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Does punctuate foci with M.S as recurrent seizures suggest a stroke?
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I recently was admited into hosp and my mri shows punctate foci of high t2 signal intensity seen involving the frontal white matter perhaps representing microvascular ischemic change. I have m.s. These are all new symptoms but they discharged me three days later with m.s., recurrent seizures diagnosis. Don t see a neuro till end of the month. Family members are convinced I had a stroke. Do you think thats possible and I should push for an earlier appointment?
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Hi dear,if possible you should push for earlier appointment if not get earlier appointment then consult physician for the micro vascular ischemic changes and seizure phenomena.whether you are pts of hypertension or diabetes?is there any head injury?MRI abnormality may be the cause for seizure activity.consult physician and if possible do visit at neurologist.Thank you
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Suggest treatment for lumps appearing all over the body
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Hello I'm five foot five male sixty three years diabetic not taking anything for it othr than diet and testing. Have had high trigliserts most of my life and am now being treated for it blood test are good despite of this. My problem is that no one seems to have an answier for is. I get hard crystal like forms throught my body starting in my feet legs arms back ribs scalp. I break them up by rubbing the skin tissue with a hard object applying pressure and breaking down the lumps which is quite painful. I do this because if I don't the musscel tissue get hard or I just seems that everything wants to sieze up. I thought it was gouat but when tested they say no. Do you have any ideas.
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Hi,Reply-1-Take low-fat , veg -rich diet-2-Reduce on the eggs/non-veg-red meat if its on-3-Need to Start treats for lowering the high Triglycerides.4-You need to treat diabetes -which would lower your blood fat also,5-Do jogging exercise at home-and walk for 30 mts a day.6-Mail your triglyceride blood test and blood sugar report urgtly to help you out and to fix your -lumps with crystals,7-Mail-Any other blood test report and records urgtly .Thnks .Wellcome for any follow up queries-to fix this issue ASAP.Nothing is going to seize up.....dont worry..if you act fast ..things can be attended and corrected....
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What does lower abdominal pain when diagnosed with diabetes indicate?
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I have been diagnosed for diabetes...and having been taking a tablet of metformin sr daily for the last about one year...recently a cyst was detected in my right kidney...and took medicenes for a week...have slight pain prominently in the morning in lower abdominal area...since two three days I have gurgling /bubbly sensation in the front portion of my penis...as also a dribbling feeling with or without urine....what could be the probable reason....is it a cause to worry....what should I do
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Hello,Please undergo urine complete examination to exclude urine infection and ultrasound abdomen to rule out urine infection and stone. Till these tests increase fluid intake. You may take cranberry juice.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Varinder Joshi
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Is pain near the elbow suggestive of heart issues?
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hi i am a female 55 years old, i take pills for diabetes and blood pressure, and i take aspirin protect for my heart because 6 months ago i had cardiac catheterization in two places in the same artery. This week i m feeling a kind of pain in my right elbow but not on the outer side it s close to where blood samples are usually taken. my question is that does this pain have anything to do with my heart?
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Hello!Welcome and thank you for asking on HCM!Your symptoms do not seem to be related to any cardiac disorder. They could be related to a pinched nerve or musculo-skeletal pain. Is the pain triggered by pressure in this region or arm movements? This would be another argument in favor of a musculo-skeletal pain. In such case there is nothing to worry about. Otherwise, if the pain persists and is not modulated by touching or arm movements, I would recommend consulting with your attending physician for a careful physical exam. Hope you will find this answer helpful!Kind regards, Dr. Iliri
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What causes swollen lymph nodes and spleen with headaches?
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My son is 10, 4'9" and weighs 63 pounds. He has not been himself lately. He recently had unexplained swollen lymph nodes, and a enlarged spleen. His most recent scan showed his spleen back to normal. His white blood count was low, and he had ketones in his urine. His dr. said he just had a virus. His only symptoms have been tiredness, asthma symptoms, and headaches off and on, and he is pale. No sore throat, or cough, or runny nose. Should I keep pressing the dr to run more tests? Could this still be a long lasting virus? What kinds of things should I have him tested for? We live in a very small town, with only one pediatrician, and I don't have a whole lot of confidence in him. Please help!!
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My first thought is that he might have infectious mononcleosis. This is a viral infection that is long lasting, causes fatigue, can cause spleen enlargement and low white count. Similar viruses may do the same. There are blood tests for infectious mono that you could ask the doctor to run. I would also request a complete blood count (CBC) to see if he's anemic, since you mention he looks pale. This may have been done already, since a white cell count is part of a CBC. The ketones may be related to not eating well, but they can appear in the urine with the onset of diabetes. It is very important that he have a blood sugar done to be sure this hasn't developed. Insulin diabetes not uncommonly develops after an acute viral infection in a young person that just doesn't seem to get better. It is the diabetes starting that causes the persistent symptoms. Getting the blood tests suggested should help rule out some serious conditions. Hope this helps.
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How can a painful lump on the intergluteal cleft be treated?
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I have a really painful lump in my butt crack it s not a specific color or any thing it the same as my regular skin color my mom thinks it s a boil but I don t I think it is right on my tail bone and it s like an inch wide and very tender to touch I can t even sleep because i have to sleep on my stomach it hurt really bad when I walk and sit on it
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Hello,Thanks for using healthcaremagic.comI have gone through your query and I can understand your concerns.Probable diagnosis :Gluteal abscessDifferential diagnosis :Boils/carbuncleInvestigations needed :Basic blood routine,RBS( Random blood sugar)Treatment plan : I&D(Incision and drainage)Outcome : Excellent.As per your history,it seems that you have an abscess in your gluteal(buttock) area.It is nothing but collection of pus under the skin.It is a harmless condition but it causes severe pain.There is nothing to worry in it and it is readily curable condition.You have to undergo a procedure called I&D(Incision and drainage) to remove pus and debris from the area.It is a minor procedure and can be done by a general practitioner or even by a trained nurse.You have to also take a short course of antibiotics like "ampiclox" for five to seven days.For pain and discomfort you can very well take analgesics like "diclofenac" or "ibuprofen".Check your blood sugar level to rule out diabetes.Hope this information help you.Wishing you good health.Regards.Dr.Shinas Hussain
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Experiencing discomfort on my left side around the waist area. Anything related with my kidney?
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I am having discomfort on my left side around the waist area and also around my back at the waist line. Could it be something to do with my kidney? I haven t been sick or done anything different recently. This started 2 days ago. It goes away for a while and then comes back from time to time.
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Hi Thank you for writing HealthcaremagicI had gone through your query and understand your concerns.i would like to know1. is this pain severe/moderate/unbearable.?2. have you lifted any heavy objects recently /heavy lifting ?3.what is your age,weight etc & do you have history of hypertension/Diabetes?4. do have any complains during urination? burning sensation/pain etc?you do not need to worry as you your symptoms suggestive of muscular pain.if symptoms persists consult your physician.Wishing you Good Health!Dr Sanjay
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Does fasting sugar level of 124 and postprandial level of 192 require medication?
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My FBS (Glucose, Serum) is 124; Glucose Post-Prandial Plasma is 192; and HbA1c (H.P.L.C technology) is 6.8%. Am I diabetic ? Should I take medication or can it be controlled by diet/lifestyle changes ? Thank you for your kind attention - A. Sen Gupta, Bangalore, India.
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Hello Sir,Thank you for your query. I understand your concerns .Based on the reports, you do have diabetes. For good glucose control your HBA1C should be less than 6.5%, your fasting blood glucose should be less than 110 mg/do and your 2 post meal glucose should be less than 160-170 mg /dl ( provided you are fit and fine and do not have any other debilitating illnesses). I am not sure of your age.As your sugar levels are borderline you could try 3 month trial of diet and exercise alone to control your glucose levels. After 3 months measure the blood tests again. If they have reduced then you can continue the same healthy lifestyle changes and keep checking your blood glucose levels every 3 months. If your blood glucose levels have not changed or have worsened after the 3 month trial of diet and exercise then you need to start medication along with your lifestyle changes.Healthy lifestyle tips:1) Exercise-moderate exercise like brisk walking, cycling, swimming etc - for atleast 45-60 min every day or atleast 5 out of 7 days in a week.2) Diet: Avoid sugary food items and sweets , cookies, chocolates etc. take plenty of vegetables ( restrict potatoes). Take whole grains products like wheat bread, oats, millets, brown rice etc. Avoid refined /plain flour items. you can take 2-3 servings of fruit( avoid mango, jack fruit, custard apple, chikko ). Take adequate protein ( eggs, pulses, non veg- but restrict mutton). Can take 5-7 nuts like almonds, cashew nuts etc. Restrict saturated fats like butter, cheese, paneer etc. 3) Reduce weight if you are overweight.I wish you well.I hope this answer has been helpful to you.Regards Dr Sunita Sayammagaru
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What is the treatment for temporal arteritis?
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Hi, may I answer your health queries right now ? Please type your query here...I AM 82 YEARS OLD MALE ,HEIGHT 66 INCHES AND WEIGHT 70 KG.I HAVE DIABITIES TYPE 2 FOR LAST 7 YEARS .NOW I AM TAKING ONGLYZA 5MG.WOTH GLIMIPRIDE 2MG MORNING AND BEFORE DINNER.BY FS IS 160/180 AND POST LUNCH IS 160/180.CAN I CHANGE MY COMBINATION TO ONGLYZA 5MG.PLUS METFORMIN 500 MG AND BEFORE DINNER I SHOULD TAKE METFORMIN 500 BSFORE DINNER.KINDLY ADVISE
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Hello,metformin is a very useful drug for type 2 diabetes. Starting metformin requires a low dose at first (500mg per day is ok) to avoid gastrointestinal side effects. Also please take into account that most antidiabetic drugs require adequate renal function.If your renal function is OK and you don't have severe heart (or other organ) failure then you can use metformin.You can increase the dose after a couple of weeks too.And you can also use glimepiride if your blood sugar won't get under control with the onglyza-metformin regimen. Just remember to adjust the doses appropriately to avoid hypoglycemic episodes.I hope I've helped!You can contact me again, if you'd like more information or clarifications.Kind Regards!
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Should a slight variation in ECG require urgent medical attention?
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Hello doctor, My mother is 50 yrs old. she is a diabetic patient since 10 yrs. She does periodic checkups and her health is fine. She doesnt have high BP or cholestrol.But the ECG she took last week showed slight variation.Should we go for a detailed checkup ?Should we take any precautions?? Thanks in advance
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Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Old age and diabetes are risk factors for cardiac diseases, and there can be a number of variations in ECG of a person. As you have not mentioned it clearly I would say that if variation is with st segment or t wave in ECG, then some base line tests of cardiology like 2d echo and tread mill tests are indicated to rule out cardiac ischemia. A lipid profile test should also be done. If possible upload photo of her ECG for detailed comments.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Rishu Saxena
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Kidneys show slight loss of corticomedullary differentiation consistent with early renal parenchymal disease. Meaning ?
