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Suggest treatment for atherosclerosis in the legs causing intense pain
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i have been diagnosed by two cardiovascular surgeons as having severe atherosclosis primarily in my legs . one surgeon put a stent behind one knee to no avail. so far all i am told is that this condition is sever but the only action taken is to take a blood thinner. when i walk it hurts my calves alot and sometimes the pain occurs in both hip joints. when this happens i cant walk because the pain is too much. so i have this disease but no recomendations on what to do . can you tell me what to do thanks
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You should be on a blood thinner and a statin. If you smoke, stop. If you have diabetes, it is important that your blood sugars are low and stable. If the pain continues, I recommend angiogram to assess the patency of your vessels. Hope I have answered your query. Let me know if I can assist you further.
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High bilirubin and SGPT levels. Is it from food poisoning and stress? Possibility of liver disease?
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hello, goodmorning. im from ph, and i just wanna ask coz my boyfren went to doctor n found out in the test results Bilrobin level is 10 and sgpt level is 1996. please let me know how is this? im so worried coz its too too high. as doctors said where he consulted that possibly just coz of stress n food poisoning . where in fact as i knew if sgpt is high in the blood then there must be some problem in liver or heart. im seeking help badly. my heart is sinking. karren
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Hello, karrenjose, Yes, your boy friend seems to have significant liver disease. Only thing is, what is causing the liver damage ? Alcohol is number one cause of liver damage, followed by viral infections like Hepatitis-B and C. Acute Type-A hepatitis can cause elevated enzymes and bilirubin also. This is from eating or drinking contaminated food or drinks. This is usually self limited in majority of cases and gets better in about 4 weeks. All the liver tests should return to normal. Hepatitis could be drug related. auto-immune or certain genetic enzyme deficiency can cause liver damage. Diabetes , very high cholesterol can be associated with fatty liver. Hope you can discuss these with your doctor. I wish him well.
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Light discharge after periods. On implanon since last year. Suggestion?
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Hello I am 27 I have never been on birth control until last year jan I started on implanon since then I have my lady issue for around 23 days or so and afterwards I get a discharge and light odor it doesn't smell bad it just noticeable i have been to the doctor two or three times and one said it was vaginosis and the other said yeast infection. I have never had any of these issue before the birth control they said my body just had to get used to it. is there any kind of vitamin or over the counter minerals I can take to prevent this issue from continuing? and could this one day effect my body from baring children?
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Hi dear user, Implanon can cause vaginal irritation and discharge. As per you history you are suffering from either vaginosis or yeast infection. In my opinion clotrimazole and clindamycin pessaries are good in treating such infections. You should get your blood glucose levels checked to rule out diabetes. To increase your immunity you should start multivitamin capsules single per day and increase your protein intake in diet (egg, pulses, milk; chicken, fish etc are good sources of protein).Although these infections are common but the possibility of affecting your fertility after repeated infections; cannot be denied.
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What causes low INR levels while on Coumadin?
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my husband takes Coumadin - his levels were 2.1 for the last 2 months. Friday he went and the number was 1.4 - she asked him about green veggies. He doesn t eat but does take a vitamin a day that has 75% of daily requirement of vitamin k (has taken them since October. he is 6 -2 weight 208 steadily. Has diabetes, had a silent heart attack and slight stroke in October. He did eat a lot of my chocolate chip cookies that are made with sliced beets...would that cause it?
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. International normalized ratio levels below 2 is to be maintained while on anticoagulant therapy..and your husband levels are with in normal limits .That means the dose of anticoagulant he is using is correct Hope I have answered your query. Let me know if I can assist you further.
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Back pain near spine, radiating to base of skull, pulsing sensation. Taking lantis for diabetes. Cure?
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Starting yesterday I ve had back pain in the mid section of my back close to spine . I haven t done anything to cause this pain. This morning that pain isn t as sharp, but it s now radiating to the base of my skull . The sharp pain I had yesterday throbbed with heart beat. Today when it come on it all throbs with heart and a strange sensation in chest. Not a chest pain or pressure, just a strange feeling. BP is 155/93. I am diabetic, male 54yr old. I take Lantis 70u at night before bed.
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hello Your disease condition appears to be trapezius myalgia due to a sprain . As you may know trapezius is the muscle attached from the base of skull to the mid back . Usually precipitated by perculiar posturing for long time. Dont worry the treatment is simple ,local pain killers and hot fomentation will help a lot but main thing is to relax the muscle and this is by lying straight on back supine on a flat bed with out cushion . Then take adequate rest for few days,then once the pain settles down start physitherapy for this muscle. If this is not subsiding with these measures please consult a physician for further evaluation
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How to treat oozing pus from penis?
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Hi I'm seeing yellow and green pus come out of my penis and I'm scared that its gonnerrher what do I do I'm in fort walton I'm afraid of needle this is the first time this has every. happen for 8 mos I. found out my wife was cheating on me I need some advice
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HelloI share your concern Looking at your description This could be caused by infection like STI or inflammatory reaction as a result of repeated trauma or allergyHere I would like to know about your age and related medical history like diabetes or history of unprotected sex?I see patients with similar complaints in my clinic and I would advise them for a battery of tests like blood for hemoglobin, CBC Liver and kidney function test, blood sugar And investigations to rule out STI like gonorrhoea herpes and VDRL for syphilisMeanwhile maintain good hygienewash it with antiseptic soap or solution and apply antiseptic or antibacterial ointmentYou may require a course of antibiotics under supervision of your doctor.Hope this answers your questionBest wishes
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What causes abdominal pain for a drinker when having fatty liver, esophagus varices?
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Good evening sir, thie Ganesan from T.N, in 2010 i was diagnosed with fatty liver along with first degree esophogaus varices, then i stopped drinking alchohol, after 3 years in 2013 i lost wife, sicnce then i have been drinking, last few days i have abdominal pain just below right rib, what it may be?
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Welcome at HCM I have gone through your and being your physcian i completely understand your health concerns.for how long u are suffering from it? any other associated problem? like diabetes or hyptertension? are u having fever? any other lymph node swelling in ur body? as far as pain in the abdomen is concerned there are alot of differentials like pepic ulcer diesase, gall bladder problem, duodenal problem, costochondritis of ribs etc. you need to be examined by the doctor so that exact cause can be sort out. if i am ur attending doctor i would get your abdominal ultrasound along with LFTS and fbc. and ECG. IS there any association of food intake with the pain? does it comes on full stomach or empty stomach? you need to assesed fully before a reasoned conclusion can be drawn and in my opinion u need to undergo ENDOSCOPY to asses the degree of VARICES too. meanwhile stay calm and use OMEPRAZOLE 40mg before breakfast daily . it will help you relieve symptoms.get well soon Hope your query is adequately addressed if you still have any feel free to ask RegardsDr Saad Sultan
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Suggest remedy for diabetic patient suffering from abdominal pain and nausea
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my mother age 65 diebetc patient 15 days suffering from abdomen pain and nausea feeling we consut gastro they advisc ultrasonpgram ECG CHEST XRAY All are normal thay pesricbe RABONIK 200MG DOMSTAL MT AND ULGEL FOR ONE WEEK BUT SOME TIME pain occur plz answer me and thank u
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HI.Thanks for your query.Since your Mother is diabetic , the control of infection particularly of the intestines do take more time than that in a non-diabetic person.IT is good that other conditions are ruled by some investigations as you have noted. Please continue these medicines and get a review opinion after a few days.Take care about the diet , it should be bland .And most important is the control of diabetes, which should be absolutely within the normal range for any infection to be under control.
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What is bigomet taken for?
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My fet is scheduled on 18 .dr prescribed some tests before that insulin,e2,ft4,tab. Insulin fasting test result is 15.18 uh/ml. But insulin pp is 63.48mu/l. Should I go for embryo transfer ?I informed by dr about this she replied start taking bigomet 500 mg sr
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Hi, Metformin is an oral hypoglycaemic agent which is used alone or in combination t to treat high blood sugar levels caused by type 2 diabetes. This drug is also used to counter the hormonal imbalance found in PCOD. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ajeet Singh, General & Family Physician
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how to control Blood Creatinine ?
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my mother's blood creatinine level has reached 6.1. how to control it and get reduced to normal level
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Abnormal creatinine levels in blood indicates kidney disease.Normal levels of creatinine in the blood are approximately 0.6 to 1.2 milligrams (mg) per deciliter (dl) in adult males and 0.5 to 1.1 milligrams per deciliter in adult females.The most common causes of longstanding kidney disease in adults are high blood pressure and diabetes mellitus. The treatment for kidney diseases include diet modification,medication for blood pressure control etc,food supplements and dialysis.Please consult an nephrologist..
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How to treat the fluttering sensation of my head?
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I am having a fluttering sensation in the top, center portion of my head and having excessive fluid retention. I take a fluid pill daily and cymbalta. I have a family history of diabetes and am a borderline diabetic. I also have symptoms of ADHD (this has been diagnosed by physician.)
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Hi, At this point the symptoms you refer are not readily recognizable as part of a specific clinical syndrome therefore, you are best advised to contact your physician to see if perhaps, you may be suffering from side effects of your medication or the dosing regimen needs to be modified. I can tell you that the "fluttering" sensation in the head is not concerning any serious entity such as stroke, aneurysm, or tumor. You also may be exhibiting anxiousness due to the ADHD. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist
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How can acute diarrhea and diabetes be treated?
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Hi I am at my lowest I have for past 2 years suffered cronic diahorea I have recently been advised I have type 2 diabetes , but before that I have not been able to control the diahorea bouts that I experoce it is very embarrassing as I travel a lot for my work and in high level position that requires a lot of meetings etc etc I have had to run out of meetings to go to the bathroom I have no control at all, I have sort a colonoscopy which has been clear, I am always tied and lethargic and my moods are changing due to this I am not the person I used to be and I feel like I want to end it all I have had enough I just went for dinner with my partner and had 4 mouth fully of a lovely dinner but had to rush off due to this continual problem Can you help me please Janelle
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thank you user for your query.Get your stool routine microscopy and culture done and also get tested for malabsorption syndrome. Kindly get your HIV test done, if you have ever done unprotected sex apart from your wife. Also mention your drugs for diabetes also, as some anti diabetic drugs also causes diarrhoea.god bless
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What causes loss of sleep and memory during night?
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hai i m Shamna...i m writing this msg for my Grand pa.....he have some pblms, the main thing he won t sleep at night and At nigh he ddon t knw anybody else even his Wife( my grand mom) and he ll sleep from mrng till eveng, & dnd the same all days...watz the prblm sir??
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Hi, He needs a proper evaluation to determine the underlying cause of sleep disturbance. We also need to see his comorbid illnesses such as diabetes/high BP, etc, before which any medicine can be started. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sudhir Kumar, Neurologist
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Suggest treatment for electrical feelings in head and loss of smell
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I have already been diagnosed with peripheral neuropathy. I take Lyrica and oxycodone , xanax and trazadone. Lately for the past 2 mos. I have been falling and have had electrical feelings in my head but they do not hurt . The electrical feelings started 3-4 months ago and now are every hour and I cannot work. I can hardly stand to type at the computer or think. I have a metallic taste in my mouth and things do not smell the same. Also I have no appetite.
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Hello!Welcome on HCM!Regarding your concern, I would explain that your symptoms seem to be related to trigeminal neuralgia. But, considering the loss of smell, I would recommend performing a brain MRI. Some other tests are needed to exclude for the causes of peripheral neurophathy (which could also explain the lack of smell): - complete blood count for anemia- iron levels for iron deficiency- vitamin B12 levels- thyroid hormone levels - fasting glucose and HbA1C for diabetesHope you will find this answer helpful!Kind regards, Dr. Aida
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Experiencing body rashes, severe itching all over the body. Is this a sign of HIV virus or Cancer ?
