instruction
stringlengths 3
196
| input
stringlengths 2
1.76k
| output
stringlengths 24
1.71k
|
|---|---|---|
Urinalysis shows traces of protein, ketones and leukocyte esterase. Should I worry?
|
Hello, I have just received the results of my urinalysis and these call my attention MACROSCOPIC Traces of protein, ketones and +1 leukocyte esterase. MICROSCOPIC 10-20 WBC/HPF; Moderate (26-50) BACTERIA/HPF and Few Mucous threads/HPF Something to worry about? About myself: 34 yo, 5 7, 182 lbs, I had kidney stones (may still have a couple of small ones in my right kidney). I don't have diabetes (still I have a family history of it) and I drink alcohol on a weekly basis.
|
Hellowelcome to health care magicIn the query you didn't mention about the status of diabetes,,whether you are alcoholic..Presence of ketones in the urine suggests that you are in a long term starvation (more than 18 hrs of fasting) or uncontrolled diabetes..so check your blood glucose levels and control it..Presence of protein may indicate an infection in the kidney..Regarding microscopic analysis presence of 10-20 white blood cells(WBC),,26-50 Bacteria indicates that you have urinary tract infection,,it has many causes,,you only said that you have renal stones.presence of leukocyte esterase indicates activity of WBC..Don't get delay consult general physician and take antibiotics treatment to control the infection.Prior that your sugar levels should come to normal..Hope you understand my suggestion..Thank youDr.siddartha
|
Suggest remedies for severe fatigue in a diabetic
|
Recently noticed that I'm very tired during the day. Type 2 Diabetic...recently off insulin...controlling diabetes with oral drugs, diet and exercise. I don't know if the tiredness has anything to do with that. Difficulty falling asleep, at night, and staying asleep (that has been occurring for several years. Any ideas ?
|
Hello, Thanks for the query.If you have T2 DM, and if the blood glucose levels are not very well controlled then there is every chance of feeling excessively fatigued and tired almost through out the day. It is essential to maintain FBG Sleep disturbances tend to occur with increasing age. But if one exercises over 1 hour every day, follows a proper pattern of going to bed, then chances of getting a good sleep do increase. Plus one should also learn certain relaxation techniques which help reduce the stress and bodily tension and help in inducing better sleep. Supplements like Calcium, Vitamin D3 also help in reducing muscular fatigue. Since no specific details are given it is rather difficult to give very specific answer. Thanks.
|
why is my head so swollen, red, full of clogged carbuncles full of yellow and white pus that burns my scalp?
|
Can a patient with chronic folliculitis, and MRSA of the scalp from bacterial infections( that enter into my scalp from old surgery scars) still have a Staph infection if my blood culture comes back neg. for MRSA even though the pathology report states MRSA is present. I was also tested for fungal infections and that came back neg, My head is so swollen, red, full of clogged carbuncles full of yellow crusty pus and white pus that burns my scalp.
|
Hi,If carbuncle is there then rule out diabetes.Go for blood sugar testing done for fasting and PPBS.Consult dermatologist and get the proper diagnosis done.after examination and investigations go for appropriate treatment accordingly.Ok and take care.
|
Is ejaculation related to psychological reasons?
|
i donot have a good mental relation with my wife. i cannot satisfy her physically,ejaculation doesnot take place with her.but seeing holding my my lady of my choice who had been my crush in school ejaculation immediately took place.is ejaculation psychological?
|
Hello dearUnderstand your concernI think you have delayed ejaculation. It broadly due to psychological cause or medical cause (diabetes, obesity, enlarged prostate, smoking, alcohol, hypertension). I think your problem is due to psychological mainly relation problem. You should have to consult the psychiatric and need the treatment like active cognitive behavioral therapy, talk to your partner about your problem. After resolving psychiatric problem following advice will helpful: engage more in foreplay before sex, use condoms with lidocaine jelly, make romantic environment, after evaluation you can use sildenafil plus paroxentine 30 minutes before sexHope this may help youBest regardsDr. Sagar
|
Had a minor procedure done to evacuate blood due to sub hematoma, history of seizures. Common?
|
My 80 yr old father just had a minor procedure done to evacuate the blood due to a sub dual hematoma . He does not have a history of history of seizures. He has been prescribed eptoin , do not know the dosage, for a period of one year. Is this common? He also takes medicines for BP and adult onset diabetes . What is your advice?
|
Hi Rama S V, The Eptoin has been prescribed in an attempt to prevent occurrence of seizures. It is not uncommon for this medication to be prescribed after neurosurgical operations. However, there is usually not an increased incidence of seizures following evacuation of chronic subdural haematoma. As far as your question regarding the duration of taking this medicine goes, there is no hard and fast rule and practices vary from giving it for a week or two to much longer periods. This is according to the preference of the treating physician and practices vary. Hope this helps.
|
Can any online doctor help me with the urinalysis report ?
|
Sir, Please tell me about kidney problem if the cretinine level is 10.4 and urea is also high up and Hemoglobil cells 7000
|
Hello! Thanks for being with us. There are two main types of kidney insult 1.acute 2.chronic. This can be easily distinguished if you have previous serum creatinine levels.If previous creatinine levels were normal and you have been started with new onset symptoms like fever,abdominal pain,oliguria,burning or pus in urine or any new drugs has been started for other reason then it could be an acute kidney injury. Acute kidney injury can be successfully treated but this problem may be the start of chronic renal failure. If you are suffering from any chronic illness like hypertension,diabetes,poly cystic kidney disease,renal artery stenosis and your serum creatinine levels were high last time also then its likely to be a chronic renal failure. There are lots of causes of acute and chronic kidney failure hence its better to have an urgent nephrologist opinion as creatinine of 10.4 can be life threatening,may lead to complications like hyperkalemia,azotemia,uremia and you may need dialysis too. If you could have provided other lab findings like hemoglobin level,calcium,phosphorous,usg of kidney bladder ureter,blood pressure and sugar levels then i could have answered in more detail. Anyways your further queries are most welcome and wish you better health .
|
How can oral thrush be treated while using Symbicort inhaler?
|
I have to use the rx inhaler Symbicort. After every use (2 xs daily), I always rinse my mouth thoroughly. However, now I have thrush in the back of my throat. Last time I had this, my MD prescribed something, since it s Sat pm I ccannot reach my dr. What do you suggest I do?
|
Hi..Thanks for the query..As per your complain oral thrush or Candidiasis is a fungal infection and is characterized by formation of thick white cheesy patches over the surface of the tongue and in throat..It can lead to dryness of mouth and burning sensation, foul taste in mouth,difficulty in swallowing and dryness and irritation in throat..Thrush can occur due to a number of reasons like Stress, certain medications like Lone term intake of antibiotics,steroids and birth control pills, Radiotherapy, Diabetes,pregnancy,HIV, cancer,dry mouth, smoking denture wearing etc..Steroid inhalation is one of the most common cause for Oral and throat Thrush..For treatment of Thrush Antifungal medicines like Fluconazole or itraconazole is given orally to the patients..Nystatin mouth washes are recommended..In resistant cases Amphotericin B is given orally when patient is immuno compromised and does not respond to other drugs..Eat frequently Probiotics like Yoghurt in diet and add garlic in diet frequently. You can also use mouth guards or spacers to reduce probability of Thrush occurrence..Maintain a good oral hygiene, use a soft tooth brush to brush your teeth and salt water gargles should be done but avoid antimicrobial mouthwashes..Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora.
|
Suggest treatment for cat bite
|
I adopted two kittens Friday. The Ragdoll is terrified and has been hiding behind and underneath bookcase. I pulled him out and he has bitten me deeply in several places on my hands. My fault! I rushed the extraction and was quite aware of how sadly frightened he is. I thoroughly washed areas with hot water and antibacterial soap. Cleansed with alcohol, betadine, and applied polysporin. How else do I treat?
|
HI, thanks for using healthcare magicIt would be best to see a doctor. Bites from cats/kittens can easily become infected requiring antibiotics in some cases.Early treatment would prevent this.Antibiotics are required in some persons even if no infection is seen at the time. These persons are: (a) those who are immunocompromised- diabetes, on steroids treatment or other medication, HIV(b)no spleen present(c)advanced liver disease(d)previous swelling in the area(e)moderate to severe injury especially on hands and faceIf any of these apply to you then antibiotics are needed as soon as possible.I hope this helps
|
Frequent cough and cold, vomiting, weight loss, had severe infection. Any home remedies?
|
Hi Doctor,My daughter is 2 years old and is getting cough and cold very frequently. This monsoon, she caught sevre infections 3 times within 5 months. She usually vomits dureing this period and refuses to each much. It takes toll on her helath and results in weight loss. She goes to daycare for a year now. Kindly advise some home remedies to increase her immunity.
|
hi and thanks for the question,keeping her warm is very important. It might be important to know why she is having recurrent infections. This could be due to inadequate treatment, resistant organisms or a condition that predisposes to recurrent infections. Primary immuno deficiencies, child hood diabetes and any childhood malignancies must be checked for excluded. I suggest you consult a pediatrician.
|
Can cold weather cause death of person having gall bladder abscess?
|
Hi my father died in May of this year. He was 83 but had been in relatively good health. He was diabetic since his late sixties. When he was hospitalised the doctors said he was in septic shock due to an absess which had developed near his gall bladder. He had to have major surgery and suffered three strokes before he died. We have since learned that he had no heating in his house for some months before he died and we had unprecedently cold weather conditions over the winter months. Some nights the temperature was as low as minus sixteen. I am wondering how much this contributed to his death. Any help you can offer would be appreciated as it is really disturbing me. Thanking you in anticipation--Cathy
|
Hi welcome to the health care magic In severe cold temperature and changing weather there are chances of viral infections and than secondary bacterial infection can occur Moreover your father was also having diabetes in which chances of infections more... So you can use room heater as temp falling to minus in your home When your common cold getting worse investigate with CBC and throat swab to start antibiotic if needed Vitamin C lozenges having antiviral property so can be used in common cold infection when you have that due to cold weather Take care
|
What is the treatment for recurrent hemorrhagic episodes?
|
Hi, may I answer your health queries right now ? Please type your query here... My 79 year old father is suffering from recurring hemorrhagic episodes due to radiation cystitis (radioactive seed implantation for prostate cancer 7 years ago). 6 weeks ago he had a clot which required a trip to the ER for catherization. Afterward he was fine. 4 weeks later his urologist performed a cystoscopy? Is that right? Scope of the bladder. Hence his radiation cystitis diagnosis. But it stirred everything up and that night he had another blockage. He kept the foley for 3 days, removed it, bleed for a few hours, then urine was clear - until that night - another trip to ER. 7 days later foley was removed. That was 3 days ago and he s had a little blood here and there, but clear for the past 24 hours. His urologist wants to conduct an ultrasound with him drinking 24 oz. of water in an hour. I m very concerned that s going to stress his bladder and cause the walls to bleed. The poor man just wants to go on an open ended trip to florida - camping along the way - just winging it. I don t think he should do this test. It s purely academic. Everything other than radiation cystitis has been ruled out and there s little he can do about that. His new urologist does not like answering questions (dad just moved up to CT from VA). Yes, we ll find another doctor. But for now what do you think?
