing constipation in children from birthNONORGANIC (FUNCTIONAL)—RETENTIVEANATOMICAnal stenosis, atresia with fistulaImperforate anusAnteriorly displaced anusIntestinal stricture (postnecrotizing enterocolitis)Anal strictureABNORMAL MUSCULATUREPrune-belly syndromeGastroschisisDown syndromeMuscular dystrophyINTESTINAL NERVE OR MUSCLE ABNORMALITIESHirschsprung diseasePseudoobstruction (visceral myopathy or neuropathy)Intestinal neuronal dysplasiaSpinal cord defectsTethered cordSpinal cord traumaSpina bifidaDRUGSAnticholinergicsNarcoticsMethylphenidatePhenytoinAntidepressantsChemotherapeutic agents (vincristine)Pancreatic enzymes (fibrosing colonopathy)LeadVitamin D intoxicationMETABOLIC DISORDERSHypokalemiaHypercalcemiaHypothyroidismDiabetes mellitus, diabetes insipidusINTESTINAL DISORDERSCeliac diseaseCow’s milk protein intoleranceCystic fibrosis (meconium ileus equivalent)Inflammatory bowel disease (stricture)TumorConnective tissue disordersSystemic lupus erythematosusSclerodermaPSYCHIATRIC DIAGNOSISAnorexia nervosa get evaluated from your pediatrician
|
Suggest home remedies for boils in legs, hip and upper stomach
|
Hello Sir,My dad is continually havin boils on his legs and now it has increased to the hips and now it is moving on towards the lower part of the stomach how do i stop it or what is the treatment for that and are there any kind of home remedies for boils
|
kindly let me know any associated complaints your father is having. where there is pain or burning sensation, or is the filled with plain fluid, straw coloured fluid, pus or reddish fluid. also pls mention whether he has any similar earlier occurrences and whether suffering from diabetes mellitus or hypertension.
|
Suggest treatment for numbness and rock like feeling in hands
|
Hello, this is a hand problem that is getting worst. My fingers on both hands are very numb and i have a feeling of rocks in my fingers. Also my hands are get very oily and both hands are turning dark. I do not have diabetes and my doctor says its just an sensation...what can i do?
|
you should get your arterial + venous colour doppler of the hand first then tell the history in detail ( like since how long, is there any associated trauma..)
|
How can lower backache while suffering from diabetes be treated?
|
I am a 66 yr. old woman with type 2 diabetes. Just had 3 days of urination every 30 to 45 minutes day & night. Now I have pain in mid to lower back that has moved to mostly left side & am only urinating 5 to 6 times a day & have to force it. I had passed a kidney stone in 2015 & have another in kidney. I was off my meds for a month due to preps for colonoscopy & I got off track with everything. Started testing & pills again yesterday. I do not know the symptoms for Ketoacidosis other than they are the same as diabetes. My test strips for KA are old. I am very concerned as this is not normal for me. I did not see my doctor yet because of the weekend.
|
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. With medicines and with physiotherapy. Hope I have answered your query. Let me know if I can assist you further.
|
Could headaches, dizziness and weight gain be due to pregnancy?
|
hi I have been dizzy for 6 weeks now, my ears don t hurt, I am getting headaches more often and now feel like I have to take in more air by breathing deeply every few minuets or so, I have had blood test for menopause, anemia thyoroid and diabetes all came back clear, could It be possible that I am pregnant, I havnt missed a period they are regular but im putting on weight, feel dizzy sometimes feel sick , one of my periods 4 months ago only lasted for 1 day this has never happened to me before, I feel like I am going crazy. what do you suggest thank you
|
Hi, I think if you want to be sure of pregnancy, you can do a urine pregnancy test at home. It will tell you that you are pregnant or not. If positive consult a doctor. If negative, it can be due to stress also. You need evaluation for your shortness of breath and headache. Get evaluated by a physician. It can be due to some cardiac or renal problem also. Hope I have answered your question. Regards Dr khushboo
|
How can fluid retention in the legs while suffering from cancer be treated?
|
69 year old male with heart disease, diabetes kidney cancer and I have swelling in abdomen, butt legs and feet. I take predizone and torsimide. The last chemo I was on was opdivo and I have had radiation treatments. What do you suggest for fluid retention. Can hardly walk due to swelling
|
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You can tey albumin infusion with torsemide. It sometimes work in cancer patients. Hope I have answered your query. Let me know if I can assist you further.
|
How safe is minidoxil for hair loss and need medication for erectile disfuntion?
