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Why do I have painful lungs and weakness after having a lung pleural effusion?
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sir i had lung pleural effusion in my right side lung & diagnosed tb , i have finished 9 month course but still i have pain in my right lung, weakness & feel pain to release urine, breathing problem, doctor said for stop tb drugs, asnd said that i am ok now what should i do
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Hi,Dear,Thanks for your query to HCM.Dear I read your query and reviewed it with context to your query facts.I understood your health concerns and feel Concerned about them.Based on the facts of your query, you seem to suffer from-Residual TB Pleurisy with pain in right lung,weakness.Seems that you require extended course of DOT treatment.PCR test Of the parietal Plueral Biopsy for the active TB infection,would be needed in your case,for deciding the extended treatment,in case your general and weak health with liver limitations does not allow the extended treatment.What to do in your case?Good High Protein Diet,Exclusion of Diabetes and HIV by lab testsandAs you don't have any of the drug toxicity complaints, I would suggest you to extend the treatment for another 3-6 mths under control of IGRA and PCR test of plueral biopsy material.Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS
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What causes vomiting and diarrhea after taking Morphine shots?
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my daughter is diabetic. she had one of her toes amputated in March of this year. while in recovery she was given an injection of morphine. she became violently ill. this lasted the 5 days she was hospitalized and has continued until today. any meds she takes make her ill. about every 7 days she becomes violently ill again with vomiting and diarrhea. she continues to gain weight and doesn,t ever have a good day. what test should she have run
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I can answer u better if u mention age, n duration of diabetes history.jus discontinue morphine, sever vomitings is one of the side effects of morphine,coming up to the level of amputation is serious manifestation n this requires alarming care in regulation of blood glucose levels, and strict diet control..if not it may lead to septiceamia..first go with fasting HbA1C test, it gives an blood glucose levels of past six months,which is imp to decide dosage of hypoglycemics.To be followed strictly1. regular medications2. low carbhohydrate diet3.completely avoid sugar containing foods, fruits,and vegetables(especially those grow underground)4.mainly to have physical activity..especially walking, cycling ect.(as muscle cells n brain cells dont require insulin(whic requires to trasport glucose) to absorb glucose from blood its best n regultes blood glucose levels
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Bell's palsy, affected speech, unable to speak clearly. History of diabetes. Will stem cell treatment help?
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MY NAME IS XXXX AGE 53 MALE I AM STAYING IN I AM SUFFERING FROM BELLS PALSY AND ITS AFFECTED ON MY SPEACH I CAN NOT SPEAK CLEARLY EVEN IF I TALK ON MOBILE IT WILL DIFFICULT TO UNDERSTAND ALSO I AM ON DIABETES TREATMENT CAN STEM TREATMENT AVAILABLE IN THIS PROBLEMS AND IS IT EFFECTIVE? AND WHAT ARE CHARGES FOR THIS TREATMENT PLEASE ADVICE
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Hi thanks for query Bell's palsy is a disorder of the nerve that controls movement of the muscles in the face. This nerve is called the facial or 7th cranial nerve. Damage to this nerve causes weakness or paralysis of these muscles Bell's palsy is thought to be due to swelling (inflammation) of this nerve in the area where it travels through the bones of the skull. No treatment is needed. Corticosteroids may reduce swelling around the facial nerve .Symptoms often begin to improve right away. However, it may take weeks or even months for the muscles to get stronger, and this may be frustrating. If you did not lose all of your nerve function and symptoms began to improve within 3 weeks, you're more likely to regain all or most of the strength in your facial muscles. Response to stem cell therapy are unclear
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How to get rid of bump near the bottom of the penis?
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A have a bump near the bottome of my penis (shaft). When I squeeze it puss and clear liquid with signs of blood comes out. I recently had sex for the first time with my girlfriend who was also a virgin. I did not wear protection, but she was on birth control and I did not ejulate inside her. HELP!?
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Hello, From your complaints it seems to be a case of genital infection. Any h/o diabetes mellitus ? Maintain personal hygiene, go for pus culture & sensitivity. It would be better if you can share some picture so that i can suggest you better. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ashish Kumar Khandelwal
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What causes pain on the epididymus?
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Good Day age 48 years height 1.7 m weight 72 kg no diabetes no hypertension no chlesterol I have a small swelling in my epididymus and I have a very minor pain which I cannot notice when I am busy. But sitting in a car when I wear under wear then I feel a little bit.I do not have any fever, chill, pus in urine, I visited a venerologist and he epididymitis and advised ciprofloxacine for 7 days. However still it is there. if a lied down then it is not there, howeverr I have lower back pain problem from a many years If I correct my posture so that I donot have low back pain then the pain in the testes cannot be felt\ do I have some serious disease like cancer or may be I have anxiety ahmed
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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.All these symptoms are suggestive of epididimitis which is inflammation of part of testicle and not uncommon in males. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequances. MAsturbation and intercourse should be avoided till pain persist. 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.Kindly regards. Wish you a good health.
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Need medication for facet joint syndrome & pain in hip region
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i have facett joint syndrome for 10 years .The last 4 years have more difficulty walking and standing for more than 20mins .Also have lots pain in right hip and difficulty closing or shutting my legs without sharp pain .Pain imn my back passage as i sit
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Hi, This treatment is being suggested on bases of the information provided. However, I would like to examine & investigate the patient in detail. Control hypertension, diabetes or any other metabolic disorder, if there is any. Any way it may be tried -- Dolokind Plus (Mankind) [Aceclofenac + Paracetamol] 1 tablet OD & SOS for 5 days. Caldikind plus (Mankind) 1 tablet OD for 10 days. (You may need help of your local doctor to get these medicines.) Fomentation with warm water. Let the part not be exposed to cold air. Sleep on a hard bed with soft bedding. Use no pillow under the head. Avoid painful acts & activities. Do mild exercises for all joints. (Take help of a physiotherapist). Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. Kindly make sure, there is no allergy to any of these medicines. For emergency treatment visit nearest hospital. Wish you a quick recovery & good health. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon
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What causes swelling in body and abnormality in urine?
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My Mother-in-law (78 Years old) is a diabetes patient since 25 years. She is taking insulin. But in april2015 from the pathological test I found all the tests are ok within limit but urine micral is 100 & ablomin is positive (+). Now in previos week, her body is totally swelling and urine is not normal.My questiion is that is this a condition of kidney damage and what will be the treatments.
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Hi, dearI have gone through your question. I can understand your concern. She has long standing diabetes. Diabetes is known to cause kidney damage. It causes diabetic nephropathy. Body swelling is common in kidney disease. She should go for complete kidney function test. Then she needs to take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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What course of treatment should be given for bowel cancer, diabetes and Alzheimer s disease?
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my brother has recently been diagnosed with bowel cancer and im worried he will die he cant take chemo cos he has diabettes and alzimers ---we are all nervous and all day we are all thinkig what will happen to him please can you tell us how too handle this and roughly how long could he still live with this we all dont know what to do
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Hi, There are three ways chemotherapy can be used to treat bowel cancer: before surgery – used in combination with radiotherapy to shrink the tumour. After surgery – to reduce the risk of cancer recurring. palliative chemotherapy – to slow the spread of advanced bowel cancer and help control symptoms. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Monish De, Oncologist
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Fainted with nausea, was unconscious. Tingling in right arm, fingers. Vasovagal syncope ?
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I fainted this morning while pouring some medicine for my little girl. I felt a feeling of nausia and had no idea I has collapsed. My husband found me and said I would have been unconsious for 2 mins. When I came to I thought I was lying in my bed but I was on the kitchen floor. I had a check up at hospital and a 1 minute ECG. They put it down to Vasovogal Syncope. I am home and still have tingling in my right arm and fingers the feeling is not going away. Do you think they are correct in there diagnosis?
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HiThank you for your question to HCM.From the description of your situation it is likely the collapse you had was diagnosed as a vasovagal syncope. The tingling that you are having may be a result of the fall. It would be helpful to know your age, if you have diabetes and if you have had such tingling episodes before.Tingling stems from involvement of a nerve in the arm. The nerve may be pinched from a bulging disc or stenosis in the spine or peripherally like in carpal tunnel syndrome. In my opinion if tingling symptoms resolve on their own nothing needs to be done. If it persists or gets worse clinical examination and MRI of cervical spine and/or nerve conduction studies to find out the location of nerve involvement will be necessary.Hope this was helpful. I would be happy to answer any questions you may have.
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Is anemia combined with diabetes dangerous?
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My dad is 73 years old and had a quadruple bypass seven years ago. He has been passing blood in his stool and has recently been in and out of the hospital having to go through blood transfusions. Also he has diabetes though it is controlled and was recently made aware of being anemic. Should I be worried?
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Hello,I understand your concern.I am Dr Arun Tank, Infectious diseases specialists, responding to you.If anemia is of high grade like 5 or less than the matter isvworry some. Having diabetes and anemia in combine it self won't increases risk. Until the bleeding of your father won't stop it will never possible to recover from the anemiaIt is advice to stop the bleeding and start the iron therapy to stop the anemia progressing. I will be glad to answer your further query. Thank you for your contact to health care magic.Wish you a best health.Thank you,Dr Arun Tank.
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Is 187 blood sugar normal for 8 year old girl?
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yes is 187 blood sugar level normal for my who has not been diasgnoised w/ diabetes she is tired all the time and not really eating and urinates quiet often. My mom plus ex-inlaw mom has been diabetic since age of 12 and 16 so is there a chance my daughter coul become a diabetic. my dauhter is 8 years old
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Hello dear,I understand your concern. You should be worried, but not too much.Your daughter really has high level of sugar.Normal sugar is 70-100.You can discuss it with your treating doctor.I suggest your girl to go on Pevzner's diet 11, phythotherapy-radjma and radjma peels water,methi,papaya,Earth apple.Also consult endocrinologist.Hope it helpsWish you and your daughter good health
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Can i work safely if having a solitary kidney?
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Hello sir. I am 37 male born with solitary kidney working fine. I came to know this in general check up. I worried and got anxious with sleepless ness and visited general physician. He said you have naither BP nor Diabetic. He gave medicines for a month and asked me to do exercise or yoga. Now I am alright with little anxious now and then. But my mother (61 Years) is BP and father (63 Years) BP & Diabetic patients since 16 years. They are well with regular medication since 16 years. I do regular exercise/Yoga 20 min in the morning, took only healthy veg food, No alcoholic, Non veg, No Smoking. I am willing to change my job now to a better prospects and I have to. Till now I worked in safe Jone with less tensions. What do you suggest for me if I wanted to join a new jod as doctor. I am married with 2 kids.
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HelloYou can do just fine with only one kidney--in fact, sometimes a relative donates one of their kidneys to another relative if they're a match for them, and naturally as doctors we wouldn't remove one kidney if there was any chance the donor wouldn't be able to have a normal life. Since you don't have hypertension or diabetes the one kidney should function well for the rest of your life
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Confusion, mood swings due to fluctuating ammonia levels. Have cirrhosis, diabetes and hepatic encephalopathy. Suggestions?
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My husband has cirrhosis,diabetes & hepatic encephalopathy. He is in the hospital for high blood sugars (now under control) But he also has high ammonia levels, he was 95 at admission, then 47, 29, 60, 40 he was like his old self at 29 but the next day the levels went up & he was mean, confused & threatening. Can he be stable or will he continue to have his levels go up & down? How can I his wife & caregiver take care of him with his mental staus changing from nice to violent? Does this mean his liver is worse & not processing the lactulose?
