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Could the lack of response in a pneumonia patient be due to slipping into coma?
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My husband has been in the hospital for 8 weeks and has had three surgeries, he also has pnh and diabetes. he is 54, the last few days he developed sepsis and pneumonia, today he was not responding to anything. it takes a very long time to wake him. can he be slipping into a coma?
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HelloI am sorry for your husband and his situation.He suffers from DM,pneumonia ,three surgeries and today he is not responding.How was the sugar blood level?Did he previously smoked a lot?Because in persons with comorbidities and smokers too, the pneumonia (which is the inflammation of the lung tissue) is more aggravated in a smokers lung. He is recover in ICU ward with these problems.In my opinion the coma might be from DM or sepsis due to pneumonia too.I wish a fast recovery for your husband.Thank youDr.JolandaPulmonologist
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What causes yellow puss leaking holes in arm?
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I have two small holes in the right pit of my arm. In March, there was a red bump and one small hole, which was leaking puss, on the pit of my right arm. I rushed to my doctor in search of some help. He prescribed to me an antibiotic and anointment. Both ones healed, except for the occasional leakage from the one small hole. Yesterday, however, I noticed that there was ANOTHER hole on the SAME armpit! Both holes are leaking a yellowy puss! I am freaking out, and have no time to see a doctor due to finals. What could this be?
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Hi and thanks for being part of our virtual clinic! I understand your concern can give you some advice:1. Skin boils are caused by bacteria. Whether from infection or from a clogged hair follicle, they can occur anywhere on the body and are usually painful2. Within a day or two, the bump or bumps begin to fill with pus. Boils continue to grow over several days or weeks, with more and more pus accumulating inside. 3. Boils can appear almost anywhere on the skin. They occur more often on hairy parts of the body, where the infection may begin in a hair follicle.4. Poor hygiene and poor general health are risk factors for skin boils. People with diabetes, which can interfere with the body's ability to fight infection, or with other immune-suppressing conditions, are also at risk. Skin problems like acne or eczema can make it easier for the bacteria to get in.5. Keep the area clean, but don't scrub or pick at it. Doing so can make the infection worse. A home treatment that may help is a warm compress. Warm compresses may help the boil rupture more quickly. To make a compress, soak a washcloth in warm (not boiling) water and place it over the boil. 6. You can use Bactroban cream and ointment both contain the active ingredient mupirocin, which is an antibacterial medicineIn case of getting worse, contact your doctor and write us againAll the best!
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Diagnosed with jaundice.I have diabetes,can I eat Pista and banana ?
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I have been diagnosed last week for Viral Jaundice . My bilrubin total is 3.26 & SGPT 331. Can I eat Pista and Banana? My age is 35. I have diabetes since 2006. Last week I have done my HBA1C test and my result is 7.
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Hi Shabana, It appears that your liver enzymes are returning to normal limits gradually. Do Get back to your anti diabetic drugs once you are cured of hepatitis A. Wish you a speedy recovery Take care
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What causes an increase in the white blood cells?
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HI YA i am 29 weeks pregnant and have rencently had my last midwife appmt. Everything is normal except my white blood cells were high (I have had a cold and sickness over the last month) plus I have trace sugar in my urine - should i be concerned?
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Hi,Increased white blood cells are seen when there is an inflammation or infection. As you have cold, it could be that showing up on the cell count. What type of cells are increased? Lymphocytes or Neutrophils?Also the normal value of white cell count is changed from 11,000 to 14,000 in pregnancy, so hope this is kept in mind while reading the report. If your count is less than 14,000 it would be considered normal.The trace of sugar in urine needs to be evaluated, it could be a sign of gestational diabetes.kindly get a 75 gm Oral glucose tolerance test done.Hope this helps.Regards.
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Should my father go through another operation?
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yes please, my dad is diabetic, 73, and COPD, Congestive heart failure, and just had total knee replacement on his left knee...now has staph infection, and they went in yesterday and put in a knee that only moves 45 degrees...and want him to have another operation in 6 months...Good Lord...will he make it? I am scared...he looks very pale, has had several blood transfusions... and is weak...what should we expect
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Hello, For diabetics - need a diet management plan and medicine plan to work together where he reduces the blood glucose levels and also have enough strength. For COPD - doing breathing exercises to improve the strength in the muscles of respiration are advised. As due to COPD there will be changes of infection to lung very easily and having good breathing capacity is a must. TKR done now needs to undergo a total knee rehabilitation program to achieve at least 110° range of motion in the knee before looking forward to another surgery of the knee. Having help from a physiotherapist will help improve the Diabetes, COPD and Knee rehabilitation. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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Taking yasmin birth control. Is using zoely safe?
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Hi, I'm currently on the Yasmin birth control pill but am worried about the serious side effects I keep hearing about - ie blood clots.I've had no trouble with it myself so far, thankfully and it does clear up my skin really well.However I've heard about Zoely being a new more natural, less risky alternative to Yasmin, but I'm finding contradicting reviews when it comes to acne. I just wondered if it's likely to make my spots better or worse?
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Hello,Thanks for posting your query.Yasmin is low dose & proven medication for its risk & benefits, deep vein thrombosis is very rare side effect with such low dose pill.However Zoley is new medication & it is still under trial.I will advice you to go with Yasmin & you can continue it till 50 years of age if not having other co-morbidities like diabetes, hypertension or liver disorder.Regards,
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Is 5.7 level in sugar test normal for a 2 year old?
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iv had diabetes since i was ten im now 52,my two year old grandaughter had a wee test done today and there was sugar in it had a finger prick blood test done and it was 5.7 is this ok for her as dr. seemed to think she was o.k but why would she have sugar in her wee? she does drink alot but she doesnt have any other symptoms and is very active. thanks.
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HI5.7 is OK--it's not an indication of diabetesThe sugar in her urine is likely hereditary from you and not from er being diabetic
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What is the life expectancy after a massive heart attack?
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My 83 year old mother had a massive stroke on Wednesday. She has not spoken or opened her eyes in two days. Her arm does move occasionally. Each doctor has independently agreed that their is no chance of recovery of any kind.. My mothers directive is for no life support. The family has arranged for hospice care per here directive. if the family follows her no life support directive, approximately how long will she live?
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Hello, Thank you for your query. Am sorry about your mother. A person with massive stroke with a poor prognosis/chance of recovery can survive anywhere from a week to a year (occasionally longer) if there are no further complications. More commonly 3-6 monthsKidney failure, sepsis, heart failure, overall health condition (diabetes, hypertension, coronary disease, obesity, age) before the incident all factor in. Recommendations :-Proper nutrition through a feeding tube, parenteral feeding should be given with adequate calories, proteins. - Position must be changes every two hours to prevent bed sores.-Personal hygiene maintained by a trained personnel or family member. -Passive physiotherapy of the limbs to maintain circulation and muscle tone should be done- neuro protective drugs and anti seizure medications may be necessary. The aim is to keep her as comfortable as possible Hope this helps. Please let me know if I can help you with anything else Wish you good health
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What causes cold sensations in thighs, legs and back?
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I been experiencing some cold sensations in both my thighs, my buttock, and along the back and sides of my of both legs. It feel like cold water running down; sometimes as cold as ice cubes. These sensations come and go with the longest has lasting about 10 seconds. I had diabetes for a long time now, but my blood sugar values are quite in normal range for about three months.
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Hello dear,Considering the history that you had diabetes for a long time, the symptoms can be attributed to Diabetic neuropathy (damage to nerve secondary to diabetes).So, it is advisable to consult your treating Doctor/ Neurologist and get a complete neurological evaluation done.However, other causes for such symptoms also need to be considered, such as:1. Paraspinal spasm & compression of nerve fibers at the Lumbo-sacral region or due to compression of nerve secondary to improper posture.2. Inadequate hydration status & electrolyte imbalance of the body.3. Dietary deficiencies of certain nutrients like Iron, Calcium, Vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy caused due to any fluctuation in blood pressure level.Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms.Symptomatic relief can be obtained by intake of nervigenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & Vitamin D needs to be added in your diet.Wishing you a Good Health.Take care.
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What are the chances of survival for a person undergoing multiple ailments?
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What is the chance for survival for a person undergoing off-pump redo CABG to the one artery (LAD) left to be bypassed? Left ventricular function around 50% Hypertension, Hypothyroid problems, diabetes from medication Had CABG 4 years ago and now LAD is the only artery that can be operated on and has two blockages.
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Hello, Redo CABG for one single artery is not recommended if coronary stenting is possible. In my opinion, you should consult a Cardiologist for proper evaluation and see if he can put a stent inside. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhanu Partap, Cardiologist
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What is chronic d enervation ?
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what is chronic d enervation ? I have it bilateral L5S1 myotomes and I have significant reduction of the peroneal nerve action potentials bilaterally most likely is from severe axonal loss at the L5 root level, what does this mean?
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chronic denervation of the nerve is loss of myelin covering of the nerves which helps in conduction of impulse along the nerves. there are various reasons both acute and chronic. Acute is injury to the nerve and the most common chronic cause is nutritional and destruction of nerve due to pressure over the nerve root seen in spondylosis and chronic disease like diabetes and inflammatory lesions like leprosy ,polio. so we have to find the cause of denervation in your case and treat it accordingly.
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What could Gliotic changes in brain scan following chronic headache indicate?
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my mother aged 58 years. She is having head ache for the past 1 year. When the CT scan of brain plain was done, the report says that there is gliotic changes in brain. please suggest me whether it is permanently curable by medicine or not with details.
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Hello!Welcome on Healthcaremagic!These CT scan findings are suggestive of small vessel disease, which is related to uncontrolled high blood pressure or diabetes. From the other hand, migraine can lead to such changes. For this reason, I would recommend you to closely monitor her blood pressure values and start anti-hypertensive therapy in case of uncontrolled hypertension. Taking daily aspirin 80-100mg is necessary (if no contraindications), to help stop the progression of these changes. There is no treatment for such changes, just prevention of further progression. In case her blood pressure values are normal, I would recommend starting a calcium channel blocker (verapamil) or topiramate to help improve her headache. But it would be better consulting first with a neurologist in order to determine the exact type of headache and proper treatment. Hope you will find this answer helpful!Best wishes, Dr. Aida
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Suggest medication for pain management with a history of diatebes and high bp
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My dad is diabetic, has hbp, fatty liver. He literally screams in pain off and on throughout the day, every day...for 2 years now. The doctor says there is nothing he can do except give him pain medication. He takes clonodine and his doctor gave him oxycodine, which he doesn't want to take because it is so addictive. What the heck can we do?
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Hello, Thanks for the query.Since patient has long standing diabetes and hypertension plus pain (as described), he needs to be treated with a semisynthetic narcotic drug like Oxycodone. Because routine non steroidal analgesics if used for long duration can lead to kidney damage. In diabetes as well as in hypertension kidney function is already affected. So in such situation Oxycodone is definitely a better choice. It does lead to physical dependence if used for a long time. However, if pain control has to be provided then that is the best alternative. Thanks
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What causes itching penis with awful discharge?