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Doctor, i am 49 yrs ,my height is 5 4 and my weight is 116 lbs i did an ultrasound and the result is : Both Kidneys show slight loss of corticomedullary differentiation consistent with early renal parenchymal disease. The right Kidney measures 9.0 cm. The left Kidney measures 10.0 cm. I am a diabetic , also have a high heart beat about 120 to 134 and i also have Thyroids. Please tell me what the Ultrasound means . Thank You
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Hello, Kidney tissues are divided into 2 portions ,renal vascular part and renal parenchymal part. Renal parenchymal disease refers to the damage that occurs in renal parenchyma. There are millions of nephrons exist in the renal parenchymal area of each kidney. Nephrons are consisted of glomeruli--small blood vessels and tubules, which filters the blood throughout the body. Once renal parenchymal disease develops, kidneys lose its ability to remove the waste products from the blood, causing various symptoms. There are many causes for it like uncontrolled diabetes,high blood pressure etc. If renal parenchymal disease is not treated early,it may develop into advanced stage and result in kidney failure. So consult your doctor,get yourself investigated completely and start the treatment to avoid future kidney complications.Since your problem is in early stage,a proper management can make you all right. Thanks
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What causes severe candida in my penis?
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Three weeks ago first time in my life I had severe candida in penis,scrotch,penus, severe swellingphymosis. Was put in hospital on antibiotic IV. For wo weeks was taking metronidazole, cephalexin and some antifungal me. It got better but now it comes back. Urologist even does not want to seeme
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Good day and thank you for being with healthcare magic!!!Severe fungal infections happen in immunocompromised patients (elderly, diabetes-uncontrolled, hiv/253657?iL=true" >AIDS). Did you get tested for HIV while in the hospital?
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What causes low energy during sex?
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what do it mean to have strep in your urine? I am 51 years old and just got remarried about 6 weeks ago. Had been married for 28 years and only 1 partner. not had sex in the last 3 yrs... I am really tired a lot with low energy. Labs done 4 days ago blood work ok. Thyroid B12 checked but step in urine What would cause this
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HiThank you for asking HCM. In case of urinary infection proper antibiotic therapy will help. Diabetes also should be ruled out by testing blood sugar level. Exercise regularly and take aphrodisiac foods like seafood, eggs, meat, chicken, nuts and citrus fruits in your diet. The loss of stamina can be due to low levels of testosterone. Exercise daily and nutritious food helps for that also. Hope this may help you. Let me know if anything not clear. Thanks.
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Suggest treatment for swollen ankles and ulcer on foot
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83 year old mother has developed swollen ankles she currently has a ulcer on her foot which has become infected she cannot get antibiotics for this until tommorrow she has been having treatment for the ulcer since early oct 2010 which seems a very long time she is on quite a strong painkiller for this ?
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Hi thanks for asking question.You are giving history of ulcer since long duration.In such advancing age cause for non healing ulcer mostly will be diabetes.Rule out it by doing sugar estimation.Daily dressing should be done over ulcer by surgeon with control of diabetes if present.It will require long time dressing for atleast month for start healing ulcer.Even with regular dressing if ulcer not heal then split thickness graft has to be put over it.Oral antibiotic needed if ulcer infection seems to be severe.I hope my suggestion will help you.thanks.
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Light headed, shaky feeling, migraines, overweight. History of operations for degenerative disc disease. On medication for high BP and cholesterol. Suggest
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I have high blood pressure and high cholesterol and I'm on medication for both but I feel like there is something more wrong. I start feeling light headed and my blood pressure goes up. It's been around 159/95 lately. I've been trying to watch what I eat and sometimes my sugar I think drops because I will get very shakey. I have migraines all the time but I've always figured it was because of the degenerative disc disease and I've had 2 operations on my neck. I'm just concerned that I will mistake my problems to the wrong thing. What do you think.....I know I'm a mess. I'm 48 years old and I'm over weight because of not exercising like I should with the disc problems.
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Hi,Thank you for your query.To summarize your issues are:1. Feeling light headed and shaky.2. High blood pressure.3. High cholesterol.4. Migraine.5. Operated for disc degeneration.6. Overweight.You are wanting to know the cause for light headed and shaky and also way out for exercising.You have not shared with me the investigative findings and whether you have diabetes mellitus or not. Your blood pressure is certainly not under control with the medications that you are having. I would suggest that you see your doctor and get your blood sugar checked and ask him to increase or change your blood pressure medication. With the lowering of your blood pressure you should feel better and the "migraine" should also improve.I suggest that you discuss with your doctor and use a cervical support/collar so that your concerns regarding the degenerative cervical discs are resolved and you are able to exercise.I hope I have answered your query to your satisfaction.Wishing you all the best.Regards,Rajiv K Khandelwalhttp://goo.gl/SuCjl
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Suggest treatment for soreness and pain in the heel
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I have pain in my right heel. The onset has been gradual and pain feels like a soreness. It hurts worse in the morning compared to other times of the day. The pain has been ongoing for a few months now and is progressing into my foot...Do you know what may be causing this?
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Diabetes or plantar fascitis or bone over growth are the general causesUse soft slippers whole day with silicon heel pads if u use shoes And get x ray of ur heel done
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Is it ok taking so many tablets meparin for 45 days and then meperate for 15 days,after undergoing hysteroscopy and laproscopy and suffering from infertility ?
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1 am 33yer old suffering from infertility ,also diabetic and hypothyroidism ,at present diabetes and thyroid under control ,dr performed hysteroscopy and laproscopy and found adhesion,adhesiolysis done ,reports show tb pcr positive.dr prescribe me meparin for 45 days and then meperate for 15 days, my menstural period last month is on 24th augest on 6th sep lapro is performed on me i start taking premarin from 12sept, dr told me that now i get period when my dose of premarin and meprate is over but in today morning i.e 24sept my period started is this ok, and earlier dr does not prescribe me akt4 as mt tubes and uterus are ok but now she prescribe me akt4 is it ok to start taking akt4 from 1st day of menstural cycle moreover im alreadt taking so many medicine eltroxin75mg ,metformin sr 500 mg bd ,premarin?
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Hello.Welcome.If your TB PCR is positive then you have to take a full course of anti tubercular medicines for at least 6 months.There is no problem in taking these medicines together.Keep getting your LFTs done regularly.Good luck.
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Can dentures be made to be fitted without any supporting teeth inside?
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MY TEETHS ARE IN VERY POOR STATE , MOST OF THEM HAS BEEN FALLEN AND SOME ARE ABOUT TO FALL . FRONT TEETH HAVE BEEN EXTRACTED AND REPLACED BY ARTIFICIAL TEETH . MY PROBLEM IS THAT THE TEETH WHICH ARE SUPPORTING TO THE DENTURE ARE ABOUT TO FALL . IS THERE ANY SYSTEM TO PREPARE A DENTURE WITHOUT ANY SUPPORTING TOOTH ? IS THERE ANY SYSTEM THAT SUCH DENTURE CAN BE REPLACED ON THE SAME DAY OF REMAINING TEEH EXTRACTION ?
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Thanks for using Health Care magic.Read your query.Poor oral hygiene and improper maintenance along with any systemic conditions like diabetes will be the probable cause for the early loss of teeth.Periodontal disease causes bone to be lost there's so little support for the teeth that they have to be removed.Yes, dentures can be immediately placed following the extraction of the teeth.I would advice you to consult a good prosthodontist and have a immediate denture done.Maintain it well and get back your confidence.Hope this was useful.Thanks and regards.
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What causes bad smell from mouth?
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Hi Doctor, I have a problem with my mouth smell bad when talking with other.I always clean my teeth twice a day and usually go to see dentist clinic. They sad my teeth Is no bacteria and clean. They comment me to see a doctor who specialist nose, or stomachCould you tell me how can I make fresh air
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Hi! Welcome to Healthcaremagic!I read your query. Bad breath can be due to local oral causes or as a result of systemic causes. If your mouth is clean, look for other symptoms. Dry mouth for long durations, Diabetes, high carbohydrate diet, Gastrointestinal disease, Lung disease, liver, kidney, blood, all can lead to bad breath.I suggest you to meet a physician and give history and get check up done. Do you have any medical problem? Any acid reflux or acidity? Get LFT, KFT, chest xray, ENT check up and blood test done. After confirmation of any underlying disease, it needs to be cured.Besides that, maintain good oral hygiene. Use mouthwash. Drink lots of fluids and avoid dry mouth. Chew sugarless gums. Massage gums with gum paint.Have healthy diet with multivitamins and minerals. Follow up regularly for oral prophylaxis.At times even after cure of bad breath, patient has a feeling of bad breath. Its psychogenic. Rule this out with the help of dental check up.Hope the answer helps you. Thank you!
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What does urea of 250 and creatinine of 2.2 suggest?
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my father had his bypass surgery and 2 days later, due to improper blood circulation he underwent kidney failure and was comatose. the doctors re opened him and did ballooning. now after a lot of medication and antibiotics, his urea and creatinine are rising, currently his urea is 250 and creatinine is 2.2. is he in danger or is this reversible. he is diabetic too and his sugar levels are reaching higher than 500...please answer
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Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.These indicates kidneys disorders which may be caused by diabetes which is more probable or by medications that you take. These are still not critical values but it should be closely monitored since this may be very serious if not treated. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.DR. Ivan Rommstein
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Am diabetic. Had conceived 3 times, aborted two. Now have periods twice a year. Can I conceive again?
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Hi, I'm 31 and I am a diabetic. I have been pregnant three times. The first I didn't keep, I had the second and the third I didn't keep. My son is 12, about 8 yrs ago my cycle started changing and it would come every 2/3 months, now it comes maybe twice a year. I want to have another baby, is there something I can do.
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you have not mentioned for how long you are a diabetic?u are on oral hypoglycemic or on insuline for your diabetese and status of your blood sugar in recent past.you have to go through multiple investigations to decide status of your organsand HbA1C if u r a diabetic for long time.than to rule out other causes of oligomenorrhoea.and if u are obese and having other symptoms of PCOD than to rule out that.and test for ovulation.and if you are anovulatory than treatment may be started with ovulation induction drug like clome.
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Suggest medication for joint pain and herpes
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Hi doctor my father suffered from herpes zoaster 3month back .he is under medication taking zerodol-p.now he has body and joint pain and swolled leg.he is diabetic kindly help his age is63.now doctor prescribed dolo 650 twice a day for joint pain.kindly help
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get his diabetes levels checkedyou can use compression bandage for leg swelling and do ankle toe movementHope I have answered your query to your satisfaction,in case you want any further help feel free to contact me
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Suggest treatment for thickening of gallbladder wall
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hi sir my mother is suffering from many days..doctors say that the walls of her gall bladder have thickened a lot and needs to take intervenous injection..plz do consult me a good surgeon in kolkata for this disease.thanking you,sanchita gangopadhyay age-19 mothers name-sima gangopadhyay height-5'5 weight-60
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Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.Your symptoms may be suggestive of gallbladder stones so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Stones are see more commonly in obese people and those with diabetes. You need to change your dietary habits first. Need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.
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What causes severe pain on the top of the big toe?
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I have intermittent pain on the top surface of my right big toe. It feels like a needle poking it or a bad sting. I ve read it might be an indication of gout. Is there anything I can do to immediately alleviate the pain before I can get a doctor s appointment?
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hi,thank you for providing the brief history of you.As the pain is like needles in the great toe a thorough clinical examination is advised. This symptoms can be due to either of the factors . increase in the uric acid levels will lead to pain and can be investigated by lab urine culture. The next is this needling sensation is more of the neuropathic sign like nerve impingement in the lower lumbar spine and such symptoms are related to nerve. After a thorough clinical examination the treatment will be initiated. For time being till you meet your physician you can apply ice for few minutes and the pain should be down. Icing is adviced only if you do not have Diabetes.Regards Jay Indravadan Patel
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What can cause a leak of clear sticky discharge from penis in the mornings?
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Good morning , when i woke up every morning i always discharge clear sticky liquid from penis.it has been happening from almost 7 years now days i noticed my right testis shape become different than left testis.kindly advise me an effective treatment.