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Hi,Your problem is of real concern, as cirrhosis is a chronic disease and the condition that you are mentioning is called hepatic encephalopathy and denotes advanced liver failure. Episodes of hepatic encephalopathy are common in chirrotic patients and can be prevented by mesures like avoiding constipation, monitoring the electrolytes level and and avoiding low pottasium levels, daily recommended protein intake control, prompt identification and treatment of any infection and most importantly by preventing gastrointestinal bleedinf by applying band nligation to the dilated veins in the esophagus (Varices)
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Back pain, urine frequency. Taking Aleve. Have diabetes
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Hi my husband is experiencing rt lower back pain ,he's been border diabetic for sometime,last yr he was medically treated in the hosp for 1wk.put on meds,he changed his diet ,his nubers were very good,per the Dr. he stopped all meds.Since last week he had urine frequency,and his last reading was 2 days ago was 257 I gave him aleve for the pain.
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Hi, He has diabetis again, and he should get treatment for that, The pain he had could be due to urinary tract infection, or stones in the iriter, or kidney. I advise you to consult a surgeon for diagnosis and treatment . He may need to have blood and urine examination and MRI for confirmation of the condition. Thank you.
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How can pneumonia be treated while suffering from diabetes?
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Hi. I m diabetic and have I have ltri or as dr said pneumonia. I ve been prescribed clrithromycin. Told to rest and drink plenty of fluids. She said if anything gets worse I should contact hospital immediately. Am I really that unwell? I feel awful and live on my own. Should I ask friend to come & stay?
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Hello,Please note that pneumonia is bad and worse or its combination with diabetes, your doctor is right. Take Proper Antibiotic as Clarithro plus good control of diabetes.If you develop respiratory distress or vomiting or high fever or drowsiness, then visit emergency as then you should be admitted.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Varinder Joshi
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Suffering from low SGPT, advised to take Heptrol, U/S normal. Suggestion for low SGPT level?
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Hello doctor i vijay from india. i have suffering high sgpt since last year. at present it is 68. i am so worried. my doctor advised me to take medicine named Heptrol twice a daily. ultrasound is normal, and hetitis b,c reports are normal. so please suggest me what can i do for low my sgpt level. my height is 6 feet and weight is 90 kg.
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Hello Mr Vijay, There is nothing to worry as your hepatitis markers and ultrasound is normal. The most common causes for high liver enzymes are alcohol,obesity,diabetes,high cholesterol and triglycerides etc. Since they are just mildly elevated ,there is nothing to worry and just few simple lifestyle changes can make you allright. Normally no medication is required for this. What to do... Quit alcohol ,if taking. Reduce calorie intake and reduce your weight.Be in required range of your BMI. Avoid junk foods like pizzas,burgers etc. Avoid sugary drinks and colas. Avoid sweets and deep fried foods. Daily aerobic exercises for 40 minutes. You should be all right in next 4 to 6 months time. I hope it helps Thanks
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How to cure fluttering of heart after TTE and shock treatment?
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I am a 64 yr. old male, weight 238 lbs., 6-6 usually walk 3 miles daily. I have had about four bouts with afib in past two months. I take metropolol 25mg 2x and lisopril 10mg 1x. I recently was sent to emerg. room with afib and got the TTE and shock treatment. I was released and took the 28 shots of lovenox in the stomach and now on cumadien or warfarin. While on the medication I did have another spell which lasted 40 minutes but did not go back into afib. I can tell when this happens a warm flush will go up my face and then the heart rapid heartbeat. Are there anything I can do to help this? It seems like when I get exicited my heart jumps into a very quick fluttering. The TTE and Shock treatment was not fun!!!
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Hello,Brief answer: Need another rhythm control drug, continue on anticoagulant.Explanation: My opinion is that atrial fibrillation is a challenging condition, as it is difficult in lots of patients to control, in your case, you need to change the dose of metoprolol or add another rhythm control drug. As you are still experiencing arrhythmia attacks.I suggest my patients the following: echocardiogram and if normal heart, add pill in pocket therapy which includes Propafenone to take when the fib start, continue anticoagulants according to the patient risk factors.The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about: other risk factors you may have, age, hypertension, diabetes, etc. Conclusion: I suggest you check with a cardiologist, meanwhile continue on anticoagulants.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mahmmad Gamal
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Diabetes, high creatinine level, on Hemoglobin Injection Recormon 5000. Diet?
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My Father is now a kidney patient. His Creatinine level is now 3.8 . So, can u suggest a proper food chart based on Bangladesh patient ?? His diabetis was first seen on 2005 october 14th . So, can u please advise ?? He is taking Hemoglobin Injection Recormon 5000 weekly as Nephrologist Suggestion . His other symptoms, eye sight , foot etc is normal . His age is 71.
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HelloThanks for your query.Based on the facts that you have posted it appears that your father has what is called as Diabetic Nephropathy and taking Haemoglobin injection for anaemia.Please give him high protein diet rich in vegetables with vitamin supplements Please him under observation of Nephrologist and monitor his serum creatinine and blood sugar levels frequently.Dr.Patil.
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What is the use of mecofol plus tablet?
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sir , what is need for mecofol pluse tablet?........ my father is diabetes patient .he take s lots of tablets whether it take in normal water (or) hot water..and his leg some time become s so big and i want the reason for that ..please sir
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Hi,Mecofol plus contains vitamins nicotinamide and vitamin B-12 and commonly used in the treatment of nutritional deficiencies as well as peripheral neuritis associated with diabetes.The swelling of the limbs could be due some problems with kidneys, heart or liver for which he should be clinically examined to find out the underlying cause and its treatment.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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What does this creatinine level of 4.5 indicate?
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Dr. My father has suffering kidney problem. He is 75 years old. His creatinine level is 4.5 is it very much risk for him.? I would like to visit you once with my father. Thanking you Suparna kumar.
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Hi Supama, I am sorry for the situation your father is in. Normal creatinine levels are up to 1.2 mg/dL. In older adults (as in case of your father) the creatine might be higher than normal (acceptable level up to 2 mg/dL). In case of your father, the creatinine level is 4.5 which is considered high and is indicating possible kidney problems. I highly recommend to consult with his doctor to determine what is causing such impairment and the best treatment. Possible factors might include:- metabolic diseases (e.g. diabetes)- chronic kidney infection- kidney damages due to medications he takes on daily basis. Hope it was of help!Dr.Albana
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Fever where blood work shows low WBC, neutrophils. Recovered of prostrate cancer, diabetic. Any ideas ?
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My cousin who is 62yrs old is recovering from prostate cancer following a trans urethral resection, type 2 diabetes that went haywire after tur, such as bsl 14-16 but has been managed very well with diet & exercise, he is 6foot 4 lean & fit, 4wks ago he was bitten by a tick in south west Queensland , fully removed & no obvious complications until 10 days later where he was in Port Douglas for a friends wedding when feeling very unwell , went to a friends G.P. in Cairns who did a FBC & was found to have very few white cells & no neutrophils & hospitalized ASAP where he remains & going backwards fast ,rapid weight loss due to poor swallowing to the extent of possible IG tube on Monday, he has had numerous high fevers with blood taken during the fever that has been showing only low wcc & no neutrophils. He has been seen by numerous physicians but has not been told " my you are the mystery man " , not helpful !! I hope someone can point me in the direction to aid recovery, Thankyou AAAAA
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hello user,As per history, the patient had recovered from prostate cancer, that would infer that he had also been treated by using chemotherapeutic agents, or radiation (not mentioned in your history).These anti-neoplastic agents causes severe reduction in bone marrow function, which had lead to the low WBC count and neutrophil !He is hereby advised to refer to a nearby haematologist/physician to start some hematopoitic drug course, which will improve the blood counts.hope my info helped youregards,Dr Hari Om ChandrakarMBBS
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Is sweating, lightheadedness and nausea symptoms of virus infection?
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I thought that I had a virus for the past few days, but it is not getting much better.I am having unusually high blood sugar numbers and cannot get them down below 200. I am having profuse sweating, light headedness, pain in my upper abdominal area, nausea. I don t know whether to go in to the er or give it a few more days to see if it is just a virus.
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Hi, dearI have gone through your question. I can understand your concern.You may have some viral infection. You should go for complete blood count and malarial parasite test. You should also control your sugar level. Control your diabetes first. And take treatment of your viral infection according to your complete blood count report.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
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Suggest treatment for loss appetite with cirrhosis and diabetes
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patient is suffering from cerossis ,daibetic and parkinsons and current problem is loss of appetite and abdomen is very tight age is76 suggest for immediate relief for tight abdomen and appetite present medication is moprtium m and half tablet of syndropa twice a day
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Hi there,I'm sorry that this patient is having these issues. The most common cause of fluid buildup in the abdomen in a cirrhotic is ascites, which has several ways of being treated. First of all, I'd recommend a low sodium diet, and this patient should started on some diuretics (water pills) such as lasix (furesomide) and spironolactone (aldactone). Second, if the abdomen is very tight, and this patient can't eat, they likely need a paracentesis, which is removal of fluid from the abdomen with a needle. Some cirrhotics will respond to medical management with the medications and diet I mentioned above, but some others need regular paracentesis. It really depends on the degree of cirrhosis, which is difficult to determine with the limited information here.I would really recommend this patient see a hematologist (a liver specialist) as this a is a difficult condition to treat and requires a doctor with experience with it. I hope this answers your question. Please feel free to contact me if you have any further questions.
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Can bronchitis cause pain in chest and back with shortness of breath?
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Hello, I have bronchitis and a sinus infection. I have been experiencing chest and back pain and shortness of breath for the last 5 days. I have recently been having a fast heartbeat and palpitations. I was put on metropol tatrate for this. Beginning yesterday, I began to have an increase of shortness of breath and a tight, pressure like pain in the center of my chest. Some history: 20 yrs oldFemaleIrregular heartbeat- fast beat, pounding heartsome anxiety but controls it with muscle relaxation techniquesblood pressure 114/76 (before metroplol) I do not have diabetes or high cholesterolI try to eat well, but may not all the timeThank you
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Thanks for your question on Healthcare Magic.I can understand your concern. Yes, bronchitis can cause breathing difficulty, chest pain and backache. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Avoid stress and tension, be relax and calm. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Is toe nail infection in a type 2 diabetic a cause for concern?
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I HAVE AN INFECTION ON MY RIGHT BIG TOE WHICH MY PHYSICIAN HAS SUGGESTED I SOAK IT IN BETADINE MIXED WITH WARM WATER UNTIL I SEE A PODIATRIST. I HAVE TYPE 2 DIABETES. ANY CONCERNS ABOUT THIS? i TAKE AMLODIPINE, REPAGLINIDE, clindamycin, CYSTEX, SIMVASTATIN, FLOWMAX. THANKS. YYYY@YYYY
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Hello, Thanks for the query.Foot or toe infection in a diabetic person is definitely a cause for concern. Mainly due to affection to peripheral blood vessels and neuropathy. Healing of wounds is invariably a problem.Therefore first thing is have strict blood glucose control with FBG <100 mg, PP 150 to 160 mg & HbA1c%<6.8. Since you are already on pragabalin, means there is neuropathy, therefore you need to see a diabetic foot specialist early. Thanks.
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What causes a red line from the armpit to the elbow after a nuclear stress test?
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My husband has a red line running from his left armpit towards his elbow and the area is very sensitive. He got this yesterday and today he is saying his other arm is having sensitivity. He had a nuclear stress test (with dye) three days ago. Any ideas or correlation. He has heart disease and type 2 diabetes.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would explain that this red line could be related to phlebitis (a vein infection). Did he have an injection in this arm (the substance for the test)? I recommend consulting with his attending physician for a physical exam and some tests (complete blood count, PCR, ESR). Hope to have been helpful! Kind regards, Dr. Iliri
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How to cure pain on the skin of upper abdomen on right side?