|
Hi, Treatment of recurrent hemorrhagic episodes includes identifying the risk factors for ICH recurrence identified through data extrapolation include hypertension, diabetes, excessive alcohol consumption, cigarette smoking, and probably, migraine with aura. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Monish De, Oncologist
|
Is back surgery safe in diabetic patients?
|
Hi, I am a 49 year old fmale who weighs 234lbs. i have ha a 3x bypass in 2006 and I am meds . I also take percocet for pain everyday. I am a diabetic dependant on insulin. I have gained 25lbs in the last year and i am miserable and I need to have back surgery but they advised me to lose some wieight. Is this safe for me to take ?
|
if diabetes is well controlled,it will be good to lose extra weight by diet,exercises permitted by heart specialist and diabetologist.Back problems lessen on losing weight to normal for your body size and age
|
What cause pseudomonas infection on nose and its treatment?
|
I have a pseudomonas infection on my nose. I started a course of Levofloxacin and it seemed to help, but the doctor only had me on it for two weeks and now it has recurred. I have also been applying gentomycin topically for several weeks. I had ablation surgery less than 2 weeks ago and am on Amiodarone, 200 mg once a day. Initially I went into a-fib the day after the surgery (before I started the Amiodarone), but I have been in normal sinus rhythm since then. There is a negative interaction between the two drugs Amiodarone and Levofloxacin) that can result in irregular heartbeat. My dermatologist was informed of this by my pharmacist, and she has opted to instead refer me to an infectious disease specialist, but that could take a while. Based on my research it looks like pseudomonas is resistant to most antibiotics. Do you have any interim suggestions for me? Thanks! Martin
|
the culture that showed pseudomonas growing from your nose would have showed the sensitivity pattern of drugs for it. change to cefpodoxime 200 mg twice a day if the bug is sensitive and take it for 2 weeks. don't put genta for so long as it can adversely affect your kidneys. check for diabetes and B12 deficiency as causes of prolonged infections
|
Can liver enlargement be due to an excessive protein diet?
|
hi my husband who is 30 years old, few days ago he ate 2 boiled eggs from shop and found they were black in colour,, he asked the shop keeper why its black then the shop keeper answered due to over boiled its black... he ate but after some times he felt very un easy,,, then he ate hazmola... but now he is not well,,, why? is it because he ate 2 black boiled eggs or for some thing else... he went to the doctor,, did his ultra sound and doctor told him that because of over diet of protein his LIVER is enlarge,, plz help me....
|
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.Usually liver enlargement may indicate some types of hepatitis or fatty liver diseases and in most cases it doesnt require any specific treatment. If this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are most common causes and in this case medical evaluation is required. Also if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. You need to check your viral markers and do liver biopsy if necessary.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.
|
What causes high sugar and protein in the urine while on Percocet?
|
My Dr. Has found that I have sugar and protein in my urine. I have high bloodpresser and take medication for that . I also take Percocet for chronic pain . I am due to take another blood test in July . Is there a way for me to stop this leakage of protein and sugar ?
|
Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Percocet tablets are unlikely to cause any "leakage" of protein or sugar in urine. This happens particularly if you have developed high blood glucose, (above 180 mg) then only glucose is excreted in the urine by kidneys. This is a sign of developing diabetes. As regards protein in urine, normally no proteins are excreted. That is a sign of some problem with kidney function. It can happen in various conditions including diabetes. So it is essential to get your blood glucose tested (fasting, PP, and HbA1c%) also kidney function test done. That will clarify the reasons.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar
|
Suggest remedy for dizziness, headache and fluctuating heart rate
|
I have been feeling very ill for sometime now I have had out of control blood pressure high and low dizziness dehydration headache heart rate problems sitting up iam dizzy standing iam dizzy I have pressure in my eyes and head I have been to the er 5 times my family doctor is not doing anything
|
Hi,I can understand your concern.I want to know 1) Your Age.2) Any associated diabetes, blood pressure or cholesterol problem, heart disease.3) Current medicines if any.4) Habits like smoking, alcohol, any substance abuse.Your problem may be due to-1) Cardiac arrhythmias abnormal electrical activity of heart.2) Postural Hypotension (Blood pressure drop in response to standing)3) Decreased blood supply to brain either due to heart problem or blockages in brain arteries.4) Effect of some drugs are you taking if any.You should consult cardiologist.There is need for 1) Clinical examination, assessment of hydration.2) Check blood pressure for any postural drop.3) Detailed neurological examination.Depending on it there may be need of 1) ECG, Holter's monitoring, Electrophysiological study of heart, 2DEcho of heart.2) Blood test like CBC, Kidney and liver function test, serum electrolytes.3) Thyroid function test.4) Brain imaging like CT or MRI of brain with angiography.Till that time maintain adequate hydration, avoid staying alone.Hope I have answered your question.If so do vote.
|
What causes itching around the toenail?
|
My two toes next to the big Toe. Just on the tips of these two toes is itchy when they get wet in the shower or if they are under the covers at night. During the day they are fine and do not bother me at all. They are not sore but do have a little color chang on the tip of them.. If I put aloe on them they stop bothering me. Oh yeah last night the one was itching around the toe nail till I put aloe on it.
|
from your complaint i think you might have fungal of any bacterial skin infection. rule out the diabetes mellitus.apply anti fungal cream. and take levocetrizine once a day for a week. if redness will not reduce contact your doctor for bacterial infection.
|
Any suggestion for suffering from slight erection problem and hard premature ejaculation?
|
hi Dr i am a man of 32 i am suffering from slight problem of Ed and hard problem of PE. i took estrilopam 10 for two month it make my time from 15 sec to 1 mint. i want to make it 5 mints at least and with full erection.whether this nano leo cap are right choice for me or i should take some thing else to improve my self permanently.
|
Hello I appreciate your concernI will definitely help you in best possible way if you can answer my these questionspresence of any medical or metabolic disease like diabetes or thyroid disease Do you smoke or consume liquorfirst of all it needs to rule out any organic cause for discharge and poor erectionYou need not to worry this condition is very much treatable and size of penis doesn't make much difference for a successful marriage, so consult your doctorI would advise you following guidelinesWatch your frequency of hand practice and look for any injuryYou can press at the base of the glans when you feel to ejaculate and can stay longerAvoid smoking and alcohol consumptionAvoid stress and anxiety , just relax and enjoy your dayyou should not take any medicine without doctor's prescriptionThere are medicines available for erectile dysfunction as well as premature ejaculation, please let me know if you have need any more assistance, I will gladly answer youHope this answers your questionBest wishes
|
Will I get a diabetes ?
|
my father, my aunt and my brother have diabetes. They said they really like sweets and frequently drink soda..i don t think i have a sweet tooth but i m worried that i might inherit it..
|
hello, There are more chances of diabetes if its already there in family... So better try to follow a healthy life style and do workout daily. try to avoid junk food. take care.
|
What do you suggest for back pain and spasm when on metformin?
|
I am taking 500 mg Metformin (1 pill) twice a day. In an effort to lose weight I increased my walking. I am having low back pain - when I stand up from sitting, and occasionally a spasm when standing. A heating pad helps. I thought Iincreased the walking too suddenly, but now wonder how this condition is interacting with diabetes/metformin?
|
Hi, I have read your problem. Usually back pain is managed with pain-killers till 1 month period. If it persists beyond 1 month, then further investigations are done. Since you have a bad pain I will suggest the following: - Back pain can be due to many reasons and it has probably no relation with your metfromin alone but, if taken with statins then it may cause back pain. You should get x-ray lumbosacral spine done in AP and Lateral done send us report or discuss it with your doctor. Only then further management can be advised. - Avoid heavy weight lifting pushing and pulling heavy objects, because it will further increase back pain. - You can take medicine like painkillers + muscle relaxants by discussing it with your doctor. You may need stronger pain-killers which are available on prescription only. You can try ibuprofen or naproxen till you see your doctor. - Apply hot packs for 30 min in morning and evening . I hope it helps. You are welcome to ask further health related queries.If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer 5 points for me, so that I get a good feedback. In future if you wish to contact me directly, you can use the below mentioned link: http://doctor.healthcaremagic.com/doctors/dr-chander-mohan-singh/67013 Let me know if you have any concerns. Thanks. Dr.Singh.
|
Anxiety issues coupled with dizziness, frequent urination and broken ankle. Ativan and zofran have helped little. Kidney infection?
|
My dad is in a rehab center with a broken ankle. He also has anxiety problems. He has been in here for about 3 weeks. This afternoon he had an anxiety issue and took Ativan. When he got up for dinner he got dizzy and sick to his stomach so took zofran and something else. Then suddenly his leg started hurting so he took a pain pill. I am saying all this because I don't know if any of this has an effect on him, but now he is peeing a lot for him. Is that bad ? Does it mean kidney infection?
|
Hi and thank you so much for this query.I am so sorry to hear about what your dad has been experiencing. Peeing a lot has to be well interrogated to find out what the possible causes are. Is he urinating several times in small quantities or is he urinating large amounts of urine several times a day? is he having any pains, discomfort or difficulties during urination? Is the urine stream weak?This could be related to prostate pathology, an infection, diabetes, etc. In order to get clues and investigate to establish the cause, please let you father get consulted. His primary care physician would be a great place to start and he shall receive referrals to specialists if need be.Please, drugs are not taken with each symptom. Talk to the doctors and make sure you are getting the indications and use correctly.I hope you find this helpful. Thank you so much for using our services and feel free to request for more information if need be. I wish you the best of health.Thanks.Dr. Ditah, MD
|
What causes red spots on chest and chest pain?
|
i get red spot on my chest and when they appear i am also having chest pains that feel like a throbbing to a stinging. also when this is happening i have shortness of breath. sometimes stress sets them off and some times when i am upset. but most the time i am just working or at home just sitting down when they hit
|
Thanks for your question on Healthcare Magic.I can understand your concern. Red painful spots on chest are commonly seen with herpes zoster infection. Stress and anxiety are common cause for recurrent herpes infection. So better to consult dermatologist and get done clinical examination of skin lesions. You will need acyclovir oral tablet, antihistamine and anti inflammatory drugs. Also check for diabetes as herpes infections are common in diabetic. Wash your clothes thoroughly in antiseptic solution. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
|
What does hyperintense foci in white matter on MRI suggest?
|
Dear Sir, I have received my MR angio report where all the artery of righ/left are normal. like common carotid artery. internal carotid artery. but there is impression where it is mentioned Few Hyperinstense foci are seen in the bilateral fronto-parietal and periventricular whiter matter, most likely ischmeic etiology what is the meaning of this.
|
HelloHyperintense foci in white matter on MRI may be due to many reasons like ischemic changes,demyelination,post traumatic sequel,lyme's disease etc.You need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus so that further progression of disease can be halted.You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.Treatment depend upon findings.Follow up MRI can be done to rule out demyelinating disease.You also need clinical correlation.Get well soon.Take CareDr.Indu Bhushan
|
Broke a tooth, swollen and sore tongue, nausea, diarrhea, diabetes. Treatment?
