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Suggest treatment for fungal infection
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hi,i am 26 years old male, i weigh about 75 kgs. I had a fungal infection in my groin. After taking some medicines the doctor prescribed, the infection seems to have healed, but the dark scars remain, how do i get rid of these scars? Also how do i avoid recurring infection?
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Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.The scar of fungal infections are temporary. It will go on after some times. Recurring fungal infection has two important underlying cause one is HIV second is diabetes. As per your age I think you must test your self for the HIV is the most common cause of fungal infections.But it can also occur in other condition like frequent sweating. So by avoiding this we can also avoid fungal infections.Take the complete treatment for the fungal infections. With proper precautions once cured this infections will never reappear with proper precaution.Please maintian good hygiene as this is the key in treating all the infections. Please wear cotton undergarments as this can help cure the infections.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
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How can OCD along with depression and schizophrenia be treated?
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I HAVE BEEN DEALING WITH TS, OCD,DEPPRESSION, BORDERLINE SCHIZOPHENIA, FOR MOST OF MY LIFE. SEVERAL YEARS BACK I BECAME DIABETES, I M 59. I;VE BEEN ABLE TO WORK IN A FAMILY BUSINESS. WE YYYY@YYYY STALL LAMINATE TOPS ETC. I M WONDER ING IF WILL BE ABLE GET ON SSDI. THANK YOU. have been dealing with ts, ocd, bi-polar , deppression, bordline
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HelloWelcome to HealthCare MagicI can certainly understand your concernSchizophrenia require treatment with antipsychotic medications along with SSRIs to treat OCD and depression. Treatment may extend upto 2 to 5 years. Post your further queries if anyThank you
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What can cause trigger finger especially at night in an 80-year-old diabetic?
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I have trigger finger what the cause specially at night I wake up every day with my middle finger is bend , I am 80 years I have diabetes, over all I am very healthy , just had a complex check up very thing is normal except the glucose level is elevated,
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Hi, thanks for your question. I have read it and understand your concerns.Answer: There are different types of treatment options available for a trigger finger. As you know that in this condition a sheath around a tendon gets inflamed and constricted which then doesn’t allow the free sliding/movement of the tendon and at times gets stuck. The conservative or noninvasive approach includes; 1. Pain killers such Ibuprofen etc. 2. Rest to the affected hand, avoid repetitive movements. 3. Use of a splint for maybe 6 weeks 4. PhysiotherapyIf the above treatment/s do not help, then your doctor may decide to give a steroid injection into the affected tendon area. Most patients get relief after the injection. Even if the injection doesn’t help then the last option is surgery where the constricting sheath around the tendon is released. Before surgery, your doctor may attempt to release it by using a needle. It’s important to keep your blood sugar levels in the normal range to avoid complications associated with diabetes. Hope this help. Please feel free to ask for any further clarification.
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Itchy penis, spreading red marks on penis head. What are these marks?
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Hello...about a week ago...my penis became very itchy...there was no signs of anything there so i just assumed it was from being dry since i work alot with drywall and the dust causes dry skin . but a couple of days ago, i noticed on the head of my penis a couple of red pimplelike marks. now it has seemed to have gotten worse. there are many little pimplelike marks and a couple of bigger ones and seems to be spreading down the shaft more...its increadibly itchy...Im married and havent had sex with anyone other than my wife in years and she has no symptoms...she thought i maybe had an std ...and we recently had a baby and she was checked and is negative for stds...also around the infected area...some of the skin on the pimples is peeling a little.
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Hi itchy red pimples on the penis can be due to fungal infection called candidiasis.it can be due to leukorrhea in the partner or due to diabetes.It can be treated by regular cleaning of penis with lukewarm water and application of nizral ointment twice daily and use of flucanazole 150 mg weekly once for 4 weeks by both the partners
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Noticed tingling sensation on chest,hands ,arms & dryness of mouth
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Hello, I am 35 yrs old female, I m having hard time to get going, I feel tingles in my face, my both hands, arms and my back. Also having squeeze in chest area, mainly where heterial hernia. also feels dry mouth requires drinking lot fluids. Any advice would be greatly appreciated. Thank you
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Hello!Thank you for asking on HCM!Your symptoms could be related to an electrolyte imbalance, diabetes or any other metabolic disorder. That is why I would recommend consulting with your GP for a physical exam and some tests (complete blood count, PCR, ESR, iron levels, fasting glucose, kidney and liver function tests, blood electrolytes, vitamin D levels). You should discuss with your doctor on these tests. Meanwhile, I recommend taking plenty of fluids. Kind regards, Dr. Aida
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Paralysis attack, diabetic, blood pressure. Physiotherapy going on. Taking aspirin. Advise?
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hi doctor,my father had a paralysis attack , about one and half month agohe was not able to talk and we understand him , and his moment of left hand and left foot was zeroat present he can talk 85% understandable and couple of days back he stood on his feet for about 1 minutethe physiotherapy is going on , he has been advised aspirin a day , he is diabetic and has blood pressureplease advise,what to do next
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Hello, Your father is having left sided hemiplegia. The main treatment for hemiplegia is rehabilitation which helps in regaining maximum function and quality of life. It encompasses both physical and occupational therapy. Physical Therapy helps in improving muscle strength,coordination,mobility etc. Occupational therapy helps in training daily activities like combing,brushing,dressing etc. Recovery in hemiplegia is very limited and gradual.Most of the patients improve from intensive and specialised rehabilitation Apart from physical therapy emphasis is laid upon controlling blood pressure and diabetes meticulously. With time some patients can exhibit remarkable progress. Keep continuing rehabilitation programme. Best of luck Thanks
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How can elevated blood sugar levels be managed while on NovoMix, Xigduo, Glucobay and Pantocid Dsr?
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My father was on human mixtard 30 70 insulin recently doctor prescribed novomix 30. His sugar level is remaining high after that 311 mg dl in fasting and 425mg dl in pp. What to do now i am tensed He is prescribed Xigduo Glubay Diacramor Xr 60 Pantacid dsr
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Hi, Did your father was on anti-diabetes drugs previously or only on insulin?Because if 3 medicines along with insulin are not able to control blood sugar than it's a matter of concern. Either he is not controlling his diet or some other pathology is there. I advise you to consult him with an endocrinologist as early as possible. Hope I have answered your query. Let me know if I can assist you further.
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What causes a baby to be stillborn?
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Hi, I just recently lost my son while I was 23 weeks pregnant. I hadn t felt him move so I went to the doctor and found out there was no heartbeat. When he was born he looked absolutely perfect. What s even more upsetting is that I was in to see a specialist 3 weeks earlier and they said according to the u/s that he was a very healthy little boy. How and why is my son gone 3 weeks later?
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Hello, I am so sorry. Please accept my sympathy for your loss. There can be infections, birth defects, complications of pregnancy such as high blood pressure. Mom can be a smoker, alcohol, overweight, African-American, have diabetes. Many times the cause of a stillbirth infant is unknown. Most women become pregnant again, have a healthy pregnancy and a healthy baby. You may wish to contact a group of other women who have also lost a baby. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Arnold Zedd, Pediatrician
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Can prediabetes result in lightheadedness, headache and blurred vision?
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Hi i have had lightheadedness, headache and fuzzy vision for 5 months. i did an MRI of the brain and it was normal and my ct scan was normal. All my blood counts were normal. i went to an Endo doctor and they tested me and said i had prediabetes and high cholesterol. Would Prediabetes be causing my body to feel this uneasy ? they put me on Metformin and today i tested my blood sugar and it is 120 (2 hours after lunch) . does this sound like the right diagnosis?
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Hello,Welcome to healthcare magic.I have read your question and understand your concerns.I do understand that you are worried about your symptoms. it is good that your MRI, CT scan and blood counts are normal. This rules out a space occupying lesion in your brain which is what majority of patients are worried about when they have a headache along with visual disturbances.Prediabetes is unlikely to cause blurred vision in you. Very high blood glucose can cause blurred vision but in prediabetes, the blood glucose is not that high. Further, by starting metformin your 2 hour postprandial glucose is in normal range.Blurred vision by itself can cause a tension type headache due to straining of nerves. I would advise you to see a ophthalmologist so that you could have a full eye check.I hope this answer has helped you.Thank youRegardsDr Sunita Sayammagaru
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What causes the inability to absorb calcium and developing a low sodium count?
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Hello, I am a 51 year old female who is having problems with an inability to absorb calcium and I have a Hct of 30. My past hx is hypertension at 14, diabetes at 27. 2 pregnancy full term and 1 miscarriage, and DJD, 2 herneated dics. @ age 50 1st MCI and developed a low sodium count of 112 causing seizures. and in 2 weeks had another heart attack and ended up with a stint in the main branch this all happen in a six period in 2012. And in June 2013 I had a massive stroke and a grand mall seizure. In a coma I was suppose to recover from. being that I was 60 percent brain dead. But I recovered, I had a hx post pardium cardiomyopathy after last pregnancy. And a hysterectomy in 2001, and a gastric bypass in 2003. @ the time of surgery I weighed 337. I weigh 200. And have been down to 185 but no longer take dieuretics as I did before. Because of the low sodium and such. I need to have some fat removed especially the apron. I am 5 foot 6inches. I have had these problems and been near death to many times.
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Hi, I admire your ability to withstand and recover from so many serious illnesses. You are a living testimony to what positive attitude and will to recover can do to enhance the chances of recovery. I am sure you will come out of the current problems too. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sudhir Kumar, Neurologist
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Can a diabetes and thyroid patient become pregnant ?
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Doctor I am a patient of diabetes type 2 and am a thyroid patient too. Can I become pregnant? Is there any risk in it? What is it and please tell me the remedy to it also.
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Hi, Thanks for query, There is no doubt that you can be pregnant. Keep diabetes and thyroid under complete control Tak medicines regularly. Consult you obst and discuss you case. Ok and bye.
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What causes blotchy skin and numbness below the knee and feet?
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I have red blotchy skin on legs below the knee and on my feet. My feet are numb and the skin feels like parchment paper. I take a blood thinner (Warferin) and metformin and insulin for diabetes. Someone told me thaqt it is iron deposits because my legs and feet do swell. What do you think?
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Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have blotchy skin and numbness below the knee and feet. Well there can be many reasons for symptoms you mention in query like multiple sclerosis , herniated disc,vitamin B12 can cause numb sensations , diabetes or peripheral artery disease . I would suggest you to do gentle massage , apply warm compresses or keep your legs in hot water tub with epsom salt in it and take proper rest . Consult orthopedic surgeon for proper examination . Doctor may order blood test , nerve conduction test along with physical examination . Doctor may order nerve supplement anti inflammatory and physical therapy . Doctor may refer you to neurologist for nerve problem or endocrinologist for diabetes . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
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What causes dark discoloration of gums?
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Hi. My gums are dark red at the bottom and light pink near the tooth. They are not swollen or sore and neither do they bleed much when brushing.My wife says my breath has been smelling bad recently.I also had a blood clot on the brain 12 months ago and my A1C Diabetes test is raised to 6.2
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Thanks for your query, I have gone through your query.The dark red discoloration over the gums can be because of the inflammation secondary to deposits. Nothing to be panic,consult a oral physician and get it evaluated. You can get the teeth cleaned. The inflammation can be increased in case of diabetes.I hope my answer will help you, take care.
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How to treat burning mouth syndrome?
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I have had burning mouth syndrome and burning in other mucous membranes. Are they related? I got this 9 years ago. It is so painful and it had subsided but started up again very suddenly 2 weeks ago. Is there any new information you could give me regarding treatment?