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I have a pain on the skin on my upper abdomen on the right side. It has been going on for about a month and feels like the skin is bruised. The pain seems superficial and is not severe, but I also have a pain on my back in the same area. 63 year old male, diabetic, not overweight, active, otherwise healthy. Had a HIDA scan done and everything was normal. Any ideas?
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Segmental pain ....With diabetes. ...keep good control on DM. ...APPLE a gel contains capsaicin lenolic acid with diclofenic
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What causes pain and inflammation in penis after an intercourse?
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Hey Doc, about 2 weeks I had unprotected anal sex with my girlfriend. A week after that I was experiencing pain in my penis, slight inflammation at the tip, urinating frequently even with very little urine in my bladder, and leaking urine. I have diabetes so I know my immunes system is a bit compromised...It seems like a UTI. so, for a week now I have been drinking copious amount of water (with hopes of flushing the bacteria out),never holding my urine, I have cut back on alcohol drastically and have been consuming cloves of garlic bout every 2 hours. I m trying everything to keep my immune system up. After a week the symptoms subsided almost completely but I do have a slight pain at the base of penis and I still have to urinate frequently...I guess my questions are, does is seem like a UTI to you? if so, is this getting better? will it go away or is it traveling through urinary tract and is going to get worse? if not, what could it be?
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Hi, dearI have gone through your question. I can understand your concern.Your symptoms are suggestive of urinary tract infection. It is getting better now. But you should take a course of antibiotics. Drink plenty of water. It will become normal within some times.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
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Suggest medications for spinocerebellar ataxia
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my husband is suffering from spinocerebellar ataxia since from 2 years. He was under treatment of ayurvedic medicines of Patanjali Yogpeeth, Haridwar from one year but no result has been found. He cannot balance his body without the allopatihic medicine Strocit 500mg. Please suggest me something good medicinces for him.
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Hi, First of all, spinocerebellar ataxia is a genetic disorder. So, the aim of the treatment is to alleviate the symptoms and not treat the disease.The medications he has taken are good for him.But he needs to add :Vitamin B complex twice a day after meals. Thiotacid 300 mg once per day after meals,antioxidants such as:Vitamin E 100 mg once per day after meals,vitamin B12 one ampule once per week and N-acetyl-cysteine 500 mg twice per day after meals could improve coordination and gait. Moreover, Amantadine 100 mg could help with his case, he should take one capsule after meals for 5 days, then two capsules after meals for 5 days, finally, he should take three capsules per day after meals.After reaching 3 capsules per days for one month, he should take 3 capsules every day from Saturday to Wednesday, then stop the drug in Thursday and Friday for 6 months, then he should stop the drug for 3 months, to avoid the down-regulations of the receptors. After, the 3-month off he can start the drug again. The rehabilitation, mild exercise and healthy diet can help with his condition, besides treating other chronic illnesses he has such as: diabetes, hypertension. The alternative medicine cannot help him. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mustafa, Neurologist
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Suggest treatment for foot pain when treating gestational diabetes
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NAMSTHE DOCTOR.....MY DAUGHTER IS SUFFERING FROM GESTATIONAL DIABETES SINCE HER SECOND PREGNANCY. RECENTLY SHE IS SUFFERING FROM FOOT PAIN. PLEASE SUGGEST WHAT IS THE BEST NEUROPATHY MEDICINE TO AVOID FOR HER PAIN. HER AGE IS 34. SHE IS HAVING 15MONTHS MALE KID. NOW SHE IS TAKING INSULIN 10 POINTS MORNING AND 10 EVENING. WHAT PRECAUTIONS WE ARE TAKEN FOR HER GOOD HEALTH WITHOUT ANY PAIN.
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Dear sir, I understand your problem .. Please check her HbA1c and microalbuminuria .. Based upon n that we need to adjust the dose of insulin ..give her Tab.Nurobion forte.. Daily one for about a month ask her to take more of green leafy vegetables, fish, egg and use diabetic foot wear .. Let her take good amount of this whole grains, milets and fruits she need more of vitamins and minerals now ..she should keep her sugar in check ..
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High SGOT & SGPT. Can an online doctor help interpret the report ?
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My SGOT & SGPT etc. are slightly high , pl. find below the results of last two tests in six months . I do not take alcohol ( for last two years )or smoke or take Non veg. pl. advice what is interpret and how to bring it down , what to eat or any further test or consultation required Test date 23aug-12 27Mar-12 June2007 Bilirubin total - . 0.73 1.1 1 Bilirubin direct – 0.29 0.6 Bilirubin indirect – 0.44 0.4 GOT Serum ( IFCC – UV method ) -51 41 42 GPT Serum ( IFCC-UV Method ) - 99 57 65 Alkaline phosphate – 71 66 90 Total proteien- Serum – 6.18 Albumin serum – 4.08 4.1 Globulin 3 3 A/G Ratio 1.5 1.37 Gamma GT 26 Blood urea nitrogen 9 17 Creatinine 0.9 Uric acid 6.3
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Hi, Your Liver function test seems pretty ok. All the parameters are within normal limits, only SGPT value is out of range during Aug 2012, SGOT value can be considered normal. SGOT and SGPT are liver enzymes, it usually increases when there is damage to liver. SGPT shows diurinal variations, ie its value changes by day and night, it is also increased in some other infections , diabetes etc. Your values are normal considering above facts. To have a good liver function test Have plenty of carbohydrates, moderate fats, plenty of fruits and vegetables, avoid fast foods. Limit protein diets. If your taking any drugs for some other illness also cause elevated liver enzymes Bye
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What causes fever,vomiting and burning sensation on skin?
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Hello. My mom has been suffering w/ an issue for about 5 years now. It appears that almost every time she travels when she returns she becomes sick. The symptoms are as follows: vomitting, feVer, redness (breast, back, and legs), has burning feeling on skin. Then the last of the illness sHe breaks out in chills (begins sweating and skin gets cool). Do you know what this might be? She's been hospitalized twice and has been to a few doctors, but nothing. Please help!
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Dear ,This is Dr. S. Tomar from healthcaremagic.com's medical team and I ll be your medical adviser for this question.First of all thank you for sharing your concern with us and showing trust on us.A weak immune system is always more prone to get any kind of infection . As you have noticed that your mother becomes sick after she travels then it shows that her immune system is weak . Stress , tiredness further makes the immunity more weaker . I would suggest her following:1. exercise regularly 2. eat a healthy diet3. sleep 7 hour daily4. practice yoga/deep breathing exercises5. get checked for diabetes , malaria , immunity profile , lyme's disease 6. for itching/skin manifestations/redness can use OTC Loratadine.7. include multivitamin in diet .This is my initial response and discussion is open until you have any query or need further clarification.I wish you good health .sincerely,Dr. Shardendu Tomar
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Have diabetes, high BP. Now having skin rashes, skin swollen. Gave Hydro cortisone injection. Have fever. Treatment?
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Dear Sir,My mother is 62 years old with diabetes and High Blood pressure. 20 days back (4th-may) she suddenly got Skin Rashes all over the body (reddish) and skin was swollen and after few hours she noticed body temperature of 101. Same day The treating doctor gave her one c after few hours of which the skin rashes subsided. She was on antibiotic for three days (ofloxin and cefpodexime ). She discontinued the antibiotic thereafter. After 2-3 days she felt low grade fever, after which she was advised for Blood screening including Blood culture. Blood culture revealed Steph Aureus with sensitivity to several drugs including ofloxin (azithromycin, cephalexin,clarithromycin,erthromycin, tetracyclene etc), she again was on Ofloxin for five days. Now she is having fever Upto 99 F in morning for 1-2 Hrs , which itself normalizes without taking any antibiotics. this kind of situation is lasting from 8-10 days. In between there were some days in which she do not got fever. Now doctor has put her on one antibiotic used for urinary tract infection. Please suggest If the blood culture report seems correct and what can be further line of treatment.Thanks
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Hello, Thanks for the query to H.C.M. Forum.Presumed that her blood sugar and hypertension are normal.At the beginning there was some urticaria type rash where fever is there,Noe fever is off and on that is the cause of concern.As you mentioned that she got blood culture. Drug sensitivity test were right for culture. But without report , how one can say that which type of antibiotics are most suitable , so ,if possible attach the report with is query.Consult treating physician and find out the nature and type of disease. In diabetic patient blood sugar control is very much important . Please get in blood as well urine culture once again. Hope I have answered all question. If further any question I will help.Good luck.Dr. HET
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Suggest treatments for raised SGPT and GGT levels
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male, age 43, diagnosed with diabetes mellitus type 2, fatty liver and high cholesterol on Sept 2009 and on medications for the same since then....2 days before my abnormalm lab values are trigly 219, uric acid 8.22, SGOT 51, SGPT 95, GGT 71, HDL 34, VLDL 43.8...and prescribed medications....My query is, is all these values can be controlled and how....i am really disturbed
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Hi.Thanks for posting query at HCM.Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further.Alcohol ingestion and obesity are common causes of fatty liver disease.advice for fatty liver:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound.any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik
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What causes mitral valve prolapse with arthritis in neck and vertigo?
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ok so i just found out that i have mitral value prolapse, depression, arthritis in my neck, anemic, vertigo, syncope, diagnosed bipolar, sublaxations in my back, non-epileptic siezures, panic attacks, and anxiety disorder. Now they think i could be diabetic, and getting tested for sickle cell anemia. i need help. what do i do? i stay in my house for fear of falling and getting admitted to the hospital.
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Hello!Thank you for asking on HCM!I carefully passed through your question and would recommend consulting with your attending physician for a physical exam and some tests: - a resting ECG- complete blood count and Hemoglobine electroforesis- thyroid hormone levels- fasting glucose and HbA1C for diabetes. The vertigo could be related to the arthritis in your neck (chronic degenerations of the cervical column). Anemia can exacerbate all this clinical situation, causing low blood pressure and low oxygenation of the brain cells. So, the main thing to do in this situation is try a cervical collar, treat anemia and perform a cervical MRI study in order to examine better your cervical spine and rule in/out the possibility of surgery. Hope you will find this answer helpful!Kind regards, Dr. Iliri
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Suggest treatment for abdominal distention
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11/92, natural child birth w/ no meds; 2/94 I gave birth at my home in a storm, no med here either but in 8/1995 I ve had a drop cord. He was a c-section and I was 30 yrs. old. Now my stomach is the size of a 5 month pregnant woman, ea. day. When I eat (afterwards) I look like I m 8 months pregnant. I ve tried sit ups and aerobics but I am 171 lbs of stomach what should I do to eliminate the stomach issue? I have diabetes 1 and HBP as well, help.
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Hi. I hope diabetes and H-BP are under control. The distension can be due to an intestinal obstruction. Get this confirmed by X-ray of the abdomen in standing position. Have ultrasonography of the abdomen to rule out other issues like Ovarian cyst , Cancer . Diagnosis will lead to a definitive treatment.
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Diabetes, have continuous non-productive cough, no relief with medicines. Is it a virus or should I go for chest X-ray?
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i have had a cough for 12 day, non productive, it sounds productive but nothing. been taking paracetamol and hot drinks and recently doc gave me antibiotics and a slbutamol inhaler to try to help cough. but after 3 day of antibiotics still coughing so probably viral. i hva e a cough 24 hours a day, feel generally unwell. leg muscle cramps , headache and sore throat although these are minor compared to the cough and pressure on my sternum. I am a type 1 diabetic with history 7 years ago of graves disease which went away following year bocl and replace therapy.. the graves was brought on by pregnancy. the only medication is use is insulin, my blood pressure is lways on the low side of normal, i do not had proteinurea and am not on ace inhibitors. Is it just a virus or do i need my chest xrayed. thanks
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Hi, You are Type I diabetes and hope it is under control with the use of insulin, The symptoms and history which you have given indicates Post viral state where secondary infection and with the use of Proper antibiotics it should subside, It is prolonging as you requred salbutamol it means bronchospasm is there ,in such cases a nebulizer therapy may help you . Also post viral dry cough persist for long time in some cases. If your brochospasm is relieved may take antitussives in consultation of your chest Physician. In any case if no relief go for X ray to rule out any significant pathology as you are a Diabetic patient. Best of Luck
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How is Hg A1c level related to kidney function ?