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Hello I share your concern, i will try to help you out in best possible way.Looking at your description this could be STI or other infection or allergic reaction.I would like further informationto help you better Your age and relevant medical history like diabetes or other metabolic disease Any recent exposure to unprotected sex?You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test as well as pus culture of the discharge from the rashyou can rule out the possibility of HIV by an ELISA test after a window period of 3 to 6 months about which your doctor knows.Apart from.this blood sugar fasting and post prandial and Blood for CBC and liver function test are also advisable.Maintain good hygieneWash and clean your private parts with antiseptic solution or soap routinelyUse condom during sexHope this answers your question please feel free to ask for more clarificationThanks and regards
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What causes breathlessness and heaviness in the limbs?
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I am a 55 year old women with COPD among other things. Heart Valve replacement, thyroids, Diabetes, and fibro. I take many medications to control all. However lately I have been feeling breathless, body and limbs feel oddly heavy. And no energy. I have reviewed my conditions and obviously its a lung thing. I see where there is a drug called Incruse and is that the only medication on the market for COPD . Any way my question is this. Does it sound like lung with the no energy , hard to breath and so on?
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You should have your heart re-evaluated as this is a common cause of breathlessness and limb heaviness. If nothing concerning is found in the heart, you can proceed to having a chest x-ray done to screen for lung problems that may explain this.
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Is there any problem in future as i am suffering from liver abscess?
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hello doctor, last month i had suffered from liver abscess i consult the doctor he said that there is a small hole in the liver and puss has been formed and it is due to alcoholic & smoking so he told to take some antibiotic tablets for 1 month and i have continued it , is there will be any problem in my future life,so how can i avoid this please suggest me!
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Hi thanks for asking question.Let me know you if you will continue with smoking and alcohol then you are at high risk for liver disease.As far as abscess concerned you have taken antibiotic for one month.Now repeat the USG or x ray to see whether it has resolved or not.If it is still there and looks like bacterial then it has to be drained.If it is resolved then it will not lead much problem letter on life .But for that alcohol and smoke stopped.Rule out diabetes also as it can related to abscess.Take low fat diet for few days.Maintain your BMI ideally.Fruits taken more.I hope your concern solved.Dr.Parth
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Why are my ankles always swollen after spraining it three weeks back?
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Every member of my family, I think, has had diabetes -- onset, Type II. I am checked twice a year. My doctor was also my mother s, prior to her death. In the last two months, I have begun to urinate excessively. I do drink a lot, due to previous battles with blatter infections. However, this is new. I do not smoke. I have lost over 60 pounds in the last 1 1/2 years, but I still need to lose 25 pounds to be at an optimal weight for my height and age. I do water aerobics at least twice a week, an hour each time. I do not have any of the diseases my parents either were dead of, at my age, or were fighting at my age, including breast, lung, colon cancer. Both also had diabetes and heart issues (different kinds). I just returned from overseas -- healthy countries and I did not eat or drink while on land. I sprained my ankle, now three weeks ago. My ankles are swelling daily, to some extent. I walked miles overseas -- maybe not literally, but in my mind. The swelling of my ankles often occurs when I travel and I have been in the air almost as much as on the ground since March 1. I wrote that off to the travel. My bi-annual checkup is a couple of months off. Trying to decide if this is worth calling my doctor s nurse.
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Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The swelling of ankle after a sprain suggests a hematoma formation. Need to have an MRI scan to detect extent of damage. Hope I have answered your query. Let me know if I can assist you further.
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Kidney stones, taking lots of water. Red blotches in penis tip after drinking too much water. Any ideas?
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Hi I have a kidney stone and currently under hospital for it however they are just advising me to drink fluids.. I have increased my water intake to 4litres a day and as a result I am visiting the toilet more. In addition I have noticed that the tip of my penis is getting red blotches on it. On the days I don't drink as much water I don't seem to get these but when I ensure I drink regularly I get the blotches back. I am not sexually active at present. I am 36yo male, 5ft 11 and 207lbs
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red bloctches may be due to inflammation which is called balanoposthitis and it is painful and occurs in diabetics and is like bell sound of elephant(diabetes) coming after. so check your fasting blood glucose if you are obese and you said increased urination which if occurs in night is also a symptom of diabetes. if your blood sugar is normal consult a physician for local examination of penis to rule out other pathology.
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What precaution should be taken after heart attack?
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after echo test docter asked when i get my heart attack before then i approched hospital where echo and tmt test are done and found positive i am taking medicen ;mrtoprolol,ecosprin-100mg,crestor-10mg,isosorbide-20mg,please advice how to cure my heart is by yoga it can be cure.after taking these medicen my stomak is up set.
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Hello!Welcome and thank you for asking on HCM!I passed carefully through your question and would recommend performing a coronary angio CT scan or coronary angiogram in order to examine better the coronary arteries. Stent implantation or bypass surgery may be necessary based on the coronary angiogram. Meanwhile, I would recommend continue on these drugs and try to reduce your cardio-vascular risk factors: - maintain a normal blood pressure- avoid alcohol intake- avoid smoking contacts- check periodically your blood lipid profile and fasting glucose in order to treat possible dyslipidemia or diabetes- try to lose some pounds if you are overweight- use a balanced diet (Mediterranean diet is recommended)- perform a lot of physical activity (walking, aerobics, Yoga, etc.). Regarding your stomach, I would recommend using omeprazole twice daily. You should take ecosprin only after meals. Hope you will find this answer helpful!Wishing good health, Dr. Iliri
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What causes tingling sensation in the abdomen?
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I get twinges in my abdominal area at usually at night, but now I am starting to notice all the time. It is on my right side to the right of my belly button. It almost feels like a bubble bursting, or like a small wire bending. It is very disconcerting. I am a 58 year old woman in seemingly good health. The twinges aren't painful, just a weird sensation and seems to have gotten worse, and now travel all over my belly. I have asked a few doctors when I get check ups and they just say nerves.
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Hi.Thanks for your query and an elucidate history, history of what other Doctors suggested, like 'just nerves''.I do not think so, these are not just nerves. You have mentioned specifically about the twinges on the right of your belly, more pronounced at the night; feels like ''bubble bursting' or small wire bending, seems to have gotten worse and now travel all over the belly. I would think abut the following in such a case:-This can be a subacute intestinal obstruction, not sufficient to cause acute pain.- Lymph nodal mass in the center - mesentery,-Rare chance of Gastrointestinal cancer.I would advise you the following, please discuss and insist with your Doctors:-X-ray of the abdomen in standing position;-Ultrasonography and if required CT scan of the abdomen. -Clinical examination of the abdomen by a Gastroenterologist and preferable a Surgeon.-Investigations of the blood- particularly to rule out diabetes, Typhoid, liver and renal functions.-Urine and stool examination;-Endoscopies if required and advised by Gastro.Once a proper diagnosis is made, treatment will be guided to give you a proper diagnosis and may be a cure.
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Black spots under feet. Blood test for HIV normal. Suggestion?
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black spots under feet no medical history, i smoke cigarates little pain in lungs so left now, my father also got that spots and his blood check up nothing about hiv or aids presented he have diabetes is this come from genes, spots are growing in little size but numbers are decreased. i donated blood twice so whats wrong with this spots.
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Hi and thanks for the query,It s ok you were thoughtful and the HIV test is ok. It might important to know when you developed these spots. Whether they are painful or not or whether they give you any itches. All these parameters are very valuable.Pathologies commonly associated to such spots could be infectious, vascular inflammatory disease and cigarettes could be implicated in case of specific cigarette associated arteritis.Syphillis could produce such sports. It might necessary to get the test for syphilllis controlled.I suggest you consult a dermatologist for a proper medical heck up.Thanks and best regards,Bain LE,MD.
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What causes a stroke in a diabetic patient?
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My 66 year old diabetic male friend just had a stroke on X-mas eve. he is a lifelong IT systems software worker and a wonderful sensitive caring person, who happens to live the basic American way and eat the SAD. He s now looking for help, including nutritional.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Stroke occurs mainly due to atherosclerosis.Diabetes is well known to accelerate the process of atherosclerosis .Sugar is frequently consumed in the Standard American Diet. Hope I have answered your query. Let me know if I can assist you further.
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Is it dangerous to have fatty liver?
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Hello Dr. m asking abt my frnd who is 25 yrs old, 5'10" ht. and 85 kg wt. in his medical report ALT lvl showing 117, AST 61.He is not daily drinker only once or twice a month..and had left it since 6 months totally.. US report is showing fatty liver..is there anything much serious????
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Hello, I'm dr. Klarida. Thank you for posting your question on HCM.From what you have explained here, and the calculations, your friend has a BMI (Body mass index)= 27 which means he is slightly overweight (BMI= 20-25 normal weight; BMI= 26-30 overweight; BMI>30 obesity).The liver function report is slightly higher, which are values who justify the cause might be the fatty liver.Its great that he has stopped drinking, because drinking in itself may cause fatty liver.One of the causes of fatty liver is obesity, so the liver and the enzymes will most probably return to normal if his weight would return also to normal.Other causes may be diabetes, medication, viral hepatitis, autoimmune or inherited liver disease.So if I was your caring doctor, I would recommend a diet with low in fat and carbohydrates, plenty of fruits an vegetables, and physical activity at least 5 times a week starting with 20 minutes and increasing gradually. Ruling our the other causes may be helpful if your friend has a risk for those, or if he hasn't yet done.Take care
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how to prevent further bulging of discs noted?
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my MRI report findings bulging discs noted c4-c5 and c5-c6 levels causing effacement of anterior subarachnoid space. I am 58 year old women with a history of osteoporosis and fibromyalgia suffering since 20 years. how- serious is the problem and how to prevent further deteriotion?
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This treatment is being suggested on bases of the information provided. HoweverI would like to examine & investigate you in detail.Control Hypertension, Diabetes or any other metabolic disorder, if there is any. Any way it may be tried,--. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days.--. Caldikind plus (Mankind) 1 tab OD x 10 days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water. Let the part not be exposed to cold.--. Sleep on a hard bed with soft bedding.--. Use no pillow under the head.--. Avoid painful acts & activities.-- .Do mild exercises for neck and shoulders. --.(Take help of a physiotherapist).--Do not ignore, let it not become beginning of a major problem.--Do ask for a detailed treatment plan.Kindly make sure, there is no allergy to any of these medicines.--For emergency treatment visit nearest hospital.--Wish you a quick recovery & good health.--I hope, I have solved your problem to your satisfaction. Dr N C Gupta MS (ortho)
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Numbness in feet, was a smoking addict, family history of burning feet. Cause?
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Both my feet feel numb but yet I can feel even in the toes. It is a tingling or numbness. My doctor ignors it when I ask him for a explaination. I had a grandmother that had burning in her feet expecially at night, my brother is complaining of the same thing now. I have an aunt that says she has pain in both feet and calls it neuropathy. I have been a smoker for 50 yrs but have stopped last year. Can you tell me what my disease is and tell me the progress of the disease you name. Thank You. - AAAAAAA
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Hello, . Any sensory disturbances in the peripheries can be a sign of peripheral neuropathy. Vitamin B12 deficiencies are sometimes associated with smokers may be a cause of this condition. I am pleased to know that you have quit the habit. In addition few other causes associated with this condition are as alcohol consumption, diabetes, malnutrition, metabolic disorders and so on. I suggest you to get your blood tested - complete blood counts, blood sugars, electrolytes, serum vitamin B12 levels, etc. Your physician can streamline these tests to you. Multivitamin especially Vit B12 supplements are helpful in this condition; however you may use it after checking its levels in the serum. Hope this answers your query. Wish you good health. Regards
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Pus filled gall bladder with stones removed. Feeling sore and tired. Have diabetes. Diarrhea upon eating. Advice?