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Hello Doctor. For last 6-8 months i am experiencing, body rashes , severe itching all over the body, which includes Head, arms, thighs, lower back and sometimes bumps on the forehead . I sometimes get itching on the tip of the penis and around the testicles. Is this a sign of HIV virus or Cancer? I did take Claritin and Aerius medicines but after taking them i get relief for 10 days - but again the itching rashes starts 9-10 days after taking the medication . Lets say i take medice today, all rashes will come back after 10 days. Especially after taking shower it rashes the most. Please advise as ur help is very much appreciated. AAA
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Hi,Thanks for writing to us.From the description i seems you are having chronic urticaria. In most of the cases no cause is seen but in few there could be association of autoimmune diseases, thyroid disorders, rheumatoid arthritis, diabetes with the same. Sometimes hot or cold weather, pressure, water, sunlight, sweating etc too can induce urticarial lesions. So basically a proper workup and clinical history is required for accurate diagnosis and treatment.Just to allay your doubt its not HIV or cancer.Hope that helped.take care
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What is polycystic ovarian syndrome and how can it be prevented or treated ?
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I am 26/f with hypothyroidism . I take 137 mcg of livothroid daily. I had a miscarriage in June 2011. After 2 cycles of mensuration I am trying to conceive now. I was testing my ovulation and it showed that I ovulated on September 21 and 22. The dates are completely different from what the ovulation prediction calendars have shown with my cycle length of 37. I ovulated almost 5 days later that what the ovulation predictors have said. I am concerned if I have PCOS because of my period cycles. I am overweight but I dont have any high blood pressure or diabetes. After my first miscarriage I started having hair on my stomach, chin, upper lip. My question is should I be really concerned about PCOS? What can be done to make sure that I dont have PCOS?
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Welcome to Healthcare MagicSince you have hypothyroidism there will be disruption in normal menstrual cycle duration which makes cycles shorter than before. Also problem in ovulation will occur because of thyroid hormone deficiency and also high Prolactin usually associated with hypothyroidism. PCOS is a condition where hormone LH is high associated with high blood sugar due to Diabetes and also high male hormones like Androstenedione in most cases. If it is possible, do get tested for PCOS to rule it out. Miscarriages are common in hypothyroidism and may also be seen in PCOS. Main thing you have to do is to start losing weight which will help fertility drastically especially if you have PCOS. Avoid fatty, oily, junk food. Eat plenty of fresh fruits and green leafy vegetables. Drink plenty of water. Exercise daily by brisk walking for 40 minutes a day. Once you lose weight as well as maintain normal thyroid hormone levels, chance to conceive will be higher.
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Is it to be concern about border line in liver size?
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Hi there.. My daughter is 13 type 1 diabetic chief complaint of alot of pain under the rib cage.. blood results are as follows auto lymphocyte percent H33, A/G ratio L 1.2, ALP L133, Lipase levels L14.. borderline liver size 16.7.. not understanding results..
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Hi, welcome to HCM. Borderline liver is usually normal in children and it's not an alarming situation. All the reports also seems to be normal or near normal. Although your child has type 1 diabetes, i think that you should not worry about this. I hope this will help you. Take care.
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Taking steroids and mercaptopurine for AIH. Elevated ALT levels. What are the side effects? Have diabetes
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We have a huge concern. My mum was diagnosed with AIH about 3 months ago - mum is taking steroids gradually reduced to 10MG per day, today at the Liver clinic we were told her ALT elevated from 57 to 157 and she is now to take 20MG steroids plus 50MG per day mercaptopurine in order to stabilise the liver and reduce the steroids, but our worry is mercaptopure Puri-nethol tablets bring on severe side effects as this drug is used for treating cancer - from one hand the steroids are just as bad and yet the mercaptopurine tablets are also bad! my mum is 80 years of age, is diabetic insulin dependent, and what do we do! we dont have a choice do we!
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Mercaptopurine itself can cause liver enzyme elevation and diabetes to add on. If mercaptopurine is working for AIHA, just monitor the liver enzymes. I assume you have ruled out viral hepatitis post blood transfusion. As in case of ALL , we allow mercaptopurine even with slight but stable elevation of liver enzymes, you can continue it. Or else meet me at my clinic.
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What causes stiffening of calf muscles, skin discoloration and numbness?
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my sister in law had what looks like hardening of her calf muscles and the skin decolorizes to turn brown to dark brown. She experienced numbness and also tingling sensations when scratched on her skin. Her late father had diabetes and had his legs amputated due to the same look alike condition. Is there any advice on this problem.?
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Hi, there!Your complains lead to think about venous insufficiency.Duplex-sonography is needed to scan blood vessels and further compression socks using.Keep legs elevated when not walkingI hope this helps
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On and off tingling in left foot and hand due to stress recurring when alcohol intake stopped. Reason?
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Hi, I have tingling in my left foot and left hand. I,ve had this for a couple of months now. This started when I was under stress a while ago but I am no longer stressed and haven't been for a few months now.I drink 3-4 nights a week and have done for the last 10 years. I seem to get this after I drink for a few days and it gradually disappears when I don't drink for a few days. It then returns when I drink again.What causes this?
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Pins & Needle Sensation & Tingling Sensation in different part of body can be manifestation of both psychiatric & medical diseases. One example is Peripheral Neuropathy, again the cause of this peripheral neuropathy can be elevated blood sugar level or long term abuse of alcohol. Peripheral vascular diseases leading to low blood supply in particular part of body can also lead to tingling. If this is the cause in your case, you need proper investigation to rule out the underlying cause.Among psychiatric illnesses, of course tingling & pins & needles sensation can be manifestation of Depression, Anxiety spells, Panic Attacks, Somatization Disorder etc. In psychiatric causes for these symptom, not a particular part of the body is affected [As you have mentioned left foot & left arm is only recurrently suffers tingling], instead it is non specific & also the location is not fixed.To best of my guess, I think you need to be evaluated for alcohol habit as well as blood sugar level measurement. Alcohol abuse and Diabetes are known causes of peripheral neuropathy leading to tingling affecting limbs. You also need to be evaluated for peripheral vascular disease, as atherosclerosis can also lead to tingling & pins & needle sensationThank youDr Satyajeet Kumar SinghMD Psychiatry, MBBS[Viewer Rating Awaited]
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Can microalbumin value be reduced by keeping blood sugar levels under control?
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HiI got type 2 diabetes in 2014.I took medicines for 1 month then I controlled it by diet and exercises.i cantrolled it till September.then FBS tries to go up.last Tuesday it was 132 and today it is 122. Last Tuesday 51 mg of microalbumin is present in my urine. I started diet plan and exercises again. Are my kidneys damaged? Can I reduce the microalbumin value by controlling blood sugar?
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Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is not the kidney damage if the microabumin detected in urine but it is likely to appears in case of diabetes, and it can also be detected in infection (Moderately presence ) in severe case of kidney infection it would be matter of concern, if the diabetes control in with tight rule basis then presence of albumin will be no more there, drink more water, rule out the possibility of infection, particularly UTI (urinary tract infection) hope this information helps. Hope I have answered your query. Let me know if I can assist you further.
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Suggest treatment for double vessel coronary artery disease
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I AM SUFFERING FROM DOUBLE VESSEL CORONARY ARTERY DISEASE WITH LV SYSTOLIC DYSFUNCTION AND TYPE 2 DIABETES MELLITUS WITH HIGH BLOOD PRESSURE.PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY WITH STENTING(ALIS)TO LCX DONE ON 22/10/05....RCA WAS DOMINANT VESSEL AND OCCLUDED AND AN ATTEMPTED RECANALISATION FAILED ON 22/10/05.RECANALISATION WITH STENTING IF THE RCA DONE ON 13/05/2010 WITH THE HELP OF THREE STENTS.NOW,IT SHOWS SLOW FLOW IN DISTAL BED.HEPARIN 8000U,TIROFIBAN INFUSION.THE SAID ANGIOPLASTY WAS DONE BY THE DOCTORS OF CMCH,VELLORE,INDIA.IT HAS BEEN MORE THAN 15 DAYS SINCE THE DATE ON WHICH PTCA WAS DONE BUT STILL I M FEELING EXTREMELY WEAK AND ALSO FEELING SUFFOCATION AT TIMES....PLEASE TELL US ABOUT THE STATUS OF MY CONDITION!!!
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Hello, The good flow wasn’t achieved after your angioplasty which is probably causing you breathing difficulties and weakness. It’s recommended for you to consult your treating cardiologist for further details and treatment. 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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Does Insulin injection without sufficient carbs in the system cause vomiting?
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My husband has been diabetic for several years and now has NALC. We work everyday to level meds out and keep him healthy and functional. Is it possible that when his insulin pump does a bolus delivery and he has not had the carbs to support it that he would vomit what little he has in his stomach as his blood sugar is dropping?
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Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Usually if patient takes insulin and doesn't take sufficient carbs (carbohydrates) to support it then he will land into hypoglycemia (that is low blood sugar).Vomiting in hypoglycemia is not common. Nausea is a condition wherein vomiting sensation and hunger is more common.But, vomiting might occur more commonly in people with severe dyspepsia (acidity) along with diabetes.Hence, strictly make sure he takes carbs and diabetic diet when he is using insulin pump to avoid hypoglycemic symptoms as these might cause a lot of morbidity in the patient. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. N.R. Kumar
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Could blood sugar being 63 with large ketones present in blood of a child mean diabetes?
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My grandson age 6 complained of a headache yesterday stomach cramps & started vomiting. This morning he woke up shaking. My daughter checked his sugar & he was 63. Her 4 yr old was dignoised with type 1 @ 6 months of age. The 4 yr old is on an insulin pump. My daughter took him to the ER. Blood work normal A1C normal but had large keatones present. Does this mean he is diabetic also??? He will see his dr on monday. I am so upset over this. I have 2 daughters & they each have a child type 1. We have checked family history & no one has this horriable diease. Im so sorry, will wait till monday when we see the dr. I didnt relize I had to pay. Happy Easter to you & yours.
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Thanks for posting on HealthCareMagic. Wishing you a Happy Easter. Blood sugar below 40 mg/dl indicates hypoglycemia that is low blood sugar although less than 70 mg/dl is considered by some standards as the cutoff. If symptoms are are present, I will consider even 63 as hypoglycemic.Symptoms to look out for are:* Shakiness* Nervousness or anxiety* Sweating, chills and clamminess* Irritability or impatience* Confusion, including delirium* Rapid/fast heartbeat* Lightheadedness or dizziness* Hunger and nausea* Sleepiness* Blurred/impaired vision* Tingling or numbness in the lips or tongue* Headaches* Weakness or fatigue* Anger, stubbornness, or sadness* Lack of coordination* Nightmares or crying out during sleep* Seizures* UnconsciousnessHypglycemia can occur in a child with diabetes type 1 on insulin and you should be aware of the symptoms and need to intervene immediately in case you see the symptoms.In case of hypoglycemia you need to take 15-20 grams of glucose or simple carbohydrates like sugar immediately and recheck the blood glucose after 15 minutes. .Hope that helps. Feel free to revert back in case of further queries if any.