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I would like your opinion on the most basic way to explain what a Hemoglobin A1c level and how it relates to decreased kidney function in a patient would be. I need to explain this to someone (excuse me for not knowing the most PC term) who isn't the sharpest.
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HelloThanks for query .I would try to explain importance of HBA1 c in relation to kidney function .HbA1c is a Glycocelated hemoglobin which is an important tool to measure level of average sugar in blood in last 2 months and is considered to be very important tool to decide whether diabetes is well controlled or not .In a patient with long standing uncontrolled diabetes or ill treated diabetes there is gradual involvement of kidneys what is called as Diabetic Nephropathy which damages the kidney and leads to reduction of kidney function which is reflected as raised HbA1c in blood .Dr.patil.
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Suggest treatment for vitamin B12 deficiency and anemia
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I have a b12 deficiency along with anemia, iron, folic acid etc along with severe neuropathy in my legs, my right leg turns outward when I walk, problems with my hips and disks that are degenerate disk disease-mild right now. What could be wrong or should I be looking for to get some help and relief from pain.
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Hi, dearI have gone through your question. I can understand your concern. Your neuropathy is mostly due to vit b12 deficiency. You should take a course of vitamin b12 injection. You should also check your blood sugar level. Because diabetes can also leads to neuropathy. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
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What causes decreased fetal movements during pregnancy?
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Hi I am not diabetic and am 28.5 weeks pregnant.I am not feeling the required movemnt from baby and had a sonography done.Report is come normal and I have been asked to undergo FBS and PPBS for further investigation. What is suspected here and what are the possible solutions? Pls help.
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HI, I understand your concern. At 7th month, baby starts descending down in pelvis... so fetal movements are reduced than before.If USG report & fetal heart activity is normal there is nothing to worry about. You have been Fasting & postprandial blood sugar though you are non diabetic, there is possibility of pregnancy diabetes( which leads to obesity in mother & increased fetal weight. Your doctor might have some doubts , so he has ordered the investigations to exclude pregnancy diabetes. Thanks.
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What is the solution for pins and needles feeling in neck, face and arms
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it starts like pins and needles at my neck area then moves to my face and arms, i get red and blotchy with a burning feeling, after it goes away my eyes are swollen and feel itchy, my little finger has pins and needle feeling all the time, it,s like it has a mind of it,s own. i am scared something is happening to me, i have never had this before. thank you
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hai,pins & needles sensation can be due to various reasons ,added with burning feetit can be due to diabetes melliteus,thyroid hormone variations,peripheral neuropathy,nervous disorders, anaemia,vitamin b12 deficiency,injury to the nerveendings,calcium deficiency,& psychogenic causeplease evaluate for your sugarlevels,thyroid levels,haemoglobin,serum calcium to rule out all the above problemstake care
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Is the excision and removal of inflamed tissue on the scrotum necessary?
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I had a brazilian wax about 7 months ago.. Skin and a subsequent burn 4.5 cm x 2.5 cm was removed from scrotum. I'm under the care of a dermatologist and urologist. We've tried everything from adhesive syslastic gel, aquaphore, scrotal sling, etc. Recommendation, since it is in a moist area with friction and the healing process waxes and wanes. Recommendation from both dermatologist and Urologist, excision and removal of inflammed tissue. Your thoughts I do not smoke, have diabetes, etc.
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Hello, It is better to remove the inflamed tissues. There is no point in keeping it and it will further worsen the condition. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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What are the side effects of medication taken for leakage in kidneys?
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I HAVE JUST BEEN PRESCRIBED THIS MEDICATION, DUE TO HAVING A SLIGHT LEAK FROM MY KIDNEYS? I HAVE TYPE ONE DIABETES WHICH I HAVE HAD FOR THE LAST 27 YEARS, BUT I AM VERY FIT AND RUN SEVERAL TIMES WEEK AND DO NOT HAVE HIGH BLOOD PRESSURE?I AM VERY HESITANT IN TAKING THIS MEDICATION DUE TO THE SIDE EFFECTS I HAVE READ, AND ALSO DUE TO THE CHECKS THAT IT INTAILS? PLEASE ADVICE?
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Hi and welcome to HCM! Thanks for your question. Your doctor would've diagnosed you with diabetic nephropathy (complication of uncontrolled diabetes) more common in type 1 diabetes. In this condition along with good blood glucose control, medictions for reducing protein leakage is very essential to decrease the progression of kidney damage. These medicines are generally prescribed for blood pressure but even if your blood pressure is normal you need to take it regularly. Any medication has it's known side-effects and adverse effects shouldn't get confused with information on google or on the medicines. Discuss with a concerned specialist and clarify your doubt. Hope this helps. Take care
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What causes stinging pain in my liver area?
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Hello, one month ago I had a wave of stinging pain in my liver area that lasted about 8 seconds. It then mainly went away. Now, I m having the same thing, but it s not going away. I had it this morning, and It s 3:34 PM now. I ve experiencing light waves of aches, very light ache/stings, a feeling similar to hunger, and the area from my solarplex to head is rather hot. I also experience similar symptoms in my opposite side, though much, much less. I have experienced a stinging in my right upper leg the day after the incident a month ago. Also, if I move my legs around, which in turn moves my stomach since I have a large gut, it dilutes the symptoms.
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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. Other causes include pancreatitis or pleuordinia and should be considered if gallbaldder stones are ruled out.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 muscle pain with fatigue and occasional blurred vision in children?
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My daughter has muscle aches or feels fatigue. She complains some objects she lifts feel heavier than normal and occasionally has blurred vision and is hungry all the time especially after school. She is not gaining weight. She doesn’t feel bad enough to not get through the day just episodes during the day.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In my opinion ,if she eats well and not gaining weight , She possibly has diabetes type one. I suggest you get her blood tests for sugar, Thyroid function tests and a complete blood count done. Hope I have answered your query. Let me know if I can assist you further.
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Is type 2 diabetes recognised through frequent thirst and urination?
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Hello! Over the past week or so, I have experience an increased need to urinate and increased thirst. I have read online (bad, I know) that those are symptoms of type 2 diabetes. I had my fasting glucose checked back in June and it was 95. Can it increase that fast? No other symptoms. Thanks!Stacy
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Hi,Thanks for your question.Noted your concern.Yes increased frequency of urination, thirst, weight loss despite of increased apatite are symptoms of hyperglycemia (Diabetes).In such a case I may suggest following evaluation-- Complete Blood Count.- Fasting and post-prandial blood sugar level.- HbA1c.- Urea, creatinine, electrolytes.If blood sugar level normal in that case possibility of compulsive wate drinking and Diabetes insipidus need to be considered.For which further evaluation like urine and serum osmolality maybe considered.
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What does minimal fatty infiltration of hepatic lobe mean?
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Cat scan Finding: 1.1x.6cm hypo density in the left lobe of the liver along the falciform ligament Impression: Likely minimal fatty infiltration of the left hepatic lobe along the faliform ligament. History. Female, age 62 weight 112, height 5 2 Breast cancer in 1995 and 2012, recent abdominal pain could be from antibiotics, extreme fatigue and pain feels fainting with weight loss.
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HelloYour findings suggests small focal fatty infiltration in left lobe of liver.Focal fatty infiltration of the liver is a common condition and it may be seen in many conditions like obesity,diabetes mellitus,alcohol,drug related etc.It may be due to obesity in your case.You may need few more investigations like routine hemogram,random blood sugar,lipid profile.Underlying cause should be treated.It is a reversible condition.Get well soon.Take CareDr.Indu Bhushan
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Can a diabetic patient take lesuride for UTI and chronic kidney disease?
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sir my mother is diabetic patient and she was hospitalize for last 10 days . doctors gave final diagnosis for diabetes mellitus with urinary tract infection with haemoptysis with chronic kidney disease and release her on 27th june 2012 advising to take the following medicines. human mixtard 30/70 16u mng. and 6u evng.. tab oflox 200mgBD, tab lasix 20mg bd, tab. gabaxia OD, tab. lesuride 25mg tds and lactifibre 2scoopin 1 glass of water.They also told us to measure urine in 24 hours should intake water to her not more than 1 ltr a day according to urine passed. my mother passed only 500 ml in last 24 hours. now she is not feeling well and saying that she is not in position to talk and sleeping continously. her present blood sugar level is 383.kindly consult me.
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Hello and welcome to HCM.Your concern is understandable. As an Urologist, i must advise you to see your nephrologist at the earliest.She must stop taking Tab.Lasix and Tab.Lesuride immediately.She has a very high blood sugar level, which needs to be quickly brought to normal levels.There may be need for dialysis,after checking the blood reports.Avoid giving her a lot of fluids.Wishing her a speedy recovery.
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Liver parenchyma with mild portal lymphoplasmacytic infiltrate grade 2
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liver parenchyma with mild portal lymphoplasmacytic infiltrate grade 2.mild steatosis 20 % accompanied by ballooinghepatocytes focal centrilobular pericellular fibrosis and occasional glycogenated nuclei.trichromebsstain shows features of chonic hepatitis consistent with the hepatitis cand superimposed steatohepatitis likely nash
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Hello and welcome to HCM,The liver biopsy report that you have posted shows features of non-alcoholic steato-hepatitis (NASH).The details mentioned in the report- lympho-plasmacytic infiltration of liver parenchyma, ballooning hepatocytes, fibrosis are features seen in NASH.NASH is liver inflammation caused by non-alcoholic causes.Alcohol is the most common cause of liver inflammation , however, there are some non-alcoholic causes which can also cause these similar changes.Diabetes mellitus is one of the common cause of NASH.NASH causes progressive inflammation of the liver parenchyma thus causing clinical symptoms of hepatitis.You need to consult your physician or gastroenterologist for management of the condition.Thanks and take careDr Shailja P Wahal
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Does tooth filling using nitrous oxide cause any allergy to a 7 year old?
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My granddaughter, who is 7, is having teeth filled tomorrow. They plan to use nitrous oxide. She is allegic to nuts and melons and is taking numerous medications for her allegies; advair, citrizine, singular. She also has an Epi-Pen if needed. Are there risks if she is given nitrous oxide?
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Hi...usually allergies are not a contraindication for nitrous oxide administration. It is even safe to use if somebody has epilepsy, liver disease, heart disease, diabetes, or cerebrovascular disease.So do not worry about it. But please do remember to mention about the allergies to your dentist and keep epipen in hand.Regards - Dr. Sumanth
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What causes cold sweats despite a normal BP reading?
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Since college (I am now 59) I sometimes experience the following sudden symptoms: a general feeling of not well being and cold sweats. Those last at most a couple of minutes and then are gone. I check my blood pressure regularly and it is in normal range. Also, there is a history of diabetes in my family
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Cold sweat problem due to metabolism n vitamin mineral deficiency. You should check your thyroid it may be due to hyperthyroidism. Hope I have answered your query. Let me know if I can assist you further.
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Can use of famotidine cause increase in blood glucose levels?
