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What causes yeast infections?
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Can you get yeast infections from sucralose? I started using Splenda a year ago and have had recurring yeast infections every month for 11 months straight. We have ran every blood, vaginal, and std know to man. All of the results came back perfect. The only thing showing up was the yeast infections.
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Hello, thank you for your contact to healthcare magic. I am Dr Arun Tank, I am infectious disease specialist. I am attending your query. No sucralose , no splenda cause yeast infection. I advice you should be investigated for diabetes and HIV. Such a disease causes yeast as secondary infection. Discuss fluconazole drug with your doctor for yeast. Infection. If you have to ask anything else to me kindly contact me. Thank you.
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Will medications during pregnancy have any side effects on the baby?
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Hello Chetna, I am Megha (age 28yrs). I had miscarriage thrice earlier within 1-1.5months of preg. This time, I have been lucky and I am 11weeks pregnant now. My Doc has asked me to use corion 5000 from past 1.5 months and for another 2 weeks(once in 4 days) Also Sugest 200mg, thrice a day, and Glycomet 500SR once a day. Now recently doc asked me to use Duvadilan Retard 40mg as well (twice a day) I had 2 Ultra Scans till now and it was normal. Now the next scan is on 1st feb, based on the results my Doc would provide the medication. My query is: Is it normal to use all the above mentioned medicines..are there any side effects on the baby....expecting your response, thanks a lot (0000)
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Hello Ms. Megha,All these medications have been used during pregnancy with no reported untoward effects. In view of your past obstetric history, your doctor has prescribed chorionic gonadotropin injections to help sustain the pregnancy until the placenta takes over the function of hormone production. This is why progesterone supplementation also is being used. Metformin is prescribed when insulin resistance is seen as in PCOD to prevent abortions and gestational diabetes. Duvadilan is a uterine muscle relaxant. Please do not worry, you are on the right track. Take care.
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Rheumatoid arthritis, ANA +ve, on medication. Trying to conceive. PCOS, long periods. Ovulating time? Pregnancy chances?
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Am a Rheumatoid arthritis with ANA +ve, on medication and on remission now.Two years back I was conceived but sadly ended in stillbirth 21 weeks. Now TTC again, , 3 natural cycles no success, period length 25 to 35 days. Undergoing natural cycle follicular imaging. Today Cd 16 - right overies have 12 mm follicle and ET 5.2., bilateral PCO seen. When will I ovulate, are there chances of getting pregnant this cycle. Not on fertility medications this cycle.
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Hello Thank you for your query. On cycle day 16, the follicle size is not good enough. Even if we consider the longest length of your cycle, that is 35 days, then we can wait till a further 4 - 5 more days to see if the follicle reaches a mature size of 20 mm atleast. If you do not ovulate, you would need fertility medications from your next cycle. Also, you need to have your PCOD under control, with weight reduction, lifestyle modification and Metformin to be added if your doctor agrees. Your tubal patency should be checked, as well as semen analysis of your husband. Your autoimmune disease is an obvious factor, but other reasons for stillbirth should be evaluated, such as Rh incompatibility, diabetes, hypertension, thalassemia, cord problems , chromosomal disorders etc. Take care
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Does elevated BP, blue lips and fever indicate viral infection?
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My son is 16, has juvenile diabetes, is very athletic - yesterday he went to tennis practice - with cold symptoms - got very light headed during practice, lips turned blue and had a 101.7(by mouth) last night. His blood pressure was slightly elevated last week. Think this is viral?
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He has cold and fever with blue lips. He may have some upper respiratory tract infection. It can be viral infection or supra added bacterial infection or malaria. He should go for complete blood count and test for malaria parasites. He should take antibiotics treatment accordingly. For symptomatic treatment anti histaminic drugs like chlorpheneremine malate or cetrizine can be used. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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Suggest medicine for diabetes and knee pain
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My mother is diabetic her test result of OGCT 10.40 mmo/L. She takes Asenza plus and metformin 500 3x a day. Now she suffer now pain in her knee. What should she takes for her knee, before she has high uric acid and creatinin in her lab test? thank you.
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hi friend your mother seems good in her illness.she has complain of pain nothing matter.you should be given her shelcal500 1 tab od,1 tab neuromark-g1tab od and give plenty of green vegetable in her meals.And give proper diet and consult some physiotherapist and dietician for proper guidance.good luck.
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Unable to conceive. Partner needs to go for blood test to check diabetes. Cause for infertility?
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hi we have been trying for a baby for 6 months but unfotunately still not pregnant.I have 2 children already a 15 yr & 12yr, just last week my husband was told to go for a blood test to check for diabetes . should we stop trying utill we know if he has diabetes is it a risk to the baby & can this be the reason why i cant get pregnant.
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Hi Maureen ...do not come up to conclusions as not being able to conceive could be due to any reasons...wait for the test results to come and then take a decision...also show a good gynac for exact diagnosis.. take care
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When to expect ovulation after taking Pivox tablets?
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hi doctor..i am 29yrs old&a mother of 5 yrs old boy,now we are trying for second baby ,,but this month my follicle is not that much big &doctor gave me pivox tablet for next two weeks,,can i expect ovulation next month,my periods are regular ...^&for allergy i am taking levocetrizine every day any problem
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Hallow Dear, Pivox contains Metformin. It is a medicine for treatment of Diabetes. It is not a medicine which initiates ovulation. However, this medicine helps the other medicines like Clomiphene citrate or HMG/hCG combination to effect the ovulation. This combination is effective particularly in Polycystic ovarian syndrome (PCOS) wherein the levels of insulin also are increased. Metformin helps controlling Insulin levels.Though Levocetrizine does not affect ovulation or maturing the follicles, it is not advised in early pregnancy. Hence, if you are attempting for the pregnancy, discontinue it if you can and take a Gynaecologist's opinion on it. I hope this helps you. Dr. Nishikant Shrotri
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Can drinking alcohol cause adverse effects on liver and cholesterol levels?
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HI, I AM 39 YRS GOT MY TEST DONE, CHOLESTROL—250, triglycerides- 162, -- my total cholesterol was 160 last year but I was having rosuvas 10mg and stopped after getting it controlled. but my GGT- Gamma GT is 91. I am regular drinker and consume 2 big bottle of beer daily—6times a week. Please suggest should I reduce –3times my drinks or fully stop. I luv to enjoy my drinks. I am fit and exercise daily for on hrs. I am concern. How bad is my liver now.
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Hi & Welcome to HCM.I appreciate your concern for the raised GGT and cholesterol.After having gone through your problems described in your query, I am of the opinion that it is alcohol in whatever form it is consumed is mainly responsible for the high GGT level. You need to completely stop taking alcohol as in addition to liver it can damage almost all the organs like brain, heart, stomach and testicles (leading on to infertility/sterility issues).If your present cholesterol level is normal and if you do not have other medical illness like diabetes or heart disease there is no need to take Rosuvastatin. Just have some life style modifications in the form of avoiding fatty meals, red meat (beef), egg yolk, fast/junk foods.Take a healthy balanced diet preferable home cooked food, vegetables and fruits, avoid sweetened carbonated drinks instead drink plenty of healthy water.GGT level will return to its normal level only if you stop taking alcohol.Hope this answers your query.
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Suggest treatment for dehydration and low potassium and magnesium levels
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I seem to get dehydrated easily and then my potassium and magnesium levels seem to drop. As long as I drink a ton of water and take a potassium and magnesium supplement every day i don t get leg and foot craps. What worries me is that I drink a lot of water (at least 100+ oz a day) and still feel dehydrated. I got very dehydrated this summer doing some long hours and heavy work in the heat and not drinking any water and since then I seem to get dehydrated easily. Could there be any connection?
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Hi. I understand your concern. Just to rule out any underlying medical conditions I would like to suggest the following tests. Blood sugar test, seum electrolytes, serum and urine osmolality, thyroid function test. Polydipsia is the medical term given to this symptom increased water intake. It may have several causes such as Diabetes mellitus for which we investigate the blood sugar level. Another cause is a condition called Diabetes inspidus . it's a rare condition resulting in increased thirst and urination . to detect this disease we do tests such as serum and urine sodium and serum and plasma osmolality and a special test called water deprivation test. Increased thirst may also be a subjective sensation and more so in hot humid conditions. Please get these tests done and keep yourself well hydrated and cool. Best regards.
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What increases the sexual stamina in men?
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I'm 31 years old, have been married for 5 years. My husband is also young. He works a lot and always tells me he is tired. We get sex once a week, sometimes once in 15 days. Is that normal? I have talked to him in the past few times, but we always come back to the same place. He tells me and acts as he loves me, and for a period of time, while he was taking suplements to workout, we used to have sex a lot. What can we do to change our sexual life?
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HiGREETINGS I suggest you to get a check up for your husband including blood test for diabetes cholesterol thyroid and other parameters. If everything is normal he can start walking in morning sunlight or practice yoga.Hope my answer helps you. Regards
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Suggest treatment to hasten surgery wound healing
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had a mosaic plantars wart on bottom of foot and surgically removed, hole about the size of a quarter and at least a quarter inch deep still, doesn't seem to be healing after 2 weeks of soaking and covering and antibiotic ointment. what should I do to help it heal?
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Hi thanks for asking question.To heal well wound must be clean with doing regular proper dressing initially with betardine and then after with normal saline.Take vitamin c containing food more which will fasten healing.Antioxidents are helpful for healing.If you are taking steroid for any condition then stop it.Overall healthy nutritional diet help healing fast.Check about your diabetes condition .as in diabetes wound healing delayed.I hope i have solve your query
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Have small lump near scrotum, weight loss and poor diet. History of thyroid and prostate cancer. Medication?
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i have a small lump ,pea sized , in my gooch area , between where the base of my scrotum attaches and my anus :( hurts if i touch it, i get spots and ingrown hairs, also i need the toilet alot, i have lost weight over the past few years (but this is more likely due to not eating through depression ), i have problems with my digestive system as well, but again i have very poor diet. i thought i might have diabetes and was going to go get tested until i found this lump, and i have found out there is history of both thyroid cancer in my family on my mums side and prostate cancer in my family on my dads side. i would also like to add i did have the odd problem getting it up with my last gf but i also have history of masturbation so iput these few occasions down to too mucha that....
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Hello. Thanks for writing to us. A small pea sized lump in the area you have described is likely to be due to inflamed hair follicle or a sebaceous gland. You need to observe good hygiene and can apply antiseptic ointment like neosporin in the area for some relief. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected]
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Taking Istamet,Cardace & Gluconorm for partial paralysis
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Hello Dr.My Mom is prescribed with Istamet 50mg/500mg, Cardace 5 & Gluconorm G1She is partially paralyzed long time ago (Left side) Speech is very low (not clear pronunciation). She has diabetes too. Her effort is very less towards speaking. She consumes the above mentioned 3 types of medicines daily.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Istamet and gluconorm are drugs used to treat diabetes, cardace is a drug used to control high blood pressure. If your mom had an ischemic stroke as the cause of the paralysis, low doses of aspirin daily, should be used. Physical therapy and speech therapy also are necessary. Hope I have answered your query. Let me know if I can assist you further.