|
Broke a tooth lat week. Swollen and sore tonque. Tooth seas fixed. Still having severe nausea and diarrhea. What now, it has been a week since I broke the tooth. What now waHave identified ale , chicken soup any Imodium. Dr. Gave me antibiotics for infectiont nausea and diarrhea to go away. Can't eat anything without diabetes and losing what I ate.
|
Hello and welcome.Thanks for sharing your concern.I would like to suggest you to see your dentist soon.An x ray is required to see the extent of damage caused.Please mention your age.?so that better diagnosis can be made in terms of eruption of teeth.secondly please do not correlate other illness like nausea and diarrhoeas with broken teeth.your physician can help you in this.Please see your dentist soon so that clinical evaluation can be done and then if required a root canal treatment.Hope it helps.Thanks.Take care.
|
What causes body ache and chills while suffering from diabetes?
|
. Hi. I am a type 2 diabetic. Uncontrolled. Recently, I have experienced extreme body ache, chills, nausea. The symptoms go away within minutes to hour but have been reoccuring. What could it be. I have an appt sheduled with a doctor in a few weeks.
|
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. All these symptoms are related to high blood sugar level in diabetes. Avoid sweets and fruits such as mangoes. Get your blood sugar level checked as fasting blood sugar level (FBS), level 2 hours after meal ( RANDOM BLOOD SUGAR) and HbAic. Till your appointment with your doctor, you should take a safe drug such as Metformin Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Varinder Joshi
|
What causes recurring UTI, yeast infections and white discharge?
|
Hi, may I answer your health queries right now ? Please type your query here... I have had a partial and since then I have had many urinary tract infections and yeast infections and white discharge that is thick but no odor or pain or itching. What could it be Menopause?
|
HI, thanks for using healthcare magicMenopause and the associated change in hormone status can affect the risk of vaginal infections, would not normally be associated with increased urinary tract infections unless this is also linked to vaginal dryness.A swab of the discharge and a sample of urine should be sent to the lab to determine the exact pathogen.You may also need to be assessed to determine if there is anything affecting your immune system eg diabetes, infection , autoimmune diseasesI hope this helps
|
Suggest remedy for loss of libido
|
Dear doctors, I am having problem with my penis, its not getting hard enough. And its uncomfortable when am with my partner. Even when she touch or play with it. It doesnt get hard. is it because I smoke a Lot, please suggest me something please.
|
Hi thanks for contacting HCM..You are having sexual dysfunction...Yes smoking is among the vascular organic cause for erectile dysfunction....Your problem can be by smoking here which seems most likely ....Rule out other causes also like ....../Diabetes /Hypertension /CVS disease /antihypertensive drugs /alcohol/stress/prostate problems /hormonal problem etc..Causative treatment done ...If needed sildenafil like drug useful....Sex therapy session can also be useful.You can consult sexologist or psychiatric for that .Take care
|
Suggest treatment for ischemic gliosis on MRI
|
I have had memory and recall problems. In the past three years I have had two Tia s. My doctor ordered an MRI. What was found was that I had was eschemic gliosis. Is there anything I can do to improve this condition or is condition perminent? Thank You
|
Hello Generally gliosis is sequel of brain injury.Injury may be due to ischemia(decreased blood supply) or trauma etc.Most likely it is due to ischemic changes(decreased blood supply) in your case as you have history of TIA.Ischemia generally involves small blood vessels.It is important to investigate underlying cause like hypertension,diabetes mellitus,altered lipid profile etc.You need regular monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus.So,you need proper clinical evaluation and treatment so that progression of lesions can be halted.Take CareDr.Indu Bhushan
|
How to increase bilirubin and MELD score while having liver cirrhosis?
|
my wife 66 yrs developed cirrhosis of liver 3 years back who was on oral hypoglycemic drugs ( sulphonylureas ) with increased liver enzymes for 10 years and on stopping Sulphonylurea drugs the LFT got normal with in a month 3 yrs back and since then she is alright physically. Periodic LFT showing Total Bilirubin 2.43 mg/dl (direct 0.95 & indirect 1.43) all enzymes are normal, INR 1.4 , MELD score 14. Hb.14 gms with normal serum Iron. At present she feels normal with controlled diabetes with insulin. Is there any thing you can offer to improve the Bilirubin and MELD score. Thank you
|
Hi dear,For your information good news is that bilirubin levels less then 3mg/dl has no clinical significance,And clinically patient is considered normal.Asper yourquery regarding MELDscore ,scoreof 10–19 has 6.0% mortality in case of sick and admitted patient.i don't think there is ne to worry at all right now, however i would suggest you to take liver rejenuvator like sylimarin twice daily for few months to help rejunuvate the liver and its functions.Strict adherence to low glycemic index carbohydraetes and low fat diet will resolve things earlier.
|
What causes frequent need to drink water?
|
my 18 year old son has complained of being thirsty a lot. We are fairly sure it is not diabetes, because my youngest son is Diabetic Type 1 and we have tested the older son with his blood test kit and it was normal. I am concerned that my son has damaged his kidneys because of taking too many supplements as he is a rugby player. We are going to the GP tomorrow, but would like your opinion. He is in very good health otherwise.
|
Hi and welcome to HCM. As an Urologist, i can understand your anxiety.His thirst maybe due to his rugby exercises.As there's a family history of diabetes,it's always safer to confirm in the lab.Do the following tests,to clear your doubts about kidney damage also.1. urine routine and ACR.2. blood routine,FBS,HbA1C,creatinine,LFT and platelets.3. ultrasound scan-KUB.According to the reports,an expert opinion can be given.Dr.Matthew J. Mangat.
|
Can rashes near the vagina of a diabetic be treated?
|
I gita age 34yrs weight 86kgs got my blood sugar levelhigh in previous month report. I was having iching & rashes around my vagina. My blood sugar level was 275.recently my blood sugar level is 112/156 but still my iching is not cured completely.i have piles problem too ,it is from yrs and it not pains.what to do i am totally confused. Is it curable. Iwill be glad to hear from you.
|
Hello, Madam, In patients with diabetes generally fungal infections of skin and genital area tend to be seen more often. First and foremost thing therefore is to achieve a strict blood glucose control with fasting glucose closer to 100 mg, PP 150 to 160 mg & HbA1c%As regards hemorrhoids, it is better if you consult a surgeon and then take treatment as advised. Thanks
|
Suggest treatment for breathing difficulty with diabetes and kidney failure
|
my grandmother is suffering from uncontrolled breathing problem since 16 days from June 1 she was hospitalised immediately at the mid night she was give oxygen mask for 4 hrs and then other 5 days she was given neb... after discharge also she is suffering from breadthing problem she cant sleep..... she is a sugar patient.... with swelling legs... donor of one kidney before 19 yrs.... i just need ur help Dr. its becoz of heart problem or she is suffering due to kidney problem....... she is sleepless for these 16 days sleeps very little due to breadthing problem.......
|
Thanks for your question on HCM.I can understand your situation and problem.I think she is having fluid retention in the body due to low urine output because of kidney failure and diabetes.Fluid retention in body causes1. Edema feet2. Pulmonary edema (fluid in lungs)3. Ascites (fluid in peritoneal cavity)So breathlessness can be due to pulmonary edema. And more in night favours pulmonary edema more.So better to admit her. She needs diuretics and treatment for kidney failure, cardiac problem,diabetes etc.So consult doctor and discuss all these.
|
What causes upper back pain with difficulty in breathing?
|
The other morning I defecated and turned to wipe myself and developed this excruciating pain in my left upper back. After that movement was very difficult, even breathing. It felt like a knife was in me just below the level of my breast but in the back. I went to the ER because I thought I had a kidney stone. They gave me Toradal for pain, Zofran because I was nauseated, did labs, took urine, gave me a whole bag of fluid and did a CT scan. All of the test came back normal. They sent me home with a prescription for Naproxen 500mg every 12 hours. I have been in bed since then and have had to take one pain pill at one point the pain was so bad. I asked the ER doctor to do an xray. He refused saying that the CT scan would have shown anything wrong. So last night I put in all of my symptoms and came up with Forestier s disease. I hope not, but I am 60 yrs with diabetes. How can I find out for sure?
|
HelloStop diagnosing yourself with diseases.Dish diagnosis requires 4 adjacent spinal ossification which would have been caught on ct.This is just some muscle sprainTake analgesic, muscle relaxant and amitryptiline.
|
Feeling tired and kind of lost muscle strength
|
hallo doctor I have had aa real concern in regards to sudden gradual decrease in my muscle strength I am struggling I am unable and struggle to do my normal activitys at work and home I struggle to open a lid on water or soft drink,both my legs ,more the left ache all the time and I get pins and needles in my feet,arms and hands. it concerns me please explain why this is so
|
What is your age. Is there any co morbid condition like diabetes or hypertension? Since when you are feeling these symptoms?
|
Should a strong dosage of Heptral be taken for the high range of SGPT?
|
sir my sgpt is around 120 normal range is 30-65 and sometimes after loosing my weight my sgpt is around 70.my height is 5'7 and weight around 80 kg and one gastrologist said me to take heptral.my all liver function and lipid profile is normal.sir please say is it right to give strong tablet.for last 1yr. My sgpt is in between the range 130-80.
|
Hello thank you for posting your query in HMC. i had gone through your question i understand your concerns. SGPT and SGOT are liver enzymes , most sensitive indicators of liver cell injury and helps in recognising liver diseases like hepatitis, fatty liver, hepato cellular damage. Heptral is a liver protector drug that has bile expelling action, detoxification process, anti depression action.it helps to prevent heart diseases, is used to treat liver diseases.i would suggest you to continue taking the heptral and add few life style modifications by getting regular physical activity and by Have a healthy and balanced diet that should include complex carbohydrates like oats, brown ricr, brown bread., high proteins like egg white, sprouts, soy beans, all kinds pulses, more vegetables, more fruits, low fatty foods. Plenty of water minimum 3 litres per day. Go for cardio exercises like brisk walking, running, swimming for 45 minutes a day,6 times a week, add strength training to it 4 times a week. Keep blood sugar levels under control if you have diabetes. Avoid alcohol, smoking, junk foods, deep fried foods, white rice, white sugar.Wishing you good health.
|
How to control erection for longer time?
|
hi dr's ...my problem is i am not gettting erection and so soft to erect *discharge with seconds with in soft status i am doing mustburtion since 12 years now my age is 30 .Can this cure able .i have consult dr but after left the medicine again same position .please help me .
|
Hi ....You have habit of masturbation ...Over masturbation restricted ...as it can lead pre mature ejaculation...You also have problem in erection....Rule out diabetes by random blood sugar estimation....If you are obese loose weight ....Rule out prostate problem by per rectal examination get done ....Check your blood pressure to rule out hypertension...Avoid smoking and alcohol habit ...Main important one is avoid stress and be relax during sex ....Healthy diet taken with more fruits ....Do fore play more and regular exercise .You can take sex therapy session....While urge to ejacule penis in middle can be squeezed for 30 second ...Serum testosterone and prolactine also checked....You can consult psychiatrist with keeping this in mind ...Take care
|
Does my husband have a kidney problem with frequent urination and extreme fatigue?