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Can my use of famotadine cause increase in nlood glucose levels? Type II diabetic with three years of a1c levels being no greater than 6 - on antihypertensives andimdur for vasodilation but have been steady on thee for years. The only new factors in the equation have been the addition of pepcid and occasional .5 mg of alprazolam at bedtime due to some spinal stenosis causing new pain. I'm 67, good energy, brain at least mimics its previously good intellectual function. Concerned - ate bowl of plain oatmeal and slice of cantaloup at 11 am, nothing since, just tested with out-of-date strips and was 287!!!!! Testing a rare occasion, have gone by a1c levels. Help??? (and I have a couple of good physicians but it's 6 pm on Sunday...
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Hello,I understand your concern.Famotidine is not known to increase blood sugar.The blood glucose value tested with out of date strips is likely to be wrong.The A1c is an average of the blood glucose over a period of 3 months. It is helpful in knowing the over all diabetes control. A low fasting blood glucose can compensate a high after food glucose and make the A1c normal. This is not good diabetes control and the complications of diabetes can be high in such individuals.So it is good to check the fasting blood glucose and 2 hour post lunch blood glucose in addition to A1c to reduce the risk of complications due to uncontrolled diabetes.I am available over the week ends if you have any query.Take Care,Dr. Noble Zachariah
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What could be causing excruciating pain in the testis?
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Hi, my boyfriend has been having chronic side and testicle pain for over a month now. The doctors tested him for merely everything and said they had no clue what was causing his pain. Its so bad he can't walk at times, what could be causing this?-Makayla YYYY@YYYY
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Hello MakaylaI really appreciate your concern for your boyfriend and I will try to help you in best possible wayLooking at your description this could be epididymorchitis or torsion of testis I would like further information to help him betterHis age and relevant medical history like diabetes or other metabolic diseaseany history of trauma or injury Is he running fever I would advise for an colour doppler study of the testis and if you have done it than please upload me the reportsYou can give him ibuprofen and pain and advise him to wear scrotal support.Hope this answers your questionPlease feel free to ask for more clarificationBest wishes
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Paralysis in left side of body, slight bend at ankle. Doing physiotherapy, able to walk, pain in hand. History of high BP, diabetes. Treatment?
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My father has been suffering from left side paralysis for over 10 months. He has been doing physiotherapy exercises regularly since then. There is some improvement in his leg and he walks slowly now even though there was slight bent at ankle. There is no improvement in left hand but he feels pain all over it . Besides , he is sugar and BP patient. Can any one suggest treatment that suits him, please?
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Hi,Thank you for posting your query.I am glad to note that your father has been gradually improving after suffering from brain stroke.The key to more improvement is regular physiotherapy. It may take 1-2 years to see a good benefit from physiotherapy.Regarding the bent ankle, we need to exclude a contracture or increased spasticity. Please ask the physiotherapist to evaluate this.The pain in left hand could be neuropathic and would respond to pregabalin capsules.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in
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What causes erectile dysfunction and pain in testicles after vasectomy?
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the tip of my penis has a slight fishy odour, i have recently had a vasectomy 3 months ago, I am begining to suffer from erectile disfunction. I have moderate pain in my testicles and groin area and sometimes feel like I need to urinate again after I have been to the loo. Could I have an infection?
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Hi and welcome to Healthcaremagic. Thank you for your query. I understand your concerns and I will try to help you as much as I can.Erection problems can have many causes. These include:Physical problems, such as injury to nerves or loss ofblood supply to the penis . Other health problems, such as diabetes, high blood pressure, anxiety, anddepression.Side effects of certain medicines. Stress. Drinking too much alcohol or smoking. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Tretament is based on cause and include avoiding tobacco and drugs and limiting alcohol.Also, talking about the issue with your partner, doing sensual exercises, and getting counseling may be beneficial. Finding and then stopping medicines that may be causing the problem. In some cases you can take a different medicine that doesn't cause erection problems. Taking prescription medicine that can help you get erections. These include pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis). In most cases this is sufficient for treatment but you should just be patient and do necessary tests.I hope I have answered you query. If you have any further questions you can contact us in every time.
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Could diarrhea and mild headaches be related to my blood sugar?
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I have been taking metformin 500 mg 2xday since April after being dianosed with type 2 diabetes. Just this week I have had severe diarrhea for 3 days but not in a row, I have had a little nausea and some acid reflux for which i take omeprazole as needed. Also my appetite has been up and down. Also mild headaches off and on this week and just a general feeling of blah. Just wondering if this could be related to my blood sugar or maybe something else going on. I am due to go get my bllod tests done but not until first of July. Any info is appreciated. Thank you
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Hi your diarrhea and diabetes may not be directly related however if ur diabetes not controlled then treatment of diarrhea may get delayed. high sugar levels will be media for the pathogens to grow. suggest u do ur fasting sugar and if it is abnormal then control by exercise and diet and modify medication in consultation with your diabetologist. for ur diarrhea u can take sporlac powder with water two times daily. avoid milky items. consume fresh fruit juices and if you do not get relief get a stool culture done wish you good health regards Dr Sridhar K
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My teeth have literally started rotting and taking some antibiotics since 5 days during pregnancy
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I am A 29 yr old diabetic (just diagnosed in last year) and im now 16 weeks pregnant . Over the past 8 months or so my teeth have literally started rotting. I have been to the dentist the times in the past 8 moths and everytime the say I need extractions or root canals but I have no insurance and can t afford either. Now things r much worse...i have had swollen gums for about a week above one of my teeth towards the front that is decaying. The dentist gave me some antibiotics that I have been taking for 5 days now and the swelling hasn t gone down its only gotten worse. Should I make the trip to the er or will I be wasting my time and just wait till the dentist opens in two days.. I m in so much pain but since I m pregnant I don t think they can even help with that..
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Hi Julie, you are having a gum problem. i am sure that you are having bleeding gums also. Julie, you are having diabetes and gum problem worsen in diabetes as well as pregnency. in pregnancy we can not give you the extensive treatment. so i suggest go for normal cleaning of the gums and take preventive measures till pregnancy. after that you can go for your complete treatment from your dentist. Note:- please consult your dentist before taking any medicine as all the medicines are not safe during pregnancy.
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Suggest remedy for bacterial infections
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Hi I was told i had bacterial infection took medicine for it and still have symptons, took another test to make sure i dont have uti instead and the test was negative. I have frequent feelings to urinate and when i do it still feels like i have to go and have pressure feeling on the bladder. should i go back to doctor and see if need more meds to help and could i possibly still have bacterial infection still?thanks, Jodi
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HI, thanks for using healthcare magicThere are different causes of frequency of urination. Infection is the most common cause but this should have been detected by urine analysis.The other causes: (1)side effect of medications such as diuretic(2)diabetes(3)interstitial cystitis(4)stroke(5)excess fluid intake(6)bladder incontinenceSince infection has been ruled out, your doctor may need to consider other possible causes.I hope this helps
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Can pain in right hand side be due to heart problem?
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ten days back my mother brought cot from roof to inside home. My mother is getting mild pain right hand side. I thought because of cot lifting. If she press the hand feels little pain. some times she says it move to back side. sometimes she says pain is below shoulder. she is already heart patient with diabetes and BP and three yrs back dr did anjio plasty. she has been using medicine from last three yrs. is this pain because of any heart problem?
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Hi, Anginal pain is characteristically central or retrosternal/substernal; pain may radiate to either arm (LT> RT), hand or wrist, shoulders, less often to the back of the chest. Any of these places of reference may be involved without discomfort in the chest. The relationship to exertion is then the indication that the pain is probably of cardiac origin.History of lifting unusual weight (cot) and local tenderness overhand (on pressing the hand feels little pain) suggest musculoskeletal pain and pain is of non-cardiac origin. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist
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What is the normal blood pressure for adults?
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My uncle is 62 year old and has problems with his blood pressure. Yesterday he was at the hospital and he s blood pressure was fine... a little high but okay. Now, however, it s under 100. for example: the lowest was 84/ 45. The highest was 99/ 62. He is on medication but don t think there working right. On top of that problem he has diabetes and CANCER.... stage 4.... and losing weight. Now that you have this information.... my question is... what is a normal blood pressure for a 62 year old male? And if the cancer and/ or the diabetes are causing it to drop?
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Hello, I can understand your concern for your uncle and had gone through your question thoroughly. First of all, i would like to tell you that a 62 year old male should have BP lower than 130/80 mm of Hg and its normal for your uncle. Diabetes usually will increase the blood pressure rather than lowering the BP. Cancer can increase or decrease the BP, depending on so many things. I would like to tell you that your uncle's BP is quite lower than usual and it can create few serious problems sometimes. If you can tell me what kind of medications your uncle is taking, then i can guide you further. Hope this will help you and let me know your further queries.
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Can Cremaffin Plus be taken for diabetes?
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Hii, my name is pashupati poddar. My age is 72. I am a diabetic patient and I don't know whether the cremaffin plus is Sugar free or not? What are the dosage of cremaffin plus ? What will be the results after using it? Will my diabetes increase?I will be very honored to you if say me regarding this I am a diabetic patient and want to know about itThank you!
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Hello, Thanks for the query. Cremaffin liquid does not contain sugar, so if you need a laxative it can be used but Cremaffin Plus is not sugar free.Dosage 15 ml (one table spoon) at bed time is usually enough. Using it is unlikely to affect your blood glucose levels. It will help in better evauation. Thanks
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What causes lump in neck while having diabetes?
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Why do I now have a small lump in neck by jaw.Was treated yesterday for outer ear infection with drops. Pain hasn't gone away. Still have a slight fever. Head feels like its going to explode. 51 yr old female , history high bp, high choles.. heart attack a yr ago.. weigh 168 lbs, diabetic ..
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Hi, dearI have gone through your question. I can understand your concern. Your small lumps is enlarged lymphnode. Mostly it is due to reactive hyperplasia of lymphnode as a result of some infection in draining area. You should take a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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Suggest treatment for lupus
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Hi 34 years old 59 KG 5 ft woman,Over the past 2 months I have been constantly thirsty, No mater how much water I drink, I had a miscarriage last month, but over the past 2-3 months I have not been able to loose any weight with all the Dieting and exercise I have been doing; and for the past 2 weeks I started going to the bathroom every 15 min, and I do a no. 2 twice a day at least. I have lots and lots of gases. I have LUPUS and I take thyroxine for the past 15 years. Please help me thank you
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Hi, you need to rule out diabetes and check whether your thyroid level is under control or notIt may be due to anxiety which is common in lupusDiscuss all these matter with your physician
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How can pain in the legs be treated without the use of a NSAID?
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I have had foot pain( in both) and it is migrating up into my knees for almost a year. I thought it was planter fasciitis at first but the pain is broader now . I do not have high blood pressure, diabetes, or high sodium. I am typically dehydrated (I do not take in much fluids but trying to drink water). I have kidney issues and MGUS (protein in my blood). How do I handle the pain in my feet and legs when I can not take any NSAID type of anti-inflammatory drug?
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The pain in the legs can be related to muscle cramps or poor posture due to plantar fasciitis. Increasing fluid intake will help. Hope I have answered your query. Let me know if I can assist you further.
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Urine analysis showed traces of protein and epithelial cells, kidney not working. Why?
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in complete urine analysis traces of protein 2+ and epithelial cells in large nos were noted, The patient is diabetic for last 20 yrs and had icd implanted 2 months back. Medicines taken are ecosprin 20mg, revulant 1 gm, cardace 2.5 mg,glucornorm G1,nikoran(5mg), dytor 20mg( for cardio) she was also prescibed bazucin and uriplas for last 21 days due to pus cells noted in her urine. The patient has left kidney and right kidney is not working. Please advise what should be done- may water consupmtion was less due to water retention in the past.