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Suggest treatment for PAH after PDA surgery in childhood
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i am a 24year old female suffering with both severe pah(rvsp=110) and diabetes.i traced diabetes in the june,2009 after that i knew that i am also sffrng with severe pah.as i underwent surgery for pda at the age of 9years,now cariologists are telling that mine is not a surgery case as my pda was closed.please give me useful advice for godsake.
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Hello, I would like to tell you that for severing PAH your treatment will be an oral medication with oxygen therapy which will decrease your symptoms. You may require diuretics and PAH drugs and is recommended for you to consult a cardiologist personally for proper treatment. 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 the treatment for Brown-Séquard syndrome?
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I was diagnosed with brown sequard syndrome, but did not have a trauma accident...it just sorta happened. I have no feeling in my left arm but have regained some strength and some function. I only sweat on the right side of my body now. My balance started to get better, but now I feel like its starting to go backwards. Its been a little over a year since the injury happened, is it normal to make progress and then regress? Also I have returned to work, but I have a lot of back pain now. Would I qualify for social security disability?
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Hi, First of all, you need physical rehabilitation to avoid deformity of your muscles. Because the brain could create other nerve pathways to compensate for the lost ones. To help the brain creating other pathways You need to take daily some vitamins such as B complex, folic acid and vitamin B12. The exclusion of hypertension and diabetes is important in your case, besides modification of your diet by increasing fish and vegetable intake and decreasing saturated fat intake, because Omega 3 fatty acid and flaxseed oil may help the brain to build new pathways. You can add Flax seed oil to your diet by putting one spoon of Flax seed oil to your diet if you cannot eat fish regularly. The psychological factor is important in your case, so you should avoid negative feelings. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dr/Mustafa, Neurologist
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What is the best medicine for dry cough for diabetes patients?
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My husband, 62, has diabetes takes metformin, 1000 mg X2 & Trulicity 1.5 once a week, also takes lisinopril 12mg & Omaprazole .mg both 1X a day. He has developed a dry cough, had for about 5 days now, cough syrup helps him sleep. Coughs on & of all day, clears his throat a lot?
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Hi, He can take Kafosed syrup or Nirocil syrup. It will not affect his blood sugar level and it will get him relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist
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How can an enlarged liver with gallbladder stone be treated?
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my mother is had diabetes before 10yrs and now before 1yr she was diagnosed with sarcoidosis.before some days she was complaining of some gastric problems,the doctor said her to go for an ultrasound,the reports revealed that she had a stone in the gallbladder and the liver was also enlarged.what should she do now.
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Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.In most cases, treatment of gallstones is considered necessary only if you are having symptoms. Of the various conventional treatments that are available, surgical removal of the gallbladder is the most widely used. Some alternative treatments have also been found to be effective in alleviating the symptoms of troublesome gallstones.When deciding what course of action to take for symptomatic gallstones, doctors usually choose from among three main treatment options: Watchful waiting, nonsurgical therapy, and surgical removal of the gallbladder.Though a gallstone episode can be extremely painful or frightening, almost a third to half of all people who experience an attack never have a recurrence. In some cases, the stone dissolves or becomes dislodged and thereby resumes its "silence." Because the problem may solve itself without intervention, many doctors take a wait-and-see approach following the initial episode.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.
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Suggest treatment for ear infection for a type 1 diabetic?
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my daughter is a type 1 diabetic and a double ear infection. She is experiencing rigors but not shaking. It's jerking motions all over her body and her blood sugar is 364. is the rigors from the fever 101.4? She's "chilled" before but never jerked. She's been a diabetic for 2 years and this is her first infection.
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Hello there,The history of diabetes with a blood sugar level of 364 and rigor is indication for you to take your daughter to the hospital as soon as possible. A culture needs to be done for her ear alongwith starting her on antibiotics either injections or oral depending on her tolerance. The reason I am stressing on you taking her there is that the onset of any infection in a diabetic has to be dealt with seriously because the body's immunity is reduced in diabetes. So even a simple infection can progress rapidly.Thank you for a query,Dr Arun A
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Does UTI cause severe back pain?
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I have had a recurring uti for over a year. The odor is very bad! I have been to have X-rays, but they showed nothing. I am still on Bactrum but I don't think it's helping. My lower back pain is severe and I was recently diagnosed as being diabetic. What do I need to do?
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Hello, I had gone through the case and found that uti is recovered when diabetes is under control.So go for urine culture test, vitamin d 3 and HbA1C.Take proper medicine for diabetes and do proper antibiotic course of uti.also take diabetic diet.Hope my answer will be effective for you.Thanks
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Suffering from penile cancer, diabetes. Developed rash over hip, one side of torso to other, cold. Treatment?
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HiMy husband had penile cancer and had to have his hip lymph nodes removed in 2011. He has been suffering with a balance problem 0 vistibula neuronitis ? i think its called. Today he has developed a rash over his hip are - from one side of his torso to the other. His temperature is lower than normal too and he is suffering with feeling extremely cold - although he is well covered. He ia also a type 2 diabetic
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Hi and welcome to HCM. It sounds like inectious disease so I dont think it is related to his previous medical history. It can also be allergy reaction. WHatever it is,he should go to a doctor and do basic blood and urine tests.Usually this is respiratoy or urinary infection but some insect bites may be considered as well. Till you visit doctro, keep him hydrated and reduce fever if it occurs. Wish you good health.
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Could the intake of lipitor cause tarsal tunnel in my feet?
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Hello: I am a 61 year old woman, 5 6 , 148 pounds. I have been taking 10mg Lipitor for about 3 years. I m very worried about the diabetes risk as well as the possible link between tendon/ligament damage..I have been dealing with Plantar Fascitiis (painful heels) for 18 months & recently diagnosed with tarsal tunnel in both feet. I have been a very active person until recently due to the foot ailments getting worse. Do you feel the Lipitor has a link to my feet concerns?
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Hi i am Dr Ahmed Aly thanks for using healthcaremagic site ,I had gone through your question and understand your concerns .. In my opinion lipitor could cause spasms in your muscloskeletal system and that may vary from person to person but with your past history of plantar fasciitis i think it definetly have alink with your tarsal spasms . Lipitor side effects include arthralgia, diarrhea, and nasopharyngitis. Other side effects include: urinary tract infection, insomnia, limb pain, muscle spasm, musculoskeletal pain, myalgia, and nausea. See below for a comprehensive list of adverse effects.Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health,Any further clarifications feel free to ask
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What are the chances of survival after kidney transplant for a 80 yr old having chronic renal failure ?
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my grandfather is 80 years old and he was diagnosed of having a chronic renal failure stage 5.. Is it possible for him to survive if he undergo a kidney transplant? I am willing to donate my kidney for him.. another option is dialysis but i think that would be painful to him. He told me that the dextrose inserted to him NaCl was painful so I thought how much more if he will undergo dialysis 2x a week that ll be very painful. I want kidney transplant for him. pls help me.. thanks
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Dear Sarah,thanks for query.Your sentiments are fine and understandable but you also need to know whether he will sustain this kind of major surgery.He is quite aged and major surgery at his age carries more risk,apart from he must be having other medical conditions like hypertension and diabetes which has lead to this kidney failure.Dialysis is of course a not a cure for this but this will help him to stay alive.please discuss this with your doctor also.Bye and take care.
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Is use brahmalin ghruta effective for increasing memory power and concentration and what is the proper dosage ?
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My son is 14 years old. Can i use brahmalin ghruta for increasing his memory power and concentration. Please advise me proper dosage. Does it have any side-effects? can it iwill be able to reduce the tension at the time of exam? ht; 5.2 weight 35kg, age 14 years no medical history
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1. In Ayurveda, Brahmi is considered as 'Medhya' drug i.e. which increases the intelligence, learning and skills and Brahmi ghrita ingredients geniunity is recommended by Ayurvedic Pharmacopeia of India (API) 2. As we know that Blood Brain Barrier (BBB) is fat soluble and anything which has to act upon brain has to cross this barrier, and ghruta or ghee has this property (being a fat). 3. as medicine you can give it half a spoon with water before food, or advised by your Ayurveda Physician, there aren't much side effects of the product but if taken in excess dosage results in indigestion,nausea, diarrhea. 4. Likewise people with high cholesterol,blood pressure,diabetes, heart disease, should first consult with their respective Physician. 5. Examination itself is a TENSION, thus regular use will definitely make your son to cope up with the situation.
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Shooting abdominal pains and frequent urination
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I have sharp severe shooting pains in my abdomen that last for about 30 minutes several times a day. i also have frequent urination (15 times a day) and tingling in my hands anf feet.
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Hello there.. welcome to health care magic forum.. Its essential for you to measure your blood sugar levels.. Your symptoms is indicative of Diabetes milletus. The pain and the urinary symptoms may be due to UTI. GET A BLOOD SUGAR AND URINARY ANALYSIS DONE. Once results are out appropriate management cane be decided. Hope this helps. take care..
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How can health anxiety be managed in an obese diabetic?
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Hi, I'm an obese diabetic, on metformin and losartin, and i sleep on my side with my head resting on my arm, which is usually under my pillow. When I wake up whichever arm I've been sleeping on is almost always numb. I have health anxiety and have gone to the dr about chest pains, which was attributed to stress/panic attacks after they did all sorts of tests to ensure my heart is fine. My question is, how concerned should I be about this? Is it a circulation issue? etc etc. Thank you.
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Hello, Thanks for the query.Since you are having obesity as well as diabetes in addition to anxiety, it essential for you to work seriously to reduce weight to a reasonable level. There is no mention of your weight or height and also of blood glucose values and HbA1c%, it is very difficult assess the situation completely. In anxiety neurosis patients get many symptoms which simulate a number of diseases.As your chest pain has been attribute to stress anxiety, it very essential for you to work on reducing the weight so that your BMI is closer to 25 kgs/M2. That will definitely improve your overall health. Plus should help in better control of blood glucose. Thanks.
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What causes pain on left front side of skull along with high BP?
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I have pain in the left front, side and back of my skull, particularly over the left ear. My CT scan shows an anomaly on the left side of my head. There is no pain right of center. It feels like the bones are hurting. The pain started after a sudden raise of my BP ((194/109); however, the pain inow is present in the less high BP s as well.
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Hi, welcome to our site. I am Dr Saumya Mittal, MD.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryHowever, you have managed to skip the exact report of the CT scan. This is important because that itself can be the answer of your query.I therefore request you to upload the report completely so that we can give a useful advise to you.I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. You can upload them on the site.You can upload them with the query, or if you have a problem, send them to [email protected] with Sub: ATTN 'Your Name'. Once we receive the photos or diagnostic reports, my team will send reports / pictures to me.Please do understand that some details could be extracted from a detailed history and examination.Please click on Thanks/Helpful if found useful.Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.Dr Mittal.MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)
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How to reduce potassium level of my 79 years old father who has diabetes since last 40 years?
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my fatther is 79 and has diabetes since last 40 years has got CABG done 4 year back . March 2010 pathological report tells elevated potassium 6.8 and sodium 149 creatinini 1.5 blood urea probably 61% He is taking Lasix 40 once daily and Urimax once daily besides his heart related drugs like Acitorm 2mg , Nikoran ,Stemlo , Insulin inj , UBiQ etc. How to reduce potassium level HE is taking papaya regularly in fruits only
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Potassium can be controlled with diet changes and salt control. Discuss with his treating doctor or with a nephrologist for medication that might be used.
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Can Flonase be used while suffering from diabetes?