|
My husband is 46, smoker, creatinine is 1.5...sodium is 134..wbc 13.5...rdwcv is 14.7...rdwsd is 47.1...neutrophils 76.7...lymph 17.1...Eos .09...neutrophils absolute 10.5...glucose 165...he has "cycles" of frequent urination along with extreme fatigue. Does he have a kidney problem?
|
Hi, From the results provIded, it can not be told that he has any kind of kidney problem. is his glucose reading fasting or prandial? his frequent uriation and fatigue may not be related to his kidneys and may be related to infection or diabetes.consulting a physician will help in identification of his problem.All the best.
|
Suggest remedy for abdominal pain and cramps during a bowel movement
|
I am having trouble with bowel movements. I will be wks before I have one and when it does happen it is very little. I do not have stomach aches or cramping. I do whoever find myself pushing to helpout movement but I have little or no outcome. I recently tried a Fleet enema. Holding it as long as possible. I was VERY dissappointed with the outcome. hardly anything. Whats going on w me?
|
Hi.Thanks for your query.Noted your history constipation that is not having bowel movements for days together and whenever you have it is little.There is no aching or cramping. Fleet enema did not help.I would advise you the following:Get an X-ray of the abdomen to see if the large bowel is loaded with fecoliths. If loaded you need to have saline-soap enema as the fleet enema is not helpful in your case.Rule out diabetes as this can cause gastroparesis, slow bowel movements thus causing the problem you are in.Take regular Laxatives to ease the bowel movements.Change the diet to more fibers and green leafy vegetables.Avoid all the foods and beverages that cause constipation in your case. This is person specific hence you have to find the things that cause constipation in your case. I hope this answers your query and helps you to assist in finding the cause and also in proper management of your problem.
|
Suggest treatment for weakness in my left hand
|
I m experiencing weakness in my non-dominant left hand, making it difficult to do simple things like fasten my bra. I m having trouble playing the piano (controlling my little finger in particular. I recenly had some numbness in my right pinky but it is much better.
|
HiWelcome to healthcaremagicI have gone through your query and understand your concern.You are having neuropathy both hands. It may be due to compression of your nerves in cervical spine region due to compression of nerve roots. You have not mentioned about your age to judge the cause of disease. You may need your MRI of cervical spine to see compression. Other causes of neuropathy such as thyroid disease and diabetes should be ruled out by proper investigation. 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.
|
Is it normal to have skin rashes after two stem cell transplants for multiple myleoma?
|
My brother has had 2 stem cell transplants for multiple myleoma. I s now off chemo and many medications. In the last year he developed a skin rash-chronic-that made his skin peel off in flakes and the itching was terrible alsmost uncontrollable!! Looks like psorasis(of which I have). My question is since he has been off most meds, and has now become very weak and fatigued and we just discovered that he has been taking sweeteners , asparatame, splenda, so stopped cold turkey yesterday. He developed diabetes in the last 8 months and they say he has hyperthroidism. Your thoughtrs would be much appreciated. He thinks he is dying. I think it is caused possibly by all the other ingested bad chemicals???
|
Hi,I can understand your concern for the itching and rash. I can make a possibility of Allergic dermatitis. In Allergic dermatitis there are eruptions along with moderate itching and in more aggravated cases there is appearance of more redness which persist for more than multiple of days.The only precaution you must follow is not to touch, pinch pop or squeeze any of them other wise it can get infected and can cause complications.You can apply medium potency steroid cream application of fluticasone cream. You can additionally take antihistamine benadryl or loratadine by mouth.Take care.
|
What causes sudden dizziness and weakness during pregnancy?
|
I feel like I almost fainted 3 times a while ago while I was cooking I started feel light headed , dizzy , weak , shaky a little , and could barley hold myself up. This has never happened to me before so I layed down the 3 times it happened and got up once I felt a little better but the feeling doesn't go away when I stand up. I'm also 3 months (14 weeks) pregnant
|
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. During pregnancy hypoglycemia and hypotension can be seen due to hormonal effect. If the symptoms persist better to consult your gynecologist once, get examined and undergo investigations like hemoglobin level to rule out the anemia, blood sugar levels to rule out fluctuation in blood sugars and also onset of gestational diabetes, blood pressure checking to rule out hypertension. If your doctor suggests you may need to go for other investigations also like thyroid profile, complete blood picture, ECG etc. Better to take food in the form of three main meals and two snacks with around 2 hours gap in between to avoid hypoglycemia. Hope I have answered your query. Let me know if I can assist you further.
|
What do the symptoms of fatigue with high Type 2 Diabetes, Hypertension and Neuropathy indicate?
|
What would you call these symptoms? I fall a lot and have weakness and shake when I try to get up from sitting down. I have type 2 diabetes with high blood pressure and neuropathy in my legs and hands. I also have sleep apnea and a horse shoe shaped kidney the right side is smaller so the doctor put a stint in that side the needs replacing every 3 months.
|
Hello and Welcome to 'Ask a Doctor'I have reviewed your query regarding your symptoms and the question of what do they indicate.The symptoms you describe are typical of the ravages uncontrolled high blood sugar and blood pressure have on your body, nerves, autonomic nervous system and other organs. The kidneys are not receiving adequate blood flow, the neuropathy will affect balance, coordination and tremors and any excess weight typically associated with type 2 diabetes will worsen sleep apnea.My advice to you is to get your blood sugar under control through a carbohydrate/calorie controlled diet with an emphasis on water soluble fibers and low glycemic load carbohydrates. You may wish to speak to a Registered Dietitian about setting up a diet plan for you.In addition, the hypertension can be helped with a sodium diet with added potassium if medications do not contraindicate. Some blood pressure medications require potassium monitoring. A dietitian can also assist you with these changes.Good blood sugar and hypertension control will assist you in regaining balance and coordination while slowing down any nerve damage that may be occurring.I hope I have answered your query.Warmly,Kathy J. Shattler, BS, MS, RDN
|
Suggest treatment for red itchy rashes,fever and swollen ear lobe
|
A couple weeks ago I had what I thought was a stomach bug or food poisining a couple days later I developed swelling along my jaw and beside and below my ear with a red itchy rash and a mild fever. I went to the doctor and they did blood work for mono etc and a cbc all came back normal. A couple days later my joints in my left hand started hurting (never happened before) with some tingling. A few days later it all went away with just a little joint pain left. Now about a week later it happening again. The jaw and under ear nodes are all swollen and turning red and this time my ear lope has swelled up and turned beet red and the joint pain in my hand is getting bad again. Also the left side of my face appears to be swollen. I guess I need to go back to the doctor. What could be causing this?
|
Hello, You have not given a history of any of the past illnesses. However, your symptoms are indicative of developing peripheral neuropathy. If you are a patient of diabetes, keep your sugar under control & take all the prescribed medications. DM may trigger worsening of your symptoms if left neglected. Peripheral Neuropathy may show manifestations of Trigeminal neuralgia causing pain in areas supplied by trigeminal nerves as are your symptoms(pain in your jaws, cheeks, ears, etc). Get physically examined, get Nerve Conduction Tests & required Imaging tests done. Sometimes STI (Facial herpes) may also show such symptoms because of the compromised immunity. Get evaluated, get treated. You can take Naproxen /Acetaminophen for relieve from pain. Antibiotics, antivirals are effective. Take vitaminB6, B12. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nupur K, General & Family Physician
|
How to remove lumps on labia and anal area?
|
my daughter is 14yrs and has been taken to emergency twice in 60 days. 2 wks ago had a procedure to drain the bartholin abscess. Tonight she has developed 4 additional lumps on labia (right), anal area and side of anal. What do we do - she's in pain. Momma, g
|
Hi,Good Evening.Thanks for the query to my HCM virtual-CLINIC.I studied your query in-depth.-In my opinion-Your daughter needs to be investigated for the Recurring Abscesses by FBS,PPS and Hb1Ac to rule out the Juvenile Diabetes.-She is now having multiple-infective lumps-with another bartholins abscess?or Bartholin-Cystitis with peri-anal abcesses.-Remedy-a-Start anti-diabetics in consultation with Physician doctor.b-Gyanaec Doctor would treat it with-Tb-NSAID -Antibiotics -Ofloxacin -Tb Ornidazole.Most lumps would regress in 5 days time.-Proper anal hygien needs to be taught to your daughter for long run cure and care.Those which lumps dont regress--If the lumps still are painful and grow in size , they may need Incision and Drainage. -Hope this would help to resolve your painful-leg lumps by discussing with your doctor.Wishing you fast-recovery.Wellcome to my HCM Clinic again.Good night.
|
What causes non orgasmic ejaculations during bowels?
|
I have had two non orgasmic ejaculations occur while pooping this last weekend. These were the first two times it's ever happened to me. However they were very straining poops. I have pooped once since and it did not occur again. Should I be worried?
|
Hi, It can be due to diabetes, urinary tract infections and spinal injury. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist
|
What made the doctor to switch from Micardis Plus to Micardis?
|
Hi Doctor, Per my doctor's prescription, I have been taking Micardis Plus (has water pill) for several years now. Recently, she asked me to switch to plain Micardis only. I forgot to ask her, but would you know the likely reason why she did this? Thanks,
|
Welcome at HCM I have gone through your query and being your physician i completely understand your health concerns.What is ur age and sex? For how long u are taking it? Any other associated problem? like diabetes or hypertension? why u are taking it? Any heart problem? Micardis plus is more powerful drug since it contains two diuretics and micardis plain has got one. The doctor switched as he may think there is no need of powerful diuretics. Other reason may be electrolyte imbalance or any other derangement in liver functions too. do you have joint pains? or simply your symptoms had improved and your doctor trying to reduce the drugs, its a good sign.. Meanwhile stay calm and continue with your medications Get well soon Hope your query is adequately addressed if you still have any feel free to ask RegardsDr Saad Sultan
|
How can fibroid be treated?
|
i have a subserous fibroid about 3.1*2.9cms in the fundus with bulky and retroverted and cervical nabothian cyst of about 12mm is noted in my uterus. i want to know how can it be treated? and is it something serious? and there is mild fatty changes in my liver. so how can this be treated.
|
HiDont worry.fiboids are most common benign lesion of uterus.subserous fibroids usually not much problomatic unless pedunculated.these lesions usually regress after menopause.if it is causing any problem to you then requires treatment otherwise doesnt require treatment.fatty liver is most commonly due to excessive carbohydrate deit intake, PCOD, diabetes etc..best is life style modification.exercise everyday.fatty liver is reversible.so dont worry.Thank u With best regardsVasundhara
|
Is there more risk for thrombosis if treatment is not taken for diabetes, stage III kidney failure and congestive heart failure?