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Thanks for using Health Care Magic.Read your query.Burning mouth sensation as you have mentioned is usually of unknown cause, though some conditions like severe vitamin deficiency, stress ,dry mouth, diabetes , GERD ,allergies can aggravate the condition.I would advice you to get a complete blood profile to rule out any systemic conditions like diabetes, thyroid,nutritional deficiencies and get them treated.Drink lots of fluids and keep hydrated,avoid carbonated drinks .Avoid alcohol and reduce stress.Hope this was useful.Thanks and regards.
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Suggest treatment for gallbladder stones
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Regarding Gall bladder: My father is 53 years old. He had got a gallbladder stone 5 years back. Was cured by medicines. And now just 15 days back , he was reported that there were 4 small size stones in gall bladder. Is it advisable to go for a surgery or better to reduce it through medicines. Will there be any side effects for the surgery, And also please can u suggest the food habbits that need to be follwed in order to avoid the formation of stones.
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Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.Your symptoms may be suggestive of gallbladder stones so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Stones are see more commonly in obese people and those with diabetes. You need to change your dietary habits first. Need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.
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Severe lung infection affecting kidney. Dialysis suggested. Have diabetes. Can she be cured?
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Hi Mom is a patient of Diabetics for last 10 yrs and has High blood pressure, 3 weeks back she was admitted to hospital with Severe Lung infection (neumonia) and was on ventilator for 5 days and in ICU for nearly 7 days now doctor says she would require dialysis as infection has effected her kidney, She did not had any problem prior to this , I have consulted another specialist nephro and he asked me for getting Kidney profile and Hemogram test which i did where i saw a Urea level of 23 and creatinine level of 4.6, My question is can this be due to the fact the she had infection and it effected kidney also and can this be cured or she wil need regular dialysis from know on.
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Hi friend Welcome to Health Care Magic Sorry to see several problems - The best one to seek in the situation is a nephrologist - you are right in consulting one. Infection can cause all these - often leading to shock and Multi Organ failure. Ther chance for reversal are not predictable until after the infection has cleared. There is one thing that needs attention - Urea of 23 and creatinine of 4.6 ?? - this is rather unusual' If it is not your typing error, it suggests skeletal muscle problem, rather than kidney! The nephrologist will assess and assist Take care Wishing speedy recovery God bless Good luck
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What causes liver dysfunction?
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i am 59 years old, take ansoline for diabetes and tablets zestoritic for blood pressure. I had blood test found SGPT25,SGOT23,GAMMA GT134,serum Protien 7,serum albomin 4,Serum creatinine1.1,The Gamma Level always ranged 120 to 134, What the reason of high Gamma, and how to control it to be lower? Is there is possibility of liver disfuncion or dammage.
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Thank you for posting your query at HCMneed further history and evaluation.are you alcoholic? if yes, how often and amount do you drink?did you have an ultrasound done in the previous months?gGT elevation differential:1. Alcohol 2. drug induced 3. Gall bladder pathologytherefore, advice:- abstinence from alcohol- ultrasonography (abdomen) - low fat diet- less activity ; more restafter results , visit a hepatologist.wish you good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik
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What are the complications of spinal fluid in spinal cord?
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I was told by my nero-surgeon that they found spinal fluid in my spinal cord, but that he don t think there s any need for concern, I ve also been diagnosed with Cervical arthritis, bone spurs and have numbness, atrophy, and pain in my left arm from the arm pit down to my fingertips.
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Normally spinal cord is surrounded by spinal fluid(CSF).It will be a matter of great concern, if it is not there.The symptoms you have described could be caused by cervical spondylosis with or without radiculopathy. This treatment is being suggested on bases of the information provided.I would like to examine & investigate you in detail.Rule out hypertension, Diabetes or any other metabolic disorder.Any way you may try---. Dolokind Plus (Mankind) [Aceclofenac 100mg +Paracetamol 350mg] 1 tab. OD & SOS. X 5days.--. Caldikind plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water.--.Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.-- .Do mild exercises for Back. neck & shoulders. --.(Take help of a physiotherapist or visit www.drncgupta.com). --. Use no pillow under the head.Do not ignore, let it not become beginning of a major problem.Do ask for a detailed treatment plan.If no relief in 2-3 days, contact me again. (phone.91 9810012688)Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed).For emergency treatment visit nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the question.-Wish you a quick recovery & good Health.
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I am diagnosed with bacterial vaginosis and impacted colon but still getting dizziness,itchy hands and abdominal pain
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I have had dizziness for three months, the itchy feet and hands for about two months and the abdominal pain and nausea started about 4 weeks ago. I was diagnosed with bacterial vaginosis and an impacted colon. I have been on meds for the vaginosis and that has been cleared up. I took doses of milk of magnesium and my colon was cleaned out. Why do I still have itchy hands and feet, abdominal pain and nausea? I ve had multiple blood test, xrays, ecgs, ct scans, and nothing has been diagnosed. What could this be?
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Hi, Thanks for query, As you had impacted colon,itching of hands and all tests are normal. Have you gone for stool rest? It is possible that you might have worm infestation causing itching and constipation. Go for stool test for ova and cyst and afterwards go for antihelminthiasis treatment. I think you might have ruled out diabetes. Search for some allergen causing itching. Take cetrizine as and when required. Ok and bye.
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Is sore tongue related to kidney infection?
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hi I recenty had to visit the ER due to symptoms such as lower back pain, high fever, vomiting, chills and spotting and cloudy urine. Its a day later and now I realize my tongue is sore. The doctor diagnosed a Kidney infection. Are the two related?
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Hi thanks for asking question in HCM.Tongue sore mainly because of trauma,smoking,hot beverage drink,cancer and diabetes like condition.The sore tongue directly not because kidney affected but it might be because of HIV OR DIABETIC nephropathy.Sometimes vitamin b12 deficiency, glossitis, NSAIDS like drugs ,lichen planus can be the cause.I hope i have solve your query regarding etiology of sore tongue.
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Should Diet Dr Pepper be substituted with water in a 68-year-old suffering from type 2 diabetes?
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Hi, I am a 68 yr old female who has Type 2 Diabetes and has been drinking more diet Dr. Pepper than usual and I believe my kidneys are reacting to the chemicals....sore, aching, along with diahhrea. What do you suggest I do including stopping the soda immediately and increasing my water intake?
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Hi, Routine diet and plain safe drinking water are best for health. With the history of diabetes, one need to follow the instruction given by your physician or dietician. It is most advisable to avoid unnecessary food or drink which is not included in the routine diet. Although you have not mentioned the symptoms, you just said that your "kidney reacting to chemical", what type of reaction is there you have not mentioned it, just have balanced diet that should be low in calorie, plain drinking water its all right. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Akhtarhusain, General & Family Physician
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Abdominal pain, diarrhea, bloating. Have diabetes and CRPS, fatty liver. Labs show high AST, ALT. Reason?
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Hello. I have been having upper left to middle abdominal pain and episodes of intermittent diarrhea. I am a diabetic on Metformin and also have CRPS and am on Methadone for pain control. Recen lab work shows a mild elevation of AST and ALT along with Alkaline Phosphatase. I had had my gallbladder removed about 6 years ago. I am afebrile. Other symptos are bloating and just feeling sluggish. Thank you for any insight you can offer. My internist just keeps saying lets just watch this. He has suggested I have mild fatty liver. I am mildy obese- 5'3" tall and weigh 160.
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Hello,You have essentially two problems.1st you are having intermittent diarrhoea and there can be various reasons for this like due to consumption of metformin,diabetic auto neuropathy,IBS,infective diarhhea.You need to consult a gastroenterologist for proper evaluation of cause and then treatment.2nd mild elevation of liver enzymes and fatty live.There are various reasons for this but there are two mportant causes in you which is resulting in elevation of liver enzymes.These are obesity and diabetes.Once these are controlled,you should be all right.Thanks
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What do the following test results mean?
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what do the following test results mean: Cratinine 1.08 Glomerular filtration rate, nonAfrican American 60 Glomerular African American 60 Lipase 19 Estimated Average Glucose 235 Hgb Alc% 9.8 0-29mg/dl 200 Specific gravity, UA 1.026 Protein, UA09 mg/dl 30 Urobilinogen, ua Hgb 17.4 Hematocrit 51.2 MCV 94 Amylase 45
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Hello and welcome to HCM.As an Urologist, let me confirm your reports suggest normal kidney function, with uncontrolled diabetes, with high uric acid level.You should mention your age, gender,body weight and height, to advise you.You should also check fasting blood sugar(FBS),a 2 hours after meals,blood sugar(PP2BS),lipid profile(fasting),and ultrasound scan of abdomen.Take sugar free diet now onward and exercise daily, with low fat diet.You can send the reports to me,as a direct question, for an expert opinion.Dr.Matthew J. Mangat.
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Is cell therapy beneficial in liver cirrhosis?
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Hi Doc , My father is suffering from liver cirrhosis and diabetes . He is 57 years old and has O negative blood group. I read about cell therapy for liver cirrhosis . Can you please tell me if this therapy is valid and effective in liver cirrhosis.Thanks
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Hi,This therapy is still in the primordial stages.At present the mainstay of treatment is supportive care only. But if available there is no harm in trying it out.Regards
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Had stroke. CT scan shows microvascular ischemic disease. Cure?
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we have a relative who had a stroke 2 months ago; a ct scan of his brain reported chronic permiventricular white matter microvascular ischemic disease; s/p occipital craniotomy with left cerebellar encephalomalacia as well as dilatation of the fourth ventricule and old right basal ganglia lacunar infarct. question is: is there a cure for this? what should be our next step toward his rehabilitation?
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Thank you for contacting Healthcare Magic. Your relative has suffered from ischemic stroke, which refers to loss of blood supply to parts of brain (as mentioned in the scan report). This is often due to risk factors such as diabetes, high BP, high cholesterol, etc. Most often, complete recovery is not possible. However, the following steps would ensure good recovery and prevent strokes in the future. 1. Use of antiplatelets such as aspirin (lifelong) 2. Use of statins such as rosuvastatin (lifelong) 3. Control of risk factors (if present) 4. Physiotherapy Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad
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What precautions should be taken when bp is high?
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Hi my partner has high blood pressure & recently felt faint & a bit sick after exercise. I t passed in 10 mins or so with no noticeable longer term effects. He is getting himself checked out at the GP- but what is the best thing to do at the time if this happens again?
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Welcome at HCM I have gone through your query and being your physician i completely understand your health concerns.What is his age? For how long he is suffering from it? Any other associated problem? like diabetes? what is his BP reading ? IS he is taking any drug for it? The best precautions are to stick to your medications and avoid salt in your food. BCdo regular exercise. If he develop fainting , he need to be examined by a doctor for proper workup since fainting attack in hypertensive patients should not be taken lightly.. he need to get his RBS ECG ECHO LIPID PROFILE along with FBC for proper workup. Meanwhile stay calm and continue with your medications and avoid salt intake and meet your doctor Get well soon Hope your query is adequately addressed if you still have any feel free to ask RegardsDr Saad Sultan
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What could cause slight sensations on the lower leg?
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I am puzzled by the slight sensation I feel in my lower legs. I would not describe it as the numbness of a limb that has gone to sleep. I first noticed it when driving, but I have begun to be aware of it at other times such as now while I sit here at my computer. (I am a fairly active 64 year old female with no particular health concerns.) Does this sound like something worthy of a consultation with my GP?