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Hi doctor, I'm 33 male, married, weight 65kgs and 5'7". For the last couple of months, i'm having a problem of itching in inner part of my penis and faul smelling is mostly regular. Sometimes some reddish spots can be seen that 'll soon turn into white cured-like spots. There no discharge till date and no other effects are seen. Normally i use some antifungal ointments but after sometimes it reoccures.I've not referred to any doctor till date. Thanks.Gyanendra, Kathmandu, Nepal
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Hellohanks for query.Itching of Penis and discharge is presenting symptom of Diabetes .Please get your blood sugar levels tested on empty stomach and 2 hours after lunch to rule out diabetes .Symptoms that you ave are due to Muco Cutaneous Genital Candidiasis,with super added bacterial infection You need to take broad spectrum antibiotic like Cefexime along with anti fungal medication like Fluconozole twice daily and topical anti fungal jelly like Fluconazole for local application. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil.
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What causes redness on the penis head?
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My penis is red on the head and cracked around the skin of my penis head and it is painful when I try to skin it back,it also gets puffy where it cracked and swells a little,painful to skin back red and irritation and itchy,what can I use to fix this problem
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HelloThanks for query.You have not mentioned about your sexual history in your query.Redness of glans penis and cracks in foreskin are due to infection of foreskin and glans penis ( Ballano-Posthatitis).Rule out Diabetes as this is common in diabetic individuals.You need to take broad spectrum antibiotic like Cefexime along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil.
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Are all these medications necessary for a hypertensive and diabetic person?
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Hello, I am a 74 year old woman who was diagnosed 10 yrs ago with Diabetes type 2 and high blood pressure. I am currently taking the following medications and I have gain 20 lbs in these 10 yrs. I feel so bloated. Rosuvastatin 20 mg Valsartan 160mg Janumet 1000mg/50mg - Amlodipine 5mg - Asa EC 80mg - D-Gel 1000 - and the last 6 months Glyburide 2.5mg. Before all this I would not even take an aspirin. Is there a pill that is not necessary in all of what I listed. Tks
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Hi Welcome to HealthcareMagic I think all these medications are necessary in a person who is diabetic as well as hypertensive . As you have maintain your BP and sugar level and lipid profile under control Along with these maintain an adequate weight If you have any further query then you can come back to HealthcareMagic. I will definitely help you and guide you appropriately With Regards Dr Varinder Joshi
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What is the Prognosis for the fluid drained from abdomen and legs with edema?
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After 30 years with hep c, the liver is completely hard---over the past three months fluid has been drained from the extended abdomen--1st 16 litres, 18litres then 20 litres. Legs with edema. Lack of appetite, sleeping from approx. 4pm for the night, weight loss approx. 50 lbs. What is the prognosis????
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Hi,I am so sorry to hear about your condition. It looks like you are currently in decompensated stage of liver cirrhosis ("hard Liver"). You are suffering from classical features of portal hypertension (fluid build up in the belly) and other symptoms of liver failure (poor appetite, weight loss, excessive sleepiness, etc). The best available treatment for someone at your stage is a liver transplant. It will completely get rid of the fluid build up although regaining your strength and appetite may take a while. But transplant cannot be offered to everyone and depends most on your current performance status (physical fitness, age, other co-morbid conditions like diabetes, heart problems etc). If it turns out that you are not a transplant candidate, and I presume medications have failed to control the fluid build up, then one of the options to be considered is TIPS. Although it will not reverse the liver failure, it will prevent fluid build up in your belly. Addressing your question regarding prognosis, it again depends on a variety of factors including presence of infection, kidney failure, heart failure etc.I suggest you don t give up and explore all therepeutic options available.Please do not hesitate to contact me for any clarifications needed - [email protected]
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What could swollen neck with fluid blisters suggest?
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Hello. I am a 19 year old female, with some mysterious infection on my neck. it is red, slightly swollen, has what appear to be blisters with white fluid. It is painful and was initially itchy. Initially it looked like a insect bite with two brown marks. It was about 1cm by 1cm and has grown to about 2.5cm by 3cm. It started a week ago. I was put on 3 antibiotics (bactrim, which i started thurs of last week) (valtrex last friday) these two im taking two times a day. (the third is cleocin 4 times daily) the infection is still spreading despite the antibiotics. I have not missed a dose. I went to three doctors and they are all cluless. i can upload a picture if needed any idea what it might be?
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Hi, Thanks for posting in HCM. After going through your description, it appears that you have a local inflammatory reaction due to insect bite. This has not responded to the antibiotics which was administered. Kindly take the following medications and it should respond to these. 1. Tablet.Ciprofloxacin 500mg twice a day for 5 days. 2. Tablet. Ibuprofen + Paracetamol twice a day after food for 5 days. Keep the wound site clean, dry and free from infection. In case it doesn't subside, you need to get the following tests done and managed accordingly. 1. Random blood glucose to rule out diabetes mellitus. 2. Pus culture and sensitivity to know the organism and the antibiotics it is sensitive to. Hope the information provided would be helpful. All the best and wish you speedy recovery.
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What does creatine 3.6, BUN 40 and GFR 18.1 signify?
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Sure,I am a 67yr old male caucasian.No diabetes,controlled blood pressure, no fluid retention or swelling, generally good health exercise 1/2 hr. on elliptical every day 6:30 t0 7am.As I look back I did use analgesic/decongestant (Sandoz-Fiogesic 500mg most days during mid 1970s through 1988 some days 4 tabs.My creatine now is 3.6, BUN 40 GFR 18.1. Any observations or thoughts on where I am in my kidney stage?
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Hi, thank you for asking healthcare magic.With these laboratory findings, you are in stage 4 of chronic kidney disease if that has persisted for more than 3 months. I would suggest you see a kidney specialist for better follow up.I hope that answers your query. If you have any other question or follow up query do not hesitate to write to us.I wish you good health.
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What causes cellulite?
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My husband was diagnosed with cellulitis and then had knots come up on his legs and he was unable to walk for three weeks. Everything went away, and the knots came back, and now his fingers are swelling really bad and he hurts all of the time. Nothing they are doing seems to be helping him
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HelloThank You for contacting HCM.There are multiple causes which include:>Chronic Diseases like diabetes mellitus, chronic liver disease, peripheral arterial disease,> Lymphatic obstruction> Microorganisms (group A streptococci)> Hospital acquired conditionHence multiple factors can cause this. As your husband was initially admitted for this treatment so his immune system was weak and disease reoccurred.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing him good health.
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How to cure from acute pancreatitis and juvenile diabetes ?
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MY DAUGHTER 26YRS SUFFERING FROM ACUTE PANCREATITIS & JUVENIEL DIABETICS.I AM FROM KOLKATA. I WANT TO KNOW HOW TO CURE.
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welcome to healthcaremagic diabetes should be perfectly controlled causative factor of acute pancreatitis if found should be dealt with supportive treatment is the mianstay of managing acute pancreatitis in intensive care unit of reputed hospital known for its service to suffering people hope your daughter recover fast
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Is it dangerous to have white spot on brain?
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I was diagnosed as having a possible TIA about 6 months ago (But not p. I am still getting some of the same symptoms I had at that time: dizziness, palpatations, sinking feeling, and things getafter ting black (but not passing out), tiredness. I was told to take an aspirin a day. I had a CAT scan that showed some white spots on the brain. I am 59 years old & weigh about 205 lbs. Should I see a doctor again or is this common after a TIA?
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Hi,Thank you for posting your query.I have noted your symptoms and CAT scan findings.I agree that your symptoms could be due to transient ischemic attack (TIA) and the white spots on the scan could be related to ischemia (lack of blood supply to the brain).You should continue taking aspirin tablets, and also control any risk factors such as diabetes, high blood pressure or cholesterol.If symptoms persist, you may consult your doctor again.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/
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Suffering from stomach ache. Test result shows protein in urine. More tests required as I had cervical cancer before?
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Wake up every morning with bad stomach ache have not been feeling well for a long time had cervical cancer a few years ago went to my doctors they took a sample of my urine and the fesults came back with protein in it surely I should of had more tests considering I had cancer previously they have done nothing else.
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Hi and Welcome to HCM, Do you have diabetes and HTN? Proteinuria may occurs in these conditions. I would suggest you to do colposcopy and MRI, based upon the stages only the treatment can be started. MRI can give you better picture. Wish you speedy recoveryThank you
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How to cure pain, redness and scab on the shin area ?
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Hello Doctor, I am 51 and healthy. I banged my shin on a elevator step on the back of a truck which split the skin about 1cm. I put antiseptic cream on it at fist due to the lack of bleeding and as it was a split only and not gaping at all. More like a puncture wound. This happened approx 8 weeks ago. As it has healed I have noticed a vein is present under the wound and suggest I may have damaged it. The wound has healed except for a tiny scab and a little redness. I showed a doctor about 2 weeks after injury. It just seems a very slow recovery. Any suggestions.
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Hello,You said you are 51 and you are healthy.And you also said it's a delayed healing of your wound.Delayed healing of wound is on sign of diabetes.So do you have checked for diabetes?If you have diabetes so it is normal that healing is slow. You just have to take care of your wound, that it doesn't get worsen.
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Suggest remedy to get rid of leaking cysts under stomach and armpit
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I have a huge (almost tangerine size) sebacious cyst under my belly (I am obese). It has been draining a thick bloody pus discharge. I also have three very large ones under my left armpit. How can I get rid of them forever? My doc said that it would take a years worth of antibiotics, even though he has never looked at thime.
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Hi,Dear,These lumps need to be reviewed and consulted by your ER Surgeon.As you have many such lumps, I doubt their being Sebaceous Cysts.They seem to be chronic abscesses.Diabetes needs to be ruled out in your body by FBS and PPS.So consultation with ER Surgeon and Physician if surgeon advises, would fix solution to your intriguing lump problem.This would resolve your query.Write excellent review if you feel that this reply has helped you a lot.Welcome for any further query in this regard to HCM and to ME.Have a good Day.Dr.Savaskar M.N.
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What causes redness on the ear and erection problem?
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Yes please, My fiance lower body gets very cold, he has problems keeping an erection, sometimes his ear will feel like it is burning and will physically be red, his face will get spotty pale in some places and red in others, he can sometimes hear a sound like blood rushing through him. We think it might be some type of vascular or circulatory issue... do you have any idea what it might be? Thank you, LaTrease
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The symptoms which you are sharing seems to be a vascular problem and most likely your husband is suffering from hypertension. Erectile dysfunction has multiple causes which include hypertension, diabetes high uric acid levels. I would have recommend you to get his serum uric acid levels, fasting lipid profile, and HbA1c done. If everything came out to be fine then i would like to rule out psychogenic erectile dysfunction. Hope I have answered your query. Let me know if I can assist you further.
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What is the treatment for kidney infection?
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I am going to see a doctor today for a kidney infection, I know that in the past my infections always got worse before the got better. Is it ok to ask for a doctors note for the next day incase i dont feel up to going into work. can doctors do that?