|
My mother in law takes 40mg of lasix bid and now they have put her on aldactone and metolazone 2.5mg. Drug label reads: Take 1 tablet po every day for three days then decrease to 3 times a week. She is incontinent and does not get out of a chair but 1 to 2 times a day. She is diabetic, has stage III kidney failure along with congestive heart failure. She is also on blood pressure meds as well as blood thinners. Dr. wanted to admit her to the hospital and she refused so he told her to be on 7 days bed rest. She is refusing to lay in the bed and is sitting in a chair that she cannot raise her legs (also has edema and pvd). My question is: is she more at risk for thrombosis since she refuses all of this treatment?
|
Yes, she is at risk for DVT and it may lead to cardio embolc stroke or pulmonary embolism or even sudden cardiac death. Follow your doctors advice and convince her for hospitalisation and treatment.
|
How to overcome the inability to raise the arm after a hit between elbow and shoulder?
|
i fell and hit my arm between elbow and shoulder. It now is hard to lift my arm. My hands and mobility below elbow is fine. Is it possible that I bruised a muscle. I have no black and blue and no cut. Does not look swollen but difficult to raise arm.
|
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 neck and shoulders and hips and knees and ankles. (Take help of a physiotherapist.) - Do not ignore, let it not become beginning of a major problem. - Do ask for a detailed treatment plan. - Make sure, there is no allergy to any of these medicines. - For emergency treatment visit nearest hospital. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon
|
What causes E-coli infection in the foot of a diabetic patient?
|
My aunt had her big toe amputated in October due to an abscess from diabetes. She had an infection once already. Last week when she went to foot Dr, another infection set in. The culture came back positive for E-Coli. How could she have gotten that in her foot?
|
Hello,Thank you for your query. I understand your concerns.Your query is understandable. E coli is normally present in the gut and does not cause any harm. But some strains of E Coli can cause intestinal and urinary tract infection.Uncommonly E. coli can cause skin infections especially in diabetic patients. They can cause cellulitis and foot ulcers. When patient has diabetes and if it is not properly controlled, their immune system becomes weakened. These people are more susceptible for uncommon infections and also the infections take a long time to settle down.E. coli could have colonised the foot ulcer from the her own gut, from person to person contact ( hand to mouth contact ), from contact with animals etc.Hopefully her infection will subside as her doctors have found the causative organism.I wish her a speedy recovery.Regards Dr Sunita Sayammagaru
|
Suggest treatment for isnophilia
|
my dad is suffering isnophilia (chest pain) since 2.5 years, and within 15 days chest pain starts, so i have no idea that what to do, my dad's age is 56. please suggest me as soon as possible. my mail id is--- YYYY@YYYY / contact no. 0000. name is--- subhash das
|
Eosinophilia does not cause chest pain. If he has other co morbities like diabetes / hypertension the he will require complete workup for the same.
|
What causes slow clotting of blood after scratching?
|
sir i have a problem with my skin..that whenever scratches occur in anywhere in my body then it starts bleedin and after sometimes it doesnt dry...and it forms one hard wet wound...and it remains there for 6 - 8 months, and finally it makes a dark spot with rough surface
|
Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Get your PT and APTT level evaluated. Clot formation should occur within seconds.2. Possibility of slow wound healing due to collagen vascular disorder or chronic diseases like diabetes mellitus needs to be evaluated.3. 6-8 months is a very long time. If not around joints, requires tests. First get a coagulation workup done.Hope it helps.Any further queries, happy to help again.
|
Is fluctuation of hematocrit levels normal?
|
Is it normal for hemocratic levels to fluctuate? I am 41 years old and have type 1 diabetes and hypothyroidism. I have a Glucose monitor that tests HCT and Ketones that my GP prescribed for me two months ago. My hemocratic levels fluctuate daily between 21% and 56%. Is this something that needs further investigation?
|
HiYes it is normal. Any minor variation or even taking lot of fluid or not taking fluid can also change it... Even sweating can affect hematocrit levels. Thankyou
|
Suggest treatment for body pain in a diabetic
|
Low energy, which is variable, joint aches, particularly knees and ankles, vision often blurs and becomes tunnelled during bouts of low energy, trouble concentrating in these periods, blood test show borderline type 2 diabetes with a family history. Had flu about 6 weeks ago, never really recovered.
|
Hello, Thanks for the query.If you have diabetes then it is necessary to control the excess glucose level, then only you will feel energetic. If FBG is 108 to 125 mg, PP 141 to 199 mg and HbA1c% is But if you already have FBG 126 mg and above, PP 200 mg and above as well as HbA1c% 6.5 and above, then diabetes is confirmed. In such a situation excess glucose lost through urine causes loss of energy and tiredness and feeling low in energy. Since you have not mentioned any relevant details it is difficult comment very specifically. Even the attack of flu also adds to the weakness as it takes a bit longer to recover full normalcy after an attack of flu. So my advise is if you have diabetes then start the treatment straight away. Once blood glucose is well controlled, you will better. Thanks.
|
Diagnosed with grade 2 fatty liver. IS it life threatening? Cure?
|
Hello Doctor, My mother is diagnosed with grade 2 fatty liver . I want to know is it dangerous or life threatening. and what are tha causes of grade 2 fatty liver. and i would like to know how to cure it ? And i myself is diagnosed with grade 1 fatty live is it too life threatening and how can i cure it ? And please do tell me the causes .
|
Hi, thanks for writing in HCM. Fatty liver is a fully treatable condition. It requires 6 months of intense treatment. The commonest causes are alcoholism,hypoproteinaemias, obesity,diabetes and side effects of drugs. I hope this answers your querry. Regards
|
Which specialist to consult for tiredness, dizziness and pain in temple area?
|
HI, For the last one month, I have been experiencing tiredness, sleepyness, dizzy and pain in the temple area. Got my tests done and my doc says that this is due to the rise in insulin and has advised me to avoid sugar or sugary food at all. Before the test he had given me some multivitamins but in vain, post test diagnosis, he has given me some medicine to control the insulin level I believe. However, its been a week now and I dont see improvement. I am worried. Please help and suggest which doc (specialist) i should consult for this issue. Regards Rajesh
|
Hi,Thanks for writing in.It is possible that you have higher than insulin levels circulating in your blood. This is causing the blood glucose levels to go below normal and that can cause problems like tiredness or dizziness. This if confirmed might be the opposite of diabetes where the insulin does not act on receptors. You should consult a doctor who deals with conditions of pancreas. They can be gastroenterologists or endocrinologists. They have to do certain tests to know the source of high insulin and few tests like insulin levels in blood and ultrasound and CT scan might be asked for. There are small tumors called insulinomas in the pancreas which secrete excess insulin and a search for such tumors is indicated. Insulinoma is a benign tumor of the pancreas in 90 percent of patients and removal of the tumor cures the patient of the symptoms. Please do not worry.
|
How to control the cholesterol levels?
|
my 44 yr. old son had a blood test almost a week ago which confirms he had an attack of gout. he has not yet seen his g.p. but was told over the phone that his liver function is normal but that his cholesterol was a bit high. would the blood test have examined for other disorders as well as gout such as diabetes etc.
|
Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that from a sample of blood many tests can be done, including : uric acid levels, liver and kidney function tests, blood electrolytes, fasting glucose, etc. So the answer to your question would be YES. Hope to have been helpful!Best wishes, Dr. Iliri
|
Taking Betaseron and Ampyra. GFR decreasing due to medications. Should I be concerned?
|
I am 53 with MS. I am on Betaseron and Ampyra. My GFR in June of 2011 was 62.1, January 2012 was 55.4, May 2012 was 75, November 2012 was 58 and last week was 52. I started Betaseron in April of 2012 and Amprya June 28th 2012. Should I be concerned that my GFR is decreasing due to the medications and why is there such fluctuation?? MDW Mom
|
Hi Welcome to HCMBetaseron is an one of the effective treatment for MS, however decrease in GFR (decline in kidney function) has been reported in conditions such as hypertension, diabetes. If you experience dizziness, headaches, flashes of light please consult your primary physician for a consult. However, looks like your GFR was already lower before you started with the fore-mentioned drugs indicating that the drugs may not be the reason for your lower GFR. I will advice you to consult your doctor if your GFR decreases further. Hope this helps.
|
64 years old suffering from fatty lever.sgpt is 289 and sugar is 168. Is it normal ?
|
my mother 64 Yr. old she is lever are fatty & sgpt are 289 increse sugar are 168 & 289 how sugar & sgpt are normal
|
Hello. Thanks for your query. fatty liver and diabetes are both chronic problems and they do need a long term treatment to reduce the symptoms. there is no permanent cure available for it.You will have to consult her physician to work out an individualized treatment schedule for her. Hope I have answered your query. I will be available if you have any further queries. Regards
|
Kidney infection, cryptonium high, diabetes, kidney size increase, blood in urine. Advice and precaution?
|
hi selvin here my friend who is married and has a girl child aged 7 years, last 6 month my is suffering from the kidney disease he was appointed to KEM Hospital in mumbai doctor checked the blood test crytinium was high he has diabatis and slight blood pressure last 6 month doctors only gave medicine for diabatis and Blood pressure now his right kidney increase to 18 cm from 9 cm he feels the increase in size around his kidney bobble occurred and bleeding comes through urine when checked with other doctor he explained when the bubbles break bleeding will come thru urine please advice how the disease can be solved by getting in to normal size of kidney what all precaution to be taken in normal and family life will this affect the girl child, since his father too had the same disease and was in dialysis before his death
|
your friend is having polycystic kidney disease. dont worry her daughter will not get as it a autosomal dominant. surgery is the best treatment.
|
What causes kidney disease?
|
my brother suffering kidney problem which findout 15 days ago he aiso diabetes patient since 15 years .his age is 56, height 5 feet & 2 inch, weight 58 kg. his creatinine result is 2.3, hba1c is 6.75. i want know that is it possiable to improve kidney faunction or suggest me where is best treatment in chanyai or banglor. some of my friends are advise to go to cmc vellor. we are in bangladeshi so i need cheepest treatment because we are not solvent.we are not relay with our doctor in our country.
|
Since your brother is a diabetic patient since 15 years,kidney problem is most probably due to poor diabetes control.He needs to be hospitalized since creatinine levels are high.Treatment is good in both Chennai and Bangalore but I would prefer Bangalore.Go for a Govt setup(treatment will be cheap).Medicines taken for diabetes need to be reviewed and do all the relevant kidney function tests and blood glucose test.
|
Suggest treatment for halitosis disease
|
Hi I have had cronic bad breath for to long (years) went to dentists, and periodontist and am clear of gum disease, periodontal disease now. but the bad breath is still there. its waighing on emotionally and is efecting my job. i still have medical ins. but no more dental. I need some help. Manny,
|
Hi..Welcome to HEALTHCARE MAGIC..As per your complain bad breath also known as Halitosis can occur due to a number of causes like poor oral hygiene, oral and dental infections, tonsil stones or tonsilloliths,post nasal drip, sinusitis, acid reflux,respiratory infections, diabetes etc.. You should consult an Oral Physician or an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations depending upon suspected cause can help in diagnosis.. Treatment of underlying cause will relieve the symptoms.. As of now you should start gargling with a flavoured mouthwash twice a day.. You should chew flavored sugarfree chewing gum.. Do warm saline gargles twice a day.. Limit the intake of high aroma foods like onion and garlic.. Drink plenty of water and maintain a good oral hygiene..Hope this helps..Regards..