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How can diabetic neuralgia be treated?
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and if needed another two around mid-day. I rarely need to take two more that day. This does help. It sounds to me like some strainn of neuralgia. I am seventy six years old, suffer from stage two diabetes but am reasonably healthy. I am young at heartand am still quite lucid and am still have very good concentration.
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Hello, thanks for the query. The information given is very less. There's no mention about what are symptoms, no details on blood glucose levels & HbAc1% and present treatment. However, to control neuropathic pain strict blood glucose control is very essential. Plus either Gabapentin or Pragabalin needs to be taken. Plus Methylcobalamine, folic acid & Lipoleic acid combination like Mego - XL once a day for about a month should be taken. This will help in pain relief. Thanks
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What is the treatment for hip aches and foul smelling armpit and urine as with kidney failure?
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chronic aching in left hip, progressed to middle-left back and left side of rib cage, now neck and left shoulder are stiff and aching. Still able to move, but in pain. Right armpit recently started to smell sulphurous, whilst left armpit smelt of onion (not unusual for me). Then more recently in last few weeks, urine had sulphurous smell. Have had subtle ammonia smelling sweat around groin for many years. Kidney failure? I thought I was relatively healthy!
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Hi, welcome to HCM.Looking to ur history, these are not typical symptoms of kidney failure.Don't get panic.Kindly do basic urine report, S.creatinine, and sonography. Check BP. These will detect, if any, kidney problem.Rule out Diabetes mallitus.For hip pain, do xray and consult orthopedic surgeon.I think, this would be helpful to u.Thanking u.
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What causes swollen lump on the thigh after being given an anti sickness injection?
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I have a swollen thigh after been given an anti sickness injection. The swelling/ hard lump is red and and hot and tbe injection site bruised slighly.I can hardly walk and its very very painful. I feel ok in myself except my body is stiff like i have the flu.What should i do?
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Hi If you have a flu like symptoms after an anti-sickness injection , it is obvious that an injection abscess is being developed. Immediately send you blood for culture and sensitivity and then get started on an antibiotic and an anti-inflammatory medicines. Take full bed rest. Get an ultrasonography of the area done, if it shows abscess formation go for incision and drainage surgery. Get the routine blood tests done including that of sugar to rule out diabetes.
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What sugar level is considered risk free during pregnancy?
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I had GD with my first pregnancy and controlled this strictly with a diet. Currently I am 7 weeks and 3 days pregnant with my second and had GD with my first. I am not a type 2 diabetic but are insulin intolerant. My recent fasting sugar levels in the morning ranges between 6.2 to 6.7 (take with a Accu-Check Active). The average blood sugar test done by the doctor when I was 4 weeks pregnant was 6 which she said was normal. My sugar levels 90 minutes post meals range is normally below 8 (again my doctor indicated this is should be below 8) as I strictly control this with my diet but if I don t limit my carb intake and eat the wrong carbs /â??new carbsâ?? it shoots up to about 9. What I would like to know is: (a) what the upper limit for my bloodsugar should be 90 min after meals (b) when should the test be taken after meals: (i) 60minutes after starting a meal, (ii) 90 minutes after starting a meals (iii) 60min after finishing meals? (iv) 90 min after finishing a meal?
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Hi there,,Previous gestational diabetes makes you at a higher risk for gestational diabetes in this pregnancy. You need to do the 75g oral Glucose Tolerance Test to determine if you have it in this pregnancy or not. This will more accurately determine your risk of gestational diabetes than the Accucheck readings or the post prandial 90 minute test.The OGTT value of fasting is 5.6 mmol/L and at 2 hours is 7.8 mmol/L, values above these indicate gestational diabetes.Once gestational diabetes is diagnosed you can monitor your blood sugars daily by accucheck, documenting both fasting and post prandial levels. The fasting values should be less than 5.3mmol/L; the 1 hour post prandial should be less than 7.8 mmol/L; and 2 hour post prandial should be less than 6.4 mmol/L.The 90 minute is not routinely used to monitor the values nowadays.Hope this helps.Regards.
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Stones in gall bladder. Low blood pressure, weakness and diabetic. Any remedy?
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Mymom has stones in gall bladder for more than 10 yrs wheras there is no pain and any other issue regarding that issue even doctors said they dont need operate but for couple of yrs shes having a sort f gastric problems like her blood pressure lowers she feel extremely weak and on times loose her concious we have done her colonscopy which was clear she also passes liquidy stool eevery alternate ay after she as te same problem kindly advice cuz shes geeting very weak and i m extremely concerned shes also diabetic
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Welcome to healthcare magic. Thank you for your query. If gall bladder stone remain asymptomatic then there is no need of surgery. Her weakness may be due diabetes or its complication like diabetic neuropathy or nephropathy. Weakness with sudden fall of blood pressure is a feature of autonomic neuropathy which is also a feature of diabetes. Alteration of bowel habit may occur due to same problem. Though there is possibility of irritable bowel syndrome or non ulcer dyspepsia. So all complication of diabetes should be excluded. Physical examination & some relevation investigation are all to exclude these. Take care.
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Does diabetes have any affect on the foetus during pregnancy ?
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hi, my sister in 8 months pregnant . she started urinating frequently, so the docotor asked her to get a urine and sugar test done. her reports for sugar - post prandial (after lunch) - 153 , fasting - 84 . HbA1C by HPLC method 5.9..estimated average glucose 123 mg.dl .. i would kindly like to know what this means. as her PP levels are a little higher than the normal level, she has been asked to do the test again. is this temporary diabetes? she is also worried if the baby might get diabetes. what effect would this have on the baby .awaiting reply. thanks
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Hello.Welcome.Significant insulin resistance of pregnancy develops only in third trimester,gestational diabetes sets only in this period.Your sister is having impaired glucose tolerance test(IGT).Usually blood glucose is normalized after delivery.Do a oral glucose tolerance test after 6 weeks of delivery.Women having gestational diabetes are at higher risk to develop type 2 DM during later part of life.No problem to your baby at the moment.Good luck.
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Radiology report suggests some foci of chronic ischemic white matter disease. Could this be alzheimers?
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My radiology report suggests some foci of chronic ischemic white matter disease. I am 65 have hypothyroid, allergies PBC and received this today. My father died of alzheimers and I have had multiple spells of like heart attack that was on rt side radiated to jaw and head. could this be alzheimers.
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Dear User,Thanks for using healthcare magic.Generally alzheimer's do not present with white matter disease. The most common cause of white matter disease is ischemic injury. It is quite possible to have multiple small strokes if you are having ischemic disease risk factors like family history, hypertension, diabetes, smoking, factor V laden mutation.If you are having any risk factors you need to post again or contact your PCP for assessment of vascular risk factors and to find out the cause for white matter changes.Thanks
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Does removal or transplant of failed kidney affect the other kidney and what other treatments should I consider ?
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Hi There. My dad left kidney is not working from last one year, got pain when travel about 50km. his current age is 54 yrs, he has also gas and diabetes problem. we do x-ray and having checked and suggestion from PGI lucknow, as per there report, left kidney is shrinking down. we had asked them about kidney removal or transplant what they replied would not guaranty of right kidney working properly after left removal. Please help me asap. My contact details are asbelow Email: [email protected] Mob: 9888333643 Thanks & Regards Binay Kumar
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Hello. Thanks for choosing HealthcareMagic forum. The shrinkage of left kidney your father is experiencing is likely to be due to diabetes. Shrinkage in size does not mean that it has stopped working. You need to have his kidney function tests done to know the function. If the tests are normal then there is no need of any transplantation. Dr. Rakhi Tayal [email protected]
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What causes right-sided jaw pain and swollen knee after placing a heart stent?
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Hi my husband had a heart Cath on the 2nd of Jan placed a stint.then four day ago he woke up hurting on right side jaw and arm.bp was high.got it down and pain left but next day his right knee is swelled for no reason can this be related they went up the right side
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Hello,Brief answer: No relation between knee swelling now and a cardiac catheterization done a couple of months ago.Explanation: My opinion is that any complication after cardiac catheterization related to puncture site would happen within days after the procedure. So that is fairly related. Swelling of 1 knee is an indication for investigation. I mean aspiration of synovial fluid and analysis. Jaw inflammation mostly due to dental problems that need oral hygiene and in some cases anti-inflammatory drugs.I suggest my patients the following: check for monoarticular joint inflammation with your specialist. Do some labs as CBC and CRP. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about medical history, diabetes, other joint problems, etc.Conclusion: I suggest you check your patient joint with your specialist. Meanwhile, Paracetamol, analgesia, leg elevation, and hot fomentation are perfect till that happen.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mahmmad Gamal
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What cause eating disorders with a dry mouth?
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My father, 83, has little interest in eating for the last month or so. He says he gets full very fast - doesn t eat much as has been losing weight. It was about a month ago that he had a seizure and he says that since then food doesn t have much taste. He has diabetes and lately its been quite a challenge to keep his sugar down - some 300 readings. His mouth also seems dry, but that could be due to an elevated sugar level. We ve been trying to convince him make an appointment with his doctor. The internet is full of reasons for these symptoms...what comes to mind for you?
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Hello dear, I have gone through your question and understand your concerns. Your father is having very high sugar. High sugar in elderly lead to dehydration and ketoacidosis leading to nausea, vomiting decreased appetite. You must consult a doctor to get proper examination and evaluation. Loss of weight, decreased appetite have to be evaluated. History of seizure is also of concern. Hope you found the answer helpful. Regards Dr Neeraj Kumar Neurologist
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How to get rid of pus formation at the back?
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hello sir my name is jagadeep and I have a problem of puss formation at my back... I contacted the docotor and he told that it's a bioderma and gave some medicines but again there is a puss formation I cant tolerate the pain. please help me regarding this matter. do you think this is due to impurity in blood?
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thanks for posting your query to HCM.Pus is form due protective responce of body against infection . First you need to do one thing is :1. Investigate for culture and sensitivity examination of your pus .2. Blood test for SUgar fasting and post prandial .it will guide us about causetive organism responsible for causing pus and which antibiotic will be effective against it and second test to rule out diabetes as in this condition infection take long time to cure .maintain clenliness and proper dressing with antiseptics and antibacterial oint to limit its spread .review me with report .take care .
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Suggest treatment for penis ulcer
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Hr. Dr. CHandra, I have observed ulcers on the foreskin of my penis since last one week. I wanted to treat this problem asap. Please note that i have never had any extra relationship with anyone other than my wife. request you to suggest medicine for the treatment
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HelloThanks for query .You have not mentioned your age in your query .The ulcers on foreskin can be mostly due to fungal infection due to Diabetes (Genital Candidiasis)You need to consult qualified Physician or Urologist for clinical examination and get blood sugar levels done to rule out Diabetes .You need to take broad spectrum antibiotic like Cefixime along with anti fungal drug like Fluconazole twice daily .along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice daily.Ensure to avoid sexual encounters till it heals up completely.Dr.Patil.