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Hi thanks for asking question.During kidney infection USG and Urine examination done.If pus fells and bacteria present in urine then along with USG mostly it could be pyelonephritis.Antibiotic needed for 10 to 14 days for kidney infection.If investigation suggest glomerulonephritis like condition then investigated and treated accordingly.If you gave repeat infection rule out diabetes and AIDS mainly.During kidney infection yes doctor can advise you bed rest and you are eligible for taking sick leave if needed by doctor...I hope your concern solved..Take care...
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What is the home remedy for regularizing the periods and having PCOD?
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Hi my periods are irregular and having pcod while I was on medication my period was ok but after stop taking the medicine it's irregular again I want to solve it properly n having a foul smell n white milky discharge also.. I want some home remedy or herbal
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**1.Because PCOS can occur independently or secondary to other disease thus do check with your thyroid profile [for under active thyroid] and may cause impaired blood sugar level [diabetes], thus seek suggestion/opinion from gynecologist as to why your periods are missing/irregular, who will go for appropriate examination [P.V. [per vaginum/P.S. [per speculum] and Investigations [Ultrasound,Hormonal profile]PS. In Ayurveda PCOS is considered due to low metabolism (digestive fire) thus drugs given will work/function by increasing the Metabolism by acting as deepana, pacahana,ushna,tekshna, sukshma,lekhana drugs and thus reducing the symptoms.2. Avoid fatty food,curd,late night work,soyabean,milk,mustard oil,cabbage, and take moong dal,tambul,saindhav,tandulodak,coconut water, vegetable soups3. regarding foul smelling discharge:. foul smelling yellowish discharge could be trichomonal infection and since occurs now and then thus simultaneous treatment of your partner is also required [make sure conditions/pathologies cervical erosion, fibroid, polyp, PID [pelvic inflammatory disease] are ruled out]. this problem is common in diabetic patients [check with blood sugar level], patient taking broad spectrum antibiotics , patients on oral contraceptives and AIDS [check as routine]. ocal wash with trifla decoction. onion juice mix with honey. you can ask for prescription medicine like: chandraprabhavati, trifla churan, pushyanug churan, tab lukol, trivang bhasm, praval bhasm.
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Having sinus infections, Bad breathe, yellow palate pink sore in the throat. On post nasal drip. What do I do for my bad breathe and the rest?
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Hi, I have sinus infections on and off, now I am having a post nasal drip, and very bad breath, the roof of my mouth is yellow and my throat has pink sores on it,my tongue is always white despite good oral hygiene, am using Listerine mouth wash but it does not help especially with the rotten meat breath, how do I stop it?I also have tonsil tones once in a while
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Hello and Welcome to HCM, Thanks for writing to us. It can be caused by variety of things including diet, medication, poor oral hygiene, and diseases or conditions such as diabetes, GERD, lactose intolerance, gum disease, and more. Maintaining proper oral health can help reduce or eliminate bad breath. brush at least twice a day with fluoride toothpaste, brush the teeth after meals, brush the tongue, replace your toothbrush every two to three months, use dental floss regularly, see your dentist at least twice a year. Hope this helps you. Wishing you good health... Regards.
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What causes difficulty in getting erections?
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I am 33 years old and not married. I started masturbation at the age of 14 and kept continue until last week. Some times I use to watch pron sites continuously for 5-6 hrs and masturbate 2-3 times not regularly but 1 or two days in a month.Last week I was watch pron site after some time I noticed that I am not getting erection also I got some pain in my penis. I don’t what happened I tried to get erect my penis but it is getting erected only 10 to 15 % after long massage with my palm.I am having erection now not not able to sustain for long time &I think my sperm count also decreased.I am very scared as my parents thinking about my marriage end of this year.Please help.ThanksAhmed
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Hi, For doubt in low sperm count its advisable to investigate with investigating with semen analysis report. You are having erectile dysfunction problem. You should rule out underlying cause for erectile dysfunction like high blood pressure, diabetes, smoking, prostatic cause, heart failure etc. For that initial work, you can check your blood pressure and sugar level. You should consult a nearby physician for detailed evaluation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician
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Had spinal cord bleed. Is it same as stroke of spine?
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My step daughter (age 41) recently had a spinal cord bleed . At the rehabilitation center where she received therapy, one of the physicians told her that what she had was a stroke of the spine . After going on line to get information on these subjects, I do not see where the two are the same even though the results are the same. Is a spontaneous spinal cord bleed and a stroke of the spine the same thing?
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Hi, Thank you for posting your query. Bleed in the spinal cord is often due to bleeding diathesis, such as low platelet count, other disorders of blood, etc, or sometimes due to trauma. Spinal cord stroke is often due to lack of blood flow to spinal cord and the risk factors are diabetes, high BP or cholesterol, etc. I agree with you that both spinal cord bleed and stroke would have similar adverse impact on the patient. I hope it helps. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist
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What causes a hole on the upper gum when diagnosed with periodontitis?
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Hi, I have got diabetes and just developed a problematic gum disease that is due to my blood sugar, because my tooth hygiene has been very good all my life. Today a small whole which i can put my nail into and feel my tooth through has developed on my upper gum on the left hand side front tooth. I am worried because others have told me ill need to have an pop. thanks
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hiiunderstabfing cincernAs per your query you have small whole on the upper gum when diagnosed with periodontitis . Well the symptoms you mention in query are probably due to gingivitis , periodontal pocket formation or periodontitis . Gingivitis sometimes create hole in gums . Well gingivitis can occur due to many reasons like food entrapment in sulcus , plaque formation and most common poor oral hygiene . If there is hole in your gums you should consult dentist without any delay , because if gingivitis is left untreated then it will lead to another serious condition known as periodontitis . Doctor may perform oral prophylaxis ( scaling and curettage )and may prescribe antibiotic course . For now do warm saline rinses , maintain proper oral hygiene and antiseptic mouthwash rinses ( listerine ) . Doctor may also give graft in severe damage after proper oral prophylaxis.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
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Is swelling of foot a side effect of nurokind puls tablets?
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My mother is a diabetic. She was advised to take Nurokind plus tablets for nerve related pain in her foot. She has taken it for close to 15 days now. She has noticed swelling on the foot now. It looks like there is water accumulation in the foot. Could this be a side effect of the tablet?
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Hello,Welcome to the magical world of health care, I went through your query, and i would like to know first that has she felt some improvement in symptoms in last 15 days, if not please stop the drug, and do not increase symptoms. lets be frank, its the the control of diabetes that stops peripheral neuropathy from happening, no drugs can revert it, so pay attention to control of the diabetic status, stopping this drug will have no bad effects.I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks.
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What caused itchy red spots on the inner skin of my penis?
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I am 58 years old. There are itchy red spots on the inner skin of my penis, I applied candid ( plane). The spots have not gone away completely, rather they come back after initial healing. I have not had sextual intercourse with anybody for about 13-14 years. Pl. advice treatment
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HelloThanks for query .The itching of the foreskin and red spots is mostly due to fungal infection of genital (Genital Candidiasis) .In most of the cases uncontrolled Diabetes presents with itching and rash over foreskin .You need to check your blood sugar levels test on empty stomach and 2 hours after lunch done to rule out diabetes .You need to take broad spectrum antibiotic like Cefixime along with anti inflammatory drug like Diclofenac and anti fungal medicine Fluconazole twice daily .along with topical anti fungal cream like Candid twice daily. Ensure to wash your genitals with warm water twice daily.Ensure to avoid sexual encounters till it heals up completely.Proper control of diabetes with medication is the only longer lasting solution to avoid recurrence .Dr.Patil.
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What makes one feel weak with pain in the bones?
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Age 24 height 157 cm weight 50kgFamily history:HBP mother,diabetes paternal grandmotherQuery:i feel light headed a lot several times a day every few weeks. I also feel very weak and my bones hurt. U cant sleep without taking tylenol most days. I eat well. Fruits and veges and and meat. I drink milk and honey. I dont eat much junk food. What could be the problem. I feel scared to go to doctor because they are rude and uncaring from what i hear.
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Hi,Have complete blood count done and try to regulate your sleep and working hours. If there is no problem in blood analyses and you continue to feel sick after you adjust sleep and working hours, you should see a doctor to undergo some examinations to find out the cause.Take care
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Suggest medication for severe depression and sleeplessness
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My brother has been taking Xenex, Mirtazapine 15 mg, and quetiapine for 15 months, but he still suffering from sleep problems and depression. He is a self made millionaire worked very hard all his life and he started from zero in his life , but soon after he moved into his new big home and finished building a church within couple of months he became sick , depressed, anxious and unable to sleep
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hi dear, get me some more details like age of your brother,for how long he has been taking these medicines and dose of xanax and quetiapine .how many members are there in his family.did he have any medical illness like diabetes , hypertension, high cholesterol.get his thyroid profile done.get back with these details i will help you better.
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Feeling of being stabbed in back with needle, no swelling or redness
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I am in remarkable health with no issues really except for this one odd thing. Every now and then it feels as if someone has stabbed me with a long needle in my back about 3-4 inches over my 'wing' area. What on earth could cause this? No swelling, no redness, no bumps nothing. Just this STINGING that happens every once in a while. It makes me cringe it hurts so bad.
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HI, thanks for using healthcare magicIntermittent abnormal sensations such as the stinging pain you are experiencing, can be related to neuralgia. Neuralgia is nerve related pain or discomfort. It is related to changes in the structure or function of the nerves in a particular area.There are different possible causes such as: infection, pressure on a particular nerve from a mass, trauma, diabetes, multiple sclerosis, kidney disease, side effect of medication.In some persons the exact cause is not known.There is medication available that can help.You may want to consider visiting your doctor for an assessment.I hope this helps
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What are the risks involved in a pregnancy at 46 years of age?
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Hi doctor. I am 56 years and my wife 46 years now. We have a son after infertility treatment and stitching the uterus until birth. He is now 18 years and now my wife missed her last period and is tested positive for pregnancy. It is only 41 days now since her last period. How risky it is to carry on the pregnancy as she is taking tablets for hypertension. We love to have another child. Can we be confident that every thing will be ok?Hl,l,IS
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Hiits good that your wife is pregnant.but its very important to monitor through out pregnancy because of so many factors.lot of issues regarding mother and fetus needs to be monitored.regarding mother ,she is 46 yrs and she is hypertensive ,it needs to monitor her blood pressure through out pregnancy and to watch for symptoms of acute excerbation of blood pressure like sever headache ,blurred vision and edema of body. its important to assess her sugars to role out diabetes and it needs to repeat in pregnancy to early diagnosis of gestational diabetes. regarding fetus, after mothers age 30yrs increased chance of anomalies. so consult fetal medicine specialist regarding sonography and blood tests to detect and role out anomalies.if you are ready to take care of these , everything wil be good. take care Thank youRegardsDr Vasundhara
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Suggest medication for diabetes and overweight
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i have shortness of breath bad, history 58yo male,history of pe,diabetes type 2,overweight,depression had recent lung xray, lung ct, blood workup, no temp no high bp, colesterol is up, diabetes was out of control, meds,coumedin,flomax,glipazide,actos,insulin,januvia,cymbalta,welbutrin,zocor, if i walk 50- 100 feet i am gasing any ideas
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Dear friend I can understand your concern in my opinion you are taking many oral medications for diabetes and dyslipidemia I need to know about your recent blood reports to suggest you betterI need to know about your Hba1c% to evaluate your diabetes along with that fasting blood sugar, lipid profile is also necessary regards
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Suggest treatment for high ALT level with the habit of drinking alcohol
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Hi Doctor. I am 37 years old, 170 cm, 72 kgs with no diabetes, heart problems or anything else. I drink frequently and previously heavily.My Liver profile results came as follows: ALT/SGPT 41 H (U/L) and GGT 61 H (U/L). Should I be very worried or will reducing alcohol intake and regular exercise be sufficient?