|
Sir/Mam, I am 22 and suffering from Erectile Dis-function and premature ejaculation.I don t know why but i have too much desire of sex. I have been masturbating since i was 14. But now i have stopped it. can You please tell me is it curable ? I am also suffering from hairfall since last 2 year.. and i have lost around 50% of my hair. should i use minidoxil 5% ?
|
Hello and welcome to health care magic. Masturbation is not a disease. It's a way of expression of sexual energy in the absence of a sexual partner. There are no long term health problems reported with it except for fatigue. If you want to control it, try yoga and meditation. Using drugs to suppress can result in long term effects like impotence. About erectile dysfunction, it can be psychogenic or vascular problems or due to hormonal imbalances, diabetes etc. My advice is to visit an Andrologist/Urologist so that he can have a look at your symptoms. He will perform a doppler scan and blood tests for hormonal levels and evaluate the cause and will treat accordingly. Hope this discussion will be helpful to you. Thank you.
|
Suffering with hepatitis B, cirrhosis of liver with ascitis, abdominal swelling causing breathing difficulty. What should be done?
|
My wife is suffering since 6.5 months from Hepatitis-b (positive), cirrosis of liver with ascitis, swelling in legs, thighs, ankles, an old patient of vericors veins of both legs, main portal vein thombosed (20 to 30%, ), jaundice , umbical hernia developed due to ascitis, in 6 months fluid retention developed from mild to gross in peritoneum. Last 6 months, she was on homeopathic medicnes. Every month we are getting tested creatines, Liver function tests , haemoglobin , prothrobin time, diabetes test. As per gastroenterologist clinically it is still not alrming. However patient is not comfortable due to water retention & swelling in entire legs,at lower abdomen-the bladder, Urinery tract, rectum etc become hard little senseless feeling. Focal hypr dense lession in the right subdiapharagmatic region, abucting the right lobe of the liver, Metastatic deposit. ( repot based on 25 th may,12 tests A month before sono graphy was done & as per radiologist still ther is no chance of cancer. At present taking allopathic treatment for removing water only Lasilatone, neurobionforteo & folic acid. No medicines for other ailment. Patient other conditions- appetitte,sleep, mental condition normal however when there is excesssive swelling in the abdomen difficult to breath. Please advice what action to be taken in her case. She is very much scared due to side effects of allopathic & surgery. B.K Parakh, Bangalore` WWW.WWWW.WW dated 10.12.2012
|
Your wife has decompensated liver disease. only treatment is Liver transplant. but unfortunately , your scan is suggestive of metastatic deposit as per your question put here. Liver transplant has strict criterias/protocols to be followed. kindly meet a transplant surgeon or hepatologist for further treatment options.
|
I have dizziness and numbness on my face. What could be the reason for this?
|
hi i have dissynees in my head and also sometimes my face and libs and upper jaw become numb and always i feel weekness in my body,and sometimes my left side of my chest in the back become painfull,could you help me about it? i had complete bload test and also MIR from my head,but there were nothing in the results
|
if all your reports are normal then it is due to weakness of nerves .you can take ekangver ras tab 2tab 3time .you can also get your ecg checked.if it is normal then no need to worry.also get checked for diabetes.
|
Having pulsating pain in lower abdomen along with lots of gas and frequent visit to toilet. Hemofec test fine
|
Woman, 31, mother of one. Lower abdomen pain in right side since june on a spesific location. The pain goes away in the night, comes back in the morning. Lots of going to the toilet all the time (every fiteen minutes or half hour within two hours in the morning). Lots of gas, although i think that runs in the family. The pain is pulsating, sometimes like a knife cutting. Have seen a gynechologist, nothing wrong with ovary or anything else there. No urine infection. Sometimes tired, have had one or two coinsidences of feeling nauseas. I have handed in a hemofec- test, it was fine. Feeling very anxious about this. My mom has had cancer, my father has diabetes type 2. Can this be anything BUT cancer? Being sent to CT exray these days... Terrible wait. Thank you for the respons.
|
Do not panic with thought of cancer or diabetes .None of these seems to possible in your casecAs you said it is gas trobling you To be safe get an ultrasound of whole abdome doneGo for gas in GIT mangement Stop eating oily food meat and junk food morning excercise and morning walk to be started .Antacid liquid form 3 to 4 times a day No packed juce Avoid mlik Take curd it has been oserved that those who have anxiety or are nervous gas trouble them a lot .so some antianxiety drug in consultation with your doctor may be of help Take healthy food and stay gas free Dr Lal Psychiatrist
|
Suggest remedy for keloids on chest
|
helo my rajesh from mumbai i have keloids in my chest from long time and its paining now and increasing day by day and near by that i am small pimple like symtons is there frm there i am geting blood littel bit, i heard that keloid cant disappear what can i do now is pining me alot as i touch and moraling me down
|
Respected Rajesh , hi I evaluated your query thoroughly.*Keloids have variety of treatment options depending on the size, symptoms, patient`s concern, history of past treatments and it`s results.*I would recommend to consult in detail with all the symptoms with duration, intensity, associated conditions of diabetes or else, clinical photograph of the keloid for perfect management plan Hope this clears your query. Thanks for using Health Care Magic & keeping trust in our medical services. Feel free to ask further queries in future. Regards dear take care.