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Suggest remedy for excessive sweating and disorientation
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I got up to go to the bathroom and when I came back to lay down my husband was soaking wet with sweat so bad it felt like he took a shower and layed back in bed when I woke him up he didn t know where we were at he thought he was at Walmart then my mothers house then kept telling me that my mom was tweety bird he was very disorientated and he is only 24 years old he does not drink or on any kind of prescription medication and we always sleep with it cool in our house... diabetes runs in my family and I always have a blood tester in my house ready to use so I immediately took his blood sugar and it was 96 and growing up with a severe diabetic I know this is usually normal blood sugar reading this is not the first time something like this has happened with him and I cannot convince him to go to the doctors office I hope you can help
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Hello, If it was the first time that these symptoms appeared, it may be an infection that may cause the symptoms. The disorientation may be caused by fever in such cases. However, it's necessary for your husband to see his Doctor in order to understand better the condition. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Erion Spaho, Neurologist, Surgical
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What does prostatomegaly and mild hepatomegaly with fatty infiltration mean?
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My abdominal USG concludes GRADI I Prostatomegaly and mild Hepatomegaly with fatty infiltration. Am diabetic and hypertension patient. Am on 1000 mg Metformin, AMTAS HT, Ecosprin 75 mg, PROLOMET XL 50 mg and ATACOR 20 mg a day. I exercise at least three days in a week. My height is 5 ft 7 inches and am weighing 82 Kg. Would you please explain what is the meaning and explain the reasons which could contribute to these conditions.
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Hello Your findings suggests mildly enlarged liver with fatty changes and enlarged prostate.Fatty liver is a reversible condition.Fatty liver can be managed by diet control and exercise in majority of the cases.Fatty liver may be due to many reasons like hepatitis,alcohol intake,obesity,altered lipid profile,medicines etc.Findings may be due to diabetes mellitus in your case.USG findings also suggests mildly enlarged prostate.You are taking right medicines and you should continue it.It is good that you are active in your daily activities.Get well soon.Take CareDr.Indu Bhushan
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What causes headache, shaky and hypertension?
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have hypertension, bystolic, diabetic insulin pump, had tia in dec 09 on plavix, bp has been good since jan. feeling shaky last couple of days, checked at home and bp was 120/78 tues night, last night 117/76. today having really bad headache really shaky, not glucose, checked bp ( i work at a surgery center) 136/120, waited 10 min took again on same machine 137/94, went to different machine, 135/87 sitting, standing 143/98. should i be concerned about the 1st one?
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Hello, You have a history of hypertension & diabetes. It looks like your blood pressure is fluctuating, BP should always remain stable. Fluctuating BP should be monitored & managed else it may cause symptoms like headache, trigger developing heart disease, nosebleed, dizziness, make you feel weak & fatigued. 1. Hypoglycemia, hyperthyroidism, alcohol intake, drug abuse cause tremor (shaking). 2. Sometimes Neurological problems may cause tremor. 3. You are suggested to get physically examined & get proper treatment of hypertension at the earliest. In the meantime, get CBC, Blood sugar (R & PP) Urinalysis, lipid profile, X-Ray, ECG, Echocardiography, Stress tests done to rule out any developing coronary artery disease. 4. Diabetes triggers the symptoms, maintain your blood sugar levels. 5. You can get Nerve Conduction tests done at the earliest to rule out any developing Peripheral Neuropathy. In the meantime avoid stress, stay away from alcohol & drug abuse. Maintain healthy weight, do regular exercises, Take Vit B6, B12 along with folic acid & minerals. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician
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Suggest alternative medicine for Cenestin
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Hello, I had a hysterectomy several years ago and was taking Cenestin .62mg TEVO the manufacturer has stopped making this product. I am a vegetarian and will not take any hormones that are made with animal by products which most of them are. . Are you aware of another hormone similar to Cenestin that I could take? Thank you!
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**1. since you are taking cenestin [ slow release estrogen/plant dervived] for several years, thus allergic issues are well tolerated [if any was there]2. make sure to have regular check up/appointment wit your Gynecologist, since prolonged use of estrogen can result in unexplained vaginal bleeding, breast/ovarian cancer,blood clots,stroke,heart disease, high blood pressure, diabetes, abnormal lipid profile.3. Enjuvia is a synthetic conjugated estrogen produced from plant material, you can ask for it.
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How to improve my immune system to fight verruca?
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Hi i have got a verruca and its very very painful, i am applying salicyclic acid solution (17%) but for past 3 days it has become very painful..... it is still blackish, what best i can do to improve my immune system to fight the virus ? please let me know,
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Hi, thanks for using healthcare magicThe use of probiotics, wide range of fruits and vegetables, healthy foods , multivitamins and appropriate level of activity can help improve the immune system.In addition the treatment of any chronic illnesses such as diabetes and avoiding immune suppressing medications such as steroids, would also help.I hope this helps
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Is protein powder as a supplement safe when diagnosed with diabetes and GAD?
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Hello Sir, I am 25 years old diagnosed with diabetic in Feb 2017 having GAD positive.Though my C peptide level is around 1.04 in June 2017.So I am student right now, so shall I start any protin powder(Amvey) as a supplement, is it good for me...? Please suggest...
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Hello and thank you for asking!I have gone carefully through your concern.I would recommend to continue the treatment with insulin, even though the C peptid is not very low, but positive GAD are strong predictors fr type 1 Diabetes.Regarding to Amwey, you should talk to your dietitian, so she/he can plan a diet with lower protein content .Hope the information will help.Kind regards,Dr.Mirjeta
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What are the consequences of Chronic stroke and what is the treatment?
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sir. what are the consequences of chronic stroke? is it very serious? if its serious then what should we do to get the patient best treatment? the patient has recently suffered from internal bleeding in brain and doctors are proceeding for brain surgery within the next few hours. we need an advice from you sir
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Hi,As you have mentioned in case of your patient the stroke is due to bleeding in brain.Long term Effects of stroke depends on-1) Duration between onset (beginning) of symptoms and start of treatment (presentation to hospital) Usually stroke presents with minor symptoms like giddiness, numbness to severe symptoms like complete loss of speech, complete weakness on one half of body or even death.2) CT or MRI findings - Area of brain involved in bleeding, pressure changes on normal brain.I want to know -1) Presence of BP, Diabetes problem.2) Cause for bleeding (more likely high BP).3) Presentation of patient.Surgery in case of bleeding usually done for life saving purpose - in it decompression craniotomy is done to relieve pressure on functioning brain. Recovery usually depends on -1) Extent of bleeding.2) Onset of symptoms and time of surgery.3) Presentation of patient.
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What can cause pain from the left arm to the collarbone?
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I have pain in my left arm sometimes the fingers too but it radiates from elbow to collar bone and my bottom jaw what could be causing this . Oh and it doesnt ease up its the same pain all the time .
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Hi, Upon reviewing the history provided by you, it seems to be some cervical disc problem like cervical spondylosis. However, I need to know more clinical details. Do you have chest pain? What about cough, breathlessness? Have you sustained any previous injury to the neck or shoulder or do you have sweating when you have left arm pain? I would also like to know about any medical conditions that you are diagnosed with like diabetes, cholesterol or high BP. I would also like to know your personal habits like smoking or drinking which can be very helpful to come to a clinical conclusion. I would recommend you to get an X-ray of the cervical spine and ECG, preferably stress ECG. If u have not yet got your metabolic profile done, I would recommend you get one done. Hope I have answered your query. Let me know if I can assist you further.
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Suggest treatment for pneumonia
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Good Day. I got my chest x-ray and diagnose that i have a pneumonia, right lower lung. They seen on my chest xray that there is haziness in my right lower lung. Doc, what does it mean? Is there a possibility that the impression is correct or is pneumonia can lead to tuberculosis? Please help, am paranoid of this pulmonary tuberculosis. Thanks, Lilou
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Hello dear, thanks for your question on HCM. Tuberculosis is more common in upper lobes and less common in lower lobes. TB bacilli grow more faster and have higher affinity for oxygen. And in lungs, upper lobes have highest oxygen concentration. So Tuberculosis affects upper lobes more. It can affect lower lobes in diabetes and His infection. So in my opinion get done screening for diabetes and His. If both are negative then Tuberculosis is less likely in your case. Also get done sputum examination for Aug (acid fast bacilli-TB bacilli). If this is normal then no need to worry for Tuberculosis. You are having mostly bacterial pneumonia. So start treatment accordingly.
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Is it safe to lyco-q 100 and maxoza for erection and ejaculation?
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hi i am 26 yrs of age and iam a type-1 diabetic i consulted a gyno and i told her about my erection problem and ejaculation. so she prescribed me lyco-q 100 and maxoza for 3 months twice a day and i doesn't know about what actually these drugs work on. kindly guide me.
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Hi welcome to the health care magic You are having erectile dysfunction problem and diabetes is the cause for that.... You have been prescribed drug that enhance sperm motility and sperm count... So let me know you your semen analysis report........ Diabetes needs to be controlled with medication in your case For erectile dysfunction you can be prescribed sildenafil like drug temporary... High cholesterol, heart problem, smoking, alcohol, hypertension etc like other causes also need to be ruled out Take care Hope your concern solved
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What are the side effects of Istamet 50mg/500 mg?
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Hi Doctor.. I wanted to know the side effects of Istamet 50mg/500 mg tablets for diabetes? My mom has sugar and she has takes these tablets and she feels very low on energy after taking this and Tri Glynase 2 Forte... What can be the reason for this? Her sugar tests are good and in control....
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Hi, Istamet 50 mg/500 mg is a combination of two medicines sitagliptin (50 mg) and metformin (500mg) commonly prescribed to control blood sugar in type 2 diabetic patients. Its common side effects include vomiting, abdominal cramps, diarrhea, metallic taste, low blood sugar levels and a serious complication lactic acidosis (metformin-induced). Based on the history given your mom seems to have developed a very low blood sugar level apparently caused by taking istamet 50/500 along with triglynase 2 forte together. She needs a dose adjustment of the prescribed medications by her treating doctor and frequent monitoring of blood sugar to safely use both medications. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali, General & Family Physician
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Can Lamisil cause liver enlargement?
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Hello About a week ago my husband went to the doctor and gave blood and a few days ago they called him and told him that his blood test came back and that his liver was inlarged. He been a diabetic for about 5 years now and has never had this problem but recently about 5 months agao another doctor knew he had diabetes and gave lamisil for his toe but never took blood. Could it be the lamisil even thou he had been off the medicine for 2 months now. The doctor is repeating the test please help..
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HiYes the Lamisil could be the cause of this liver problem and it may take another few months for the blood work to return to normal
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Dry mouth, dry lips, drinking water nonstop while going outside. What could be this?
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For the couple of weeks I have been drinking alot of water almost nonstop (very thirsty) which is causing me to pee nonstop. The past couple of days I have had a very dry mouth and dry lips and things are looking unfocused. It is usually if I go outside and I am thinking it's because of the polon. I have been tested for diabetes, blood pressure, etc and everything is normal. What could this be?