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Hello I am asking if an Allergy Spray Mist : i.e.Flonase is safe for use by Insulin Dependent Diabetics . I do have a history off Eye Issues : Cataracts - Detached retina and Edema . I also take Meds to lower Blood Pressure - Acute renal Failure ( condition is stable ) and IBS . Along with Vitamin B12 and D Supplements . My Allergies usually become moderate in Spring with the High Pine Pollen in North Carolina . Thank you .
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hiit's safe to take flonase in patient with Diabetesno need to worry about any side effects it's actually glucocorticosteroids with reduces your allergy. so it safe. thank you.
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How can red bumps on the abdomen and breast area be treated?
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Dear Doctor, My mother (age~70) has experienced Diabetes Insipidus within the three recent years. However many red grains have appeared on the abdomen, the breast and groin area (previously on the scalp). She uses an spray on the nose. But no treatment has been observed. You are kindly asked to explain the situation of the disease and any better option to relieve the constant severe pain. Thanks in advance for your consideration and time, Rahim
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Hello,If your mother has itchy grains on the body, then she must take antifungal tablets as itraconazole. If the lesions are not itchy, then please consult a local doctor or skin specialist as he will make the diagnosis by directly seeing the lesions 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 neck pain near the left shoulder behind the clavicle?
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hello doctor i am experiencing some kind of electrical ping on the left side of the back of the neck near the left shoulder behind the clavicle. sometimes when i try to swallow my saliva i will feel the pain. whenever i swallow no thing at certain point at specific angle i will feel the pain.. i am so curious is it something related to nerve disease
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Hi, welcome to our site. I am Dr Saumya Mittal, MD.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryThe symptoms are quite suggestive of a possible nerve impingement when they come out of the spinal cord through the vertebral column. I feel it can be said that this would explain the cause of all your symptoms. However pain in swallowing cannot be really attributed to it.Short of an examination, I would suggest an MRI of the brain and screen of spine to be sure. I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. You can upload them on the site.You can upload them with the query, or if you have a problem, send them to [email protected] with Sub: ATTN 'Your Name'. Once we receive the photos or diagnostic reports, my team will send reports / pictures to me.Please do understand that some details could be extracted from a detailed history and examination.Please click on Thanks/Helpful if found useful.Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.Dr Mittal.MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)
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Suggest treatment for ADHD and diabetes
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What should I do about my son in law who has done something twice. Once to my daughter that isn t his wife & once with me. He exposed himself. He has ADHD & diabetes. We have known him 25 years . This has happened two years apart. One time in 2011 or 2012 & yesterday. It never happened before his diagnosis.
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I am sorry to hear about this behavior I can understand it must be distressing to you and your daughters. It is important to assess whether he was in the right frame of mind when this behavior occurred. ADHD is usually not the cause for this. Possibly he may have been in low blood glucose (hypoglycemia) or high blood sugar (hyperglycemia) wherein his consciousness and judgment may have been clouded and hence he exhibited this disinhibited act, but there is no definitive explanation for this.Regarding the ADHD he must visit a professional psychiatrist or counselor and gauge how to maintain his focus and attention. With regards to the diabetes you must have a regular follow up with the endocrinologist and see whether his blood sugar has been controlled and whether he has ever had other times of altered judgment. If the behavior is absolutely unrelated to the diabetes, then you have even greater reason to visit a mental health professional to look into this. Please feel free to connect with us anytime for further queries.
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Suggest remedy for painful urination, throbbing clitoris and thrush
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I was diagnosed with folliculitis a few days ago and have since been seen by 2 doctors. I have been put on antibiotics and have been given fusidic acid cream and canasten as I have thrush too apparently. I've had to pee in the shower due to extremely painful urination. Now I have a throbbing clitoris to top it off. What could this be and what should I do. I know it takes a few days for antibiotics to kick in but it's been 2 and a half days and it's getting worse. Plus the lumps are now filled with pus which they weren't before. Please help.
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HI, i understand your concern. Antibiotics disturb normal protective vaginal flora, which leads to prevalence of fungal vaginitis I think you need specific treatment for the condition along with antibiotic as per treating doctor's advise. - get your blood sugar tested to exclude diabetes, -Take a dose of flucanazolablet orally, - use clotrimazole- Imidazole cream & vaginal pessery, - keep vaginal area clean/dry & apply cream, - drink plenty of water. You can add alkaline mixture to get some relief from burning. Thanks.
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What causes burning pain in abdomen and tissue with blood in stool?
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I am a 53 year old female 5'5 145 lbs with no real medical issues except for hypothyroidism which I have been taking .75mcg of levothyroxine for several years. I have been experencing severe burning in my mouth and vagina for over a year. I was told that it was probably due to hormones and have found nothing to relieve it. Recently, I started having burning sensation and pain in my abdomin. The pain is in the area of my belly button and also seems to follow the course of my large intestine. I recently started seeing what appears to be pieces of tissue that pull apart just like tissue with red blood in my stool. Culture for parasites was negative, had abdominal and pelvic ultrasound and was diagnosed with ibs with mucus. I had colonoscopy 6months ago-normal. I also noticed a fishy vaginal smell and when cultured resulted in Strep B. I have been on antibiotics for a month with no improvement in symptoms or 3 culture results. I can't help but think that all of these things are related-all mucus membranes. I think I must have some deficiency which has now resulted in the infection. I would appreciate any help. Thank you for your time.
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Hi.Thanks for your query, an elucidate history and understanding about the problem. This is certainly related to 2 main issues.1. Deficiency of something in vitamins , minerals and / or trace elements.2. Menopause / hormone related .I would suggest you the following:MetronidazoleProbiotics Therapeutic dose of Vitamin A and D. Multivitamins to supplements.Improve the hemoglobin and serum proteins.Blood, urine and stool tests to rule out diabetes, thyroid status if it needs to increase the dose of Levothyroxine.This should help as it helps all my patients.
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What causes light headedness and tingling in limbs?
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I am a 48 year old female,in very good health ,good fitness level..BP and heart have been checked and are normal, ENT fine, not suffering from anaemia or diabetes(all bloods came back normal) but for over a month have been experiencing intermittent light headedness combined with heavy and sometimes tingling limbs
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You may be experiencing either alterations in blood pressure control referred to as ORTHOSTATIC HYPOTENSION or you may be suffering from the earliest stages of nutritional/metabolic deficiencies such as Vitamin B12, folate, Vitamin D, or Magnesium. I would get all of these looked at through specific blood tests before embarking upon treatment because you don't want to be wasting time and money treating things that are not a problem, make sense? You could also be suffering from a mild urinary tract infection which may seem almost absurd for the symptoms but one thing I've learned long ago as a doctor....and that is....there is always a reason why the MEDICAL TV programs always talk about getting urine tests on everyone......and that's because you'd be absolutely floored by the variety of conditions, symptoms, and sensations people can very quickly get rid of once they treat a mild urinary tract infection that they never suspected they had if not for their doctor just following the same recipe guide as the guys Grays Anatomy do! LOL!! Those are my opinions based upon your limited history. Please rate this a 5 STAR ENCOUNTER and write to me at: www.bit.ly/drdariushsaghafi for more questions or to laugh back at my absolutely knee slapping HAHA! Cheers!
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Suggest treatment for lump under belly button
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I am having up to 6 bowel movements a day, some diarrhea some hard and some normal. Today I felt a hard lump under my belly button then I pushed on it and gushed some blood.I had my minstral cylcle on the first.my tubes were. Tied 4 years ago.no I am barly spotting blood and having little cramping. My stomach still feels hard
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Hi,Welcome to HCM.You seem to have Boil in early stages below the belly button,as only blood gushed out when you pressed it out.Hence I would suggest you to get Second Opinion from Surgeon,who would direct for its management after needful physical and radiological check up.-Treatment-Cold Compresses.-Tab Anti-inflammatory under guidance from your doctor.-Antibiotics to treat boil/furuncle causing that lump below belly button.-Test Blood for FBS /PPS/ and Thyroid profile, to rule out any accompanied primary or hypothyroidism with secondary diabetes as you had diarrhoea concurrent to the lump.-Surgeons consultation and needful further treatment as directed from him.Hope this would help you to plan treatment with your doctor.Will appreciate your review write up and hitting thanks,to help needy patient visitors like you at HCM.Welcome for any further query in this regard.Good day!!Dr.Savaskar M.N.Senior Surgical Specialist.M.S.Genl-CVTS
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Controlled diabetes,controlled cholesterol level,fatty liver,high liver enzyme level
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My SGPT level during a random Blood examination found to be 110 & SGOT 60. Iam 58 yrs with controlled diabetic through medication, HBA1C - 6.7. Previousoly using Statin drugs for high Cholestrol level, but discountined during the past 4 months since Cholestrol level remains in the acceptable range. Does diabetic drugs ( Amiryl, Janumet - Metformin-1000mg) cause high liver enzymes . I have fatty lever and Ultrasound does not show any other liver problems. I do consume Alchohol in a contrlloed way. Pls advise how to bring down the Liver Enzyme level to normal. Expecting your comments. Regards Ramesh 0000 YYYY@YYYY
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Dear Friend.Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.In the drugs mentioned Statins most commonly cause deranged liver enzymes.I would suggest you to get an Ultrasound Abdomen done and also to get Viral markers done.Also, stop consuming alcohol, even in moderated amount.This is my personal opinion based on details available here. If you still have any query you may please ask me.Stay Healthy. Dr Anshul Varshney , MD
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Is 60% stenosis in the right carotid artery be a matter of concern?
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hi doctor: im 46 years male from iraq.smoker.hypertensive.diabetic.and positive family history of ischemic heart disesase. befor one mounth i had a TIA in my left side persist for about one minute in form of parasthesia and weakness. doppler study show 60% stenosisi in the rt carotid artery with a pluqe about 15 mm. ct carotid angio proved same changes.. yoyr openion about doing rt carotid endarterectomy. ct coronery angio showing 60 % stenosis in the proximal rt coronery artery.
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hello. thanks for posting here. I have gone through your description. 60% blockages are considered non critical. The carotid arteries supply the brain. When you had a TIA a small clot may have been formed at the blockage area and later traveled towards your brain. So you need to be on anti platelet medications which will prevent the clot from forming. Endarterectomy is usually not done for 60% stenoses. In the future if the block increases in severity, a carotid stenting can be offered. Endarterectomy is a surgery and usually is done if angioplasty fails or is not possible. At present you need to be on medical management. Also the RCA has a 60%stenosis which again is non critical and should be managed on medications. You should be prescribed antiplatelet medications and statins which lower the cholesterol so as to prevent these cholesterol deposits in your arteries from increasing. You have many risk factors for heart disease like smoking, high BP, diabetes so you have to continue your BP and diabetic medications along with the above and try to quit smoking. Wishing you Good healthRegards.
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What causes muscle pain?
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I often have pain which can all at one time or having a starting point gradually spreading. The pain feel like a muscle pain of spasm. It occurs mid back between shoulder blades, under armpits acoss top part of chest(top of breast and sternum). It will last couple of weeks and go away until next time. One dr. thought it to be originating in neck, chiropractor said top rib pinching nerve. Chest pain is not heart related, same deeply bruised feeling as when I either cracked of damaged sternum. First occurrence was about 4-4 1/2 yrs ago. I ve had neck x-rays, not the problem and nothing else. Just take Naproxin. What might actually be causing and what test will identify cause for certain?
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HiWelcome to healthcaremagicI have gone through your query and understand your concern.There are many causes of such pains. One of important cause of such pain in vitamin D Deficiency. If found low you can take supplements of vitamin D3. You should get your thyroid function test to rule out thyroid disease. Your blood sugar fasting and PP should be done to rule out diabetes. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care.