|
Suggest treatment for headache and abdomen pain
|
a boy 16 yrs . presents with h/o severe headache,irritability,appetite excess or low,occasional heavy perspiration pain abdomen off and on.clinically nothing significant found. invest. mri brain ,cerebral angio ruledout any neuro problem.hemodynamices and thyroid function normal.usg abd. reveales rt. pu junction narrowing with hydronephrosis . what next investigations may be done?what may be the probable diagnosis?pl. reply>
|
Hai.with most of the stronger investigation done already ur neurological, abdominal system look normal.my strong suspicion is regarding juvenile diabetes (iddm),or any kifney disorder.U can go for these investigations:fasting blood sugars, hba1c, post prandial levels, serum creatinine, blood urea,Ct kub to rule any obstructionSerum electrolytes, Most probably the diagnosis could be kidney parenchmal disease, relating to diabetes.Good luck take care
|
Is it advised to have Obimet SR during pregnancy ?
|
I was asked to take Obimet 500mg just before concieving by my doctor . (I was not identified with PCOS) Now I am almost 4 months pregnant and I am asked to continue with Obimet SR tablets 500 mg.I would like to know why am I asked to take these tablets in pregnancy and if there is any side effects for my child or for me if I take these tablets in pregnancy? Please do help me...
|
Obimet SR tabs are usually given for diabetes/obesity/PCOS.It can be safely given in pregnancy if you are diabetic;you may ask your gynaec why tis has been prescribed.
|
Prescribed Glucophage 850mg to improve ovulation. Saw on internet that it is prescribed for diabetes. Suggestions?
|
i am married and trying to conceive, unfortunately not yet. we consult a doctor scaned my wifes vagina , she having regular periods, no sugar, slim, 47kg 28 year old, doctor priscribed GLUCOPHAGE 850MG daily one to improve ovulation . i chcked on google and its using for type 2 diabetics shall i have to continue this ?
|
Hello, PCOS is a common disorder in women of reproductive age, affecting 5–10% of premenopausal women.Women with this syndrome may present with menstrual irregularities, chronic anovulation, infertility, obesity and hyperandrogenism. Insulin resistance and compensatory hyperinsulinaemia are prominent features of PCOS . Metformin won't restore ovulation in all people. it is more likely to do so in those that are overweight, as they have more significant insulin resistance. Long term use can also lower androgen levels which can help, but full effect can take 6-8 weeks. In general, in a lean PCOS patient, it is usually less likely to restore ovulation. If you are trying to conceive, you need to consider other alternatives than just metformin alone. Since you are lean and slim,I have my doubts regarding the use of metformin in you. You should discuss with your doctor regarding this. Metformin reduces insulin resistance of peripheral tissue and allows muscle and adipose cells to utilize glucose at normal insulin levels. Since type 2 diabetes associated with overweight and diabetes and PCOS patients have marked insulin resistance,this drug is commonly used in both conditions. Thanks
|
i had a mild concussion when i went to the emergency room,kindly suggest
|
I was diagnoced with syncope 2 years ago and my symptoms have gotten worse after the last time i passed out i had a mild concussion when i went to the emergency room but they didnt do any kind of scan or anything at the hospital and i have not had a way to get to a docdor ever sence i would really like to know if there is anything i can do to make my dizziness and loss of sight appon standing
|
Do check your self for a complete neurological examination along with Diabetes and Hypertension.
|
Should a nephrologist be consulted for blood in urine due to a kidney stone?
|
I just had a physical where doc found trace protein and trace bllod (3-10) in my urine. I am diabetic type 2 and have a kidney stone. protein has been a trace for a while but occult blood is new. Doc is not concerned sonce i have a stone but I am worried. shoudl I go to kidney doc?
|
Hi, Blood in urine is definitely an alarming sign and it needs to be investigated and addressed. As you have other issues like diabetes, stones and these can cause it. You are therefore advised to get consulted by a nephrologist for proper examination and accordingly you would be treated. You may be required for an ultrasound, blood tests to see the level of urea, uric acid and creatinine to find functions of kidneys. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Soheel Hussain Zargar, Dentist
|
Can I stay at an altitude after surgery for pneumothorax?