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hi,this symptom of excessive thirst is called Polydipsia.most common causes are1.diabetics.but as you already have got tested for that,we can rule out diabetes2.pshycogenic polydypsia- A special form of polydipsia. it is usually associated with a patient's increasing fluid intake due to the sensation of having a dry mouth.3.zinc deficiencyzinc the body to absorb fluids more efficiently (reduction of diarrhea, induces constipation) and it causes the body to retain more sodiumthank you,wishing you good health
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Has diabetes. Had gall bladder removed. Diagnosed with psoriasis of liver. Had cancer. Treatment?
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Hi my husband is a diabetic and he just had his surgery yesterday to remove his gallbladder and his sugar hit the roof or bottoms out. also last week they said he has dementia and now they tell me that he has psoriasis of the liver and its really bad. so can it be treated or what he is 66 years of age and back in 2009 he had cancer and he is soaber since 2009 or is he a walking time bomb.
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Thanks a lot for putting your query in HCM.I think you were in lot of hurry while putting your query. I think it is cirrhosis not psoriasisWhat really bad means ,please upload investigations and do put all the symptoms he is havingIn 2009 cancer of which organ?Please upload all these then only further advise can be given. I hope you can understand it
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Suggest remedy for pus filled blister on penis
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Hi, may I answer your health queries right now ? Please type your query here...I have white puss at my pines and due to my diabetic it swels the surronding and get blistered. i have fobia with hospital medicen. i am looking for natural remedies in my house that i can use. thx
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Hai, as you are a diabetic and you are very much vulnerable to infections.as your complain of white discharge seems to some infection in your penis. you need medical attention like antibiotics. white pus and blister on penis indicates uncontrolled diabetes . first ensure whether your blood sugar is within control. how ever i advise you apply tumeric powder in the affected area. because turmeric is a good antiseptic.thank youhope i answered your query
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What are the side effects of using penis pump?
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Hello, two days ago I used a penis pump and I haven't noticed until two days after that the base on my head there is a hard/big vein.Now this i understand if fully hard, as I normally have big veins and one that runs down the middle more or less of my penis, but that is nor thin which it's normally not.I have played around with the hard/big part and now it's gone down but the base of my penis hurts and I would like to know if I have damaged the main vain or will it repair it's self.Thanks
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Hello, Vacuum constriction devices are safe and can be used by patients with ED caused by many conditions, including: Poor blood flow to the penis, Diabetes, Surgery for prostate or colon cancer, Psychological issues such as anxiety or depression. An erection obtained by the vacuum constriction device is not the same as an erection achieved naturally. The penis tends to be purplish in color and can be cold or numb. Other side effects can include: A black and blue mark or small area of bruising on the shaft of the penis. This is usually painless and generally will resolve in a few days. The decrease in the force of ejaculation. The constriction band traps the ejaculate or semen at the time of orgasm. This is not dangerous and usually does not cause pain. The semen will usually dribble out once the constriction band is removed. Generally, this does not interfere with the pleasure of a climax or orgasm. You must consult a doctor for physical inspection of your penis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist
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What causes dark spots on the knuckles of a child?
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My 11 year old daughter has developed dark spots on her knuckles over the past month or so. Could this be a sign of a specific disease such as diabetes? She is not overweight, but there is a family history on both mine and my husbands side. The dark spots on on both hands.
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There might be vitb12 or folic acid defiency. Megaloblastic anemia. But it is not associated with family history. Is she anemic?
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What causes elevated LDL levels?
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Hello, I am 34 & I have diabetes for last 7years and it s in control. HB1AC Q: Does taking goat leg soup increases my LDL? Please advise
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Hello,Eating saturated fat, found in animal products, can raise your cholesterol level. Foods that are high in cholesterol, such as red meat and full-fat dairy products, will also increase your total cholesterol. Diabetes also contributes to Increase in LDL (Low-density lipoprotein).Soup will also contain the fat content Depends how the soup is made. Soup which is made out only with bone and muscle will be advisable. Soup which contains all fatty material of goat will increase LDL. Also, add more fiber dense vegetables to reduce your LDL level.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Senthilnathan Subramanian
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How can a bone cyst in a diabetic patient be treated?
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I have a lifetime problem of my spine spondolisthesis n spondolithosis and djd im 53. About a year ago i started have pain in my right hip joint my back surgeon done x ray n mri he said i had a bone cyst starting to grow n need hip replacement he sent me to hip surgeon this surgeon told me i didnt need hip replacement that the pain was from my back . I have had four spinal fusion s1-L5 one neck fusion c7 i have been on hydrocodone 10 one 4x day n morphin 30s e.r every 12 hrs im in pure agony. What causes a bone cyst. I also have history of bone spurs in spine n heels. Im also brittle diabetic a1c 9.2
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I will suggest you to take Ayurvedic medicinetab BGR 34 2bd to control diabetestab yogaraj gugglu 2 bd act as analgesic and antiinflammatoriestab kanchanar gugglu 2 bd for your cyst.
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Having blotchy red rash on my trunk, increases with warm weather. Fungal and advised to use anti sebhorriac shampoo daily 30 mins before shower. Applied for one hour at night, had bad allergy rash
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I have a blotchy red rash on my trunk that lasts all year but increases during the warm weather. I went to a dermatologist and was told it was fungal and to use anti sebhorriac shampoo daily 30 mins before shower. I don t have 30 mins. So I put it on for an hour one night n got a bad allergy rash. It seems fungal but I think I need an oral treatment because its so bad and all over. I am also a borderline diabetes.
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LOOKS FUNGAL TAKE TAB FRCAN 150 MGM ONCE A WEEK FOR 6 WEEK APPLY CANDID OINTMENT MORNING AND EVENING KEEP AREA DRY U CAN USE CANDID POWDER ALSO PUT A SMAAL AMOUNT OF POTASSIUM PERMEGNATE CRYSTAL IN THE WATER YOU TAKE BATH APPLY FOR LONG TIME AS FUNGUS IN DIABETES TAKE LONG TIME TO GO
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What causes pain in upper abdomen/costal angle/back with one kidney non functioning?
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For the past 4 months I've been having excruciating sharp constricting pain in my right upper abdomen/costal angle & the corresponding area in my back. The pain is shooting & refers to my right shoulder/neck/ shoulder blade. The pain is worse with deep breathe & I have to breath shallow. My X-ray & ultrasound came up clean on everything but my right kidney was discovered to be dead/ non functioning. (left kidney only functioning at %50). No high bp/no diabetes).Docs suspect pain is pleural rubbing but not certain. Thoughts ?
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Hello and welcome to HCM.As an Urologist,i can understand your anxiety.You should write your age.If there's pain with deep breathing,it's likely to be R.kidney infection,called Acute Pyelonephritis.You should see an Urologist and do tests like :1. urine routine,culture and ACR.2. blood routine,creatinine,RBS,LFT.electrolytes and uric acid.3. A CT scan with contrast(IVU),or a MRU,followed by an isotope renogram.According to these reports,an expert advise can be given.If you've any doubts,send the reports to me,as a direct question.Dr.Matthew J. Mangat.
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Platelet count had reduced after dengue, now improved, but SGPT level high. How to reduce it ?
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Hello Doctor...I recently had dengue and my platelet count had reduced to 7000. I was hospitalized but am fine now for dengue and the platelet count is very healthy. however my SGPT has been at around 120 even till now. I am currently on mostly oil-free diet and zero alcohol. I have 2 questions a) Is this an alarming SGPT count? b) What else could i do to reduce my SGPT count?
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Hello This level of 120 is high but not alarming Although DENGUE can cause high levels of SGPT,there could be other reasons for high levels of SGPT like Obesity Diabetes Drinking alcohol High triglycerides Consumtion of pain killers or herbal medicines Hepatitis Just take care of your diet by avoiding alcohol and fatty foods along with avoiding sweets and junk foods. Get your SGPT levels checked up again after 4 weeks and if they are still high you must consult a Gastroenterologist and get investigated properly to look for the cause of high SGPT. Thanks
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Hepatomegaly with diffuse fatty changes, stomach pain, discomfort, pain when passing stools. Suggestions?
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i am XXXXXX i am suffering from mild hepatomegaly with diffuse fatty changes and i have achy stomach pain and discomfort stomach pain and very trouble in motion and pain during the motion and when i eat food it will digest for several hours and my stomach shows like a ballon plz suggest my i am not happy with this from past six month.
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Hi,Thanks for posting your query.The pain during bowel movements could be due to fissure in ano. It occurs when you are constipated. Take high fiber diet, drink lot of fluids and do sitz bath. You may have to apply diltiazem in the anal region for relief.Fatty liver, constipation and abdominal bloating may all have a common precipitating factor in the form of diabetes.Get your blood glucose level checked.I hope that answers your question.Regards.
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Can a vaginal bacterial infection and yeast infection cause fever?
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Can a vaginal bacterial infection paired with a yeast infection cause fever symptoms/mini hot flashes along with vaginal gas bubbles? I've been diagnosed with a bacterial and yeast infection and am being treated as of yesterday. I am wondering about the fever symptoms and bubbling.
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Thank you very much for contacting healthcare magic. In our body any infection is defence by fever. Fever is a defensive phenomenon. Vaginal yeast infection is most common. Itching,irritation, rash is common symptoms in vaginal yeast infection. Overgrown of yeast and bacteria may cause more worsen symptoms. Vaginal discharge is helpful for culture test by this way yeast or bacterial growth can detectaed. In Uncontrolled diabetes more chanses of vaginal infection. According to your doctor's suggestion start antibiotics or steroid treatments. Wish you a Good health. Take care.Thank you very much.
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Is high creatinine level of 6.8 while being diabetic concerning?
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My Dad has just been diagnosed with high creatinine level, he has been suffering from Diabetes for the past 18 years. The Diabetes is in control now but the creatinine level is 6.8, which seems very high. We are really concerned. We are based out of India. Kindly help. Any opinion would be highly appreciated.
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Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Yes it is a matter of concerns. In diabetic patient serum creatinine can be increased due to kidney disease. I will advise you to visit a doctor for evaluation.I hope I have answered your query and this will help you . Wish you a good health
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Is slow healing of wounds normal in a diabetic patient?
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I have wounds on both of the backs of my legs. Both of my feet are swollen and I can t wear my regular shoes. Is this common for women with diabetes? These wounds are not healing, I had one leg wound since the Dec 2017. The wounds are gooey and white. Is this normal?
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Hello,Yes, strict sugar control and blood thinner like oral aspirin may help in healing wounds faster. Daily dressing to avoid super-added infection is required.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Pankaj Sharma
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What causes high HCG levels and fatigue during a pregnancy?
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Over 40 with mult spont abortions (one healthy 5yo) with new pregnancy (~5wks now). Initial HCG 138. 48hrs 244. 8 days later 1260. Rise seems too slow unless possibly doubling every 72hrs. Not many symptoms except perhaps intermittent fatigue (though had minimal symptoms with one successful pregnancy). Your thoughts re: rate of rise and absolute HCG values? Depending on your reply, any role for progesterone measurement (never did previously)? Other miscarriages occurred 6-12 weeks.