|
What are the chances of concieving if having PCOD, inovulatory cycle, insulin resistance, overweight?
|
Hello doctor , I am 27 yrs old, married for 2 and half yrs . We are trying for a baby but failed conception , tried for 5 months . my periods range from 29 to 35 days . shortest being 27 days and longest 35. recently i did a follicular scan on day 22 and it seems its a polycystic picture from the reports. doctor started me off wth metformin bd and folic acid. they say i have inovulatory cycle, have insulin resistance and have to lose weight. ihave family histry of diabetes, but my mother had normal cycles and no pcod. wat are the chances that i concieve?
|
Hi,I understand that you have PCOD with insulin resistance. So the treatment started is fine. Metformin helps to sensitize tissue to insulin and weight loss does the same. The best management is weight loss by daily exercise and proper diet that helps restore the hormonal mileu.Also you have tried for only 5 months. It is suggested that a couple must try to conceive for at least 8-12 months spontaneously before undergoing any infertility treatment. The main issue in PCOD is anovulation meaning ovum is not released to get fertilized. I suggest that you try the weight control and metformin for 2 months and then get an ovulation study [ultrasonographic] done to see if ovulation is occurring. If it is, then you may need to practice sexual contact on those days to achieve pregnancy. If there is no ovulation with this treatment, you may need some ovulation inducing drugs along with follicular study and HCG to achieve ovulation.These are common issues nowadays and many women in my OPD suffer from this problem. Please do not worry as the chances of pregnancy are good if you take proper treatment and follow your infertility specialist. Hope I was able to help you. Thanks for using Health Care Magic. I would be happy to answer any further queries. Have a nice day.Dr. Madhuri BagdeConsultant Obstetrician and Gynecologist
|
Can anxiety, depression, blood pressure and diabetes medicines be taken together?
|
My mother has been diagnosed with dementia. She is taking a couple of depression medications (one for depression and one for mood) and dementia medication. She is also on a anxiety medication. She takes a pill for diabetes and high blood pressure too. I want to know if all these medications are really necessary.
|
hi and thanks for question.yes your mother can take medication all together because it will prescribed by doctor by know all medication interaction and than. but if she had complain any so consult your physician and psychiatrist both.thanks
|
Have acute nonhemorrhagic infarct in the temporo parietal region. Possibility of paralysis?
|
hi i am ravindra my mother age of 45 yrs have 1)acute nonhemorrhagic infarct in the temporo parietal region involving posterior part of the perislyvian region 2)old nonhemorghagic in the fronto -temoro parietal region 3)old infart with gliosis in the left frontal region 4)mild microvascular chronic white matter ischemic chnages in the bilateral frontoparietal region due to this she have slurred speech plz advice is it can be cured 100% by medicine or it needs surgery and is thier any possibility of paralysis in fututre? plz advice
|
Dear the problem seems to be not be excluded with surgery.My advice is to undertake your mother to blood test to exclude diabetes.Does your mother suffers from heart problem, atrial fibrillation?I think cause of those brain damage is a cardiac problem or vasculitis.Take contact with a neurologist and he will explain you.Be sure that your mother is taking aspirin 100-300mg once a day.Wish my advice will help you
|
Is there any difference between anti rabies and rabipur injection?
|
hello doctor, my father is 67 yrs old ,today morning he had been bitten by a street dog,we have taken him to the near by hospital for first aid they have given TT and anti rabies injection . Now We would like to know is anti rabies and rabipur injection are they different.he is a diabetic too how we need to take care of him. please we are worried about this a lot. kindly assist us.
|
Hello,Welcome to HCM,The dog bite should be managed properly because the disease transmitted by dog is 100% fatal but it is 100% preventable with proper and timely treatment.As there was no bleeding following the bite, it will categorized int Cat II according to WHO classification. The Cat II bite requires proper wound wash and antirabies vaccine on days 0,3,7,14 and 28. The antirabies vaccine and the Inj Rabipur is one and the same and you have given proper injection. Diabetes is not contraindicated for inj rabipur.I would suggest you to give your father1.Antirabies vaccine as per the schedule2.Oral Antibiotics like Tab Augmentin for 5daysThank you.
|
Why am i not getting strong orgasm?
|
doctor ,i was diagonised for diabetes 2 but now blood sugar under control during diagonosis could not ejaculate, but now i can , but orgasm is not that strong like beforei would also like to say that i take half tablet of stamlo beta for last 7 years , does that also effect
|
DearWe understand your concernsI went through your details. You must be able to differentiate between strong ejaculation and smooth and passionate ejaculation. First one is for youngsters and hurried doers. They satisfy with strong ejaculation but satisfaction will be comparatively low. Smooth and passionate ejaculation provide more satisfaction and pleasure and such an ejaculation is usually for matured and elder people. this is the case across the globe. Therefore, I suggest you not to worry. Enjoy sex.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care.
|
Does itchy and smelly belly discharge suggest infection?
|
I m a 35 yr old female. I weigh 215 lbs, 5 0 . No diagnosed health problems. For the past 3 days, I ve noticed that my belly button has been itchy (no visible redness). I ve cleaned it out with a Qtip and there is a cloudy, smelly discharge. I try to use hydrogen peroxide but it stings. My question is: is this a sign of an infection or a symptom of diabetes?
|
HelloWelcome to HCMYour history and symptoms are suggestive of fungal infection. The fungal infection are common in this area, as they are the normal comensals which were kept under control by the helpful organisms.Whenever there is imbalance in the environment the fungus gets activated and produce these symptoms. I would suggest you to follow1. Keep the area clean and dry.2. Apply antifungal cream like clotrimazole.3. Take single dose of Tab Diflucan, 150 mg.4. Oral antihistamines will help to reduce itching symptoms. Thank you.
|
What causes hypertension and abnormal level of liver enzymes with hep c?
|
my relative is a female 50 years old discovered that she has hepatitis c accidentally since13 years she lives normal life ,refusing to take any medication to it, but avoids medication as possible as she can and since 3 years, she has HTN , since months she has mild DM ,the liver enzymes are less than double fold , bilirubin and albumin are normal. what is her prognosis .
|
i welcome to health care magic.The prognosis of hepatitis c virus infection is difficult to guess without investigations like viral load and genotyping.However, as her liver enzymes are not grossly elevated and she doesn't appear to have features of cirrhosis, she's probably having a dormant infection. Diabetes complicates the issue by promoting fatty liver. prognosis can only be estimated by keeping in constant follow up with a gastroenterologist as hepatitis can flare up at any time and condition may complicate.hope i am clear
|
Undergoing chemotherapy. Suffer from anemia, chest pain, hypertension. Normal EKG. VQ scan showing probability of PE
|
My mom is in the hospital due to anemia from chemo . She is having chest pain and high blood pressure but her EKG is normal she s got a history of hypertension and diabetes. I am concerned because she s on a oncology floor noncardiac. Should the nurses be doing anything more other than EKG and testing cardiac enzymes. The dr s did a VQ scan that showed low probability of PE. But her lab showed she could have a clot. The VQ scan was done yesterday. Chest pain started today. No hx of chest pain but hx of CHF. She is 64 yrs old
|
Hi there, Cancer is a prothrombotic condition and patients have suscepitibility to develop clots and embolism. According to the local protocol I'm sure the team must have started blood thinning agents. Do confirm with your nurse or doctor about it. Take care Regards
|
Is diabetics a reason for worry post foot injuries?
|
Hi, I have diabetes. 2 wks. ago I injured my left foot. I hit the top of my ankle on a metal step-stool while getting out of the car. I injured area immediately swelled.When I got home, I elevated my L. foot and leg, and placed ice on it. I repeated the next day.As of today, my three middle toes are black & blue at the base, my foot is b & b on all sides, and the bruising goes up my shin close to my knee.Quite painful. I can rotate my foot and walk on it. Except if I try to walk fast or maybe 50 ft. it hurts so bad I broke into tears. Do I need to be more concerned because of the diabetes?
|
Hello, You have soft tissue trauma left foot. In view of diabetes, the injury should be taken seriously as foot infection could turn grave and lead to complication like wet gangrene. You need to show a physician or a diabetologist. Blood sugar needs to be controlled with inj Insulin and suitable antibiotic coverage is to be given. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist
|
Suggest treatment for severe hip pain
|
Hi Doctor, Have been through severe pain in my left hip over last 10 months. It erupts in a specific posture which is difficult to predetermine what will lead to pain. On thing is for sure, while turning around in the sleep, the pain gets excruciating and I generally get up with the pain. Also, I fell it during walk. However , if you ask me to stretch my legs in any position, there is no pain. Also, I don t feel any pain by pressing any point. - I have a decent flexibility as I ve been practicing yoga over last 2-3 yrs and have been leading a active lifestyle. Wt 78 kgs and ht 6 ft - MRI, hip X-ray , high frequency Ultrasound has been done and nothing has been found out so far. - ankylosing spondilytis, sciatica, piriformis syndrome, weak lower back muscles, buldge disc - all has been ruled out. Have been getting contradicting views . no idea on - should I do mild exercise or avoid it completely till the pain subsidies. - how should I deal with pain? - to long should o take pain killers and which one to take? - what might be the real problem and how will that be detected? End all - what should I do at how should I proceed further. Thanks for your time.
|
Kindly rule out diabetes ,vitaminD deiciency or any other metabolic disorder.Avoid pain producing actions & postures.fomantation will help.Take Multivitamin 1 tab OD paracetamol 250mg SOS.kindly keep me informed of your progress.
|
Could diarrhea be the side effect of using Berberine?
|
I have been taking Berberine which is excellent for my Diabetes however I have constant Diarrhoer since I went on them. I have just checked the lable and found that there is Magnesium Stearate in the Berberine which I know should not be there. Is this the cause? Noel Fitzpatrick
|
Hi,Yes, diarrhea can be one of the side effects of Berberine. Berberine is a natural supplement commonly used in the treatment of diabetes, obesity, heart disease and other conditions. Its common side effects are related to digestion like diarrhea, cramps, flatulence, and abdominal pains. It contains magnesium stearate as its one of the ingredients and which seems to be responsible for diarrhea.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
|
Can one conceive while treating PCOS and diabetics?
|
hai i am 29 years old, 4 years married, planing for baby.on 30.12.2015 i did IUI. i have many risk factor.... i am biconuvate uttres,PCOD,thyroid, negative blood group,and Diabites now only deducted.kindly give the answer how i have to protect my baby from these problemNow my sugar level is H1bac - 6.75Tsh - 2.25
|
Hi diabetes should be treated with antidiabetic drug to avoid fetal side effect.Prophylactic propylthiouracil can be taken to avoid fetal thyroid problem.Your blood group is negative, so after pregnancy of first baby its rh grouping done if positive then during second pregnancy antiglobulin d given.diabetic and thyroid has to be treated to conceive.