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HiYou need to stop drinking any alcohol since any more can further damage your liver. You also need a screen for hepatitis and a liver ultrasound.If this is just from the alcohol your liver has the ability to repair itself in time
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High SGPT and SGOT levels in the liver function tests. Stomach discomfort and breathing difficulty. Cause?
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Hello Doctor, Im 30 years Female.my Liver function test shows SGOT and SGPT high as 110. bilirubin is in control.from USS report i got to know i have early fatty liver. My LDL also much higher as 176.HDL somewhere around 60. I feel stomach discomfort and feel difficult to breathe some times. What is the cause? is it serious or can be cured my DIet only?
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Hello, Fatty liver is a reversible disease where triglycerides get deposited in liver cells. The most common causes for fatty liver are Alcohol,obesity,diabetes,high cholesterol and triglycerides etc. There is nothing to worry regarding this as simple lifestyle changes can make you allright. What to do... Quit alcohol ,if taking. Reduce calorie intake and reduce your weight. Avoid junk foods like pizzas,burgers etc. Avoid sugary drinks and colas. Avoid sweets and de fried foods. Daily aerobic exercises for 40 minutes. Take a super B complex VIT with 1000 mg VIT C daily. You should be all right in next 4 to 6 months time. I hope it helps Thanks
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On statins for cholesterol, high GGT values, advised Udiliv. Any side effects ?
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My husband has cholesterol and has been on statins for almost 10 years now. He does enjoy his whiskeys on weekends and wine on some days.. His liver function tests have shown high GGT values.. The doctor has advised udiliv 300 mg, 1 tablet at night for 3 months. Does this medication have any side effects? Is this medication safe to have along with statins? Thank you
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Hello High GGTP is due to the increased intake of alcohol. Although UDILIV has many side effects like nausea,vomiting,diarrhoea,joint pains etc and should not be taken along with statins,it's role in reduction of GGTP is very doubtful. UDILIV is basically used in treatment of gall stones. The best treatment for reduction of lver enzymes caused by alcohol intake is 1... Complete abstinence from alcohol 2... Regular exercises 3... Consumption of fresh fruits and green vegetables 4.. Avoidance of junk food and controlling of sugar levels if you have diabetes. Thanks
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Suggest treatment for tooth ache and facial swelling
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Hi yes my husband has a fake tooth and he has not been to the dentist in quite a while the other dy he tok it out to clean and when h put it back it started to hurt he has a bad taste and he face was getting swallon and he is in realy bad pain he went to the emergency room and they prescribedhim anibiotics and sometn for the pain he has been taking it but it's really not doing anything he is still in pain they did tell him that he had an infeccion he has had an infeccion before and they gave him antibiotcs and the pain went away ,but this time it does notseem to be doing anything, Does this take time? Is there anyting else he can do for the pain? Will the anibiotics work? the antibiotics they prescribed are called Penicillin 500mg nd for th pain ultracet. Can you help me out?
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Thanks for using Health Care Magic.Read your query.Pain along with swelling of the face on having a temporary denture suggests an periodontal abscess related to the teeth adjacent to the fake tooth ( of denture).Antibiotics usually start their appropriate action in 24 hours based on the infection present.If I were his treating dentist I would continue the same medicine along with a addition of Metranidazole 400 mg after examination of the surrounding structures.I would advice you to continue the medication as prescribed and visit the dentist office as soon as possible to have it reviewed as it may also require draining the pus to induce healing.Have a radiograph done and get the adjacent teeth treated before wearing the artificial teeth. Ask him to do salt water gargling.Do not apply hot bag externally.If he has systemic condition like diabetes, sugar control is very important.Hope this was useful.Thanks and regards.
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SGPT level high, stopped hives medication before LFT, on Cetzine. Is it due to Hep B or C ?
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hii doc, I had a liver function test few days back .My sgpt or Alt value is 72 which is higher that normal range.All other values are in normal range.i stopped my medication for hives 2days before LFT. I took cetzine for 20 days .is it due to this my sgpt has increased? or is it due to hepatitis b or c.I am virgin and the only exposure i had was a french kiss 6 years back with braces. how will be mine sgpt value if i have chronic hept b after 6 years?.am i ok doctor?
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Hello, CETRIZINE can't cause high values of SGPT. Although the most common cause for high levels of SGPT is generally due to consumption of alcohol. Use of certain medications like pain killers,anti depressants,antibiotics,herbal medicines etc can also result in high GGTP. Other conditions which can increase SGPT levels are Obesity. High triglyceride levels Diabetes etc I advise you to get lipid profile done along with blood sugar levels. Since there is no particular medicine for its cure,I advise following things Do regular exercises Stop taking any medication Take fresh fruits and green vegetables Avoid junk foods like pizzas,burgers,noodles etc and colas. Reduce weight and be in required range of BMI. Get SGPT repeated again after 3 months and if you still find it high,then consult a gastroenterologist and get tested for hepatitis markers and other relevant tests. Thanks
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Is there any side effect of taking tripride-2?
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I am D K maheshwari , 41yr ( male) suffring from dabeties since 5 yr fastning level 150, but now controlled with in 125-110 since last two yr regularly as per monthly checking , I am consuming tripride-2 daily before break fast , kindly suggest if any side effect?
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Hi,Tripride 2 is a combination of medicines (glimepiride+ metformin+pioglitazone) commonly prescribed to control blood sugar in type-2 diabetes. Its common side effects include abdominal cramps, diarrhea, weight gain, swelling of the legs and feet due edema, low blood sugar level, dizziness, and allergic rash.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
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Could diprophos injection trigger the irritation of the bone spur?
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I had an diprophos injection in my right heel for pain there after it didn t go away by taking anti-inflammatory pills. Now I have pain around my fibula where I also have a bone spur. The x-ray showed the bone spur and the doctor said it looked like it s been there for a some time now. I ve never had severe problems though. Could the diprophos have triggered that irritation of the bone spur?
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Hello, Bone spurs are commonly caused in the areas of inflammation & injury. Tendonitis or OA. Betamethasone may cause delayed healing, low potassium levels may cause dryness of skin, cramps & muscle pain. Diabetes is a risk of developing OA & bone spurs. Keep blood glucose under control at all cost. These trigger the discomfort due to bone spur. You are suggested to get clinically examined by an orthopedics. You may need steroid injections(cortisone). Get treated at the earliest. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Nupur K, General & Family Physician
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Is MRSA causing abscess in my arm?
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I had an abscess lanced 2-3 weeks ago and it healed up fine, was given medication to treat my body in case it was staph. Now I have another abscess that popped by itself and I've been using the hot cloth home remedy to take care of it. The abscess that popped itself has been an abscess for about a week or so now, and there's is little bumps spreading on my arm. Should I go see a doctor and have them check to see if it is MRSA?
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HI THANKS FOR POSTING YOUR QUERY ON HEALTH CARE MAGIC.AS PER YOUR CLINICAL HISTORY IT SEEMS YOU HAVE RECURRENT ABSCESS.THIS COULD ARISE IN CASES OF UNDERLYING IMMUNOSUPPRESION.CAUSES LIKE DIABETES,STEROID THERAPY,CANCERS ETC.SO SCREEN YOURSELF FOR THESE DISORDERS TO RULE OUT THEM..RECURRENT ABSCESS CAN BE CAUSED BY MRSA STRAINS.GET CULTURE SENSITIVITY OF THE PUS FROM YOUR WOUND.THIS WOULD HELP TO FIND OUT THE CAUSATIVE ORGANISMS.ANTIBIOTICS LIKE VANCOMYCIN,CIPROFLOXACIN WILL BE EFFECTIVE.SURGICAL PROCEDURES LIKE INCISION AND DRAINAGE WILL BE HELPFUL TO TOUGH ABSCESS. CONSULT YOUR DOCTOR FOR FURTHER QUERIES.THANK YOU.TAKE CARE.
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What is the normal heart beat rate for BP patients?
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Hello Doctor I took my brothers blood pressure today and found it to read 128 over 70 and pulse rate 111 beats per minute is it too worry about ? He said it has been like that for a while, he is on medication for high blood pressure as well as psyciatric drugs.
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Welcome at HCM I have gone through your query and being your physician i completely understand your health concerns. what is his age? for how long u are suffering from it? any other associated problem? like diabetes ? any history of heart problem? is he having fever? As far as BP is concerned it is in normal range , he need to stick to his medications. which drug he is taking for BP? and for how long? Pulse rate 111 is greater than the normal. he need to be looked for . is he running fever? normally it should be between 60 to 100.do make a chart of his pulse rate along with BP. if it is consistently greater than the 100 then do meet your doctor.meanwhile stay calm and continue with ur medicationsget well soon Hope your query is adequately addressed if you still have any feel free to ask RegardsDr Saad Sultan
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What causes burning tongue and dry mouth?
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I have had a burning tongue for some time now. I've stayed away from anything with acid; cold water does not seem to help. I have tried sucking on candy and gum for dry mouth. This is terribly annoying. Before I had the burning tongue, I was suffering from dry mouth for months. Help.
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Thanks for using Health Care Magic.Read your query.Burning tongue or burning mouth is a very frustrating condition ,which is usually caused by many underlying causes including nutritional deficiences,dry mouth ,diabetes ,hormonal changes,fungal infection ,anxiety and many others.I would advice you to consult your GP and rule out the cause for which it is causing and get it treated.Start with multivitamins and have a good nutrition.Also you have to keep your mouth hydrated by sipping water regularly ,ice chips sucking, sugarless chewing gums .Avoid spicy and too hot foods,if you take alcohol and caffeinated drinks please avoid it.Avoid stress in life.Hope this was helpful.Thanks and regards.
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What is the suggested medication for edema in leg?
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my wife (57) has had edema in her legs since april. along with this, she has been feeling heat and a prickling sensation in various areas of her body in addition to the legs. she has had some pain in the legs and the tingling feeling that comes and goes.
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Hi Thanks for posting your query . There are many causes for edema of leg . Common among them are Low protein levels in blood , Kidney failure , Liver problems , Heart failure , Problem in blood circulation to legs . I advise her to get these test and revert back with reports . Serum Albumin , Creatinine, TSH. Ultrasound Abdomen pelvis , 2D ECHO. For her tinging feeling in her legs she needs to get tested for Diabetes and Serum Vitamin B 12 levels . Kindly revert back with reports.
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Suggest treatment for weakness and poor concentration
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Sir I am taking daily these absolute 3g capsules (Twice a day) with Janument 1gram (Twice a day) to control my diabities. but sir I am feeling very weakness in my body as a whole. what should i do to get extra energy and to increase my concentraion level.