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What is causing my posterior thigh muscle tendons to strain?
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Having severe posterior thigh muscle/tendon strain. Posterior tendon of upper thighs feels like it is being constanlty stretched, Like I am bending over and touching my toes constantly. Also have lower back pain, starts at left side moves to the right when I sit down. Can t stop moving , to sit or stand in one spot hurts.
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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 back and hips and knees and ankles (take help of a physiotherapist). Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. 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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Suggest treatment to control blood sugar and sore throat
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husband blood sugar shot up to 300, not usual. was lower 100's a while. was coming down with sore throat so think spiked. Saw online to bring down with water, exercise and eat eggs. just realized egg rotten. he has no smell so didnt know. Now vomiting. gave suppository for nausea. is this all i can do. doesnt take insulin. count 276 now.
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HI, thanks for using healthcare magicDuring an infection, the blood sugar would increase due to the stress response of the body but it should not elevate these levels.This may indicate that he has underlying diabetes and he may need investigations to determine if he is a diabetic.The medication for nausea should help to control his vomiting and nausea.I hope this helps
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Treatment for excessive and frequent urination along with excessive hunger even after eating
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Lately I ve been having to pee quite a lot, it seems that when I do pee a lot comes out and then 20 mins later its like I have to pee really bad again, and I ve been having a empty almost hungry feeling in my stomach after eating and it will come back 10 minutes after eating, what could be wrong?
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NamastheWelcome to Healthcare-MagicGreetings of the dayI would suggest you to consult your physician to rule out Diabetes Mellitus and Urinary tract infection as the possible cause of your symptoms.In case you need any further assistance, will be glad to assist you.Wishing you happy and healthy lifeTake CareBest RegardsDr Deepak K KMBBS,MS,MCH
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What should I do after liver function test?
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hi,i recently got my lft tested in which sgot(ast)-43.0 sgpt(alt)-60 bilrubin total-1.5 bilrubin direct-.2 birubin indirect-1.3.my hba1c-8.1 .i drink daily 5 large drinks .wht should i do .i dnt want to leave my drinks but can reduce quantitykindly suggest
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Hi thanks for asking question.You are taking heavy drink.The maximum safe limit for alcohol is 20 gm/day.Because of drink you can have fatty liver or hepatitis like case.USG done for its detection.Here I advice you following instructions.-Take alcohol very less-drink more water-green leafy salads and fruit juice more-Avoid refined sugar like white bread and pestry -avoid trans fat like cheese, meat, cookies , butter etc.-omega 3 fatty can used in diet like olive oil, peanut oil etc.-Do regular 30 minute exercise-take crushed papaiya seed with lemon juice daily Your HBA1c high which is indicating diabetes.Do pp2bs for it.If needs and diabetes present antidiabetic drug can be started.If overweight loose your weightI hope your concern has solvedRepeat your liver profile after few daysYou can beat thanks if it seems usefulRegards;Dr.Parth goswami
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Suggest methods to control BP & reduce weight
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I am 64 years male patient having undergone byepass surgery of my heart 7years back At present all my biochemistry of blood is normal my stress test is normal and 2d echo is also nomal with global EF 50% My health is ok and i walk 5 kilo meter every day not very brisk My height is 5feet 6inches and weight is 70 Kg.I am on strct diet control and my lifestyle is very regular I am taking Dilzyme 30 tds Enalpril 5mg od Storvas 10od and Dipirin100 od. Multivitamin and B complex od Ihave no problem but my BP remains 140/90 at rest I have no mental tension what so ever Inspite oe diet walking and regular life my weight is no reducing I donot take morning breakfast except one apple and two cups of tea with very less sugar In afternoon I take only boiled vegetables 200gr. At night 8pm I take 6 Indian wheat Chapati (bread) about 300gms with sufficient vegetables I sleep at 9.30pm and get up at 5 morning and walk one hour My walking time is not fixed but always one hour My working is only on table with computer for whole day 10 am to 7 pm.My sexual life is normal My question is how to keep BP low and reduce weight atleast 5kg with this life style and physical stateI have strong F/H of Diabetes and heart failur in my family.Luckily I dont have diabetes or any other abnormal blood report
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Hi welcome to HCM, you are doing great! You can achieve your BP and weight goals by walking twice a day instead of once since you do not walk very fast--regards
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Suggest treatment for persistent infection in groin area with pus
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Hello, I have a persisting infection in my pubic groin area. For the past year it comes and goes regularily and almost always is infected. I believed it to be an ingrown hair but most recently I went to the hospital because a hole appeared there and I was told it is a cyst . This keeps happening in the exact same spot and I apply warm compresses to it and blood like pus usually oozes out of it. It pains a bit as i were my pants exactly same place. Kindly suggest me what to do
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HI, I understand your concern. The prolonged & repeated infection indicates healing . -low resistance - inadequate treatment/wrong choice of antibiotic - unhygienic condition. - Uncontrolled diabetes You need investigations like- CBC, fasting & post meal blood sugar,culture & sensitivity test of the exudate from infection. along with complete physical check up . This would pin point the diagnosis & treatment plan.( best advised by a skin specialist) Apart from regular medication for prescribed period,you will have to take - tonics/nutritive diet for raising resistance.( proteins, iron, vitamins specially vit. b&c)would help. - good control of blood sugar in case you have diabetes - adequate local management in form of removal of hairs, keeping the area clean, dressing if advised. thanks. -
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My lower back feels really bruised , is it related to any kidney problem ?
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i have recenlty lost a lot of weight and my lower back feels really bruised and sore and i havent knocked into anything or been hit with anything. Could it be my kidneys?
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There are very many reasons for losing weight The first and most primary cause of wt loss is stress Another cause could be koch"s Some abdominal pathology diabetes etc In your case it seems to be more of stress origin and you have not mentioned any other symptoms except weight loss. Get yourself throughly checked with your nearest physician for further evaluation of weight loss, thanks, jignesh
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Suggest remedy for high protein in urine
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This question is for my mother. She is 75 and they recently detected high protein in her urine. She does not have diabetes. Her appointment with a nephrologist is not until January but she is wondering whether it would help to reduce her protein intake in the meantime until they find out the cause. Thank you.
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Hi thank you for posting your query in HCM. I had gone through your question i understand your concerns. High protein in urine is a sign of kidney disease. Damaged kidneys let proteins leak from the blood into urine. Medications, trauma, toxins, infections, obesity, diabetes, hypertension, above 65 are the risk factors.Treatment of proteinuria depends on identifying and managing its underlying cause. Untreated kidney disease would lead to kidney failure. Hope i have answered your question, if you have further questions i will be happy to help.
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How to reduce liver enzymes in body?
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My husband had a routine check up and his liver enzyme came back at 490. Tested for Hepititus and it s negative. He went back in for a re test and now it s 166. This was three days later, now they want a sonogram of his liver. What can he do to lower this event more? He doesn t drink but occasionally and stopped that couple months ago. Eats healthy and recently started working out at a gym.
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Good morning I am sorry to hear about his ill health Elevated alt indicates liver problem and it can be due to drugs or fatty liver So I would suggest to identify any such drug if any and stop it. Fatty liver is commonly associated with obesity and diabetes mellitus which needs to be treated for reduction in liver enzymesHope this would answer your question Wish him speedy recovery
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What causes weakness and pain in the legs?
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My husband has been seeing the doctor regarding some heart issues and his high blood pressure. He has also been experiencing high sugar reads as well and he is on Levimir w/Novilin R which has helped somewhat. He has been checked out and his doctor and the cardiologist don t believe that he is in any cardiac distress at this time. His dr. has given him a new prescription (clonidine) for his high bp. My husband been on many other medications for his diabetes over the 35 years since he was diagnosed with diabetes. By the way my husband is 78 years of age and has been very active and just retired 7 months ago. He has been experiencing over the last 4-6 months weakness and achiness in his legs and he feels tired most of the time and I guess my question is what other issue could he be experiencing besides just getting old? Sometimes we are feeling that the doctor(s) just don t know where to go from here? Any ideas????? Thank you
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Hello, I have studied your case with diligence.There can be associated osteoporosis and arthritisSo forsteo will be better for osteoporosis and you can start consulting your doctor.Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis,You need to start supplement of calcium with vitamin D, vit B12, I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies.You need to take diet rich in calcium and vitamin D.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care.
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Suggest remedy for tight foreskin and soft penis during sex
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I have very tight foreskin in my penis and the penis is not errects while having sex. My major problem are: 1. I have very tight foreskin in my penis how to solve this problem and does this tight foreskin affect on sexual temper? 2Recently doctor has given me Dermovate 25g cream to ease my foreskin. Does it work? 3. My penis is not strong or it is very soft in sex time. how this problem can be sloved? Hoping to read appropriate suggestion.
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Hi welcome to the health care magic Tight foreskin leading problem in sex because tight foreskin and tight Franulum prevent full retraction of penis skin over shaft... For that topical steroid can be useful (as you have prescribed)... But useful only for mild degree phimosis If having problem in erection then rule out..... -Hypertension -Diabetes -Drug history -hypercholesterol -prostate problem -heart disease -Smoking -stress etc..... According to cause further specific treatment given If phimosis more then circumcision needed Take care Hope your concern solved
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What causes dizziness and dryness in the mouth along with diabetes?
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Hi, I am 67 years old with type 2 diabetes. I had acute pancreatitis last month and recovered now. I had my contrast CT scan done 3 days back. I had dryness in mouth and severe eaching. I felt dizzy and fell down in toilet in night of CT scan. What may be the cause Regards Dipak
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is likely that your symptoms are the result of hypoglycemia. That is, it may be possible that your blood sugars momentarily fell too low. Make sure that you take your medicines and eat within an appropriate time interval. It is advisable to eat small portions of food at 2-3 hour intervals. Hope I have answered your query. Let me know if I can assist you further.
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Tests show hemoglobin level, ESR level, monocytes, blood urea, serum creatinine abnormal levels. Control diet?
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Hi Doctor, My mother is aged 60 and her tests done on 23-03-13 suggests the Hemoglobin level at 6.9, ESR (Wintrobe method) at 73, Monocytes at 1, Blood Urea is 229, Serum Creatinine is 12.7, Serum Uric Acid is 5.8 What these level suggests? and also suggest a proper veg diet for controlling these levels and the treatment for the same. Rgrds, Amit
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Hi and thanks for the query, your mum shall certainly need more exams to ascertain her symptoms, A family history of diabetes and hypertension could be necessary. Low hemoglobin levels associated with abnormal kidney function tests could be very suggestive of a kidney dysfunction. However, other blood tests like complete blood count with thin blood films would be necessary for a complete evaluation. Consulting an internist might necessary for a reevaluation and prescription of further tests to exclude any cancerous lesions. An abdominal ultrasound,kidney ultrasound and bone marrow aspirate might be necessary at some point in time during the evaluation. Consulting the internist, and maybe later a hemotologist, depending on the case could be worth while. thanks and best regards, Luchuo, MD.
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Suggest medication for venous statsis blisters
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My father has what I believe to be venous stasis blisters. His legs swell extremely large and I have to massage his legs so that he can sleep at night. We have gone to several doctors but nothing has been. I am scared about him loosing his legs what kind of specialist do I need to get him to?
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Hi,It seems that your father might be having Varicose vein or deep vein thrombosis in leg giving this problem.Rule out diabetes, if diabetes is there, consult diabetec foot specialist.Other wise consult vascular surgeon.Ok and take care.
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What is the reason for numb feeling in heart?