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Hello dear,I understand your concern.In my opinion the HCG value is increasing but at a slower rate.But HCG values cannot be taken as standard and they are highly variable in two different people and for the same women in two pregnancies.So dont worry about tge HCG levels.And coming to symptoms of pregnancy like nausea,vomitings,sore breasts,increased urination they might be not be seen in a few people.So the status of pregnancy cannot be said just by basing on symptoms and HCG levels.But due to past history of miscarriages and slow rising HCG care should be taken.The causes of abortion during the first trimester are genetic anamolies,hormonal insufficiency like progesterone insufficiency,thyroid abnormalities, diabetes,uterine anamolies etc should be ruled out.Yes the progesterone level might be helpful.Ultrasound confirms the well being of pregnancy.Avoid stress and physical strain and intercourse.I would like you to get an ultrasound done to know the pregnancy status.Nothing to worry.Hope this helps.Best regards...
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What causes itchy rashes all over the body?
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hi I wanted to no what causes itshy everywere on my body my pills have been checked and none of them are making me itch I am always itchy on my arms my back legs I donot have any rashes at all no bits
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Hi, Itching without rashes can occur due to multiple causes like thyroid disorders, anemia, diabetes, liver and kidney diseases and allergies in blood. I would recommend you to get your complete blood count, thyroid function tests, liver and kidney function tests, blood sugar levels and serum IgE levels. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist
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Should i have knee replacement surgery as i have low platelet count?
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i have several questions i am 53 years old have diabetes, hypothyroid, sensory motor polyneuropathy i have a low level plattlet count with an enlarged liver and spleen and pancres and knee joints that are bone on bone when i walk with knee caps that get pulled to the side and pop. my doctors say i need total knee replacements but because of all the other medical problems should i have the surgery. i have cirrhosis of the liver also what do you think do i have a long live to look forward to or should i get things in order for dieing
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HiWelcome to healthcaremagicI have gone through your query and understand your concern.There is no harm in getting surgery if your anaesthetist consider you feet for surgery. Life is unpredictable no one can tell about it accurately. Life is prolonged by drugs and diet restrictions even if some is diseased. Keep hope and live your life. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care.
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What complications will I face if diabetes continues after delivery?
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Hi,I m 34weeks pregnant now and have gestational diabetes. When I checked my sugar levels before a week it was 103 during fasting and 181 after breakfast, 140 after lunch. Done with my scan the baby weight is 2kg. Taking insulin of 5units in morning, 3units in afternoon and 8units in night. What are the complications wil I face during delivery and will this diabetes continue after my delivery?
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Hello,uncontrolled gestational diabetes may cause babies to enlarge (particularly their shoulders). This enlargement may cause trouble during delivery and increase the risk for injuries to the baby and to the mother. There are several other potential complications but this is by far the more common. Your baby's weight is not that high, so it seems that diabetes has not affected it, although ultrasound scan evidence would be needed to say that for sure. Your blood glucose measurements are high - all three of them. The target levels are:- below 93 for fasting glucose- below 130 (and preferably below 120) for postprandial (1st hour) glucoseYou haven't mentioned what insulin you're using. I suppose it has to be NPH. Correcting the fasting blood glucose would usually require increasing night insulin (and perhaps adding a snack before bedtime to avoid hypoglycemia and/or ketosis). Since the morning hormones are hindering blood glucose control, you should be more careful in what you eat for breakfast. Avoiding high glycemic index carbohydrates will help. Gestational diabetes goes away after delivery - almost always!Checking your blood sugar the very next morning will convince you about that!Gestational diabetes increases your risk for type 2 diabetes in the near future so you've got to do an oral glucose tolerance test a couple of months after delivery and every three years ever after.I hope I've helped!If you'd like more information, please contact me again.Kind Regards and good luck with your pregnancy!
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White specks and small bubbles in urine. Family history of diabetes. Taking phrentermine. Should I stop?
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i woke up this morning and had white specs in urine and small bubbles in urine. the bubbles went away after a few minuetes but the white specs were still there. I am taking diet pills and they work in the kidneys and my doctor told me I had a glucose of 106 and 75 creatine clearance and I got scared because diabeties is high in my family. I am so scared. I am 38 and trying to lose the weight. I have been drinking lots of water. My weight is 188 and I am 5 3. I lost so far 6 pounds. I am taking phrentermine. Should I stop ,I do not want to have kidney failure. I can not sleep I am scared.
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Get your urine examined to check the nature of those white flakes, if they are due to infection or just high phosphates in the concentrated urine.It is always better to loose weight by dieting and exercising than taking help of drugs.
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Advise on mental health of 68 year old with forgetfulness
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My 68 year old father said to my mum and I that a television presenter looks at him for real, he said it started happening around 6 months ago, its gotten to the point that my dad has to leave the bedroom to change somewhere else because he thinks the people and especially the television presenter will see him change clothes, i am worried about my dad, do you know what kind of thing he mightt be going through or suffering from,? Is it ahlzeimers/mental disorder/ or something else? He is lately showing sign of forgetting alotof things like peoples names , not understanding who my mum is talking about and its a person we regularly see, not answering a question logically etc. your help would be much appreciated, i just want to get advice to see what kind of health professional i can refer him to see. Thankyou
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Hi,From what you have mentioned, your father seems to be having forgetfulness with behavioral symptoms in form of persecutory/referential ideas. These are suggestive of Dementia. I would advise you to seek a psychiatric consultation. Had I been your psychiatrist, I would have evaluated him completely for any medical disorder like hypertension, diabetes, any cardiac illness, etc. He will be needing to undergo a brain scan (MRI) to rule out any focal brain lesion. Psychometric testing for cognitive evaluation will be recommended. I would have started him on one of the medications for dementia like donepizil for forgetfulness and an atypical antipsychotic like quetiapine to control his behavioral problems. Hope this information was helpful. Best wishes.
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Are brain MRI findings a cause for concern?
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i was having headaches and had an MRI of the brain. The neurologist looked at the disk and said I have small vessel changes and premature hardening of the arteries ( I am just 51). My blood pressure is good and I do not smoke. I exercise, eat fairly healthy. I was surprised to learn I have this. He told me to take a low dose aspirin daily. Should I be concerned since I m healthy and just 51 ?
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Hi, I have read your question and understand your concerns.Small vessels disease is associated with vascular risk factors, such hypertension, diabetes, atherosclerosis.Those conditions should be assessed frequently or followed up in order not to aggravate your condition, since you are just 51.If you with your Doctor control correctly these risk factors, then you prevent possible neurologic conditions such vascular dementia and parkinsonism and don't have to worry more than necessary.Hope this helps. If you have further questions feel free to ask.
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Can one conceive now?
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hi, i had been diagnosed with bi lateral PCO and have been on metformin SR 500 for past two months. this month went for follicular scan. from day8 till day 15. on Day 13th i was given HCG injection IM when they measure my folicle its size were 2.1 (T) 1.6 ((AP) and 1.9 (L) in cms. on day 16th it is scanned and ruptured seen. my questions can i conceive now? Regards Debz
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Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints.As per your history , Please find my advice below-:1)Ya you can conceive if you try within 48 hours2)Regular follow up is required as you have PCOS, because 90% PCOS cases are increased risk for gestational diabetes, preeclampsia, and preterm and post term delivery and newborns are at increased risk of being large for gestational age.I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,
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What will happen if we take lots of fluids due to polycystic kidney disease?
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Smoked about 25.00 til noon today i drink lots of fluids bcuz of my kidneys policystic kidney disease and pre diabetes .drank water,tea,milk, & dr pepper .weight 225,height 6 1 .how long do u think it wil be in my system.have to see po tomorrow.ive drank about a gallon of water, a gallon of tea already since this afternoon i pea about every hour due to my kidney problem.plz let me know if more fluids are good or bad.
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Hi, welcome to HCM.Polycystic kidney is genetic disorder. Water intake may delay progression of disease.You should maintain water intake to keep your urine output~ 2.5 L per day.Excessive water intake will not benefit more but it can lower your S. Na (sodium) level.To prevent progression, keep your blood pressure under control.Keep regular follow up with your Nephrologist and do basic tests for kidney function.I think this would be helpful to you.Best wishes. TC.
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Decaying in tooth bone, bleeding from guns with swelling. What could be the cause and remedy?
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Hello, I have dental problems, last month i had to remove one of my tooth (Upper), when i went to the doctor for the removal he told me that the toothbone has been decaying, i have been having bleeding in gums for a year now with swelling as well, now another of my teeth (incisor) is decying the same way , may i know what is the problem, and what is the solution so that my other teeths are safe rakesh ( YYYY@YYYY )
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Hello there, Thanks for your query. Swollen and bleeding gums may be because of various reasons,few of the are following- 1. Poor oral hygiene. 2. Nutritional deficiency. 3. Hormonal changes. 4. Vitamin-c deficiency. 5. Systemic problems like diabetes. So i would suggest you go to a dentist and get the thorough examination done and take a symptomatic treatment. Hope this will be helpful. Take care. Dr. Gunjan Gupta
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What is a suitable vegetarian diet for a diabetic after undergoing Cholecystectomy?
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Hi, close relative of mine underwent gall bladder stone removal in November 2012. She also suffers from diabetes. Could you please help us with a diet recommendation that would suit her health? She is a vegetarian (she consumes dairy products but not eggs). Many thanks.
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hi.thanks for posting at HCM.she may eat beans, vegetables, brown bread.avoid table sugar, sweets, white bread and polished rice altogether.avoid fat rich meals.fruits and potatoes maybe ingested in small proportion.wish the patient good healthregardsdr Malik
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Could the elevated potassium values be due to blood pressure medicines?
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I had been taking lisonpril for my blood pressure, but was getting high levels of potassium and they took me off that med and put me on Norvasc, but my blood pressure has not gone down, was sick with emtreme sinusitis at the time but am still getting elevated readings of potassium, can this be from med or should I start looking for another reason.
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Hi. I have gone through your question and understand your concerns.Lisinopril is ACE i group of medicine and hyperkalemia is known side effect of ACEi. It depends that when did you left taking lisinopril ,if its yesterday than its very early to say that its due to some other cause , but having hyperkalemia is very dangerous thing to have so i suggest you to consult your physician to get potassium levels under normal range. There are many causes of hyperkalemia so i suggest you to consult your physician so he/she should look for any treatable cause. Depending on the clinical findings and the results of the laboratory work, the following may be indicated:Glucose level - In patients with known or suspected diabetes mellitusDigoxin level - If the patient is on a digitalis medicationArterial or venous blood gas - If acidosis is suspectedUrinalysis - If signs of renal insufficiency without an already known cause are present (to look for evidence of glomerulonephritis)Serum cortisol and aldosterone levels - To check for mineralocorticoid deficiency when other causes are eliminatedSerum uric acid and phosphorus tests - For tumor lysis syndromeSerum creatinine phosphokinase (CPK) and calcium measurements - For rhabdomyolysisUrine myoglobin test - For crush injury or rhabdomyolysis; suspect if urinalysis reveals blood in the urine but no red blood cells are seen on urine microscopy.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate to ask. I will be happy to answer your questions. Wishing you good health.