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Hello, Medical treatment of diabetes is not sufficient alone. Following a correct diet, exercising regularly, avoiding alcohol, besides maintaining correct levels of blood glucose, are also necessary in order to feel better. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical
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How can an infected cyst in the stomach be treated?
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I think I have a cyst in the stomach area. Stuff came out yesterday. I unfortunately squeezed it tonight and more light color stuff came out but I felt it gush inside. It s red and sore. I put peroxide then neosporin. I just read to put warm compress on it. Anything else I can do until I can have my doctor check it Monday? Thank you.
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What cyst you are talking about? Do you mean one on the skin out side? It is not called cyst , it is called a furuncle.What is your age ? Do yo have diabetes? What is your fasting blood sugar?If not clean it with betadine lotion or cetavalon lotion. Give hot fomentation and apply betadine locally.You will soon be fine. Otherwise send me a photo of this so called cyst on my whatsapp.
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How can blood sugar levels be kept under control?
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My blood sugar is always high even with medication (3,4 and 500 s) It s been mentioned plenty of times that I may need to be out on insulin but nothing has came of it. Not felt right all day, weak, exhausted... Just out of it. I just checked my sugar and it s 558. What should I do?
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Hi Thank you for querry,As you mentioned your sugar level its too high patient may go into diabetic coma on such high sugar level if sugar level is not in controll it cause its complication in each and every organ of the body so controlled your sugar level.You 1st must understand about it two types of diabetes Type 1 and type 2.in type 1 diabetes always required insulin because body is not producing insulin.in type 2 only resistance develop which may increase with medication.You must check with a diabetalogist and proper dosage of insulin or metformin adjustment required.Do daliy exercise,stop alchohal and smoking,reduce fat,rice,salt,canned juices,sweets and bakery product.Close monitoring of Sugar level along with proper follow up with your Dr.Hope the answer will help you to asses your condition and making decision.Wish you a good health.
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How can CRF be treated without dialysis?
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S.C.Khare Hatta,M.P. I am a patient of CRF be adviced with you for best tretment without dylisisus. my blood urea report is 108.7 mg, SR.Creatinine 8.7mg on 03.03.2010 now i am feeling weekness, Hediace, Low Appitute, My blood prasure is 70-160 and rendom sugur is 210 plz Advice me for best tretment without dylesis. Now be take EIDOFE, FOLI-12, NEPHCELOL, ZATOR 20mg, S-NUMOLO 2.5, PANTODOM all these medicine take once time in a day be take Inj - TRANSFER-4000 Weekly My H.B. is 8.10 plz advice me what can i do?? Sir if you advice me I will thankfull to you My E-mail ID is - YYYY@YYYY , YYYY@YYYY
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Hello Khare and welcome to HCM.As an Urologist and kidney transplant surgeon,i understand your anxiety.You've CKD,diabetes(uncontrolled),and anemia.You should write your age.Cause of the CKD,would most probably be diabetic nephropathy.There are only two options in management in your case :1. maintainence dialysis.2. Kidney transplant.The second option is the best of the two,if you're below 70 years age.Dr.Matthew J. Mangat.
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Is vomiting while suffering from type 1 diabetes a matter of concern?
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My friends 2 1/2 year old has type 1 diabetes. She vomited this morning. Her mother said it was a greyish brown in color and had weird smell. She just vomited again tonight. Same color and smell. Is that anything to be concerned about. She has no fever, and distention and denies belly pain. Sugars are fine and no ketones.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Could be simply acid reflux. Give her Syrup Rantac, monitor his blood sugars, if high get a Urine for Ketones done. Hope I have answered your query. Let me know if I can assist you further.
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Suggest treatment for twinging pain on the upper back with diabetes
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I have some twinge like pains in my upper back. Like a pinched nerve but they are shorter pains that come and go. It almost feels like pins and needles but worse. Of course working with my shoulders and arms aggravates it, but I have Type 1 diabetes and am wondering if it may be a symptom of nerve damage.
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HiWelcome to healhcaremagicAfter going through your query I concluded that you there are having probably diabetic neuropathy. Neurotrophic agents such as Mecobalamine are of help. You should control your diabetes well. For pain relief you can take analgesic such as ibuprofen. Vitamin D3 level should be tested as it is important cause of back pain. If found low it can be supplemented.Vitamin B and C with be helpful in recovery. You can discuss with your Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us . I will be happy to help you.You can also write to me directly on below link:https://www.bit.ly/askdrsudhirorthoWishing you good health.Take care.
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What causes lightheadedness, dizziness and tiredness with numbness in lips?
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For days and days I seem to feel light headed/dizzy with numbness into lips and really tired when it sets in its not constant started off with when I stood up sometimes but now it will go on for hours at a time I thought maybe not enough water so I started drinking it constantly but still no help I even considered not eating enough but I m over weight and eat when I m hungry so I m pretty sure that s not it please help
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Hello!Welcome on HCM!Regarding your concern, I would explain that your symptoms seem to be related to a metabolic cause (chronic anemia, vitamin Deficiency, electrolyte imbalance, thyroid gland dysfunction, diabetes, etc.). Coming to this point, I would recommend consulting with your GP for a physical exam and some blood lab tests (complete blood count for anemia, thyroid hormone levels, blood electrolytes, liver and renal function tests, fasting glucose, inflammation tests). In the meantime, it is necessary to monitor your blood pressure frequently during the day to exclude low blood pressure as a possible cause of your troubles. Hope you will find this answer helpful!Wishing all the best, Dr. Aida
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Does Pravastatin cause chronic bad breath?
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HI. My husband has been taking pravastatin for quite a while now. About 2 years ago I started noticing how horrible his breath smelled. He is immaculate about his personal hygiene. His breath is so bad that my entire upstairs smells from the smell in the bedroom. His vehicle smells as well. I feel terrible saying anything to him but he needs to know. I have been wondering if it could be this medicine. It is a putrid smell. I would appreciate any help with this.
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Hello,Medicines can cause bad breath while at times it can be secondary to dry mouth or fungal infection in mouth that is caused secondary to medicine intake.It can also occur due to a number of causes like poor oral hygiene, oral and dental infections, post, sinusitis, reflux, respiratory infections, and diabetes etcetera.You should consult an Oral Physician or an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations depending upon suspected cause can help in diagnosis. Treatment of underlying cause will relieve the symptoms.As of now, you should start gargling with a flavoured mouthwash twice a day. You should chew flavored sugar free chewing gum. Do warm saline gargles twice a day. Limit the intake of high aroma foods like onion and garlic. Drink plenty of water and maintain a good oral hygiene.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora
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Does breast enlargement affect any future treatments on heart?
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I have pulmonary atrisia with vsd which i have had corrective surgary for i go for yearly check ups with my consultant and shouldnt need any further surgary for atleast 30 years. i have had a lot of plistic surgary done to my scars and have recently spoken to my plastic surgeon about having breast implants due to the fact that one breast is considrably smaller then the other i was just wondering if have breast enlargment will affect any treatment i have on my heart in the future
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Hello, Thanks for posting your query on Healthcare Magic...* Brief Answer: breast implants have nothing to do with your cardiac management.*Explanation: My opinion is that in your condition, You seem to be in a stable state , from cardiology point of view, if you are on an medications , anti failure ,etc. you should stick on them. any future surgeries you should inform your physician about your cardiac condition and he or she will assess your case .I suggest my patients the following: breast implants do not affect your cardiac condition, but you should inform the anesthesiologist about last cardiac medications and investigation .The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about the medication you are on and other comorbidities like diabetes, hypertension , etc.*Conclusion: I suggest you shouldn't be worried about breast implant, nothing to do with your heart. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health.
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Why has obimet been prescribed for non diabetic having irregular periods?
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I am 26 yrs old ,arried for 2 yrs now. I had a miscarriage on 8 th Dec 11. I went in for a TORCH test where in I was detected IGG positive so my dr. told that may be I had an infection in the past so now I have been prescribed Rovamycin for 3 weeks along with Obimet and Fol Sys. I want to know that why have I been advised to take Obimet, I am not a diabetic niether i have PCOs but i am a little heavy on my belly and my periods are irregular.
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Hi, To help you conceive. Although obimet is commonly prescribed to treat diabetes, however it is commonly prescribed to treat infertility associated with polycystic ovarian syndrome (PCOS). Obimet helps in regulating the menstrual cycles and inducing ovulation (release of egg from the ovary) thus increasing your chances of getting you pregnant. It also reduces insulin sensitivity which helps you to lose weight. Continue taking it as prescribed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali
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Suggest treatment for end stage congestive heart failure
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my mother 61 yrs old has end stage congestive heart failure,her defibrilator has gone off three time, she has been admitted to the hospital several times, only to go home and get more fluid ongathered around her abdominal area approx-20lbs in a week- then go back hospital get some iv lasix , which is not working that well, and dobutamide iv. She is becoming confused at times, very depressed, and has pulmonary hypertension -secondary to end stage chf..also her ejection fraction is 15%, she cant take a step without becomng short of breath and has severe pain in her legs now, also she has diabetes 2, hypothyroidism and rheumatoid and osteo arthritis...ALL I WANT TO KNOW IS how much longer approximately can she go on like this? its not getting any better just worse, and they cant do a LVAD or a transplantation...so what the heck should we do, and why wont they (cardiologist order hospice?)
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Hii am sorry but ef 15% and her symptoms are indicative of class 4 congestive cardiac failure , prognosis is few months on medication , how ever miracle do occur so dont lose hope, she is a candidate for LVAD and cardiac transplant , but it cant be done lets have hope that medicines help her ,however 15% ef is very critically low ef and slowly she will detoriate leading to cardiac arrestsorryso try for LVAD,you have not entered her medication,but i feel dr would have tried them all
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What causes sharp shooting pain in foot?
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started sunday evening, sharp sever nerve pain not muscle pain across top of right foot from 3rd and 4th toes to ankle to outside of lower leg to knee, so pain full unable to stand. would last 5 seconds stop and start again minutes later. stopped hurting after 3 hours and started again Monday after 7pm not as often 2-3 times an hour until about 10 pm, toay on and off again all day, now tonight constancely standing walking or setting. I am 35 year diabetic with nerve damage .
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Hi,Given the history of nerve damage with diabetes these symptoms may be of nerve damage. Do take care of keeping your foot straight with pillows under knee to prevent any unwanted stretch at nerve. Drink lot of fluids, have green vegetables and have vitamin b12 supplements (vit b 12 is considered as nerve tonic). Do visit a neurologist. He may be able to help you with some nerve pain relieving medication. Do some active movements of toes and ankle it will keep the muscles toned up and prevent any swelling of ankles.Hope you find the answer useful. Let me know if I can assist you further.Regards,Dr. Harsh Swarup
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What do inflammation and burning sensation on the toes indicate?