|
What is causing stinging sensation at bottom of spine after back surgeries?
|
I have just noticed a stinging sensation at the very bottom of my spine between my buttocks which seems to be seeping some type of fluid. I m quite concerned now as I ve had 2 lower back surgeries a couple of years ago and now have type 2 diabetes. I really would appreciate your advice please.Julie-Anne
|
well since u having diabetes with history of surgery two times at back ,it seems as if u have some sort of cutaneous infection at surgical site which is flaring up because of diabetes .1.u need to check ur blood sugar levels and to control if its out of range 2.clinical examination is must to look whether its cutaneous or some sort of deep infection 3.it could be fistulous tract also 4.consult to ur surgeon also fo the same 5 till u consult some one maintain proper hygiene at that place 6.u can apply ointment like Neosporin also there to prevent progression of infection
|
How many liters of water should a 2 year old consume?
|
my 2 year old has been drinking 5 to 6 bottles of the 16.9 ounce bottles of water a day and 1 at least in the night when he wakes up, and of course having to pee way often now, it seems to have started a few weeks ago when he was sick and we took him off of milk due to the congestion, he is all better now but I am concerned about all of the water he is drinking
|
child can drink large volumes of water at will. just get a Random Blood sugar checked and urine osmolality with a urine dipstick for glycosuria to rule out Polyuria due to Diabetes Mellitus.
|
A normal delivery or c-section, which one is advisable?
|
Hi Doctor, I am a 30 weeks Pregnanat woman. My age is 30 and I am diabetic too. My diabetic got detected on the 8th week of Pregnancy. I have history of missed abortion to. At the very first my Triglicirides avule were quite high , my doctor asked me to take Ecosprin-75 and I am still continuting the same. My age os 31yrs. Should I go for a normal delivery or a C- Section ? Which one is good for me and my baby ??
|
Hi,Neither your age, diabetes, history of missed abortion or high triglycerides make you a candidate for Cesarean.You should definitely try for a normal delivery, and only if some problem arises for the baby or you during labour will the obstetrician be considering a cesarean.Is your diabetes in control, are you taking insulin for the diabetes?If so ,when was your last growth scan of baby done, and in what centile was baby growth. Sometimes with uncontrolled diabetes the baby can put on excess fat around its neck and shoulder area and cause a difficult delivery .These things will be kept in mind by the obstetrician at the time of delivery.Also if you are on Insulin, it is likely that your Obstetrician will advise Induction of labour at 38 weeks .Hope this helps.Regards.
|
Will Dolonex create any interaction with other tablets?
|
Hello doctor,I am suffering from toothache since last two days.can I take Dolonex tablet? I am already taking Tsart AM -1 Tab. & Met XL 25- 1 Tab for Blood pressure, ECOSPRIN -150 mg (Blood thinner) & Galvusmet 50/500 1 Tab before lunch & 1 Tab before dinner for Diabetese. Will Dolonex create any interaction with these tablets?Thanks and regardsPednekar .
|
Hello, Thanks for your query.The Dolonex contains the active ingredient Piroxicam and the Flexocam contains the active ingredient Meloxicam, both of which on nonsteroidal anti-inflammatories used to treat pain and swelling. Their side effects may include: nausea, dizziness, headache and stomach irritation. visit your doctor and take the medicine under prescription.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
|
What causes blood and metal smell on breath?
|
Hello there,While visiting my sister this weekend, I noticed that her breath smells extremely strongly like a combination of blood and metal. I don't want to mention it to her unless there may be need for an appointment with her doctor as I realize it may be taken as offensive. Any insight?
|
Hello read through your query and I feel happy for you to be caring about your sister.I must say that you must tell ur sister about this as its her brother who is telling and she wont feel offended.But she will be offended and extremely sad when someone else tells her this.Now coming to the cause.Bad breath can be caused by numerous causes.It can be due to various systemic causes like diabetes starving kidney disease liver disease etc.In oral cavity it can be due to lack of oral hygiene.Please advice her to do brushing twice daily use chlorhex mouthwash do tongue scraping also drink lots and lots of water.drymouth can cause badbreath.Tell her to have a chewing gum regularly(it keeps mouth circulated with saliva)also tell her to reduce any stress.Cool mind can be medicine to all diseases.Hope you have benefitted something from this reply.Have a healthy day!!!
|
Can I try to concieve now after being diagnosed with Turners syndrome and having a miscarriage?
|
In October I had a fetal demise due to turners syndrome. Then in feb found out I was pregnant again but had a miscarriage in march(natural miscarriage on march 21st 2014). Wondering whats chances of miscarriage again and can I start now ttc being that the bleeding has stopped. Also could I be miscarrying due to spouse being diabetic. Im 29 fairly healthy and have an 12 yr old son from previous relationship
|
Hello and welcome, I understand your query. It seems that you are having repeated pregnancy losses. It is best to get evaluaed for the cause first before attempting further pregnancies. Also we do not advise to try to concieve at least 3 months after a pregnancy loss. Most of the losses are due to genetic abnormalities and are non recurrent. However if there was a baby with turners then it is advisable that both you and your husband get a chromosomal analysis to look for possible minor genetic variations. Other causes of losses are TORCH group of infections, mother having thyroid or diabetes, antiphospholipd antibodies and conditions like SLE. So please see a gynecologist and get all of these ruled out. Diabetes in father rarely causes a problem until it has been really long standing for 20-30 years and then it causes mostly difficulty in conception. As of now, I suggest that you take folic acid tablets for three months as deficiency of this vitamin also causes brain defects in babies and abortions. if a cause is found during evaluation get it corrected first and then try to conceive. If no cause is found then try conception after completing 3 months of folic acid tablets, register early with a doctor in the next pregnancy and use drugs like duphaston and HCG injections next time to prevent abortions. All my good wishes are with you. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri BagdeConsultant Obstetrician and Gynecologist
|
What causes a dent in skull?
|
I have noticed a dent in the top of my skull on left side. Started noticing it about a year ago. Have diabetes had gastric bypass 5 yrs ago and have suffer from hemifacial spasms for 2 yrs. Take vitamins d3, calcium magnism and zinc. Had CT scan and Mri they were ok.
|
Welcome at HCM I have gone through your query and being your physician I completely understand your health concerns. If the CT SCAN and MRI of the brain are normal then it is alright . No need to worry at all. continue with your medicines Meanwhile stay calm . Get well soon Hope your query is adequately addressed if you still have any feel free to ask RegardsDr Saad Sultan
|
Can monofasic cancer cause drowsiness and blankness while walking on road?
|
my freind had monofasic cancer in neck before 2 yrs and was operated and is fine from 2 months she has a hard lump on head size didnt increase and yesturday in evening she felt drousy and was complete bank while walking on road for 30 seconds just wanted to know does it have anything to do with cancer as she was said it occurs in 2 yrs
|
Hi, dearI have gone through your question. I can understand your concern. Black out may occurs due to anemia, hypoglycaemia, hypotension, hypertension. Chances of tumour causing blackout are very rare. So first of all you should go for basic investigation for anemia, diabetes and hypertension. Then you should take treatment according to cause. 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.
|
What causes tightness of chest?
|
Hi I ve been given a salamol inhaler but not been diagnosed with asthma - I get a lot of tightness on my chest and the inhaler helps relieve the tightness.. But lately I have started together pins and needles in my hands especially when I go to sleep. My doctor today said I tight be because itake the inhaler. Is this correct.? Please could you advise me Thanks Sandy
|
HI, thanks for using healthcare magicNot likely due to ventolinPins and needles are abnormal nerve sensations. They would be termed paresthesia.Paresthesia can be due to different possible causes such as: (1) trauma to the nerves eg if there is any compression of the nerves in the neck or shoulder etc Can be due to acute injury, arthritis, carpal tunnel syndrome(2)vitamin b12 or folate deficiency(3)diabetes(4)liver or kidney disease(5)side effect of medication- ventolin can cause tremors of the hands but should not cause pins and needles(6)nerve diseases eg stroke or ms(7)some hormonal disease eg thyroid disease(8)idiopathicIt may be best to see your doctor for reassessment.I hope this helps
|
Can type 2 diabetes be cured by consuming mixture of cinnamon powder and honey with water ?
|
Hi Doctor , My Age is 25 female and married since 5 months.I have PCOD and under the medication og Gylcomet.heard from my aunt that if we mix cinnamon powder in hot water and mix it in honey in 1:2 ratio.then if we half of that water before going to bed and other half in the morning,the tyep 2 diabetes will get cured.Is that true?Shall i go ahead and take cinnamon and honey?Actually now I am planning for a baby. Kindly advice..
|
Hi,thanks for query,please do not misunderstood.T.Glycomet is given to you for PCOD not for diabetes.There is no need for you to do all this thing as you are not having diabetes.You will able to conceive once your pcod is cured. wishing you all the best .
|
How to stop bed-wetting?
|
My son is turning 38 yr soon. He was attacked by 3 guys last year and was assaulted. Soon after the incident he started wetting the bed. He blames it on drinking beer, but he never ever even as a chikld wet the bed.He does not want to go to the dr. I think he is embarrased. He is not on a medical aid.
|
Hello. I have reviewed your query and here is my advice. For children, bedwetting is due to lack of training and understanding. But for adults, it is different. Any of these medical issues can also cause bedwetting in adults: diabetes, urinary tract infection, urinary tract stones, neurological disorders, anatomical abnormalities, urinary tract calculi, prostate cancer, prostate enlargement, bladder cancer, or obstructive sleep apnea. I suggest you to get professional help in person to determine the cause and then for treatment.Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further. Regards, Dr. K. V. Anand
|
How to prevent heart palpitations by food?
|
I have a painful lump in my mons pubis underneath a blue-ish bruise. I just noticed this today and am fairly certain it was not there yesterday. This happened one before about 3 months ago (although also on the vulva, in a different location). The bump is visible and painful to the touch.
|
Thanks for your question on Healthcare Magic. I can understand your concern. Painful lump in vagina or labia is mostly due to abscess or infected cyst. Most common cause for this is infection through sexual intercourse. So if you are sexually active, avoid unprotected intercourse. Other causes are poor genital hygiene, diabetes, poor immunity etc. So drink plenty of fluids orally. Avoid moisture and perspiration in private parts. Keep proper hygiene of private part. Get done sugar levels to rule out diabetes. Start multivitamin tablets. At present, you will need antibiotic cream for local application and oral tablets of painkiller and anti inflammatory drugs. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
|
What causes fluttering in chest,hot flashes and shoulder pain?
|
I have fluttering in my chest for more than a week it seems more frequent today and had chest pain in the middle of my chest yesterday. I have had sweats like hot flashes and kind of a dull head ache along with left shoulder pain a couple days ago. Also feeling very tired lately. I do have a lot of stress. Anxiety or heart I just don t feel right!