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Hallo Thanks for your query From what you have narrated it looks that your Rt kidney is not functioning and you are a diabetic patient since 20 years.you have not mentioned whether your diabetes is under control or not? Have you checked your blood sugar level regularly The presence of protein and epithelial cells in urine are suggestive that you have developed Diabetic Nephropathy and may land in to chronic Renal failure So Pl consult Nephrologist for proper management .
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What is echogenic kidneys in fetus?
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My renal ultrasound results say that both kidneys are mildly echogenic. My right kidney is 11.1cm and my left is 9.5. One the left kidney there is a focal area of echogenicity which is relatively well defined which measures 20x30x15mm. My creatinine is a bit off and that is why I was sent to get an ultrasound. Kidney disease is hereditary on my mothers side.
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Hello Echogenic kidneys indicate renal parenchymal disease.It may be due to many causes like chronic hypertension,diabetes mellitus,glomerulonephritis etc.You need proper clinical examination and investigations.Complete renal function should be assessed.It includes serum urea,creatinine,creatinine clearance ,GFR,Serum sodium ,potassium,calcium,bicarbonate,chloride,phosphate.Focal echogenesity may be due to hemangioma.Generally it is a benign finding.Proper treatment depend upon findings.This condition also need routine hemogram.Take Care Dr.Indu Bhushan
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How can colds caused by a weakened immunity system be avoided?
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My husband was Diagnosed with Type 2 Diabetes in Aug, 2010 and has been getting several colds...he takes 1000 units of Vitamin C - previously,he only got 1 cold yearly..I have COPD and my immune system is not the greatest meaning I catch some of his colds...Any suggestions here and thank you..
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Do you have any other underlying illness other than COPD?If you are susceptible to colds and acute exacerbations, it is preferable to get vaccinated for H.Influenza.Other than that maintain good nutrition, get exercise and loose weight if you are on the heavier side.
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Normal to have burning sensation in incision after ankle fusion and how long will it last?
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hi I had ankle fusion 1 month ago . since then it feels like someone drop a hot coal on my foot and like its a sever burn now yesterday the incision started feeling this way. I figure it nevre damage, or them healing pain meds don t help. is this normal and how long does it last
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Yes it seems that small sensory nerves would be damaged but they could be due to your initial problem that led to ankle fusion, your diabetes status needs to be evaluated and other causes of peripheral neuritis needs to be ruled out. You need x ray and blood investigations to rule out infection.
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Is there any need of by pass surgery?
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i took my wifeto hospital they told her she need heart by pass surgency she is chronic dietac insult depend, she smoke 2 pack, she is a amptee,below knee she cannot straight knee out she cannot wear her art.leg she just a stent put in on right leg her leg was dying,she had genegreen on toe how ever leg looks better and gegreenis clear up she got depression, does phy activ.had total hip replace on leg has all types of dietace problem, several other all. she can walk she depend on me for just evertything she is 60 years and after doctor heart cat she has numbers of blockage in heart and chd. she told them she does want bypass surgeny what am i wanting is what to except she on asp,ect med. what i am want to know what except and can this be long term thing she would not even have a doctor visit who done excuse my spelling and type ps her thighs ache right and stup is cold thanks i just want to be pepare ,she has walk on walkerin 2 years thanks
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Smoking, long standing diabetics has presented with all the complications she can have, for sure doing bypass surgery would be tricky for her, with immediate complications like infection post surgery, weaning her out of ventilation and long term risk of closure of grafts because of her smoking and uncontrolled diabetes . So without doubt the surgery is risky for her and as you said that she is not mobile, I will recommend you that if no cheat pain or breathlessness at rest on with daily activity you can try to give a trial to medical management where the drugs can be optimised to maintain symptom free life (many trials do support my recommendation) , however after optimisation the symptoms persist you may proceed with due care with the hope that she modifies her lifestyle post surgery. Regards
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What causes intense thirst and weird smell to his breath?
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I have a 2yr old that just started having seizures. He has had 3 in 2 months. He also has intense thirst and has a wierd smell to his breasth. Is it possible he is diabetic? we have a neuro concult on Aug. 9th just wondering if i should bring this up as one of my concerns>
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The most common cause of bad breath is poor oral hygiene.Bacteria that build up on a person's teeth, tongue and gums can cause plaque (the soft, white deposit that forms on the teeth's surface), gum disease and tooth decay.Eating strongly flavoured foods – such as garlic, onions and spices – is likely to make your breath smell.Some types of medication can also cause bad breath. Is he on any medicines ? Dry mouth, also known as xerostomia, affects the flow of saliva. A lack of saliva can cause bacteria to build up in the mouth, leading to bad breath.In some cases, gastrointestinal conditions may cause bad breath. For example, H. pylori infections (bacterial infections of the stomach lining and small intestine) and gastro-oesophageal reflux disease (GORD) have been linked with bad breath. I have briefed the few conditions causing bad breath. TO your doubt if he is diabetic, I would ask if there is any family history of diabetes and of course check his FBS, 2 Hr PPBS and HbA1C and decide. Intense thirst,appetite and frequent urination can make one think of diabetes.For seizure as you said, an EEG will be useful and your doctor will ask . Please get back to me with more doubts.Regards
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Am type 2 diabetic, losing weight, liver function abnormal, high GPT. Due to losing weight?
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I am a type two diabetic on insulin . I have been purposefully slowly losing weight. Now my Endroc. Doctor tested my liver funtion and it was abnormal it was GOt 43 and GPT of 66. Is it due to losing weight? I do not have a gall bladder and only have one kidney. The diet I am on is two High Protein drinks based on Whey protein 30 grams of protein with vitamins approved by the diet person in the clinic and then I eat a nice very healthy salad of all kinds of veggies with vinegar and two teaspoons of olive oil dressing. I also have some sort of berry or apple for snack as well as 5 oz of V8 and maybe a very small handful of pinenuts, almonds, or walnuts as snacks. what am I doing wrong?
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Hello,I have read your history.You have marginally elevated liver enzymes, these could be related to fatty liver. I would suggest you get tested for hepatitis B and hepatitis C.I case the above tests are negative I would suggest to keep following your diet and keep the diabetes under control. I would suggest regular exercise 20 to 40 min per day. I would advise you to repeat the shot and sgpt after 3 months and if theynare still high . consult a gastroenterologist who will guide you furtherHopenthis helpsRegardsDr Samir Patil
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Taking wysolone for increasing platelets. Gained weight, swelling in feet, leg after stopping. Cure?
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my wife has been advised to use wysolone 40 mg for some time and thereafter that has been reduced to 5 mg for increase of platelets from 0000. The count is fluctuating within 0000 to 0000. The medicine has been used for 6 months and is now stopped. Now, body gained weight and swelling in feet and legs. Kindly advise what to do
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hiThanks for your queryi can feel your concernsweight gain and edema are side effects of steroid use.you need not to worry.since drug has been stopped ,these will resolve in few time.try to keep legs and feet on a support.Along with weight gain and edema,steroids also cause increase blood pressure and diabetese.Moniter her blood pressure and also check her fasting blood sugarwishing her good healthregardsDr.AMNA
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Suggest remedy for soreness and pain after toe amputation
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My husband has diabetes and has had a toe amputation. It has been two months or more and it doesn t seem better to me, it is red and kind of passed where the toe was. His doctor gave him and antibiotic round and then nothing, but change the dressing every two days. The last two days it has started to. Hurt again. I don t know if this is normal, and I am worried. Should I be, I am really afraid with him having diabetes.
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Hi, As he is having diabetes with non healing toe amputation wound, it requires urgent attention to stop infection going up.Consult Diiabetes foot expert as there might be risk of having gangrene.Ok and take care.
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Lumps in breasts, little dried blood on left nipple. Could express creamy yellow and clear fluid from both nipples. History of hysperectomy, arthritis, lupus,diabetes, high BP etc. Serious?
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Hi. I noticed a few drops of dried blood on the inside of my bra at the level of my left nipple. I am 39 years old, have never experienced this before. No pain but feel all sorts of different "lumps and bumps" throughout out both breasts. Had a hysperectomy at age 28 but still have right ovary. Tonight after reading on internet, I tried to express from both nipples and was able to get a small amt of creamy yellow and clear from both sides. But I have not noticed the blood since or before the first time a few days ago. I have a multituide of health problems briefly, Rheumatoid Arthritis, Lupus, Diabetic, Prednisone dependant, recurring PE's, high blood pressure, and the list goes on. Should I be concerned? The only breast cancer in my family was my father's sister who died from Lung and Breast Cancer before she turned 50. My dad's mother died from a large brain tumor. There has been no cancer on my mothers side.
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Hello Welcome to healtharemagic Your history of having lumps and bumps in both breast is more suggestive of benign condition called fibroadenosis. Breast cancer is usually a single hard lump in a single breast. Small amount of discharge from nipple when expressed is normal. You need to see a surgeon and undergo clinical examination and mammogram of both breast to clear your doubts. If there is something suspicious in these tests you will need to do fine needle aspiration biopsy which will give definite answer. Wish you good health
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How does Inositol hexaphosphate reduce blood sugar levels that are elevated?
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I have been taking 2 capsules in the morning on an empty stomach for 3 months for high blood sugar readings hovering around 250, and A1C 7.4. Since taking Ip6 Inositol my blood sugars now hover around 100 and my most recent A1C is 6.2.How does this product reduce sugar levels?
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Hello,Inositol is a vitamin-like substance which helps insulin work better. It is commonly used in diabetes with pregnancy. It can cause nausea, stomach pain, tiredness, headache, and dizziness.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Saumya Mittal
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Is fatty liver curable through medications and diet?
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I am male 40 years old, weight 65 Kgs, height 165 cm, I have been detected for Fatty liver (grade-I) in ultra sound test. along with presence of Entamobea Hystolytica. Doctor has prescribed 5 days medicines viz Orni-500 and Veloz-20 tablets to treat the latter. Are these medicines are safe in fatty liver conditions? Would this cure the latter.Nothing has been prescribed though liver function tests and life style changes are advise. Also, I have been detected with 4mm echogenic lesion in calyx, for which doctor said will go by drinking min 3 liters of water/day. He advised to go for Homeopathy consultancy for better results.Please advise on above.
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Hi,Thanks for posting your query.A simple fatty liver is reversible when the risk factors are eliminated.Some of the risk factors of fatty liver are obesity, alcohol intake, diabetes and high cholesterol.If any of these factors is responsible for your fatty liver, you need to treat that.i would advise you to get a liver function test done and also check your blood glucose and cholesterol levels.Yes you can take orni500 and veloz 20 and these are safe in fatty liver conditions. No these do not cure fatty liver.I hope that answers your question.Regards.
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What causes severe itching near the foot with no signs of bites?
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About 8 wks ago, I got an itch at the bottom of my leg by my foot w/no noticeable signs of bites, ringworm, etc. One night it itched so bad I just got my other foot and scratched until it almost become raw because of the itching. It has turned into a dime shaped ring, not ringworm as I ve had before in my life. It s gone from light pink to a dark red now, still itching, flaking w/it. I ve tried every OCD and it s looking even worse. Any ideas?
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Hi, Thanks for the query. I understand your concern. Itchy foot could be due to- - keeping it sweaty, lack of cleaning, being packed in shoes ( poor exposure to air )& socks most of the time.. socks not being changed / washed & cleaned over days.Such condition many a times results in fungal infection( tenia pedis - Athletes foot- This is a contagious infection-- may be contacted by using same foot wares ) - Dry feet due to damage of peripheral nerves- in conditions - diabetes/ old age/ tarsal tunnel syndrome- damage to nerves cause nerve malfunction leading to itching. - Allergy - to soap, talcum powder, material of socks, shoes can lead to allergic itching. * keep the feet clean off the sweat, with scrubbing off the dead skin or flakes, & nourish it with a light massage with moisturizer & a dot of steroid cream to it / use airy foot wear, sprinkle anti fungal powder before putting on socks/ keep the foot open / apply moisturizer mixed with steroid cream to feet before bed time./ avoid sharing foot wear. -Avoid known allergens. - If you have diabetes-- keep sugar levels in normal limits ( with help of treating doctor & diet control * If no relief with home care- You need a dermatologist's expert advise for pin pointing the cause followed by specific treatment. Thanks.