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Having chest pains, vomitting, diabetes, BP, kidney diseases. Losing weight rapidly. Suggestions?
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MY FATHER HAS SUGAR AND HIGH BLOOD PRESSURE , HE ALSO HAS KIDNEY DISEASES , HE HAS A HEART DECATHER AS WELL. HE HAS BEEN IN PAIN AND VOMITING ON AND OFF ALL NIGHT. HE HAS COMPLAIN ABOUT CHEST PAINS AS WELL. I HAVE TAKEN HIM TO TWO HOSPITAL AND THEY ARE JUST GOING OFF TEST RESULT IN JULY THAT WAS NEGATIVE . WHAT SHOULD I DO BECAUSE THIS PROBLEM IS GETTING WORST AND HE LOSING WEIGHT VERY RAPIDLY. PLEASE WHAT SHOULD I DO, COULD IT BE HIS PANCREAS OR KIDNEY .
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Hello, From the history provided it appears your father has multiple conditions including diabetes, hypertension, a heart condition and kidney disease. In this setting with symptoms of chest pain and vomiting, it is important that you get your father admitted to hospital. Firstly, a myocardial infarction (heart attack) needs to be ruled out by doing an ECG along with cardiac enzymes and perhaps an echocardiography depending on your father's examination findings . There is a particular type of MI (known as inferior wall MI) that presents in this way and if untreated could be life threatening due to complications. His loss of fluids through vomiting will need to be addressed in the hospital as untreated this can lead to low blood pressure and shock. While pancreatic disease can present with chest pain and occasional vomiting, the vomiting is usually not so severe. It may also be associated with fever,headaches, nausea, weakness, infection and abdominal pain. Kidney disease presenting with chest pain and vomiting could be seen in kidney failure with an associated heart condition called uremic pericarditis but it is less likely. If a heart attack is ruled out and fluids are replaced further evaluation will can be done at the hospital.
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What does void low flow in right sinus suggest?
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I am 36 year old man residing in UAE. I am feeling that my nerves are tightning over my head, when i concentrate my breath feeling more tightening thorough out my head. i visited ENT & nurologist. Done PNS CT scan & MRI Brain scan. MRI scan noted void low flow right sinus. Also now i feeling less blood pressure my arms ,legs,& chest.
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Hi, welcome to our site. I am Dr Saumya Mittal, MD.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryThis is a feature of venous sinus thrombosis in brain.Basically the venous system of the blood flow in your brain is showing a slow flow.This is most common in a condition called sinus venous thrombosis.I would suggest blood thinner medicines like warfarin but these need very careful medical management.I therefore suggest that you meet a neurologist locally as soon as possible.I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. You can upload them on the site.You can upload them with the query, or if you have a problem, send them to [email protected] with Sub: ATTN 'Your Name'. Once we receive the photos or diagnostic reports, my team will send reports / pictures to me.Please do understand that some details could be extracted from a detailed history and examination.Please click on Thanks/Helpful if found useful.Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.Dr Mittal.MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)
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Suggest medications to improve the chances of conception
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I am 40 yrs old. I faced five misscariges in last 13 years. and at prest I dont have any baby child. My & My husband's all reports are OK. Now please suggest what should we have to do for a baby child. Please give us your kind suggestion for me and for my husband for any medicine.
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Hi welcome to the health care magic You are able to get conceived but abortion occurring all the time Hence rule out following causes for repeated abortion.... _chromosomal Abnormality (PCR testing) _lupus _pelvic inflammatory disease by CBC and USG _Hormonal problem (hormone estimation done for that) _diabetes (serum RBS) _thyroid (serum TSH, T4) _antiphospholipid syndrome (anticardiolipin estimation) If needed diagnostic laproscopy can be done According to cause further specific treatment guided Take care Hope your concern solved Consult trained gynecologist nearby for further work up
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MRI done due to chronic cognitive impairment. Diagnosed chronic micro vascular disease with leukoencephalopathy. Treatment possible?
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I had an MRI a few months ago. The diagnosis was chronic microvascular disease with moderate leukoencephalopathy.; ventricular system unremarkable. My neurologists was vague on treatments. The reason for the MRI was because of a significant cognitive impairment. It seems to be getting worse. What is your professional opinion and what would you recommend to a patient?
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The type of cognitive impairment is essential in making diagnosis and then planing treatment The cognitive domains can roughly divided in to six type 1. Memory 2. Language 3. Personality 4. Visuospatial 5. Execution and planing 6. Affect We need to find out which are the domains that are mainly affected and the then plan a holistic treatment This includes looking for correctable factors like vitamin deficieny thyroid dysfunction ,, underlying depression Then we would pay attention to risk factors if present such as control of blood pressure, diabetes. Treatment includes drugs such as donepezil, memantie which is best left to neurologist
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How can genital herpes and bacterial vaginitis be treated?
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Good morning doctor, I have recently been diagnosed with Genital herpes and bacterial vaginitis the Valtrex I was given the blisters are heeling up. There are some that are still red, painful and open, these blisters are located under my vagina where my thigh and buttocks meet, that don’t seem to want to heal, I feel it’s because those are the ones that come in contact with the BV discharge. Those are the only ones still bothering me and it makes it hard for me to walk as well. Is there any cream I can get that can help those heal faster or protect them from the discharge while they heal on their own?
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Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.There are a number of reasons why your lesions are not healing. It would be a good idea to do the following: 1) Check your blood sugar levels. Diabetes often causes delayed healing. 2) Get your WBC count checked. A decreased WBC could imply that your immune system is not functioning like it should be. 3) Keep the general area clean and dry at all times. 4) Get your doctor to advise you on antibiotics for the bacterial vaginosis. 5) You could try using a sanitary pad also to keep the area dry. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Pranav Balakrishnan
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Suggest treatment for my kids complaint of shaky legs
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My six year old has complained of a strange feeling and shaky legs (sometimes with a slight stomach- or headache) on and off for the past few weeks, usually right before bed. We thought it was either some blood sugar thing which we ineffectively tried to mitigate with a protein bar snack before bed, or possibly anxiety about mortality (yes, she s of the emotional development age and has been asking questions). Tonight she was even in tears about it for a few minutes - what could be the cause of this?
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DearWelcome to HCMWe understand your concernsI went through your details. Restless legs syndrome (RLS) is a movement disorder in which the child or adolescent reports an uncomfortable and irresistible urge to move his or her legs. This urge usually happens at bedtime but can occur at other times when the legs have been inactive, such as when sitting still for a long period of time.The exact cause of this disorder is not known. RLS can be related to a low iron level or sometimes associated with diabetes, kidney or some neurological diseases.I suggest you to rule out these causes before approaching any psychologist or psychiatrist for treatment. Consult a physician ASAP.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care.
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What could painful bubbling sensation in limbs and abdomen indicate?
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Hi. I have been feel a bubbling feeling off and on throughout my limbs and abdomen for about two years now. My limbs are now slightly achy and suddenly varicose veins have popped out on my skin. I'm 39 years old now. Know what might be happening? I weight appr. 240 lbs. I am 5'4". My blood pressure elvevates off and on but I'm not on any medication now.
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Hi.Thanks for your query.Read and understood the problems.You have a bubbling feeling in the lower limbs and abdomen 2 years. Now you have varicose veins too. Your weight of 240 lbs and height of 5'4'' indicates that you come under the category of Obesity as the calculated BMI is of 41.2.This obesity is the main important reason for your painful bubbling sensation in the limbs as varicosity and associated lymphedema cause this sensation, as may be the same problem in the abdomen.Another possibility of Hypothyroidism and Diabetes increasing these problems should be considered. I would advise you the following:-Get the detailed blood tests done including- CBC, lipid profile, thyroid, kidney, liver, sugar, HbA1c done to see for all the metabolic disorders.-Other tests related to cardiac, abdominal and chest status - Color doppler and ultrasonography of both the lower limbs and abdomen.-Start weight reduction programs .-Start using the stockings for varicose veins.-Get the opinion of the specialists in concerned fields and you will be better. _Get the surgery if indicated.
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What cause severe pain from calf to butt during night?
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Was sleeping and in middle of the night I heard a pop sound in my right calf and since then I have severe pain from calf to butt. It really gets bad at night. This is now the fourth day and not better. I have se ere arthritis, diabetesm, and fibromyalgia. Arthritis is RAThank u
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Hai.unfortunately u hav many medical problems which can cause pain.pls keep ur limbs elevated wenever u rest.u can also use a crepe bandage please try with tab pregablin m a combination of pregablin and methylcobal.pls check out for deep vein thrombosis with doppler study of the affected limb
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How to reverse neuropathy?
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Had small fiber neuropathy (I suspect a SCN9A defect which produces hyperexciability). Took Pilocarpine which eliminated tachycardia and altered bowel and bladder motility. Have connective tissue defects: Diverticulitis requiring bowel resection, stage 3-4 hemorrhoides, hiatial hernia, eosinophilic eosaphagitis, vericose veins, dry mouth - gingivitis requiring repair of gum-line carries in all teeth, frozen shoulder, etc. Traced this to muscarinic receptor neuropathy. What can I do to reverse neuropathy? Eric
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Hello, I would explain that most of peripheral neuropathies are progressive and non reversible disorders. For this reason, I would recommend performing further tests to investigate first for the possible causes underlying neuropathy and then treat them if possible: - HbA1C for diabetes - vitamin D and vitamin B12 levels for possible deficiency - vitamin E plasma levels - PCR for inflammation - iron plasma levels - blood electrolytes, etc. Hope I have answered your query. Let me know if I can assist you further.
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What causes sudden headache, fever and joint pain in a diabetic patient?
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We live in Victoria, Texas and have been preparing for the hurricane and sheltered in place for three days. My husband has developed headaches and runs a fever at night with sweats and joint pain. He also has type 2 diabetes. Possible causes? exhaustion, tension, lower protein intake, contaminated water, eating cooked turkey from the refrigerator after the electricity went out ( day after)Do we need to seek medical help?
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Hello,Welcome and thanks for your query.Fever is indicative of an infection. Since he has diabetes, his immunity would be less and he is more for infection than someone who does not have diabetes. The turkey from the refrigerator after the power went out could be a source of infection or it may be other sites like the urinary tract.If possible it would be good to have him examined by a doctor, investigated and treated appropriately. If not able to you may get a complete blood count ( CBC) and urine microscopic examination done and get back to me with the results.Do get back to me if you have further queries.
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What causes sore and burn marks on penis after sex?
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Hi i just had a long night of good sex with my wife,who was away for 4 days, my penis is really sore and has burn marks the skin is dry and peeling off ,what causes this and what can i do to ease the pain and not have it happen again! I am a 34yr male who is of good health.
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Hello, There are 2 possibilities 1. Dry Sex - lubrication issue due to less foreplay or infection 2. phimosis - can be due to diabetes or infection Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist
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How to normalise levels of SGOT 71.07 and SGPT 90.47?