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Hello, Yes, you should consult a GP. The symptoms are suggestive of peripheral neuropathy, where nerves in the skin get affected. Vitamin B12 deficiency, diabetes and underlying thyroid disease should be excluded. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sudhir Kumar, Neurologist
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Suggest treatment for seizure disorder and headache
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My wife gets headaches that causes blackouts. She has seizure like symptoms and has been diagnosed as not having seizures. After she comes out of this blackouts she is fatigued for the remainder of the day. She has been seen at an ER 5 times in last 2 months and they always come up with something different. No Diabetes or blood sugar problems. Could these problems be associated with Neuro problems?
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Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you Symptom : After she comes out of this blackouts she is fatigued for the remainder of the day. Opinion : This is more likely due to seizuresSuggestion : Please consult a neurologist and do MRI Brain and EEGHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care.
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How to cure chronic depression?
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hi........................ this is regarding my mother she is 58 yrs old having diabety since last 6 yrs she is on insukin from last 3 yrs.inthe starting sugar levels were high now its ups and downs up in the morning and down in the evening.its related with depression she is having total control on diet.she is cronic patient of depression
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Hi dear. I had gone through your query. I understand your concern. Diabetes has co morbid depression amd need proper assessment. Anti depressant will helpful. SSRI like escitalopram/ sertraline / peroxetine will be useful but choice is depend upon clinical symptoms. Take advise from psychiatrist and get help. Exercise and meditation can help.Ensure proper sleep and diet. Thanks you.Still if you have a query then feel free to ask. Happy to help you further.
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What can cause pus and its rapid spread in the body?
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one of my family friends complained of pain while sitting and then consulted a doctor. he said there is pus formation and operated. but soon in a day the pus spread to the other side. they took her to manipal and again operated. but the pus is spreading in her body and the doctor said he cannot give any guarantee. she underwent a third operation today i wanna know what is wrong with her as doctors are not telling anythin what could this be
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Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.This is the case of septicemia. In septicemia infection causing organisms can spread into the whole body.I advice you to do blood culture and sensitivity.This will give you idea reagrding possible pathogen and its sensitivity pattern. Starting treatment as per the report will cure you at earliest. Please do not ignore this test otherwise it will be lethal to the health.Please do maintian good local hygiene at the surgery area, this will help cure the infection at earliest. Diabetes should be kept into control. Once controlled it can be easy to contian the infection.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
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What causes ESR levels to elevate?
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I am 48 years old with the weight of 88 kg. I have lost 8 kg of weight in 1 month. My height is 5 feet 9 inches . I am suffering from diabetes for 1 year. For 15 days i have a severe lower back pain. I had a laboratory test of ESR 85mm/Ist hrs, Triglycerides 385mg/dl , HDL 140mg/dl ... What could be the reason for this? And what measures should i take?
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HiThanks for choosing HCM, gland to answer your query.I have gone through the findings described in your case.Elevated ESR with significant weight loss of about 8 kgs in one month duration are highly suggestive of a chronic infection.The possibility of Tuberculosis has to be ruled out.You are advised to visit an orthopedic surgeon to evaluate and the possible investigations might include X rays of the chest, lumbar spine, CBC, MRI, etc.The elevated level of Triglycerides can be managed by dietary modifications like avoidance of red meat, oily vegan and non vegan dishes, increase intake of fruits and green leafy vegetables beside medicines such as Fibrates which are useful in reducing the high triglycerides.Hope your query has been answered.Should you need more information, kindly feel free to send your query.Wishing you best of your health.
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What are the risks of chemo and radiation?
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My fathers heart is at 13 percent. He is insulin dependant diabetic, and just recently had to call the ambulance I thought his difficulty breathing may have been because he was filling with fluid however Hus lung collapsed and when more tests were ran a tumor was found. What are the risks of chemo and radiation in a situation like this?
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Thanks for your question on HCM. Your father is high risk patient as his heart is only 13 % working and he is diabetic. So surgery for any cancer will be extremely risky.In my opinion you should first get done PET SCAN to stag his malignancy. Treatment of any cancer is based on staging. So if stage 4 cancer is found which is more likely in his case, than palliative chemotherapy should be given. No harm in this with diabetes or low cardiac function. So palliative chemotherapy should be started.
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Child having elevated ALT, liver enlarged, sugar level low, vomiting yellow fluid, urine smells. Cure?
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My 8 year old son has had elevated ALT for the last 5 years. His pedi also said his liver is enlarged, they are trying to get us an appointment with a GI doctor. We have been to many specialists. My sons blood sugar used to plummet in the mornings to under 60. He would then puke a horrible highlighter yellow fluid. We ve had a diagnosis of Ketotic Hypoglycemia , which he should have outgrown. His blood sugar is no longer lowering. But he is still vomiting the highlighter yellow fluid approximately every 6 to 8 days. He gets very pale, with black under his eyes and his usually rosey lips turn grey. He then vomits and his color returns. His urine also smells very strong.
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Hi and welcome to HCM.first the exact cause of liver damage should be found. in his age the first thing to think of is congenital liver disorders such as gilberts. secind,it may indicate any kind onf systemic infection and thirdly it can be certain blood disorder if associated with anemia. He needs extensive work up to evaluate his blood sugar.it may suggest pancreatic disease or beginning of type 1 diabetes.Wish you good health.
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Suggest remedy for postural hypotension
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Mt father is 52 years old and has undergone a CABG 3 months back.He is hypertensive and diabetic and is experiencing chest tightess and shortness of breath due to it.He has also been diagnosed with postural hypotention.Is there any other problem to this?
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It will be difficult to answer your query on the basis of brief history.It depends when he is getting chest pain/tightness on exertion or at rest or related to any activity.Should not happen after CABG..... sometimes there is blockage in minor vessels also which can also cause pain.Consult your cardiologist once.Postural hypotension could be due to diabetes.Tell him to wear tight stockings,and while standing up...stand gradually.
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Should i be concerned about these AST and ALT levels of liver function report?
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hi doctor .. my mother had liver functions since 4 days her ALT WAS 78 and AST 47 and cholestrol 228 other data are normal, she is 54 years old, obese , had diabetes and hypertension, take medications since 10 years is the condition dangerous,, thanks doctor.
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HelloFindings suggests increased ALT level and mildly increased cholesterol level.Increased ALT may indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes etc.In your mother's case,increased ALT may be related to mildly increased cholesterol level and obesity.She may need few more investigations like routine hemogram,ultrasound of abdomen.I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It helps in regeneration of liver cells.She should avoid saturated fat and go for brisk walk regularly.Take lot of fruits and vegetables in diet.She should try to reduce her weight.She should continue other medicines.Get well soon.Take CareDr.Indu Bhushan
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What causes rapid heart rate when i wake up?
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For several months I wake to a faster and harder heart rate, I can feel on waking my heart rate pulsating in my Feet and hands. I also experience pins and needles, along with numbness in my hands and feet. This numbness and pins and needles can also happen when I am awake in the day. I feel pain also radiating up my legs on occasions as well. I find that I feel unable to do any exercise as on exertion my legs feel very heavy and clumsy, along with a raised heart rate almost jumping out of my chest at times. Last week I went to a beach area where I had to walk down about 100 steps to the beach, going down was fine but coming back up I was completely exhausted and my legs felt heavy and clumbsy.
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Hello and thanks for writing.I can understand your concern and would try to help you in the best possible way. The problems you are facing could be summarised as having palpitations, neuropathy, shortness of breath and fatigue. These can be due to diabetes, heart conditions, anemia, vitamin B12 deficiency or anxiety disorder or any other cause.I suggest you get yourself worked up for the same. You may need to answer a few questions pertaining to your problems to help understand the nature of your illness. You may also require a complete physical examination including some tests like complete blood count, peripheral smear, fasting glucose levels, vitamin b12 levels and other tests.Once a diagnosis is made a comprehensive management plan may be started for you which may include dietary advices, lifestyle modifications, medication and physical therapy.
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Suggest home remedies for yeast infections
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I'm a virgin. I had my first yeast infections a couple months ago. The yeast infection returned. I done research it told me if i had reaccuring yeast infections within a year i could have some harmful viruses. Since i can't have an STD it could link to diabetes right? Plus how do i get rid of this yeast infections with home remedies?
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Thank you for the query.I would like to enquire about your age. Vaginal candidiasis (yeast) is a common fungal infection in female subjects. Since you are having recurrent yeast infection, a blood sugar screening is advisable (Fasting and post prandial blood sugar). A routine urine examination may also be done.There is no home remedy for candidiasis as such. You must try to maintain hygiene and keep you private parts clean and dry. Local preparations like vaginal creams and ointments are available (Clotrimazole cream) which may be applied locally twice or thrice a day, with good results. If symptoms worsen or urinary tract symptoms like burning during urination develop, you must consult your physician for a thorough physical examination.Hope that helps you.
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Can anxiety cause erectile dysfunction?
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I am consulting with a 27 yo with hx of anxiety and ocd. he is married for 9 months and has not been able to complete intercourse. he can attain an erection but loses it when he tries to penetrate. has tried celexa and viagra. is on wellbutrin and concerta for ocd and anxiety. takes klonopin .5 prn. Any thoughts
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yes anxiety affects one 's sexual performance. in the absence of injury to genital organs or other sex organs and also in the absence of any other medical cause like diabetes .anxiety ,depression etc are the cause of sexual problems. i would recommend to increase the dose of welbutrin. it will help to improve the problem of premature ejaculation.
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How to treat anxiety and depression?
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My father in law is suffering form anxiety and depression. Very often he talks about death and at times cries.He does not want to talk or interact with people.He sleeps when put under the influence of sleeping pills. His condition is getting bad with each passing day.I am worried.kindly advise.
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Hi, Going by what you have mentioned your father seems to be suffering from depression, with significant severity. I would have liked to know if he suffers from any other disease like hypertension and diabetes too. Only taking sleeping pills will not help his depression. He needs regular anti-depressants, like sertraline or escitalopram. The medications can be increased in dose gradually depending on the response. Sleeping pills can be given in initial phase of treatment, but with caution and should be tapered off later. I would advise that your father in law visits a psychiatrist at the earliest.Best wishes.
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Can anything be done for p. vascular .d ?
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can anything be done for p. vascular .d ?
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1. what can be done first is finding the cause of the disease so that necessary medical care with evaluation and management can be done. 2. patient has to be screened for: diabetes, high lipid profile,high blood pressure, sedentary life style, obesity, chronic smoking. 3. complete cessation of smoking and tobacco consumption, strict control of diabetes, reduction of weight, control of hypertension by salt restriction, treatment of hyperlipidemia by dietary modifications. 4. walk slowly at slower pace to avoid claudications. 5. raise the heel of shoes by 1/2" 6. take maximum care to avoid injury to foot,as it may precipitate gangrene 7. controlled exercise programmes for 6 months by walking near to maximum pain tolerance (on a treadmill) significantly improve the painfree maximum walking distances.
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History of drug abuse. Numbness in toe. Cause?
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My mother was a drug user on and off for the past year drug of choice was meth.. Opiates...and then be clean for awhile and then be on meth and then pills and now suboxone trying to stay clean but tends to use every now and then for a few days she recently started feeling numbness in her left big toe and second one not completely numb nor painful just feels as if they were asleep and then later not notice been going on for a couple weeks now & just wanted to know if the cause of it can be from using or maybe lack of not eating or enough sleep during her times of using but why the toe?