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Just had a very pussy gallbladder and 4 cm stone removed last Monday after 4 days trying to get infection down but as this would not happen they had to do a very complicated op. feeling very weak sore and tired. I am a type 2 Diabetic on top of this. now home and experiencimg doahorrea sometimes when I eat even though small amounts. is thos normal and what should I mainly eat to start. Done through key hole but had to cut one hole larger to get the stone through.
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Hi As your gall bladder got infected and removed under General anaesthesia,it is natural to have weakness and tiredness post operatively. Please take good antibiotic like Cefuroxime and anti inflammatory drug. Take protein diet,green leafy vegetables.Eat frequent small feeds. Diarrhoea can be due to infection of bowels caused by contaminated food or water.Please take Pre and probiotic if it continues. Please keep your blood sugar levels under control. Wish you good health Regards
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What treatment should one take for cancer with metastasis in liver and what is the treatment cost ?
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Dear Sir, I am writing this mail to seek your guidance for my Uncle, who has been detected with Cancer . My friend told me about you, It would be very helpful if you can guide us. Details are as follows: Patient Name: Mr . Dharam Pal Kataria Age: 66 years He is having a history of being a heart patient, had bypass in past. He is also having diabetes and thyroid. For the past six months , he was also having a persistent cough (dry). He has been detected with cancer having metastasis in liver, doctors have detected the primary source to be pancreas . As the Jaundice has reached to the bilirubin count of 8 and the doctors are denying treatment. Hence we are facing problems. It would be really helpful if you can kindly provide some way forward. Please also let us know about your professional service fees and how we can make payment. I am attaching the reports for your kind reference. Thanks & Regards Mohit Kataria +91-0000
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Follow your doctor advice. For fee contact drbandilkk at gmail dot com
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Suggest medication for fever and chills
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I developed fever and chills with some body aches three days ago. I have been taking Cipro 500 mgs. twice daily since Thursday evening. I continue to have episodes for sweating and developed a dry hacking cough two days ago. Heaviness in the chest and basically fever fatigued and letharagic with a runny nose. I have also been taking Flu and Cold. One year ago I received a pacemaker, have Tyoe 2 Diabetes. I did receive a Pneumonia and Flu injection at that time. I was wondering if I might have Pneumonia. I feeling like I am having trouble moving in air.
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Thanks for your question on HCM.In my opinion you should get done blood report (CBC) and chest x ray to rule oit infection in the lungs. Possibility of lung infection is more because1. Fever with chills and dry hacking cough is seen in lung infection.2. You are diabetic so chances of infection are more.3. Your flu vaccine is a year ago, so coverage is over.So you are quite prone to lung infection so we have to rule out this first.If chest x ray is normal than malaria should be rule out as fever with chills is there.So better to consult doctor and discuss all these.
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Suggest treatment for elevated sugar levels during pregnancy
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My daughter is 36 weeks pregnant --- she has gestational diabetes. it has been under control fairly well. her sugars have spiked this evening and when calling an after hours nurse line they say drink water and call back if you get 2 tests over 300. This does not seems right to me --- is there anything else she could do to help lower the sugars
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Hello,First of all, do not panic. I will suggest you get in touch with her treating gynecologist at the earliest. She should, however, follow the advice as below-Please opt for a healthy diet and regular exercise regimen.Include more portions of fruits and vegetables and salads in daily diet.Drink plenty of water in the day.Avoid refined sugars and deep-fried foods and bakery products in the diet.Walking for 20 minutes at least before each major meal is advisable.Please get fasting and pre-lunch and pre-dinner sugar levels done.Better to have a home use glucometer with her, to check her sugar levels.She might need prescription support from her treating doctor for tablet Metformin and or Injection Human Insulin - Actrapid, depending on her sugar levels.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Purushottam Neurgaonkar
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What causes dark skin on neck,armpits and elbows of a child?
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my dtr is 6 ,she had asthma..nd suffered from pnemonia thrice..ws on medicationi.e antibiotics,and rotahaler fr about 3 yrz..she s fine now...recently she has become really dark...specially around her neck,armpits and elbows..also rashes keep recoccuring..does it hv anythng to do with her asthma medicatin..or another reason is undelying..please help..im really cncrnd as ppl notice it and make undesirable remarks..which affects her mindframe
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asthma medications like steroids can cause such pigmentation around those areas and rashes could also be associated with those medications.complications of steroids to be ruled out like diabetes,Cushing's etc.
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Could diabetes with high BP and fluid in lungs cause coma?
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My mother is in a coma and the doctors can not determine the cause. She is a diabetic with a history of high blood pressure. She was having shortness of breath the day she went into the coma She was rush to the ER and fluid was on her lungs and her blood pressure was very high. The Dr told me she flatlined twice. The machine is doing all the breathing for her. She was taking off of sedatives to if she would respond.however is still in a coma. I am hopeful she will come out of the coma. Any feedback would be helpful.
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Thanks for your question on Health Care Magic. I can understand your concern. Yes, diabetes and uncontrolled hypertension can cause coma. High blood sugar level can cause diabetic coma due to osmolar edema in brain. Uncontrolled hypertension can cause brain hemorrhage and coma. In your mother's case, hypoxic brain damage is another cause. She was having flat line twice. This means that her heart stopped twice. This might cause reduced blood supply to brain and hypoxic damage. To rule out all these possibilities, get done MRI brain and CSF (cerebro spinal fluid) analysis. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.
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Why am I having low sex drive and chronic belching?
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Hallo Doctor, Symptoms, Low sex drive within past 3 months, ED issues at times, Chronic Belching. What is the underlying problem, How do I go about this? Yet to see a specialised doctor. Glad that you offer your expertize online, some of us live in areas in which these kind of expertise is scarce. DM
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Thanks for asking in healthcaremagic forum Belching is due to acidity leading to gastritis. So, anti histaminic/antacids and proton pump inhibitors would certainly help you when taken with gastric motility agents. Please send your details regarding age, associated illnesses like diabetes, Hypertension for further suggestion on erectile dysfunction. All the best.
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20yrs old. Experiencing to forget my past. Suggestions?
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Hi, may I ask what is this condition that I am experiencing, I really forget my past years especially my childhood years, I don t really remember most of them. This year I m 20 years old. In regards to my present experiences I remember them, its just that on my elementary and some of my highschool years. I am oriented to time,place and person. Thank you.
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HI, THANKS FOR CHOOSING HCM, It is a common thing to think that you have forgotten the childhood years,most of us have such feeling at one time or the other if you want to rule out serious problems that cause such conditions,here i list them out for you .head injury .severe depression( as in loss of a parent or a close family member or abuse) .diabetes .epilepsy .surgeries relating to head and brain etc but if you have good intelligence similar to your pals then you may not need to worry if still you find problems in remembering your recent past,you can talk to a psychiatrist HOPE I ANSWERED YOUR QUERY FEEL FREE TO CONTACT ME FOR FURTHER QUERIES THANK YOU
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What causes opening of the inner skin of penis during intercourse?
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Hi, I am 28 years old. I was recently married. While doing sex with my wife, sometimes my inner skin of penis gets opened. I feel pain and irritation couple of days, then it was closed automatically. I was not able to do sex with her when it was opened and I feel discomfort. When it was closed, then I feel normal. I am afraid of this, could you help me on this
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Hello, It can be phimosis due to diabetes _ you can check blood sugar Dry sex_ increasing foreplay will reduce dryness Infection _ hygiene issue. Initially, medical management will be helpful if your symptom persists we can think of surgical methods. 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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What causes tightness in chest with pain shooting to left elbow?
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I ve had this tightness in my chest on the left that shoots into my left elbow for like two days now.. it doesnt hurt as much when it started yesterday, but today is a new day and its still there. the pain is wierd like some one squeesing me and sabbing me at the same time, i dont want to make a big deal out of nothing
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Hello Chest tightness shooting to left elbow need proper evaluation.It is important to rule out cardiac reasons.It is important to know your age and about illness like hypertension,diabetes mellitus.You need proper clinical examination and routine investigations.Investigations include routine hemogram,random blood sugar,lipid profile,liver function test,renal function test,chest X-ray (PA view)ECG in all leads,TMT,ECHO.Further investigations can be done if needed.It is also important to exclude musculoskeletal causes of pain.Proper treatment depend upon findings.Take CareDr.Indu Bhushan
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I have got bad breath
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i have got bad breath
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Hi.. Check your blood sugar levels.. If you are a diabetic, your diabetes may not be under control, so recheck it.. Get a dental check up done to see if there is any dental problems like dental caries or abscess.. Else, twice a day brushing and flossing is enough to prevent bad breath...
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What causes sensitiveness in genitals during intercourse?
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Hi! Im a transsexual (MtF) and im just about 1 year on hormones. I've also recently become sexually active and have been having some problems. Whenever my genitalia is touched its extremely sensitive and painful, and as you can imagine this has created a lot of issues during sexual relations, it also doesn't help that seeing my penis or thinking about it ruins my sex drive. I figure its worth noting ive never tried masturbating pre hrt and have never had an orgasm. Honestly, I'm just not sure what to try to correct this or what the next step should/could be.
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Hi, It can be caused due to initial stage of intercourse, diabetes and testosterone irregularity.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist
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Dizziness, nausea, lightheadedness after getting new dentures. Took antibiotics for infection in the gums. Will the infection affect the brain?
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It has been approximately 3 months since I had all my remaining teeth extracted. I have been dealing with the usual bone working out of the gums and pain trying to get used to the new dentures but I have also been dealing with dizziness , nausea, lightheadedness , generally cant function, kind of a euphoria type feeling. There was a bout with infection in the gums where there were puss pockets but that has subsided now after a couple doses of antibiotics. Could the teeth being extracted cause this? could the infection have affected my brain. Also I suffer from MS but I have been seeing a nuerologist and everything seems to be ok. I have had 2 MRI s done in the past month and a half. Thanks
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Hello & welcome, First & most important thing here is, just go for check up of your newly made Denture. This is so because, denture if over extended on palatal side, causes feeling of nausea thereby leading to dizziness. Although this nausea & dizziness can be due to gastric irritation by the antibiotics taken by you, checking denture for over extension will be primary advise. And if denture is found overextended, then can be treated by grinding & reducing extension of the denture to proper limits by your dentist. Absolutely, oral infection & brain has nothing to do with each others. Tooth extraction can cause pain but not nausea. You should not wear your denture if there is any residual infection in extraction socket which should be treated immediately. You can undergo blood sugar examination as diabetes patients suffer from delayed wound healing & difficulty in wearing denture. Take care.
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What are the main reasons for Kidney failure among Indians?
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what are the main reasons for Kidney failure among Indians?is Kidney failure always related to Anemia? My hemoglobin count is 6.8my doctor said, my kidneys are functioning at 17%. but I do not have any symptoms. can this be true? what can be the treatment?
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Hi,Thanks for writing in.Diabetes and hypertension are the main reasons of kidney disease in Indians. It is well known that diabetes and hypertension targets the kidney function in the glumerulus and causes nephropathy. It begins by permitting proteins to be excreted in urine and this progressively increases with time.After few years the renal function goes down and the protein excretion increases. This starts a cascade of events terminating in increasing serum creatinine level and the kidney starts to shrink. Once there is chronic kidney disease grade III then reversibility is difficult. Anemia also is responsible for progressive kidney function deterioration. The kidney releases erythropoietin which is a molecule to increase the hemoglobin and if there is kidney disease then this is not secreted in adequate amount and the cycle repeats. Please discuss your condition with your doctor. Please do not worry.