|
hello,I have gone through your query.Thanks for using HCM.your symptoms are quite likely to be due to anxiety.But you must rule out any heart problem especially if you are above 45 yrs of age,You have famiily hostory of Hypertension,Diabetes or high cholesterol.You should get your ECG done.If needed you should under go stress test.If it is normal then you may use antianxiolytic like aAplrazolam 0.5 mg at bed time for few weeks,My best wishesDr.Rajesh Teli,MD.
|
Can shingles cause frequent pain in the underfoot and other body parts?
|
I have shingles... Could that be what is causing my feet to hurt when I stand and walk sometimes? I have had corns on the pads of my feet, but not any of the shingles rash. And it is the pads and heels that hurt really bad when I stand up and sometimes when I m sitting or sleeping! And I have other parts that hurt sometimes for no apparent reason! Like under my left arm and breast. But none of the pain is all the time... But several times a day.
|
HI, thanks for using healthcare magicShingles would normally cause pain in a specific region only. It would not cause pain in a number of different areas.Shingles is one of many different causes of nerve related pain, which seems to be the pain that you are experiencing.Other causes include: (1)diabetes(2)low vitamin b12 or folate(3)thyroid disease(4)side effect of medication(5)liver or kidney disease(6)abnormal levels of vitamin b6(7)exposure to toxinsIn some cases, the cause is not found.It may be best to see your doctor if the pain continues. A physical assessment along with investigations are needed.There are medications that can help with nerve painI hope this helps
|
What causes congestive heart failure after cesarean?
|
I went into CHF post cesarian with both of my children... what causes this? i was never diagnosed with HTN, gestational diabetes, hyperthyroidism, or any other abnormalities that might lead to these complications while pregnant. how likely is it that it would happen again if i were to conceive a 3rd child?
|
This is called preeclampsia. It is a disease only associated with pregnancy. It can happen anytime after 20 weeks and up to four weeks after delivery. You usually get severe fluid retention and congestive heart failure symptoms. It can be life-threatening. If you had it once, you are four times more likely to get it again. I would let your doctor know when you get pregnant about your two previous episodes. Occasionally they will treat it before it starts.
|
After neuropathy facing difficulty in moving the foot
|
Broken 2nd metatarsal ,displaced and floating. Surgeon put in a plate. I didn t even know it was broken until X-rays. I have diabetes (25 years) and terrible neuropathy. Since the surgery my foot is kind of purple. If I am up much the lower part of my foot feels like I can t move it. It almost feels like I am walking on top of something. Not able to move my toes. Is all of this normal? Surgery 5 weeks ago.
|
Hello, I have studied your case. Proper fixation and adequate post op immobilisation is important to maintain good vascularity. You need to consult your surgeon to find reason for pain or see podiatrist Till further consultation use proper footwear.You may need x ray to see proper position of implant. Color Doppler study will help to see vascularity at foot region.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
|
What causes back pain and tingling in legs?
|
i feel like falling backwards while standing or shifting. i also have backpain for many months. i have done MRI of head and spine and they all are ok. My Xray seem to be ok too. my legs also get that tingly feeling when i am sitting crossed legged or in any similar position.
|
Hi, Well, these are signs of certain neuropathic issues and this is most commonly seen in some metabolic disorders such as diabetes, of the most common causes of peripheral neuropathy, accounting for about 30% of cases. In diabetic neuropathy, tingling and other symptoms often first develop in both feet and go up the legs, followed by tingling and other symptoms that affect both hands and go up the arms. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon
|
Does hiatal hernia affect blood sugar levels?
|
My mom has diabetes. She has had a hiatel hernia for 8 year s. She finally got it fixed. Now her blood sugar has leveled off with out taking her glypicide. Could the hernia have caused here to get Type II diabetes? And could it cure with the hernia operation? Thanks
|
hi mam.diabetes can be controlled but cannot be cured you should keep your sugar levels under control it's better to check HB a1c 3 months once weather her blood sugar levels are under control. according to the levels you should take medicines. hernia operation does not cure diabetes. thank you
|
Can Dermol be used to treat whitish discharge from the penis?
|
Hi, Hi i myself have thrush and have bought vagisil but it stings when i put it on. Could i use dermol? Also myself and my husband havnt had any intercourse but he has got a thrush look cream at the end of his penis when he pulls the foreskin back he took a bath earlier and it went and i told him not to use soap so he didnt but now this cream like substance has come back! Could he also have thrush and could he also use dermol? Thank you i am 22 and my husband is 26
|
Hi thanks for your question.Ya your husband having candidial balanitis.For treating thrush apply miconazole cream over affected area.If no improvement in week then start oral fluconazole.Don't wear tight undercloth.Wear clean cloth.Keep affected area clean . don't allow affected area to remain moist .Drink more water.Avoid sex until subside of symptoms.Still doing sex use condom.Do your husband check up for diabetes.No need of dermol.thanks .you will surely get relief.
|
What are the treatments for fertility?
|
Hi, Dr Samuel Grief,this is the lady that wrote a query on thursday evening-17 April-local time, about her journey through fertility treatments. Please you could check with the above email address,I was told my query has been reviewed.Could not find answers in the chats,perhaps you send mine to my email,my query was a bit lengthy and today is my CD8,I finished my course of 50mg clomid,don t know the next course of treatment. Please Dr.Grief I need answers....been waiting! Thank You. Ijeoma-Nigeria
|
Hi ljioma,i don't. Know detail history in your case please update me about it in terms of age history of thyroid problem,diabetes,hypertension,ashtma,husband semen analysis,any history. Of tube testing done?If i would be your treating doctor and you have already taken tablet clomid for 5 days and if you have 30 days cycle you can take injection HCG 5000 iu on day17,day21 of your cycle and planned relations from day 12 to day21 alternate day.
|
Suggest treatment for improving the facial hair and masculine figure
|
hi doctor ! i am 21 yrs, male and i have very less beard as if i am 15 yrs old... and even i look like a 15 yrs old boy... i masturbated a lot... even i am suffering from Gynecomastia... i have stopped masturbating.... and trying to increase my testosterone levels and also trying to reduce estrogen levels.... but i am not getting enough beard and musculine looks....
|
Hi, Your trying is enough for the improvement, if your testosterone levels are raised in excess, it may lead to weight gain and diabetes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist
|
Does pinched nerve lead to atrial fibrillation?
|
My wife is a 64 year old with an apparent pinched nerve in the mid back which is causing hip pain. She has taken Excedrin and ibuprofin with little result. I suggested hydrocodone , but she is concerned that it might cause atrial fibrillation. Is this pain killer not indicated?
|
Atrial fibrillation is a arrhythmia characterized by rapid, uncoordinated electrical activity and an irregularly irregular heart response. Medications are usually not a cause of atrial fibrillation unless they cause an electrolyte abnormality. Generally A. Fib. is caused by hypertension, coronary artery disease, heart failure, obesity, and lung disease. Alcohol and caffeine, as well as hyperthyroidism and diabetes have also been associated with A. Fib. Therefore, to reduce your risk of atrial fibrillation, you should adequate control your blood pressure, loss weight, and avoid alcohol. I would not recommend hydrocodone long term for the hip pain. Your best option is to find a primary care doctor that can do any injection into the hip. The injection will relieve the pain, associated swelling, and hopefully the pinched nerve. In the meantime, I would continue ibuprofen and tylenol. Also, rest and ice will help.
|
Is it normal to get stomach ache and nausea every night?
|
Hi. I'm 17, 5 feet and 8 inches, and I weigh 120 pounds. I get stomach aches and nausea every night. Is this normal? I also get sick very easily (I'm sick right now). My medical history is nothing crazy. My grandpa died of a heart attack, he had diabetes. And my grandma died of cancer. I am also paranoid that I might have breast cancer, but I am too scared to get it checked out. I've felt my breasts before, but I can't tell if I have lumps or if that's just how my breasts are, because I've had one lump in each breast since I've developed them. One time before I went to shower, a little bit of puss came out of my left nipple, it made me worried but I don't want to go tell my mom this. Anything suspicious? Any advice?
|
Hi.Thanks for your query and an elucidate history.Is is not at all normal to get the stomach ache and nausea every night. This indicates that you have a problem of acidity and GERD. You are giving a history of being paranoid yourself, you can not have breast cancer at the age of 17. one lump each breast has to be investigated by getting physical examination, mammography and if the diagnosis is of a fibroademona or fibroadenosis , get the lump removed and get histo-pathological examination done to make sure that you do not have a cancer. There are many reasons of having pus from the nipples. Get investigated, get the pus culture and sensitivity done, and tell your Mother and the Doctor about this.
|
what Causes the fetal death in the ninth month of pregnancy?
|
what Causes the death of the fetus in the ninth month of pregnancy.because i lost my baby in this cause everything was going right till i was chocked in my second week in ninth month of pregnancy ..and the doctor told me that the baby was ok and they don t know what was the reason ...plz any one can help me just be ware for next time
|
Hello dear,i understand your concern.In my opinion sudden cause of death at term in a uncomplicated pregnancy might be tight cord around the neck of fetus.It is always good to observe for fetal movements daily to know the well being of fetus.Because before any compromise occur the fetal movements get decreased.So once less movements are felt one needs to get concious.Anyways dont worry.Avoid stress.It might not be repeated in further pregnancy.So relax.Also rule out any diabetes as it is also one of the causes of sudden fetal death.Best regards....
|
What is the chance of reoccurance of cancer after laproscopic procedure of removing cancer?
|
I have Wilson s Disease and Diabetes. Every year or two I go for an MRI to assess the liver as a result of the Wilson s. I recently went for an MRI of the abdomen which came back as concerning for renal cell carcinoma due to a 1.4 cm mass in my right kidney. I went for a biopsy which was positive for Stage 1 cancer. I am scheduled to have the tumor removed by a laproscopic procedure. Is this the right way to proceed? What is the risk of reoccurrence?
|
Hi,Thanks for writing in.If your CT scan has been done and tumor is confined to the kidney then surgery for tumor removal is recommended procedure. Please make sure that there is no involvement of nodes and there is no extra renal manifestation. Usually open laprotomy is done for cancer surgery however if the tumor is small and measures 1.4 cm like you have mentioned then laproscopy is acceptable.The recurrence of renal cell carcinoma in your case might be 1 to 7 percent and regular follow up will help to treat any persisting cancer. Please consult your doctor regularly. Please do not worry.
|
Can anyone avoid dialysis for having creatine ?
|
sir, my grandfather s serum creatine is 8.0 mg from past two weeks. it was 4.0 mg from past one year. he s been a chronic diabetic mellitus and also with a two year back histor of facial and chest trauma. what to do now. can he aviod dialysis . He is asymptomatic .
|
Hello, Your grandfather's creatinine is very high,and he is most certainly going into renal failure.This is diabetic nephropathy and caused due to diabetes.I dont belive dialysis can be avoided.Medically you cant call him asymptomtic with a creat of 8,as soon his output will be nil.He will need dialysis sooner rather than later.
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.