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I am slumped over quite alot and recently i have started to get a numb feeling in what feels like my heart. This has been going on for a few weeks now and shows no signs of leaving. I went to my doctor and they did and ECG and checked my blood pressure and blood. I was also checked for diabetes, I have no idea what to do any more and my doctors cant seem to tell me whats wrong please help.
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Hello!Welcome on HCM!I carefully passed through your question and would explain that your symptoms do not seem to be related to any cardiac disorders. Your performed cardiac tests and blood work can confirm this fact too. Anxiety could play an important role in all this clinical scenario. I would recommend you to focus on this issue. An antidepressant could be helpful. You should discuss with your doctor on this issue. Hope to have been helpful!Greetings!Dr. Iliri
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Suggest remedy for acid reflux in a diabetic
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I have diabetes type 2 I am passing gas consistently, some days every 10 minutes, I go out for a walk and pass gas 2or 3 timesin 3 hundred yardsI am taking Sandoz metformin twice a day 500 mg the number on the is Rx 0000can you help me John Doyle
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take metformin after food..............................................................................................................................................................................................................................
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What does piercing pain from the upper abdomen on the left side to mid-back along with nausea indicate?
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i have moderate pain in my upper left abdomen that is piercing through to my back and radiating around my middle back. My stomach feels nautious. Pain suddenly came on 6hrs ago full bore and has not let up. I have diabetes, CHF, PAD, neuropathy. I take metformin, losartin, gabapentin, atorvastatin
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hi sir/madam,Thanks for your question on Healthcare Magic.the possible causes are:-1. Pelvic inflammatory disease. 2. Rupture or torsion of ovarian cyst.3. Period pains (dysmenorrhoea).4. Degenerative changes in a fibroid.5. Chronic pelvic pain.6. Bowel or bladder problems.7. Irritable bowel syndrome (IBS).8. Cystitis.9. Strangulated hernia.10. Muscle and bone problems.Hope i was helpful.Stay healthy,Stay safe.
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What causes joint pain and swelling in body while having sgpt 54?
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HiSir, My age is 50 years. I hav a lot of joint pain and swelling on body. I undergone TSH test in which results are: SGPT(IFCC): 54.00 TSH, UltraSensitive(CLIA): 2.899 Please advice what is the meaning of these values and what should be the treatment. Thanks
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Hello, At your age joint pain specially at knee joint is common.But if you are having multiple joint pains with swelling then it can be due to following reasons- -Rheumatoid arthriti -Gout -Hypothyroidism -fibromyalgia -Deficiency of vitamins like vitamin D. -High blood pressure -Diabetes -Early cardiac failure If short course of analgesic like advil or tylenol does not relieve your problem then you should go for complete evaluation including EKG. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mukesh Tiwari
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What causes nausea and stomach pain in a patient with type 1 diabetes?
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I am nauseous when hungry, stomach pains when I eat anything. I have type 2 diabetes, high blood pressure. I also have low b12 (I am on my 3rd shot) tired a lot of the time. Also I have a elevated white blood count. I have lost 23 lbs in 3 months. I am scheduled for colonoscopy in 3 weeks but could use some relief now or at least a idea of what might be wrong.
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Welcome to Healthcare magic. if you are having long standing diabetes like more than 10 years you are prone to get more side effects. given significant weight loss. you must get checked for gastroparesis where your stomach will not move properly leading to nausea. this occurs from the neuropathy from diabetes. you should strictly control your sugars to stop the progression of gastroparesis and neuropathy.
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Suggest treatment for sharp shooting pain in the knee
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When exhaling after a deep breath I experience a shooting pain starting from my knees down my legs, this occurs on both legs but primarily much of the pain is experienced in the right knee. I am also suffering for just normal pain within the knee. It is difficult to walk without pain at times and is becoming very distracting. What is causing this and kind of solutions should I seek?
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Hi welcome to HCM Dear, I can understand your concern for sharp shooting pain in the knee .I would like to know your age , and since how long you are suffering from this pain ? Any type of pain is the outcome of weak immune system due to our life style dafaults and faulty food habits , as a result suffer from , obesity ,arthiritis , diabetese , Bp , heart problems - a long list to count .Sometimes removing the cause helps remove the problem .best way is to modify your life style and food habits ,and include a proper regular physical activity - walk ,Yoga & Pranayam , meditation - which caters exercise to strengthen each and every part of our body including our mind . A balanced diet , containing all essential nutrients - fiber, minerals , vitamins ,antioxidants proper hyderation helps boost your immunity fo healthy diseasefree life .A spoon of Turmeric powder with a cup of hot milk +a spoon of Almond oil helps alley pain and inflammation . Lemon juice , Banana & sunlight give lot of Vitmin C & D ,and help in bone pains . Avoid fried ,fast food , tea , coffee , alcohol , sleeplessness , dehyderation , worry , constipation .prper rest , over use of limbs without a proper rest can lead to wearing out fast Application of anlgesic ointment hot pack can give instant relief .If problem persists ,it is advisale to consult an ortho expertHope this helps solves your query .Take care , All the best .Don't hesitate to get back if have any further query
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Suggest treatment for kidney infections and traces of blood in urine
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Hello I have been on Artovastatin 10 mg / day for 3 years and in the last 2 years have had issues with my kidneys. I am about to have a ct scan as i have had kidney infections and have had traces of blood in my urine. I also feel generally unwell. Any thoughts ? Thank you.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Atorvastatin does not cause any kind of kidney infection. The recurrent urinary tract infection you are facing may be due to some other causes. Check your fasting blood sugar level as undetected diabetes can cause recurrent UTI. Do a urine culture and sensitivity and start on antibiotics and you will be fine soon. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain
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How can sgpt be lowered ?
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Hi my husband had his gallbladder removed a year ago and he has known to have fatty liver he is taking essentiale 3 xa day for a year but still his sgpt is not stable stil high noe he was given godex ds for 3 mos after 3 mos the result of sgpt is 64 which is high but he was given aspirin , velmetia for his diabetes , and simvastatin for high colesterol ,,my worry is why the sgpt is not lowering down despite of taking godex ds, religiously ,pls help thamks
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HelloIncreased SGPT may indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes etc.It may be due to simvastatin in your husband's case. Simvastatin causes hepatotoxicity in some patients. Your husband may need dose adjustment of simvastatin.He may need few more investigations like routine hemogram,random blood sugar,viral markers,ultrasound of abdomen.He may need to take tablet ursodeoxycholic acid 300 mg twice daily for three months.It helps in regeneration of liver cells.Godex Ds will not help only.It contains multivitamins,minerals and amino acids.It is just a dietary supplement.Get well soon.Take CareDr.Indu Bhushan
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What causes the prickling feeling in my toes and fingers?
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Hi Dr, I have pricking feeling on my toes and fingers. There is also a numb feeling on my right feet ball. Recently I have been having a bad cough and i have history of back acne. I have also been eating apples and oranges before going to bed at night. What is the lightly caused?
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hi i apprecite your concern.you have not mentioned ur age,ther may be deficiency disorder of vit b12, vitD,and also any diabetes.you are advised to consult your family physician to rule out these by doind blood tests.
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Is dialysis necessary with creatinine level 3.1 and GFR 13.5?
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My mother is 84 years old with chronic diabetes and hypertension. She also has PAD and a pacemaker for sinus bradycardia. Her creatinine is 3.1 and GFR 13.5. Her dr has asked to think about dialysis over the next 6 weeks and let him know what she has decided. I am a nurse and really feel that dialysis would be too hard on her body. Any advice?
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HiAt this point, depending on her potassium levels, she may well need dialysis even with her health condition. If she hasn't been evaluated by a nephrologist she needs that
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What causes red discoloured legs in a diabetic person?
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recently got out of hosp. my feet are motley colored red and white, tho some of the red may be due to my psoriasis, tho I've never had it on my feet before . being diabetic for 20 yrs tho proly makes for some changes. legs and feet cold all the time now. what can I do to stay warm and get rid of the redness?
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Hello, When diabetes continues for a long time (over 20 years plus), whether well controlled or if control is not good, it does affect small and large blood vessels. Affection to small blood vessels causes problems with retina, kidney and erectile dysfunction. Where as large vessel affection invariably leads to improper blood supply to lower limbs. This along with peripheral neuropathy can make limbs feel cold, numb and there may be altered sensation. Plus due lack of blood supply and hyperglycemia wounds do not heal quickly, leading to serious consequences.To overcome this maintaining a strict blood glucose control with fasting closer to 100 mg, PP 160 to 180 mg & HbA1c%<7, is necessary. Plus if the problem is severe, causing intermittent claudication (severe cramps on walking), then a colour Doppler test or angieography may have be done. But most important is strict blood glucose control. Thanks
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Suggest treatment for malignant tumor in lung and adrenal
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Dear Drs, My father has been diagnosed with lung and adrenal gland cancer, in which the spreading point was from his lungs. We asked for more than one medical opinion regarding his treatment and basically we have two options; the first is to conduct several extensive chemotherapy sessions and then switch to radiotherapy or surgery. The second was that his condition was very rare that it can be treated by surgery first and then less sessions of chemotherapy can be conducted. I know that the immunity for a person gets very low after having chemotherapy and I am really concerned of him having chemotherapy first and surgery afterwards, so I want to ask which of the two options is a better one? And whether there are any other options for treatment? My father is 63 years old, a smoker, has type II diabetes, and had successful colon cancer surgery in 1983. I would really appreciate your medical opinion in this case and hope to get your answer very soon. Thank you, Tina
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Hi, dearI have gone through your question. I can understand your concern. Hr has lung cancer and spread into adrenal gland. Treatment options are surgery, chemotherapy and radiotherapy. According to my opinion first he should go for chemotherapy then afterward he can go with surgery and radiotherapy. Chemotherapy will reduce the size of cancer and decrease the chance of further spread. So its better to have to have chemotherapy first. 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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Does heart disease qualify for disability?
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I received 5 stents in my heart 12 years ago - 3 in the LAD, 1 in the diagonal, and 1 in the ramus. After the stents were placed in 1999, I quit smoking (cigars) and quit eating beef and pork. I walk at least 4 to 5 times a week usually 1 to 3 miles a walk. I never had a heart attack and feel truly blessed to have avoided by-pass surgery. I have been a diabetic (type II) for 30 years (strong history of early on-set in my family) and have worked hard at controlling it the last 12 years (my last A1c was 5.9). My problem is I m 59 years old now and the stress/anxiety at work are making it hard to control my blood pressure and I have very little stamina (the diabetes is taking a toll). I m also not as mentally sharp as I was 5 years ago and my hands tingle and have numbness from neuropathy. I would like to work 4 1/2 more years (March of 2016) but I m concerned about being able to do so as I know I m declining at an elevated pace. If I have to stop working before my projected retirement date what are the chances of these conditions qualifying for disability?
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Hi ThereI completely understand your concern and I would like to tell you that whether or not these condition would qualify for Disability depends on the medical terms and law of your area. It's advisable that you should consult your treating cardiologist and discuss this and if anything can be done then you can get a written letter of recommendation from your doctor.I wish you good health
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Does angioprim treatment helps to clean arteries?