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Dull lower abdominal pain, reddish urine, sonography showed stones at the distal ureter end, advised surgery through ureter route. Guidance?
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I am having tendecy for formation of kidney stones . I am 65 now and was operated for kidney stones 3 times in the past . I do not smoke and do take only vegetarian food. I wegh 80 kgs. Last one week i am sufferig from dull pain in the lower abdomen and passing redish colour urine. I am also experiencing frequent urine passing tendec\ncy . I am having high BP , High cholesterol and diabetes and taking medication regularly. ultra sonography done yesterday has revealed 3 nos 1.5 cm long stones in the distal end of the ureter . and my docotor has advised surgery through urethral route. Please guide and help.
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Hallo Thanks for your query.You are known pt to have recurrence of urinary stones Now you have a 1.5 cm size stone in lower end of ureter.You need to undergo an endoscopic procedure of Ureterorenoscopy and fragment the stone so as to decompress the ureter and kidney.If neglected this will damage your kidney.So do not worry and go ahead for the procedure as suggested by your doctor.
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What causes recurring viral fever in a diabetic patient?
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Hai sir,My father is a diabetic patient and his age is 52. For the past few months he suffers from viral fever and infection occurred in right kidney. Doctors confirmed as viral fever and requested to reduce the sugar level in the body. Now he has a controlled diet and has sugar level of 148. But still often viral fever comes and same reason from doctors. Is that a viral fever ? Or some other symptoms of cancer I might get afraid. Please suggest me a proper solution for this disease .Common symptoms:1) Cold fever2) headache3) vomiting4) Body pain5) coughing6) Tiredness
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Hello, Thanks for the query.In a person with diabetes generally the resistance is lowered. So there can be repeat infections. Hence, it is absolutely essential to achieve a very strict blood glucose control. Ideally FBG: should be <100 mg, PP 150 to 160 mg & HbA1c% <6.8. With good blood glucose control, healthy balanced diet and regular exercise for about 1 hour a day, he should be able to live free from repeat infections. Viral fevers are fairly common and usually self limiting. When a person improves his fitness and maintains good control on blood glucose, these problems can be avoided. There is no reason to panic or think in terms of some serious diseases. Thanks.
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What causes itchy puss lump on perianal and how to treat it?
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I have a puss lump come up on my perianus almost once a month and in the same place. It starts off as a lump that is itchy and then will get puss and then turn into what feels like a sore with a crater in the middle. I get it a couple of days before my period starts. I have had a perianal tear from child birth. What is this and how can I treat it?
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Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, in my opinion, following are the possible causes for your symptoms. 1. Anal fistula 2. Boils 3. Infected sebaceous cyst. So better to consult surgeon and get done clinical examination. You have to get done surgical removal of whole lump with proper surgical dressing. You may also need antibiotics. Also rule out diabetes as it can cause recurrent skin infection. Avoid moisture and keep proper hygiene of anal region. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What is the average lifespan after CPR?
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Hi, may I answer your health queries right now ? Please type your query here...My Father-in-law survived a heart attack 4 years ago and was saved by CPR. He then had a pacemaker put in and has gone off three times over the years but generally is in good health. What is the average lifespan after CPR? Thanks
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Welcome and thank you for asking on HCM!I have gone through you question carefully. Survival after CPR depends onthe underlying heart disease and the severity of heart dysfunction and comorbities ( Diabetes, Hypertension etc.), level of physical activity status . if frequent CPR s are being required survival is usually poor.Hope you will find this answer helpful!Wishing all the best, Dr. D Sunil Reddy
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What causes low iron/bilirubin/blood pressure?
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I have low iron,low bilirubin,low blood pressure and very very thirsty but I am not diabetes .I am feel week and feels like I have GERD but I don't have it and have gas so I feel like I have breathing problems but I am not asthmatic.What is this? (I am very slim).
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Hi and thank you for asking!I read your query very carefully.Your findings may be associated with following disorders:- Gastrointestinal- Endocrine or hormonal disorders- Inadequate calorie intake- Lung disordersIf you were my patients I would recommend to do the following exams:- Chest x ray- Blood work and hormonal balance- ecg- Abdominal ultrasound- Upper endoscopyHope this will be of help!Wish you health!Dr. Shehu
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What causes loss of breath with sneezing?
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I am experiencing loss of breath and tend to panic because of it. Have been sneezing a lot. No cold or flu. Have been checked for diabetes, lung xray ok, thyroid ok, blood pressure slightly up but on medication for this, on medication for anxiety, stressful job but has been for over 20 years, cholesterol slightly up, go to chiropractor for bad back, fatigue. Due to have tests for lung capacity eg possible asthma. On list for check of heart but have a history of heart disease.
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Hello dear, thanks for your question on HCM. I can understand your situation and problem. Anxiety and panic disorder appear more in your case due to stressful life.But better to get done PFT ( pulmonary function test ) to rule out asthma. Also get done ecg to rule out cardiac cause. If both are normal then no need to worry much .You are having anxiety and panic disorder mostly. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Avoid stress and tension. Be relax and calm.Don't worry, you will be alright.
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How can erectile dysfunction that has occurred since one's wedding be treated?
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Hi, Doctor I am 31 years, H:174, W:85, facing erectile dysfunction from marriage first day(2013), Its suddenly started why its happend and every time before intercourse using blue pills to have erection. Now I got a baby girl. let me know its physical or mental problem and how to cure it.
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Hello, Thanks for the query.From what you have mentioned it appears to be a mental block. Because prior to marriage you seemed to have no such problem, it happened when you went for first contact. So my suggestion is meet a sexologist as well as a psychiatrist, because it needs to be properly assessed. Counselling sessions will be able to help overcome the difficulty. Since yu do not have diabetes or you are not on any drugs which may cause such a side effect. the above approach would help. Taking "blue pills" regularly for a very long time may not be desirable. Thanks.
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I am in terrible pain with the lung condition, please advise me
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Any doctors or nurses out here. that would give me advise ? I am once again confused and upset. The Dr told me that I had a fatty liver and that in order to get better I had to diet , I am pre-diebetic and so I went on a low fat diet. I was put on asacol, it has been a few weeks and I have fallen ill with bronchitis and Now - Plueirsy. My regular dr did bloodwork and it shows high liver enzymes and NOW low protein. I am in terrible pain with the lung condition and often can hardly make it through the day, I come home and go to bed for the rest of the night. I am feeling sick to my stomach and severe fatique. I am at my wits end My mother says that I need a different dr, I just don t know. I am trying to loose weight, and its not helping so far.. I can stand to loose around thirty pounds ( I am 5 4 and weight 160) Do you think that the pain from my pluresy is connected to my liver problems?
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I have mild fatty liver and insulin resistance (prediabetes) I started on Metformin ER and I started taking milk thistle. My glucose levels are better and my liver enzymes have been normal now for the lst 18 months. I wanted the Metformin ER because diet and execise wasn't helping with glucose levels or weight loss, I lost 15 pounds on the Met ER too. I got this info from the link below " Metformin (Glucophage) and rosiglitazone (Avandia) are oral glucose-lowering (also known as hypoglycemic) medications used to treat type II diabetes. These medications work by correcting insulin resistance. Therefore, these types of drugs may potentially benefit people with NAFLD and insulin resistance. In fact, preliminary studies have shown that treatment with metformin can improve liver enzyme elevations in people with NAFLD."
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Why does the penis skin cracks during sex?
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dear docter ,i am 31 yrs old & married.during sex my upper layer skin of glans of penis cracking.after one or two days again it gets normal.again during sex cracks starts & also there is white spot inside the skin of penis. please consult what is to be done & what medicine to be taken.
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HiGREETINGS You have not mentioned about other medical problems you are having.Do you have diabetes.? If you have not checked please get it evaluated. It is quite common in diabetic patients.Secondly we have to rule out any infections .I suggest you to consult a skin specialist. Hope my answer helps you.Regards
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What is the cause for fast heart beat?
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Heart beatMy heart beats go from very slow to fast and pounding. I have many dx pvc's & pac's daily. Heart structure is normal. My heart pounds so hard it vibrates throughout my whole body...leaves me feeling exhausted. I used to run 2~3 miles a day.... What could this be?
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Hello!Welcome and thank you for asking on HCM!I understand you concern, and would explain that your symptoms may be related to a cardiac arrhythmia. Anxiety and some metabolic disorders (like thyroid dysfunction, adrenal gland dysfunction, chronic anemia,etc.) could also mimic this clinical scenario. It is normal to have some PACs and PVCs during the day. But what is their frequency in your case?I would like to know more about your past medical history. Do you suffer from high blood pressure or diabetes?What tests have you performed to examine your cardiac function? As far as I understand a resting ECG and a cardiac ultrasound have been performed ( you mention PVCs, PACs and a structurally normal heart)You should consult with your GP for a careful physical exam, a chest x ray and some blood tests (besides resting ECG and cardiac ultrasound) :- complete blood count (for chronic anemia)- PCR, sedimentation rate (for chronic inflammation)- fasting glucose- thyroid hormone levels- cortisol plasma levels (adrenal gland function)- blood electrolytes, etc. An ambulatory 24-48 hours ECG monitoring is necessary to rule in/out a possible cardiac arrhythmia (if you have not performed it). If all the above tests result normal, the main cause of your symptomatology would be just anxiety. In such case, you should consult with a specialist of the field to help you manage your anxiety. Psychotherapy, Yoga, meditation and physical activity are helpful. You should avoid caffeine intake. Hope to have been helpful!Feel free to ask any other questions, whenever you need!Best regards, Dr. Iliri
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High BP after taking repace h. History of regular alcohol intake and smoking. On medication for controlled diabetes, hypertension. Medication?
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last 3 days my b.p is 150/100 after taken repace h. now which medicine suitable for me. i am 43 years old. i am drinking alcohol regular 3 peg & 7 pice cigarate regularly. my waight is 85 kg. last 7 years i taken diabetes & hypertention drug. diabetes is under control. last two days also disterbence of my sleep. so i am very tense.
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Hi there. A blood pressure of 150/100 is not cause for any immediate alarm. Reduce your alcohol if you can because alcohol tends to raise your BP. Try also to get some regular exercise and chill out. Tension is no good. Be well and good luck.
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Have Gerd 1 gastritis, H.phylori and stomach ache. Scan showed stage 2 fatty liver. What to do?
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I am 42 yrs old woman having pain in the stomach so I checked with the doctor he told me to do the ultrasound and blood test and ultrasound report shows enlarge liver. earlier 4 years before i was having problem of stomach pain and doctor found that i have Gerd 1 gastrities and H.phylori accordingly it was treated but gastrities still gives me pain and stomach upset. last year due to stomach aches on the right side of the lower stomach I had done ultrasound and it showed fatty liver and now two days before it shows on stage 2. Doctor please tell what should i do and what test i have to do.