|
Hi.. I had a surgery for my pneumothorax last year. I have an apartment in the mountain around 800-1000m high above the sea level and i am planning to move there, i want to know if it is risky for me to live there to get another pneumothorax. Thanks in advance
|
Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.A 3.4 mm aortic aneurysm is very small. So, no need to worry much about this.Actually, aortic aneurysm starts with this much small size only. But this can be increased in size if cardiovascular risk factors are present.So, regularly consult your doctor for blood pressure monitoring, diabetes, and lipid profile checkup. Avoid excess salt in the diet, stress, tension, and be calm.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar
|
What causes loosening of testis and shortening of penis in a diabetic?
|
Sir I am 25 Year old..5 year before I suffered from LYMPHO BLASTIC LYPHOMA.. During treatment I suffered from Diabetes..Cancer Disease is ok but now diabetic patient and take insuline... But I Have some sexual problem..my testies will be loose and penis shaft will shorten...and also have pain in lower part ok backbone...my weight is 43 kg..
|
DearWe understand your concernsI went through your details. Please understand there are no chances that your penis shaft to become shorter. They could shrink and seem to be shorter because, body wants it to be. You are tired, worried and anxious. Quite naturally your body also will be tired. When your body understand there is fear, it shuts down other energy consuming activities of the body. Testicle sack will shrink too because of this reaction. Don't worry. Be active. Diabetics can be managed.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck.
|
I have lump on my breast,is it a boil or breast cancer ?
|
Yes i m twenty two years old male and i found a lump on my breast and i trying to find out if it is a boil or breast cancer . I have Diabetes insipidus , and i am constantly getting boils on my thighs, under my armpits, and under my breasts. But today i have a small unusual lump two inches from my nipple and i just want to find out if it is a boil or breast cancer. Also what can i do about the boils that are constantly reappearing? Yes i m twenty two years old male and i found a lump on my breast and i trying to find out if it is a boil or breast cancer. I have Diabetes insipidus, and i am constantly getting boils on my thighs, under my armpits, and under my breasts. But today i have a small unusual lump two inches from my nipple and i just want to find out if it is a boil or breast cancer. Also what can i do about the boils that are constantly reappearing?
|
Visit MEDANTA"THE MEDICITY" A super Speciality Hospital In sec-38 gurgaon where U can get Consultation with Dr ashok vaid(world renowned oncologist And Dr tejinder kataria 9world Renowned breast cancer surgeon )........or visit medanta.org or call for assistance 09419191439
|
Does glycomet 500 reduce weight?
|
can we loose weight by intake f glycomet 500 sr????since doctor have advice me 2 hv it 2wice a day....m 20 yrs old...i hv no problms related 2 diabetics.. m8 b its cuz i hv got hairs below ma chine...the growth is increasing...as well i m over weight 80....
|
Hi,Yes, it helps in reducing body weight. Glycomet is commonly prescribed to treat type-2 diabetes and polycystic ovarian disease. It helps in body weight reduction and also corrects the hormonal imbalance associated with polycystic ovary disease who are overweight.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
|
Why am I unable to conceive?
|
HI,I AM 28 YEARS MARRIED WOMAN,I HVE BEEN MARIED SINCE 2 YEARS,BUT I DONOT HAVE BABY.AFTER MARRIAGE MY PERIDS ARE GOT IRREGULAR,THEN I CONSULT THE GYNE DOCTER,SHE GAVE ME ME MEDICINE AND MY PERIODS ARE GET REGULAR .BUT Y PROBLEM IS THAT I M NOT CONCEIVING,MY DOCTER GAVE ME MEDICINE FOR THAT,BUT THEY GIVES NO RESULTS.MY HUSBAND AND MY ALL MEDICAL TESTS ARE FINE REGARDING MY PREGNANCY.PLEASE SUGEST ME WHAT WE WILL DO
|
HelloAs you mentioned that all tests are normal and in spite of this you are not getting pregnancy ?Now you require specific tests for cause of INFERTILITY . These following tests are for wife i.e. youGet in blood for F S H/ LH ratio, level of ANDROGEN /TESTOSTERONE, OVULATION TIME STUDY , ENDOMETRIUM study including its thickness, follicle study including size of dominant follicle with date of rupture.For husband .Semen analysis complete detail .However there are few secondary tests as far as for infertility as diabetes, TSH , T3, T4, ultrasound of uterus including fallopian tubes( female )Hope this information will help you.
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.