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Hello dear,The symptoms as mentioned in your post can be attributed to:1. Neuropathy2. Dietary deficiency of certain nutrients like Iron, Vit B6, Vit B12, Folic acid, etc. which help in blood formation and nerve conduction.3.Systemic causes like diabetes or hypertension4. Hypocalcemia- decrease in calcium levels in the body5. Metabolic & Hormonal causesThough symptomatic relief can be obtained by administration of nervigenic agents like Vit B6, Vit B12, etc., the underlying cause needs to be treated.So, kindly consult a Neurologist & get a proper clinical examination done, including nerve conduction studies.Investigations like complete blood count, estimation of blood pressure & blood sugar levels will be helpful to rule out any pathological cause for the symptoms.There is no need to worry, your mother will be fine.Take care.
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How can a painful hard arm lump be treated?
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hi. i was a little intoxicated on alcohol about 3 night ago and injected household cleaning solution into my arm where i previously had an abscess drained. now it has a huge hard lump that is red and yellow on the surface of the skin and the red has spread down to my forearm. its hot to the touch and very painful. i know its definitely infected having an abscess before i know the sings. Ive been watching it and its not getting any better if not worse. im just wondering if it could be possibly be gangrene? and what should i do about it? thankyou
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HI,Dear, Thanks for the query from you for your painful red-arm lump, which grew in to abscess with redness of the arm.1-I feel concerned that you are serious to know how to treat this painful hard arm lump,with cellulitis of the arm,after injection of the cleaning agent in to your arm.?2-In my opinion this painful lump of the arm needs immediate drainage under antibiotic cover , before serious septicemia sets in cellulitis caused by the arm abscess.3-I would advise Surgeons opinion -who would treat it by urgent incision and drainage -under G.A.,after fbs / random sugar to rule out the diabetes.4-Hope this would solve your worry of how to treat this arm lump with cellulitis . 5-Wellcome to HCM for any more query.
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What causes irregularities in periods?
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hi im 32 yrs im have several problems my periods r very irr regular it is so bad that only when i take medicen i get my cycle, im over weight my height iss 5ft n my weight is 80kgs, i have very thick n dark facial hairs, n im married for past 11 yrs but m not able to concieve now im undergoing treatment for concieving n my dr. has suggested me fertyl 25mg tab i just wan to know how safe it is to take the tab with my kind of problems
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HI, I understand your concern. Causes for irregular periods can be PCOD/ ovarian problems/ thyroid problems/ pituitary problems/ sever anemia/ obesity, diabetes. Before trying to conceive, you should consult a gynecologist/ endocrinologist along with relevant investigations .. to ascertain definite cause of irregular menses. Get it specifically treated get your husband also investigated to exclude any problem. From your history you seem to have either PCOD or Thyroid problem. They are managed well with specific treatment.& planning after that would be fruitful! Tab.Fertyl 25 mg. is somewhat low dose for a female to induce ovulation..So it will not be harmful, but not effective also.You do need an expert advise & methodical treatment. Thanks. Thanks.
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Suggest treatment for enlarged liver and ill-defined heterogeneous lesion in the left lobe
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Sir, Lever is enlarged in size and I ll defined heterogeneous lesion noted in left lobe p/O developing liver abscess most likely advice clinicopathological correlation and follow up. Gall bladder appears collapsed with edematous wall with small calci within Please advise/elaborate Thanks and regards Dhiren patel
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Hi, Usually, liver enlargement may indicate some types of hepatitis or fatty liver diseases and in most cases, it doesn't 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 a liver biopsy if necessary. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon
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What causes mild chest pain with numbness and tingles in arm joint?
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Hi, i am a 25 yr old male, no history of disease. Im quitting smoking altogether after about 5 or so menthol a day, down to one a day and e cig through rest of day. Mild pain in left chest over heart, numbness and tingles in joint of left arm. Whats wrong with me??
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Dear as you have mentioned you have mild pain over left chest with pain left arm it is suggestive of pain of cardiac origin that we call as angina . typically angina is described as diffuse chest discomfort so it is not localised and is most of time discomfort not pain..that radiate to left or right upper limb that is simultaneously you can feel this discomfort or uneasiness in your arms as well.it increases with exertion and relieved on taking rest..The risk factors for this pain are male sex age more than 40 years but now a days common in younger population as well smoker obesity lack of exercise diabetes hypertension family history etc. Your ecg echocardiography may all come to normal..its a clinical diagnosis that is diagnosed on the basis of symptoms only.if confusion you are a candidate for TMT . so hope you have understood about this.what now you have to do is this..you have to consult your physician discuss abt your pain he will look for other risk factors and give you final advice . Hope this will help.
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Weakness and aching in left arm down the shoulder while blood pressure is normal
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I had a weakness and aching in my left arm, from my shoulder down yesterday. My blood pressure has always been good, but I have diabetes which is controlled. It lasted no longer than 30sec. I had no speech problems or weakness anywhere else. Should I call my GP?
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I understand your pasthistory, symptoms and your complain. This is mild case. This may be mild allergic reaction in your body and anyone may expose to this. Take antiihistaminic oral tablets twice daily(claritine tablets) and also apply topical antiallergic cream on affected site. This treatment is only for one week.
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Can I take Vestril while suffering from COPD, Diabetes and high BP?
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I m a 60 yr young female, I was heavy lifting last evening..I had to stop as...my heart was pounding in both ears, neausous, shaky...I have COPD, diabetes, high blood pressure (Vestril 10 mg)...even after I relaxed after, the same symptoms..took another dose Vestril...what happened...too much heavy lifting, as this has never happened before??...thank you for advise
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thankyou for your query.Being a diabetic, hypertensive and a known case of COPD, I would suggest you not to indulge into heavy weight lifting. Mild nausea can happen as a side effect of lisinopril (zestril 10 mg). Get yourself evaluated for your cardiac functions (ECG, ECHO), keep a regular watch over your blood sugar(fasting and post prandial), and blood pressure. If at all you want to do weight lifting then its advisable to do under proper guidance.God Bless
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Why is a patient put in induced comma after a heart attack?
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My friend is in the hospital. Apparently he has 6 clogged arteries and had a heart attack. He also has a bacteria for which the doctors cut a gaping hole in his groin. The doctors have put him in a medically induced coma. What would be the reason for this? My friend also has uncontrolled diabetes.
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HIWell come to HCMI really appreciate your concern, it seems to be serious condition two possibilities are very likely one is it is the cardiac disease cause the condition, second infection might be playing role along with this, even risk factors are there like uncontrolled diabetes, hope this information helps.
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Diabetes, spinal stenosis, had prostrate cancer, planning to undergo laminectomy. What is the recovery time?
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Hi, My name is Tom and I have been diagnosed with spinal stenosis . I m to undergo a laminectomy this coming week, T12-L1 and L1-L2. I m 55 years old, 5 10 and weigh 260lbs. I feel as if I am in relatively good health although I do have diabetesII and have had prostate cancer . I work in steel a mill, operate a remote control crane and generally on my feet for 12 hours a day. How soon should I be able to return to work?
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From your description I understand that you are going to undergo a laminectomy and you want to know about the recovery from the operation.I will try to explain the various stages of your recuperation.Usually after an uncomplicated laminectomy you might have to stay in the hospital for 2 to 5 days.This might increase if you have any complications like bleeding or infection.After discharge in the first two weeks you might have to deal with severe pain(for which you will be given pain killers from the hospital) but inspite of this you have to walk a little to reduce the scar tissue and prevent a large amount of scar tissue putting pressure on the nerves which were released by the laminectomy.You might have to visit your doctorin the third or fourth week for a review.Usually if no complications occur you can go back to work after 6 weeks.The idea here is to start walking to reduce the scar tissue from your operation and keep your lungs and heart in good shape.The later you start walking the more time you will take to go back to work.
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How to get rid of infection in the belly button?
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Hi there I got my gallbladder removed on the 1st feb, I got an infection in my belly button then further up I got another infection my gp said it was cellulitis on thurs this week I had to get a 5cm abbess drained from upper wound, my gp has me on 5600 mg of antibiotics per day, both infections are weeping puss, please help what's wrong with me?
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hello patient,I read your surgery history & current pus discharge too.You might be having diabetes that's why you caught infection after surgery.Pus drainage & Antibiotics will help to heal cellulitis .Conclusion you should go for diabetes blood sugar level lab test and continue Antibiotics & doctor observation Wish you rapid recoverythanksregards Dr.Ravin Shah
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What could red penis hole area with discomfort in prostate region suggest?
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my penis hole area is slightly red and irritates when rubbed with underwear etc. also half of my penis head has become very sensitive rightside and other half feels normal its been like this for almost a year now and been to few doctors but not much results. my urine and blood test are normal and ultrasound show prostate size 25 gm. i also feel some discomfort around prostate/anal/perineal area if sit for a while what could be the problem?
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Hi, It can be due to urinary tract infection. Rule out for diabetes and ultrasound abdomen for further consultation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist
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Why is my PSA ranging in 2 figures?
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hi i am 51 years old man with diabetes on glucophage 500, i was doing PSA regularly since 2 years and in august 2013 it raised from 2.9 to 4.7 my treating doctor said it is mostly prostatitis and i was given course of antibiotic once and then after 3 months and my PSA dropped to 3.6 after the course and then raised to 4.7 each time and it still ranging between these 2 figures is this normal?
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HelloThanks for query.You have been monitoring your PSA levels regularly .You have your PSA raised to 4.7 which got normalized after taking antibiotics .This could be mostly due to infection of Prostate (Prostatitis).Normal value of PSA is 1-4ng .There is abroad understanding that persistent raised level of PSA above value of 4 ng in a man after the age of 45 years should be suspected to be due to cancer of the prostate unless proved otherwise by biopsy of Prostate As you have prostatitis it is slightly raised to 4.7 ng .However I would suggests you to consult qualified Urologist for clinical and digital rectal examination to rule out presence of any hard nodule in prostate.He may ask for ultrasound guided biopsy of the prostate to rule out cancer of the prostate .Dr.Patil.
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Suggest treatment for fungal infection and toe deformation
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i have had severe toenail fungus causing deformed toes for quite a while now but suddenly on my middle toe on one foot there is pain and a red line going around the middle of the toe and the toe above that is red. could this be infection and could it be connected with the fungus that has been neglected?
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hi,i need more details like age, sex, diabetes history, on drugs? any other medical history you forgot to mention.picture of the toe would help me a lot..deformed toes?or toe nails?if the case is toe nails mostly it is a fungal infection or can be a bacterial also..you start using terbinafine forte ointment for a few days..this shows immediate relief if the cause is a fungal infection.if the symptoms persist approach a physician..he takes a tissue sample for examination and prescribe a specific drug..if it is toe then it could be rheumatoid arthritis..for which you have to take an immunosuppressive therapy..hope my answer helped youif you have any more queries i would be happy to help you..
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Can exercise help control diabetes?
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My blood sugar levels are high in the morning sometimes as high as 170. When I eat I recover without any problem and the rest of the day I seem to control everything with diet and exercise. I am on Metformin.750 mg lunch and dinner . Can exercise when I first wake up help my fasting levels drop before I have time for breakfast.? Thank you
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Welcome to ' Ask a doctor ' service ,I have reviewed your query and here is my answer .Please note that any exercise or exertion will cause drop in blood sugar level .Exercise as aerobic or anaerobic decreases insulin intolerance besides reducing weight .I hope I have solved your query .Let me know if I can assist you further in this query .With regards dr varinder joshi
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What causes lower back pain and frequent urination?