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Hello, bina, Four years ago , you say that you were treated for GERD and also for H.Pylori. During this past four years, I am assuming that you were taking some kind of a PPI (Proton Pump Inhibitor) to control your GERD symptoms. If you were not on any maintenance meds, you probably need re-evaluation with endoscopy and biopsy. Recurrence of H.Pylori is not uncommon. Sometimes a triple or four drug combination is needed to eradicate this. Now , as for your stage-2 fatty liver, I have some information for you. This occurs in overweight individuals and also who have high levels of lipid and insulin resistance or type-2 diabetes. As part of the treatment, weight loss is imporatnt, also for blood sugar control. Your cholesterol and Triglycerides have to be lowered, by dietary mens and may be drugs. I also recommend Vit-E 800 i.u. daily along with Vit-C 1000mg. daily. High protein, low fat diet is helpful. If you have not had a complete metabolic panel .have that done. Lipid levels and blood sugar, Hemoglobin A1C levels. Finally, a liver biopsy may be required if your liver tests keep climbing to see the exact stage of liver disease. Avoid alcohol and drugs including antibiotics that might affect the liver. Wish you well.
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What is the treatment for hepatomegaly?
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I have been diagnosed with Hepatomegaly Grade III.I have been advised weight reduction i am now at 104 Kgs.My all other parameters are OK which includes Lipid profile SGOT, SGPT BILIRUBIN ETC.I used to take moderate alcohol thrice a week. which i have completely stopped since diagnosed.Kindly advise.
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Hi there,Thanks for posting in HCM.You have fatty liver with normal liver function.Some of the causes of fatty liver are obesity, diabetes, high cholesterol and alcohol intake.Since all the blood tests are normal, the risk factor for fatty liver is obesity.So weight reduction should be done for resolution of fatty liver.Try to keep your BMI to less than 25.I hope that answers your query.Regards.
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Can Tradjenta be taken for the treatment of diabetes?
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I have type 2 diabetes and have been taking meteor in for about 5-6 years. I have been hearing some disturbing information about the drug and so I recently started to test my blood level using a meter and I’m finding that my reading are all over the place; one morning it’s 114 and some mornings it’s 155. Should I try an other drug prescribed by my dr., such as trujenta?
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Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.The sugar level you mentioned is not that bad to try another drug at the moment. You better check your A1C levels that would give us a very good idea whether we should add another drug or not. In reading like 115 and 129, I would advise you can just focus a bit more on exercises and diet. You can also increase the dose of the drug you already taking if not maximum. So, if there is no other reason for other drugs , the sugar level don't seem to be high enough to take another drug.However, we can't say on only two reading whether the control is good or not. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Mahboob Ur Rahman
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Suggest treatment for excema and stomach pain
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hi, I am suddenly hit with excema. I have diabetes 2 and also my stomach hurts, a lot. What could be causing me the allergy that caused the excema to flare up...never had it b4. And could my stomach problems have anything to do with pancreaitis. My father died of Pancreatic cancer and was diabetic 2 also.
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Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Eczema in diabetic patient which is increasing is suspicious of infection.Eczema causes inflammation of the superficial layer of the skin. Because of the inflammation there is loss of protective layer of the skin.Loss of protective layer makes the skin more vulnerable to various infection.If the condition is not favoured to host infection by bacteria becomes very easy.This is the type of infection we are suspecting in you.I advice you should maintains good hygiene , good cleanliness. Please make it clear two to three times a day with diluted dettol and other.Please wear cotton garments above the eczema site. It has some protective value in infection control and prevention.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
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What does small abscess along anterior wall of chest mean?
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well defined cystic collection is seen along side the anterior chest wall on right side. this collection measures 4,3cm.this is indenting liver. a smaller lateral subcutaneous is also associated.no lytic or aclerotic lesion is seen in the adjacent rib or sternum.mediastinal vascular anatomy is maintained.no hilar ir mediastinal adenopathy is seen reticulo-nodular infiltrates are observed in both lungs.small left pleural effusion is noted.impression- features are consistent with small abscess along the anterior chest wall on right side.no lytic or sclerotic lesion is seen in rib or sternum,evidence of pulmonary koch's.what does this report means...........
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Thanks for your question on Healthcare Magic. I can understand your concern. I have gone through the report you have mentioned. You are having multiple chest wall abscess which are not connected to inner organs. This is nothing but skin infection. This is commonly seen with diabetes. So first of all rule out diabetes in your case. Another cause is poor skin hygiene. At present you can take broad spectrum antibiotic like amoxicillin +clavulinic acid for 7 days. If abscesses ar resolving then nothing should be done. But if abscesses are same then you will need surgical removal of them. Skin hygiene should be practiced any cost. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Dark underarms. Searching for remedy
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hello dr, my name is Rashmi,m 23. i hv dark underarms. i hv been searching for remedy for long time. i dnt hv diabetes . my underarms hv been dark since i ws 17. i hv stopped shaving n started waxing. i dnt spray deos on skin . can any 1 plz suggest me any doctor in pune,india.plz help.
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Hi Rashmi. U can contact me at [email protected] I practice in ajmera, pimpri,
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What causes dent in the frontal lobe?
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I am 55 years of age, female, diabetic Type 2, angina problems and overweight. Had an attack in August 2009 with right arm presenting symptoms of a stroke but none proven after many investigations also told I have a meningioma tumour but not confirmed now have a dent in the frontal lobe, any ideas?
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HIWell come to HCMof course you have symptoms but that is not proven for any disease so this is nothing to worry and of course you must be taking the medicine for your diabetes and angina problem but for other symptoms you need to keep the stress level very low, take care.
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Suggest an alternative for Glucobay
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My Name is Peter I am English from the UK I live in China and have for the last 18 years just over 1 year ago I was diagnosed with type 2 diabetes, the medication they put me on was 500 mg Metformin, X 2 x twice a day with meals 40mg Gliclazide X 1 once a day with meal and 50mg Glucobay X1 once a day with a meal.I went to the UK two months ago and while I was there I visited the doctor for a type 2 diabetes checks and they took me off the Glucobay because of the bloating now I am back in China and my Sugar level has gone much higher is there a replacement for Glucobay I can take?
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Hello, Glucobay is an alpha glucosidase inhibitor and reduces the glucose absorption from the gut. Voglibose is another alpha glucosidase inhibitor and is a substitute for Glucobay (Acarbose). If you have difficulty in controlling your blood sugar, I can help you through my continuous care app. You can download it from the store where you get your apps. It is free. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Noble Zachariah, Internal Medicine Specialist
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Suggest treatment for swelling in scrotum for type 2 diabetic
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i have a chest cold for over a week and my scrotum is swollen at least twice it s size maybe more and the head of my penis has retracted way back so i can barely touch it with my finger. I have no fever and i have a rash along the crease in my fold where the leg meets the pubic area. I have no pain. i am over weight 360 pounds at 6 foot tall. I have sugar diabetes II, high blood pressure, osteo arthritus in the neck and lower back and sleep apnea and use oxygen day and night i also use a cpap machine. i have bone spurs on my spine and bone touching bone in my lower back. I also , impotent (ED). I am concerned about my penis and scrotum.
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Hi,First, in diabetes such issues may indicate serious infections and you should see doctor, however most common this is caused by epididimitis which is inflammation of part of 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.I hope I have answered you query. If you have any further questions you can contact us in every time.Wish you a good health.Kindly regards,Dr. Ivan R. Rommstein
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Dark red rash on metal plate on ankle. Developed insulin resistant diabetes. What could it be?
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Hello, My husband has a metal plate and screws in his ankle since 2005. Shortly after the broken ankle, he developed insulin-resistant diabetes . He had eczema on the ankle in 2006, but it went away. Now, there is a dark red rash directly over the plate and it is getting worse - started out as pink then got darker. The outer part of his ankle is fine even though there is a narrow plate there. Do you have any idea what this can be?
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Hi,After reading your history it appears that your husband might have lichenification or purpura over the ankle. This can be due to trauma to local area which is causing damage to the skin day by day. I advise you to not pinch or pop the area. You can apply a mild steroid cream such as Cortisone cream. If itching is present then can take benadryl accordingly. Consult a dermatologist for checking the aggravating factor.
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Is numbness in tip of tongue and echo in ear with BP being high concerning?
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The tip of my tongue feels numb or the same sensation if I had drank something very hot. I have high blood pressure, what is the casue of the numbness? There is also an eco in my left ear particularly if the blood pressure is around 146/86. Should I be worried about this?
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HI, thanks for using healthcare magicThe front part of the tongue is supplied by a nerve called the lingual nerve. This nerve actually branches off another nerve called the trigeminal nerve.The fact that you are experiencing altered sensation in this area may imply that there is an issue with the structure or function of the lingual nerve.There are different possible causes such as trauma, vitamin deficiency, diabetes, exposure to toxins, stroke, idiopathic (cause not known).You may need to consider visiting your doctor for an assessment.I hope this helps
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Suggest remedy for sore weak & stiff legs
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My legs have been sore/week/stiff as if I have worked out the day before but this occurs whenever I rest then get up or sit for a few minutes then get up. I have tried to figure out if it was my vitamins or water softened water. I just moved three months ago to new apartment so these are the only things I can think of that have changed.
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Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have sore weak & stiff legs . Well there can be many reasons for symptoms you mention in query like nerve compression , diabetes , neuropathy or multiple Sclerosis . I would suggest you to do light stretching exercises along with gentle massage , apply warm compresses on entire leg and take ibuprofen or acetaminophen for pain . If condition doesn't get well then consult orthopedic surgeon for proper examination. Doctor may order blood test or RH factor , CT scan or MRI along with physical examination to confirm the diagnosis . Doctor may prescribe methotrexate , anti inflammatory , gabapentine long with nerve supplement and recommend physical theray . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
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Suggest treatment for open sore caused by friction
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I have an open sore that is beginning to heal up but not quickly as it should. I do have diabetes and I know it takes longer for things to heal up. The sore is a result from masturbating to hard and too often. Also from that sore is a hard infection core and I was wondering which antiboitics I should take to cure the situation.
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Hello ,I understand your concern. I am Dr. Arun Tank, infectious disease specialist, answering your concern.I advice you to take ampicillin and sulbactam antibiotics under your doctors guidance for wound infection.Diabetics may have resistance infection from the bacteria. I advice you to take culture and sensitivity from the wound. Taking treatment according to report will cure your infection early as well as cheaply.Maintaining the local hygiene like cleaning and dressing can help cure infection early.I will be happy to answer your further concern you can contact me here or you can contact me on bit.ly/DrArunWe wish you a best health at healthcare magic. Thank you,Dr. Arun TankIf you are satisfied with my answer rate me as five star and close the answer
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Are auto immune dysfunctions caused by food allergies?
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Hi I am a 42 year old woman. As a child I was always prone to allergies. Milk in particular - nausea, vomiting , etc. I fell pregnanet 9 years ago and during my pregnancyI was diagnosed with type 1 Diabetes. My thyroid also stopped working. A year ago I contracted alopecia aratea. I have been having more dairy products in the last year, could all my auto immune dysfunctions be caused by food allergies such as a milk allergy?
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Hi good morning,No auto immune diseases have no connection with food or any kind of allergy.See , this disease is a abnormal immune response to certain substance or tissue which are already present in human body termed as autoimmune.Right So by its name they are nothing to do with anyother external allergic factor.
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Shortness of breath, dizziness, tingling all over the body. Remedy?
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i have been experienceing shortness of breath for the past week and now im experienceing dizzyness and tingling all troughout my body, its hard for me to take a full breath i can only get one every 5-10 breaths also when the tingling goes through my body i feel weird in my chest not pain but like throbbing let me know if im gonna die and if so when gods going to take my life im sick of these symptoms i hear anxiety i hear m.s. i know this isnt either i just want to know whats going on i renovated a house with mold a week or so ago but didnt really come in contact with it could this be the soul cause of my shortness of breath and other symptoms as well please help cant take it much longer. thank you have a good day
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Hello dear,The case history as mentioned in your post indicate that it might be due to Infection/Pathology of lung.Investigations like X ray chest and Pulmonary function test can clinch the diagnosis.Other causes can be:1.Hyperventilation due to anxiety2.Neuropathy3.Anemia4.Electrolyte imbalance5.Systemic cause like diabetes, hypertensionSo, it will be better to consult a Doctor & get a physical examination done to rule out other causes. So that proper management steps could be taken.Wishing you a Good Health.Thanks & take care.