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Suggest permanent treatment for pulmonary tb
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My dad is suffering from pulmonary tb from more than 10 yearss he is diabetic too,and got thyroid problem As he travels a lot for business visits, Due to his carelessNess of Not taking timely medicine for t,its not cured,He is taking. These tablets Combutol 1000mg, Pyzina 750,rcinex, Thyrox,l-cin,coxcerin,ethide,vysov,benadon100mg,methybex. The doseage of most of the tablets are high. He is taking from many years, no cure at all. My question is if tb can be cured in,todays scientific Times how come its not effective to my dad, he has become very weak and forcefully retired from business,unable to eat more, lost his appetite. Due to unable to swallow those big tablets we powder It and Mix with honey, these Combutol 1000mg1tab, l-cin 1tab,pyzina750mg 2tab. And the rest as it is to consume.
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Thanks for your question on HCM. In my opinion your father is having multi drug resistant tuberculosis (MDR TB).Irregular treatment is the most common cause for drug resistant. In MDR TB , patients are usually resistant to rifampicin and isoniazid. So when they given standard anti tb treatment, they show worsening of disease rather improvement.And diabetes can also contribute in MDR.So I suggest you to consult pulmonologist and rule out MDR TB first. Get done sputum culture for AFB and sensitivity for rifampicin and isoniazid to rule out MDR tb.
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What are the precautions should be taken before contacting scabies infected person?
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i will be visiting friends in denver next thur. and they called tonight to let me know that friends visiting had scabes. as i have type 1 diabetes and am on the pump are there any precautions i should take in visiting them. should i not visit? tx, claire briscoe YYYY@YYYY
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Dear Claire Briscoe, HiWelcome to HCM.I appreciate your concern for the preventive measures for scabies.Scabies is a highly contagious disease caused by mites.Persons with crusted scabies are infested with very large numbers of mites; therefore risk of transmission is very high both from brief skin-to-skin contact and from contact with items such as bedding, clothing, furniture, rugs, carpeting, floors, and other fomites that can become contaminated with skin scales and crusts shed by a person with crusted scabies.You must also avoid fomites like towels, hand kerchief, tissue, sharing same food containers or glass of water, juice or alcohol with the persons having scabies.Hope these suggestions could be useful to you in preventing yourself from the possible transmission of the mites responsible for causing scabies.Take care of your health.
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Suggest remedy for getting pregnant
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Hi I am a 35 years female married for past 7 years. My weight is 90 kgs and height is 5 feet 3 inches. I have a history of Type 2 Diabetes for past 5 years and Blood Pressure for past 8 years and PCOD for past 5 years. I have been trying to conceive and have tried multiple options including multiple rounds of IUI, induced ovulation but not been successful. i have got my tube tests done and one has a free spill while the other one has loculated spill. i was tested positive for TB, but a TB Elisia test was done and it gave a negative response. I was hence not advised treatment for TB. However, after that, I have tried multiple doctors and have now compeltely lost hope. I have not yet tired IVF. I continue to try through IUIs. Should i go and try for IVF or continue to try for IUIs? My husband's sperm count has always been graded as okay - in all the cycles of IUI. what could be the best suggestion for me to conceive? with my age not being in my favor, i am really worried. Mom to Be
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Hi I think you should go for IVF. The reason being your age and multiple cycles of failed IUI. IVF will increase the chance of pregnancy to 40 to 50 percent in comparison to IUI in which chance of pregnancy is only 10 to 15 percent. Also try to reduce some weight. It will help a lot. hope I have answered your question. if you have any other query I will be happy to help.
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Suggest remedy for headache,neck pain and pins sensation with tiny dots
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Hi, I have pins sensation in the palms of my hands, I have had them for several weeks now. and at every place i feel needles a brown tiny dot appears and it stays painful. they are present on my left hand and the middle finger of the right arm. I have been having headache and neck pain that sometimes prevent me from sleeping too. do you they are related, and what could be the cause?
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hello..i would like to know some details like history of diabetes/hypertension,smoking/alcohol/ any other addictions, profession?..i don't think they are related..get a physical evaluation and necessary investigations done by a physician for cervical spondylosis, anemia etc..hope my answer helps youif you have any more queries i would be happy to answer..
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Chronic diarrhea, enlarged liver, endolimax. Hepatitis A test, HIV test ordered. Do I have HIV?
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I have recently returned from XXXX and have had persistent dierreah I have had blood tests and stool samples taken the blood tests show that my liver is slightly inflamed and the stool sample shows trade of endolimax one dr has referred me for another blood test for hepatitis A and another has worryingly suggested a HIV test my symptoms are very similar to that of hepatitis A and I have had a HIV a year ago as part of a routine screening with my last smear test and I have not been sexually active since should I be worried about HIV? And are hepatitis a and endolimax related?
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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.Usually liver enlargement may indicate some types of hepatitis or fatty liver diseases and in most cases it doesnt require any specific treatment. If this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are most common causes and in this case medical evaluation is required. Also if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. You need to check your viral markers and do liver biopsy if necessary.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.
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Can cold cause numbness in hands?
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hi im very worried.last 2 weeks i have had puins and needls in hands,now over last few days i have tingling in my feet all the time worry all the time i am always crying think im dying look up these systoms saying serious making me have blurred vision that what it says on the internet i worry think it nexy day i got it been coughing and sneezing alot and feel hot then cold,would flu make your nreves play up
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Hi dear, Thanks for choosing Health Care Magic.Cold doesn't cause the nerves to play up. Your symptoms could be related to an underlying neurologic condition, or due to diabetes, but there could be other diseases that share similar symptoms.I suggest you to go to Internal Medicine Doctor as soon as you can so that the Doctor can run the appropriate tests required.. The doctor will take full medical history, and do blood tests to check for possibility of kidney or liver problems or diabetes. if blood test results show normal, the doctor might continue to run more tests to see if there is underlying neurological problems. Wish you all the best ..
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Does diabetes cause swelling and numbness in the hands and feet along with pain in the joints?
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Hello, my fasting blood sugar is 106 and liver function is abnormal, although I do not drink. I experience edema, swelling and numbness in hands and feet, painful muscles and joints, and difficulty walking and getting up and down in the hips. Is this diabetes, or may there be another issue? My muscles and joints have been severe in the past and I could not walk. thank you.
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Hello, If diabetes not being managed on a tight rule basis then it can because of the symptoms that you have. Besides this, it can be arthritis condition responsible for the symptoms given here; details of an abnormal liver function is not given here. As long as oedema and swelling is a concern, renal function has to be tested, you have not given much clinical information here else something better could have been discussed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Akhtarhusain, General & Family Physician
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What causes wheezing to a person with BP history?
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my mom aged 60 yrs is having blood pressure 190/90 now and having wheezing now, she is a diabetic and blood pressure patient with a history of 18 yrs. undergone angioplast in the year 2003. though she is on medicatation with proper diet. what would be the reason for this wheezing ? her height is 5'1" weight is 70 kgs aged 60 yrs
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Thanks for your question on Healthcare Magic. I can understand your concern. Since she is having uncontrolled hypertension (systolic pressure of 190mmhg), we should first rule out pulmonary edema as cause for her wheezing. So get done ecg and 2d echo to rule out pulmonary edema. Another possibility is bronchitis. Since she is having diabetes, lung infection is common and this infection can cause bronchitis and wheezing. So get done chest x ray and PFT (pulmonary function test) for bronchitis. On the basis of above reports, she may need diuretic, antibiotic and inhaled bronchodilator. Strict control of blood pressure is must. 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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How to get kidney working at 30% to 40%?
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My father is 67 yrs old with creatinine 5.38 he is taking homeopathy treatment but now seems to be no improvement further. and we want to avoid dialysis pls help,he has no other problem other than this. Can his kidney get improved to 30 or 40%. please do help.
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Hi, welcome to our site. I am Dr Saumya Mittal.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryI am not sure what is the cause of kidney dysfunction. But we do need to take a look at that. In causes like diabetes, tight control may help. Avoiding pain killers and other nephrotoxic drugs is important.besides, I understand that he may not want to do hemodialysis. its uncomfortable and inconvenient. however have you discussed the possibility of CAPD, or peritoneal dialysis with your doctor?once he is trained at it, he can do it at home, and be mobile and everything can be done normallySo i think that may be a good optionI hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck.I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.Please do understand that some details could be extracted from a detailed history and examination.Looking forward to your return query with the details asked so that I can help you further.(If the answer has helped you, please indicate this)
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Acid reflux, anxiety, severe migraines, face puffiness, body swelling, itchy skin, blurred post kidney transplant. How can I overcome this?
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At the age of 5 (now 35) I was juvenile diabetic (type 1). In May 2006 I started dialysis due to renal failure . During that time I was about 20-25 pounds overweight with severe water retention & because of this I lost some skin elasticity. In august of 2008 I received a kidney/ pancreas transplant . My dry weight at the hospital was 109. After my transplant I continued to stay at a weight between 110 & 115. My diabetes was no longer an issue (the new pancreas took care of that!) & I no longer needed diabetic meds. Although I am very happy to no longer have to deal with diabetes, there are some side effects of my transplant that effect me in a way that I sometimes do not want to leave the house. 2 things I received after my transplant is acid reflux & anxiety. Another is severe swelling, water retention & puffiness (up to 15 pounds) 1-2 times a month around pre- pms & allergy attacks. I get really bad migranes, swollen/puffy face, full body swelling, water retention, itchy/tight skin, pressure, blurry vision, watery eyes & severe anxiety. Every month I deal with these issues. I have been to 3 allergist, 2 GYN s & numerous ER visits & the answers I get from doctors are always the same: Labs are perfect with the exception of ocassional UTI s (which I was told was normal for someone with a new kidney so close to the bladder). I leave the doctor/hospital frustrated with no answers to why this happens to me every month for 3-4 days. There has to be a reason that this is happening. I do not want to take any medication for anxiety because I take enough medications for anti-rejection as it is. Please help!
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Hell Dear Sou, Welcome here on hcm. For your problem you have to consult a kidney specialist here on hcm premium service. If you will not be serious, than, you will be in great trouble. Thanks
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Diabetic with severe pain in legs after taking NPlate injections for ITP. Is this a side effect?
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Hi-I am slowly, and I mean slowly recovering from a total, open hysterectomy. I had severe endometriosis along with 2 abdominal masses removed. From what they tell me it was about a 5 hour major surgery. I have had ITP since I was 18. I am 42 now. I have never had to have any kind of major surgery so my ITP was and never has been a factor. I had the IVIG infusions which worked and make my platelet count go up. They were 66,000 and would not operate. Once that was taken care of, my blood pressure became a factor and had to meet with a cardiologist. So, the wait to get my blood pressure under control my platelets took another crash dive. Long story short, I have been on the NPlate injections for 5 solid weeks. I have had severe leg pain. From my knees down, it stings and burns like pine needles pricking me. Numbing pain that hurts really bad. It dawned on me it could be the Nplate injections. Could this be a possibility? I am also a diabetic so was told by my surgeon it could be diabetic nerve pain and would eventually go away. I am due to meet with my hemotologist next week and want to stop the injections. My platelets were at 242,000 today so hoping I can get off the injections. Thanks in advance for your reply.