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My big toes are red ... and they are burning. I m a type 2 diabetic, not on insulin and pretty well under control. I also have a very debilitating lower back problem which has caused incredible pain. Currently I am awaiting surgery, which will be done soon. I ve got 3 discs out of place, narrow opening for the spinal cord, (spinal stenosis) ..... and wondering if the foot/burning red toes problem is related to diabetes or could it be from the nerves in my spine? YYYY@YYYY
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Hello,As your sugar level is under control. It is good. Please monitor blood sugar level by HbA1c besides fasting blood sugar (FBS) and random blood glucose (RBS). Your problems are due to spine problems as disc protrusions and spinal stenosis.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Varinder Joshi
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Severe pain and numbness in my left legs with diabetes controlled by starlix
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SCARED AFRAID OF LOSING ABILITY TO USE LEFT LEG,LEG IS BECOMING WORSE,SOMETIMES I CAN ONLY DRAY MY LEFT FOOT.... left leg severe pain radiates down my shin, numbness noted on the top left foot.I have develope foot drop in the past couple weeks in left foot.Top of left foot numb to touch on right side of foot. Hemodialysis pt. for 3 years.I am ambulatory with noted weakness in left leg? I have diabetes controlled by starlix 3 times a day..I saw neurologist Monday he did EMG and NCS on left leg.I also, take coumadin qhs. I am positive Factor 5..All my A1C levels are within normal range.I control my diabetes very well...Will the foot drop resolve itself? All the nerologist said he would send his results to my PCP and dialysis doctor who reffered me to him..WHAT S GOING ON????? I had back surg. in 1991 it left my right leg very weak now I don t have one good leg or foot??? I also wake up with severe pain and numbness in both hands pain is almost unbearable????
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I can understand your physical and psychological suffering. Foot drop could be of variety of reasons and one among them is diabetes. If your diabetes has been well controlled, it is unlikely your diabetes is the sole reason, but still can occur. In such situation NCS and EMG can give us some information. Based on those reports and clinical examination, we could decide on treatment.
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Have potential borderline personality disorder, possible depression. What can I do?
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Hi, I have become concerned recently with my state of mental health, I am usually just about able to cope with day to day life but I feel that potential boderline personality disorder and possible dpression are holding me back from a lot of things and I can't really go anywhere in life at the moment. I want to visit my GP to possibly get reffered to a mental health professional but I am not sure of the steps involved.
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Hi, Thanks for using healthcare magic. You should consult psychiatrist for detailed evaluation and treatment if required. Doctor will rule out physical cause of your symptoms like thyroid dysfunction, Vitamin B12 deficiency, or diabetes etc. with the help of blood investigations. After ruling out, Psychiatrist will direct you to take either anti depressant drugs like sertraline or escitalopram or he may refer to you for psychotherapy sessions. Thanks
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What is lump in chin after being boxed?
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I am 26 years old, 5 foot 11, 205 pounds and have diabetes type 1. No allergies no other medical history. About a week ago today I was involved in a drunken fight with my room mate and he called me on in the back deck. Not thinking he was going to do anything but just threaten me I step out and next thing I know he swings a punch at him and hits me square in the chin. I get knocked out, police were called etc. Anyway I have a huge bruise on my chin and it's slowly going away but I noticed when I touch my chin there is a lump on the left side of my chin where I got hit. it doesn't hurt when I touch it, just feels like a lump. is that bad? Will it go away in time or do I need to see a doctor?
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Hi, dearI have gone through your question. I can understand your concern. You have history of trauma. So there is high chance of developing hematoma. It is due to extravasation of blood. You should take anti inflammatory plus analgesic drug. Drugs like Chymoral forte is helpful to reduce the swelling. This all drugs 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.
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Are there any side effects of consuming electral powder frequently?
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Hello Doctor - I try to run ~5 to 6 km thrice a week. In addition to the running, I try to do some standard muscle stretches. After a typical running + stretches session (which lasts for 75 to 90 minutes end-to-end), I sometimes feel a bit weak. After coming home, I have one litre of water mixed with Electral (oral rehydration powder). This tends to provide me instant energy and I feel fresh a short while after drinking this. Are there any side-effects of consuming Electral frequently? Thanks,
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HiIf you feel too much tired and also dehydrated, only then drink ORS. If you drink daily, extra salts and sugars will accumulate in your body which may lead to diabetes, arthritis or other related diseases.Instead opt for fresh juices or smoothies which is very beneficial.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician
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How to get rid of tongue numbness?
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Hi my mom feels really weird. she s 48, about 270lbs, and she feels a heaviness in her head. she s also complaining that her tounge is numb (but she can talk). I did the simple stroke test, and she seems to have passed that, but she s still worried. what should i do
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Metabolic studies may be helpful checking things such as Vitamin B12, folate and diabetes profile parameters and taking action on anything that is considered low or abnormal. Hope I have answered your query. Let me know if I can assist you further.
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Suffering from skin allergy around anus, no diabetes or BP issues. Taking medication. Suggest permanent cure
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I am suffering from skin allergy since 6 years around skin at anus. I am using s many medicins duly taking advice from skin specialist. Regularly using half tablet of livocitrizen in the night.Desowen skin cream and absorb power. But still it is not reducing.I am not diabetic nor BP. I am medium built with clean habits and also vegetarian.Not suffering much but getting irritation some times feeling little bit embarrassed. Can you suggest me any medicen for permanent cure.My email address YYYY@YYYY My age is 65years,R.V.Ramana Rao
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Hi, the itching at the anal region, since long time may be due to the worms , fungal infection, or a chronic fissure. I advise you to consult a proctologist or a surgeon for diagnosis and treatment. I to my patient with such symptoms prescribe albendazole, ofloxacin , ornidazole, and ranitidine, and a laxative. Thank you.
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Body very tired, thirsty, have asthma, intense back pain. What should i do?
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I am really tired all the time even if I had 10 hours sleep, I am really thirsty too. so much I finish off a large jug during the day when I usually never needed to drink this much. I also get really red in the face after walking up a flight of stairs. I am 24,, female, I have asthma but never this bad and I exercise regularly. I am thin as well 115lbs and I dont know if relevant but I had a son three years ago. After my sons birth I had a IUD put in and I went it for it to get checked as my lower back had intense pains on the side, I thought it was my IUD making a pregnancy my doctor wanted to rule out appendicitis . So I did tests but no results yet, but im still so tired and thirsty and get cramps . What could it be and what should I do?
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Hi,Constant thirst and tiredness could be the first symptom of diabetes. I suggest you have your blood sugar checked.Regards,Dr K A Pottinger,MBChB FRCA
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Why asthma induced by certain allergies respiratory infections?
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What strengths does coreg come in? I have typell diabetes and occasional asthma induce by certain allergies and upper respiratory infections. My doctor wants to switch me from lopressor as I have presented with side effects; bronchial spasms, raised blood sugar and pounding heart beats. our opinion? Thanks Marci
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HI, thanks for using healthcare magicCoreg is the trade name for the drug carvedilol.It is a member of the beta blocker family of drugs.It can come as immediate release medication or sustained release (released slowly into the system).The immediate release formulation dose can vary from 3.125 to 25 mg twice dailyThe sustained release formulation is once daily and can go from 10 mg to 80 mgI hope this helps
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MRI showed acute infraction, brain atrophy, microvascular ischemic disease. Your impression?
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FINDINGS; THIS IS ABOUT MY HUSBAND. HAD AN MRI IT SAID THAT THERE IS NO RESTRICTION DIFFUSION TO INDICATE ACUTE INFRACTION. THERE IS BRAIN ATROPHY AND CEREBRAL WHITE MATTER MICROVASCULAR ISCHEMIC DISEASE. THERE IS A LARGE SELLAR MASS, WHICH IS ESSENTIALLY ISOINTENSE TO GRAY MATTER ON BOTH T1 AND T2-WEIGHTED IMAGES. THE LESION MEASURE 2.8*2.3CM, NOT SIGNIFICANTLY CHANGED FROM PREVIOUS EXAM. THERE IS PERSISTENT ELEVATION OF THE OPTIC CHIASM DUE TO THIS MASS. THE SINUSES AND MASTOLD AIR CELLS ARE CLEAR. PLEASE GIVE ME YOUR IMPRESSION IN ENGLISH. D. JOHNSON
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Hi your husband's MRI report says two things.... One- he has a tumor, which apparently had been present earlier too and is unchanged, but is pressing upon an important structure called the optic chiasm (it takes part in vision) second - he has disease of the blood vessels of the brain...usually seen in high blood pressure, diabetes,smoking, high cholesterol... consult a neurosurgeon for the first, and consult a neurologist for the second, for which a thorough physical examination and some lab tests would be recommended take care
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Is honey and lemon with warm water helpful to reduce weight?
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Hi, I am female, 31, married and having 2.5 year baby. During my pregnancy , my weight got increased and had a sigerian baby, after that I became overweight , my BMI is 26, and I have reducing my weight. My dad is having diabetes also so I am little afraid of overweight future symptoms. I have read that using honey and lemon in warm water twice a day helps a lot in reducing weight, and so I started it, and I found a minor difference in weight within 7 days. I have 2 questions 1. How effective is to use honey and lemon to reduce weight or is there any more effective solution. 2. Is there any chance that I can get diabetes because of using honey and lemon? Please reply Thanks a lot
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Hi,thanks for query.See dear weight loss is such an issue that every other person around has some suggestion to give.The bottom line is that weight loss is a mission and it needs your continuous motivation.You have to do regular exercise at least 150 minutes/week and plan your diet.Lemon and honey may or may not be working.You can get diabetes by its use.Please take help of your doctor and dietitian for reducing your weight.bye.
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My chest X ray says evidence of cardiomegaly and mild broncho vascular prominence. What does is mean?
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I am a female. my name is surekha. my age is 48. recently my chest X ray says evidence of cardiomegaly and mild broncho vascular prominence. What does is mean and what is the nature of treatment. I am also suffering from Hypothyroid, Diabetes type 2 and hypertension for which I am taking medications. for hypothyroid - Eltroxin 75 mgfor hypertension - olmesar H40 and prazopress XL 5 and ecosprin AV 75for Diabetes - Glimisave M2.Kindly suggest the line of treatment.
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These xray changes are due to hypertension as long standing hypertension causes hypertrophy of cardiac muscles known as cardiomyopathy which on xray shows cardiomegaly and prominent bronchovascular markings so no need to take any other medication but you get your electrocardiogram and 2d echo done for your cardiac assesment.
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Need treatment for joint pain
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Hi, My mom is suffering from joints pains from the last 3 years.. she also has thyroid prob as well. we did check up with Thyroid , orthopedist and neurology but no use. Atlast neurologist from Abhaya hospital advised to contact Rheumatologist for any joint pains. She cann t walk properly, if she climbs the steps she will get the pain like anything after 10 mins. she has pain in hands, knees. If she cuts any vegitables or if she pull some weight items , she will get pain in hands and legs will be not in normal size. Please advise how can i go further with this issue? To whom specilist do i contact?