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hi, I was wondering if anyone could help...just recently I ve been having excruciating back pain, just below the ribs, only time I am comfortable is when I am standing, also have a metallic taste in mouth, broke out with itchy skin rash and urinate about 20 times a night. I had a urine test and it shows blood and protein in it, any suggestions
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You may have diabetes or renal failure. You need proper investigation and treatment. I hope this information has been helpful for you. Regards.
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Suggest treatment for TB infection with increased blood sugar
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Hi sir,my elder brother was suffering with frequent coughing since last 3 months. In chest x ray, Koch's lesion left upper mid zones was found. after that we consulted with the chest physician, he adviced forcreatinine, fasting blood sugar test, sputum test. His blood sugar was 361 mg/dl that is really surprising for us. because in our family nobody is diabetic. Even we never identified he may be diabetic. in case of sputum test, A.F.B. (++)was detected. now its clear to us that he having infection of tuberculosis. but still we are confused about the diabetes. due to diabetes he is having tuberculosis or after infection he became diabetic. his weight is approx. 64 kg. please let me know what is the right treatment for better cure of both diabetes and tuberculosis.
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HelloIn such patients for TB the standard treatment is needed and for diabetes insulin probably might help better.RegardsDr.Jolanda
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What are the benefits of eating Siphene, Metmorphin,Ovcane and Folic medicines?
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Hi I am Married for 7 months.My sugar level and my Ovary ultrasound and my Thyroid evevry thing is normal.My insulin sugar level is ok.My husbands semens report is normal.My doctor have prescribed my tab- Siphene, Metmorphin,Ovcane and Folic. Can you suggest me how it will help me?
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Hi,Oh, the main point you aren't mentioning is wanting to become pregnant. Several points.1) the average is 5 months before pregnant and often it just happens to be longer without anything being wrong.2) I am not sure if metmorphin is metformin--a diabetes drug used in poly cystic ovary disease or something else.Some of the others are vitamins that might improve fertility but are certainly a good idea if one becomes pregnant.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist
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What causes nightfall?
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hi doctor ! i m 21 year old and i hv been masturbating since i was 18 apprx(i m facing a consistent nightfall once a fortnight since then). now i feel that i lost hardness nd length of my penis. i know i did wrong bt now i m really worried about that please give me some advice nd now i hv strong determinatn to stop all sch habits please tell me how i can get back my hardness nd length
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There are no much studies or research which proves that masturbation cases shrinkage of penis.This can be due to multiple other reasons.Avoid if you have any of the following habits/ practices:1. Alcohol2. smoking3. prolonged bike rides4. stress5. over eating6. Junk foods7. sedentary life style8. Diabetes9. HypertensionEat a well balanced diet, avoid habits if any, exercise regularly atleast 30 mins a day, reduce stress, practice yoga. This will definitely help.TC
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How long it takes to recover numbness after blood clot in brain?
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how long does it take to recover hand/feet/face numbness after blood clot in brain? My friend (w diabetes and high blood pres) had frozen hand feeling at Tue night. Wed morning she found numbness in left extremities hand and leg. MRI showed blood clot on left side or brain. She was admitted to hospital at 2pm. They had to wait for blood pressure to come normal and almost after 2 days they started med for blood clot. She has now little better sensation when foot was on the ground. can this be recovered? can she be normal again? will numbness go away? what are the effective treatments
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HiThanks for consulting us.It will takes few days to weeks to regain sensation.Couple of months required for recovery which is complete in good no of cases I have seen. Results are better if you have physiotherapy as well.Use of anti thrombus medication needed lifelong.Do ECG,Echo and carotid Doppler to find out cause.Control BP and sugar.Hope it is useful for you. Feel free to contactPlease rate the answer
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Can an old person with 3rd stage kidney failure, diabetes, HBP and breathing problems become normal again?
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m y mom is 76 has 3rd stage kidney failure.she has heart problems.and severe white matter and closing of blood vessel and diabetes high blood pressure up and down 160/80 180/100 do you think she will be ok.can not walk very well get dizzy and very weak. oxygen level in low 80s at night 90 92 day time
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hello.madam thanks for the queryi sorry but wat ur mother requires is supportive care as kidney disease is irrversible and BP and diabeted could be controlled and white matter cahnges could be age related but irreversible...Thank you
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What causes elevated triglyceride levels while suffering from diabetes?
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my husband 41 yrs old.he is diagonised high blood sugar(300)...high triglycerid is 750 just 10 days back.he is taking metformine hcl 500mg once in a day,atorvastatin 20mg half at bedtime,Glimepiride 2 mg 1tab everyday...and he is monitering sugar level everyday twice. today his sugar level 108 at empty stomach ,118 at evening after dinner. My question is that 1) which medice is for triglycerid? and is triglycerid level high bcoz of sugar?and what should be the next step to reduce his suger and triglycerid level? 2) does he need any cardio check up,ECG?
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Hello,Ezetimibe drug is to be added to Atorvastatin drug for triglycerides. Atorvastatin dosage is to be increased to full 20 mg tablet instead of half. Triglycerides are due to disturbed carbohydrate metabolism in diabetes.To reduce triglycerides, please restrict alcohol, sweets, and fast fatty food. Also, do a morning or evening walk at a moderate pace.Yes, all diabetic patients should be assessed for cardio status by blood pressure checkup, ECG, chest x-ray PA view. If some problem detected, then do stress echocardiography.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Varinder Joshi
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How to stop stinging in feet due to diagnostic neuropathy?
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My husband has diagnostic neuropathy in his feet and it burns like a thousand bees are stinging him on the foot. He has taken gabapentin 3600 mgs and lyrica with the Gabapentin. And it did not work and now he is on cymbalta and oxytocin is not working either Is there a surgery where they can stop the nerves from burning by deadening the nerves and he doesn t care if he has no feeling after the surgery . This is a last resort for him. Thank you so very much. God Bless to you Andrea
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It would be diabetic neuropathy. Each treatment for it other than very high doses of narcotics has only about a 1 in 4 possibility of working. At all. It is hard to treat. Other drugs with novocaine like effects like lidocaine patches or creme or amitryptiline are other possibilities but they do not have a high likelihood of working either. It is a tough disorder. Sometimes if the diabetes is really badly treated, getting the sugar below 300 will change it. Mostly, it is the length of time one has had diabetes more than the amount of control of it that matters and getting diabetes under good control isn't helpful. Hope I have answered your query. Let me know if I can assist you further.
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How long it takes to heal nasty black ulcer on calf of leg?
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my 8year old grandson fractured his tibia 10 weeks ago-his leg was put in plaster and when plaster removed last week a nasty black ulcer was discovered on the calf of his leg-advised this will take up to 6 months to heal. Why such a long time for a young boy to heal
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The time of ulcer to heal is differret between people. It depend on many factors like age, general status of patient, presence of chronic diseases, diabetes mellitus, size and type of ulcer. You should follow the instructions well and the ulcer will heal before this.
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Will voltaren gel help in knee cartilage injury?
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My husband has bad knees(no cartilage or fluid) should he take Voltaren Gel-also he has pacemaker & diabetes-I d appreciate an answer? He has been known to have an allergice reaction to aspirin-also takes medication for cholesterol & high blood pressure.
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hi,I don't think the gel will interfere with any of the other systems. Try doing some regular exercises to strengthen the knee muscles and your husband will be fine without any pain and aches. later on try an aerobics which will help lower the high blood pressure and even improve the diabeties level. he will be much helped with exercises which will be designed to go graded.
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What causes recurring lump under butt cheek?
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Im 18, about 134 lbs 5'4. I have a small lump under my butt cheek and it comes and goes periodically. It doesn't hurt unless pressure is applied. What could it be? Also I have a vaginal discharge that comes and goes. It doesn't smell like anything, its not all cottage cheesy, and a lot comes out. I don't know what either mean or what they are. Any ideas? Serious enough to go to the Dr?
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Hi,Good Evening.Thanks for the query to my HCM virtual-CLINIC.I studied your query in-depth.-In my opinion-You mostly have a a-butt bruise caused by friction with- boil/furuncle,which comes and goesb-and Vaginal discharge appears to be normal with ups and down.Even if it comes in largel lots,It appears to be normal at this age.-As you are worried I would advise you to consult Gyanaec Doctor,whos advise would reconfirm you.REmedy for the Recurring butt lump-a-Rule out the Diabetes by FBS/PPs for to study the recurring butt lump.b-Hygien of the butt cheek area,by applying vaslin,which would reduce friction bruises,which cause recurring boils.This will help you to discuss and plan treatment with your doctors.Wishing you fast-recovery.Wellcome to my HCM Clinic again.Good night.
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What causes syncope?
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In October 2013 I had a syncope episode. Went to GP who did an ECG and found I have a left bundle branch block. Went to ED where MI and PE were excluded.Referred to cardiologist .Had holster monitoring, stress test, Ecco cardio gram. Found to be fit on stress test. Holster monitor confirmed arrhythmia sand LBB. Eccocardiogram did not anything unusual ( so I was told). Have been told to go back in 6 months . My general health is good. I was drinking 2 to 3 standard drinks 4 nights a week. Have now ceased alcohol altogether. I m within a healthy BMI range and I exercise regularly. Family history - brother had an MI at aged 30 due to a blocked artery. Ok now. Family history of diabetes type 2 and I had gestational diabetes with first baby at age 40. I don t feel satisfied with information I have been given. Not sure what further questions to ask or whether I should ask for further investigations. Can you comment?
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Hello Madam,I understand your concern.You have so far received standard tests for screening heart disorders.The LBBB has to be treated, since you have significant risk factors for heart disease in your case.-Family history of MI in brother.-Family history of type 2 DM.-H/o Gestational diabetes. This can make you prone to early onset DM.Patients with LBBB require complete cardiac evaluation, and those with LBBB and syncope or near-syncope may require a pacemaker.Probable causes of LBBB in your case are either an occluded coronary artery or intrinsic disease of the conduction system.Since Holter ECG is normal, primary conduction disorders can be reasonably ruled out.To screen for blocking coronaries, I strongly recommend Coronary angiogram-CAG and highlight the need for temporary or permanent pacemaker implantation.Check with your cardiologist if he shares a similar opinion.Post your further queries if any,Thank you.
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Are sugar sweeteners safe to take when diagnosed with diabetes?
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my fiance is a type 2 diabetic on 1000mg glucophage metformin hydrochloride tablets one am one pm and 100mg xelevia stiagliptin one daily and one daily tamsulosin PAMSVAX XL CAPSULES 400MG.He drives as a self employed proffession long night and day hours.Please advise best drinks as he still carries on with feeling rough with stomachache or prolonged morning toilet urinary passing due to occasional sweet as he calls treats but advice needed for fluctuating weight between 14 and half stone upwards. Advise needed not to reach type one diabetes by bad habits drinking new Lucazade Zero calories but still fizzy and 1.3 sugars with sweetners is it bad for him?year non smoker sweetcraving
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Hello, Thanks for the query.A person having T2 DM has to follow certain guidelines in terms of diet and exercises. Plus when on medication it is necessary to maintain FBG Secondly sweetened drinks and any other sweets have to be avoided, as those increase blood glucose suddenly.Plus alcohol also needs to be avoided. Since he has prostatic enlargement, there is bound to be difficulty in urination, that is the reason for giving Tamsulosin. For a person with diabetes it is essential to adapt a modified lifestyle which means taking restricted diet, giving exact amount of calories based on ideal body weight, extent of daily exercise and blood glucose levels. Plus refraining from high fat, foods, junk foods, alcohol and smoking. At the cost of repetition let me say again he has to avoid sugars and sweetened drinks strictly.With high blood glucose levels if present treatment may not benefit, then Insulin will have to be added to control glucose. In most of the T2 DM patients Insulin has to be used to control blood glucose when disease goes on for over many years. Thanks.