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How dangerous is a BP of 200/100 ?
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how dangerous is a blood pressure of 200/100? I have been having this reading for the last few weeks.? I have type 2 diabetes treated with insulin and meds, I am overweight (275) and not active because I also have fibromyalgia and chronic back pain. I dont smoke or drink
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Hello Thanks for the concern Its very very dangerous as high BP directly has effect on heart. So dont wait need to consult the doc immediatly as you have diabetes and other problems so consult the physician for treatment and diet and lifestyle modifications. dont worry things will be fine after treatment. Take care
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Is less than 1.9 mg/dl serum creatinine level normal?
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Sr creatinine level to less than 1.9 mg/dl what does it indicate?How to reduce it to 1.2 or less? Age 64 yrs 8 months, height 166 cm, weight 64 kg, Type 2 diabetic (under control with oral medication), Hyper tension(under control with oral medication), undergone total Thyroidectomy with reactional node dissection for papilari carcinoma three and a half years back ( now every thing is clear with no carcino cells), recently found to have Early stages of Prostate problem with 70 ml residual urine & 36 x 37 x 41 mm of prostate size weighing 29 gm taking AFDURA 10 mg + 5, 1 tablet per day
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Thanks for asking to healthcaremagic.I understand your concern.It could indicate that the kidney function is affected to some extent.Normal range 0.5-1.2mg/dl.The below suggestions would help reduce the creatinine levels.1)Treating with lowest effective doses of medications for your disease conditions(diabetes,Hypertension etc).2)Avoid eating meat and excessive dairy products.3)Also effective treatment for prostate enlargement to be continued as it can aggravate the kidney's dysfunction by obstructive pathology.4)Increase intake of clear fluids,monitoring your urine output .However consider talking to your treating physician regarding this.Hope this information helps you.Take care.
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What causes semen in urine and burning sensation at tip of urethra?
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semen in urine i am 20 years old male medical student studing in pakistan medical history is good execpt recurrent tonsilitis family history of hypertension diabetes high cholestorl. never had sexual intercourse (virgin) i am experiencing semen in urine since 2 years. when i masturbate semen doesnt come in urine till one week after that it comes in urine sometime i feel burning sensation at the tip of urethara
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DearWe understand your concernsI went through your details. You said "when i masturbate semen doesnt come in urine till one week after that it comes in urine". That is natural. Semen is produced whenever you are sexually excited. Produced semen is stored inside your body. Stored semen is a waste product now and body needs to throw it out if it is in excess. When you masturbate, naturally, the stored semen is removed. If you do not masturbate for long, body needs to throw the stored semen. Therefore body find its own way either through urine or through nocturnal emission. Nothing to worry. Burning sensation could be different issue. Burning happens because of inflammation or infection. Drink plenty of water. If burning persists, consult a doctor.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care.
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What does sugar level 192, BP - 110/80 & heart rate - 111 suggest?
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yes, I just took my blood sugar and the level was192 (at 12noon I ate a bowl of romain noodles and a cherry tart. thats all I had today. )my feet or blueish /purple have a headache, b/p 110/80 and heart rate was 111 just a few mins ago. what should I do?
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Hello!Thank you for your question on HCM!Regarding your concern, I would explain that your blood sugar levels are high. How many hours after eating did you perform the blood test? I would recommend performing a fasting glucose and a glucose tolerance test, including HbA1C to exclude the possibility of diabetes. From the other hand your blood pressure seems to be OK, but your heart rate is a little high. Do you have any symptoms like palpitations, chest discomfort, shortness of breathing? Regarding the blueish feet and the headache, these symptoms could be related to an inflammatory disease, to a viral infection. Do you have any fever? A peripheral arteriopathy can not be excluded as the possible cause of the changes in the color of your feet. I recommend consulting with your attending physician for a careful physical examination and some tests: -resting ECG-chest X ray study- Doppler ultrasound of the leg vessels-blood lab tests: complete blood count, PCR, sedimentation rate, kidney and liver function tests, blood electrolytes. You should discuss with your doctor on the above issues. Hope you will find ths answer helpful!Feel free to ask any other questions whenever you need!Best regards!Dr. Iliri
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Severe lower back pain. Have diabetes. Need suggestions
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i have very serious lower back problems i applied for the chronic pain pension was refused be cause of something called Dish since 1978 my back was hurt the lumburg spine and others dish was discovered in2001 i dont under how this caused my pain as WCB treated me all them years the also went back to 1978 takeing away my payment for prescriptions i take 60 mgs every day plus other drugs can you tell me if that would have been there since 1978 and well i am also a diabitic and upon reading up on this this also causes the dish i have your in put would be greatly appriciated Bob Power
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Hi,The causes of back pain are many like disc problem, musculoskeletal problems etc. You need a clinical examination to diagnose the condition so that we can plan appropriate investigations. Once the condition is diagnosed, the management becomes easy.Let me know if you need any additional informationBest wishes
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Itching all over from top to bottom. No bumps or rashes. What could be the reason?
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I am itchy all over my body from the top of my head to the bottom of my feet. There is not one spot that has not itched in over 3 days now. I don't have any bumps except the ones I made from scratching. I looked up scabies and wondered about that, but I don't have a rash. We just recently let a girl move in with us and I am wondering if it could be that. Can you catch something like that off of furniture or anything like that?
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hello dear, welcome to healthcare magic, Itching all over body could be due to various reasons, firstly scabies, which u doubt, let me tell you that in scabies there is an aggravation of itch in night time, rash and superficial furrow which is mostly linear, begins in extremities most commonly, does not spread through furniture or any object, most commonly spreads through skin to skin contact.Your itching looks like allergic origin, you have consumed something or used something allergic on your skin.Have you changed your cosmetics?Also get your blood sugar level checked as even in diabetes such an itch is experienced.All the best.have a healthy day.thanks
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I am also hypo thyroid but normal count & nerve disorder
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I some times feel numbness in head ,ticklinn in my spine and down.Mild shakynes in head,followed by panick attacks and blurr image .Now at present i am 100 % well.But as climate changes or heavy climatic condition it occurs.Pls suggest .I am also hypo thyroid but normal count.
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Hi Welcome to Healthcaremagic It is important to know your age and any other disease aprt from hypothyroidism, like hypertension and diabetes. But as it is seasonal, it does not look like an organic cause for which you should be worried. Anxiolytics may help you. Consult physician. Take care
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What causes shortness of breath along with tingling on the face?
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Hello, I had some symptoms for which I went to the doctor and was prescribed medicines. I was not able to go to the chemist until two days later (yesterday) but have not taken the medicines as my symptoms are not as worrying now. Should I take the medicines or not? I am female, 42. I had breathlessness and a funny tingling in my left arm and face. This worried me for two days that I went to the doctor. My BP was 140/85 when it was checked. I was prescribed antibiotics (Azee500 and Zifi200) and Decdan0.5mg. I have also been asked to take Vit B12 injections. For some reason I could only collect my medicines yesterday but did not start them as the symptoms seem to have died down. The tingling has stopped and the breathlessness has improved considerably - all without any meds. Should I take the meds now or not is the
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Hey there Rule out diabetes first of all in such cases.there is no harm in taking Injection B12, just take them so we can assure that if it happens again in future then its not B12 deficiency
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Suggest treatment for right sided abdominal pain and loss of appetite
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Hi I stopped microgynan approx 2 months ago. I have since had a period. However since stopping I have had lots of problems with my health. Firstly I had a suspected DVT and coughed up blood but told all clear then my liver ALT was 260 (normal 10-40) this has come down to 80 but now I have a constant aching pain in right abdominal going down to pelvis and right hip. I also have lost my appetite slightly and lost 4lbs in a week. Help!!!!
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Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.Your symptoms may be suggestive of gallbladder stones so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Stones are see more commonly in obese people and those with diabetes. You need to change your dietary habits first. Need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.
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What causes shortness of breath after stent placement in coronary artery?
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my mom had 2 stints put in main artery in her heart in nov,2010, she just had her stress test and it stated she has coranary artery disease that i am figuring is the 2 stints that put in... dysenea, shortess of breath definition , and hyperlipidemia .. she is also a diabetic that is a bit high around 180 - 200 which she takes meds for..... she is 78 years old, bright , alert, but nervous....
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Thanks for your question on Healthcare Magic.I can understand your concern.Her symptoms and stress test are suggestive of coronary artery disease (CAD).She is also diabetic.So get done coronary angiography.There is always possibility of restenosis.If Angiography is showing blockage then bypass surgery is the treatment of choice for her.Strict control of diabetes is needed. So consult cardiologist and discuss all these.Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.
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Increased SGPT, taking medication. Guidelines to make it normal?
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doc, my first sgpt reading is 135. so the doctor told me to have a medication for 1 week and advice me to take godex 2x a day for seven weeks. after 1 week, i go back again and see wat happens. i was so disappointed with the result because i took medicines for 1 week and then my sgpt result becomes higher. it reaches 160 instead it decreases..wat should i do?please give me guidelines for wat i have to do to make it normal.
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Hi, Welcome to HCM, You have high liver enzyme called SGPT, first it is most important to know the cause of such rise then treatment becomes easy. Commonly liver enzymes rise due to Viral Hepatitis,drugs( many), Alcohol intake, diabetes and fatty liver. These are some of common causes, it is not clear from your description what was the cause of liver dysfunction. Please visit a Physician /Gastroenterologist and examination followed by required investigations like complete liver function test, abdominal ultrasonography. Treatment depend on cause so no specific therapy is there for liver. In some cases these enzymes may take some time before they come back normal. We must remove cause to improve this, take care of diet and do not take alcohol if it is there. I am sure this is mild derangement of live and in few weeks time it will come back to normal. Take care Good Luck. Dr.Akhilesh Dubey M.D.
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What causes hive like rashes on legs and arms in kids?
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My 13 year old daughter was just at the dermatologist for a hive like rash on her legs and arms x 3 weeks... The Dr said she thought it was her body s reaction to having the gene that can cause diabetes and/or thyroid disorders and such. She gave me a clinical term for this condition and did a biopsy. Are you familiar with this???.....and if so, what is the clinical term for this condition?
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Hi....by what you quote I feel that it could be HSP - Henoch Schonlein Purpura. But skin conditions are best diagnosed and treated only after seeing them directly . I suggest you upload the image of the kid and get back to me.I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it. Please find the link below - www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696
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What causes twitching on left side for 3 days?
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3 days in a row I have had a twitch on my left side slightly above my love handle I spent the last weekend at a resort, eat meat during my meals often and went swimming in a heated pool. Could I have a parasite. I also played rackette ball, ping pong and shuffle board. I m left handed. Could it be muscle spasms ? but it does not hurt. What do you think.
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Hello, If you are not having high blood pressure or diabetes and there are no any associated factors which increases your liability for cardio vascular problem then this can be only due to stress and excessive work. In my opinion you should take rest .This will be sufficient in relieving your problem. At present it does not looks to be a parasite problem. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mukesh Tiwari
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What causes burning on/off in urine hole and redness on penis?