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Hi, This treatment is being suggested on bases of the information provided. However, I would like to examine & investigate the patient in detail. Control hypertension, diabetes or any other metabolic disorder, if there is any. Any way it may be tried -- Dolokind Plus (Mankind) [Aceclofenac + Paracetamol] 1 tablet OD & SOS for 5 days. Caldikind plus (Mankind) 1 tablet OD for 10 days. (You may need help of your local doctor to get these medicines.) Fomentation with warm water. Let the part not be exposed to cold air. Sleep on a hard bed with soft bedding. Use no pillow under the head. Avoid painful acts & activities. Do mild exercises for all joints. (Take help of a physiotherapist). Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. Kindly make sure, there is no allergy to any of these medicines. For emergency treatment visit nearest hospital. Wish you a quick recovery & good health. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon
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What could be the reason of denial for extracting tooth of a diabetic patient ?
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My dad is 80 years old and is a diabetic. He wants one of his tooth to be extracted. He went to a dentist and he said he doesn t operate on diabetic patients. But my dad is not on constant insulin . He just takes two (5mg) pills of Glibenclamide daily in the morning. What could be the real reason behind his refusal? Would appreciate answer asap!
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A dentist cannot refuse to perform any oral surgical procedure if the blood-sugar levels of a diabetic patient are under control levels. If the patient gives history of non healing previous extractions or any other wound than the dentist can ask for latest blood-sugar reports and may even ask the patient's diabetologist weather its safe to do extractions. In uncontrolled diabetes, the extraction wounds don't heal and get infected. At 80, the body becomes physically compromised. Take latest blood-sugar reports of your father along with you when you visit your dentist. Even if the diabetes is uncontrolled, a patient suffering from pain cannot be denied treatment. There are various forms of bleeding controlling drugs available which are often applied on the extraction wounds to stop bleeding and promote healing. Find a good dentist.
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What could be the cause of intermittent dry cough after angioplasty?
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my mother recently had an angioplasty and has been home for a week. She is suffering from dry cough and we cant seem to figure out if that's a side effect or a reaction to something. Although its not been bothering her majorly, but i have observed that it just happened on and off and I am not entire sure whats triggering it. She is diabetic and hypertensive and is on usual medication such as Ecosprin and Clopigrel along with other drugs to cure hypertention and diabetes. Drugs Include: Prolomel XL, Cardace, Rozat, Presgator, Geminor, JalraM
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Hello , Dry cough is a very common side effect of cardace , so if it's a recent drug who was added you should consult your doctor and he will substitute the same for you . That should take care of the cough. Angioplasty per say doesn't cause cough. Regards Dr Priyank Mody
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Can Glycomet-GP be taken instead of Glynase for diabetes?
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Hi , Myslef Dattatray Gharge age 37 , Since last 7 years i have diabetes my sugar level is, fasting 130-160 & after meal ( two hrs) around 200 . Now i am taking Glynase MF two tablet in day . Now my family doctor suggested to take Glycomate GP 1 , One tablet per day . Pls advise what to do .
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I think you can try Glycomet GP2 twice a day--but monitor your sugar after 2 days to be sure it is ok--regards
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Suggest remedy for lumps in neck & ear with loss of appetite
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39, insulin dependent diabetic, 5 5 145lbs, overall active and healthy. Lump on the right siden of neck, change in hearing in the right ear, lump on right side of abdomen below rib cage, decreased energy, occassional night sweats and dizziness and loss of appetite. Diabetes is under control and the sweats were not because of low blood sugar.
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HI,Welcome to HCM.Based on the facts of your query,In My opinion You should Get opinion of your ENT doctor about the cause of the lump-as it could be-Otitis Media with Neck nodes with post-inj lump on the abdomen or it could be due to lipoma.The occassional night sweats could be due to Low grade Otitis Media with adenitis.Repeat FBS and PPS would indicate if any review of Insulin doses is needed or not.For this check with your doctor.Remedy-Second opinion from a ENT surgeon would resolve the issue by his examination and USG and needed tests.AntibioticsAnti-iflammatory drugsIF no relief , your Ent doctor would plan further treatment by surgery or change of antibiotics as need be.Hope this reply would help you to resolve your health concern and its worry.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!! Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS
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Diabetic having persisting deep cough. Pain in the legs and head. Due to allergies?
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I've had a deep cough all my life. Sounds almost like bronchitis, which I do get once or twice a year, but the usual cough never really goes away, occurring about 4x an hour, sometimes seems like it won't stop. Have caused myself to throw up from it, not sick, just the action itself pulls it up. Very rarely, when I cough I get something like nerve pain seemingly starting at the tops of both legs & radiating down, with my head hurting then too. Once the coughing fit passes, no head or leg pain. Doctors have told me over the years: allergies (don't know to what), post-nasal drip, pretty much "live with it." But it scares pets & toddlers! Any ideas? Female, age 59, type 2 diabetes, bp averages 126/.72 with meds. Lisinopril makes the cough twice as bad. Thanks.
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I hasve treated many tients like this if you have sugar and allergies it is only due to milk if you stop all milk and diary products completely you will recover from diabetes and sugar in 3 months lisnopril can increase allergies get the salt changed from doctor If you have allergies take singular 10 mg bd tab fexofenadine 120 mg od syp micts linctus Dx sugar free 1tsf bd
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Suggest medications for low back pain
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Yes, thank you so much. I have back lower pain .... It s been more than 3 month now. It comes and goes ..... One think I noticed when I eat sweet or sugary food it makes it worse . And sometimes my legs my hands gets numbed and I feel weak . Thanks for your time
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Check your blood sugar fasting and postparandial levels and also HBA1C. It could be due to diabetes. Control of sugar along with neuropathic drugs like gabapentin, nortryptaline will make you much better
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What is causing joint pains in my mother?
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My mother is suffering from chronic rheumatoid arthritis along with diabetes and this has been running for the past 11yrs now..Her recent blood & urine tests have shown moderately high levels of creatinine as 1.7, blood sugar levels as 95(Fasting) and 188(PP) and heamoglobin count as 6.5 ..After consulting a nephrologist she has been diagnosed with diabetic nephropathy & chronic kidney disease Stage 3 and has advised us to take Ertythropoiotin injections to raise haemglbn levels..The rheumatologist on the other hand has prescribed Paracetamol Dolo 650mg along with Citromacalvit & Salzar. Do you think the above medications are apt to her joint pains? Thanks,Deep
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Hello, The symptoms of your mother seem to be related to rheumatoid arthritis. I suggest using anti-inflammatory medications such as Paracetamol Dolo as prescribed by your doctor. I also suggest using cold compresses for local application. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr.Dorina Gurabardhi, General &Family Physician
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What causes vitamin D3 deficiency?
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Hi Doctor, I am 39 years old man and have folate deficiency of vitamin D3. I am using the medicine for high blood prusser and diabetes. I have lower back pain from the last three years The showing result 3.5. May I know what is the main reason of Vitamin D3 deficiency.
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Hi, dearI have gone through your question. I can understand your concern. You may have nutritional deficiency, some parathyroid problem or bone problem. Ypu should search the cause. You should take vit D3 plus calcium supplements. Consult your doctor and take treatment accordingly. Continue with your other medicines. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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Suggest treatment for asbestosis in lungs of a diabetic
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Hi, my father is ill with mrsa and has abestosis in his lungs also diebetic doctors say his kidneys are deterateing. this is the second time we go through this tremedous painful watching of my fathers downfall health wise does this is there any hope for recovery? or what can be done?
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Thanks for your question on Healthcare Magic.I can understand your concern. Diabetes and asbestosis (lung involvement by asbestos) make lung defense weak.So patients are more prone for lung infections like MDR (MultiDrug Resistance) pathogens, tuberculosis etc.MDR infection also causes septicemia and kidney failure.So best treatment is to cure lung infection. So get done bronchoscopy and BAL (bronchoalveolar lavage) culture and sensitivity report.Sensitivity report will guide about effective antibiotic treatment. Once this infection is cured, vaccinate him with pneumococcal and influenza vaccine to prevent recurrent respiratory tract infection. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.
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What does floating pieces of tissue in urine indicate?
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I have what looks like small floating pieces of tissue in my urine. A couple of weeks ago I had what looked like very tiny tadpoles, they actually looked like sperm cells, however, I know they are microscopic. To compound the issue I had a TURP in 1988 when I was 37 which caused retrograde ejaculation until a few years ago when I started slowly ejaculating material which went from the consistency of normal semen to now being clear and like water. Any ideas?
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Hello I share your concernthus could be due to STI, UTI or a manifestation of systemic disease like diabetes kidney diseasei see such patients in my clinic and i would advise you for urine microscopy culture and sensitivity test as well as culture of the discharge You should be worried but not so muchso if you can update me about your weight and working culture as well as complete medical history I will be able to guide you better meanwhile maintain good hygiene by washing it with antiseptic solutionschange the undergarments and wash and dry it regularly and properlyHAVE PLENTY OF FLUIDS hope this helps youregards.
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Suggest remedy for heart ailments
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I had a baby 18 months ago and previous to that suffered from Hyperthyroid due to a virus. I was suffering from significant tachycardia and excessive sweating at that time. RAI Uptake was done etc, Virus resolved rendering my thyroid now Hypoactive for the last 4 years. I am currently taking Synthroid 150mcg. I have been a runner my entire life however first trimester complications caused that to cease. I am not just getting back into it and training for a half marathon. I have noted that my heart rate even after 5 minutes of running is around 186 bpm. I went to my GP to have my TSH and T4 checked to be sure I wasn t over medicated. Everything was normal. His response to this high BPM was to add a Beta-blocker. I have leary of taking it because I have read it will greatly affect my performance while running. I also get a quivering type feeling here and there through out the day in my heart. I get extremely flush almost purple in my face when running. I m wondering if there could something significantly more wrong than the thyroid affect as my GP has mentioned. I asked for a stress test and he said I didn t need one. I am 34 years old, slightly overweight still from post-partum. no other medical conditions, no history of any previous medical conditions other than Gestational Induced Hypertension and ecclampsia which clearly has resolved and Gestational Diabetes which also resolved.
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Hi, Get an ECG done. Are you still hypertensive? There are other drugs that can be added to control your heart rate. But before that, you should rule out all the causes of tachycardia in this setting including endocrine causes, serum electrolytes, Holter if necessary. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Swarup Pal, Cardiac Surgeon
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What causes red eyelids and bump?
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hi, my 5 year old daughter has had a cold for a few days and this morning she woke up with a red eyelid and bump on it. as the day has gone on her other eyelid has become red and she is getting pimples on her face. is this from her virus? fyi....she has type 1 diabetes. thank you.
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Hello. I just read through your question.I agree with your instinct that the redness and bumps are a result of the virus. I do not believe this has anything to do with her diabetes. Keep the eyes clean, and the issue will resolve on its own. If the symptoms persist for more than one week, I recommend consulting with your doctor.
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What causes a head lump with pain and hardness?
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my husband has a dime size bump on the lower part of his head. when i touch it he say s it hurts a little .it feels hard around and soft directly in the center. its been there 4 days. he does get bumps from time on his neck they go away w/bump hair removal products.