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79 years, Male. 177 cm 90 kg Where in Bangalore can I get angioprim treatment, to cleanse arteries? Without Drugs, BP: 205/70 Pulse 60 With Drugs, BP: 140/60 Pulse 50; sometimes 45 Medicines taken: Aten 25 mg 1-0-1 Atenolol Beta Blocker Natrilix SR 1.5 mg 1-1-1 Indapamide For high BP Felogard ER 5 mg 0-1-0 Felodipine For high BP Flavedon MR 35 mg 1-1-1 Trimetazidine Ischaemia Korandil 10 mg 1-1-1 Nicorandil SR Vasodilator Nitrocontin CR 6.4 mg 1-0-1 Glyceryl Trinatrate Storvas 20 mg 0-0-1 Atorvastatin Deplatt A 75 mg 0-1-0 Clopidogrel & Aspirin Diamicron MR 60 mg 1-0-0 Gliclazide Glycomet SR 1 g 1-0-1 Metformin Vasanth
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hellithanks for posting here.i have gone through youe history and medications. which suggest you have hypertension, diabetes and ischemic heart disease. i suppose that you have undergone a coronary angiography, and may be having blocks in your arteries. thats why i guess you are cinfuaed abiut thw options of angioplasty or bypass surgery or angioprim. But being a cardiologist and been in practice for 6 years I would never advice any of my patient however old/young and whatever risk factors they have; to undergo cheleation or angioprim. Coronary angioplasty and bypass surgery are the real treatment options for coronary artery disease and people can live a long symptoms free life after a bypass or angioplasty. The bypass grafts as well as angioplasty stents last well for 10-15 years at least. Angioprim on the other hand is very unpredictable and insecure procedure. i would not advice you to do this. thank you
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How to deal with yeast infection symptoms?
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I have gone to an ob midwife and urgent care and all have treated me for yeast infection. Most recent is estrogen cream. I have white discharge and anal irritation. I do not know where to go from here...6 month old bsby and breastfeeding and have been dealing with these symptoms since may
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Thank you for the query.I would like to know your age and whether you suffer from Diabetes mellitus. Since, you have a 6 month old baby, i would also like to enquire whether it was a normal delivery or Caesarian section was required.Vaginal candidiasis (yeast) is a common condition. It can lead to severe irritation, itching and curdy white discharge. Local vaginal creams for candidiasis like Clotrimazole cream must be applied. It is also necessary to maintain hygiene and keep your private parts clean and dry.I would also advise you to go for Urine routine examination and culture, to rule out any other causes of Urinary Tract Infection. In that case oral course of antibiotics may be required (since you are lactating all classes of antibiotics cannot be used). If the problem is persistent, you should get a blood sugar profile checked and consult your gynaecologist regarding the same.Hope this helps you out.
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What causes 90% non motility of the semen?
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i did not have sex with my wife for 6 days because she had periods and on 6th day i had a night fall (not much) after this i waited for 3 days and went for a semen analysis and i got a very bad report 90% non motile and 0.2 million sperm count . did i choose a wrong day for semen analysis please help
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Hello,Your sperm count and motility affected very much. You should repeat your semen analysis again after three days of exposure.If it is still abnormal, then further work up done to rule out causes like hormonal problem, vitamin and mineral deficiency, smoking, alcohol, diabetes, thyroid, drug history et cetera.Your random glucose, serum FSH, LH, Testosterone level should be checked.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Parth Goswami
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What causes difficulty in passing stool while suffering from diabetes?
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I am type 2 diabetic can pee but cannot poop. their is a burning pain in my stomach as well. I am also a female but I had Urinary tract infections before this does not feel like one. But constipation is an ongoing thing and when I do go it is really huge and black. I am belching too. What can it be?
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Hello,Long standing uncontrolled diabetes may leads to Gastroparesis where intestinal motility is decreased leads to constipation, however in your case stomach with black stools suggestive of Upper Gastrointestinal bleed probably peptic ulcer disease.Kindly get evaluated for the same with the physician or a gastroenterologist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Deepak M R
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Are swollen feet and shortness of breath, in elderly, indicators of Acute Myeloid Leukemia? Have BP and diabetes
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I can't believe your name is Grief. My question is as follows. My mother has all indications of MDS but has not had a marrow biopsy. She is 77 and does not want aggressive treatment such as chemotherapy. She is minimally diabetic - handled with diet. She is on medication for high blood pressure and has been for years. I am noticing shortness of breath resulting in limitations. I am noticing things like being unable to lift her leg to get in or out of the bathtub. Tonight I noticed her feet were swollen but no discoloration or petechiae. I don't want to alarm her. What do I do next? Is this an indicator of progression to Acute Myeloid Leukemia? What kind of prognosis should I expect? Is it time for me to bring her to live with me? She is about 8 miles from me now.
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better be with her in terminal stage give her menntal support care her properly so that she does not feel lonely maintain hygiene with her avoid bed sores and other minor infection
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What causes fibromyalgia?
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Hi! Since I can remember, I have always had these strange occurrences when my cat claw or something else sharp.touched certain areas of my body, I would feel it in another part of my body( ex. right rib/feel it in right elbow). Have you ever heard of this? I have told countless people, including Drs., throughout my life, and no one seems to know what it is. Also, I was diagnosed with Fibromyalgia in 1996, which also deals with pain due to nerve endings. Also, I get hot and wet- feeling spots sometimes on my body. Any ideas? Could my diagnosis of Fibro be wrong, and instead be something that includes all these symptoms? Just curious... Thanx! :)
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Fibromyalgia is not a vague term; it has a very clearly defined set of symptoms and signs and tests to inconclusively make that diagnosis. Further it is treatable. The present complaints/ occurrences that you state, don't completely fall into Fibromyalgia criteria. It appears to be some kind of paraesthesia (altered pain sensation) to me; the causes for which are many....Brain injury, peripheral vascular disease, atherosclerosis, Diabetes, Vitamin deficiencies to name a few. However the feeling of hot and wet spots on body is more worry-some to me as it could be announcing the onset of a more sinister disease, namely Multiple Sclerosis. You definitely need a neurologist to evaluate you in depth and an MRI of brain and spinal cord to start with, asap!! All the best !
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Can chest pain be related to apical ischemia?
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Hello Doctor, I am 68 yrs old with type 2 diabetes since 2yrs with hypertension since one year and using dutasteride related Tablets. 10 days back I had severe chest pain for ten minutes while I was vacuuming the house.I had stress and echo tests .It is opinioned possibility of apical ischaemia.Could you please give some advice Doctor. XXXX
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Hello,Apical ischemia is very common and can cause chest pains. Especially due to your age, having diabetes and hypertension, the risk is high for heart blood vessels to be affected and cause ischemic disease. You will need to have the tests to see how severe the blockage is and further guide the treatment. Medications and lifestyle changes are indicated and in some cases, the doctor may also recommend surgery.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Antoneta Zotaj, General & Family Physician
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What is the treatment for plaque in arteries and abnormal functioning of kidney?
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I just found out Friday 7/13/12 that I have plaque in my arteries. Hardening of the arteries and my kidney is not functioning at its capacity and my number for functioning is between 53 & 56. In addition, my right arm has been huring me in the shoulder since 12/10/11. How can I help myself?
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Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Control of cholesterol / lipid profile is the best treatment to control plaque in arteries.2. Atherosclerosis or hardening of the blood vessels is progressive and is not reversible. Only if there is blockage, partial or complete, stenting can be tried. 3. Avoid excessive salt intake, control diabetes mellitus and blood pressure for improving functioning of kidney.Hope it helps.Any further queries, happy to help again.
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Suggest treatment for high bilirubin levels and enlarged liver
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I am currently resident in UK and my brother is living in Pakistan. He is suffering from severe jaundice for over a month now.He has lost 7 Kg weight as well. He did some drug abuse in the past like used different brain stimulant drugs without telling any one. Now he is suffering from jaundice and level of bilirubin has increased up to 17 and its increasing day by day.Now it is 20His liver has enlarged by 2 cm as well when doctors in Pakistan did the ultrasound. Doctors also say that he is suffering from hepatitis A. Now I am quite worried because of that. I just want your suggestion on this condition like if he will recover and what are the risks. What your knowledge and experience suggests you if he will recover or not. Please i really need you help and suggestion regarding that. And if further tests need to be carried out. Anything that could help improve his condition. Any medicine, any diet he should follow.
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Hi,There are many causes of liver enlargement and treatment depends on exact cause. If this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are most common causes and in this case medical evaluation is required. Also if there is infectious disease or billiary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment.I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health.Kindly regards,Dr. Ivan R. Rommstein
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Can stent insertion cause 170 heart rate?
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have 93 year old female has two stents placed about 10 days ago today heart rate is 170 and is taking Diltiazem CD 120mg daily. Is this a reaction to the stent insertions? I am a geriatric pharmacotherapist and saw the patient last Thursday. Your comments would be appreciated.
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Welcome at HCM I have gone through your query and being your physician i completely understand your health concerns.for how long u are suffering from it? any other associated problem? like diabetes or hypertension? In my opinion , after coronary stenting the heart rate is still greater than the normal,, it should not be greater than 100. you need to consult your CARDIOLOGIST so that appropriate change in medications can be done in time meanwhile stay calm and continue with ur medications..get well soon Hope your query is adequately addressed if you still have any feel free to ask RegardsDr Saad Sultan
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Suggest treatment for kidney parenchymal disease
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good morning sir, sir my father was suffering for kidney parenchymal disease so he was problem with pains of both legs,chest pain ,blood test result are urea-69 mg%,creatinine-2.8mg%,uric acid-8.4& rbs-78mg%,Hb%-9.4 urine routine test is normal o he was suffers big problem he was medcines taken ultracet,folic acid tab,nodon tab,etc.... sir but he was taken medcine but not cure what is problem plz details me sir,
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Hi, Your serum urea, creatinine is at higher side. So it is suggestive of deterioration of kidney function. Underlying cause specific treatment should be priority. Diabetes and hypertension are common cause for that. Your physician should check your blood pressure and medication given for that if needed. I suggest you consult Urologist for examination. Hope I have answered your query. Let me know if I can assist you further.
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Diabetes under control, elevated creatinine and urea level. Ultrasound showed normal kidney, liver. Treatment suggestion?
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hi , my father had been detected with diabtees and and was facing problem while doing urination . His sugar was 365 and creatinine was 8.4 when he was admitted in hosptial. Now after treatment his sugar level is under control ie from 90-120, but still his creatinine and urea level remain high ie almost 8 and urea 320.. He has already undergone dialysis 2 times. His current medication is lizoforce and sulfacef. we have alredy done sonograhpy all organs such as kidney , lever are shown normal in that. Kindly advice what could be done ? awaitng reply yogsh
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Hello Your father seems ro have developed diabetic Nephropathy. Management includes Meticulous control of blood sugar and hypertension Avoid all nephrotoxic drugs and pain killers Low protein and potassium diet to be given( reduce milk,meat,Dals,fruits and coconut water) Patients with microalbuminaria are put on ARB's or ACE inhibitors even if BP is within normal limits Keep repeating hemodialysis If END STAGE RENAL FAILURE has occured,then only renal transplant is the answer. All diabetic Nephropathy patients should be jointly managed by diabetologist and nephrologist. Thanks
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What causes elevated levels of ALT?