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I have readings of SGOT 71.07 and SGPT 90.47. I have diabetes 2 and am hypothyroid, both thyroid glands having been operated on as I was hyerthyroid before. I do not drink alcohol at all. What do I do? My meds are GalvusMet, Actosmet, Euthyrox, rosuvastatin (bedtime),solosamet and fenofibrate.
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Hello! Thanks for putting your query in HCM. Increase in SGOT and SGPT has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, etc apart from alcohol intake. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, . I hope I have answered your query and this will help you . Wish you a good health
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Is hair fall a side effect of Pravastatin intake?
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I have been taking pravastatin for about a month in a hlaf. Last week I woke up with a big bald spot on my head. I take metformin and glipizide for diabetes. I ama male 45 yrs of age and weigh 185 lbs. I have been taking the diabetes meds for about 14 months now. Will any of these meds make my hair fall out?
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Unlikely that any of these medications would cause hair fall. Sudden appearance of a bald spot on scalp is suggestive of Alopecia Areata. It is an immune mediated condition. There is usually no associated symptom. Treatment of choice is intralesional triamcinolone acetonide injection. Though there may be recurrences but focal alopecia areata (just 1 or a few patches) is a self limiting condition. Response to treatment is good. Hope I have answered your query. Let me know if I can assist you further.
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Suggest treatment for diabetes and dizziness
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Sir, Gud Morning. My mother has been suffering from Diabetics since 20 years or more. Her complications include:while walking she feels giddiness to the extent that she feels as if she is floating in the air, she feels without energy and vitality. Her sugar level remains at 140.However, since two days, her sugar level has escalated to 250 and found Haemoglobin 6 and her limbs getting swolen.Now what to do, please suggest me.
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Hi,Thanks for your question.After going through your question, there is a need for evaluation in your mother's case.There may be following cases for her symptoms-1) Hyperglycemia:High blood sugar level may lead to hyperosmolar state that may interfere with normal brain function.2) Hypoglycemia:Transient Low blood sugar level may cause these types of symptioms.3) Neuropathy:Autonomic and peripheral neuropathy due to diabetes or any other cause may lead to these types of symptoms.4) Postural Hypotension:Sudden drop in blood pressure with change in posture may cause these symptoms.5) Cerebrovascular disease:Decreased blood supply to brain due to- Atherosclerotic blockage in blood vessels of brain. - Slow blood flow to brain in response to poor heart function or sudden drop in blood pressure.- Embolisation of blood clot in blood supply of brain.She need urgent medical attention for detailed neurological evaluation.Depending upon it following investigations may help in appropriate diagnosis and treatment:- Frequent blood glucose monitoring. - Complete Blood count.- Renal Function Test.- Liver Function Test.- Urine examination.- Lipid Profile.- ultraTSH.- Vitamin B12 & D.- ECG & 2DEcho. - Brain imaging like MRI of brain with angiography.Hope this helps your mother.
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What causes ageusia while on Pravastatin, Lisinopril and Metformin?
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Thank you! I recently had a bout with the flu and since then have not been able to taste anything. I am diabetic, taking metformin, glimiperide, pravastatin, and lisinopril, and have taken these meds for over 5 years. Could they suddenly be the cause of my taste cessation?
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Hello and thank you for asking!I can understand you concern.First i would suggest to inform us about glucose level and HbA1c.If the Diabetes is uncontrolled can alter the taste, but more probably it is due to flu that needs some days to go away totally, without leaving symptoms.Keep monitoring the blood sugar with glucometer, check HbA1c and attach the results for further suggestions regarding to Diabetes treatment.Will be a pleasure to help you further.Kind regards,Dr.Mirjeta
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What causes sharp chest pain and metallic pain while drinking?
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I just experienced sharp chest pain as I headed up steps. I stopped and decided to lay down. Had some cool green tea that tasted funny, metallic. I had no breathing trouble but I did take a few deep breaths. Fine after 20 minutes. 59 years old, morbidly obese, type 2 with a 7 A1c, low cholesterol. Mild afib.
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Thanks for your question on Health Care Magic. In my opinion, we should first rule out heart related diseases for your chest pain. You are having many risk factors for heart diseases like obesity, diabetes, age more than 55, chest pain on exertion, afibrilation etc. So likelihood of heart diseases is high in your case. So get done ecg, 2d echo and stress test (trade mill test) for the diagnosis of cardiac disease. Loose weight. Strict control of diabetes is needed. If all these reports are normal than no need to worry for heart diseases. You might be having muscular pain only. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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How should Metformin be taken while suffering from diabetes?
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I am taking metformin for the first time. I did take 2 tablets 500 mg and my blood sugar is much higher than it was this AM. On the label it said to take 2 tabs by mouth every day. Nothing about taking 2Xs in a day. It did say with food. How long does it take to see any change. Is it a few hours after or is it days?
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Hello,Get your Hba1C done before starting any OHA (Oral Hypoglycemic Agents).We should not rely on just fasting or post lunch value we need to see the past 3 months sugar levels from today to start any drug.However, you can start with tablet Metformin once daily and homely monitor your sugar levels with the help of glucometer.Monitor your sugar levels every 8th hourly for 5 days and consults the general physician or diabetologist or endocrinologist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Abdullah
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How can increased urea and creatinine levels be regulated?
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hello doctor.....my father has been stuck up wit kidney problem since urea and creatinine levels have increased...now d urea level s 92 n creatinine is 6.4....he also have diabetics n hypertension.......my doubt is that ....is dialysis the ultimate solution for him or is there any way of curing with medicine
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Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Kidney failure has many causes: for acute conditions like fever (reversible kidney injury), few course of dialysis is necessary. Later on, kidney will recover and dialysis will be no longer required.For some kidney injuries (irreversible kidney damage), kidney transplantation will be the only treatment (dialysis will be there, but it has to be for life time).Uncontrolled diabetes may lead to irreversible kidney injury. Are glucose levels being maintained?So treatment will entirely depend on the cause for kidney injury.My suggestion is please consult nephrologist for more suggestions and management.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Siddartha
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What could cause achy left arm & shortage of breath?
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hi, im diabetic and been noticing a achy left arm and shortage of breath as well as neck pain which i usually brush off? im wondering if i could b possibly having a mild heart attack? and i have no idea what i should do because by the time i get a appointment at my clinic the symptoms will most likely gone.
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Hello. Thank you for your question and welcome to HCM. I understand your concerns. During diabetes, especially in subjects that have poorly controlled diabetes, it comes at a moment that small vessels of the body and nerves become affected. Therefore, it is not surprising that a diabetic patient lacks the specific symptom of coronary artery disease - angina. Instead, these patients more likely tend to have non-specific symptoms, such as dyspnea (shortness of breath), sweating, drowsiness and/or tenderness in places where angina usually radiates (in your case, the left arm). I will not go on and say that this is definitely coronary artery disease, but there is a chance it is. So, I would recommend you to go to the clinic, with or without these symptoms, have an EKG, echocardiogram and a cardiac stress test, eventually a coronary angiogram. If you are diagnosed with coronary artery disease, proper treatment should be undertaken immediately. I hope I was helpful. Best regards.
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Is there any chance of recovery from kidney condition with microalbuminuria 98.9 mg/l?
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My father is 63 years of old.Last 10 years he is having diabetes...2 years back he had pnemonia problem also after 1 month he got recovered from pnemonia. Last 5-6 months we are seeing that his sodium level was coming down.@ days back we came to know that he is having thyroid and has done urine test and in that test Microalbuminuria came to be 98.9 mg/l.Is there any chance of recvoering from kidney diesase?
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HelloThanks for query .Your father is known to have diabetes since last 10 years and his recent urine test has revealed Microalbuminuria to be 68.9 mg.Microalbuminuria above 30 is suggestive of Diabetic Nephropathy.Diabetic nephropathy is a progressive and irreversible disease and needs to be treated for proper control of diabetes and hypertension .Please consult qualified Nephrologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and urinary excretion of albumin and creatinine in 24 hours sample of urine ..2) Renal function tests.3) Blood sugar tests and test for Glycocelated Hemoglobin (HbA1c).4) Serum Lipid Profile . Further treatment as regards control of diabetes and hypertension to prevent further damage to kidney will depend upon result of these tests and final diagnosis.Dr.Patil.
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What could slight burning and itching tip of penis, cracking skin with no help from miconazole nitrate be?
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I have been to a health clinic two times now because of a slight burning/itching on the tip of my penis. I m slightly red around the penis hole and it seems that the skin is cracking up. I have been tested for STD (all negative) such as Chlamydia, Gonorrhea, Herpes, etc, and gotten a bunch of antibiotics for it. The doctor at the health clinic thought it might be a yeast infection and gave me miconazole nitrate 2% to put on the penis two times per day for a week. It has been a week and I still feel pain/itching. I have no idea what to do; keep applying the cream or just wait it out.
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Hi, Welcome to Health care magic forum. As you describe it appears to be due to the diabetes, the cracking of fore skin of the penis is usually due to the diabetes,So first of all it should be excluded. I advise you to consult a physician for diagnosis, or to exclude the diabetes. I usually prescribe to my patient with such symptoms fluconazole,cifixime, ornidazole. Wishing for a quick and complete recovery. Thank you.
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Suggest home remedy for miller fisher syndrome
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my mom is diagnosed with a rare disease which is closely related to miller fisher syndrome. she used to be active and just recently she witnessed a fire that in their storage house that left her so devastated of what happened.she's 64years old, has diabetes and has allergic reactions to pain relievers. Is there a home treatment or remedies to cure miller fisher syndrome?
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HiI welcome you to healthcaremagic.Your mother's disease is definitely a rare disease but the prognosis of this disease is very good.She should be treated with intravenous immunoglobulins or plasmapharesis,but i am not aware of any home remedies.I do not think that there are any home remedies that can bring her out of this.I would advise you to take your mother to nearest hospital and treat her as soon as possible.The more you delay the more severe it becomes.Hope i answered your query.
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Blood test scheduled before joining school. What test will they take? Have fatty liver
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I am supposed to do a blood test for work in a couple of days. It is part of the medical tests for preschool teachers in Beijing. I am wondering what kind of blood test they do. In the past they have tested me and said found that I have fatty liver . I am thinking of going to an international hospital but the information they gave is mostly in chinese and it would help the foreign doctors if i am more specific about what test they did. In this kind of test what do they test for?
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Hello, Since you had fatty liver in the past,you would be required to go for tests which contribute towards fatty liver. Alcohol,obesity,diabetes,high cholesterol ,high triglycerides and various other reasons can result in development of fatty liver.The most common tests done to diagnose fatty liver are Liver function tests Blood sugar fasting and PP Lipid profile Ultrasound of abdomen Thanks
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What does enlarged liver,trouble with bowel moments and high phosphate indicate?
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my daughter is 13 months old and has a high bun level and high phospate and white blood count. she has been having trouble having bowel movements and on 1 xray had enlarged liver and on next did not. what could this all mean
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Hello,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 it caused by diet, obesity, and diabetes, then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are the most common causes and in this case, medical evaluation required.Also if there is an infectious disease or biliary duct disorder, then you need to do some tests to rule out more serious issues that 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. Iven Romic Rommstein
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Could congenital heart problem be expected in future pregnancies?