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What causes higher level of AST and ALT in blood?
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Hi, I just received the results of my blood test. I am a 55 yr old female with a history of high blood pressure, chlostrol, celiac disease, stomach infections (repetitively), deginerative disk disease with a strong family history of cardiac disease. My blood test showed a high 6.2 glycosolated HB and AST (GOT) 94, ALT (GPT) 123. Everything else is normal. What do these results mean?
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Thank you for posting your query at HCMfurther evaluation needed.increase in the level of liver enzymes(AST,ALT) reflect an INJURY to the Liver. medically, the condition is know as "Hepatitis". it maybe caused by:1. Virus (A, B, C, D, E) 2. Alcohol 3. drug induced (medication)4. Gall bladder or common bile duct pathology 5."Fat excess" (indicates in your case)further evaluation neededdo following test:1. Viral serology ( hepA, B and C) anti HAV, HBsAg, anti-HBV, anti HCV2. lipid profile3. ultrasound abdomenYou may visit hepatologist and results of above tests as soon as possible.Meanwhile, follow a fat free diet and try to loose weight (if over weight).HBA1c "6.2%" indicates risk of diabetes.the normal range is between 4% and 5.6%. HBA1c levels between 5.7% and 6.4% indicate increased risk of diabetes, and levels of 6.5% or higher indicate diabetes.visit your treating Physician:check your "Fasting Glucose and monitor blood glucose" level to exclude diabetes.meanwhilewhole grains, vegetables, and fruits maybe ingested. Minimize the intake of animal products, sweets, and refined carbohydrates.if any further questions, feel free to ask.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik
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What causes intermittent burning sensation at the tip of penis?
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Hi,I am 53 yrs old male with no history of diabetes,heart or any other problem.For the last 5-6 weeks I keep having a burning sensation on and off during daytime.After about first 3 weeks I increased my water intake to about 2 ltrs a day and it slightly reduced but still there.Mostly at the tip of my penis.The urine culture test done a few days ago resulted negative.Prior to to 6 week period as a result of shoulder injury for about 8 weeks I was on calcium 600 ( 2 times daily ) along with magnesium and Vitamin D tablets ( for the first time in my life).
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HIThank for asking to HCMI really appreciate your concern the burning sensation of penis could be due to the urine problem the urine must have became more acidic, and in my opinion this need to be added alkali to reduce the acidity of urine and for that you have to take the "Liq. sodium Citrate 20 mg three times in day, hope this information helps you have nice day.
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What precautions should be taken for planning for a child through donor?
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Good Morning, I was wondering if you could help point me in the direction i need. My partner and i are planning to have a baby, We have found a doner since we are a gay couple. We know the Doner on a personal level but we want to do this very cautiously. Do you know where I can find any informantion on this. We have spoke with our GYN and PCP I would like to make sure we take all percautions so i want information like what tests we should have our doner take and what not. Think you can help?
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Hi,Donors needs to be screened for multiple infections such as HIV ,HBsAg,HCV,VDRLOther tests depends upon examination of donor to rule out any systemic illnesses such as Diabetes,thyroid problems.If i would have been your treating Doctor. Would like to do all basic tests of Donor to rule out sexualy transmitted diseases ,basic routine tests such as TSH , complete blood count,Liver and Kidney function test,Clinical examination to rule out heart problem,respiratory problem ,blood pressure measurement.Other part is do sonogram to check ovarian volume and antral follicles.It is preferable to get AMH anti mullerian hormone test donedone
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Suggest treatment for small lump on penis
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I had a small penis lump on the skin of my penis, and after awhile of poking, it became pimple like with white tip. I did not burst it and it dissapeared after awhile, like a normal pimple. Did not leave any scarring. What are the chances of Herpes? On another case, I had a burning sensation on the tip of my penis and tip was slightly red. Went to a doctor and got anti biotics and some medicines for UTI. After a few days, I am back to normal. I never had unprotected sex but might be in contact with fluids. What are the chances of me getting STI in these 2 scenarios? They happened at different times, probably a gap of 3-6 months. What tests should I do to be sure?
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Hi Greetings fromHCM. Iunderstand your concern.you have to check for diabetes as diabetes people are prone for developing small blebs in penis and balanitis which produces burning sensation at the tip of penis.chance of getting STI is rare as you never had unprotected sex Herpes ,syphilis Gonorrhea ,HIV are STI. You have to undergo tests like VDRL and Elisa test to make sure that you are uninfected
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Is eating garlic clove good for hypertension?
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is eating garlic clove daily is a good for hypertension, what is the actual dose of garlic for me. I am 35 male and my blood pressure is between 140/90 to 150/90, please advise me doctor instead of taking allopathy medicine daily can i go for garlic, is this good or not, please advise me
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Welcome at HCM I have gone through your query and being your physician i completely understand your health concerns.for how long u are suffering from it? any other associated problem? like diabetes ? The BP reading which u have mentioned is in pre hypertension range . what is ur wt.? BMI? any family history of heart disease? in my opinion u require a lifestyle modification. do regular exercise and consume regular nutritional food. with exercise and low salt diet your blood pressure will remain in normal range.. as far as garlic is concerned , there are a lot of views . some use it for lipid lowering others for weight reduction. categorically speaking , i cant comment about it since i failed to find any published research article regarding that...meanwhile stay calm get well soon Hope your query is adequately addressed if you still have any feel free to ask RegardsDr Saad Sultan
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Is there a correlation between male infertility and thyroid levels?
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hello to respected Sir, I m doing Ph.d @ National institute of Occupational Health (ICMR) AHMEDABAD. my topic for ph.d is "STUDY OF THYROID HORMONES IN MALE INFERTILITY" so please tell me if you find any correlation between MALE INFERTILITY and THYROID LEVEl. I am eagerly looking forward for your reply. Thanking you, Khushbu Vaghela.
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Hi welcome to the health care magic I can explain you few things about your dissertation topic Testosterone produced from leyding cells of testes and sperm produced from sertoli cells of testes Both this cell require stimulation from LH and FSH hormone that is secreted from pituitary gland and pituitary require stimulation from hypothalamus So hypothalamus, pituitary, testes all should do proper function for good semen quality and to do reproduction Diabetes and thyroid dysfunction in male are well known cause that can lead testicular dysfunction and hence male infertility can occur So yes both are related to each other Hope your concern solved Let me know you if you have further questions
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Suggest remedy for constant pain and stiffness in neck and shoulder
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Doctor, I am a 48 years married lady, having no children, I have manopause for 2 years, i am also diabetic for 2 years and taking diabetese medicinens. I am indian. I have neck pain for about 2 years, I have taken extra but no spodilities. bones are normal. why i have pain all time. I feel neck tight and also pain in shoulder. staying in uae. ac is on every time. but in india also I had pain in my neck. i can not move my neck freely. please tell me remedy and reason, thanks,
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Hello,I read carefully your query and understand your concern. A stiff neck is typically characterized by soreness and difficulty moving the neck, especially when trying to turn the head to the side. It may also be accompanied by a headache, neck pain, shoulder pain.A stiff neck is most commonly caused by a neck muscle strain or soft tissue sprain.I suggest using a muscle relaxant such as Baclofen three times a day. I also suggest using magnesium supplement and using warm compresses at the neck area.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
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What causes breathlessness, sweating, bloating, diarrhea and blurred vision?
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Hi, may I answer your health queries right now ? Please type your query here...About 5 months ago my husband started having night sweats off and on. now about two weeks ago he was in a wrestling match with our son (goofing around in the yard)and when it was over he could not catch his breath. in this past week he has new symptons. sweating, shortness of breath, bloated, diarrhea, and blurred vision when he gets these attacks. It does not have to be physical activity to bring this on. It happend one morning after he got out of the shower. Also one day driving home from a fishing trip. He is not worring about anything that he is aware of. Any ideas of what this could be, or could something be bringing on a panic attack. Thanks for your help and answer. He is 49 years old. weight 206 height 5 10 . no medical problems.
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Hello!Welcome and thank you for asking on HCM!I passed carefully through your question and would explain that his symptoms could be related to different possible causes: - a chronic infection or inflammation- anxiety - a thyroid dysfunction. For this reason, I would recommend consulting with his attending physician and performing some tests to investigate for the possible causes: -a chest X ray study-a resting ECG-thyroid hormone levels-complete blood count- PCR, ESR for inflammation- fasting glucose for diabetes- kidney and liver function tests- blood electrolytes. You should discuss with his doctor on the above issues. Meanwhile, I would recommend you to measure his blood pressure, heart rate and body temperature during those episodes. Hope you will find this answer helpful!Wishing good health, Dr. Iliri
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Kidney functions low, High tryclrides. Prescribed asprin. Stop drinking beer? Food for kidney?
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I had some lab work done my clinic called and said that most everything was good however they said my kidney functions were a little low nothing to worry about. They said they would do another lab in june to keep an eye on it. My tryclrides were a little high the doctor told me to go on a low dose asprin daily.also was told to go on a low fat diet. I do drink a light beer every now and then.should I stop drinking a beer every now and then.I am on snytroid and my numbers were fine.what foods should I eat for my kidneys .
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Hello, Low kidney function ( also called CKD or chronic kidney disease ) means that,the filtering capability of your kidneys might have become low.You must definitely be surprised about it,since you don't have symptoms,and that's why it is called as silent disease. Your doctor must have checked up your creatine levels in blood and albumin levels in your urine.They must be some borderline high and that is the reason,your doctor is wanting to repeat the test in another few months so that kidney functions can be monitored and seen whether they have detiorated any further or not. Any deterioration in kidney function would have to be taken seriously as CKD is a progressive disease which means that it can get worse over time. People with family history of kidney diseases and having high blood pressure and diabetes are called as high risk people. A prompt and early detection can help prevent the progression of kidney disease to kidney failure. Since your triglycerides are high,your doctor has rightly advised you to take aspirin. You must also start doing exercises and avoid consuming beer. Reduce your weight also. As far as food for kidney is concerned,nothing specific is to be done at the moment. Keep your thyroid status in check. Thanks
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Are itching, burning sensation and shoot up normal after spanned ankle?
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I have avery bad spanned ankle, I am seeing a Ortho, but I am 9 weeks in and I am starting to walk without a boot and I am feeling a burning and itching sensation on the outside of my right foot above my ankle bone and shoots up? I don t see my doctor again until next week. IS this normal.
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Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have itching, burning sensation and shoot up sprained ankle . Well there can be many reasons for symptoms you mention in query like metabolic conditions can lead to burning and tingling in the feet nerve damage , nerve compression or infection . Diabetes is among the most frequent causes. In some cases thyroid problem can also lead to burning sensation. Infections can lead to inflammation of the nerves in the legs and feet . I would suggest you to consult orthopedic surgeon for proper examination . Doctor may order CT scan , MRI along with physical examination and treat it accordingly . Doctor may refer you to to neurologist for nerve dysfunction or podiatrist for food problem . For now do no wal much , take proper rest and keep your foot in hot water tub for 15 minutes .Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
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Have diabetes. Have tests done. Have subcortical cyst in the lower pole kidney. Is it a serious issue?