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hi nplate does not cause any pain the is due to diabetes kindly check sugar level if its more chances of diabetic neuropathy pain there diabetic pain u cane take fluoxietien
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How to treat high urea level?
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sir, my cousin have been suffering from kidne problem(both) docs,could detect it in calcutta,his urea level is high now docs say he may have to face dialisis after some time,he wants to come down to b,lore for treatment kindly advice.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It would have been able to answer you in more detail if i could get a little bit more history like since how long he has renal problem? Does he have any comorbidities like diabetes,hypertension? What is the cretinine level? Was he on any medication? And does high urea has caused any change in his mental status? With the limited history that i have i would suggest you to get hia hemodialysis done as this is the best way to reduce serum urea level moreover if it is due to acute renal injury then the chances are that he would be off dialysis after 2 to 3 sessions. Hope I have answered your query. Let me know if I can assist you further.
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What is the cause for enlarged spleen with esophageal spasms and major depression?
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I am wondering what might be causing my enlarged spleen? A CT scan that was done because of kidney stones indicated splenomegaly. Is it just a symptom of these known diagnoses or is it something I should press my doctors to pursue further? I am a 54yr old female diagnosed with the following: diabetes, sjogrens, crohns, hx. ulcers ,delayed gastric emptying, esophageal spasms, nutcracker esophagus, benign thyroid tumor, asthma, sleep apnea, degenerative disc, cervical fusions x3, fibromyalgia, lumbar spine fractures, kidney stones, lymphedema, migraines, major depression, post traumatic stress, fatigue. e-mail YYYY@YYYY
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HiThanks for using healthcare magicSplenomegaly is usually associated with increased workload, which suggests that it is a response to hyperfunction. It is therefore not surprising that splenomegaly is associated with any disease process that involves abnormal red blood cells being destroyed in the spleen. May be due to esoplageal spasms or kidney stones, blood cells have been destroyed and to compensate that lost, spleen is enlarged.Thanks
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Will lumbar discectomy prove beneficial to one having foot weakness due to bilateral peripheral neuritis in the limbs ?
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Sir I am 68 years old man . I have no diabetes or HTN or any cardiac dieases. I dont smoke or drink alcohol .I have bilateral peripheral neuritis in all four limbs detected by the nerve conduction studies since few years, probably seconday to the intake of Tarcolimus tabs ( as immunosuppressive for Liver transpalnt in 2000) .But I have only very slight sensory disturbacnes . Recently I have been having weakness of the dorsiflexion of my left foot since 4 months with partial foot drops and difficulty in walking. No root pain or any form of sciatica. The MRI showed disc bulging with encroachement fo the nerual recess of the L45 root. Will be benifited if I go in for lumbar discactamy though I have no root pain. Please advise me PMK Nambiar
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Dear Mr. Nambiar The weakness in dorsiflexion and foot drop can have either neurological causes or even issues related to muscles as in palsy or muscular dystrophy. Your Mri has indicated of disc bulge and encroachment to neural recess of L4-5 So this can be taken as tentative cause. Well mr. Nambiar I believe I will not recommend surgery as the first option in such cases. In Ayurveda there is a procedure which is called Kati Vasti in which medicated oil slightly heated is kept over affected area for about half an hour to 45 minutes. These oils contain analgesic, anti inflammatory and muscle tonic herbs. I have seen excellent response in such cases. More so it is non invasive technique. In case the cause is with muscles then fomentation with herbs and oil massage is beneficial. I wish and hope that this will cure you.
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What causes itchy rashes along the waist and bra lines?
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To treat my diabetes, I started taking tradgenta two months ago, in addition to glimiperide and metformin. I have had no reaction it, until possibly now. The results have been excellent in controlling mt blood sugar. I have been golfing the last two days in hot humid weather and I have itchy skin with a rash at the waistline and bra lines when I finish golfing where my clothing contacts my skin. My clothes are not too tight. The rash goes away by morning. I really would hate to stop my tradgenta....it is working so well. Can Medicines cause a rash after being tolerated well for two months? Are there other meds in that class that might be a good alternative or are they likely to cause a rash, also? I put on some hydrocortisone cream to help relieve the itching. Any other ideas? This sequence has been going on for 2 days.Thank you very much.Martha
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HIWell come to HCMI really appreciate your concern, of course the antidiabetes medicines could cause the hypersensitivity reaction but in your case chances of this is very less like but it seems to be sun sensitivity, stop going in the sun if the symptoms appears even after that then it may be something else but not the sun, I would advise you to keep taking the anti-diabetic drug and wait for some time it will be okay soon and if you have the symptoms of itching then it may needed clinical observation and examination for right diagnosis, hope this information helps.
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Do pain in the knees while kneeling down and numbness in the feet need medical attention?
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Hello, I feel down a couple of steep steps while traveling in China 2 weeks ago and landed on my knee. I have no pain other than when I kneel down on it. It is excruciating! There is also some numbness on the outer part of my knee cap. Do you think it will heal on it s own or should I see a dr?
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Hello, This type of injury is quite common. It usually heals up in due course of time, if you don't have other associated diseases like diabetes, hypertension or any other metabolic disorder. You may take an occasional tab of paracetamol & multivitamin. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nirmal Chander Gupta, Orthopaedic Surgeon
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Can diabetic patient having fever take zenflox?
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My mother is suffering from high fever for several days, which has caused her weakness, pain etc. She was diagnosed for Typhoid and Malaria, but thankfully to negative results. She is given Zenflox plus along with Multivit Gold. I want to know whether these drugs are safe for her. She has diabetes for 2 years.
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HI, thanks for using healthcare magicZenflox is an antibiotic. It has a wide range of action against different bacteria.It can be used in diabetics.If her symptoms are related to one of the bacteria treated by this medication then she should consider using it.I hope this helps
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Does intake of Metformin, Humalog or Lantus result in decreased energy levels?
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I have had diabetes for 16 months now and I seem to be tired for reasons unknown. I am 76 and except for the recent diabetes, I am healthy. No other medications. No allergies. Is it the metformin or the humolog or lantus that is having an effect on my energy level? Thanks for your answer.
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HelloI have gone through your question and understood your concern.Low energy can be a symptom of hypoglicemia and hypoglicemia can be a side effect of Humolog or Lantus.At the other side unusual tiredness, or weakness can be a symptom of lactic acidosis,a side effect of metformin.Other symptoms of lactic acidosis include abdominal or stomach discomfort, decreased appetite; diarrhea; fast or shallow breathing; a general feeling of discomfort; severe muscle pain or cramping.If you do not have any of this symptoms (apart low energy),Lactic acidosis can be excluded.I suggest to check your blood glucose several times every day(for some days)fasting, 2hours after meals or random to see of you have hypoglicemia.In this case your insulines and your diabetes is the culpit of your low energy.If you do not have hypoglicemia and lactic acidosis,i suggest to consult your doctor for further investigations.(If the weakness persist)Hope i have answered to your questions.If you have other queries,feel free to ask .(you can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo).I will be happy to help.Take care.
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What causes pain in arm if suffering from hypertension?
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I am 63 years old, 5 ft. 10 in. and 180 lbs. I have a history of high blood pressure, high cholesterol, and Type II diabetes. All of these have been controlled well through medication. I have blood tests every three months which show no difficulties. Recently, I have had pain in my right arm periodically. It can last for about 1/2 hour but then it returns. Should I be concerned with this pain in my right arm?
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what kind of pain is this.is it exertional or rest pain.is it associated Any neck pain or trauma to neck or associated with tingling or numbness.usually pain in right noncardiac but sometimes it can be cardiac. so ecg is needed or if normal stress test is indicated since you have risk factors.
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Recommend treatment for prostate cancer
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hello, my name is Stacey and my father was just diagnosed with prostate cancer he doctor told him that he is 95% sure its curable. My question is what is the best treatment for prostate cancer since he is 50 yrs old with diabetes? By the way, he doesn't take med for his diabetes because its well under control.
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Thanks for your question on Health Care Magic. I can understand your father's situation and problem. Yes, prostate cancer if detected early and managed well, can have excellent prognosis and patient can have almost near normal life. Surgical removal of prostate (prostectomy) is needed. Prostate cancer is hormone responsive cancer. And hence testicles are also removed (orchidectomy) along with prostectomy. Post operatively patient also needs hormone therapy to avoid recurrence. So in experienced hands, prostate cancer is 95% curable. So best treatment for prostate cancer is prostectomy with orchidectomy and hormone therapy. Hope I have solved your query. Wishing good health to your father. Thanks.
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What causes troponin levels to vary?
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I had routine lab work done in nov and my troponin level was 6.1. A week ago I had lab work again and the level was 9.5. I have a Thallium stress test scheduled for the end of the week. Needless to say I am quiet anxious about the test. I have not had chest pains.
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Hello,Brief answer: Troponin level may vary according to acute heart insult also from lab to lab. Sometimes false positive troponin present.Explanation: My opinion is that troponin level is used to diagnose acute coronary syndrome. Chest pain and dynamic or ischemic changes in EGC are an indication to measure troponin. So, it is not any time investigation such as CBC. Positive troponin points to myocardial injury, so anti-ischemic measurements should be initiated. Sometimes false positive troponin presents with renal failure for example. Also, variation in lab results may be an error in lab procedures. In your case, having no past history of chest pain makes diagnosis of ischemic heart is far-fetched. I suggest my patients the following if positive troponin. Do an EGC, echocardiogram and if those suggest myocardial ischemia, anti-ischemic measures are initiated on spot.The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about other risk factors to develop ischemic heart disease, smoking, obesity, family history, etc. Also ask about diabetes as in diabetics silent ischemia happens (that means without chest pain).Conclusion: I suggest you do your thallium study as soon as possible to see if any ischemia develops in your heart and so treat accordingly.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mahmmad Gamal
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What is the reason for burning sensation in both the feet with sleep disorder ?
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suffering from burning sensation in both the feet & sleep disorder for the past 4 years. Please suggest medication consulted neurologist , who rcommended follwing medicines for one month 1- Tonaet TG 2- LibotrypDS 3- Reblet D. This gave me temporary relief but same symptoms came back after stopping medicine . Please help Vijay Tiwari New Delhi India
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Hi, Burning sensation could be of different reasons like diabetes mellitus, Vitamin deficiency. Please check your blood sugar levels along with Vit B13 and vitamin D3. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rajesh Gayakwad, Orthopedic Surgeon
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How can backache be treated while suffering from bulging disk?
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I was diagnosed with the following after spending about 20 visits with a psychologist: ADHD, PTSD, Severe anxiety,depression, bipolar and early onset dementia. I went to a seconf psychologist and he confirmed the original diagnosis. I am seeing a psychiatrist who reviewed those findings and he has me on the following drugs: Effexor 250 mg, Xanax 1 milligram up to twice a day, Aricept, Nemenda, trazodone and divalproex I am not any better aftwe 5 years of this regime. I cannot exercise as I was in another accident and I have bulging disk in L3 _ L5 and S1. I cannot take any more steroids (I have 4 epidurals and 4 trigger point injections and since I have type 2 diabetes I have complete panels taken every 3 months and when I had blood test done after the above procedures and both my liver and kidneys was way off course. Family doctor told me to not take steroids because of the afore mentioned. I have been to a therapist and chiropractor for more than 4 months at least twice a week. I need to know if there is any other treatments for back pain as the two ortho I have been to says the bulges are definitely there but they cannot be fixed with surgery.
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Hi, A backache due to bulging disc can be treated with rest, lumbar traction, adequate hydration, and oral muscle relaxants. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopedic Surgeon
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