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I am a 55 years male with about 8 years of diabetes. Currently on 2000 mg diabex a day and one 10mg castor. Weighing 90kg and 1.72m tall. Work extremely long hours with at least 6 hrs a day in front of the computer. Used to be more than a medium alcohol drinker but has stopped completely for more than two years. I had a sudden increase in the ALT at the recent test done three weeks ago. It jumped from 29 to 41 U/L. I am booked for a US to check liver functionality. I realise that it might be early to make a judgement. But from you experience, could you kindly advise if this is a serious problem. Also would appreciate if you could advise if is it treatable. Regards Kareem - Sydney
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Thanks for posting your concern on HCM!I have gone through your case, since you have stopped taking alcohol for the past two years it looks unlikely that the raised enzymes are due to alcohol related liver injury.In view of your body weight, there may be a possibility of having fatty liver that might have caused the elevation of liver enzymes.So, get the ultrasound done to confirm or rule out the fatty liver.You have some sort of sedentary type of life style which most of time almost 6 hours you have to be seated in front of computer that also can cause an increase in body weight.You have to change your life style, like go for daily walk for about 30 minutes, avoid consuming fast and junk foods, oily foods, eat lot of vegetables and fresh fruits as they contain anti oxidants that will prevent the liver damage.Take care.Best regards!
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What causes constant inflammation below the meatus?
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Hi, This question regards the skin right below the meatus of the glans penis. Im 24 yr old circumcised male and for quite a long time after constant inflammation and meatitis (gone now), the skin right below the meatus (small patch, not the whole underside) ranges from slightly red to bright red and looks wrinkly/scaly. The redness gets worse after ejaculation. I must also point out that during urination, this area pouches out due to the force of the stream and I think because this skin is just weak/not much support in general. this causes my urine stream to be wobbly and not straight, however when i squeeze or hold this area during urination the stream is perfectly fine. The inflamed meatus has gotten better over the years and is pretty much healed, however it is just this strange looking patch of skin right below the meatus and the fact that it pouches out during urination that worries me. I have been to a urologist who said it was interesting and to come back if I need to. What do you think?
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HelloI share you concernLooking at your description it seems to be related to infection or inflammation of meatusHere I would like further information for better assessment like relevant medical history like diabetes or other hormonal disorderAny recent exposure to unprotected sex?In my opinion you should consult a VD specialist for physical examination and battery of tests including skin biopsy to diagnose the condition.Meanwhile apply antiseptic ointment and keep it cleanUse condom during sex or try to avoid any kind of injury or trauma.Please feel free to ask for follow up questionsBest wishes
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Increased creatinine levels, high protein in urine. History of high BP, diabetes. Kidney biopsy required?
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I have history of hypertension , but very slight diabetes . I do not take any diabetes medication. My creatinine level has progressively increased to 3 & protein urine over 6500 mg for 24 hrs. period. I am 61 years old. Do you advise kidney biopsy and which is the best place to do it? My e-mail address: YYYY@YYYY
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Hallo Thanks for your query.Your Creatinine level has gone high up to 3 mg% and there is presence of protein in urine.These findings are suggestive of Glomerulonephritis.Pl get following test done 1) renal Function Test 2) Ultrasound scanning of abdomen 3)Routine Urine examination After getting the reports consult Nephrologist who will decide the further management.Since creatinine level is not that too high it is not necessary to go for Kidney Biopsy y at present.
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What causes memory problems when suffering from high BP?
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Docter, I am 58 years old, and having bp and sugar and 5 years back coroary heart disease one vessel stent put. As per dr. advise I am taking prolomet am 50 mg, avas 10 mg, olmzest h20 and gemer 1mg. Now days I am forgetting very frequently and staircase above two floor difficult to climb. plesae suggest it is due to medicinal effects. (my bp leve/90/150, fasting sugar average140 to 160)
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Hi, After going through your case I want to know - 1) Your are unable to climb stairs it is because of breathing difficulties or chest discomfort or because of leg pain. 2) Any habits like smoking, alcohol. 3) 2DEcho report done at the time of stenting. 4) Any puffiness of face or swelling over body. 5) Imbalance while walking, slurred speech. 6) Forgetfulness is for short time or longer duration. Following investigation are advisable in your case-1) ECG comparison with old ECG is important. 2) 2DEcho to know pumping capacity of heart and any abnormalities of heart wall motion. 3) Fasting and postprandial blood sugar levels, HbA1c level to know your Diabetes control. 4) Lipid profile to know cholesterol levels. 5) Kidney and liver function tests including ultrasonography. Difficulty in climbing stair may be due to impending heart failure that might be due to new heart disease if leg pain is there there may be claudication due to complications of diabetes on blood vessels of legs (peripheral arterial disease) Forgetfulness might be due to side effects of Medicine like prolomet, hypoglycemic (low blood sugar levels) episodes or impaired blood flow to brain. So it is advisable to consult cardiologist and also neurologist for neurological Examination.
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How to control scalp psoriasis?
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I am 36 years old and suffering from High BP (controlled), diabetic (controlled) and psoriasis, my height is 5.5 and weight is 70kg. I had ayurvedic treatment which really helped me in curing my hand chest and back psoriasis patches but in scalp it is still there...i m suffering from psoriasis for last 2 years and same to got diagnosed for diabetes. I used to apply diprovate and really control it very well but now its not avaialble in market and nothing works for scalp . Please help me to control my scalp psoriasis
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Thanks for using healthcaremagic.I understand your concern.1) You can apply fluocinonide generic solution 0.05% over the affected area in small amount,twice a day,maximum up to two weeks.2) You can use clobetasol propionate shampoo 0.05% once daily or clobetasol scalp solution(Cormax)0.05% apply over the affected area in small amount,twice daily,maximum up to two weeks.3)You can use topical calcipotriene solution or foam 0.005%(though little expensive)are also equally effective in treating scalp psoriasis.I would advise you to discuss this with your doctor preferably a dermatologist to consider any of the above prescription if it is appropriate for you.Hope this information helps you.If any further questions, happy to help you.Take care.
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Suggest tests that can determine the cause for elevated blood sugar levels despite having a healthy lifestyle
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I’m a 5’9” male I weigh 165lbs. Not over weight or obese. I was diagnosed with type 2 diabetes in 2014 without any warning. There is no genetic component. I’ve watched my a1c climb for the last 4 years even though I am in excellent physical shape, eat healthy and have an overall healthy lifestyle. I cannot get any explanation as to why my diabetes continues to progress despite my diligent efforts. My doctor follows the conventional medicine model treating my symptoms with prescriptions. What doctor can tell me why I was stricken with this disease? What tests can be done to determine what’s going on? Thank you.
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Hi, Pathophysiology of Type 2 DM is complex and not yet completely clear. Insulin resistance and abnormal insulin secretion are central to the development of type 2 DM.The genes that predispose to type 2 DM are incompletely identified. The utero environment also contributes, and either increased or reduced birth weight increases the risk of type 2 DM in adult life. Apart from lifestyle modification and diet control, oral drugs and /or insulin therapy is needed to achieve sugar control. It is not often possible to determine why a particular individual is affected with diabetes in spite of no obvious genetic predisposition as the disease occurs due to the interplay of many factors. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist
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How to prevent from a kidney failure?
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My father s pancreas has shut down, and he was told that especially with his diabetes, that his kidneys are soon to follow. I was looking online the other day and found some sort of implant that can be put in now, that has helped 50% of those who tried it, from developing full kidney failure, but now I can not find the name of the implant so that we can talk to his doctor about it. Can anyone tell me the name of this? It was like 3 or 4 letters long...
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Hi, The implant you are thinking of may be ureteric stent which is used to bypass the blocked portion of kidneys and helps to an extent. You can consult a urologist and get evaluated. Wishing all the best. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussai
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What causes persistent pain at the back of the legs causing restlessness?
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Hi I have been having constant dull annoying pains in the muscles at back of legs which make me very restless, sleeping is difficult as have to keep moving to get a little relief ,cant sit in same position for even 10 minutes as have to move to get any relief as legs very restless 24/7
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fine mam... please specify your age mam... and tell me co morbids like.. hypertension lipid profile diabetes and history of surgery.... to prescribe medicines... we should have some... information regarding your health... serum creatine and your lipid profile... if i found lipid profile is abnormal... then i will prefer... colour dopler of that limbthanking you madam... waiting for your reports
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What could cause severe body pain and stiffness in the joints of a diabetic?
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I am 58 years old, 5.11 height, weighing 94kgs, male. Diabetic since the age of 24 and now take insulin before every meal. Recently started having severe pain in my whole body. The joints feel very stiff and numb. Unable to wear my shoes or clothes. Generally all the tests are normal. Doctor said some herve in my head has swelled. Please guide. Extremly worried. Any specific tests i should get done? What should i be doing? Which special doctor to consult? Please guide..
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Hello!Welcome on HCM!Regarding your concern, I would explain that your symptoms seem to be related to peripheral neuropathy, probably caused by diabetes. For this reason, I would recommend performing a nerve conduction study to examine the nerves in your limbs. In fact the nerves are not in the head, but in the limbs. If the nerve conduction study results normal, the next step to follow would be a brain MRI to exclude brain small vessel disease, which is another common complication of uncontrolled diabetes. Anyway, you should know that a better control of diabetes can stop the progression of your troubles. Hope to have been helpful!You can ask me again directly if you have any other questions!Best wishes, Dr. Aida
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What causes pain during chiari malformation type 1 ?
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HI, IVE BEEN DIAGNOSED WITH CHIARI MALFORMATION TYPE 1. THIS DIAGNOSIS WAS MADE SEVERAL YRS AGO AND SURGERY WAS RECOMMEDED, I NEVER GOT IT DONE BECAUSE I WAS AFRAID. I AM ALSO SIGNIFICANTLY OVERWEIGHT, AND WAS THINKING THE PAIN WAS DUE TO DIABETES. I GOT MY LAB TESTS DONE, AND I DO NOT HAVE DIABETES. WHAT COULD BE THE CAUSE OF THIS PAIN
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The problem chiari malformation may or may not require surgery depending on severity and it's effects. Nevertheless it isn't clear which part of your body is experiencing pain and the nature of pain?
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Suggest treatment for cystic schwanomma and chronic neuropathic pain
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Hi, I was treated for cystic schwanomma (benign) through surgery and have chronic neuropathic pain. I did a routine health check with the key results as follows: Hb is 11.6, ESR 45, Alkaline Phosphatase is 215 IU/mL and Hba1c is 6.4. Otherwise, LFT, Peripheral smear, Renal function test, s. electrolytes are normal. Ps provide ur opinion, thanks.
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Hi, Welcome to HealthCareMagic.com I am Dr.Bruno Mascarenhas, and I am happy to answer your queries. I have read your question with care and understand your concerns. Let me try to help you. Your Hba1c is 6.4Your Chronic Neuropathic Pain is Probably due to Diabetes. To treat it you have to 1. Manage Diabetes Properly and Keep Blood Sugar under Control 2. Treat the Pain with Drugs like Pregabalin, GabapentinHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care.
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What causes dilated cardiomyopathy with low ejection fraction?
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hi,my name is swati. S . Nandanwar m frm india..my age is 41, height 5'.0''(150 cm), weight-58kg, mymedacial history-diabetis,& dialated cardio mayopathi with low ejection fraction is only 20 percent from last four years......! Please informe thru my email coz iam not regular user of this site my email add is '' YYYY@YYYY '' or YYYY@YYYY ,thankyou
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Hello Swati ,after you have ruled out heart blockages by doing an angiography ( which is the most common reason in diabetic patients ) , the next is what is called micro vascular disease may cause dilated cardiomyopathy. Due to diabetes there are certain degenerative changes in the heart muscle vasculature which will cause slow deterioration of heart function causing dilated cardiomyopathy. Medicine optimisation would cause reversibility and control of symptoms. If the Ekg finding are favourable and you have symptoms Inspite of medical therapy a form of pacemaker ( cardiac resynchronsation therapy ) may help improve the heart function . A more detailed evaluation is needed for the same . Regards Dr Priyank Mody
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