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I am aged 42, Male, Diabetic for the past 8 years (Gycomet GP1 tablets 1-0-1 half an hour before food ). When i checked my Hb1Ac last (end Feb'13) it showed a reading of 7.3. My BMI is 20.5 Last month end i did a TMT test as part of my company's periodic health checkup and the result was Negative. The doctor said that i had done well! I worked out for more than 10.5 minutes and in the last stage of the TMT test my BP was 90/160. It is normal ? where during normal times my BP reading was 80/130. In the abdomen ultrasound it showed a subcortical cyst in the lower pole of the right kidney measuring 1.7cm x 1.8cm with a calcific speck seen on the wall of the cyst. Is this something to worry about? Do i need to consult anyone for this ? All my blood work result was normal. Also, all the other organs as per whole abdomen US scan was normal. P.S., Chennai, India
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Hi friend, Welcome to Health Care Magic Heart rate and Blood pressure MUST rise during TMT - if not, it is heart disease! Your test is normal / you have reversed the values - it must be 130/80 - NOT 80/130 - the higher figure is systolic and comes first. The cyst is not big / on the cortex and calcified mean simple / nothing to do except repeat after one year...if symptomatic, see Urologist... Watch your lipids... Take care Wishing speedy recovery God bless Good luck
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Is MRSA causing loose stools and runny nose?
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My son has had a wound on his back that has not healed x1 week. He has also had loose stools runny nose and what seems to be an uri. He also has reactive airway disease. i have also had a wound appear on my neck this week and have had headaches. Could any of this be from mrsa?
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Hello,MRSA may cause damage to many organs but the clinical picture of your son probably relates to a viral infection. MRSA can cause sinusitis which usually presents with headaches, nasal congestion and perhaps even fever. I could not tell by your description. Nobody could tell you actually. Cultures are needed to diagnose infections by specific pathogens. Normally in cases like that, doctors do not ask for cultures.I could not also comment on your wound. This description is too vague to be assessed. It could be better assessed in a clinical encounter. If you could provide a good quality picture, it would probably help. In general, MRSA is not a common pathogen in normal individuals. Risk factors for having MRSA include MRSA carriers (MRSA can reside in their noses), hemodialysis or peritoneal dialysis patients, diabetes, cancer, hospitalization, stroke etc. Of course close contacts can acquire MRSA from high risk patients.So the answer is that unless you have any of the above you're not likely to have MRSA. I hope I've addressed your concerns!If you need further explanations, please let me know.Kind Regards!
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Suggest treatment for severe asthma
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is having type 2 diabetes classed as a disability I get high rate mobility allowance because back hip and pelvic problems make walking virtully impossible. I was turned down for care and didnt appeal . I have severe asthma and have to rely on inhalers several times a day. I cannot go out on my own ,Is it worth appealling now
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hello, thanks for ur query, acute severe asthma treatment involves nebulizations ( inhalers) oxygen and steroids. in view of diabetes steroids can't be given. in my opinion u can start . tab. montair-lc montleukast + citrizine one tab at bed time for 1 month, relax ur body, avoid chilld environment , chilled drinks, smoking.all d best.
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Suffering from acute pancreatitis, treated for pseudo cyst. Having back pain. Treated for Cholesterol and blood sugar. Cause?
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Hi, My brother is suffering from acute pancreatitis and had been treated for pseudo cyst . he was cured but recently he has been complaining of severe back pain and sometimes abdomen pain too. But there is constant back pain. He is also getting treatment for Cholesterol and blood sugar. Could you please let me know is the back pain due to pancreatitis as all his reports are clear and recently he under went pancreatitis cancer blood test too but reports were normal so what could be the reason of his constant back pain.
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Hello. Pancreatitis itself is a cause of back pain and abdominal pain. Pseudocyst with secondary infection can also cause the same. If acute pancreatitis progresses to chronic stage, obstruction of the pancreatic duct can lead to pain. Since pancreas is the source of insulin, patients with chronic pancreatitis can have diabetes. High cholesterol (triglycerides) itself is a cause of pancreatitis. Pain due to acute pancreatitis is usually severe and is associated with vomitting. Chronic pancreatitis patients have dull aching pain.
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What causes nausea and disorientation?
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I feel a bit nauseous. My head hurts, talking a little strange, suddenly emotional. Bright red, burning line from the bottom of my neck around my forehead and down the other side. low grade fever, 99. Feel a little disoriented. I have had issues with a recent crown on my molar and my mouth is sore, but nothing else.
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Hello,Are you a known case of Diabetes? Are you taking Pills to Control your Blood Sugar levels?If the answer is yes, then you need to check your Blood Sugar levels Checked such as:-FBS (Fasting blood sugar test)-PLBS (Postprandial glucose test)-HbA1c (Hemoglobin A1c)If the answer is no, then take good analgesic (NSAIDs) and adequate rest.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Abdullah
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High SGPT levels. Prescribed hapteral medication. Ultrasound shows grade two fatty liver. Suggestions?
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hi i am suffering from high sgpt range since last 10 years .i carry out all tests regarfing lever that are hap. a b c etc and ultrasound the only finding is fatty lever grade 2 .i am only occasionally take alcohal that is twice a month only 2 pegs. now doctor advised me to take hapteral 400 mg tablet twice a day with vitamin tablet for 3 months. now confused what to do pl. advise
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Hello, Fatty liver is commonly associated with alcohol or metabolic syndrome (diabetes, hypertension, obesity and dyslipidemia), but can also be due to other causes. Fatty liver is a common condition. No drug has been approved for its treatment. The best approach is to do the following: Quit alcohol completely. Maintain your weight at normal level, in required range of your BMI Regular exercise (e.g., brisk walk for 1/2 hr, 4-5 times a week) Maintain your blood glucose and lipid levels within the normal range. take a super B complex vitamin having 800 mg VIT E and 1000 mg VIT C take green leafy vegetables and fresh fruits Avoid junk foods like maggie,pasta,burgers,pizzas,colas etc. Avoid sweets and deep fried items. Thanks
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Suggest treatment for high diabetics levels and scabies
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Hi, my 13 yr old son has type 1 diabetes and has had it for over 4 years now. He has scabies and has had it for numerous weeks now, it just wont go and its getting worse. He has been treated twice with lyclear(permethrin) and it just wont dissapear. I have clean the house through very thorough, now what else can I do to help him. And also in saying we have been to a doctor twice and he has just said to treat it again another 7 days. His diabetes levels are high aswell, which dosnt help. please help...
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Hi,Thank you for asking question on health care magicUnless diabetes is controlled It is difficult cure any infection.Permethrin is the right drug you have given.Antibiotic may be needed to cure or prevent secondary infection.Insulin is the drug of choice.Better consult endocrinologist to control diabetes.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics.
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LDL was 130 as noticed in a cholesterol test
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I recently had a cholesterol test and my LDL was 130.When I made the appointment they didn t tell me about not eating the night before (test was done in the a-m) 2 years ago my level was below 100.I wonder if eating dinner and breakfast affected the outcome? Please let me know if you think it may have so I can retest.Thank you.
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HIThanks for posting your query. NO for LDL food intake will not effect the results . Food affects the results of Triglycerides and not LDL. So your LDL is high but there is no need for medications as of now unless you have any heart problem or Diabetes. I would advise you to start doing Aerobic exercise like Brisk walking , Jogging, Running , cycling, Swimming for at least 30 minutes a day. Also avoid sweets , Carbonated drinks , Ice creams , Non Veg food , Cheese , butter and Junk food . Eat more of Fruits and vegetables. Repeat your Lipid Profile test after 3 months . Hope this information was useful to you. Any clarifications feel free to ask.
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Should Pioglitazone Hydrochloride and Glimepiride be continued when diabetes is under control?
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Hi. My husband is a type 2 diabetic. He is on pioglitazone hcl 15 mg tablet - one daily; lisinopril 2.5 mg tablet - one daily; glimepiride 4 mg tablet - twice daily. Lately he s been on Synjardy as well, but it will only be for 2 months because of its expense. He was admitted to the hospital with stroke symptoms on May 19th He was discharged on May 30th after having a pacemaker installed and a carotid artery blockage removed. The carotid artery (right side) occluded within 24 hours. He is recovering and doing well. His blood sugar this evening was 120. Should he be on all these medications for diabetes?
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Your husband has now controlled blood suger on multiple drug's he will need to continue these meds as he has multiple risk factors like Atherosclerosis which had blocked his carotid and strict blood suger control is important part of management.
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What is the quantity of carbohydrate to be taken by a diabetic patient?
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Im a diabetic for over 40 yrs it still not under control. it in morn over 200 an in the eveing it can be down to like 170 but only if I have things to do..im 70 yrs old so im not a great cook but I do know my chicken ham an stuff . I just noticed carb is very important to keep down.. but how much carb a day.. on a bread package it say 15 carb at 60 % for two slices of bread what does that meanat 45 caliores each
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Hi,Thank you for choose Health Care Magic. I read carefully your query and I understand your concern.You should eat carbohydrate because they give you fuel, and you should monitor or count the carbohydrates to monitor the insulin intake(that I suppose you take because you have so much time diagnosed with diabetes)because the eat more carbohydrate can get your blood glucose high and eat less can get you a low glucose blood level.The carbohydrate are simple like sugar and other is complex like carbohydrate found in beans, nuts, whole grains, vegetables and fruits, you should prefer the complex one because they increase gradually the glucose in blood when they are eaten.The carbohydrate containing foods are: breads, cereals, pasta, rice, grains, starchy (potatoes ,peas etc) and no starchy vegetables(broccoli ,carrots ,greens etc),milk and yogurt, fruits and juice and foods with no carbohydrates are meat ,fish, poultry ,eggs ,cheese ,fats ,oil, butter etc.You should choose whole grain breads, brown rice, raw fruits and vegetable, nuts, low fat/ no fat milk and yogurt, unsweetened beverages.One carbohydrate serving equals to 15 grams of carbohydrates that is contained in one slice bread, 1/3 cup dry pasta or rice, 1/2 cup starchy vegetables etc.For a better determination of your carbohydrates diet you should go to a dietitian to calculate it depending on your insulin intake.Hope I give answer to your problem. Feel free to ask me againTake care,Dr .Marsida JANKO
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What causes swelling and tingling sensation in the lips and tongue?
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I am experiencing lip swelling, tingling lips and tongue. A persistent cough, very little mucus, and now the left side of my head hurts when I have a coughing spell. The pain is almost unbearable on the side of my head..Of course with all the coughing I have raspy and loss of voice. Talking makes symptoms worse.
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Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.As per your query, you have swelling and tingling sensation in the lips and tongue which could be due to the initial stage of Bell's palsy, diabetes, and vitamin deficiency and could be other systemic causes.I would suggest you start a low dose steroid immediately. For now, give a gentle massage to your lips with olive oil or almond oil and take half spoon of cinnamon powder in the glass of water to improve blood flow.Consult oral and maxillofacial surgeon once and go for complete blood tests, CT scan Or MRI of brain and get it treated accordingly.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harry Maheshwari
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Have lumbar canal stenosis, knee pain, diabetes and high BP. Leg cramps, back pain. Is surgery advisable?
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MY MOTHER 69 YRS OLD IS SUFFERING FROM LUMBAR CANAL STENOSIS AND KNEE PAIN AND DIABITIC,HIGH BP CONTROLLED HYPOYHYROID PATIENT NOT ABLE TO WALK FOR LONG DIST GETTING CRAMPS PAINS IN LEGS AND BACK DOCTORS HAS SUGGESTED SURGERY IN PUNE IS IT ADVISIBLE AT THIS AGE OR ANY ALTERNATE TREATMENT IS AVAILABLE FOR RELIEF PLEASE GIVE OPINION THANK YOU DINESH KESARE 0000 YYYY@YYYY
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Hi, Age per-se is not a contraindication for the surgery. However, the Diabetes, blood pressure and thyroid dysfunction should be well controlled to make the operative and post-operative phase problem free. Unfortunately, conditions like lumbar canal stenosis occur due to wear and tear of the joints of the back and therefore manifest as we age. I am sure your surgeon has considered alternative treatments including continuing with oral pain killers, epidural injection etc and has advised surgery as the option of last resort. Please do let me know if you have any more queries.