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My pee hole is burning from past few days. I had burning feeling when urinating. Then i started drinking a lot of water and it went away. I don't have any burning now while urinating but pee hole keeps on burning on and off. Also i get redness on penis as well(which does not burn).Any idea what might be causing this and what would be the cure?
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Hello I share your concern, i will try to help you out in best possible way.Looking at your description this could be STI or infected ulcer may be due to trauma during rough sex or an allergic reaction.I would like further informationto help you better Your age and relevant medical history like diabetes or other metabolic disease Any recent exposure to unprotected sex?You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test Apart from this blood sugar fasting and post prandial and Blood for CBC and liver function test are also advisable.Maintain good hygieneWash and clean it with antiseptic solution or soapYou can apply antiseptic ointment externally.Use condom during sexHope this answers your question please feel free to ask for more clarificationThanks and regards
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What causes spot on lung and blood thickening?
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Good morning Doctor. My mother was just admitted to the hospital after complaining of sharp pains in what she thought was near her liver. It hurts during breathing. Turns out the doctor did an x-ray and blood test and says he can see a spot on her lung and that her blood has thickening. Mom is 70, never smoked (although my father did for 15 years of their marriage but stopped 20 years ago), she has diabetes (takes a very minimum amount of inseline) and high blood pressure but otherwise is at her optimal weight and in good health. This is new and she isn't a complainer so we are all worried. We can't seem to get a straight answer. Any ideas for us or questions to ask?
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Hi and thank you for choosing HCM to post your question.I read carefully your question and understand your concern.My opinion as a chest physicians is as follows:Chest pain that is related with breathing suggest a pleuritic chest pain.This pleuritic chest pain makes me thing that the spot in the lung is near to pleural surface.In the setting of blood thickening ,that lung spot it can be a possible pulmonary infarction due to periferic pulmonary embolism.Other differential diagnosis of chest pain and lung spot are also possible so if I was her treating doctor i would suggest a thorax CT scan with intravenous contrast to differentiate the nature of the lung spot and decide for the appropriate treatment.I hope my opinion can be helpful.Kind regardsDr.Dushi
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What causes shrinking of gallbladder?
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my ultrasound came back negative for stones in the gallbladder. however, the gallbaldder is smaller than it was a month ago during my first ultrasound. i also have two polyps about 5 mm and 6mm respectively. what could be making my gallbaldder smaller and should i get it removed b/c of the polyps?
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Hi and welcome to HCM.. I thank you for posting your query here and I'm definitely going to help you out.. I being a surgeon, we encounter so many such cases day in and day out.. I read your question completely and have understood it well enough. I will analyze all your points and provide necessary explanation.. 1. You say your report came back negative for stones! Meaning, you had stones?? As far as my experience of 12 years goes, gall bladder stones once they come, they stay.Unlike Renal stones, they do not pass down the tract. So, either.. A. The 1st report is wrong B. You need re scan.. All this is in case you have had earlier scan which said gall bladder stones. 2. Gall bladder shrunken has no clinical significance.. Some Radiologists report this. But as a surgeon, there's nothing to worry for this finding. As long as gall bladder functions, we don't have an issue out of this.. So chill, do not worry.. 3. Polyps of 6 and 5 mm should not bother you again. Generally, in size more than 1 cm or some say 2 cm and associated problems like A. Diabetes, Uncontrolled B. Along with stones which is symptomatic like pain C. Episodes of infection like cholecystitis These need surgery.. If you are fine without fever episodes, jaundice and pain then do not worry.. We can follow up with regular scans, may be once or twice a year.. Hope this helps you, in case you need any further assistance, please let me know.. Take care and God bless.
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What medicine to use for dry lips?
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I drink a lot of water every day, lately my lips have been dry and keeps cracking. When I brush my teeth, take a shower or eat they turn white and a line goes across my bottom lip. I have used many different chapsticks and lip balm but nothing helps and it makes it worse. Please help
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Thanks for using Health Care magic.Read your query.Dry lips can be of variety of causes including vitamin deficiency,anaemia ,as a sign of diabetes,or some allergy from your lipstick ,toothpaste or also from mouth breathing.I would advice you to have a nutritious diet including vitamin (B1,B12 and B6).Keep sipping water and jeep your lips hydrated.Consult your GP and start with multi vitamin and also rule out if there are any systemic cause due to which they are getting too dry.Hope this was helpful.Thanks and regards.
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Can Aten and muslipower cause any problem to kidney and pancreas?
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I am operated to remove kidneystones and I am suffering from Annal Fisusres. Iam hypertension patient and I am taking Aten 50 tables once in a day. Is there is any damage to pancreas, kidney and prostate. Can I use Muslipower since I am not getting proper erection.Iam 54 years old
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Hi,Aten is a heart-selective beta blocker commonly prescribed to treat high blood pressure and other conditions. Its common side effects include low blood pressure, decreased heartbeats, cold clammy skin, fatigue and erectile dysfunction.It is not known to cause any damage to pancreas, kidney or prostate. Muslipower is an ayurvedic medicine claimed to be useful in the treatment of arthritis, cancer, diabetes, and sexual dysfunction. However, its safety and efficacy has not been proved on any clinical trials so the FDA has not approved it for such conditions.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
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Is it safe to use spiritus aethilicus (96) on an infected toe?
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I'm 18 years old, 174cm, 56kg. No diabetes or anything that makes my immune system weaker. I hit my smallest toe the other day and it started showing angular motion as if the nail is only held down to the toe by a corner or the nail. I think there was some pus, but i think i pushed it all out (white/colorless fluid). Now the nail is held by dry blood. I'm thinking of cleaning the toe to prevent infections and to get a better look at it. Is it OK to clean it with spiritus aethilicus (96)?
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Hello, and thank you for the question.I would suggest you to use a product which is more efficient than spiritus aethilicus. I would recommend you to use Betadine 10% cutaneous solution which is an antiseptic solution. This product is active against Gram + and Gram -, fungi, protozoa, yeasts and some viruses. The soulution forms a protective film that helps antiseptic action.Best regards!
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Is Metformin 500mg the right medicine for chest pain and sinus infection?
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Yes, I had like and explosion in my head a few days ago. It hurt at the time, but after the hit. My Brain function went half out, but came back after a few seconds. I ve been having weak spells Every since. This was after taking a new med. I do have bad sinus problems that makes my chest pains real bad. Upper resestpotory, and kidney Problems. The med I was put on is metformin 500. I m weak most of the time, please help if you can.
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HiMetformin is an oral anti-diabetic.This drug does not treat chest pain or sinus infection but can still be given when you have these problems with an uncontrolled blood glucose level.Most infections including sinus infections will hardly heal when blood sugar too high.Metformin can at times be given to control your blood sugar if you are diabetic.The decision to place you on metformin will only be guided by a fasting blood sugar(FBS) test.Being weak most of the times could be a manifestation of diabetes but only a FBS test can tell.For you sinus, respiratory and kidney problems, only a good evaluation with work-ups by a Doctor will bring out the causes of the various problems even though they can still be related.I will suggest you see a Doctor for evaluation and better management.Hope my answer will help youBest regards.
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Done surgery for thigh bone fracture. Have kidney failure now. Have diabetes and BP. Treatment?
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Hi, my aunt had undergone a leg surgery for thigh bone fracture After a week of treatment doctor suspected of renal shutdown initiation for some unknown reasons. She is a diabetic and BP patient. And now doctors are kind of sure that both the kidneys have failed. Doctors are taking our consent to decide on whether to go ahead with either dialysis or kidney transplantation . I would totally appreciate if we could guide us with what is best suited for knowing she is a sugar & BP patient and had undergone thigh bone surgery. Kindly respond urgently as we are counting on the expert advice. Also suggest us if you could help us with kidney transplantation. Thank you so much. Thanking in anticipation.
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Hello It looks your aunt had landed in acute renal failure. Since she is a patient of diabetes and hypertension,she would definitely require a renal transplant for the best outcome but the proper approach at the moment would be to go for dialysis. Let the patient settle first from the trauma of surgey and then renal transplant can be undertaken later on depending upon the situation at that time. Consultation and advise from the nephrologist would be the best thing to do at the moment as he can assess the patient properly. Thanks
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Tingling in legs and hand, diabetic, high BP, cholestrol. Are Nervz injection safe to use ?
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Age 60 years ,Height 5foot, weight 56 FemaleMedical history- diabetes for past 8 years, cholesterol, High BP, Thyroid taking 75 Mg thyrox, suspicious nature;Tingling in the legs and hand ( as if blood circulations stops)Problem Should I take Nervz injections(3ml from Intas), is it safe for me to use..any side effects
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Hello, Your symptoms suggest that you are suffering from peripheral neuropathy. While diabetes is a frequent cause of neuropathy, it is not the only cause. Nutritional deficiencies (B-12 and folate), chemical exposures, pressure on nerves, or medications like chemotherapy medications etc. can also cause neuropathy. You must consult your doctor to find the exact cause of your problem. In case your symptoms are due to VIT B 12 deficiency or folate deficiency,injection NERVZ would help you but in case it is due to diabetic neuropathy,then it would not make any difference. You must then consult your doctor and get yourself tested for the presence of diabetic neuropathy. A variety of tests, including electromyography (a test that measures the response of muscles to electrical impulses) and nerve conduction studies (a study of the flow of electrical current through the nerves) combined with clinical observations may help a physician rule out other possible causes of pain and diagnose neuropathy. Although there has been considerable advances in the understanding behind the development of diabetic neuropathy but their treatment has been limited. Along with a meticulous and tight control of blood sugar levels,treatment is aimed at reducing pain and other associated symptoms. This is achieved by use of antidepressants like DULOXETIN ,use of anticonvulsant like PREGABALIN and a long acting opioid like TAPENTADOL. You must discuss with your doctor to use these drugs singly or in different combinations. Thanks
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MRI shows chronic white matter ischemic changes. Have giddiness. How to proceed?
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Dear Dr, My aunt 53 years old having gidiness for 10days, she underwent brain MRI and found • Chronic white matter ischemic changes.as conclusion. Also done MRI on MRI SCREENING OF CERVICAL SPINE , opinion received was • Mild posterior disc bulge at C3-C4, C4-C5, C5-C6 and C6-C7 level causing partial effacement of anterior subarachnoid space. No indentation on cord surface. Now she wearing collar, but found gidiness, sensaiton of vomitting etc., how to proceed furthur
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Hi, Thank you for posting your query. MRI findings of brain suggest mild lack of blood flow to the brain (ischemic changes). This could be partly related to giddiness. She would require blood thinners such as aspirin. In addition, risk factors for brain ischemia such as diabetes, high BP, cholesterol, etc should be investigated for, and treated if found. Cervical spine MRI shows features of mild spondylitis, and it is most likely not related to her dizziness. She needs to do neck exercises and physiotherapy for this. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad
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Does micro albumin aria detection and developing diabetes type 2 relate to gall bladder removal ?
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Age 66, over weight,asthmatic since 1976,gall bladder removed, hernia operated on twice,since 4 months have developed diabetes type 2,was detected in August as FBS 312/PP 448. Now. Under control with little medicine- glycomet and walking.Recently detected micro albumin aria -307. Please advice
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Hello,Your microalbuminuria And diabetes are is related to your gall bladder rem!oval. Microalbuminuria is due the effect of diabetes on your kidneys. You will need either an ACE inhibitor, or ARB( like telmesartal losartan or olmesartan ) to help prevent progression of micro albuminuria . you will also need to keep your blood glucose levels under control.Please consult your doctor for a prescription.Hope this helpsDo get back in case you have further queriesRegardsDr Samir Patil
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