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Sir, We had a baby who had conginetal heart problem(pulmonary venous Stenosis) and all docs said there is no cure. In sep he underwent a repair surgery at Narayana Hrudayala and became ok . but due to infection we lost him in october. now the question is, would this be a problem for next child birth? My wife had 3 abortions prior to that pregnancy which were lasting only for 2 weeks. We underwent chromosomal test which was normal and normal count. we are planning for our next child and we are in great tension thinking if the next child will have some problem due to this. Please tell us what to be done.
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HI, Thanks for the query. I have read your query carefully & understood your concern. Congenital heart problems arise due to various causes like genetic ( as you have already don both of your chromosomal anlysis.. the risk is lesser ).. if there is family history of such problem in both of your families.. the possibility has to be checked in fetus / viral infection, rubella infection of mother in first 3 months of pregnancy/ Type one or two diabetes in mother/ mother taking alcohol/ Taking certain drugs for seizures, pain killers like Ibuprofen,treatment of acne.. during pregnancy can affect heart development in fetus. * While planning for child you should keep in mind the risk factors & prevent them as per possibility.Taking anti Rubella vaccine 6 months before pregnancy is advised. * Be in regular touch with treating gynecologist when she is pregnant.Pregnancy fetal abnormality scan ( in 5th month )/ triple guard test/ chromosomal analysis are few investigations which can indicate fetal abnormality ... if diagnosed in time necessary action can be taken in time. Hope, this helps you in planning. BE careful & observant.. instead of being scared & stressed.. this will definitely give you positive results. Thanks,
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What could the rash on ankles and legs be?
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I have this rash that is on the tops of my feet and has spread to my ankles and legs. Mainly small dark brown spots but some have merged into dark areas of skin. They do not itch or hurt at all but my feet are now starting to swell and I don't know if they are related.
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HIWell come to HCMI really appreciate your concern, if this is not itching or any discomfort, then this could be due to some systemic disease and diabetes need to be ruled out, as matter of fact skin lesion demands the clinical observation and this is the only way of clinical diagnosis because this is kind of art of looking, so better to get done the clinical examination to ruled out the possibility of diabetes induced skin lesion, take care.
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Do swollen testicles while suffering from liver cirrhosis need immediate medical attention?
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My brother has cirrhosis of the liver due to due to diabetes. He has a meld score of 11. He is on insulin. He discovered his testicles are swollen to the size of a grapefruit tonight. Should he go straight to the er or wait to see his primary physician on Monday. He has no pain.
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Hi, This type of pain and location is suggestive of epididymitis which is inflammation of part of the testicle and this not uncommon in males especially in young age. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequences. Masturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course. Some more serious conditions such as tumors or torsion are rare but in doubtful cases, you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required and this should improve on antibiotic therapy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon
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Red itchy rash on neck, hot to touch, spreading, diabetes. OTC medication?
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I have had a red, flat itchy rash on my neck for 3 days. I have not changed any part of my routine. The rash seems mildly hot to the touch and becomes very hot feeling in the shower. It seems to be spreading at a very slow pace (about 1 in higher up the neck and 1 in further across the neck since 3 days ago). It also is not symmetrical. I am a type 1 diabetic and am looking into any over the counter relief. Please advise. It seems to be almost blotchy looking
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Hi, As you said that you are suffering from type 1 diabetes. Diabetics are more prone to fungal and bacterial infections. You may have developed dermatophytosis. Usually the infections grow when your blood sugar is not under control. Keep track of that. You can start plain antifungal cream (without steroid) and oral antihistaminics. If improvement is not seen or if it aggravates then consult a dermatologist, because secondary bacterial infection may also take place with due course of time. Regards, Dr. Ajit Singh Kulhari MD - Skin & VD
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Recurring blisters on penis glans. Applied quadiderm cream, subsided. Herpes test, kube ultrasound normal except thickness of Urinary tract. Treatment?
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Male 32. I have recurring blisters, size of around 0.1 inch diameter on my penis glans for last 7 years. i apply quadiderm cream and they go in 2 days. last year i consulted a skin -vd specialist in XXXX. he prescribed herps test and Kube U/S. The herpes test was negative and the U/S has everything normal except thicknes of U/T. Can you tell me what this condition may be and which is best doctor to treat it in XXXXXX. Thanks a lot.
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i think you should get tested for HPV . it is a viral infection . kindly ask your doctor to do this test. check out for diabetes too, as it can cause frequent infection.
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How to cure painful penile cut when having high sugar level?
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I got penile yeast infection before 3 months. I went to my doctor after 1 month and try to do what treatment he prescribed but was in vein. Recently I checked my sugar level high and penile cut painfully increasing. I am directed to take gluconorm g2 Tab . What about penile cut ?
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Hi,It seems that due to itching from fungal infection there might be secondary bacterial infection giving this problem.As you get diabetes risk of spreading infection is more.You might require one course of antibiotic medicine for 5-7 days.Go for one oral anti-fungal medicine course like Flucanozole.Apply triple action cream locally.Keep local hygiene proper.Ok and take care.
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Does pork cause allergic reaction?
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Hi, I am feeling nauseated with 2 vomit episodes in the last 16 hrs, 2 hours prior my symptoms, I ate pork (it was a bit too greasy), I had blood test done and it says that my liver enzymes were slightly elevate, AST 94, and ALT 54, can you please inform me what is the meaning of such values?
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HI, thanks for using healthcare magicThe main causes of increased liver enzymes are: (1) non alcoholic liver disease- this is liver disease not related to alcohol use.Occurs in persons with increased weight, decreased activity, poor diet, diabetes, history of high cholesterol(2)alcohol use(3) infection(4)trauma(5)side effect of medication such as statinsIf related to alcohol or medications, discontinuation would help. If due to infection then treatment of the infection is needed.If due to non alcoholic liver disease then lifestyle changes would be important. The episodes of vomiting may be related to the food used since you stated it was a little greasy.I hope this helps
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Will problem in knee replacement cause numbness in leg?
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Hi! 7 years ago, I had both my knees replaced at the same time and now if I stand too long, my right top part of my leg goes numb and I have to walk it off to get feeling back. I was wondering if something is not right with my knee replacement or if something is pushing against something in my leg to cause the numbness? Thank you
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HiWelcome to healthcaremagicI have gone through your query and understand your concern.The numbness in the foot is unlikely to be directly related to your bilateral knee replacement. This can be due to some pressure on the nerves in the leg. You should also get your tests for thyroid function test and blood sugar to exclude diabetes as these are causes of numbness. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care.
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What causes chest pressure with discomfort and panic?
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i am 47 years old have type 2 diabetes high blood pressure obeses in weight but under control via gp and cardiologist .now my problenm past 2 days sudden onset of squeezing mid chest lasting only 2 to 3 seconds.with no other symptoms other than panic.can u tell me should i be worried .the discomfort cames on at rest also.n.b i have a waist size of 44 inch
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your concern is about chest pain which lasts for 2-3second only. if it's really only in seconds then chances of cardiac origin is less. however being a diabetic obese and hypotension patient cardiac ischemia can not be ruled out. better is to take chewable aspirin 300mg and get an ecg done. and further investigation if required as trademill stress test,echocardiography. and advise you to consult a cardiologist.
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Severe itchy rashes on feet, spreading to other parts. How to reduce its intensity?
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I had an intense itching rash that started on the top of my feet. Then it got worse and started moving up my legs to the Knee . The itching is so intense that when your legs start bleeding the pressure is released and some of the itching subsides. Now the rash has jumped from my knee s to my arms overnight. I have tried hydrocortizone, benadryl pills and liquid, Neosporin eczema essentials, antifungal creams. Nothing seems to be able to get rid of this rash. I have also tried oatmeal baths and elevating my feet when sleeping. Do you know of anything that can reduce the intensity of the itch?
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HI , since you have intense itching : apply cold compresses over itchy areas Moisturise adequately Take citrizine in the morning and atarax tab at night(different salts give additive effect) If not relieved get injection avil alone or combined with Dexona. intence itching can be due to the following reasons scabies, Eczema, Contact irritant dermatitis, Allergic dermatitis,fungal infection,dryness. Underlying liver disease,Kidney disease,Diabetes get in touch with your doctor to find out the causeand treatment Hpe this helps you
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Suggest remedies for severe bruising caused by even slight bumping
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I am a 76 year old female with bruising problems on the back of my hands and arms. A specalist in the field said it is the aging process. Now I even bruise or have the skin broken by just bumping into a door frame.My condition is so bad I had to stop riding my bike. I did have an itchy rash on my body for a period of 2 years. Was treated with prednisone pills (50mg. a day)for 3 months. That process did not work so was injected twice, 3 months apart. This took place last year and although I break out,it is much improved. Would appreciate your advice. The only pill I take is the vitamins Q10 and Omego 3,6,9.I exercise every day including the yard work. Thanking you in advance. much better with no medication.
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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 other metabolic disorder. Any way it may be tried,--. Dolokind Plus (Mankind) [Aceclofenac 100mg +Paracetamol 350mg] 1 tab. 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. Avoid direct flow of AC or Cooler.--. Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.-- .Do mild exercises for All joints. --.(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. Kindly make sure, there is no allergy to any of these medicines. (Contact your family doctor, if needed).For emergency treatment visit nearest hospital.I hope I have answered your question to your satisfaction.Kindly rate the answer.Wish you a quick recovery & good health.
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Is the sperm count normal?
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Age 42, ht 173cms, wt 77 kgs, Slight hyper tensive,no diabetes.My Sperm Analysis is Vol : 2.4 ml pH; 8.0 Fructose : Adequate Active Molity at 0 Hr: 40% at 3rd Hr: 20% at 6th Hr: 10% Total Count 77.6 Million Normal: 61% Amorphous : 6% Cyto Droplet: 5% Bent Neck : 4% Coiled Tail: 6% Pin Head: 3% Mixed Defect 15%
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According to WHO criteria your count is with in normal limits. And you can be a father. Take care. Hope my answer is helpful to you. All d best.
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Is uncontrolled urination normal after TURP surgery?
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Hi, My father has a prostate of 93cc and doctor recommended TURP. He undergoes the surgery last month. After surgery , he faced infection and uncontrolled urination, In fact no control and bed wetting starts. Is it normal or any issue in surgery . Please suggest what can we do? He is diabetic (215 after meal ) and have Blood pressure also. I want to consult Urology department if everything is normal or some action needs to be taken.
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HelloThanks for query.Incontinence of urine after TURP is mostly due to one of the following factors 1) UTI 2) Uncontrolled Diabetes.3) Thermal Injury to sphincter of urethra which controls urination. Following measures will help to cure his problem 1)Ensure that his diabetes is well controlled .2)Get his urine culture done so that UTI can be controlled by taking appropriate antibiotic.3) Ensure to drink ore water.4) Perineal exercises to strengthen urethral Sphincter.Normally this gets cured within 3-4 months ..Consult operating Urologist for further help and guidance.Dr.Patil.
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