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Hi,Dear thanks for the query to HCM virtual clinic.I studied your query in full details updated from you.I understood your health concerns.Based on your query data, In my opinion ,Dear You seem to suffer from recurrent boils of the scalp.Seems to be due to lice or dandruff or seborrheic dermatitis as the cause of it.Check with Blood Sugar for diabetes to rule out diabetes as the cause of its recurrence.Hope this would resolve your query and worry and Anxiety accompanied with it.Welcome for any further query in this regard to ME.I would love to help you out.Awaiting for any further query.Wish you fast recovery from this intriguing health problem.Have a Good Day.Dr.Savaskar M.N.M.S.Genl-CVTS -Senior Surgical Consultant
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Missed abortion, torch levels show positive for rubella IgG and CMV IgG. Can I plan pregnancy ?
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Greetings sir ,I had a missed abortion at 8 weeks in April I just had a torch levels done last week which showed rubella IgG 93 and cmv IgG 169 which is positive rest all r negative for IgG and IgM I want to plan for pregnancy will dis affect my baby to hav any anomaly I m a nurse please feel free to inform all d pros and cons
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HelloThanks for your query.Ig G indicates a past infection with rubella and CMV and positive Ig G levels infact indicate that you have developed immunity to the infections.You can definitely plan your pregnancy, as these results are NORMAL and you require NO TREATMENT for these reports.For the missed abortion, ideally karyotype of the products of conception should have been done.Also, screening for other infections, screening for autoimmune disorders, hypothyroidism, gestational diabetes, blood group mismatch, anomalies of the uterus, hormonal imbalance etc should be done before planning your pregnancy.Consume folic acid for atleast 3 months prior to planning your pregnancy.Take care.
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What causes red raised rash even after giving sugar free food?
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My 21 month old son s skin get a red raised rash it seems after eating cinnamon toast but we are thinking it was the sugar free syrup? this has also happened with sugar free jelly too. Is there a way to still give Sugar free products without them hurting him? If he gets a rash on his skin what is it doing to him internally? Thanks!
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Repeated raised rash on the skin after a certain kind of food suggests that there is some kind of allergen that can't be resisted by individual's immune system. It could be urticaria too.Still want to give the same food? Chances are rashes may double next time or even more next to that. Wisdom is to avoid it. But before quitting that food you should ensure that same food is culprit. Anti allergics in modern toxic medicine relieves fast but doesn't cure nor does it create immunity.Alternatively Ayurveda has the answer. If you can give pure turmeric powder + Neem leaves + Sugarcandy powder (if not diabetic) in 1:1:1 ratio and give the mixture 1/4 tsp every eight hrs. mixed in honey (again if not diabetic) for a week to two weeks, you will start seeing lesser or no rashes appearing. But the effect comes slowly being natural things.Here sugar candy and honey have different properties. Together these things act as 'Sheet Pittnaashak' as per Ayurveda principles.Beauty of the combo is you may mix any two or all three ingredients. If nothing is available, at least your kitchen will have turmeric of best quality.If honey is not to be given , for diabetes, water may be given but for small child its difficult.In ready made classics of Ayurveda, HARIDRA KHAND is medicine of choice in place of above combo. It's a coarse powder. Give 1/2 tsp TDS if you can get from India or online.I do not find better thing which is natural, harmless, safe, no side effects for such issues. But little slow.Hope it helps your child and it will.In case any further information is needed, pl write direct question.
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Why the ankles and the knees swell while walking in a treadmill?
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I guess if its free I have been walking 6 miles a day on a treadmill & my ankles & knees are so swollen. but my feet burn like fire all the time when on them for hours & hurt so bad & that has been going on for years before a treadmill. wondering what is wrong with me. I hope its not diabetes
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Hello, The symptoms seem to be related to peripheral neuropathy. The symptoms can be related to diabetes. I suggest checking the glycemic level for further evaluation. Meanwhile, you can try over the counter option. such as Ibuprofen. If they will others be effective you should consult your doctor about prescription painkillers such as Gabapentin. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dorina Gurabardhi, General & Family Physician
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What causes fruity breathing smell in children?
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hi sorry to bother you my child is 4 years of age and few occasions over the month she has vomitted in the morining but felt fine. When i come in from work yesterday i could smell sweet fruity smell coming of her breath so i tested her urine an dthe keytones were +++ very high later on last night i checked her urine again and there was none what do you think this is I hope you can help me and give me advice
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Hi..Welcome to HCM..As per your complain fruity smelling breath occurs when there is excess ketone production in body due to breakdown of fat..It gives the breath a typical fruity/acetone smell and can be seen in cases of illness like viral and other infections..Another most common cause for acetone breath can be Diabetic Ketoacidosis.In case if your child is smelling ketone like breath even in the absence of any illness then it can be an alarming sign of Juvenile Diabetes and you need to consult a Paediatrician and get him evaluated and a thorough clinical examination and investigations like blood test can help in diagnosis and will be treated as per diagnosis..Hope this helps..Regards,
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Can Naturolax Isabgol be taken while suffering from diabetes and hypertension?
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My father is 64 yrs. he is having BP and diabetes. he is having very high constipation problem. He has started taking naturolax ispgol powder and he is feeling much better with this. But can he continue to take this as he having the BP & Diabetes problem.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your father can take Naturolax Isabgol powder for constipation. It will cause no problem. Also advise him to increase fluid intake. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Varinder Joshi
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What causes stomach ache and dizzy spells after gall bladder removal?
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I get bad stomach aches if i don't eat every two to three hours. They hurt thru to my back. I also get these weird dizzy spells sometimes too. I don't know if they are related. It started after I had my gallbladder removed. I'm 43 and I exercise but want to know if it could it be diabetes?
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hi.noted history of stomach ache and dizziness after cholecystectomy. it is best if you do a follow-up consult with your surgeon for complete physical examination and clinical evaluation. it may or may not be related to your surgery, hence, personal consultation is important. diagnostics and management will be directed accoridngly.hope this helps.good day!!~dr.kaye
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Is it safe to go for liver transplant while suffering from congestive heart failure?
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My sister was told she needed a liver transplant about 6 months ago. She is extremely over weight. She has congestive heart failure, her pancreas has shut down, and she's a diabetic. She has been passing blood thru her bowels. The family was wondering what we can expect next and if we are losing her. If so, how long till this happens?
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Hi. IN liver failure the only chance is liver transplant. Diabetes can be controlled well with Insulin ( as pancreas has shut down), Her ecocardiagraphy will guide the Doctors whether she can be subjected to such a major surgery. So in this patient it is basically a multispeciality treatment module and if all Doctors come together to decide what is best for the patient.
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How long can he exist without dialysis at renal failure 5th stage?
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my husband has had five way by pass surgery, several heart attacks, and diabetes, high blood pressure and now is in stage5 renal failure, how eminent is dialysis, one doctor talking about putting box in arm now, He also has a new area in heart not receiving proper circulation, the heart doctor was going to do catherization and put in stents, but looked at kidney tests and said no it would throw him into immediate dialysis. dyalsis causes heart attacks some articles say, how long can he exist without dialysis at level 5 sorry I cant spend any money on anything also working with 855 a month income
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Hello and welcome to HCM.As an Urologist, i can fully understand your concern.You should've understood by now, that dialysis is an artificial kidney. Dialysis is needed thrice weekly, in patient's with very poor kidney function, as in stage 5 failure. With so many vital parameters, like heart function,diabetes,age also is important, his general condition is compromised severely. It's impossible for any doctor to predict, how long he'll survive without dialysis.You can get it done free of cost at government hospitals.Dr.Matthew J. Mangat.
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Are rashes common to occur in borderline diabetic people?
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I have been diagnosed as a borderline diabetic. For the past several weeks I have had a rash that appears on my mid-section, arms, neck, etc. I comes about the same time everyday and it produces a terrible itch. My question is could this be related to the diagnosis?
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HiAs you have mentioned that you are borderline diabetic, the blood sugar levels are not very high so may not be related to diabetes however continue the life style management and diet as advised by your physician.If I were your treating doctor would have advised for the itching -some anti histamine tablets and apply Betnovate creamif you still continue can contactWish you good healthRegardsDr Sridhar K
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Elevated serum creatinine levels despite taking medication. Have diabetes and hypertension
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my serum creatinin levelwasranging froim 2 t o2.7 for thepast ten years .it increasedto 3.2 in november2012.now it has gone up to 3.7 . iam diabetic& hypertensive since 1986 at present both are under control i am takig the following medicines fordiabetes-volix .3 3 times levimir-24 unit at night actrapid insulin-6 units-12 units -10 units 3 timesa day for bp arkamin 3 times minipress xl 7.5 morning starpressxl 50 morning benace 5 morning night doxacard2 night kidney problem ckd stage 3 ketosteril 3 daily nodosis 3 daily phostat twice daily coq 300 morning i am 72 years old & my weight is 72 kg & for varius other ailments i take clopigrel neksium 40 nervz b neugaba m nephrocaps orofer xt i am worried about increase in serum creatinin plese advise how to control my e mail id is YYYY@YYYY
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Hello, Your s. creatinine has been progressively going up suggesting deterioration of kidney function. This type of damage is usually irreversible. As far as medicines are concerned ,they are perfectly all right and there is nothing to add in this treatment. I would simply like to guide you on general lines so as to keep you aware of every thing. To slow down further deterioration.... ....Your blood sugar needs to have impeccable control (HbA1c .... Your blood pressure should be controlled to levels below 120/80 mmHg. ....You are already on BENACE,which is an ACE INHIBITOR and this helps in slowing down the deterioration of kidney functions in a diabetic. ...Avoid routine pain killers. ..Don't take more than 4-5 gms of salt per day. ...Restriction of proteins to be observed and to be taken as advised by the doctor and is generally between .6 to .8 gms/ kg/ day. ....Quit alcohol and smoking,if any. Always keep your blood sugar levels and blood pressure in meticulous control. I hope it helps. Thanks
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What level of peptide hormones should one possess?
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Hello, what is the normal level of peptide hormones one should have? My husband was a a diabetic for 30 years until recently when he underwent a pancreas and kidney double transplant. I worry about whether my son who is 24 will get diabetes. thank you
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Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Yes, there is chance of son having diabetes of father. But it is always not necessary that son always have diabetes.If your child adopts good life style habit he will never gets diabetes.Healthy life style means doing regularly exercise, eating healthy food, low in fat and high in protein diet.This will maintain optimum glycemic control and you never gotta have diabetes.I will be happy to answer your further concern on bit.ly/DrArun.Please hit thank you for me if you are helped.Thank you,Dr Arun TankInfectious diseases specialist.
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Suggest remedies for ketones during pregnancy
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Hi I'm 32 weeks pregnant with my 3rd child, was up at a growth scan & clinc on wed just there .. They have said there is protine & ketones in my urine ! I'm a little worried about the ketones as they didn't really explain what they were ... And why I had them or if they would do further test ? ! Just that if I drink plenty of fluids & try not drink as much coffee or juice that it would flush out my system ?
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little protein and ketone positivity is normal in urine and don't worry. But ketone positivity indicates either diabetes or low dietary carbohydrates intake. If diabetes ruled out, you need to take adequate carbohydrates. Don't be panic. Regarding protein, up to 300mgper day is normal in urine. All the best. if you have any questions feel free to contact me.
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