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What does acute kidney failure NOS mean?
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I have just been diagnosis with acute kidney failure NOS, CHR kidney DIS stage 111 exactly what does this mean? I also have diabetes, uncontrollable angina, essential hypertension (recently diagnosis). I have been a diabetic since 10/1998, and the uncontrollable angina 10/1998. I am scared to death about this kidney diagnosis.
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HiYou have stage 3 renal/kidney disease which means your kidneys are only functioning at about 25% of their normal function.This is likely from your hypertension and your diabetes and you need to see a nephrologist--a kidney specialist--for further evaluation.This can be treated with ACE inhibitor medications and proper diet
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Trying to conceive. Have poly cystic ovary syndrome. Taking gluconorm. Am I diabetic?
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hi, i have a 9 years old daughter and now my husband and i have been trying to conseive with out luck.i went to see a guene who told me i have cycsts and i had them removed and started to take fertomids but still nothing and now i was told that i have polycystic ovarian syndrome and im taking Gluconorm 850 does this mean im diabatic or it will assist me in ovulation.
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hello welcome to health care magic regarding your query,you are suffering from PCOS(poly cystic ovarian syndrome) and according to gyneacologist you are using fertomids and gluconorm.. fertomids(clomifene citrate) is used to induce ovulation...gluconorm(repaglinide) is also used for induction of ovulation so that you can be pregnant again.. some patients of PCOS also suffer from diabetes and for this reason your doctor also prescribes gluconorm.. gluconorm not only decreases glucose levels in the blood but also induce ovulation.. regular consultation with your doctor is necessary..hope you understand my suggestion and answer. hope you become pregnant again,, thank you Dr.siddartha
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Suggest treatment for type 2 diabetes and throbbing headache
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Hi my name is sharleen lane . I am type 2 diabetes. I have an infection. Headache pines and needles. If my blood sauger go over 10.3 I am so poorly sick keep drink weeing. Few days ago my sauger levels went up 29.9. Now it 7.4 10. Up 17.6.this are from today..now I am so sick
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Hello Ms. Sharleene. You blood glucose is evidently high. Are you following a diet? Are you exercising?What medications are you on? Are they tablets or insulin? You will need to adjust your medications. Its a vicious cycle. High sugars increase infection and infection in turn increase the sugars. Please let me know the details.I will be glad to help.Warm regards.
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Done blood report. Done catheterisation. Is dialysis necessary?
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Mrs. SUMITA DEY 45 Yrs Kolkata India 15 days ago, Blood Report Shows Serum : (a) Creatinine 6.8 (b) Hemoglobin 8.8 mg/dl Uric Acid 85 mg/dl Digonised as Chronic Urinary Retention Catheter was set up and after 15 days, Blood Report Shows Serum : (a) Creatinine 5.2 (b) Hemoglobin 7.3 mg/dl Uric Acid 143 mg/dl After a month of continual catheterisation , Doctor advised for Blood Transfusion . As I declined to take it, he administered Intravenous Ferum Injection and reset the catheterisation for 15 days more. Meanwhile, 1o days after this 2nd phase of catheterisation set up Blood Report Shows Serum Creatinine 9 , increased at abnormal rate. He now suggest fir Dialysis. Is it necessary as only treatment ? What are alternative Treatment? Please advice me what to do. email : YYYY@YYYY
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hello and welcome to HCM! can you please highlight your past medical , surgical and drug history. It is very unusual for a 45 years old female to have such high renal function tests. Do you have any underlying chronic disease like diabetes, hypertension, etc. Did you have repeated episodes of urinary tract infections. or any chronic backache issues? any history of renal calculi(stones). I would also like to see your urine R/E report, whether there is any proteinuria(proteins in urine) or hematuria(blood in urine) also an Ultrasound of kidneys is of great importance here( kidney size, echogenecity and cortico-medullary differentiation is of importance here). serum calcium, albumin and phosphate levels should be known. Serum creatinine of 9 is really high and merits dialysis (unless it is due to dehydration and can be corrected by fluids or some other reversible cause) but the important thing is to know the cause of CKD(chronic kidney disease) and without the above mentioned test reports one cannot say for sure what the cause is.
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What causes swollen neck glands,sore throat,body ache and headache?
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Hello, a'm 45 year old mother of 4, have suffered with upper back pain for years( 4 months ago I went to doctor with pain in collar bone and pains in chest and down both arms, Was told it was infection of chest muscles, last few days have been getting progressively sicker, pain in collar bone both sides, swollen glands in neck , sore throat , aching arms ,burning hands, sore ribcage, headache, pain all over my body when I walk, have never felt so sick, is it very bad flu? Can you help, many thanks
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Welcome at HCM I have gone through your query and being your physician i completely understand your health concerns.For how long u are suffering from it? Any other associated problem? like diabetes or hypertension? Any history of TB in past or exposure to TB? Are u running fever? Any other lymph node swelling in ur body? It is difficult to diagnose without actually examining the patient. you need proper examination and investigations in order to make accurate diagnosis. If i am ur attending physician i will get ur FBC ESR CRP chest Xray as well as throat swabs and blood culture. In the light of these investigations i will be able to offer you any treatment.Differentials include either acute pharyngitis , laryngitis, sinusitis as well as Reactivation of TB. you need to be examined properly meet your doctor Meanwhile stay calm and use acetaminophen to relieve pain Get well soon Hope your query is adequately addressed if you still have any feel free to ask RegardsDr Saad Sultan
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What are low blood pressure symptoms?
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I have had a couple of blood glucose tolerance tests done as requested by my gp and results have been normal. despite these results I had experienced low blood sugar symptoms on a regular basis being tired after lunch feelings of extreme hunger shaking and sometimes heart palpations. only relief I can get is to eat eggs and usually I feel ok. I have had this issue for years. have been to different dietitions naturapaths with not a lot of satisfaction. no doctor I have been to seem to understand. I eat a healthy diet and walk daily on my treadmill. I feel I eat healthy fresh fruit and veg lean protein grain bread. I try to eat every 2 hours till lunch otherwise the symptoms occur.but sometimes that does not make any difference.I am a 65 year old female.about 15 kgs overweight. with difficulty losing weight due to the fact that I have to eat to control the situation.
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Hello. You are doing the right thing now. What you are experiencing is something called reactive hypoglycemia. It indicates that you are at risk for developing diabetes. What happens is there is a mismatch in the curve of increase in insulin after food to the amount of glucose in your food. As the insulin levels are relatively higher when compared to the actual glucose in the body you are experiencing hypoglcemic symptoms. You need to loose weight take frequent meals and exerciae regularly. Your gtt and FBS will be normal as you are not diabetic yet. Its a problem with the pattern of insulin release. Normally its pulsatile but one at risk for diabetes looses this years earlier causing such symptoms. Don't worry. You will do well with this management. One thing I want to tell you is if you continue to have these symptoms plz be admitted for a prolonged fasting at a hospital and under care when you experience hypoglcemia blood will be taken for insulin levels c peptic cortisol. That will add more clarity. Take care.
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Moderate micro vascular disease, simple and complex seizures. CAD, angioplasty done. Pain management?
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I have been diagnosed with moderate microvascular disease (per MRI ). I have had seizures for about 15 years, most are simple complex but I have had about 2 grand mals. I am tested normal for the seizure tests. I also have CAD and have had 4 stents and 1 angioplasty , but I still have chest pains. I am now referred to a psychitrist for the pain since there seems to be no reason for it. I am not assured that this will be the right thing to do. I am still worried about my health.
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Dear those micro vascular desease is probably related with blood hypo perfusion due to chronic illness such as arterial hypertension, diabetes, dislipidemia etc.If the cardiologist says there are no new ischemic cardiac events you have nothing to be worried.Wish you all the best
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What causes episodes of stinging pain in lower leg?
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every now and then i get a stinging pain in the inside of my lower left leg, it feels like its being electocuted. as soon as i move it the pain will go away but when i stop moving it starts again. short intense painful shocks. the only way it stops is if i rub it for a few mins. im 22
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Hello,Such type of pain can be due to following reasons:- Injury to skin- Excess exercises- Diabetes- Thyroid disorder- Deficiency of vitamin B complex If you are facing this problem frequently then you should consult to your doctor & get yourself investigated. Till then you may have a multivitamin preparation with a mild analgesic like advil or aspirin. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon
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Diabetic on insulin, has back pain, MRI showed diffuse posterior disc osteophyte complex. Is fusion surgery necessary?
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My dad has been suffering from back pain since last 1 year. we went in for an MRI scan before 6 mths and result shows Diffuse posterior disc osteophyte complex at C4-C5,C5-C6 & C6-C7 levels with ligamentum flavum hypertrophy causing narrowing of spinal canal without significant nerve root/cord compression. Ligamentum flavum thickening ia seen at D10-D11 & D11-D12 levels without significant cord copression. Now he is suffering from severe unbareble pain. He can not walk without walker. He is 72 years old with diabetes (at the age of 40) controlled with insulin ( last15 years). My question is does he need fusion surgeory ? or there is other alternative treatment? He is taking pain killers and went for physiotherapy also. what is the risk factor for this surgeory?
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Thanks for the query. Back pain may be due to disc degeneration. Where is the location? Also its important to know the level of the painful disc. You can not go on fusing the spine without knowing the exact pain source. Also he is long standing diabetic and it can cause this pain. Initially try to control pain with medicine (Antiinflammatory, muscle relaxants and if required pregabalin) and physiotherapy modalities such as IFT, manual therapy. I doubt about the need for the fusion surgery. I would suggest to get him examined by a spine specialist. Also sometimes if we can pinpoint the pain generator then we can give him local injection blocks. Thanks.
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What causes sudden rushes of heat from toe to upper leg with heaviness?
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Hello Dr. I m experiencing sudden rushes of heat from my toes up my legs with heaviness, then my right arm is heavy & numb, while getting weak and nauseaus. Lasts less than a minute, but scares me. I m 47 year old female, overweight (190lbs, 5 2 ) with no history of heart disease
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With such presentations in my clinic, I would first rule out diabetes and hypertension, as you are more prone for that and your symptoms suggest me that. so kindly do fasting blood sugar and post prandial blood sugar blood test also include HbA1c test too. check for your blood pressure. so for burning sensation of foot take tab.pregabalin with methylcobalamin combination single tab per day. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.
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What causes neuropathic pain and sleep disorders?
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What information is there about neuropathic pain (diabetic neuropathy), sleep disorders and iron infusions? I have been anemic for at leat 25 years, despite red meat, iron supplements etc. I have been evaluated by hematology with no real answer why, but now my neurologist is recomending an iron infusion.
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hithanx for using hcmdiabetic neuropathy is one of the most troublesome complication of longstanding diabeteswith your added problems of anaemia &sleep disorders you seem to be in stress leading to anxiety neurosis.long term anaemia for 25 years please get evaluated for renal function tests, any uterine problems leading to excessive bleeding,chronic worm infestations,or long standing infections,thyroid problems.iron infusions after thorough iron studies can be of drastic help to increase your hb levels,it really works wonders.take care
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